Chapter 137

"The patient's blood pressure has risen."

With the buzzing electric press, the cuff tied to the patient's arm gradually bulged.

Soon, the blood pressure on the monitor was presented to everyone.

The blood pressure, which had already fallen below the critical value, rebounded strongly, and the systolic pressure had risen to 90mmHg.

The effect was immediate and exciting.

"Boss, is the deep vein so useful?"

Lin Gaoyang was still in shock. Such a small tube, the infusion speed was faster than the three peripheral lines of liquid dripping together.

Who knew that Xiao Chenguang said lightly: "This is just an internal jugular vein catheter. If conditions permit, a femoral vein catheter can be used, and the fluid infusion speed will be faster."

"Is there anything more powerful?"

This time Lin Gaoyang was not calm.

After all, sometimes Lin Gaoyang would encounter patients who urgently needed fluid infusion.

If this technology can be mastered, wouldn't there be more ways to save lives?

"I'll teach you after this operation is done."

The technique is not difficult, and Xiao Chenguang is also happy to teach people. After all, mastering one more skill will provide more protection for future patients.

"Okay."

Lin Gaoyang was excited, which made the two directors on the stage envious.

Wang Jingang was fine, after all, Xiao Xiao was from their department, and he would have the opportunity to learn in the future.

Xia Tao, who was standing aside, felt that his intestines were almost green with regret at this moment.

The new technology in Xiao Chenguang's hands was like a treasure chest, and it could not be used up at all.

Xia Tao suddenly thought of the burn patient that Gong Liang was in charge of, who seemed to have a tube inserted in his neck.

Could it be that Xiao Chenguang also did it?

It must be.

There is no need to ask, Xiao Chenguang is the only one in the entire Shengli Hospital who can bring back patients with large areas of burns safely.

It's really amazing.

At this time, the door of the operating room was suddenly opened.

The staff of the blood transfusion department rushed over with a green blood box.

"Director Xiao, the patient's blood has arrived."

When this was said, everyone was shocked.

So fast?

How long did it take for the patient to go from the hospital to the operating room? Ten minutes?

The blood transfusion department actually completed all the steps of testing, blood transfusion, and delivery.

This kind of one-stop service seems to have never been seen by the two directors in their lives.

"Our director specially approved it."

The staff of the blood transfusion department panted.

With the experience of the previous few times, whenever Xiao Chenguang's emergency surgery was involved, the director of the blood transfusion department specially held a department meeting and gave clear instructions.

Testing, blood transfusion, and delivery must be done at the first time.

The three firsts reflect the difference in Xiao Chenguang's status in the blood transfusion department.

"Thank you for your hard work. After the blood transfusion, use the deep vein tube to transfuse the patient at the maximum speed."

Xiao Chenguang's voice sounded.

The blood pressure rose, the whole blood was delivered, and seeing the instructor on the stage with a tube inserted and general anesthesia, he was obviously more assured of his treatment.

"Patient Yang Chuang, hospitalization number..."

Two people checked the blood bag information, and the sound of two people checking blood sounded in the operating room.

"Director, prepare for laparotomy."

Four units of red blood cells were hung in two ways and infused into the instructor's body through the catheter. The increase in blood volume gradually kept his vital signs at a relatively stable value.

Xiao Chenguang immediately took off his gloves and threw them into the yellow trash can next to him. He disinfected his hands again and changed into surgical clothes.

The preparations on the stage were also completed under the auspices of Wang Jingang.

"Xiao Xiao, you are still the main surgeon, and we assist."

Xiao Chenguang's ability is recognized, there is no doubt that with him as the main surgeon, many things can be solved easily.

"Okay."

Xiao Chenguang took the lead and stood at the main surgeon's position. He stretched out his hand, and with a snap, the scalpel was handed to his palm.

The midline was opened, the tip of the knife cut the skin, and a 15cm long incision was immediately presented to everyone.

Xiao Chenguang was very fast, freeing tissue, stopping bleeding and ligating, and soon opened the peritoneum.

Through the peritoneum, the hematoma cavity that had formed could be clearly seen.

There was active bleeding in the internal organs, and there was more than one.

But unlike Professor Zhuang's stab wound, the instructor's bleeding at this moment was mostly internal bleeding of the organs caused by gravity impact after the fall.

The outer layer of the organs is covered with a membrane, and bleeding will only further squeeze the internal organs, just like an inflated ball. As the amount of bleeding increases, the membrane cannot withstand the pressure and finally bursts directly.

In this way, the organs cannot be saved.

"Xiao Xiao, the closed chest drainage is set, you can explore."

On the other side, because the patient had hemothorax, Xia Tao and Lin Gaoyang performed a puncture of the left chest drainage tube to ensure that the patient would not be affected by the problem of breathing pattern.

"Okay, Director, let's prepare for exploration."

"Okay."

Wang Jingang is ready at this moment.

"Panoramic, prepare for negative pressure suction."

"Okay."

The nurse immediately handed over the suction tube with a sheath.

Seeing this, Xiao Chenguang quickly cut open the peritoneum with a knife, and Wang Jingang used an abdominal wall retractor to expand the field of vision in the surgical area.

What came into view was a vast sea of ​​blood.

"Iliac artery ruptured?"

Seeing this, Wang Jingang's heart skipped a beat. If it was an artery rupture, I'm afraid the problem would be serious.

"It should be a ruptured vein."

Xiao Chenguang looked at the abdominal cavity and quickly made a judgment.

If it was an artery rupture, the moment the peritoneum was opened, as the pressure was released, blood could spray directly onto the ceiling.

Although the amount of bleeding was also large, it was not to the point of spraying blood.

"Negative pressure suction."

The tube was quickly inserted into the sea of ​​blood, and the small electric motor was humming. A large amount of blood was sucked away, and the situation in the abdominal cavity was clearly visible.

The iliac vein was torn, with a 2-centimeter tear, and it was still gushing blood.

Xiao Chenguang immediately pressed it with his hand, and the patient's blood pressure really increased further.

"Pay attention to the blood circulation of the patient's left leg skin."

Xiao Chenguang explained.

After all, the blood circulation of the lower limbs mainly relies on the iliac artery and vein for blood supply. One side of the blood vessel was temporarily blocked by Xiao Chenguang, and the skin of the lower limbs would show symptoms such as dampness, coldness, and swelling.

"Xiao Xiao, don't worry, I'll help you watch."

Wang Jingang's words came, and Xiao Chenguang nodded. He stretched out his hand: "4-0 needle with thread, hemostatic forceps, needle holder..."

As the instruments were handed over, Xiao Chenguang began to anastomose the blood vessels.

Because it was a large blood vessel, coupled with timely fluid replenishment, the blood vessel wall was very elastic, Xiao Chenguang threaded the needle and sewed very quickly.

The needle and thread kept dancing on both sides of the blood vessel wall, densely packed, gradually covered by black silk thread. As the last stitch was completed, Xiao Chenguang gently pulled left and right.

The two-centimeter crack gradually closed, forming a thin thread that was difficult to distinguish with the naked eye, and merged with the surface of the blood vessel.

Wang Jingang, who was pulling the hook, saw Xiao Chenguang's suture. Although he had seen it many times, it was still pleasing to the eye and praised it.

"The patient's systolic blood pressure has reached 100mmHg."

The anesthesia and the patrol looked at the values ​​on the patient monitor at the same time, and the alarm sound that had been beeping continuously finally stopped.

Everyone breathed a sigh of relief.

As long as the blood pressure can be stabilized, it means that this operation can basically be successfully completed.

But at this moment, a stream of blood suddenly spurted out of the patient's abdominal cavity, instantly dyeing the surroundings red.

The sterile sheets, surgical gowns, and even the shadowless lamp hanging above the head were splashed with blood.

"What's wrong?"

The sudden scene made people stunned for a moment.

"It's broken, the membrane is broken!"