Chapter 164

"Puncture needle."

With anesthesia on the side, Xiao Chenguang stretched out his hand, and the steel needle in the puncture bag was handed to his hand by the instrument nurse.

Since the hematoma cavity was located on Xiao Chenguang's side, his eyes were blazing, and pictures of hematoma puncture and drainage quickly appeared in his mind.

Determine the puncture site, two points and one line, take the highest point and insert the needle.

Avoiding the thyroid, lymph and other neck tissues, Xiao Chenguang relied on precise and skillful operation to insert the thick needle directly into the center of the hematoma cavity.

Suddenly, the pressure in the hematoma cavity was released, and a stream of dark red blood spurted out from the needle.

Seeing this, Anesthesia quickly used a sterile bowl on the side to pick it up.

In the blink of an eye, about fifty milliliters of drainage filled most of the sterile bowl.

Anesthesia was shocked when he saw the blood in the bowl that quickly solidified into a semi-jelly.

"There is so much blood and fluid accumulation. Fortunately, it has been drained out now. Otherwise, it would be troublesome when the blood clots."

Anesthesia immediately remembered Xiao Chenguang's previous instructions. It seemed that he had expected this to happen.

That's why the operating room is asked to prepare puncture kits in advance.

If Xiao Chenguang hadn't reminded him just now and had directly chosen to pressurize oxygen, the coagulated hematoma cavity might have been enough to kill Dr. Li before the blood oxygen recovered.

When he thought of this, Anesthesia suddenly felt a biting cold wind, and his body couldn't help but shudder.

"Traumatic clotting occurs so quickly."

When Xiao Chenguang saw this scene, he naturally knew the reason for Li Cheng's sudden suffocation.

When the human body is traumatized, it accelerates platelet aggregation, improves wound healing, and prevents tissue bleeding.

But Dr. Li's injury was too serious and his body was unable to stop the bleeding. He could only rely on Xiao Chenguang's pressure to stop the bleeding.

But as a result, some of the blood that seeps into the subcutaneous tissue is rapidly coagulating, squeezing the trachea, and causing suffocation.

"Give me the scalpel and prepare for incision and drainage."

All the blood must be drained out, otherwise there is a risk of suffocation.

Xiao Chenguang took the scalpel and quickly made an incision based on the puncture point.

Some deep blood clots were also removed by Xiao Chenguang. At this time, a long inhalation sound came from Li Cheng's throat.

The originally struggling and restless body gradually became calmer.

At this moment, the anesthetist has been paying attention to Dr. Li Cheng's breathing and blood oxygen conditions with his peripheral vision.

The blue curve on the monitor rose vertically, and even Li Cheng's chest returned to its regular rise and fall.

"Director Xiao, Dr. Li's blood oxygen saturation has returned to 90%."

The circulating nurse was excited.

Li Cheng's originally bruised face gradually returned to rosy. As the danger was lifted, the operating room was no longer silent.

"Director Xiao, thank you."

The anesthesia hit him. He was at the bedside, closest to Xiao Chenguang.

While giving him a hand, he could clearly see the abilities Xiao Chenguang showed.

Skillful technique and precise positioning.

Incision, puncture, and drainage, every step was smooth and smooth, just like what the TV station advertised, it was like a documentary reenactment.

The most important thing is that Xiao Chenguang used one hand to apply pressure to stop the bleeding, leaving only one hand for operation.

But even so, his operation was still as steady as a rock, and his textbook-style incision and drainage were impressive.

As the drainage tube continues into the neck incision, the drainage ball is connected and negative pressure suction is performed.

The problem of neck hematoma was resolved.

At this time, the door to the operating room suddenly opened, and a group of people stood at the door.

Surgery, internal medicine, doctors, and nurses all ran to the operating room after receiving the news.

Even the old panting expert from before was among the crowd.

Their expressions were anxious and their eyes were full of worry. Everyone was angry about Li Cheng's attack.

"How is Li Cheng? Is his life in danger?"

"Is he okay? If there is anything we need to do, just ask."

"Xiao Cheng, you must hold on, everyone is waiting for you here."

Gathered here were Li Cheng's masters, colleagues, friends, and apprentices, but no matter how anxious they were, they did not rush into the operating room.

"Don't gather here. Everyone go back to their respective posts. I will tell you the news."

Li Guoyong appeared in the crowd. He was breathing heavily and most of his shirt was wet. He had obviously run all the way from the office building.

Even though his anger was uneven, Li Guoyong's voice was still full of energy. He knew that as the leader of the hospital, he must not be chaotic at this time.

"Dean!"

"Dean Li, we have to find a way to save him. Dr. Li shouldn't be treated like this."

"Yes, Dean Li..."

At the scene, some people were overly sad, while others were filled with indignation. Everyone's emotions became sensitive because of Li Cheng.

"Why panic? The whole hospital is organizing rescue operations. Li Cheng will be fine."

After that, experts wearing hand-washing clothes appeared one after another around Li Guoyong.

Director of the General Surgery Department Wang Jingang, Director of the Thoracic and Cardiac Surgery Department Xia Tao, and directors of various departments in the hospital were almost all present in the operating room.

Just as Li Guoyong said, the entire hospital is now using its full efforts to treat Dr. Li.

"How is Doctor Li doing now?"

Wang Jingang strode around, bypassing everyone, and walked directly into the operating room. When he saw Xiao Chenguang on the stage, he was startled.

I suddenly remembered that in the waiting room this morning, opposite Xiao Chenguang, was Li Cheng's clinic.

What kind of crazy thing could do such a thing?

Wang Jingang cursed secretly, his expression becoming even more ugly.

"Director, three carotid arteries are injured, and the trachea is also damaged. The risk of hematoma suffocation has just been eliminated, but there are probably other problems."

Xiao Chenguang was relieved when he saw the directors rushing over.

He almost put all his energy into controlling the bleeding of the carotid artery. After all, if the force was too light, the bleeding could not be stopped. If it was too heavy, it would affect the blood flow and cause acute failure of various organs due to low perfusion.

It was difficult, really difficult.

The puncture drainage incision just now was already his limit.

If other emergencies occurred at this time, I am afraid Xiao Chenguang would be too busy to solve them.

When he explained Li Cheng's situation, Wang Jingang had already changed into surgical gowns, put on sterile gloves, and came to Xiao Chenguang.

"Take a rest, leave this to me."

Wang Jingang's voice was deep and steady. He took over Xiao Chenguang's position, stretched his hand to the innominate artery in the neck, and pressed it lightly.

The force was impartial, just replacing Xiao Chenguang's hand.

On the other side, Xia Tao, the director of the Cardiothoracic Surgery Department, put the stethoscope between Dr. Li's lungs after seeing his trachea rupture, then changed his clothes and put on sterile gloves.

He used the thoracentesis needle prepared earlier and inserted a closed chest drainage tube into Li Cheng. Seeing the big bubbles in the water seal bottle, he heard the gurgling sound of bubbles in his ears.

Tracheal rupture leads to pneumothorax. Although it is not serious, if the intubation is directly used on the ventilator, Dr. Li's lungs will inevitably be damaged.

If the lungs are broken at that time, even gods can't save him.

The two directors cooperated tacitly and acted quickly, giving people a sense of stability and solidity.

Seeing this, Xiao Chenguang's tense expression finally relaxed. At this moment, a panic came from the bedside anesthesia.

"Director, Dr. Li's trachea is not simply damaged, but directly broken!"