Chapter 166
Soon, the citizens of Yingcheng spontaneously went to Shengli Hospital.
The streets and parks that were originally bustling and noisy were now quiet.
The streets and alleys around the hospital were crowded with people, and the blood collection point of Shengli Hospital was crowded with people.
Citizens came to donate blood and draw blood in an endless stream.
They lined up in front of the blood collection window shoulder to shoulder, like several long dragons, filling the spacious hall.
At this time, the blood collection nurse in front of the window was skilled in each movement, and her hands turned into a residual image, registering, checking, testing blood, and drawing blood.
The movements were done in one go, as fast as lightning, almost one person in a few seconds, and repeated.
The number of citizens donating blood far exceeded imagination. Everyone waited patiently without noise. The hospital staff also worked tirelessly overtime to test and check blood under this high intensity.
All of them were working hard, with only one belief in their hearts, to keep Dr. Li alive.
......
In the operating room of Shengli Hospital, Xiao Chenguang had already washed his hands again, changed into surgical gowns, and put on sterile gloves.
He didn't know what was happening outside, but now, Dr. Li's operation was imminent.
Originally, in the absence of blood transfusion protection, Xiao Chenguang had some concerns about this operation.
After all, thoracotomy is much more complicated than conventional surgery.
Respiratory restriction, neuroanaemia, blood embolism... Each of them will seriously affect Dr. Li's survival rate.
Now with Li Guoyong's call for blood donations throughout the hospital, plus the nearly 5000ml of plasma and red blood cells taken temporarily.
Only then did Xiao Chenguang gradually gain confidence.
No matter how strong a surgeon's ability is, sometimes these objective reasons will limit his performance.
"Pan, after checking, open two channels for plasma and red blood cells and transfuse them at the same time."
"Open the speed to the maximum. If it still doesn't work, pressurize the blood and raise the patient's vital signs first."
Xiao Chenguang has asked the patrol who has checked the blood bag information to hang all the blood on the infusion stand.
Under the illumination of the shadowless lamp, on the metal iron rack, there are glass bottles, plastic bottles, bagged liquids, Ringer's, compound, plasma, red blood cells and other crystal colloids, which are rapidly infused into Dr. Li's blood.
Because his neck is damaged and close to the internal jugular and subclavian veins, conventional deep vein cannulae cannot be placed. In order to maximize his blood volume and the use of vasoactive drugs.
Xiao Chenguang directly chose to place a femoral vein cannula at the root of his thigh.
Compared with other deep vein cannulae, femoral vein cannulae are much easier.
There is no need to consider the risk of pneumothorax caused by puncturing the subclavian vein, nor the situation of vascular malformation in the internal jugular cannula.
It is just that the infection rate and movement are a bit troublesome, but this is not the focus of consideration now.
Taking the deep vein puncture kit, Xiao Chenguang skillfully opened it and prepared the supplies.
The speed is very fast, and the operation is overwhelming.
Disinfection, positioning, touching the femoral artery, moving 0.5cm inward to confirm the femoral vein.
Oblique puncture, needle insertion, blood return, guide wire withdrawal, and hose extension.
Fix, connect, open the infusion clamp, and the liquid is poured into the patient's body. The whole process is as smooth as flowing water and completed in one go.
Wang Jingang and Xia Tao on the stage had seen him place a deep vein catheter before, and their expressions were normal, as if they were used to his operation.
But the director of the anesthesia department was a little unbelievable at this moment.
The last time he returned to the office, he found that a set of deep vein puncture kits was missing.
Later, the anesthesia on duty said that when rescuing the firefighters, Xiao Chenguang used a set because of the condition.
The director of anesthesia was a little surprised at the time.
After all, this is a new technology that their department is going to develop recently, and they have just studied it and have not used it on patients.
How come Xiao Chenguang is one step ahead of him and disassembles the kit and uses it?
The most important thing is that the anesthesia at the time said that Xiao Chenguang's proficiency in using the deep vein kit is as simple as inserting a needle at ordinary times.
At first, the director of anesthesia didn't believe it.
Now it seems that this is not a catheter. If the hands are unfamiliar or the blood vessels are not good, it may fail.
Now Xiao Chenguang's operation is as easy as eating and drinking water.
No wonder Xiao Chenguang was specially approved as the technical director. This endless new technology is indeed worthy of the hospital's vigorous cultivation.
At this moment, with the use of a large-diameter catheter, 1500ml of plasma dripped out in an instant, and Dr. Li's traumatic coagulopathy improved little by little.
The remaining 10 units of red blood cells are also being infused intensively.
Only by restoring the body's blood volume can the necessary conditions be provided for thoracotomy.
"How are the blood routine and coagulation results of the recheck?"
"Hemoglobin 6g6, more than 3 red blood cells, PT10, APTT22."
"Okay."
Xiao Chenguang turned to look at Xia Tao and Wang Jingang and said, "Director, the blood has been temporarily replenished. Shall we start the joint operation?"
"No problem for me."
Wang Jingang nodded in response.
He pinched the blood vessels and controlled the strength. In fact, for him, the difficulty was the least among these people.
Because the bleeding point of the carotid artery had been found, and with Xiao Chenguang's emergency intervention, the incision had even been reserved.
All Wang Jingang had to do was to wait for them to open the chest and then anastomose the exposed damaged blood vessels.
"I have no problem either."
Although the anesthesia director was amazed at Xiao Chenguang's operation, that was an area he was not familiar with. For the current tracheal rupture, he had discussed countermeasures with the anesthesia on duty.
By choosing a longer and thinner catheter, passing through the displaced trachea, the catheter was directly inserted into the tracheal protuberances of the left and right branches, and the airbag was fully inflated.
It temporarily played the role of connection and fixation.
Although the thin and long catheter would be more difficult to use on the ventilator.
Low tidal volume, high airway pressure, and even the risk of atelectasis and low blood oxygen saturation.
But there was no way around it. Only by saving Dr. Li's life first, he was qualified to consider other issues.
At this time, everyone's eyes were focused on Xia Tao.
Everyone understood what this operation meant.
Xia Tao had a complicated expression. It was precisely because it was a professional operation that he had seen a lot and encountered more difficulties.
But Dr. Li encountered such a big change, and he would never back down.
"Xiao Xiao, this operation is very difficult. I will do my best. If there are any problems, please help me."
"Okay."
Xiao Chenguang nodded in response.
For a joint operation of this level, since the incident happened suddenly, the people present were all the directors of various departments, and there was no distinction between the main and the secondary in the traditional sense.
Many things and many problems need to be discussed together. Because it is an emergency, there is no time for preoperative discussion.
At the time of the incident, Xiao Chenguang was the only one on the stage, so for this operation, everyone defaulted to him as the leader and cooperated with each other to perform the operation.
"Prepare for thoracotomy, scalpel, electrocoagulation device, and medical electric saw."