Chapter 169

"good."

Wang Jingang responded. At this moment, he was almost reaching his limit.

Blood vessel compression is different from other compressions to stop bleeding. The energy involved is beyond the capabilities of even the experienced Wang Jingang.

In fact, when Xia Tao suddenly ran out of energy, Wang Jingang was the most nervous.

Once the chest opening time is extended, it will be a double test for him both mentally and physically.

Fortunately, Xiao Chenguang called Lin Gaoyang in time to allow the thoracotomy operation to proceed smoothly.

And Xiao Chenguang lived up to expectations. There was no pause in the three blood vessels. The whole process was completed in one go.

At this moment, everyone's eyes were focused on Wang Jingang.

He carefully and gradually released the pressure on the unknown artery.

There is a clear flow of blood from the innominate artery to its downward branches.

"Loose the internal carotid artery."

Xiao Chenguang's voice sounded again.

The blood vessel clamp was removed, and the originally somewhat white internal carotid artery gradually became full from dryness, and the sutures fused to the blood vessel wall suddenly tightened.

Seeing this scene, everyone was a little nervous. They stared at the bulging blood vessels without moving their eyes and did not dare to speak.

One second, two seconds, three seconds...

As time goes by, the blood vessel walls remain strong and remain unbreakable under the impact of high-speed blood flow.

Even as the blood expands and the coagulation function recovers, even the sutures gradually merge into the blood vessel wall and become one.

Seeing this, everyone suppressed their excitement and were still waiting for the other two broken blood vessels to be tested.

"Loose the subclavian artery, loosen..."

As the blood vessel clamp was removed, the entire circulation function was opened. Looking at the unobstructed blood supply, the blood vessels in Dr. Li's neck did not bleed again.

There wasn't even a trace of bleeding.

The bleeding stopped.

When Xiao Chenguang saw this scene, he knew that Dr. Li's ruptured blood vessel was no longer serious.

"Xiao Xiao, the original ruptures on the three blood vessels didn't even see a trace of blood. They were all sewn up!"

Wang Jingang covered the bleeding point with sterile gauze moistened with warm saline and checked the suture condition.

The white gauze, quietly, sticks to the blood vessel wall without any redness.

White as snow.

The blood vessels are sewn beautifully!

It was so clean that Wang Jingang was full of praise.

At this moment, everyone else also breathed a sigh of relief.

Their expressions were excited and they looked very excited.

"It's good that the bleeding has stopped. Otherwise, God knows how many vasoactive drugs will be used for this operation."

The director of the anesthesiology department said happily.

You should know that when the condition is unstable, although a large amount of vasoactive drugs can temporarily retain the patient, they will have huge side effects, overdraw the person's life, and the prognosis is not very good.

Now that the bleeding has stopped, it means that the blood pressure has increased, the dosage of vascular drugs has been reduced, and the patient's condition has improved.

really.

On the monitor, the vital signs, which could barely be maintained with a large amount of drugs and fluids and blood transfusions, have steadily improved.

"Dr. Li's blood pressure has gone up and his heart rate has dropped to the normal range."

The circulating nurse looked at the various values ​​on the monitor excitedly and couldn't help shouting.

And her voice also reached the medical staff waiting anxiously outside.

"Dr. Li's blood pressure has gone up?"

"Yes, it must have come up. It seems that the bleeding has stopped. Otherwise, the monitor that was still glowing red just now is normal now."

"That's good, that's good. I was really worried to death just now. The blood stains along the way were so scary. I was really afraid that Dr. Li wouldn't be able to survive this test."

"It's okay, it's okay. As long as the bleeding can be stopped, no matter how difficult the remaining tasks are, you can still save your life. You can also take care of yourself slowly in the future."

Outside the operating room, everyone was excited, and some even had tears in their eyes because they were so excited.

They all have a good relationship with Dr. Li, and everyone hopes that Dr. Li can overcome this difficulty.

"Finally passed the test."

Li Guoyong, who was standing in the corner and never left, felt his tense nerves relax a little after hearing the news.

There was finally a smile on his serious expression, but then it was fleeting because he knew that the operation was not over yet.

Although the bleeding stopped, the ruptured trachea was still a sharp knife hanging over Dr. Li's head.

In the operating room, the circulating nurse who was a little excited just now was staring at the monitor non-stop.

The original smile disappeared, replaced by solemnity and worry.

"Dr. Li's blood oxygen saturation has not been rising, and it seems to be declining."

As the blood pressure increased and blood transfusions continued, Dr. Li, who had stopped the bleeding, found that the amount of hemoglobin in his body was increasing.

This should mean that the oxygen-carrying capacity of his hemoglobin has improved.

Why is it falling now instead of rising?

"Although the hemoglobin has increased, oxygen cannot enter the lungs. Lung ventilation and ventilation functions are disordered, and the blood oxygen saturation still cannot rise."

The director of the anesthesiology department saw the problem at a glance.

He has adjusted the oxygen concentration of the ventilator to 100%

It belongs to a state of pure oxygen, which is already the limit of oxygen provided by the ventilator.

But even so, Dr. Li's blood oxygen saturation still did not improve.

"Xiao Xiao, tracheal reconstruction needs to be carried out immediately, otherwise Dr. Li's oxygen demand will not be able to increase with just a small endotracheal tube."

Xia Tao's words also sounded in the operating room at this moment.

This is what he is most worried about.

As the operation time is prolonged, the use of sedatives and muscle relaxants puts the originally normal lung tissue in a state similar to inactivation.

This requires the ventilator to provide higher pressure support and more tidal volume to supply the body with normal operation.

This is just like when some people are occasionally awakened by suffocation at night, and then gasp for air.

"Director Xia, according to the degree of tracheal rupture of the patient, before tracheal reconstruction, the damaged trachea must be removed and anastomosed."

After completing the vascular suture, Xiao Chenguang was already exploring the damage to Dr. Li's trachea.

As Xia Tao said, tracheal reconstruction needs to be as fast as possible.

But Dr. Li's trachea was severely damaged, and the knife of the assailant was chopped obliquely.

The entire tear angle and the surrounding damage require about eight centimeters of tracheal length to be removed before tracheal reconstruction can be performed.

This is tantamount to greatly increasing the difficulty of tracheal reconstruction.

"Do you need to cut so much?"

Xia Tao's face darkened after hearing this, because he got off the operating table after opening the chest, so he couldn't see the damage to the trachea.

Now after hearing what Xiao Chenguang said, he immediately came to the front of the table and checked again.

The result was worrying.

As Xiao Chenguang said, the length of the resection must be eight centimeters.

"Xiao Xiao, this operation is probably difficult to do."