Chapter 300

Xiao Chenguang began to explore the abdominal cavity. Because the X-rays were taken in advance, the patient already knew the approximate bleeding site.

Clean and flush the abdominal cavity, and find the splenic vessels that cause the most abdominal bleeding.

Perform clamping to stop bleeding.

Then the liver, gallbladder, pancreas, spleen and kidney were explored in sequence, and the torn and bleeding blood vessels were found in the mesentery and ligated.

As several large blood vessels were treated, the patient's intra-abdominal bleeding was significantly relieved.

Blood pressure is elevated again.

Although the systolic blood pressure has not reached the low value of the normal range, it has changed a lot since she first came on stage.

"The patient's rapid atrial rate has converted to sinus rhythm, and the heart rate has dropped to 90 beats/min."

This was the first time the patient's heart rate returned to a normal range.

Liu Tie, who was in charge of anesthesia, looked at the values ​​on the monitor and began to gradually adjust the concentration and dose of the anesthetic.

"Director Sun, Director Hong, get ready to take the stage."

Xiao Chenguang's abdominal exploration was very fast.

Several bleeding points were stopped, and other organs and intestinal cavities were covered with warm saline gauze.

After making sure everything is correct, start rocking people onto the stage.

"good!"

The director of the Department of Gastrointestinal Surgery and Urology Department felt the call and could no longer sit still on the small round stool.

They all stood up, washed their hands, dressed, and put on sterile gloves.

The moment he stood on the stage, his eyes were focused on the patient's abdominal cavity, and he couldn't help but be surprised.

Each of the damaged blood vessels and organs had been clamped by Xiao Chenguang with wires or clamps to initially stop the bleeding.

The abdominal cavity that originally looked terrible from the movies is now extremely clean.

Each organizational structure is clearly visible.

"The patient has a tear in the superior mesenteric artery and a rupture in the jejuno-ileal area of ​​the small intestine, which requires anastomosis. The small blood vessels in the renal area have been ruptured and have been ligated..."

As he spoke, the sutures in Xiao Chenguang's hands were still flying.

The needle holder and vascular forceps in his hand changed positions, hooking or extending above the splenic artery. In a moment, the ruptured blood vessel was sutured.

At the same time, Xiao Chenguang finished speaking.

The timing was perfect, and just as the two directors came on stage to take over, the repair and suturing of the spleen was finished.

Seeing the splenic artery restored to its original state, the two directors looked at each other with surprise in their eyes.

Xiao Chenguang's suturing technique seemed to be a little faster than before.

It's just as flawless, but it takes less time. How did his hands practice to be able to operate to this extent?

Only then did they remember what Xiao Chenguang said just now.

His expression was astonished.

"Director Xiao, we just need to perform end-to-end anastomosis as you said?"

For surgical procedures, the operation is on the one hand and the surgical exploration after laparotomy on the other.

Before you can solve a problem, you must first identify it.

The abdominal cavity has a complex structure and many organs, so it must be carefully explored without leaving any problems.

Otherwise it will cause irreversible damage to the patient.

In their view, sometimes doctors spend more time exploring than suturing and excision.

"Yes, if you are worried, just wait until the wound is treated and then explore again."

Xiao Chenguang said lightly.

After saying this, he took off his gloves, brushed his hands again, and went on stage to assist Xia Tao in completing the chest surgery.

"Don't worry... don't worry."

Facing Xiao Chenguang's lack of emotion, the two directors dared not say anything.

If they were allowed to explore this surgery, they would probably still be cleaning up the abdominal bleeding.

How could it be possible to proceed to the step of suturing to stop the bleeding so quickly?

Now Xiao Chenguang has fed the food into their mouths. If they don't eat it in one bite, it will only look like they are too incompetent.

The surgery became busier as the Chief of the Department of Parenteral and Urology came on board.

As an equipment nurse, Li Wenxia, ​​no matter how skilled she is in operating the equipment, is still unable to defeat four hands with her two fists.

Facing the surgical directors who were asking for instruments one after another, Li Wenxia almost lost her composure.

"Wenxia, ​​let me turn on another one to help you."

The head nurse who was originally the patrol nurse for this operation made a quick decision and started washing her hands and dressing directly.

Let another roving pusher come to the operating table and two instrument nurses to escort the operation together.

In the operating room, there were constant calls for instruments.

Li Wenxia and the head nurse kept threading needles and threads with their hands, passing instruments to the table.

Only then did he cope with it reluctantly.

Even busier than them are Lin Gaoyang and Gong Liang, who are the first and second assistants.

Originally, Xiao Chenguang came on stage to investigate and sew, and many things were solved by himself.

Lin Gaoyuan only had to pull the hook, occasionally take the instruments from the nurse's hands, and wait for the surgeon.

As for the second assistant Gong Liang, he even has a chance to fish.

But since the two directors came to power, they couldn't stop asking for things and assistance.

Although the suturing operation was done well, compared with Xiao Chenguang just now, it was like heaven and earth.

Facing the miserable first and second assistants, Xia Tao, who was having his chest opened at the moment, felt unprecedentedly relaxed.

Since Xia Tao had already started the operation, Xiao Chenguang, who was responsible for controlling the progress of the entire operation, came to him silently.

It was the same as the first emergency surgery for pregnancy-induced hypertension.

This time, Xiao Chenguang still chose to play Xia Tao.

With skillful operation and master-like assistance, Xiao Chenguang took care of everything, including tying arterioles and cutting threads during the thoracotomy.

Compared with later thoracotomy, which did not require rib cutting, this time in order to repair the damaged lung tissue and bronchial arteries as soon as possible and buy time for the patient, Xia Tao chose to remove the broken ribs on the right side first.

Entering the chest, the blood was still there, the surgical field was blurry, and nothing could be seen clearly.

Use negative pressure suction to clean up bleeding.

The damaged lung on the right side was exposed, and it was opening and closing with the ventilator at the moment.

"Brother Liu?"

"clear."

As a reminder, Liu Tie took a look at the film, and then prepared to adjust the position of the tracheal intubation.

Because of thoracic surgery, one-lung ventilation is required.

In order to ensure the success rate of the operation, the anesthesiologist needs to transfer the endotracheal tube inserted into the main airway into one side of the bronchus.

"The tip of the patient's trachea is right on the carina. You release the air bag and move it three centimeters forward to the left."

Seeing Liu Tie starting to adjust the depth of the endotracheal intubation, Xiao Chenguang reminded him to avoid wasting time.

After all, this tracheal intubation was placed by Xiao Chenguang during the transfer.

Therefore, the position and depth of the endotracheal tube are well known.

"Xiao Xiao, when you were intubating, were you ready for one-lung ventilation?"

After hearing this, Liu Tie was slightly surprised. Without thinking about it, he directly followed Xiao Chenguang's instructions and rotated the catheter forward.

One-lung ventilation, which was originally very time-consuming, was completed in an instant.

"Xiao Xiao, that's awesome!"

Liu Tie praised.

I saw that my right lung, which was originally inflated, suddenly shriveled up like a deflated rubber ball and shrank into a ball.

The lung tissue that was originally blurry gradually emerged.

Only obvious cracks could be seen in the upper and middle lobes of the patient's right lung, and blood was still oozing outward at this moment.