Chapter 344

In the operating room, the patient has been pushed to the operating table.

Thoracic and cardiac surgery, general surgery, gastrointestinal surgery, hepatobiliary surgery, orthopedics...

Coupled with the rounds and anesthesia, there were ten people standing in the operating room, making the originally spacious space look cramped and cramped.

The atmosphere was a bit gloomy.

The members of the trauma team present knew that the patient in front of them probably had less than a 10% chance of surviving.

Although blood was being transfused all the way, the amount of bleeding was far greater than the speed of transfusion.

At this moment, people from the medical department also rushed over.

Since it was an emergency surgery and there were no family members at the scene, in accordance with the green channel principle of rescuing people first and re-signing later, this patient is now completely the responsibility of the medical department.

This was Xiao Chenguang's request to the hospital when he established the trauma center in the emergency department.

After all, in many accidents, there are no family members at the scene, and some even have no one to accompany them.

Patients are in urgent need of treatment. If they have to wait for family members to sign before surgery, many patients will die in the emergency room without any chance of surgery.

As for the small probability of arrears and disputes, the hospital will be responsible. As a doctor, Xiao Chenguang's current priority is to save the patient.

"Open the abdomen directly for exploration, and then apply for red blood cells, plasma, platelets, and cryoprecipitate from the blood transfusion department..."

In order to prevent DIC, hypovolemic shock, and abnormal coagulation problems, Xiao Chenguang tested almost every type of blood product.

Tick ​​tock tick…

The blood continued to flow along the operating table and to the ground, and soon gathered into a river.

The circulating nurse directly brought a large bucket, just like when the house leaks, to prevent the ground from becoming slippery and affecting the surgeon's operation.

After changing his clothes and brushing his hands, Xiao Chenguang stood on the operating table.

The patient has been intubated and put on a ventilator, and the anesthetist has started frantically preparing and dispensing medicines.

Dopamine, norepinephrine, metahydroxylamine, as long as they are drugs that can increase blood pressure, they are prepared tube by tube.

Even the circulating nurses who had finished their busy work also joined in dispensing medicines.

Snake venom hemocoagulase, aminotoluic acid, ethylamine, and various hemostatic drugs are also being rapidly introduced into patients.

Increase blood pressure, stop bleeding, suppress acid, rehydrate...

On the basis of drug treatment, the patient's systolic blood pressure once rose to 90mmHg.

This is a good phenomenon.

At this time, Xu Guoqiang also wore hand washing clothes and rushed to the operating room.

No matter how you look at this surgery, the more people assisting you on the stage, the better.

"Director Xu, the patient is very serious and requires a major surgery."

"Okay, I'll help you."

Because Xu Guoqiang had performed expert surgery at Shengli Hospital before, the procedures and information were all there.

After he identified himself to the people in the medical department just now, they immediately gave him permission.

Xu Guoqiang brushed his hands, changed into surgical clothes, and chose to position himself on the same side of Xiao Chenguang.

"Director Xiao, the patient's torn clothes are embedded in his skin and cannot be removed."

At this time, Izuru and Ichisuke wanted to take off the patient's clothes, but found that they couldn't do it at all.

The patient's condition was very bad at this time.

The obvious black tire marks directly crushed the patient's abdomen, forming an indentation the size of a palm.

The intestines were definitely broken, and the intestinal fluid flowed all over the floor. No one knew how much it would take to cut.

Fortunately, the tire only injured the patient's abdomen. If it had moved five centimeters upward or downward, it would have crushed the heart and shattered the pelvis, making it impossible for anyone to save him.

"No need to deal with it, just disinfect and open the abdomen." Xiao Chenguang made a quick decision.

All infection problems are based on the patient's survival.

This is the same approach that field doctors do when encountering wounded soldiers during a war or march. They try to survive first and then consider other issues.

As soon as Xiao Chenguang stretched out his hand, the nurse who had already prepared the instrument handed the scalpel to his palm with a snap.

At this time, the skin has been disinfected, and the tip of the knife is cut along the patient's upper abdomen, all the way down, and around the abdomen.

Due to the crush injury, the peritoneum was destroyed, and the surface skin and intestinal mucosa were tightly attached.

Facing the free organization like cicada wings, Xu Guoqiang, who was preparing to assist in pulling the hook, felt his heart sink.

"Xiao Xiao, the patient's damaged intestinal wall is rapidly edemating and the peritoneum is free. Be careful. You may cut the intestines accidentally."

Seeing that Xiao Chenguang's speed did not slow down and he was still operating, Xu Guoqiang gave a timely reminder.

"I know."

Xiao Chenguang's eyes were as bright as a torch, he controlled the force accurately, moved his fingertips slightly, and operated meticulously.

In order to accurately free the abdominal mucosa, he had deliberately slowed down his speed, but in the eyes of others, the operation was still as fast as lightning.

Cut, separate, and gradually expose the abdominal cavity.

The patient's crush injury was very serious. The abdominal cavity was deformed, the intestinal wall was edematous, and the surrounding tissue was slippery and sticky, which affected the operation.

But even so, an incision of more than ten centimeters appeared in front of everyone's eyes instantly under Xiao Chenguang's operation.

What speed is this? !

Standing on the stage at this time were those who had seen Xiao Chenguang perform surgery for the first time, and some who had operated with him for the first time.

Everyone was shocked by Xiao Chenguang's operation.

"Pull the hook and prepare to explore."

Seeing their dull eyes, Xiao Chenguang gave a prompt reminder.

"good!"

Xu Guoqiang immediately placed the abdominal wall retractor at the incision. At this time, he looked embarrassed, as if he had just reminded Xiao Xiao to be more cautious.

As a result, Xiao Chenguang had already completed the disembowelment as he spoke.

Accurately, precisely, like a precision instrument, the peritoneum was separated, exposing the intestinal cavity inside without any damage.

"Is this the stability that is usually practiced with a grinding drill?"

Xu Guoqiang's eyes were hot.

He pulled the abdominal wall, and Xiao Xiao's operation was close at hand, and Xu Guoqiang saw it clearly.

The previous cut was straight and smooth, and the incision was regular without any twists and turns. As the surgical field was opened, Xiao Chenguang explored while using a suction device to draw out the blood in the abdominal cavity.

The blood mixed with intestinal fluid flowed directly into the waste liquid collector along the suction tube.

Too much bleeding!

The blood in the abdominal cavity had just been sucked away, and multiple ulcers began to bleed.

Hepatic bleeding, spleen injury, and multiple mesenteric tears and bleeding.

Xiao Chenguang's eyes were bright red, with numerous bleeding spots and blood flowing.

The instrument nurse just stretched her head to take a look at the abdominal cavity, immediately shrank her neck, and began to prepare items frantically on the operating table.

Warm saline gauze, hemostatic forceps, gauze pads, gel sponges...

The nurses prepared all the instruments and materials that could be used to stop bleeding in advance.

"Give it to me."

Xu Guoqiang stretched out his hand and put all the things he was about to use on the sterile sheet covering the patient, so that Xiao Xiao could operate it conveniently.

"Duodenum tear and bleeding, jejunal rupture, ascending colon and descending colon separation..."

Xiao Chenguang's exploration continued.

As the diagnosis came out casually, the hearts of everyone in the operating room suddenly fell to the bottom.

Just now, it was estimated that there was still a survival rate of 10%, but after the exploration, it was infinitely close to zero.

The atmosphere in the operating room dropped to the freezing point, and the scene was dead silent. Except for the monitor that kept alarming, no one dared to make a decision.

"Teacher Xu?" Xiao Chenguang suddenly spoke.

"I'm here!" Xu Guoqiang was shocked.

"Clamp to stop bleeding, continue to pull the hook."

"Okay!"

Xiao Chenguang's hands were as fast as the wind, his left hand pressed to stop bleeding, and his right hand clamped the artery and vein.

Pieces of hemostatic gauze were quickly stuffed into the patient's damaged abdominal cavity.

The hemostatic instruments and materials that had just been prepared were sold out in an instant. Xu Guoqiang pulled the hook and passed the necessary items from the operating table to Xiao Chenguang.

The cooperation between the two was seamless, like old friends who had worked together for many years on the stage.

Others could only pull the hook and keep the surgical field stable, but their thinking could not keep up with the rhythm of the two.

Xiao Chenguang was doing his best, and the assistance of the provincial professor was also very reassuring.

The two seemed to have a telepathic connection.

Liver hemostasis, splenic vein clamping, superior mesenteric artery embolization...

Blood pressure gradually increased.

The blood-stained gauze in the abdominal cavity was heavy and was replaced one after another.

There were more and more hemostatic forceps in the patient's abdominal cavity.

Gradually, the patient's bleeding stopped.