Chapter 345

"Has the bleeding... stopped?"

The circulating nurse looked at the no longer bleeding abdominal cavity and the stable blood pressure, with astonishment in her eyes.

The other members of the trauma team had the same expression.

For them, this operation was completely impossible to start.

Perhaps they could have helped out during the day when the directors were present.

But they were really far behind.

"Director Xiao, Professor Xu, the patient's mean arterial pressure is now above 65mmHg, and the circulation is stable!"

The anesthesiologist looked at the values ​​on the monitor and was very excited.

For such a serious crush injury, it was not easy to insist on sending the patient to the hospital for emergency treatment.

Not only can he go on stage for surgery, but the bleeding has also stopped, and the systolic blood pressure has increased directly from the original 40+ to the current 100mmHg.

The exciting change made him see the dawn of hope for the patient's life.

"Xiao Xiao, are you going to suture next?"

Xu Guoqiang did not expect Xiao Xiao to stop bleeding so quickly.

He just tried his best to stop the bleeding, and had no time to pay attention to Xiao Xiao's operation. At that time, Xu Guoqiang only hoped to help the patient gain a glimmer of life.

Now it seems that they have done it

"Prepare for the anastomosis of the small intestine, splenic vein suture, and liver section suture to stop bleeding."

Xiao Chenguang's words rang out in the operating room.

These were originally three different surgical procedures, each of which would be a major operation of level three or four in normal routine surgery.

But now, Xiao Chenguang has to prepare three operations at the same time.

"Director Xiao, we can assist in the anastomosis of the small intestine."

"We can perform splenic vein suture in the liver and gallbladder."

"Here, we can deal with the patient's hemothorax."

"The patient's arm avulsion injury, the orthopedics department can first perform debridement to prevent secondary infection."

Xiao Chenguang's operation is inspiring. Seeing that the patient has hope of survival, the doctors from other departments on the stage also began to volunteer.

The circulating nurse who had been guarding the patient's bedside almost cried with excitement when she saw this scene.

This kind of joint operation, which was performed simultaneously on the stage, had never happened before Xiao Chenguang came.

"Xiao Xiao, just give me your orders."

At this moment, Xu Guoqiang also expressed his opinion.

Although he is now the director of minimally invasive surgery, he was originally from general surgery. Later, when the provincial hospital gradually refined its departments, he was assigned to hepatobiliary surgery to continue working.

Therefore, he was very confident that he could fully assist Xiao Chenguang in carrying out three consecutive operations at the same time.

"Okay." Xiao Chenguang nodded, looked at the timer in the operating room, and said, "This operation may take a long time, so everyone should cheer up."

"No problem!" Everyone present said in unison.

Xiao Chenguang turned his head and looked at the circulating nurse.

"Call the blood transfusion department again and prepare 8 more units of red blood cells, 1000 ml of plasma, 2 therapeutic doses of platelets, and 30 units of cryoprecipitate."

"Understood." The circulating nurse immediately ran to call and explained the situation to the blood transfusion department.

Faced with such a large amount of blood products, the blood transfusion department naturally knew the criticality of the patient.

I immediately asked the leader and got the reply:

Do my best to cooperate with Director Xiao's rescue work. The blood must be delivered as soon as possible. If the blood bank is insufficient, he will find a way to solve it.

Soon, the blood products Xiao Chenguang wanted were delivered to the operating room one after another.

The circulating nurses checked the blood bags in pairs and opened two lines of liquid at the same time, one on the left and one on the right, for rapid dripping.

The burnt yellow platelets and dark red blood cells were poured into the patient's body one bag at a time.

The blood pressure rose again.

Because of the blood loss, the originally white skin and flesh gradually became bloody.

The organ function resumed.

Urine was discharged from the kidneys, indicating that the perfusion was continuing to improve.

"Director Xiao, this is the blood gas for emergency check."

When the anesthesiologist showed the results of the arterial blood gas analysis to Xiao Chenguang, the joint operation had already begun here.

"The patient's pH is 7.29, bicarbonate is 18, and there is metabolic acidosis in the blood. 150ml sodium bicarbonate is dripped intravenously."

"The patient has a serious abdominal infection. Use ultra-broad-spectrum antibiotics directly. 1g of mefenamic acid + 100ml of 0.9% physiological sodium chloride, intravenously."

"Blood gas shows calcium ion 0.88, hypocalcemia, related to massive blood transfusion, 2g calcium gluconate is pushed intravenously to correct electrolyte imbalance."

While performing the operation, Xiao Chenguang directed the circulating medicine dispensing and the anesthesiologist to administer the medicine.

Although the operation on the stage is crucial, perioperative treatment is also indispensable.

With the use of drugs, the operation is also carried out in an orderly manner.

With the assistance of everyone on the stage, Xiao Chenguang is more focused on the operation in front of him.

The resection of the necrotic intestinal cavity and then the anastomosis of the broken ends, the whole process is simple and unpretentious, but it gives people a sense of stability.

The mousse thread in Xiao Chenguang's hand is flying in the air, the needle tip passes through the broken intestinal cavity, and then comes out from the other side.

Pressing the thread, tying the knot, holding the scissors in the palm of the hand, sometimes cutting the thread, sometimes cleaning the damaged tissue.

As time passed, the damaged intestinal cavity was gradually repaired. Pieces of necrotic small intestine were thrown into the treatment bowl.

It must be said that the power of the dump truck was too fierce.

After cutting nearly one meter of small intestine, the intestinal repair was completely completed.

The damaged intestinal cavity weighing several kilograms was brought out by the circulating nurse, and everyone was shocked.

Fortunately, Xiao Chenguang was there for this operation.

Otherwise, the intestinal cavity would have to be cut at least 50 centimeters more. Even if the patient was saved, he would become skinny and eventually die of malnutrition due to short bowel syndrome and limited nutrient absorption.

That's right.

It was malnutrition, just like the graduate student who worshipped foreign things and yearned for a simple life.

In the end, he starved to death at home because he couldn't afford to eat.

When he was found, he was skin and bones, like a mummy, which was really sad.

"Release the intestinal forceps, check for intestinal fistula and blood circulation."

As soon as Xiao Chenguang finished speaking, the warm saline gauze that Xu Guoqiang had prepared long ago had covered the entire intestinal tube.

As the toothless forceps gradually loosened, the originally pale and bloodless intestinal cavity gradually had blood circulation.

"Xiao Xiao, there is no problem with the anastomosis, no bleeding or exudation, the tension of the suture line is appropriate, and there is no collapse problem."

At this moment, Xu Guoqiang completely played the role of Xiao Chenguang's assistant.

He performed his duties conscientiously and seriously. Xiao Chenguang repeatedly checked every anastomosis several times.

"Okay, Teacher Xu, you are responsible for cleaning the abdominal effusion, and I will complete the remaining sutures and hemostasis."

With the completion of the small intestine stump anastomosis, the biggest boulder hanging on the crowd finally fell to the ground.

Looking at the patient's stable vital signs on the monitor.

They excitedly found that it seemed that this operation was about to be completed.