When Sun Lien walked out of the operating room, his hands were shaking.

Of course, he didn't faint — if an emergency doctor says he's bleeding, he's trying to get the word out like "I've been kidnapped by aliens."

Sun Lien was excited, excited that he could still have the opportunity to do internal rib fixation.

The Grand Wizard's operation was full of dangers, thanks to the fact that 3200cc of whole blood was drawn from the knight of the illustrated clan in advance, and it was stored in a blood storage bottle for ten minutes. When Chen Tianyang finished stopping the bleeding in the Great Wizard's lungs and was about to bury the drain, his blood pressure suddenly dropped to the point that it was difficult to detect. Chen Tianyang immediately slashed his upper abdomen with a knife, and took a step to the right, giving up the position of the operation in the chest area.

Dr. Huang quickly took over the position of Chen Tianyang and continued to bury the tube as quickly as possible, while all the doctors were completing the work at hand as quickly as possible. They all understood that the worst had happened - the patient's splenic rupture and bleeding had progressed further, and massive bleeding in the body would most likely have killed him in a short time.

Chen Tianyang cut open the Great Wizard's upper abdomen with a single sword, and then a pool of dark red blood gushed out from the incision. blood from

"Don't worry, listen to me. Hu Jia took his apprentice, holding the whole blood that had just been sent from outside, and was ready to start a pressurized blood transfusion, but was stopped by Chen Tianyang, who was staring intently at the wound, "I'll do the blocking ...... first."

Chen Tianyang stuffed his hand directly into the patient's body, and then he directly took out a small piece of spleen and threw it into the curved plate on the side, while muttering in his mouth, "It's broken." ”

After stuffing his hand into the patient's abdominal cavity for the second time, Chen Tianyang fumbled for a few seconds, first pinched the splenic artery with his fingers, and then gave the order, "Pressurized blood transfusion, give me a vascular clamp, elbowed." ”

Hu Jia quickly handed over the vascular forceps, and Chen Tianyang used the vascular forceps to complete the splenic artery occlusion without any surgical field, and then he began to stare closely at the monitor, waiting for the final trial.

"Blood pressure is up. Under the pressurized blood transfusion, Hu Jia didn't even estimate how fast she was given a blood transfusion - it took her less than two minutes to squeeze out a bag of whole blood through the central venous channel. At the same time, her apprentice was also infused with lactated Ringer's solution under pressure under the central venous channel. The speed was slightly lower than that of Hu Jia, and a bottle of 400 ml of lactated Ringer liquid did not go down halfway after two minutes.

The old wizard was indeed seriously injured, but his vitality was similar to that of the thatch in the African savanna, and as soon as the hypovolemia was corrected, his heart rate began to drop steadily, and his blood pressure quickly returned to the acceptable range of major surgery.

"This man is in good luck. Chen Tianyang glanced at the detector again, and nodded after confirming that the patient's blood pressure was rising steadily, "The main bleeding point in his abdominal cavity is the spleen, and the bleeding is controlled, and there is no problem elsewhere." ”

"Prolonged bleeding can be dangerous for DIC, but you should move faster. Chen Tianyang had just relaxed a little, and Liu Tangchun, who was acting as a blood transfusion physician in the distance and guiding Hu Jia and her apprentice to pressurize the infusion, urged, "Hurry up and deal with the problem on the spleen, and beware of spleen necrosis if the blocking time is too long." ”

"It's not that I'm bragging about it, doing surgery on the spleen, I'm a first-class fast hand. Chen Tianyang was arguing with Liu Tangchun, and at the same time, he was still disgusted that Sun Lien's hook pulling technique was not good, "The angle of your pull is too small, make a little effort, you haven't eaten in the morning?"

"Eat. Sun Lien nodded, and at the same time used some strength in his hand, trying to pull the traction hook a little wider, "I'm afraid that if I pull too hard, the patient's incision will be torn apart......"

Liu Tangchun turned his gun and began to sneer at his own disciple, "You are a carpenter in the orthopedic department, and you can tear people with your hands? After speaking, Liu Tangchun also said seriously to the apprentice beside him, "Did you hear that? Don't learn from your Senior Brother Sun—you are too timid to do an emergency." ”

Liu Tangchun was talking to his apprentice, and his Polythanvian apprentice's name was more special - his name was "Kono", which translates into Chinese as "colonel".

Polytavia is located between Tanzania and Mozambique, and its folk customs are quite similar to those of the two places. The biggest characteristic of the local residents is that they choose their names very "randomly". Not only "today", "yesterday", and "tomorrow" can be used as personal names, but even positions, daily necessities, and even "hello" can be used as personal names.

Anyway, Liu Tangchun, who retired from the army, always felt that his little apprentice was taking advantage of himself - Lao Liu Lin was only a second lieutenant when he retired, and he followed his ass with a colonel every day...... What's going on?

Therefore, Lao Liu insisted on calling his apprentice "boy" or "my boy", and the specific name depends on whether he directly greeted Kono or mentioned Kono to others.

Cono is a very honest child, and he even vomited once when he took over the patient with Lao Liu for the first time. However, he later showed a very strong sense of self-motivation. Anyway, Chen Tianyang was really lucky to be talking about Liu Tangchun all day long, every time he chattered, the smug expression on Liu Tangchun's face could be a little more prosperous.

"Division...... Brother did a very good job. Keno said honestly to Liu Tangchun, "Senior brother is much better than me, at least he didn't vomit when he first entered the operating room." ”

There was a burst of joyful laughter in the operating room, and even Willis laughed out loud - the medical team stipulated that the Chinese must be used for communication within the team, which could also help these "international students" learn Chinese as soon as possible through the language environment. Only when they learn and become fluent in Chinese can the medical team and the groups that come out later continue to train them.

In order to leave behind a medical team that could not be withdrawn, the medical team sent by Song Ontario Province really worked hard.

"Have you finished talking, are you happy talking?" Chen Tianyang shouted, "After the excision, Willis, you come over and close your abdomen, I'll watch." ”

Dr. Wang, who was doing a hemothoracotomy and burying tube, also raised his head and motioned for his apprentice to come over and close his chest, "I've done it well here." ”

"Director Liu, do you still need pressurized blood transfusions for the remaining 800CC?" Hu Jia raised his head and asked, "I've already squeezed in six bags here." ”

"No need, the rest of the blood hangs in the median venous channel of the elbow, just drip slowly. Liu Tangchun instructed, "When the abdomen and chest are closed, this person will almost be saved—you should pay attention to nursing after surgery, especially to strengthen the monitoring of adverse blood transfusion reactions and respiratory function." ”

The medical team does not have an ICU, and the critically ill patients can only be cared for in shifts. This is actually a very helpless thing.

"Alright, this is basically done. Chen Tianyang took off his gloves, breathed a sigh of relief, and began to roar Sun Lien, "You are not needed here, hurry up and go out to triage the patient - the old rule, give priority to critical and serious diseases." ”

Liu Tangchun added, "The ophthalmology and gynecology departments can send people over, and you can let the patients in the other departments in half an hour - our old bones have to breathe for half an hour before they have the strength to continue to treat people." ”