The most important thing in time-rushing surgery is time. Even anesthesiologists, who usually refuse to anesthetize such patients, took the risk and started their work.

Patients with high intracranial pressure usually need to wait for the intracranial pressure to be lowered or corrected before anesthesia and surgery begin. But the current situation is too critical, and after seeing that there is already urine in the urine bag, the anesthesiologist immediately starts working.

Deep venous catheterization plus five venous access lines formed the main channels for the treatment and intervention of Zhang Junyi. In addition to mannitol, doctors use condensation precipitate and plasma concentrate to correct shock caused by massive bleeding as soon as possible and to prevent DIC. At the same time, suspended red blood cells and frozen plasma were also being squeezed into Zhang Junyi's blood vessels.

Patients with massive internal bleeding are as dangerous as walking a tightrope. On the one hand, patients may die from massive blood loss. On the other hand, he may also develop DIC due to depletion of procoagulant substances in the blood. Any possible outcome is a quick death for the patient.

Not only should it be fast, but every response must be correct. The current treatment cannot be just "error-free", even if Zhang Junyi is treated in some ways that is not harmful, but the treatment that does not turn the situation around quickly may cause his condition to continue to deteriorate.

And Zhang Junyi is probably only "worse" from death.

The surgeons in the Kamiwai and hepatobiliary surgeons quickly took up their proper positions. The price of this is that emergency and critical care physicians in surgical gowns are pushed aside. There was a rush in the entire operating room, and the doctors of the blood transfusion department were blocked outside the door, and it took a lot of effort to walk in under the condition of ensuring sterility.

Sun Lien and Liu Tangchun were a little apprehensive on the second floor of this normal operating room, looking at the chaos downstairs.

"Tell me what's going on with this man. Liu Tangchun turned around and began to help Brune, who was sitting on the stool, pick up the glass ballast in his knees. Lao Bu was shaking in pain, and he tried to turn his head and look at the operating room downstairs. He didn't know much about what had happened, but he said that after he finished eating, he saw Dr. Sun and Nurse Hu kneeling on the ground to save the injured, so he went to help.

Hu Jia was helping out in the operating room downstairs, while Sun began to recall what he had seen.

"He was at the restaurant on the roof of Sunshine City. Sun Lien sighed and talked about what he saw.

Whether Zhang Junyi fell by himself, or deliberately jumped down, or was pushed down, these things have nothing to do with him. The angle from which Sun Lien was was really couldn't see clearly.

But the fact that he didn't die on the spot after falling from the seven-story commercial center is really a sign of Zhang Junyi's own luck — or bad luck — that he got home.

As a commercial center, Sunshine City has a much higher ceiling height than the average residential area. The roof of the seventh floor is at least 40 meters above the ground. Fall from this height...... Generally speaking, it's good to have a whole corpse.

Although Zhang Junyi was seriously injured in many places, after all, the whole person fell to the ground one by one. This is the result of a series of external forces.

About six meters below the seventh floor, there is a layer of glass that serves as a decoration and rain shield. When Zhang Junyi picked up the wall on the seventh floor for a while and then fell down, his body naturally made protective actions. His left arm naturally reached out to the back, trying to cushion his body.

The kinetic energy caused by the fall was transmitted directly to his shoulder joint through Zhang Junyi's right arm. The violent impact instantly caused his humerus to come out of the shoulder socket, and at the same time drove Zhang Junyi's body to roll forward.

At the same time, the impact shattered the piece of glass, which was used for decoration and protection from the rain. To be sure, the rain barrier for the façade of the commercial plaza with ordinary glass does not necessarily need to be explosion-proof – this is not the Venerable Master's kind of sky corridor.

The burst glass absorbed a considerable portion of the falling energy, but also brought additional damage to Zhang Junyi. There are three layers of such glass at a height of more than 40 meters.

After the continuous sound of glass cracking, Zhang Junyi, who had smashed three layers of glass and landed on his hips, fell to the ground with multiple serious injuries.

"This man is in good luck. After listening to Sun Lien's words, Liu Tangchun shook his head, "But our luck is a little worse." ”

"I didn't expect him to make it to the ambulance. Sun Lien said something heart-wrenching, "I originally thought he might be gone in a minute or two." ”

For the hospital, Zhang Junyi is definitely a very troublesome patient. Such a patient does not say whether it can bring any benefits to the hospital, and it cannot be saved. In order to save him alone, dozens of doctors and more than a dozen nurses had to be mobilized. Five or more departments synergize.

Under the green channel mechanism, all treatment costs are paid in advance by the hospital. It is not known how much the patient will be able to pay after that. If the person is not saved, or the patient has other sequelae, it will be a lot of trouble for the family to come to the hospital to argue.

It is human nature to seek advantages and avoid disadvantages. It is only in this environment where they are all colleagues that Liu Tangchun and Sun Lien will say this kind of thing - if they are listened to by others, they will inevitably be labeled as "no medical ethics".

Troubles are real troubles, but it is also the job of doctors to stand firmly in their posts and perform their duties in the face of these troubles. Do you need any reason to save a patient? At least doctors don't think they need any special reason to do their job. If there is no special reason, doctors are reluctant to sign the consent form for their patients or their families.

Dr. Brunn's knee had been largely cleaned up. Liu Tangchun took half a step back, squinted at the wound, and nodded with satisfaction, "It's okay, the craftsmanship hasn't fallen." Then he instructed, "You'll have to show another doctor for this debridement." If necessary, take a CT scan to see it. ”

X-rays will penetrate plain glass directly, while CT is sensitive to high density. Liu Tangchun also cares about the doctors under him, so he has this kind of advice.

"I believe in Dean Liu's skills. If it's really necessary, just do a B-ultrasound. Dr. Brunn put on his jeans and moved his knees slightly. The pain of the wound was milder than it had been when it was glassed. He walked quickly to the glass window and began to look at the operation, "How far has it been?"

"I've just finished the scalp incision, and now I'm already drilling to remove the bone flap, right?" Sun Lien was also a little unsure. He hadn't seen a full neurosurgery either.

If Xu Yourong is here, she should be the one who is in charge now.

Sun Lien misses his colleagues a little, and he doesn't know when Xu Yourong, who has completed a major life goal and has become a married person, will come back.

The marriage leave given to the doctor by the fourth hospital has seven days, and I don't know that Xu Yourong does not meet the leave standards.