Chapter Seventy-Seven: Surgery
Li Zehan was discussing a patient's situation with Dr. An Shifan, who often served as his assistant during surgery, when he suddenly stopped an intern when he passed by the nurses' station.
"Professor Li, Severance Hospital has called to inquire about the transfer. ”
"Dr. An, go pick it up. Li Zehan said to An Shifan beside him.
"Hello, we have changed the phone to answer the phone, please re-talk about the situation. An Shifan immediately walked over, took the phone in the intern's hand, and spoke.
"Was it a sudden start-up accident? An Shifan said with some surprise when he heard the reason for the patient's injury.
"What's going on?" asked Li Zehan as he walked to the counter.
"A 43-year-old male patient was squeezed between the car and the wall due to the sudden start of the vehicle. An Shifan immediately covered the phone and said to Li Zehan.
"How's the patient doing?" Wen Yan asked.
"The pelvic bones are broken, and the foot bones are not very stable. An Shifan immediately told what he had just heard
"Let the patient be admitted. Li Zehan thought for a while and said.
"Yes, we took the patient, and we will be ready. An Shifan hung up the phone after speaking.
"Where are you injured elsewhere?" Seeing An Shifan hang up the phone like this, Li Zehan frowned and asked, how could they be well prepared without asking all the patients' conditions.
"I didn't ask, wasn't it already in the hospital? An Shifan said with some apprehension.
"If the patient arrives, contact me immediately. Li Zehan sighed and said.
"Yes, Professor. An Shifan also knew that he had disappointed Li Zehan, and said with a somewhat depressed expression.
"Prepare the operating room, inform the angiography room in advance, it may be used at that time, don't forget to contact the anesthesiology department, and prepare some blood, if the pelvis is fractured, it will bleed severely. Li Zehan commanded.
"Yes, Professor. ”
After Li Zehan nodded, he left the nurse's station and walked towards the orthopedic surgery department, this patient was estimated to be in serious condition, so he personally went to the professor of orthopedic surgery and asked him to come and see this patient in person.
Since he had a good relationship with Li Zehan, and Li Zehan also came to invite him personally, Professor Wu, who specializes in pelvis in orthopedic surgery, also readily agreed to go to see the patient with Li Zehan later.
About half an hour later, an intern came to the Department of Orthopedic Surgery to inform Li Zehan that the patient had been delivered, and Li Zehan immediately walked to the emergency room with Professor Wu and Jiang Jingyan, who came while waiting.
"How's the patient's condition?" asked Li Zehan after arriving quickly.
"I was conscious when I set out, but now I'm unconscious. Said the doctor at Severance Hospital who came with the ambulance.
"This is a CT record of the patient examined in our hospital. Another doctor handed over a CD, Jiang Jingyan immediately took it, and then asked one of their emergency doctors to put it away.
"I'm going to do the tracheal intubation, and I'm going to do the blood test. Jiang Jingyan continued to command.
"Yes, Professor. ”
Li Zehan and Professor Wu examined the patients separately.
"Dafa, this patient's pelvis is almost completely broken, how did he get injured to this extent?" Professor Wu said with some surprise.
"When the car came in, I was in a hurry to dodge, saying that it had crashed into the parking lot wall. The doctor at Severance Hospital said immediately.
"The GANG door is already bleeding, if the GANG door is bleeding to this extent, it is the damage of the rectal GANG door at the same time, and the internal bleeding may also be serious, quickly bring me a clean sheet, I want to suppress the pelvis." Professor Wu immediately said, and a second-year doctor immediately ran to the place where the sheets were placed.
"Blood pressure has dropped to 70, Professor. A nurse said anxiously, which made Li Zehan and the others inevitably start to be anxious.
"Professor Wu, here comes the sheets. The second-year doctor, who came back with the sheets, gasped.
"Hurry up and do it. Professor Wu nodded and said.
The second-year doctor immediately cooperated with another doctor and began to press with a sheet tied to the patient's pelvis.
"Use this emergency first, and then you send someone to my office to get the pelvic strap, over to the bookcase. Professor Wu commanded again.
"Judging from the CT scan, because it was taken from Severance Hospital more than an hour ago, it can be judged that there is more bleeding now, according to the results of the examination, the rectum and large intestine are slightly damaged, but it is not a super emergency situation, the pelvis is open in the form of an openbook, and there is a lot of bleeding in it. Professor Wu looked at the CT and said.
"Then Professor Wu, what are you going to do? Do you wait for the patient to be stable before performing surgery? As far as I know, your orthopedic surgeon never operates when the blood pressure is only in the double digits. Li Zehan asked after looking at the patient's blood pressure.
"Can't pelvic bleeding be blocked with embolization therapy?" Jiang Jingyan also put forward her own opinion.
"Arterial bleeding can be plugged with embolization, but most of this open pelvic fracture is venous bleeding and bleeding around the fracture, and embolization therapy alone is not enough. Professor Wu shook his head and said.
"Why don't we do embolization surgery first, and then try to stop the bleeding with gauze filling, in order to prevent the stool from coming down, block the large intestine, and then wait for the blood pressure to go up, Professor Wu, your orthopedic surgery department will perform the operation." Jiang Jingyan spoke again.
"Gauze filling alone can't stop the bleeding, and if you don't squeeze the spread back of the pelvis, you won't be able to withstand the bleeding in any case. Professor Wu shook his head again and said.
"Then there's not much I can do. Jiang Jingyan spread her hands and said.
"Professor Li, you should also participate in the operation, and help to see Vital, this patient is hopeless if he does not connect his pelvis now. Professor Wu finally made up his mind and said that although he needs to be responsible for the operation of such a serious patient, and even if the bone is grafted, it is impossible for this patient to recover, but he still wants to do it, try the feeling of facing life and death again, you must know that he has not thought about saving anyone since he chose orthopedic surgery, let him reminisce the feeling of blood when he first became an intern.
"Professor Wu, Professor Li, blood pressure is getting lower and lower. Jiang Jingyan said a little anxiously.
"Then please ask Professor Wu for more advice, I will do my best to help. Li Zehan smiled and stretched out his hand and said.
Professor Wu also smiled and stretched out his hand to shake Li Zehan, and then began to instruct everyone to start preparing.
Twenty minutes later, Li Zehan and Professor Wu, who were ready, entered the operating room and began the operation.
The operation went very smoothly, although there were some more thrilling moments during the period, but they were well overcome.
After Li Zehan and Professor Wu changed their clothes, they came to the intensive care room, where Jiang Jingyan was waiting for them with two cups of coffee in her hand.
"It's hard work, let's have a cup of coffee. Looking at the two people who came to the patient's bed, Jiang Jingyan smiled and handed them the coffee in her hand.
"It is not to be taken lightly now, the patient's condition is still very dangerous, there is a lot of bleeding, and the muscles are broken a lot. Li Zehan said after taking a sip of coffee.
"We have to convert external fixation to internal fixation within two weeks, and we also need to operate on the bone and joint, otherwise there will be sequelae. Professor Wu also looked at the patient and said, but the expression on his face was much more relaxed, which showed that he was very sure about the next operation.
"It's hard work, this patient was saved by Professor Wu, and we don't know what to do without the key Professor Wu. Li Zehan bowed to Professor Wu and said.
"It's all thanks to everyone, if you have time tonight, let's go have a meal together. Professor Wu patted Li Zehan on the shoulder and said.
"Of course, there is no problem with eating, I will call the team that has just been operated, of course, our Professor Jiang is not less, but let me state first, I don't drink, don't think about pouring me wine when the time comes." Li Zehan took the lead and said, he didn't know if Professor Wu would pour him wine, but Jiang Jingyan, the female god of wine, would definitely do.
"Cut, I can't help you then, anyway, you've been so idle lately, I really can't find a reason to convince myself not to pour you wine. Jiang Jingyan said angrily.
"o()o Alas, it's really a female man. Li Zehan shook his head helplessly and said.
"You. Jiang Jingyan wanted to say something, but she interrupted Professor Wu, who was sandwiched between the two.
"Don't be here if you two want to quarrel, what if you quarrel until the patient rests. ”
Li Zehan and Jiang Jingyan stopped awkwardly, and then the three of them left the intensive patient room together and went to the cafeteria to eat something to cushion their stomachs, because of this patient, they hadn't eaten lunch yet, and they were already hungry at this time.
That night, Li Zehan really poured a lot of wine for Professor Wu and Jiang Jingyan and others, fortunately he had the foresight to ask his mother to send someone to pick him up at the appointed time, otherwise it would be a problem to go home.