436 The invisible wound is the most important thing
(Thanks to my friend Bus Brother and Heart Dance Yang Monthly Pass for encouragement)
"Suck up more. ”
Liu Banxia said.
"Dr. Liu, there has been a blood clot in the abdominal cavity, and now two suction machines have been used, and they are often blocked. The surgical nurse said.
"I'll touch it with my hands first, and after Brother Wei's liver is repaired, he will take out the blood clots. Liu Banxia said.
The most feared thing is this unknown bleeding point, and now all the organs in the abdominal cavity need to be examined. He has also encountered such situations a few times, and he has felt it with the keen touch of his fingers.
But this time it was a little different, Wang Chao was still performing surgery to remove the intestines, and even if his senses were sensitive, he couldn't tell whether it was bleeding or intestine shaking.
"Banxia, you have to hurry up, it should be that the amount of bleeding has increased, and the blood pressure has dropped quickly. Wang Lei reminded.
Liu Banxia, who was looking carefully, did not respond, but put his hand in.
It's impossible to tell yet, but try your luck.
Just like the nurse said just now, the touch of his fingers told him that there were many blood clots in the blood at the bottom of the abdominal cavity, which made it much more difficult for him to explore.
"Dr. Chen, take a look to see if there is a bullet wound in the ribs near the wound. After touching it for a while, Liu Banxia asked coldly.
Chen Xuehai was stunned for a moment and hurriedly searched.
"It's true, because it's on the inside, so I didn't see it when I was just filming. It was also this impact that slowed down the bullet and made the bullet slightly off, so it didn't hit the heart. Chen Xuehai said.
"Hey...... , that little fragment of the rib jumped out and hit the bottom of the abdominal cavity. I don't know which blood vessel I'm hurting now, I'm feeling the direction of the blood vessel, how about now?" Liu Banxia raised his left hand after speaking, pinching a small broken bone in his fingers.
"Blood pressure hasn't gone up yet. Wang Lei said.
"I'll just touch it, and you can remind me at any time. After putting the broken bones on the storage plate, Liu Banxia said.
Wang Lei nodded.
It's not like everyone's blood vessels will look like they are in textbooks. To be exact, it would be nice to have half of them like the textbooks.
There will always be some slight differences in the direction of vascular distribution.
"Don't move, just where you just touched. Yeah...... , here it is. ”
Liu Banxia touched it for a while, and Wang Lei's tone was full of excitement.
"It should be the iliac artery, there was some displacement. Now with a quick pump, I can hold on for a while. Brother Wei prepared for the repair and suturing of the iliac artery, and Wang Chao finished treating the intestinal tube and repairing the mesenteric artery. Liu Banxia said.
"I can finally breathe a sigh of relief, Mr. Liu, your hand is really domineering. Chen Xuehai said.
"Today was really lucky, if it weren't for that broken bone, I wouldn't have been able to touch it. It should have been a hematoma for a long time, and the blood clot gushed out after rupture. Liu Banxia said.
"If you want to say that it is powerful, it has to be Dr. Liang, who has performed so many extracardiac surgeries. It's very good, and the people trained by our emergency center can also use it. ”
"I'm dying of exhaustion during this time, running from the inpatient department and the emergency center. Liang Xiaolin said while operating.
"Banxia, why didn't you kid do any operations today?" Wang Lei asked curiously.
"Before we came, we said that I would save my life, and they would save people. Liu Banxia said.
"So Brother Wei and Wang Chao, the speed of the two of you has to be faster, it is not so easy to press the blood vessels, and my fingers are a little numb now. ”
"It's right away, it's not bleeding now, and it's pumping fast. Wei Yuan said.
The patient's injuries are under control, and the tension of the big dick can also be relaxed.
In comparison, the most serious thing about this patient is the broken bone. Fortunately, he was found by Liu Banxia, and the most dangerous situation was lifted.
So this is also a common accident during surgery.
Whether it is liver injury, intestinal laceration, lung injury or bleeding in the heart, as long as it is treated promptly, it is not a serious problem.
The invisible injuries are the ones that matter, because if you find them late, you're likely to delay the best time to save them.
Even if it is not bleeding to death, complications of pulmonary embolism may occur after surgery. This patient needs to pay special attention to this area after surgery, which is a complication that is prone to occur.
Ding! The emergency treatment task is completed
Gain 500 XP, 300 Diagnostics Skill Proficiency, and 200 Dressing Change Skill Proficiency
This quest is rated as Flawless, gaining 500 XP points, 400 Diagnostics skill proficiency points, 300 dressing change skill proficiency points, and 5 glory points
"Mr. Liu, thank you. Wei Yuan said after the operation.
"Be polite to me, we'll all have to improve in the future. In this way, there will not be a backlog of patients waiting for surgery, and whoever has time will be on it. Liu Banxia said with a smile.
"Basically, general surgery is just us, interns...... Oh my God, I was so anxious when I received the clinic that I forgot to call the interns to come and watch, why don't they think about it themselves. ”
"Haha, now they are actually quite afraid of you, and they don't dare to follow you if you don't give notice. Wang Chao said with a smile.
"Don't talk about them, I'm actually a little scared. But it doesn't matter, I'm thick-skinned enough. Anyway, it's over with your big thick legs, and there will be development in the future. ”
"You're just talking nonsense, what are you afraid of me for? Liu Banxia said.
"Why aren't you afraid? I've had a lot of surgeries now, and you're still directing them. Wang Chao said with a wry smile.
"The same is true for me, so I can feel more at ease when I have surgery with you. Even if there is an unexpected situation during the operation, it always feels like you can handle it all. Wei Yuan also answered.
"Brother Wei, what are you still doing with it. Even if you join in the fun, I won't add chicken legs to you. Liu Banxia was very helpless.
"Haha, I know what's going on. Xu Dan said with a smile.
"Dandan, if you invite it truthfully, I will add chicken legs to you. Liu Banxia teased.
"I listened to what they said, you are so powerful, your medical skills are so good, although you are still very young, but you have to respect. Xu Dan said slowly.
"Yes, respect is respect. Lao Wang, how is the patient?" asked Liu Banxia.
"I'm almost awake and my vital signs are stable. Wang Lei nodded.
"Yesterday and today's two surgeries were not easy, in fact, you didn't get to the point, that is, the current Banxia has risen to a new height. ”
"The gap wasn't very obvious before, so even if you were aware of it, you wouldn't really care. Now it's different, whether it's the patients he treats or the operation during the operation, he can get rid of you. ”
"Don't be angry, you two, I'm telling you the truth. It's like today he naturally gave up the surgery to the two of you, and decided before he went into the operating room. Dr. Chan, that's what you mean, right?"
Chen Xuehai smiled and nodded, "Almost, I had a similar situation when I just returned to our hospital." But unlike him, I went from doubt to acceptance. ”
"What are you guys doing here? Did I join the Kwakwak group or what? Okay, the patient opened his eyes. After Liu Banxia finished speaking, he approached the patient.
"The anesthetic hasn't completely subsided, and your mind will be a little messy. But it doesn't matter, you just need to know that your current surgery is successful. ”
The patient opened his mouth, nodded with a little difficulty, and closed his eyes again.
"Let's go, I guess there are a lot of people waiting outside. Liu Banxia said.
Pushing the patient out, as he thought, a large group of people, all wearing police uniforms.
"The operation was successful, but because there were a lot of damaged organs, I was sent to the ICU for two days for observation. Liu Banxia said.
"You can rest assured that we will take the best care of you. The most dangerous time has passed, and now we just wait for recovery. ”
"Thank you, doctor, salute. ”
A comrade policeman standing on the left shouted.
With a "brush", these people saluted in unison, making Liu Banxia a little scrambling, so he didn't follow the salute.
"Wang Chao, you can help send the ICU. When you are on the road, you can walk slowly, and let his colleagues or comrades-in-arms take a look more, so that you can rest assured. Liu Banxia instructed.
Wang Chao nodded vigorously, and his mood was also a little excited.
Back at the emergency center, the interns who didn't have any work on hand came over in unison.
"Don't worry, when you have time, let Wang Chao take you to review. Liu Banxia said.
"And next time, if there is an operation like this, I don't care about it, you think about it yourself and take the initiative. There's been a lot going on lately, and my mind is a little messy. ”
Hearing his words, the interns, who were still very resentful, nodded happily.
"Sister Li, did you hear what was going on?" Liu Banxia came to Zhou Li's side again.
"I didn't dare to ask, anyway, I used my gun, I guess it's not a small matter. Just wait to see the news, this matter is definitely going to be in the news. Zhou Li said.
"yes, if it's a small thing, where will you use a gun. However, it is still lucky that there are no other gunshot wound patients, otherwise it would be too difficult to save. Liu Banxia said.
"Is it really that difficult to save?" Zhou Li asked curiously.
"I don't believe you, ask Lao Wang when you go home. Liu Banxia said.
"Let's just say that the wound on the intestinal tube, the ordinary laceration was normally sutured, but because of the gunshot wound, the wound was contaminated, and only a section of the intestine could be removed. ”
"No wonder it's on TV, it's basically a shot and hangs, and that's not a joke. Sometimes when a bullet hits a bone in the body, it spins. ”
"It's scary to think about. Zhou Li nodded.
Being able to make Liu Banxia say that it is difficult to deal with, that means that it is really difficult to deal with.