(Thanks to my friend Pig's Head Party and Pirate Flag Xinuo monthly ticket encouragement)

Regarding the matter of being interviewed tomorrow, Liu Banxia still has some headaches. But it can't be helped, this is what has to be played, who allowed himself to poke out of the basket.

"Mr. Liu, the patient's blood test results came out just now, and the situation is not very good. At this time, Su Wenhao ran over.

After receiving the report, Liu Banxia also frowned, the patient's PH value was 7.2, and he already had symptoms of acidosis.

"Have you notified the operating room?" asked Liu Banxia.

Su Wenhao nodded, "I have been notified, I heard that the operating room is also in trouble now." The patient's persistent ventricular fibrillation makes the operation much more difficult. ”

Without much thought, the patient will be transferred to the ICU after leaving the operating room for acidosis adjustment. How to treat it next depends on the patient's physical condition.

The next thing is somewhat of a sense of dedication and resignation to the destiny of heaven. After all, they don't know what the actual situation of this patient is.

Liu Banxia stepped aside and informed Qiao Qiao of the "good news" that was about to appear on the TV show. Did Jojo say that she had to know anything first, or she would be punished.

He also needed to get ready, and before he could get back to his small office, the ambulance brought in a new patient.

"Blood pressure 50/70, fall injury from height, multiple fractures all over the body, coma. The emergency doctor said.

"Rescue room 2, Dr. Wei is in charge. Liu Banxia said.

"Prepare X-rays, quick blood tests, blood bags are ready, right? Wei Yuan said.

Liu Banxia paid attention to the patient's situation and couldn't help but sigh in his heart. This patient is also choked enough, and whether he can get off the operating table or not is a matter of two words.

The patient was wearing a helmet with a camera on it. If you don't do it, you play the extreme anchor, otherwise normal people don't have the energy to climb high.

"Doctor, you must save the life. The patient's family grabbed Liu Banxia.

"Don't get excited, we'll have to check the details to find out. Liu Banxia said.

After waiting for nearly ten minutes, Wei Yuan walked out of the emergency room, and nodded after seeing that Liu Banxia was also outside, and then looked at the patient's family, "The examination has been completed and the chest intubation has been done, but the patient's current condition is very poor." ”

"There were multiple fractures all over the body and severe bleeding in the abdominal cavity. It's just that these are not the most serious, the most serious is the brain damage. Although he wore a helmet, he also suffered from a long-term cerebral hypoxia due to poor blood oxygen. ”

"We did the corresponding tests and now we can judge that we are brain dead. Now I need to ask for your opinion on whether to do the next rescue. ”

"To put it bluntly, if we can save the lives of patients, they will also be in hospital beds with ventilators plugged in. ”

"Unlike a vegetative state, a vegetative person may be able to wake up one day. Is this patient brain dead? It is irreversible. ”

Hear Wei Yuan's words? The patient's mother collapsed to the ground.

Liu Banxia nodded at Wei Yuan? It's up to him to decide.

This choice is in the hands of the patient's mother? Although somewhat cruel? She had to make her own decisions. To save or not to save? All have their own reasons. For the patient's family? But it's an ordeal.

Neither of these two emergency cases today is very good? This one has actually represented death. Liu Banxia endured it and didn't speak, otherwise he would persuade the patient's family to give up.

Will it cost a fortune to maintain vital signs? The end result will be extubation. What was it like for the patient's family? It's tantamount to another injury.

Otherwise, sometimes the doctors seem to be "cold-blooded", because they can predict how this is going to happen. Unless it's a real rich family? to be able to support this cost.

And what about the first patient? There are also some headaches. Now his family members have also arrived, but they can't give them detailed information, so they have to wait until they get out of the operating room.

After waiting for nearly half an hour, Chen Xuehai returned to the first floor? "The situation is not optimistic, has you been sent to the ICU to correct acidosis first? The membrane lung machine was opened. Although it was strenuous, my surgery was done. ”

"Can you assess the patient's condition?" asked Liu Banxia.

Chen Xuehai shook his head, "It's hard to say, it depends on how well the acidosis is corrected." If his luck is even worse, he will be electrocuted directly. ”

"Well, I'll call you later if there's a situation. Liu Banxia nodded.

This is similar to what he predicted, after being a doctor for a long time, he often has an intuition after receiving emergency patients.

It's just that the situation developed much faster than Liu Banxia expected, that is, in less than ten minutes, a call came from the ICU. The patient has an acute abdomen, and the electrical injury should have caused damage to the tissues in the abdominal cavity, which is why the patient has acidosis.

"Let's discuss it and see what to do with this patient. Liu Banxia called Chen Xuehai and Shi Lei over.

"I'm afraid his heart won't be able to survive the operation now. Chen Xuehai frowned and said.

"What is the opinion of the patient's family?" asked Shi Lei.

"Of course, the patient's family wants to do their best to treat the patient, but we have to determine a safe and feasible plan, otherwise it will be too dangerous. Liu Banxia said.

"The crux of the problem is here, and according to the patient's current physical condition, it is difficult to support the whole operation. However, if he had not undergone surgery, an acute abdomen infection would have killed him. ”

"As the infection intensifies, acidosis is a trivial matter, and sepsis and all sorts of complications can set in. Dr. Chen, don't think too much about it, I saw the examination when I was admitted to the hospital, and my abdomen was soft and there were no signs of acute abdomen. ”

"And at that time, the patients did not have time to do more detailed examinations, so there was no negligence in the procedures and processes of receiving patients. ”

Chen Xuehai nodded, "Then let's do the surgery, but to shorten the time as much as possible, it is best for both of you to go." If you dispose of it as soon as possible, you can give the patient more possibilities for life. ”

"Is Wang Lei on stage now? If he doesn't come on stage, let him be in charge of the patient's vital signs. He has more experience, otherwise he might not have had time to discuss it on stage. ”

Liu Banxia and Shi Lei glanced at each other and nodded.

What Chen Xuehai said is the truth, if you save it, you may not live, and if you don't save it, you will definitely die. In fact, for them, there really are not so many choices. The patient's family agrees to take the risk, so do it.

The brush hand went on stage, came to the operating room, and the patient was also pushed in. Wang Lei looked at the two of them and was also worried, don't look at Liu Banxia and Shi Lei as the chief surgeons, today he is the one with the most pressure.

"Don't look at me, now you are recognized as the best anesthesiologist in our emergency center. Liu Banxia said.

"It's easy to say, it's more stressful to do such an operation than to do intracranial surgery. Wang Lei said helplessly.

"You're almost ready, aren't you? If you're ready, I'll start anesthesia. Then you move faster, don't think about the beauty of the incision, just find the lesion as soon as possible and dispose of it. ”

Liu Banxia nodded, "Let's start, otherwise it wouldn't be the two of us working together." ”

There are many causes of acute abdomen, and although an ultrasound has been done, it is not clear what the problem is. This also means that the damaged tissue is not very large, which invisibly adds a lot of difficulty to this operation.

The abdominal cavity is opened, and as far as the current visual inspection is concerned, the organs and tissues in the abdominal cavity are intact. Liu Banxia sighed in his heart, and the two of them looked for it in the abdominal cavity very carefully.

In the past, everyone can talk a little bit during the operation, so that the atmosphere in the operating room is more relaxed. But today, the whole operating room was silent, except for the sound of the instruments.

Everyone knows that if Liu Banxia and Shi Lei can't find the damaged tissue, the patient has no chance of living. The time to find it is slow, and the patient is also dangerous.

The vital signs are not very good in the first place, and the longer the anesthesia is held, the greater the danger to the patient.

"Found it, my God, it's all under the pancreas. After looking for a while, Liu Banxia shouted softly.

"Are you sure?" asked, Shi Lei.

"That's fine, you take care of it, and I'll check the rest of the organs. Strive for no omissions, very small. Liu Banxia nodded seriously.

"Good. Shi Lei also responded happily.

Now I don't have the time to feel so good in Liu Banxia's hands, and it is important to deal with it quickly.

Liu Banxia's next examination was also very careful, which was really widening his eyes in the examination.

"How is it, is there anything else?" asked Shi Lei after dealing with it.

Liu Banxia shook his head, "I didn't find it, I'll close my stomach." ”

is also to buy time, he closed his abdomen a little faster than Shi Lei.

Ding! The surgery is complete

Gain 300 XP, 200 Diagnostics Skill, 100 Suture Skill, 300 Dressing Change Skill, and 3 Glory Points

"It's done, otherwise I wouldn't have the confidence to hold on for another twenty minutes. Wang Lei breathed a sigh of relief.

"Next, it depends on whether the patient's vitality is tenacious enough, we can do everything we can, and then we have to rely on himself. Liu Banxia said.

"There should still be a chance, at least the root cause of acidosis has been solved. Now I just don't know how much the shock affected his central nervous system, and whether there were any sequelae. Shi Lei said.

"Haha, then I won't worry about it. I'll leave it to you to communicate with the patient's family, and I'll have to think about the interview tomorrow. Liu Banxia said.

Shi Lei shook his head helplessly, knowing that he was keeping the happy moment for himself. As a surgeon, one of my favorite phrases is "successful surgery".

Don't look at this kid who is a little skinny for a while, he still has some conscience.