(Thanks to my friend 08a for his encouragement)

Liu Banxia tore open the open chest bag, poured iodophor between the patient's sixth and seventh ribs, and took out a scalpel. took a deep breath, glanced at Qin Hai, who was standing outside the rescue room and watching expressionlessly, and rowed down directly.

If it is an ordinary hemothorax, it is enough to make a small opening for closed drainage. However, this patient's condition is too special and can only be treated with on-site thoracotomy.

He has never done a chest open, and the only chest surgeon here is Liang Xiaolin, but now she can't count on it, so he can only come.

The only thing he relied on was the two hours he had to exchange for a little glory point when he just inhaled.

As the scalpel slashed, wisps of blood flowed down the incision.

"Stretcher"

Liu Banxia put down the scalpel.

This time it was Chen Jianxin who handed it over.

When the propeller is inserted and the chest cavity is opened, the patient's left lung is completely collapsed. This is because the trauma to the chest cavity has carried air, causing the chest pressure to be greater than the alveolar pressure.

Liu Banxia raised his hand, and Chen Jianxin handed over the scissors at the right time.

He opens a small opening in the collapsed lung so that air can be put in the patient's lungs to maintain air pressure for brief ventilation.

Carefully chosen, avoiding blood vessels. As the scissors cut off, the patient's left lung swelled up as if inflated. Liu Banxia did not hesitate at all, and after putting down the scissors, he took the suture handed over by Chen Jianxin and stitched three stitches.

The next important thing is to look for the bleeding point in the patient's chest.

"Right ventricular rupture, stapler. ”

As soon as he put his hand in, Liu Banxia's heart was "groaning", this patient was really dangerous.

Hearing his words, even Chen Jianxin was stunned for a moment. But he was only stunned for a moment, and handed over the skin stapler.

Liu Banxia carefully adjusted the position of the heart, and the blood pumped out of the right ventricular tear sprayed directly onto his surgical gown.

After taking the suture handed over by Chen Jianxin, Liu Banxia felt the position of the crack with his hand, clicked, and pressed it three times in a row.

Now on his side, all eyes are on the patient's heart. After Liu Banxia took the stapler, his heart beat again.

"Blood pressure continues to rise, and vital signs return. There was a hint of tremor in Liang Xiaolin's tone.

"Send it directly to the operating room and notify the chest doctor to do a good job of receiving thoracotomy patients. Call a general surgeon for abdominal puncture wounds. Liu Banxia said.

"Doctor Liu, you and Doctor Liang send it over. Chen Jianxin said seriously.

Liu Banxia was stunned for a moment and nodded.

It's not that Chen Jianxin is timid and afraid of things, and he is afraid of taking responsibility so he sent it. It's because if this patient can be rescued in the operating room, the current Liu Banxia is the first hero.

Because it was his thoracotomy in the emergency room that solved the patient's lung and heart problems, this honor should be enjoyed exclusively by Liu Banxia.

"Ah, Shoutian, why are you?"

As soon as he walked into the operating room, Wang Lei shouted in surprise.

"Lao Wang, hurry up and anesthetize the patient. Who is coming over from the outside and outside the heart?" Liu Banxia said with a wry smile.

Wang Lei shook his head, "I really don't know, I'll come over when I get the notice." ”

As soon as Wang Lei's words fell, Shi Lei raised his hand and walked in from outside, and he was also stunned when he saw that it was Liu Banxia.

"You two, brush your hands, come on stage. Shi Lei said directly.

Liu Banxia was happy, and directly grabbed Liang Xiaolin's hand and ran out.

"Shoutian is too enduring, and if he doesn't look at it, he has an emergency chest opening. Damn, sew the heart with a stapler? Wang Lei, who finished anesthesia, was shocked.

Shi Lei's expression was also a little stunned, he did see the chest expander, but he also didn't expect that there would be such an operation.

Seeing that the anesthesia took effect, Shi Lei didn't have time to care about anything else, he had to open his abdomen to explore. Fortunately, the abdominal trauma did not hurt other organs, but only made a small infusion in the small intestine, and some feces flowed into the abdominal cavity.

"Doctor Shi, Liu Banxia and Liang Xiaolin are ready, please instruct. At this time, Liu Banxia ran in from outside.

"Come here, you can take care of this. Shi Lei glanced at him.

Liu Banxia put on his gloves and ran directly to the edge of the operating table.

After reading it, I was happy, "We are seriously enjoying the treatment of a master knife, this is all at the level of Director Zhou." The abdominal cavity has been cleaned and clamped with sponge pliers, and the stitching is over. ”

"There are so many words, I can't control you, can I?" Shi Lei glared at him.

"Hehe, that's definitely not. This is a gift from the boss to me, the mascot is optimistic, although you are a doctor outside the chest, you may encounter any situation in the future emergency treatment, take a closer look. Liu Banxia said.

Liang Xiaolin was a little depressed, she didn't want to listen to his orders, and she didn't want to miss this opportunity.

The laceration was very small, Liu Banxia didn't add much total, and directly made a purse suture 0.5 cm from the edge of the wound, and then tightened the sutures. After the perforation was inserted into the intestinal lumen, a transverse intermittent suture was made to close the sarcoplasmic layer, and only two stitches were required.

Shi Lei really didn't want to praise Liu Banxia, was he afraid that he would be embarrassed. But the hand work that has just been stitched is really impeccable.

"Shut your belly. Shi Lei said in a muffled voice.

That awkward little appearance made everyone in the operating room happy. This is Shi Lei's cuteness, and honest people can be cute.

It's just that this time Liu Banxia didn't act directly, but looked at Liang Xiaolin.

Liang Xiaolin was stunned, how could she let herself do such an important job as closing her abdomen.

"Come on, you'll have to mess with me in the emergency department in the future, and your strength will have to be improved, otherwise you won't be able to keep up with me." Liu Banxia said with a smile.

"This patient has already been saved, and after a while, the doctor outside the heart will come, and you will learn the skills of heart suturing. Don't waste any time, go ahead. ”

Liang Xiaolin gritted her teeth and stood in Liu Banxia's position.

Because the abdominal cavity is contaminated, it is also necessary to place a drain. Liang Xiaolin's operations are very normal, and there is no lag.

But after the stitching began, her suturing speed made Wang Lei frown a little, as if every stitch had to be carefully considered.

It's okay to close your abdomen in the operating room, but what if you need emergency stitches? Where is there so much time for you to think about it?

Liang Xiaolin also felt the strange eyes of the big guy, and she was very aggrieved and helpless in her heart, and tears welled up again.

"Don't move, feel the movement of my hand, and then look at the position of my needle. ”

At this moment, Liu Banxia's voice sounded in her ears, and she also grabbed her right hand.

Liu Banxia's idea is very simple, that is, to let Liang Xiaolin feel the movement of his wrist. The most important thing is the movement of the wrist. Now I want to give Liang Xiaolin a special on-site teaching, which is definitely more impressive than in the disposal room.

But as for Liang Xiaolin, now that the two of them are in such an ambiguous posture, coupled with being grabbed by Liu Banxia, they suddenly become stunned.

By the time she came back to her senses, Liu Banxia had already finished sewing more than half of it.