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For this patient last night, many people talked about it after going to work in the morning, after all, appendicitis and intestinal perforation are the external manifestations of a disease, and they are indeed very rare.

Xu Yinuo told his friends about this case, although she didn't sleep for a long time last night, but it was really an unforgettable experience for her.

Every doctor will have a special case that is unforgettable, although this patient has not experienced life and death, it will be remembered for a lifetime for Xu Yinuo.

The next time you encounter such a similar patient, you will definitely think of parasitic infection first and do corresponding examinations.

I watched the video with Qiaoqiao for a while while while at breakfast, but I didn't see Qiaoqiao, and the whole screen was occupied by Jelly Bean's big face.

This is also the norm, anyway, now Jelly Bean's best friends are Liu Banxia and Huzi. As long as Liu Banxia is on vacation, he will take it to run around the villa area.

Before he finished eating, Liu Banxia's mobile phone rang.

"Sister Li, are you coming to work?" said Liu Banxia after answering the phone.

"Come back quickly, there will be a car accident patient, a pregnant woman, who has crashed out of the windshield and is in critical condition. Zhou Li said in a hurried tone.

Pregnant women have always been a high priority among patients. Because it's not a patient, it's the fetus in her womb.

Where can he still take care of eating, Liu Banxia directly began to run back.

When he returned to the emergency center, the patient had already been sent over, and Shi Lei was in charge of receiving the patient.

"Sister Li, how is the situation?" asked Liu Banxia.

"I was already in a coma when I sent it, my blood pressure was very low, and Shi Lei was also worried that he would need to deal with it for a while, and he was afraid that he would not have time to let me call you. Doctors from the Department of Neurosurgery, Cardiac Surgery, and Orthopedics also called, and the situation was too urgent. Zhou Li hurriedly said.

"Establish two venous channels, connect the ECG monitor and the fetal monitor, and prepare the open chest tray. Shi Lei's voice came out.

"I had a broken skull, and I removed the broken bones first to avoid bleeding. Zhang Xiao, the head of the gods, said.

"There were no breath sounds on the right side, chest tube prepared, sternum fracture. Chen Xuehai's voice also came out.

"The temperature is 35 degrees, which is somewhat low. Heat treatment should be done at the time of rehydration to avoid hypothermia. Ventricular fibrillation...... , charge 120 joules...... ...... leave your hand" Shi Lei's voice suddenly became anxious.

"200 joules...... and leave the hand...... to restore sinus rhythm. A large amount of fluid and blood are replaced, and the chest tube is directly sent to CT after insertion, and then go to the operating room. ”

Although Liu Banxia was not in the emergency room, listening to the conversation inside could already make up for the patient's injuries.

It's really dangerous, and the skulls are shattered? If you don't do it well, you will have a cerebral hemorrhage. And now with a chest tube? There should also be bleeding in the upper right quadrant.

And that's just the patient, a body temperature of 35 degrees can threaten the fetus in the womb, and now the situation has reached the level of critical illness.

And then there is a situation that many families don't want to face? That is, the possibility of keeping it big or keeping it small. Is this child going to have a caesarean section? It just depends on whether the patient's body is enough to support it.

"Banxia, will you follow you to the operating room in a while? The intra-abdominal situation is currently unclear. I only have time to do a brain CT, and if the situation in the abdominal cavity is complicated, I need your help. After coming out of the emergency room, Shi Lei said.

"Okay, I'll go up and get ready to go now. That's right? How long have you been pregnant?" Liu Banxia nodded.

Shi Lei shook his head? "The driver died on the spot, and the family has not yet been contacted. However, we judge that it is more than 30 weeks, let's wait a while to see the situation, the current condition of the fetus is relatively stable. ”

Liu Banxia nodded again, and then ran to the operating room.

Is the patient's situation too special and complicated? In the operating room, you also need to prepare in advance.

"Brother Zhang, how about predicting the situation?" asked Liu Banxia on the way to the operating room.

"The subdural hemorrhage is estimated to be unable to run away, and the CT scan is just to determine the location. After a while, head surgery, abdominal surgery, and chest surgery were almost done together, and I was really worried that the patient would not survive. Zhang Xiao frowned and said.

Liu Banxia grinned, even if it was a person with better physical fitness, it would be dangerous to undergo such a joint operation together, let alone a pregnant woman who had just been in a serious car accident.

"Banxia, is the situation so critical?" asked Li Liwei, an anesthesiologist who came to the operating room to prepare.

Liu Banxia nodded, "Now our biggest hope is that the patient can persist in the operation." ”

Li Liwei knew how serious the danger was, and he also mentioned it in his heart. The patient's condition is very poor, and there is a fetus, so it takes a little more effort to take medication and maintain vital signs.

After waiting for a while, Shi Lei and Chen Xuehai also came to the operating room, and the patient was also pushed in, and there is no need for orthopedic intervention for the time being.

"To make a simple confirmation, Brother Zhang will do brain surgery first, and Shi Lei and I will deal with the patient's abdomen at the same time. Dr. Chen, how about you monitor first, or I'm worried that the patient won't be able to survive. Liu Banxia said.

"Well, the current chest tube drainage volume is not very large, and the cardiopulmonary function is okay. However, you should also deal with it as soon as possible when you open your abdomen, and now the patient's blood pressure is really too low. Chen Xuehai said.

"Brother Zhang, let's start. Liu Banxia nodded at Zhang Xiao.

"Okay, craniotomy preparation. Zhang Xiao said.

"Are you coming or am I coming?" Shi Lei looked at Liu Banxia.

"Come on, I'll look for the bleeding spots. Now that the blood pressure is so low, it is estimated that the abdominal bleeding is very serious. Liu Banxia said.

"Good. Shi Lei also nodded and began to operate.

"You have to go as fast as you can, I don't have any confidence in this patient and I don't know how long I'll last. Li Liwei said a very unconfident sentence.

"Please, Brother Li. Liu Banxia said.

Now he doesn't have much time to care about anything else, the patient has a lot of bleeding in the abdominal cavity, and there are lacerations in the liver. All that needs to be done now is to stitch it as soon as possible so that the bleeding does not get worse.

"Everyone, work hard, I've seen subdural edema, start dealing with it now, decompress her. Zhang Xiao said.

"Blood pressure and blood oxygen were temporarily stabilized, and the body temperature dropped to 34 degrees Celsius. Li Liwei reminded.

"Dr. Chen, how is the condition of the chest cavity? There are a lot of small bleeding spots in the abdominal cavity, and I am afraid it is too late to deal with them. Liu Banxia said without raising his head.

"It's okay at the moment, prioritize your situation. Chen Xuehai said.

"There is also a tear in the spleen, so I'll deal with it first. Shi Lei said.

"The damage in the abdominal cavity is too severe, and now I don't think the damage to the heart and lungs will be small. Dr. Chen, if the patient is physically supportive, can laparoscopy solve the problem?" asked Liu Banxia.

"Where I can say for sure, it depends on what the situation is. Chen Xuehai said with a wry smile.

He is also an experienced doctor and knows that the patient's body is simply not enough to support the operation time for that long now. Otherwise, Liu Banxia would not have asked this, after all, laparoscopic surgery is less invasive than thoracotomy surgery.

"OK, my problem here is solved, stitching is in progress. Zhang Xiao's voice was faintly excited.

"No, you have to finish it as soon as possible, the patient's body temperature has dropped to 32 degrees Celsius, and the blood clotting function is also very poor. Li Liwei's voice came.

It's not so beautiful to hear in everyone's ears, because everyone knows that they need to stop immediately. The patient's abdomen is then stuffed with hemostatic gauze, and the patient is required to recover on his own for a period of time to lift the vital signs.

If you insist on the result of surgery, the patient's bleeding becomes heavier.

"Dr. Chan, help us stuff the gauze and I'll stitch it up. Liu Banxia said.

Now it's time to be able to buy everything shorter and give the patient more time to recover. As for the extent to which it will be restored, no one is confident in this.

After the abdomen is closed, it can only be sent to the ICU for observation, and the doctors have to be on call at all times, as long as the patient's vital signs are supported, the next operation is needed.

Seeing them come out so quickly, the people in the emergency center also knew that the patient's body was not enough to support it.

"Have you been contacted by the patient's family?" asked Liu Banxia.

"Got in touch, through the phone number on the license plate. The driver was his husband, and now both parents are on their way. Zhou Li said.

"Hey...... and let me know when they arrive. Liu Banxia sighed.

For two families, this is really not easy to accept. This is bad news, and it is unknown whether this patient can be saved.

"Teacher Liu, there are more flu patients today, do you need to pay special attention?" Liu Yiqing walked over.

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"Pay more attention to avoid nosocomial infections. Liu Banxia nodded.

This patient still needs to be discussed, but it doesn't mean that it is over now.

"Boss, do you still need to call the director? He also had surgery today. Liu Banxia asked.

"It's useless to call, the current situation is not very complicated, but it is a little urgent. Shi Lei shook his head.

"At the moment, there should be no problem with the head for the time being, and the next thing to look at is the abdomen and the chest. Zhang Xiao said.

"All I was worried about was the heart, and the broken ribs should have scratched the heart. I hope my heart doesn't burst, or I really don't know how to save it. Chen Xuehai said.

"Today, the two of you also dealt with it quickly enough, although the bleeding points were not all dealt with, at least the first stage of rescue was completed. ”

"Then let's push the rest of the surgeries this morning, what's going on?" Liu Banxia looked at them and asked.

Chen Xuehai nodded, "It's been pushed to the afternoon, even if I get off work late today, I have to fix this patient, I'll take a look at the new film, and I have to make a cardiogram." ”

Liu Banxia nodded, it is true, this is only the first stage of this patient's rescue.