(Thanks to book friend 20201112175901593, lazy confused worm, pirate Qi Xinuo, and Chen Jieting monthly pass for encouragement)

"Mr. Liu, the blood test results have been sent, laparotomy or laparoscopy?" asked anesthesiologist Li Liwei.

"Laparoscopy, I suspect that the fluid in the abdominal cavity is mainly ascites, but there is still internal bleeding, and if it is not treated, it is also life-threatening. Liu Banxia said.

Li Liwei nodded, "Looking at the jaundice, it should already be very serious, and it is all on the list of waiting for transplantation." ”

"That's right, I'm hoping that my liver won't be damaged right now, and that would be dangerous. Liu Banxia said with a wry smile.

Jaundice is so severe, liver function must have failed to a certain extent. If the liver, which is not working well, is damaged again, it will be even worse.

"Laparoscopic exploration showed damage to the right side of the liver and cirrhosis. Bleeding is not severe, with a small amount of ascites in the abdominal cavity. Sutures can be performed and the second and third holes can be made. After carefully observing for a while, Liu Banxia said.

"Hmm...... , help me contact the downstairs and find the patient's family as soon as possible. Let them contact the attending doctor, and they can already move up the waiting ranking. ”

"Mr. Liu, it's not that I have a black mouth, I guess it's enough to choke. How many days can he last like this? According to his performance, he must be at the top of the transplant list. Li Liwei said.

"If you do your best to obey the destiny of heaven, there is still a glimmer of hope. Then try your luck in our courtyard, just in case. Liu Banxia said.

"Today is a day of sin. Fortunately, the damage to his liver was not great, and it did not hurt the main blood vessels. It's just that liver cirrhosis is too serious, even if he can't match the right liver source, he can say goodbye to his family. ”

The atmosphere in the operating room became much more solemn with his words, even if many people were not doctors, just nurses, but they saw a lot.

Now Liu Banxia's operation is to continue his life, and the patient's liver is about to stop. The only cure is to replace the liver, nothing else is useless.

First aid mission completed

Gain 200 XP, 200 Diagnostics Skill, 100 Dressing Change Skill, 100 Suture Skill, 100 Liver Surgery Skill, and 4 Glory Points

"Take it to the ICU and observe it for a day. Liu Banxia said.

"Mr. Liu, the patient's family has rushed to the hospital. Xu Yinuo reminded him.

Liu Banxia was stunned for a moment and nodded.

I went outside, searched for it, and led the patient's wife and parents aside.

"The surgery has been successful so far, and the liver has been sutured. However, his own situation is already very dangerous, you can contact the previous attending doctor to explain the situation and see if you can advance the list. Liu Banxia said.

"We're already in second place now, but we've been waiting for more than two months, and the one in front hasn't waited. The patient's wife wiped away tears as she spoke.

Liu Banxia sighed in his heart, this is really no way, donors are really too difficult to find.

"Doctor, how long will you live?" asked the patient's father.

"I haven't done a careful evaluation yet, but judging by the current condition of the liver and the injury this time, the best outcome may not last more than a week. Liu Banxia said.

"If you have relatives who have a good relationship, you can also give it a try, this is the last chance. What I've just said is just the best assessment and it will depend on how well he recovers tonight. ”

"All the relatives I could find were found, and there was no one who could be matched. The patient's wife said.

Liu Banxia couldn't say anything comforting, for this family, they could only hope for a miracle.

Because there are relevant legal requirements for donation, even if it is a spouse, it must be living together for more than three years or have children. Either they are direct blood relatives or collateral blood relatives within three generations.

Another possible relationship is between adoptive parents and adoptive children, and stepparents and stepchildren. The last possibility is from body donation.

Other than that, the rest of the sources are not accepted. Because if it is really open, I am afraid that it will breed more organ trafficking.

In fact, this is similar to the situation of flying knives, which will definitely affect some patients, but if you let go of the opening, it will be messed up.

"Isn't the situation very good?" asked Wang Chao after Liu Banxia returned to the first floor.

"Cirrhosis is so severe that there could have been a waiting period of two or three months, but now it's shortened to seven days. What's wrong with your patient, is it under control?" asked Liu Banxia.

"It's a little better now, and the use of Tylenol has also had some effect, and the body temperature has dropped a little. But he should normally be in the rash period now, right?" Wang Chao asked.

Liu Banxia nodded, "I don't know how many days it has been, let's continue to observe." Anyway, even if it's over, you have to isolate. It was annoying to have to contact the people on their side and to track his path. ”

"Mr. Liu, things over there seem to have come to some results on Liu Yiqing's side, just now I saw that the police have come over. Wang Chao said cautiously.

He also felt that Liu Banxia's mood was a little dark now, and he didn't dare to speak as easily as usual.

Liu Banxia nodded, saw Liu Yiqing sorting out the case on the side, and walked over directly.

"Has it been clarified?" asked Liu Banxia.

"Well, it's school violence, and the police have been called. It just happened last night, and I took a shower after returning home, and I didn't keep any evidence. Liu Yiqing said.

"Teacher Liu, I'm in charge of admitting her to the hospital first. I think I'm going to have to suffer a lot of reproach if I let her go home, I ......."

Without waiting for him to finish speaking, Liu Banxia nodded, "You can take care of it, it's a minor." You are the attending doctor, she should also have a certain degree of trust in you psychologically, and you can take some time to chat with her. ”

"Then there is to tell her parents well, don't blame the child in this matter, it will leave a psychological shadow. ”

Liu Yiqing nodded and did not speak.

"In the hospital, we can encounter all kinds of situations, and we can see many tragic things that you never imagined before. Liu Banxia continued.

"Doctor, doctor, save my child. ”

At this time, a man broke into the hall, holding an unconscious child in his arms.

"What's the situation, how old are you?" Liu Banxia hurriedly ran over.

"When I was three years old, I knocked down the storage cabinet and pressed it to my chest. Doctor, save him. The child's father said anxiously.

"Rescue the second room, call the doctor outside the heart to come. Liu Banxia shouted.

It's just that he didn't pick up the child because he was worried about causing secondary injury in the process of handing it over.

"Even the monitor, quick X-ray. After the child's father put the child on the consultation bed, Liu Banxia pulled him aside as he spoke.

"There are no broken ribs, but the condition of the abdominal cavity seems to be a little unoptimistic. What about the extracardiac doctor? Inform the operating room to prepare, rapid blood tests, cross-matching, opening venous access, bedside ultrasound. Looking at the X-ray on display, Liu Banxia roared.

"Mr. Liu, what's the situation?" At this time, Wu Xiaoyue, a doctor outside the heart, rushed over.

"Crushed by the storage cabinet, it seems to have pressed the diaphragm, and the chest cavity shows a mess. There is also free fluid in the abdominal cavity, so send it directly to the operating room. Liu Banxia said.

Wu Xiaoyue glanced at the X-ray, and then became anxious.

Even if the X-ray film cannot be taken as clearly as CT, the displacement of the organs can still be roughly seen. Now the child's heart can't see the outline, there must be something blocking it.

"Wang Chao, explain to the child's father, let's go directly to the operating room. Liu Banxia dropped a sentence, pushed the bed and ran to the elevator, all a little crazy.

Others also hurriedly got out of the way, not only because they had to have emergency surgery, but also because Liu Banxia's face was very dark now.

"Su Wenhao, do an open stomach directly. The ultrasound was not very close, but I suspected that there should be a perforation of the bowel. Liu Banxia said when brushing his hands.

"Doctor Wu, it is not possible to judge the situation in the chest cavity at present, and you have to check after the initial exploration of the abdomen. If necessary, I will cooperate with you. ”

Wu Xiaoyue nodded, "If it's just a simple displacement of abdominal organs, it's nothing, just take a look." ”

Walking into the operating room, the person in charge of anesthesia was Li Liwei, who had just stepped down.

"You've finished anesthetizing the child, so let's get started. Li Liwei said.

"Su Wenhao opened his stomach to investigate, and I will help. Liu Banxia said.

Su Wenhao directly operated.

"Exploration showed that there was enteric substance in the abdominal cavity, two perforations of the intestinal tube, diaphragm damage, and gastric ...... Transferred to the thoracic cavity. Intestinal perforation repair may be done. After opening his abdomen, Su Wenhao said.

"You clean the abdominal cavity and repair the intestinal perforation, and I will reset the stomach. Liu Banxia said.

He hadn't done this job before, but he had to do it now, and he had to be careful when resetting.

"Damn, there's a centimeter-sized laceration on the stomach, I'll fix it. ”

As soon as he moved his stomach to some positions, Liu Banxia burst into a foul mouth.

I couldn't see it when I was in the chest, but now I can see it clearly, and some of the stomach is already flowing out.

"I'm here to intubate the chest, do the cleaning and drain after the surgery. Wu Xiaoyue hurriedly said.

Stomach lacerations pose a greater risk to the chest than a child's intestinal perforation, which threatens the abdomen. Stomach acid is present in the stomach contents, which may affect the organs in the chest cavity and cause infection.

The most straightforward way is to open the child's chest, but that would be too harmful to the child. So Wu Xiaoyue stopped this job directly, even if it was more complicated, it had to be done more carefully.

Even through the screen, Xu Yinuo seemed to be able to feel the resentment in Liu Banxia's heart. Otherwise, he would have to explain the stomach repair done at this time.

Now he doesn't even bother to speak, which shows how bad his mood is.