For the publicity of this operation, the hospital has set the tone, and Liu Banxia doesn't have to worry about it.

During the evening rounds, I took a look at the old lady with a thyroid cyst, and sure enough, she was alone. What else can I do? Let the bell come handy, and if you feel uncomfortable, ring the bell quickly.

This is also a patient who needs extra attention, even if the old lady is recovering well. However, she is old, and elderly patients need to pay special attention after surgery.

After a full night's sleep, Liu Banxia was also very satisfied. After all, for his job, being able to have a complete "segment" sleep is better than anything else.

"The big guys are in good spirits, it's been a long time since yesterday's surgery. Today is a new day, and there will be patients sent over. Liu Banxia, who rushed back to the emergency center after breakfast, clapped his hands and cheered everyone on.

It's just that even if it's encouraged, it won't be as passionate as many employees in front of the store doing morning exercises. This job is more tiring, and no amount of passion can be lost for you.

"Mr. Liu, why didn't you accept the interview?" Wang Chao came to his side.

"Your news is really good, what you just told the director yesterday, you know today. Liu Banxia admired it very much.

"Hehe, I heard my mom mention it at dinner last night. Compared to yesterday's operation, the movement was too big for other hospitals to play. Wang Chao said with a smile.

"Have you heard anything else?" asked Liu Banxia with a smile.

"What's the matter?" Wang Chao suddenly became cautious.

"In the future, our second hospital will give priority to supplementing the staffing of the emergency center, and the CCU is only the first step, and there will be other arrangements in the future. So you have to be serious and improve your surgical skills as soon as possible. Liu Banxia said.

"The current routine surgery for cholecystitis and appendicitis is still no problem for you to deal with it. Intestinal perforation repair can be done more quickly, and gastric perforation needs to be strengthened. ”

"However, Qi Wentao has little experience in intestinal surgery, and I will allocate resources to you as much as possible in this regard. But sometimes it can't be distributed fairly, I'm a human brain, not a brain. ”

Wang Chao nodded vigorously, "Don't worry, there's no problem on my side." ”

"How's the recent propaganda work going?" asked Liu Banxia.

"It's done very well, anyway, it's all in the community health room, and you don't have to go outside to blow the wind. Wang Chao said with a smile.

"Okay, you need to put more thought into this matter. Do you have any thoughts on your future career plans?" asked Liu Banxia coldly.

"Uh...... , brother, you are my own brother, if you have anything to say, you can just ask?" Wang Chao asked.

"It's nothing, in fact, I think we should all plan it out in advance. And your family is still a little unusual, so you have to think about it in advance. Liu Banxia said.

"Either do the first line in a down-to-earth manner, or do the second line. In the future, our emergency center will definitely be upgraded one after another, and there will definitely be more departments and departments in the future, and relevant functional departments will also need to be built. ”

Wang Chao grinned, "Let me think about it?" ”

Liu Banxia smiled and nodded.

It is still necessary to take care of it, and Wang Chao's strength is not bad, but sometimes he will not think about it more seriously.

It's enough to wake up, they are all smart people, and you don't have to say it so thoroughly.

"Mr. Liu, no, there is a policeman who was injured in the line of duty. One shot in the chest and one in the abdomen, and now the ambulance is coming, and the vital signs are very bad. At this time, the dispatch nurse ran straight over.

"I was shot, and I presided over the consultation, and Dr. Wei and Wang Chao joined me to call Chen Xuehai, who was outside the heart. Wear a disposable surgical gown directly, notify the operating room to prepare, and clear the road in advance. Three bags of positive blood type O are prepared, and the patient is quickly tested upon arrival for cross-matching. ”

Liu Banxia shouted.

He has been in the Second Hospital for so long, and he has never experienced a gunshot wound patient.

Because guns are strictly controlled in China, they will not be bought casually like abroad. Probably only the police and armed police have a higher chance of being wounded by gunshot because they are facing the most vicious criminals.

After waiting for nearly ten minutes, the sirens of police cars and the sirens of ambulances were mixed together.

"Two gunshot wounds to the chest and abdomen, blood pressure 70/90, heart rate 130, oxygen and fluids in the ambulance, unstable vital signs, coma. The first responder said.

"Rescue a room. Liu Banxia shouted, and then pushed the gurney and ran inside.

The patient's condition is really dangerous, maybe the heart is injured, and the chest has been wetted a large area.

"One, two, three, lift. Connected to the monitor, open venous access. Rapid blood tests to replenish blood and fluids. Liu Banxia said.

"Blood oxygen 90. ”

"100 units of succinylcholine, 20 units of etomidate, Liang Xiaolin intubated. Liu Banxia said.

"There is no wound in the back, and the bullet should still be in the body. Wei Yuan said.

"There was fluid accumulation in the abdominal cavity, and the diagnosis was internal bleeding. Shi Lei said.

"There was no sound of breathing in the left lung, and the chest tube was inserted. Chen Xuehai also shouted.

Everyone is busy, the patient's blood pressure is not high, the blood oxygen is still dropping, the breathing is difficult, and there are two bullets in the body. Even if you want to take an X-ray, you need to be able to maintain the patient's vital signs.

After the emergency rescue, the patient's vital signs finally improved, although the blood pressure was not high, but the blood oxygen rose.

"Let's take an X-ray and go straight to the operating room. Liu Banxia said.

Get out of the way and keep a safe distance.

"Why did I only see one bullet?" After the X-ray was taken, Liu Banxia asked with a frown.

"There should have been a place obscured by the ribs, and now you can see that there is one near the liver, and the other one may be near the heart, and the lungs have been cut. Chen Xuehai said.

"Sister Wang, communicate with the leaders and family members of this comrade, we need to go into the operating room now. Liver damage, lung damage, and possibly heart damage, with severe internal bleeding. Ask the patient for basic information. Liu Banxia said.

After finishing speaking, they pulled out the gurney, and they rushed directly into the elevator.

Time waits for no one, and now the patient's stability is due to blood and fluids and breathing. It's only temporary, and who knows how much trauma the two bullets caused in the body.

"Doctor Chen, Liang Xiaolin, I'll hand over the heart and lungs to the two of you. Liu Banxia said.

"Brother Wei, after the laparotomy, you will be responsible for dealing with the liver injury, and I will look for the bleeding point. I'm losing a lot of blood now, and I'm definitely nervous after my lap out. ”

Wei Yuan nodded, "If the liver damage is not very serious, I can handle it." If the injury is very serious, I can only do simple hemostasis and dare not take risks. ”

"It's okay, I save my life, you save people. Liu Banxia said seriously.

Wei Yuan was stunned for a moment, "Okay." ”

He knew that this was the opportunity given to him by Liu Banxia, because he had also undergone hemiliver resection. At present, the patient's liver damage is uncertain, and it is not known whether it can be repaired or hemiliver resection is needed, so he is not confident.

"The patient has no heart disease, no high blood pressure, no diabetes. As soon as he entered the operating room, Wang Lei shouted.

"How much is it good news, are the blood test results out?" asked Liu Banxia.

Wang Lei nodded vigorously.

It can be regarded as a guarantee, Liu Banxia and they hurriedly ran out to brush their hands.

"Just according to what we discussed in the elevator just now, Wang Chao, you check with me and Brother Wei to fill in the gaps. Liu Banxia said.

Wang Chao nodded.

"Doctor Chen, is there any problem with the heart and lungs?" Liu Banxia asked again.

"As long as the heart damage isn't too big, it's fine. Chen Xuehai said.

"Well, the odds of success are a little bit better. Liu Banxia said.

Returning to the operating room again, Wang Lei had already finished anesthesia.

Wang Chao opened his stomach. ”

Liang Xiaolin opened her chest. ”

When they came to the operating table, Liu Banxia and Chen Xuehai shouted out together.

"Suction. ”

As soon as the patient's abdominal cavity opened, blood gushed out.

"He was lucky that the bullet didn't hurt the liver very much, and the stitching was fine. Wei Yuan said.

"There were two breaks in the colon and bleeding from the mesenteric arteries. The damage could not be repaired, so the mesenteric artery was ligated first, and Wang Chao underwent colectomy surgery. Liu Banxia also said.

This is also giving Wang Chao a chance, and according to the current condition of the patient, whether he comes to do liver suture and colonectomy, or hands it over to Wei Yuan and Wang Chao to do it, the effect is the same.

There is no difference from the usual surgery, the only difference is that this is an emergency surgery, which comes suddenly, and some people are nervous.

They've been working in the emergency center for so long, and the situation is still clear, so it's easy to deal with.

"The second bullet was next to the heart, and the heart had bleeding spots, and it was stitched up. If there is damage to the left lung, alveolar resection is done. "Chen Xuehai, their side is a little slower.

After all, open the chest is not the same as opening the abdomen, the open stomach is directly cut with a knife, and the open chest has to be opened.

This is a combined thoracoabdominal surgery, and it is still a conventional opening method. For now, their minds have finally been relaxed, and the bullets are not running around in their bodies.

In fact, in many cases, the best treatment is a penetrating injury, because such an injury is more direct. If the bullet does spin or deflect in the body, they may not be able to salvage it.

"Brother Wei, is there still bleeding in the liver?" asked Liu Banxia after ligating the mesenteric artery.

"The blood vessels on my side have also been ligated, why is there so much blood in the abdominal cavity?

"Probably not, we have also done a quick ligation on our side. The bleeding point in the heart is very small, there are not a few stitches, and Linlin has also undergone two alveolar resection surgeries. Chen Xuehai said.

Liu Banxia's brows were tightly locked, and there were unknown bleeding spots.