Chapter 1 I Am a Doctor
Chapter 1 I Am a Doctor
Would you believe that there is an opportunity in this world?
It was windy and rainy, the street lights were crooked, and the streets were empty. It's one o'clock in the morning.
Click, the sky fell, lightning spread in the sky like blue branches, connecting heaven and earth, and the whole city was as bright as day at that moment!
..........
"Blood, go get blood!"
"Why hasn't the blood arrived yet?"
The operating room of the People's Hospital of G City is brightly lit, and a patient who has been stabbed by a knife is undergoing rescue surgery.
In an anxious and hoarse roar, several bags of blood hung on the infusion stand, followed by several transparent tubes, which were infused into the patient's body. Next to it, empty bags stacked on top of each other, this is the only support for life on the operating table.
"No, I can't find a blood vessel, my blood pressure is unstable, gauze! There is little hope of being rescued, and you must be mentally prepared. ”
Under the shadowless lamp, the three directors of orthopedics, general surgery, and urology operated on the same table. Wang Jin, director of the Department of Orthopedics, is a surgeon. His forehead was covered with sweat, and his back was wet. From time to time, he turned his head away from the sterile area and asked the itinerant nurse to wipe his sweat.
Young doctors Charlotte and Zhang Tian pull hooks on the stage. Although they paid close attention to each other, they were inevitably scolded: "Why are your hands shaking? seizures? Cheer up." If you pull the hook like this, you can't see anything but your hands are shaking. How can I have surgery?".
Probably too tired to sleep well in days, Charlotte couldn't help but yawn through the mask covering her face. This magical yawn causes the body to touch a switch and suddenly lose control and become unable to move. The whole world stopped, and the people around them seemed to be fixed by a charm. They didn't move, not even the ECG on the monitor. But Charlotte's consciousness was still clear. In his field of vision, time never beats on the wall panels.
, what's going on. I'm afraid that my brain is bad and I have hallucinations at work these days. Charlotte believed that, as a doctor, he was a thorough materialist who did not believe in the indescribable.
At this time, a gentle female voice appeared in his head: "Implant!"
A warm current was forced out of the top of the head, and then the strange acid spread throughout the body, all the way to the soles of the feet.
Another female voice: "Implantation complete!"
In an instant, the female voice disappeared, nothing happened, everything returned to normal, the body immediately regained its mobility, and the people and things around it were instantly unlocked.
As far as Charlotte's eyes are concerned, the patient on the stage seems to have become surprisingly transparent, with all levels and various parts clear, especially blood vessels, nerves, and internal organs are marked.
As the lungs contract, the heart beats rhythmically. This picture is so strong that even 3D digital human anatomy can't reach this level.
Red blood flows out of the heart and runs throughout the body, and blue blood flows from the whole body back to the heart. Surgical area - a large red exclamation mark appeared in the right pelvis, constantly flashing, a blood vessel was broken in two, blood was constantly spurting out, and red was scattered everywhere.
"The rupture of the external iliac artery is life-threatening, and the bleeding must be stopped within ten minutes, otherwise you will die." Note that this is a variant external iliac artery. - "The voice in my head reminded me.
"Blood pressure can't be measured, blood pressure transfusion, fast! dopamine—" The cheater shouted, and the operating room sprang into action.
Adjust the blood transfusion pressurizer, take medicine, call the blood transfusion department to urge the blood transfusion department to send blood urgently, and cooperate with skilled people.
Whatever happens in the brain, now is not the time to pursue it. Saving lives is more important than anything else. What was delayed was a living human life.
External iliac artery rupture. This artery has a thick little finger. Once it bleeds, it's a jet tap. If it weren't for the continuous blood supply, the patient would have gone to report a long time ago.
"Zhang Tian, cooperate with me on the other side!" Charlotte's condescending tone.
Then he was almost forced to squeeze out Wang Jin and stand in the position of the ruler.
"Knife!vascular clamp!vascular clamp!Open three suction devices!"
The instrument nurses, itinerant nurses, and malware teachers began to be stunned and dumbfounded. Perhaps he saw a glimmer of light in despair, and Meng was not strong enough and should cooperate immediately.
"Charlotte, you're crazy. What are you going to do?" Wang Jin was so angry that he almost stomped his foot. If it weren't for the principle of aseptic, it is estimated that he would have slapped people directly.
Charlotte didn't say anything, she lowered her head, the knife was already running along the original incision.
Hold the suction device, pull the suction head out completely, and suction. Suction Vascular clamp !! "When all the gauze used to pack and stop bleeding was removed, pelvic blood gushed out, and the red color quickly flowed along the three suction tubes.
In the field of view, an arrow points inward. With the help of this wonderful stereoscopic perspective, Charlotte instantly noticed that the end of the ruptured blood vessel was red, and did not look at it. His left hand was directly in the bloodstream, his thumb and forefinger pinched the proximal end of the blood vessel, and his right hand was immediately clamped with a vascular clamp.
Then, in the same way, the vessel clamps the other broken end of the vessel. To stop bleeding, blood in the pelvis is attracted and slowly descends to the plane like a low tide until the blood vessels with clips are exposed.
"Record time, six zeros, vascular suture needles and threads!" Quick link device delivery by nurse. Charlotte quickly trimmed the broken end of the vessel, picked up the needle and thread, and began to expertly anastomoses the vessel. Each needle is unbiased and the needle pitch is appropriate, as if a precise machine were running.
Vascular anastomosis, ligation of nearby small blood vessels, irrigation and suction, immediate cleaning of the surgical area, placement of negative pressure drainage, and one-time suturing of the wound.
The knife only stabbed the lower abdomen and broke the external iliac artery, which is a very dangerous trauma. It's lucky to make it to the operating table alive, let alone saved.
Most patients with knife wounds die from knife wounds, and many people do not have the opportunity to go to the operating table as long as they puncture a large blood vessel. And the knife cuts and cuts, all the way to the blood vessels on the surface of the body, and it is difficult to hack people to death. Some people slashed dozens of times, and the patient could still croaking "Ge Laozi" on the operating table.
It's just that this patient's external iliac artery has a mutation, and the so-called mutation is different from most people, and it is different from what the book says. Just like a car, the placement of a screw is different from that of other cars, and it is also different from the manual. I just don't know where it is.
As a result, dealing with some anatomical variations is often a headache for surgeons. Especially in this emergency surgery, blood is everywhere and the blood vessels retract, and it is difficult to find the ruptured blood vessels in a short period of time based on anatomical knowledge and conventional experience.
In a life-or-death game, they won. When they finished their last injection, they looked at the stable blood pressure on the monitor, and everyone looked at each other and smiled.