This is the last first aid method, if it doesn't work, then it's really useless!

Zhang Haoyu hurriedly installed the instrument and immediately pressed the start button.

Multiply!

There is no movement~

Multiply!

No response!

Multiply!

Everyone has no temper!

Multiply!

Just when Ruan Bin and the others thought they had no chance, suddenly the ripples in the straight line on the heartbeat detector suddenly fluctuated slightly!

"Alive, alive!" Zhang Haoyu said excitedly.

In the end, they managed to save the old man from the hands of death.

After saving this patient, Ruan Bin walked out of the operating room before he had the opportunity to go to Cha Fan.

Just after coming back from dinner, he was pulled by Zhang Haoyu to see Liu Junchi in the No. 5 operating room.

At this time, Deputy Director Liu was doing a total colectomy in the operating room, which was a fourth-level operation!

"Dr. Ruan, will you have decompression surgery for abdominal space syndrome?" asked Liu Junchi without raising his head as he performed the operation.

"Ah......" The sudden question made Ruan Bin a little puzzled, what are you doing?

He really can't do this!

"Ruan Bin, will you be in a hurry?" Zhang Haoyu next to him was anxious.

"Yes!" Ruan Bin nodded violently, isn't it a matter of krypton!

"Are you sure?" asked Liu Junchi seriously, raising his head.

"Hmm. Ruan Bin also nodded seriously.

"Okay, there is a patient in Intensive Care Unit 4 who has abdominal space syndrome and needs surgical decompression, and you go over with Dr. Zhang to deal with it. Liu Junchi breathed a sigh of relief. Because he can't leave at all now! Otherwise, he wouldn't have asked Zhang Haoyu to ask Ruan Bin for help, after all, he was Director Jiang's man. Originally, he wanted Zhang Haoyu to deal with this matter, but this product hesitated, and at first glance it was half a bucket of water, where did he dare to hand it over to the other party?

As for Ruan Bin, since Ruan Bin showed a brilliant cholecystectomy, Liu Junchi still agrees with Ruan Bin's surgical skills, at least several times stronger than this uncompetitive Zhang Haoyu! He regretted that when Director Qian threw Ruan Bin to Jiang Yurong, why didn't he leave Ruan Bin silently? Ahhhhhhhhhhh

"Director, then I'll find you an intern to come over and be your assistant?" Zhang Haoyu asked. He was an assistant to Liu Junchi for this operation just now.

"Intern, no! at least get me a resident doctor. Liu Junchi shook his head, the total colectomy he did was very complicated, and many of the surgical procedures needed assistants to help him, and he was really not at ease when he found an intern. As for why he didn't let Zhang Haoyu stay, because the abdominal space syndrome over there was not simple, and he didn't worry about letting Ruan Bin deal with it alone.

"Director, there is no vacant resident doctor outside, I'm so busy!" Zhang Haoyu said with a bitter face, all the attending doctors were doing surgery. Director Qian performed a radical thyroidectomy, which was a fourth-level operation, and it was estimated that he could not be able to do it in four or five hours, and he also took an attending physician to help.

Jiang Yurong had a pancreaticoduodenectomy, which was even more difficult, because pancreaticoduodenectomy was a fourth-level operation in general surgery, one of the top ten difficult surgeries in the world.

The emergency department is severely understaffed!

"Damn, how did I find out that our emergency department is short of manpower every day!" Liu Junchi muttered, and could only sigh: "Then find an intern to come in." ”

"Good. ”

After walking out, Ruan Bin hurriedly asked, "What is the situation with that patient with abdominal space syndrome?"

"Hi~ You didn't go to work yesterday You don't know, that guy is in his thirties, and he seems to be a qigong master. The effect of the program is to use the abdomen to bend the two-meter-long steel bar with the abdomen, but unfortunately the steel bar is not bent, and the steel bar at the end of the abdomen directly penetrates his abdomen. Fortunately, it was delivered in time, and a life was saved after rescue. But the steel penetrated his large intestine and kidneys. Zhang Haoyu explained.

"it...... This qigong master is fake, right?" Ruan Bin suddenly laughed, he was really interpreting the true qigong with his life.

"The ghost knows if it's fake, anyway, his assistant said that the quality of the steel bars bought by the merchant was too good......"

"Poof~ Okay. Ruan Bin almost burst out laughing. There are all kinds of strange things these days.

When he came to the ward, Ruan Bin saw this bald-headed qigong master lying on the hospital bed, his body full of pipes of various instruments. At this time, he had not yet woken up from his coma.

Intraperitoneal space syndrome is a non-physiological acute increase in intra-abdominal pressure, affecting visceral blood flow and organ and tissue function, and further causing a series of pathophysiological changes, mainly manifested as increased respiratory resistance, decreased lung compliance, and even progressive hypoxia, decreased cardiac output, increased peripheral circulation resistance, oliguria or even anuria.

The abdominal cavity is a closed cavity in which the intra-abdominal pressure averages zero (equivalent to atmospheric pressure) or near zero in the physiological state. Any increase in intra-abdominal volume can cause an increase in intra-abdominal pressure. In particular, when the patient has undergone abdominal surgery, the intestinal tube has been edematous, increased in size, and the intestinal flexure is obviously bulging above the incision level, and the abdominal wall incision is forcibly closed at this time, which will cause the intra-abdominal pressure to rise rapidly.

Ruan Bin took the examination report and looked at it and asked, "When did this coelo-abdominal space syndrome appear?"

"During the rounds this morning, the nurse said it had been there since 2am last night. ”

"It seems that the situation is serious now. Ruan Bin nodded. In fact, when the intra-abdominal pressure is at grade I, there is no need to deal with it. In grade II, close monitoring is required, and if oliguria, anuria, hypoxia, or elevated airway pressure have occurred, decompression can be performed conservatively or differently depending on the specific situation. Grade III usually requires surgical decompression. Grade IV requires immediate abdominal decompression.

For example, correcting the imbalance of water, electrolytes and acid-base imbalance to the patient, appropriate infusion of colloidal solution, the use of sedatives and muscle relaxants, the use of strong diuretics, external application of skin nitrate, traditional Chinese medicine, and rhubarb are also effective treatments.

But today, it seems that conservative treatment is useless!

"It's not it~ Conservative treatment doesn't work, his condition is more serious, and it's to blame him for being too hard, poking the steel bar too deep, and the kidney damage is quite serious. Zhang Haoyu said.

"The intra-abdominal pressure is already higher than 25mmHg, so I have to have decompression surgery immediately!" Ruan Bin shook his head after reading the latest examination data.

Generally, intra-abdominal pressure is higher than 25mmHg as an indicator for choosing laparotomy and decompression, and the other party is 26 up!