"The left half of the liver was severely damaged, the spleen was partially ruptured, and the ....... needed to be removed"

As the effusion in the abdominal cavity was eliminated, Fang Han began to explore the patient's intra-abdominal situation, the patient's liver and spleen were damaged to varying degrees, and the hepatic artery was ruptured, which was one of the reasons why the patient had so much blood in the abdominal cavity.

"The bleeding was too great and we had to find the bleeding point first. Director Wang frowned.

The side has been suctioning, but the blood in the patient's abdominal cavity is constantly surging.

Fang Han nodded: "Next, I will deal with a few large bleeding points first, and then we will start to do liver and spleen resection, from the current judgment, the largest bleeding point should be below the liver, and someone needs to help me hold the liver......"

Fang Han casually pointed to a resident doctor, and commanded the other party to hold the liver, and sure enough, the liver had just been lifted up, and a large amount of blood flowed out from below.

"Doctor Fang, the patient's bleeding is too large, and our blood bags are not enough. There was a nurse on the side.

"THE PATIENT'S BLEEDING VOLUME IS ALMOST 1500 CC. Director Wang also felt that it was tricky.

"Doctor Fang, Manager Lin of Jiangping Medical Equipment sent us a blood recovery machine, saying that he lent us a free trial. A nurse walked over and said.

"Well, then take it in and use it as soon as possible. Fang Han nodded.

Director Wang glanced up at Fang Han, he didn't say a word, but he was surprised in his heart, the medical representative of Jiangping Medical Devices seemed to be very stammering with Fang Han.

Medical representatives often send some new devices to doctors for free, but the key is that this time the other party's blood recovery machine is too timely.

Director Wang guessed that the medical representative was aware of the situation facing the Jiangzhong Hospital, so he specially sent such a device.

There is a saying, the icing on the cake is not as good as sending it in the snow, although the other party's move is not a charcoal in the snow, it can definitely make Fang Han remember.

......

In the operating room, the operation was carried out in an orderly manner, and at the same time, a third ambulance arrived as scheduled.

The third and second ambulances were separated by less than ten minutes, and almost when Fang Han and the others had just started to open their stomachs, the ambulances had already arrived at the entrance of the emergency department of Jiangzhong Hospital.

This is the last ambulance, and it is also the last critically ill patient sent to Jiangzhong Hospital, but at the same time, this last patient is also the biggest challenge to the emergency department of Jiangzhong Hospital.

At this time, Kuang Mingzhuo was undergoing surgery in Jiangbei District Hospital, Fang Han had also entered the operating room, Li Wenjun was still on the way, Lu Xinwen and Wen Xueyi were also still in the operating room, and the emergency department of Jiangzhong Hospital could be said to have no doctors to take the lead at this time.

Miao Dalong, Ye Kai and others have already sent the first patient to the ICU at this time, and the last patient has fallen on Miao Dalong's head.

"The patient suffered comminuted fractures in both legs and vomited profusely blood. ”

Miao Dalong's head was instantly bigger, and he had nothing to do with this kind of external trauma.

"First stop the serum trauma for the patient, and ask Dr. Lu how long the operation will be over?"

"The operating room has received the news that the progress of the operation has been accelerated, but it will take 20 minutes at the earliest. "Ye Kai has already understood the situation.

This time, Lu Xinwen did amputated limb replantation, and the operation has begun, so naturally there is no reason to stop, but after getting the news, Lu Xinwen still tried to save the operation time, in order to vacate the operating room as soon as possible.

Ye Kai followed Fang Han and experienced a lot of scenes, and suggested on the side: "Doctor Miao, we will first stop bleeding and debride the patient to ensure that the patient's vital signs are stable and help the patient buy time." ”

Miao Dalong nodded: "The patient's condition is more complicated, in addition to the trauma, the patient also has symptoms of yang and yin deficiency, this vomiting of blood should be caused by overwork, do you know the identity of the patient?"

"Got it. Ye Kai nodded and said: "Four critically ill patients, one is a teacher, two are corporate white-collar workers, and this one is pedaling three wheels and makes a living by pulling goods for people." ”

Miao Dalong said: "That's right, then try it with Shengmai Scatter first." ”

.......

In the operating room, Fang Han was carrying out the operation, and at the same time worrying about the situation of the last patient, he was suturing the blood vessels, and said to the nurse on the side: "Ask Ye Kai, what is the situation of the last patient." ”

The nurse hurriedly called to inquire, and came back after a short time to report: "Mr. Ye said that the patient had comminuted fractures of both legs accompanied by vomiting blood, and now the patient's external traumatic bleeding has stopped, but the symptoms of vomiting blood have not stopped, and the patient vomits a lot of blood." ”

"The phone was connected, and I was talking to Ye Kai. Fang Han said.

The nurse hurriedly took out her mobile phone and dialed Ye Kai's phone again: "Mr. Ye, Doctor Fang is talking to you." ”

As she spoke, the nurse put the mobile phone in Fang Han's ear, and the movements under Fang Han's hand did not stop, and at the same time she opened the phone with Ye: "What is the patient's current situation?"

"The bleeding from the trauma has stopped, but the patient's vomiting of blood has not been contained, and Dr. Miao has given the patient Shengmaisan and Sanjia Fumai decoction, but it seems to have no effect. ”

"You tell me more about the patient. ”

Ye Kai didn't dare to delay, and hurriedly said: "The patient is a hard labor with three rounds of pedaling, and Dr. Miao judges that the patient's vomiting of blood may be caused by overwork of yang and yin deficiency, and qi and blood movement ......."

Fang Han didn't say a word, while doing the operation, he listened to Ye Kai explain the situation in detail, and then said: "Since it is judged that it is yang and anti-yin deficiency, then it is naturally not possible to use drugs such as Shengmaisan, Shengmaisan is to benefit qi and strengthen yin and save adversity, what you have to do now is not only to strengthen yin and save adversity, but to replenish yin and suppress yang, reduce qi and stop bleeding...... I'll tell you a recipe, you remember, Suzi 9 grams ......"

Director Wang was so stunned that he almost forgot that he was having surgery.

Fang Han, is this still human?

I am doing this difficult operation, and I still have a remote command, how capable is this?

Through this operation, Director Wang has already seen that Dr. Fang's left and right hemiliver resection level is definitely the top in China, and it should be no worse than Kuang Mingzhuo, Tian Yitao and others.

In particular, Fang Han's ability to be unchaotic and adapt to changes really made Director Wang admire.

Director Wang, as the deputy director of the emergency department of the Affiliated Hospital of the Medical Affiliated Hospital, although he himself has never performed this kind of major surgery, he has not given a lot of help to some experts, and Fang Han's level is definitely the best among the experts he has seen.

But no matter how good you are, you can't do it at the same time, right?

Miao Dalong was already pulling his hair sadly at this time.

This last patient is more specific than the previous two.

The two patients sent in front of him were just simple trauma, which means that the situation was caused by this accident, and this last patient not only had comminuted fractures of both legs, but also this evidence of hematemesis, and from the current point of view, this hematemesis is the most fatal.

The bleeding in the patient's legs has now been contained, and it is completely possible to wait until Wen Xueyi, Lu Xinwen and others have completed the operation, but this hematemesis ......

After such a while, the patient has vomited a lot of blood, and Miao Dalong has also taken several emergency measures to stop the bleeding, if this hematemesis cannot be stopped, even if Lu Xinwen and others complete the operation, the patient will not be able to operate in this situation.

.......

Twenty minutes is not long, but short is not short.

"Bandage and then send the patient to the ward. ”

Lu Xinwen and Wen Xueyi finished the operation and handed over the final finishing work to the second and third assistants, and the two of them hurriedly walked out of the operating room.

The two of them entered the operating room at three o'clock in the afternoon, and it was not yet four o'clock in the afternoon, and it took less than four hours for two fingers, which is actually not slow.

Lu Xinwen said as he walked: "Today's operation is relatively smooth. ”

"If we delay any longer, Dr. Fang will probably curse. Wen Xueyi joked.

"I didn't expect such a big accident to happen. Lu Xinwen couldn't help but shake his head, he was really shocked when he got the news in the operating room.

He knows the situation in Jiangzhong Hospital, and now it is just such a large-scale operating room, it is good that there is no accident usually, but once an accident occurs, it will be terrible.

Today's operation Lu Xinwen himself thinks that it has been done relatively smoothly, but the leaders waiting outside don't think so, if people are in a hurry, they will not judge by common sense.

"Doctor Lu, Doctor Wen, and Dr. Miao said that you should go to the emergency room immediately after you leave the operating room. As soon as the two of them went out, they ran into the little nurse who was squatting at the door.

"Let's go. Lu Xinwen glanced back at Wen Xueyi, and the two hurriedly strode towards the rescue room.

When the two walked into the emergency room, Ye Kai was on the phone, as if he was reporting the situation to someone else, and Miao Dalong was standing next to the patient to check the situation.

"Dr. Miao, Dr. Lui and Dr. Wen are here. ”

Miao Dalong turned around and saw Lu Xinwen and Wen Xueyi who had just entered the door.

"Doctor Lu, Doctor Wen, let's take a look at the situation first. ”

Wen Xueyi and Lu Xinwen were not verbose, and stepped forward to check the situation, and the two first gave the patient a simple examination, and then checked the examination results and CT films that had come out.

"The patient had multiple fractures in both legs, which was very difficult. Lu Xinwen made a judgment.

"The right leg is better, but the left leg, even if you have surgery, the probability of recovery is quite low. Wen Xueyi also said.

"Gross!"

As the two were talking, the patient's mouth opened, and another mouthful of blood gushed out of his throat.

"The patient's viscera is also damaged?" Lu Xinwen was taken aback, he was only an orthopedic surgeon, and he was also a Western doctor, so he really didn't know about this situation.

"The patient is overworked and already sick. Miao Dalong rubbed his forehead, his head was big.

He's tried several things, but nothing works, so what's going on?

Miao Dalong was worried, Ye Kai hung up the phone and walked over: "Doctor Miao, Doctor Fang gave a prescription, let's try it." ”

"Fang Han?" Miao Dalong was stunned: "Isn't he in surgery?"

"Well, Dr. Fang is performing a liver and spleen resection, and I just talked to Dr. Fang on the phone. Ye Kai nodded.

"I'm ......" Miao Dalong opened his mouth, not wanting to say a word.

:I've had a cold for a few days.,Plus there is a lot of information that needs to be checked in these chapters.,It's very slow to write.,Everyone's understanding.,Thank you!