Chapter 439: Rescue (Medium)
"Dr. Fang, the patient is conscious. ”
Ye Kai, who was observing the patient's condition at any time, hurriedly reported to Fang Han.
Fang Han stitched up the wound, stepped forward to check the patient's pupillary reflex, and nodded, "The situation is better than I expected." ”
"Hmm. The others nodded.
The situation of this first patient exceeded expectations, which made everyone feel relieved, you must know that there are two serious patients in the back, and now the operating room is still occupied, if the first patient is in a complicated situation, everyone is really big.
"Doctor Fang, the second ambulance will be here soon. "A nurse came in to report.
"Do a good job of receiving it, is the doctor from the orthopedic department here?"
"It's coming. ”
A middle-aged doctor on the side hurriedly answered, Fang Han didn't look back, continued to do sutures, and asked casually, "Will the bones be straightened?"
The middle-aged doctor was stunned for a moment, and hurriedly said, "Yes, yes." ”
The middle-aged doctor who responded was the second-line doctor on duty in the Department of Orthopedics and Traumatology tonight, surnamed Li, and he was considered a senior attending doctor.
Dr. Li couldn't remember how long it had been since he had been asked by someone like Fang Han.
As a senior attending of the Department of Orthopedics and Traumatology, Dr. Li's status in the Department of Orthopedics and Traumatology is also relatively high.
Although he was a little unaccustomed to it, Dr. Li only knew that this was not the time for him to play tricks, he had been here for a while, but he couldn't intervene, standing on the side and watching Fang Han rescue.
Just looking at Fang Han's rescue, Dr. Li was dumbfounded.
In front of others, Dr. Li may still have the capital to be arrogant, but in front of Fang Han........
Dr. Li is still self-aware, this Fang Han is not only proficient in surgical sutures, but also a master of orthopedic injuries, and the level of orthopedic orthopedics is not below him.
"If it will, that's good. Fang Han said while quickly suturing: "After I finish stitching, you will be responsible for the patient's legs." ”
"Good. Dr. Li hurriedly replied.
Fang Han didn't speak, he quickly stitched up, and after a while, he sutured the last blood vessel, leaving only skin trauma, and at this time the second ambulance also arrived.
"You can do the rest of the sutures, and the fracture will be handed over to the orthopedic department, and after it is handled, the patient's condition will be observed, and then sent to the ICU. ”
As he spoke, Fang Han had already taken off his gloves and hurriedly walked out of the rescue room.
A few people who had nothing to do for the time being hurriedly followed behind Fang Han and went with Fang Han to receive the second patient.
As soon as Fang Han and the others walked out of the rescue room, a group of people not far away came anxiously with a flat cart, and a middle-aged man in his fifties followed behind him and was ordering.
Ye Kai, who came out with Fang Han, hurriedly introduced Fang Han: "It's Director Wang of the Emergency Department of the Affiliated Hospital." ”
Not only Director Wang, but also two doctors and several nurses from the emergency department also rushed back.
Fang Han just nodded slightly, and strode up to greet him: "What's the patient's condition?"
"Massive abdominal hemorrhage, suspected dry spleen rupture. Director Wang replied: "Surgery is needed immediately." ”
"Is the operating room ready?" Fang Han asked Ye Kai.
"The operating room is ready, but the equipment and consumables we need have not yet arrived. ”
"Call and send the patient to the operating room first. Fang Han commanded while reaching out to feel the patient's pulse.
"Doctor Fang!"
Before Ye Kai could make a call, someone not far away ran over with a suitcase in a hurry, panting and said, "Doctor Fang, we are from Jiangping Medical Equipment Company, we will send you some of the equipment first, and the rest will arrive later." ”
"Take it to the operating room. Fang Han said and walked forward with the flat car, while checking the patient's condition.
As he spoke, a group of people hurriedly pushed the patient into the operating room, and when Fang Han entered the door, the nurse hurriedly put on a surgical gown for Fang Han, and Director Wang on the side also took a set of surgical gowns for the nurses to help.
While putting on his clothes, Director Wang asked: "Has Kuang Mingzhuo arrived, the patient must undergo surgery immediately, and there can be no delay." ”
"Director Kuang is undergoing surgery in Jiangbei District Hospital. Someone on the side replied.
"What?" Director Wang was stunned: "Kuang Mingzhuo is not here, how to do this operation, I don't have the ability." ”
Director Wang of liver and spleen resection is really not good, the reason why he changed his surgical gown was to give Kuang Mingzhuo a hand, but he didn't expect Kuang Mingzhuo to be there, Kuang Mingzhuo was not there, how could this be done?
Do you want to let him get started?
Director Wang had participated in the liver and spleen resection operation several times before, but he was always an assistant, and he was really a little flustered.
"I'll do it, and Director Wang will give me a hand. Fang Han had already dressed and was washing his hands, and asked while washing, "Is the doctor from Jiangbei District Hospital here?"
"There were three doctors, all of whom were surgical. Ye Kai said hurriedly.
"Call someone in to help. ”
Director Wang was stunned for a moment, his eyes looked at Fang Han, since he met Fang Han, Fang Han had been giving orders and directing the rescue.
At such a young age, and having this kind of authority in the emergency department?
"Are you Fang Han?" Director Wang asked uncertainly, he had heard of Fang Han a long time ago, but he had never seen anyone.
"Well, I'm Fang Han. Fang Han had already washed his hands, put on gloves, and walked over with his hands raised: "Wash your hands as soon as possible and prepare, and prepare for surgery immediately." ”
"Will you have a liver and spleen removed?" Director Wang was stunned again.
Fang Han He knew, but Fang Han actually had his liver and spleen removed, this Director Wang really didn't know, how could it be possible at such a young age.
Fang Han didn't answer, because Ye Kai had already led the three doctors from Jiangbei District Hospital in, and the three doctors who came were all in their thirties.
At this time, all major hospitals were off-duty, and there were very few second-line doctors on duty, Kuang Mingzhuo had a few for surgery in Jiangbei District Hospital, and the rest were at the level of resident doctors.
"All three of you are surgeons?" Fang Han asked.
"Hmm. The three of them nodded, and when they came to Jiangzhong Hospital, the three resident doctors were still somewhat restrained.
Jiangbei District Hospital, that is, the scale of the county hospital, is several grades lower than the hospitals directly under the provincial department such as Jiangzhong Hospital, one is a second-class hospital, and the other is a third-class hospital.
"Have you ever participated in liver and spleen resection?" Fang Han asked again.
The three of them hurriedly shook their heads, what are you kidding, Jiangbei District Hospital is not as good as this project, liver and spleen resection is so high, where is a county-level hospital qualified to participate.
"Debridement, suturing, retraction, aspiration will always be. Fang Han was a little speechless, and he was also a little dizzy.
"Yes. Two of them nodded hurriedly, and the remaining one said a little nervously, "I've only done debridement and suturing." ”
"Alright, let's go change your clothes. Fang Han waved his hand, and now that he could only use it.
"Good, good. The three of them nodded hurriedly, hurriedly went to change clothes and wash their hands, and almost ran into Director Wang who had just walked over when they walked.
Hepatosplenectomy, as a resident doctor in the district hospital, they never dreamed that they would have the opportunity to participate in such a high-level operation, and I don't know if anyone will believe it.
Seeing Director Wang coming, Fang Han didn't wait for the other party to speak before he spoke: "Because of the urgency of time, we don't have time to do many examinations, which also leads to the possibility that we may face some immeasurable sudden symptoms, we must be careful when the time comes, you are a helper, and the responsibility is heavy." ”
Director Wang was stunned again, and then nodded.
To be honest, Director Wang was really a little uncomfortable with Fang Han's way of talking, as if he had returned to the very beginning of his learning in an instant.
As the deputy director of the emergency department of the Affiliated Hospital, almost no one spoke to him like this in all these years, and he vaguely remembered that the first time he heard such words was when he followed the old director to the first operation.
At that time, the old director also told him so earnestly: "This time you are a helper, and you have a great responsibility, so you must be cautious." ”
To this day, he heard such words again, but the person standing in front of him at this time was only a young man of twenty-four or five years old.
Fang Han admonished, and didn't give Director Wang a chance to speak, so he walked towards the operating room, Director Wang was stunned for a moment, and hurriedly followed, and the three doctors from Jiangbei District Hospital also hurriedly followed.
"Doctor Fang, the patient's bleeding volume has reached 800. As soon as Fang Han walked into the operating room, the anesthesiologist reported to Fang Han.
"Prepare the surgery right away. Fang Han had already stepped into the main knife position as he spoke, and the instrument nurse on the side was also hurriedly in place.
Seeing that everyone was in place, Fang Han reiterated again: "Because of the urgency of time, this time we have no MRI, no chest X-ray, it can be said that there is no reference, there are many risks and accidents in the process of surgery, I hope everyone is mentally prepared and don't panic." ”
Director Wang looked at Fang Han and nodded, feeling really panicked.
Hepatosplenectomy is a major operation, and this time the situation is urgent, and all kinds of examinations are too late to do, so the risk of surgery is even greater, even if Kuang Mingzhuo or Tian Yitao comes, they will have a headache.
"Open abdomen, electric knife. ”
As he spoke, Fang Han had already begun to open his stomach, and the others hurriedly gathered their minds.
"So much blood!"
The first step of laparotomy is naturally laparotomy, seeing so much blood, Director Wang can't help but be surprised, so much blood, this must be an organ or blood vessel rupture, and there is more than one bleeding point, maybe there is more than one major artery bleeding.
Director Wang can be regarded as having seen a big scene, and he is also a little dumbfounded at this time.
As for the three residents of Jiangbei District Hospital, they were even more shocked, so much blood, how much was lost.
"Don't be stunned, suction, gauze filling. ”
Fang Han's voice suddenly sounded, and the frightened three resident doctors were stunned, and they hurriedly began to suck, pull the hook, and fill the filling......