After a lot of work, when it comes to the suture stage, it is actually a simple two-needle mattress suture.

When Su Quan was still a little unsatisfied, the rupture in the right atrium had been sutured.

Monday's index finger also left the heart muscle of the injured person.

The suture effect is very good, and the bleeding point in the right atrium has been completely controlled.

Monday took a look at the system's assessment of the patient.

The salvage probability column has disappeared.

The blood pressure gradually rises to about 75 beats per minute, and the heart rate slows to about 75 beats per minute.

The patient's vital signs have returned to normal.

Monday grew a sigh of relief.

Before the next surgery is given, the patient is given a wave of restorative treatment.

Blood transfusions were given, methylprednisolone, sodium bicarbonate, mannitol, furosemide, etc., were given to correct acid-base balance, electrolyte imbalance, and brain protection.

Once this is done, the next step is to remove hemopericardium and pleural hemorrhage.

The work of pericardial hemocardium is, of course, the responsibility of Monday.

Since there is no previous tension, there is no need to race against time.

Monday will explain while operating.

"There are generally 6 possible types of hemopericardium, infectious, such as viruses and parasites. Systemic diseases, tumors, drug-induced, traumatic, autoimmune pericarditis, etc. The case we are dealing with now is a hemopericardium caused by traumatic atrial rupture. ”

Monday explained in detail, not only the surgical process, but also the cause. Teaching from scratch entirely.

Su Quan and Cao Xin listened carefully while carefully observing the operation in Zhou Yisheng's hands.

"To do pericardial drainage, like general drainage, first squeeze the drainage tube so that the drainage fluid can be drained as much as possible. The drain must be double-clamped first to prevent air from entering the ......"

Cleaning up hemopericardium is completed on Monday, and then it is necessary to deal with the hemocardium in the chest, Su Quan can deal with it, and Zhou Shengsheng will guide him.

Chest drainage is placed and drainage is ......

Finally, the incision is sutured on the chest.

This operation was also completed by Su Quan.

Today's operation, for Monday, is a practice for copying. Significant.

And for Su Quan and Cao Xin, they also benefited a lot.

After more than 1 hour, the operation was over.

The rescue was successfully completed.

The whole operation took more than 3 hours.

In extracardiac surgery, this is a relatively short period of time.

At this time, the patient's blood pressure is stable at about Hg, the heart rate is about 75 beats per minute, and the SpO2 (oxygen saturation) is 100%.

All the data showed that the surgery was quite successful.

But heart surgery with thoracotomy is a major surgery.

Patients are routinely sent to the ICU for further treatment while consciousness returns.

This kind of thing, you don't have to worry about Zhou Life.

Su Quan and Cao Xin can do it for them.

Although the patient has not yet regained consciousness.

But Monday knew that, according to the system's prompts, in the next 2 to 3 hours, the patient would wake up. After two weeks in the hospital, you can be discharged.

After the operation, Monday took off his surgical gown and took a little rest.

Continue to the consultation room.

There is no possibility of stopping the work of the emergency department.

……

Three hours later, Qin Zhong's early morning came.

Sunlight from outside the window is shining directly through the window.

Leaving a large patch of dappled light in the examination room.

Monday turned off the lights in the clinic, yawned, and stretched.

It was a busy night.

In particular, the 3-hour heart repair surgery took a lot of energy.

However, the success of saving the lives of the injured is worth the effort.

It's about time to get off work, and Monday gets up and comes to the break room to get off work.

Take off your lab coat and change into casual clothes.

At this time, Bai Mingming walked in.

As soon as he saw Zhou Zhou, he immediately shouted excitedly: "Niu! Team Leader Zhou, I heard that you had an operation to repair a ruptured heart today, and the patient is in good condition." Where did you get this work out of your palm? ”

Zhou Zhou smiled and said: "There is no way, when I was supporting in Africa before, the conditions were not as good as those in China, and I had to do any surgery." ”

Bai Mingming knew that Monday had not been in Africa for a long time.

But Bai Mingming also believed that Zhou Yi's hand was practiced in Africa.

Bai Mingming thinks that people are different, and some people are born with good memory and strong hands-on ability.

He felt that Zhou Yi was a natural medical genius, and it might take others a few years to master the skill, but here in Zhou Yi, it would only take a few months.

Of course, only Zhou Yi knows that he is not a genius, at most he is a little talented, and the rest is the result of hard training in the system.

Bai Mingming sighed: "It's amazing, when I was in school before, I heard our old professor say that he had an old classmate, and when he was young, he also went to Africa to support. Finally, you can move the knife from the toes above the toes to the neck down. At the time, I was a little unconvinced, but today it was an eye-opener. Team Leader Zhou, you are stronger than him, you want to see the hair from your toes all the way!"

Bai Mingming's words were not meant to compliment Zhou Yisheng.

Many of the older generation of doctors have rich life experience, and the subspecialties of doctors at that time were not as detailed as they are now. Indeed, there are quite a few doctors who can perform surgeries across many departments.

But now this is becoming less and less.

It is estimated that there are not many all-round talents in the country who can be treated with extraordinary, urinary, and cardiothoracic conditions like Zhou Sheng, plus the general general medicine who can also do emergency medicine.

Zhou Yi smiled: "No way, it's all forced, it's not easy to find someone to consult in the middle of the night." Rather than asking for support every time, we should be self-reliant. ”

Bai Mingming gave a thumbs up to Zhou Sheng, "Strong! But this self-reliance is also divided." You can do it, we'll just do the job of triage. ”

Triage is what the emergency department usually does, which is to determine the cause of some serious diseases and reasonably arrange them to other departments for treatment.

We often go to the emergency department and hear that the doctor said, you have to go to the XXX department for this disease, which is triage.

Zhou Sheng still smiled, "It's not easy to do a good job of triage." ”

Zhou Ming gave Bai Ming a step, which can be regarded as the truth. There's no way, not every emergency doctor is like a bug like Monday.

The two were talking.

Su Quan and Cao Xin also came to the lounge.

When Su Quan saw Zhou Sheng, he immediately reported to him the latest situation of the injured person in the ICU.

"Team Leader Zhou, I have good news for you. The injured man has now regained consciousness and the ventilator has been withdrawn. It is estimated that I will be able to transfer to the general ward this afternoon. Su Quan said excitedly.

These conditions are known from the systematic prediction of the condition on Monday.

So he seemed calm......