"Nope. The suction device in Zheng Ren's hand was handed over to Su Yun, and the peritoneum was opened for peritoneal protection.

The director of the chest department, surnamed Zhang, is a short and fat man, wearing a sterile mask, and looks a little obscene between his eyebrows.

This person is in the courtyard, famous for being stingy and holding grudges. Generally nothing important, very few people deal with him.

Director Zhang felt a little embarrassed and hesitated in front of the operating table.

Seeing that there was no movement on that side, after Director Pan finished urging the blood transfusion department, he came back and heard this conversation, and glanced at him fiercely.

I don't dare to go on stage without complaining about the chest department, but now Yang Lili's blood pressure is still undetectable, and the possibility of being able to get off the stage alive is really not very big if she undergoes thoracotomy and abdominal surgery at the same time.

"Let's cut the chest and probe. Seeing that Director Zhang was still hesitant, Director Pan said directly.

If there weren't a large number of hospital leaders standing in the operating room, Director Zhang really wanted to refuse this operation.

He really wanted to say that he was already a dead man, and what was he still tossing.

Until now, the blood pressure on the ECG monitoring is still undetectable, and the heart rate is extremely fast, and atrial fibrillation has already begun.

But looking at the rapid operation of the emergency general surgery, I stood here for a few minutes, and I had already found the broken artery of the mesentery and began to ligate.

Director Zhang sighed and said, "Do your best." ”

"Su Yun, go help Director Zhang. Zheng Ren didn't raise his head, stretched out his hand, and a piece of warm salt water gauze fell on his hand. While covering the intestines to see which part of the intestine has necrotic symptoms, look for knife wounds on the intestines.

Director Zhang was stunned for a moment, squinted at Director Pan, and saw that he did not object to Zheng Ren's words, and immediately began to draw a soul in his heart.

The emergency department "snatched" the matter of general emergency surgery, and Director Zhang knew that this time, was it to rob the chest emergency surgery?

There weren't a lot of guns in the emergency department, but it was a really big appetite.

Su Yun didn't look at Director Zhang, turned around and stepped off the stage directly, began to disinfect the chest incision, and then brushed his hands again and put on a surgical gown.

Director Zhang was very helpless, what was going on.

But in front of so many hospital leaders, it's not easy to attack. Mainly because of Director Pan, he is a big mountain that he doesn't dare to provoke.

If you have a seizure...... Liu Tianxing is still in the hospital, and it is said that he is depressed and has liver disease.

Director Zhang began to communicate with the head nurse of the emergency operating room to go to the large operating room to get the sterile bag of the chest department.

Su Yun ignored Director Zhang, and after the poison was eliminated, he began to lay out the list, brush his hands, and stand beside Zheng Ren, and the two operations started at the same time.

The Shay people got busier.

Because it is unconventional, the tacit understanding of not having to speak has become a luxury.

Zheng Ren and Su Yun kept whispering for equipment, and Shay was barely busy.

After Director Zhang and the head nurse of the operating room explained the sterile bag they needed, and sent their own inpatient manager to pick it up, they turned around and came back, and saw that Su Yun had already opened his chest, and he was immediately furious.

"What are you kidding! No equipment, you're going to do blind exercises?! This is a thoracic operation, not your emergency!"

He had a point, there are ribs in the chest, and special instruments are needed to open the chest wall and expose the surgical field. A few retractors can be used on the general side, but not on the chest.

If you had done thoracic surgery 20 years earlier, you would have had to amputate a rib to make the surgical field wider.

It makes sense, but every minute and every second is more precious than gold.

Su Yun concentrated on opening his chest, the rising star of cardiothoracic surgery has his own self-confidence and pride, how could he take advantage of the clamor of a director of the First Hospital of Lihai City.

No one paid attention to him, Zheng Ren and Su Yun were busy, Dean Xiao and Director Pan stood behind Zheng Ren, watching the operation intently, and didn't seem to hear Director Zhang's words.

Director Zhang was very helpless and didn't dare to complain too much, so he had to brush his hands on stage.

The two surgeries were performed at the same time, and there were simply not so many people standing. Usually, chest surgery requires at least three people on stage. And at this moment, only Director Zhang and Su Yun can do it.

At this time, Yang Lei, who was standing in the position of one assistant, became the busiest person.

On the one hand, you have to pull the hook, and on the other hand, you have to hand the instrument.

Zheng Ren was single-minded, his eyes were aimed at Su Yun's side.

Seeing that Su Yun is skillful, he is indeed a doctor from the chest department, and he is more than a little bit stronger than the ordinary people who are halfway monks.

In fact, Zheng Ren asked Su Yun to match Director Zhang's stage, and he also took a fancy to the fact that Su Yun had already had a heart transplant in the imperial capital.

Can you do the most top-notch surgery in the chest, but you can't handle it with an emergency department?

Joke!

In order to better cooperate with Su Yun, Zheng Ren did not hesitate, ordered a master-level skill book, and added it to the skill tree of cardiothoracic surgery.

Yang Lili began to be stabbed twice in the chest, and then tried her best to hold the gangster's arm, and was stabbed several times in the abdomen after breaking free.

The liver and spleen were not harmed, but there were seven or eight gaps in the intestines, and some of the intestines were penetrated.

The abdominal cavity is heavily contaminated.

After repeated irrigation with warm saline, aspiration, and ligation of part of the injured mesenteric artery, the surgical field became much clearer.

The repair of the broken intestine is a small problem, and every place where Zheng Renfei's needle is routed is quickly repaired.

The big problem is that the patient's mesenteric artery is punctured, mesenteric ischemia and necrosis, and after ligating part of the mesenteric artery, the intestine supplied by this part of the ligated artery will inevitably necrosis.

The main task of abdominal surgery lies in the removal and anastomosis of the intestine.

However, for Zheng Ren, it is best to have an assistant, and if there is none, it is enough to do it alone.

Gradually, Yang Lei helped Su Yun work more, and Zheng Ren just pulled a hook to help expose the surgical field.

Even the work of knotting and thread cutting was all done by Zheng Ren. The scissors are held in the palm of the hand, and they appear and disappear like magic, without delaying the movement of the hand at all.

The necrotic part of Yang Lili's intestine is about 60cm, which is at an acceptable level. If it is longer, you should be careful of complications such as jejunal syndrome after surgery.

Fifteen minutes after the laparotomy, Zheng Ren had already removed the necrotic intestinal tube and completed the anastomosis of the normal intestine.

At this point, fresh frozen red blood cells and fresh frozen plasma have just been retrieved.

"One bag per person. Director Pan first picked up a bag of red blood cells and simmered them with both hands.

Dean Xiao tightened his eyebrows and watched the operation.

But he also saw that the blood was coming, and asked Director Ding to bring him a bag of red blood cells.

With the dean as an example, who can say "no" to the leaders of the hospital?

"There's no blood on the side of the transfusion department. The phone rang, and the head nurse of the emergency operating room picked it up, and then said.

"Director Ding, contact the downtown blood bank. Dean Xiao said: "At least 20u red blood cells should be prepared." ”

"Platelets and fibrinogen too. Su Yun was the author of the operation, but he also paid attention to the situation behind.

Dr. Xiao is from a clinical background, and knows that even if the patient's current situation can be resigned, he will inevitably face complications of many organ ischemia-reperfusion injuries and DIC after massive blood transfusion.

He nodded.

Director Ding immediately ran out to make a phone call and contact the blood bank of the center.

Soon, he ran back and leaned over to Dean Xiao and whispered, "Dean, there is not so much blood in the central blood bank for type B RH positive blood." ”

The city's blood supply comes from the downtown blood bank. Some rare types, or the blood types that have been used more recently, may not have enough blood to prepare.

"You contact the blood bank and the hospital to find someone with the right blood type to donate blood. Be quick!" Dean Xiao looked at the operation, his face a little pale.

"Good. Director Ding then left the operating room again and went out to talk about these things.

Under normal circumstances, even if someone donates blood, the central blood bank has its own set of cumbersome procedures, and there is no blood transfusion in a day.

At this time, the director of the city's largest hospital still had a certain weight when he spoke.

Zheng Ren heard the conversation behind him, and his heart was much more steady.

Coming out in the hospital to brush your face means that there will be no lack of platelets and no lack of fibrinogen.

These two things are necessary for patients to be removed alive, but they are rarely available nowadays, especially fibrinogen.

Due to the lack of fibrinogen, many Menci vein devaluation procedures cannot be performed.

After the intestinal anastomosis is complete, warm saline gauze covers it for five minutes. Zheng Ren searched the abdominal cavity and saw that there were no other untreated injuries, opened the warm saline gauze, and saw that the ends of the intestinal anastomosis were slightly bloody.

This proves that no ischemic necrotic tissue remains, and postoperative bowel anastomosis should not be a problem.

Re-flush the abdominal cavity and begin to close the abdomen.