"Hello, are you Ouyang Xunfeng's family member? The professional customer service lady of Weiss Hospital called.

"What's wrong with Lao Feng? What about others?" The other end of the phone was a mature and steady female voice, no matter how mature and stable she was, when she heard the call from the hospital, her first reaction was panic.

"That's right, he was driving a xx brand BMW car in the xx place in a car accident, the abdominal cavity was open wound, the emergency doctor preliminarily diagnosed a ruptured spleen, please bring his ID card and bank card to the Vis Hospital, time is urgent, please come quickly. ”

The ambulance also started calling the emergency desk.

"Emergency desk, emergency desk, patients with a ruptured spleen in a car accident, there is still 1 minute and 30 seconds to go to the emergency department, please be ready to pick up the car quickly. ”

Cui Fusheng, chief physician of the emergency department of Weiss Hospital, led his medical team to wait at the emergency door.

It has been described that the patient has a ruptured spleen and hemorrhagic shock, and emergency doctors have been using bare hands to stop the bleeding by holding the wound to temporarily stop the bleeding.

The sound of the ambulance "Dirty Pull ~ Dirty Pull ~" came from far and near.

The doors open.

The two male nurses had already lifted the patient down, and Zhang Yang was squatting on top of the patient, his legs spread apart, on either side of the patient's body.

The hand has been maintaining the movement of stopping the bleeding.

"The patient's spleen is ruptured, blood pressure is 60/40mmHg, pulse rate is 125 beats/min, the patient is irritable, pale skin, clammy and cold limbs, has been quickly monitored by ECG to detect vital signs, oxygen inhalation, establishment of intravenous access, immediate expansion of rehydration, 500ml of balanced solution, dopamine 18ml, saline 32ml, to maintain blood pressure. ”

"And it's infused with adrenaline. ”

A flamboyant and quick description.

"Hurry up and get to operating room No. 1. ”

Liu Mingming went to the family to sign. ”

"Nurse, is the result of the urgent blood out?"

"I'll give it to you right away when I come out. ”

Cui Fusheng looked at the blood group test, and there were no infectious diseases such as HIV, syphilis, and hepatitis B.

Preoperative preparations are already being made in Operating Room 1.

The anesthesiologist is a master who specially poached from 301, Liu Neng, 45 years old, which happens to be the golden age of a doctor.

With the gesture of the anesthesiologist OK, it is finished.

The patient was placed in a supine position, with a padded lower back, routine sterilization, and a towel spread.

Originally, Cui Fusheng was preparing for surgery, but he was publicized and overstepped his behalf.

Cui Fusheng has become the position of a helper, and the main business is responsible for pulling hooks.

Zhang Yang first made an incision of the left upper rectus muscle and cut all layers of the abdominal wall in turn, and saw that the amount of intra-abdominal bleeding was about 3800ml.

The patient was in shock and was given intramuscular hemostatic enzymes.

Rapid blood transfusions for rehydration.

The patient has serious ischemia, but fortunately there is a flamboyant bare hand to stop the bleeding, otherwise, the patient can only hehe.

The middle pole of the spleen is laceration, about 3.0 cm long and 2.5 cm deep.

Splenectomy is required as quickly as possible.

Blood in the abdominal cavity is first aspirated. to expose the field.

Use a hemostat to open the stomach and transverse colon, cut the avascular area of the gastrosplenic ligament, enter the omentum sac, expose the upper edge of the pancreas, find the splenic artery at the upper edge of the pancreas, cut the capsule on its surface, and separate the splenic artery.

The speed of Zhang Yang is very fast, the general splenectomy takes about 2 hours, and the fast veterans also need more than an hour.

Who knows, it didn't take long for Zhang Yang to get here.

Double 7-line double ligation of the splenic artery. This is the basic skill of a surgeon, but the more skilled a surgeon is, the more unique his or her own perspective will be.

Separation of spleen and stomach ligaments.

Separate and suture the short blood vessels of the stomach up to the floor of the stomach.

The spleen is gently removed from the incision, the spleen-kidney ligament is exposed, and the spleen-kidney ligament is separated, severed, and ligated.

It's blazing fast.

Spleen-kidney ligaments. The spleen-colic ligament is exposed, and the spleen-colic ligament is separated, severed, and ligated in segments. Expose the spleen pedicle and clamp the spleen with 2 curved forceps

pedicle, cut off the spleen pedicle between the two forceps, remove the spleen, and the stump of the spleen pedicle is ligated with double 7 wires, and then used 7 wires to penetrate the suture.

Double-check for no bleeding. Line 1 sutures the peritoneum of the splenic bed. After checking that the pancreas is not damaged, the liver, diaphragm, stomach, duodenum, biliary tract, small intestine, colon, rectum, kidneys, ureters, and bladder are explored in turn, and the abdomen and pelvis are irrigated with warm saline.

Although the intestine is exposed, it is not damaged.

The iron rod on the chest was also very powerful, and it was surgically removed, and it did not hurt the organs and blood vessels.

After that, there are the tasks of the instrument nurse and the itinerant nurse.

During the whole procedure, the gauze needs to be counted by two people a total of four times.

After counting the dressings of the instruments, close the abdomen in turn.

In many cases, the abdomen is a reward from the attending doctor to his subordinates.

The general one and two assistants are very concerned about this matter.

Many people start their careers as surgeons with debridement, suturing, abdominal closure, and appendicitis.

Zhang Yang also likes to leave this kind of thing to newcomers to practice, but, on the other hand, look at the staff in the operating room.

The nurse pursed her lips and looked at the time.

It's been more than an hour since the end of work, everyone hasn't eaten dinner yet, and everyone is hungry.

Zhang Yang said: "Hemostats." ”

The instrument nurse quickly handed it to him, and her face was obviously much happier.

Zhang Yang quickly sutured, from the peritoneum to the skin, layer by layer, like pork belly in a shopping mall.

Layer upon layer, you can't make a mistake in sewing.

The patient is sent to the ICU.

When the surgical light was turned off, the family members waiting outside the door suddenly slipped around and gathered around.

"Doctor, my husband doesn't matter. "The one who spoke was a well-dressed and temperamental lady, forty or fifty years old, and very well maintained.

"The patient had an open abdominal wound, a ruptured spleen, and hemorrhagic shock, and the operation went well, and the patient was able to meet with his family when he was out of danger. ”

"Thank you, thank you. The patient's family members were very excited to shake Zhang Yang's hand, and their eyes flashed with tears.

Only when life is dying, can we know the preciousness of life.

Zhang Yang enjoys this feeling very much, this is a doctor's favorite moment, saving another life from his own hands, that sense of accomplishment, not that it can be solved by saying that it is cool.

"Zhang Yang? An Nuan jumped on her feet from a distance, waving her hands.

"What's the matter, haven't you gone home, have you eaten?" Zhang Yang said with a smile when he came to An Nuan.

"If you have a little conscience, everyone is waiting for you. ”

An Nuan jumped up and down to a man about fifty years old, grabbed the man's arm, and said, "Dad, this is the surgical master I told you, Zhang Yang." ”

"Zhang Yang, this is my father, a doctor of traditional Chinese medicine. ”

Zhang Yang's understanding of traditional Chinese medicine is limited to the overwhelming magic acupuncture stalks on TV.

Every Chinese medicine is almost omnipotent, a needle in hand, I have it in the world, the living dead, flesh and bones, medicine to eliminate diseases, and a needle to cure all diseases.

However, the old man's feeling for Zhang Yang was completely different from what he had in mind.

It was a slender old man who had neither a long goatee nor a gray robe.

He didn't pretend to be mysterious with a whisk, he looked like a normal old man, if there was anything different between him and the public, it was his eyes, he had the same bright eyes as the surgeon.

Those eyes with great ideals.