After entering the ICU, Zheng Ren immediately felt countless hostile eyes aimed at him.

What's going on? Zheng Ren was surprised.

It is said that they have no grievances with the ICU in the long term, and they have no enmity in the near future, they ......

"Director Pan, you're here. A doctor from the ICU walked up to Director Pan and Zheng Ren and began to introduce the condition.

"The patient was admitted to the fifth ward of orthopedic surgery at 9:18 due to traffic accident injuries, diagnosed with pelvic fracture, blood pressure was 100/60mmhG at that time, and blood pressure was measured at 85/45mmhG an hour later. After ICU consultation, he was transferred to continue treatment. ”

The medical history report is very detailed, and the patient's condition is relatively simple, which is a pelvic fracture combined with bleeding, and there is no problem of differential diagnosis.

Pelvic fractures are generally not serious, and a period of rest is sufficient, and open surgery is rarely required.

This is due to the structural properties of the pelvis itself. Bleeding from the fracture section is usually present, with little or moderate effusion. This also does not require special treatment, and it is sufficient to give hemostatic drugs and antibiotic intravenous points.

However, once a pelvic fracture causes a blood vessel to rupture and hemorrhage, the blood vessels punctured by the broken end of the fracture are the internal and external iliac vessels and the pelvic venous plexus.

These vessels are located posterior to the peritoneum, and bleeding is encapsulated by the posterior peritoneum. In most cases, when the broken artery is not large or the vein bleeds, the bleeding will stop due to the increased local pressure.

But......

This time the patient's situation is more special, and such a case may not be picked out among the 100 patients with pelvic fractures.

The vascular damage of the posterior peritoneum is more serious, considering that the relatively large arterial blood vessels are ruptured, the pressure cannot stop the bleeding, and the patient's blood pressure continues to drop and enters a state of hemorrhagic shock.

To make matters worse, the posterior peritoneal pressure is so high that it is impossible to surgically stop the bleeding.

As soon as everything is opened, the blood stored in it immediately jumps to the roof under tremendous pressure.

Zheng Ren's heart moved, and he caught a glimpse of Su Yun setting up a chair and sitting next to the patient, holding a pen and paper in his hands, calculating something.

After the hangover, he didn't see the slightest hint of alcohol, just a little decadent.

But when this sense of decadence appeared on that handsome face, it had a different taste.

"Look at the patient first. Director Pan remained silent, strode over to the patient, and observed the vital signs and the emergency CT film handed over by the doctor next to him.

"Pelvic fracture with pelvic artery rupture, posterior peritoneal hematoma. When Su Yun heard Director Pan's voice, he raised his head but didn't stand up, nor did he look at Director Pan, but looked directly at Zheng Ren.

Jung in knew what he meant.

The patient's condition is not suitable for surgery, and the only way to stop the bleeding is through interventional surgery, and then the next treatment plan can be decided depending on the situation.

Su Yun's judgment of the condition is very accurate, how to treat Yemen Qing, this guy is indeed not simple.

"Xiao Zheng, are you sure?" Although Director Pan didn't know much about intervention, after the emergency treatment of placental ablation patients that day, he went home and bought a book related to intervention to study it.

He doesn't want to know how to do it, at least he has to know if Zheng Ren can do it.

Young people are sometimes impulsive, but they still have to be checked by old comrades.

Pelvic fracture combined with retroperitoneal hematoma and hemorrhagic shock is one of the indications for interventional surgery.

But Director Pan still hesitated, after all, he hadn't done it himself, and this kind of thing still had to depend on Zheng Ren.

"No problem. Zheng Ren said: "Prepare blood, make preoperative preparations, and push the patient to the interventional operating room." ”

The black hair on Su Yun's forehead fluttered, and the decadent feeling in his eyes disappeared, and he began to get excited.

Zheng Ren is alert, what does this sissy want to do?

"I'll go get you on the table. Su Yun said: "This, it's the infusion order, don't mess up." ”

Su Yun handed the paper in his hand to the nearest nurse and explained.

"Is the infusion order calculated according to the specific gravity of urine again?" The little nurse took the paper, glanced at it, and said with some regret: "Brother Yun, you are really blind when you go to the emergency department." ”

"Huh. Su Yun didn't argue, just smiled, the black hair fluttering on his forehead, handsome.

Zheng Ren didn't have time to watch Su Yun flirt with his sister intentionally or unintentionally, but Su Yun still had a set. Calculating the order of input crystals and colloids according to the specific gravity of urine can effectively target the internal environmental disorder of hemorrhagic shock.

If it is martial arts, this can be regarded as a relatively high-level secret.

Because the Internet is now developed, this calculation formula is also roughly described on the Internet. However, the problem is that according to the specific gravity of urine, a large number of formulas are required to calculate, which is beyond the scope of medical students' cognition.

Moreover, constantly checking the specific gravity of urine and repeatedly adjusting the infusion sequence is also a tiring practice.

Therefore, those who can do this are all cattle people.

This guy can do it, Zheng Ren and Director Pan said hello, then left the ICU, went back to the interventional operating room, and prepared surgical instruments.

After the operation of the placental ablation patient, Director Pan went to the procedure to purchase a batch of consumables that Zheng Ren needed.

This time, Jeong-in didn't have to face the tragic situation of being isolated again. Not only consumables, but also assistants, but the assistants are not so satisfactory.

……

……

Back in the emergency operating room, Jung in began to prepare things.

Shay came to help, she hurried to learn everything about interventional surgery, and it seemed that this girl was going to enter the operating room to be Zheng Ren's assistant.

Zheng Ren will definitely not agree, and it is not a circulatory operation, the patient will have cardiac arrest at any time, so why bother to go in and eat threads alone?

As for Su Yun, if he wants to help, Zheng Ren will definitely not stop him.

One is an annoying snarky handsome, the other is a cooperative, delicate and lovely girl, who tends to be one who doesn't have to think about it at all, Zheng Ren is very straight.

There are not a lot of instruments needed, after all, it is "just" an embolization hemostasis operation, and in interventional surgery, it is just a very simple operation.

Fifteen minutes later, Zheng Ren heard the sound of a flat car.

At this point, the preoperative preparation of the interventional operating room has been completed.

Gently lifting the patient onto the operating table to avoid bleeding from the second injury, Zheng Ren turned on the machine, changed to the operating room control mode, and began to brush his hands and put on clothes.

Interventional surgery not only requires radioactivity, but also has to wear dozens of pounds of lead clothing, which is more difficult than ordinary surgery.

However, in special cases, interventional surgery is the only way to solve the problem, and if you don't do it, you can only watch the patient die due to excessive blood loss.

Zheng Ren walked to the storage room, picked up a lead coat and was about to put it on, when he suddenly realized that he seemed to have forgotten something.

After the last Lonely mission was completed, the system seemed to reward you with a set of Radiant Radiant Energy Conversion Lead Suits, as well as a Silver Chest.

The silver treasure chest, Zheng Ren is not interested in opening. After all, three in a row were opened before, and three skill books were opened, and it didn't make much sense to open them again.

But the radiation ray energy conversion lead coat sounds very lofty, if you take it literally, it seems that this clothing can convert radiation into energy and supply itself.

If that's the case, it will be interesting later.

Zheng Ren put down the lead coat and took a look, Su Yun was still in a position to make preoperative preparations, so he came to the locker room and entered the system space to take out the radiation ray energy conversion lead coat.