Provincial Second Hospital, operating room.

All flew.

The old director of the orthopedic department, who is about to retire, has been squatting in the operating room for nearly 24 hours, during which he has only eaten one meal, and the rest of the time he stands on the operating table.

There are so many wounded that there will never be an end.

As the instrument nurse was doing it, her eyes turned red, and one of them couldn't help but cry directly on the stage.

As a person in the operating room, what kind of things have never been seen? No matter how tragic and sad things are, you can look at them as an outsider.

But this time, they didn't.

Director Lao Jing remained silent, and only stubbornly refused all requests for him to step down and take a break, even from the medical department.

Amputation, after doing a batch of patients, another batch of deliveries, as if the courage is endless.

What the hell is going on, Director Jing doesn't want to see. I am old, my legs are inconvenient, and if I have to go to the front, I will have to drag at least two or three people to take care of myself.

He makes the most of it in his own way.

It's just that......

There are simply too many patients with amputations, and the amputation surgeries done in a lifetime are not as many as those done in 24 hours.

This is still on the premise that most of the serious patients are sent to Huaxi for treatment.

The Second Provincial Hospital, in Rongcheng, is not ranked high in terms of comprehensive medical strength, probably around the top five.

But just like that, countless seriously injured people were still sent over.

Director Jing stayed up for nearly 24 hours, and his body was already overdrawn. I used to joke on the operating table, and I didn't say a word about introducing boyfriends to the nurses.

The atmosphere in the entire operating room was compressed, and the air pressure was at least 5 pascals larger.

He carefully devoted all his energy to the patients - those seriously injured limbs were smashed and crushed by heavy objects, and they were not treated in a short time, and they developed compartment syndrome, and the scope of amputation was much larger than expected.

He tried to save as many limbs as he could for the wounded, but he couldn't.

Compartment syndrome is usually caused by the increase in the volume of the intracompartmental contents of the traumatic fracture by hematoma and tissue edema or the overtightening of the periosteophysal compartment, and the increase in intracompartmental pressure due to local compression.

When the pressure reaches a certain level (8.7 kPa (65 mmHg) in the forearm and 7.3 kPa (55 mmHg) in the lower leg), the arterioles supplying the muscles can be closed, forming a vicious cycle of ischemia-edema-ischemia.

This is an acute symptom that is relatively common in clinical practice.

Usually, it is enough to cut and decompress, and there is no need to amputate the limb at all.

However, in the face of natural disasters, almost all the injured were not treated immediately, which is diametrically opposed to the situation in Song and Dance. Even most patients have a heavy body pressing on the limb, and the huge pressure directly leads to limb ischemia and necrosis.

The edematous surface gradually spreads upwards, spreads, and spreads continuously. Resulting in avascular necrosis, compartment syndrome continues above the already blackened limb.

The scope of amputation expanded, and many limbs that did not need to be amputated at all were amputated under Director Jing, and he considered himself a crime.

But failure to do so will inevitably lead to more and more complications, which will lead to more difficult infections and poisoning.

Bearing huge pressure and self-blame, Director Jing operated silently, one after another.

He knew that the three or five operating rooms next door were all arranged for orthopedic surgeries, while the others were mainly neurosurgery.

However, there are not too many patients in general surgery and thoracic departments, because it is difficult for seriously injured patients to last more than 48 hours because of organ hemorrhage or pneumothorax.

A middle-aged male seriously wounded man was lifted down, and his right thigh was amputated.

In normal times, the injured person only needs to do fracture fixation, and it is great to cut and decompress.

But now, a thigh is amputated......

"Next. Director Jing's voice was completely hoarse, and the voice he was desperately squeezing out, even he couldn't hear what he had just said.

Another patient was sent to the operating table, and Director Jing sat on a stool in the operating room with his eyes closed during the interval. The doctor is responsible for carrying the patient, preoperative disinfection and other preparations.

The patient had a tight plastic bag attached with medical tape on his chest, and the orthopedic surgeon did not hesitate to remove the tape and throw the plastic bag into the red trash can.

When the itinerant nurse saw this scene, she had just slept for a few hours, and she was still in good spirits.

Yes, it can be overwhelming to sleep only two or three hours a day and work the rest of the time.

But in the current situation, she is the most energetic person in it.

The itinerant nurse is aware that there may be something important in the plastic bag, such as the identity of the patient, so that the patient's family can find it.

She used her oval pliers to pull the plastic bag out of the red trash can and open it to take a look.

"The edema of the limbs of this patient is not severe, Director. Sister Su, prepare to ......" The orthopedic surgeon was halfway through his speech when he was interrupted by the itinerant nurse.

"These are medical records left by front-line doctors. The itinerant nurse said in a deep voice.

"What?" the orthopedic surgeon didn't understand, the front-line doctor's medical records?

There is a shortage of everything on the front line, and in some places even water has to be airdropped. And the cost of airdropping pure water once reaches at least 100 yuan per bottle.

Even so, most of the water and food did not reach the victims due to the weather. And the front-line general command is a continuous airdrop regardless of the cost.

The lack of things is like this, and there are doctors who leave medical records on the front line?

Director Jing's eyes opened suddenly, he stretched out his hand, and said, "Show me." ”

A tissue paper was handed to Director Jing, and the whole paper was wet, and it was very heavy and heavy in his hand.

He looked at the messy handwriting on it, and his nose was sour.

What kind of medical treatment was this under such difficult conditions......

Although he didn't have personal experience, Director Jing could imagine it.

After watching it for nearly three minutes, Director Jing was silent and didn't say a word. The hand that carefully squeezed the tissue trembled slightly, and the more it trembled, the more it trembled.

"Director?" the itinerant nurse only glanced at it, and handed the tissue to Director Jing. She saw that there was something wrong with Director Jing, so she immediately asked.

Director Jing didn't speak, wiped his face with his big hand, and only said after his mood calmed down a little: "This patient had a thrombectomy operation on the front line, and the time was 6 hours ago. ”

"......" the itinerant nurse was stunned.

The orthopedic surgeon who was disinfecting the "......" was also stunned.

Under the conditions on the front line, can you still do thrombectomy?

In severe trauma, the difficulty of thrombectomy surgery is much greater than that of general cardiovascular and cerebrovascular diseases.

Because the original normal physiological and anatomical structure is destroyed, the emboli are numerous and dense, and it is difficult to remove them.

In the Second Provincial Hospital, this kind of surgery is rarely done, but there are people on the front line who do it?

。 m.