466 Penetrating injury (Silver League, Sanqi Mutual Entertainment, Li Yifei, plus 17)

Zheng Ren and Su Yun ran from the emergency ward to the emergency room in less than two minutes, like wild dogs that had lost their stiffness.

Lying on the flat car...... A patient, not lying, but lying in a strange position. A steel bar, penetrated from the lower body, pierced out of the left armpit.

Visually, the steel bar is at least 1.5cm thick, and the length left in the body is at least 60cm.

In other words, all organs will have penetrating injuries of at least 1.5 cm in the part where the steel bar passes through the patient's body.

Zheng Ren's heart tightened, and then he looked at the system panel in the upper right corner of his field of vision.

Ruptured rectum, ruptured colon, ruptured stomach, ruptured diaphragm, ruptured lung, ruptured intercostal arteries, hemorrhagic shock...... A series of diagnoses that make people's hands and feet numb.

If it is said that the general intestine rupture and stomach rupture, Zheng Ren should not take it seriously.

It's over with stitches, it's a big deal to have an abdominal infection after surgery, as long as you can get through it, the patient will be cured.

But this penetrating wound ......

Zheng Ren immediately shouted: "The patient's family, the witnesses at the scene, who is there!"

An honest middle-aged man stood up with a sad face, "Doctor, I'm his neighbor." ”

"How did you break the rebar?" asked Zheng Ren.

Su Yun knew what Zheng Ren meant, and the patient was pierced by steel bars. Looking at the location, it should be a fall from a height. Then the bottom of the steel bar must be fixed, so that there is enough strength to penetrate the human body.

Break the rebar before you can bring the patient to the hospital.

If it is too violent, it can cause extensive contusion and laceration of the abdominal organs.

This involves emergency surgical rescue.

After Zheng Ren asked, he immediately said to Su Yun: "Notify the operating room and prepare for emergency rescue!"

"Doctor, this kid is studying well. I heard his dad say yesterday that he was second in the grade in the exam, and who knew that he would ...... today."

"Let me ask you, how did you break the steel bar!" Zheng Ren's forehead was exposed, a little hideous.

The middle-aged man was startled and said, "The firefighters sawed it off with a cutter, so be careful......

"Go to the operating room!" Zheng Ren was slightly relieved, and saw that the stomach tube and urinary tube had been entered, and the venous access had been established, so he immediately shouted.

The doctors of the emergency surgery department, Su Yun, Zheng Ren, and the patient's family members rushed to the operating room with a flat cart and a drip bottle.

Because it was daytime, Director Pan was fully responsible for this, and Zheng Ren was very relieved.

When I came to the operating room, it was already busy.

Surgical instruments are prepared, general anesthesia equipment is prepared, and they are running precisely and efficiently.

"Call the chest department and open it together!" Zheng Ren finally threw down a sentence, and then hurriedly went to change clothes.

The thought of the patient's injuries gave Zheng Ren a headache.

Don't be afraid of anything else, how to take out that steel bar?

The position of the operation is not good.

If it is taken out directly before the operation, the patient's internal organs will definitely bleed profusely, and then it will ...... Directly cool.

However, intraoperative removal is also a difficult problem that cannot be faced.

While changing his clothes, Zheng Ren pondered what to do with this operation.

There is no doubt that the thoracoabdominal joint incision, moving together, is necessary.

However, within a minute of the steel bar being taken out, it is a bit difficult to dispose of all the damaged blood vessels involved.

Zheng Ren's speed of changing clothes was a little slow, Su Yun had already changed his clothes, and when he saw Zheng Ren's expression, he knew it in his heart, so he said, "Let's do it, not everyone can be saved." ”

The two looked at each other and sighed in unison.

Su Yun didn't wait for Zheng Ren, and quickly went to give the patient a chest bottle.

Change your clothes and quickly come to the operating room.

Chu Yanran and Chu Yanzhi have already given the patient general anesthesia, but the patient's posture is particularly awkward, and a few sandbags are placed under the left side of the body, and the body is cushioned at an angle, so as not to touch the steel bar that enters the anal position.

Surgery, awkward posture is a certainty.

"Call Yang Lei to come up. Zheng Ren brushed his hands and said in a deep voice: "Prepare blood, hurry up." ”

The itinerant nurse flew up like a bird, barely touching the ground, helping the Shay people prepare various surgical tools, and at the same time preparing equipment for surgery such as negative pressure suction on the wall.

Chu Yan said: "I'm going to call, did you send a blood sample?"

"Sent to the emergency department. Zheng Ren began to wear a sterile surgical gown, Chu Yanzhi tied his belt, trotted all the way, swayed the endless calories, and went to call Yang Lei to come to the stage and go to the blood transfusion department to promote blood.

Fortunately, it was daytime, Zheng Ren thought to himself.

Su Yun laid out the list, and went to disinfect again and get dressed as quickly as possible.

But how the two of them want to stand has become a big problem.

The rebar is inserted from behind, and it is said that people should stand on both sides. Originally, the surgeon stood on one side of the patient and the other side of the assistant, but the patient was lying on the operating table at a 60° angle, and the person on the other side could not see the surgical field at all.

Zheng Ren only hesitated for a second, and then said, "Su Yun, come here." ”

Reaching out, the hemostat clamped a large gauze stained with iodine and was slapped into Zheng Ren's hand.

Familiar recipe, familiar taste, but Jung in didn't feel it at all.

His mind was racing at high speed, planning how he could pull the patient back from death.

Disinfection, pat the hemostat and gauze to the side of the patient's leg, turn the hand over, and pat the scalpel handle in the hand.

Zheng Ren was also not polite, and cut it with a knife, from bottom to top, through the patient's abdominal cavity.

Emergency first aid, racing against time, Zheng Ren really can't wait for how long the steel bar is, how big the knife edge is.

Rapid blunt dissociation, opening of the abdominal cavity.

As the abdominal cavity opens, the intestines flow out of the patient's abdominal cavity.

This is also the reason why general surgery is performed in a supine position.

The large gauze pad was padded, and the intestines were blocked with a sterile sheet and body, and Zheng Ren began to look for the location of the damaged steel bar.

When the abdominal cavity is completely open, it is shocking to look at.

The steel bar pierces from the rectal end, the left colon ruptures, the stomach ruptures, runs through the entire stomach, punctures the diaphragm, penetrates upward.

"Why didn't the chest department come!" Zheng Ren roared.

Su Yun suddenly felt a powerful aura rising up on Zheng Ren's body, like a lion king inspecting his territory, roaring with infinite majesty.

When did he grow to such an extent? Su Yun was in a trance.

"Yang Lei, you come to help the boss, I'll open my chest. Seeing Yang Lei coming up, Su Yun immediately said.

Su Yun is in charge of opening the chest, it's okay, but there are not enough people......

Jung in distress.

At this time, Cao Guozhen arrived in a hurry, and he said apologetically: "I'm sorry, Mr. Zheng, we are doing bypass surgery." When I heard that there was an emergency, I rushed over. ”

"Brush your hands, and open your chest with Su Yun. Zheng Ren said as he probed the wound in his abdomen.

Full of majesty, unquestionable.

Cao Guozhen didn't say a word, he ran over directly to brush his hands, and almost collided with Yang Lei, who had just finished brushing his hands.

"Mr. Zheng, do you still need people?" Cao Guozhen asked.

"Call someone again. Zheng Rendao.

The more people, the better.

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