Chapter 976: Cerebral hemorrhage
Director Xu returned to the emergency department with two interns with a smile on his face, which is different from the safety in other places.
The atmosphere and painting style immediately brought a sense of rhythm, even the nurse and doctor walked, although it didn't look lethal, and the speed was not that kind of tiger and tiger posture, but it was fast.
Of course, what was even more surprising was that as soon as he entered the emergency room, Director Xu was already busy in full swing, and he couldn't take care of the two of them at all.
"Director Xu, there was a vicious accident in the firecracker factory, the seriously injured arrived ten minutes later, and now it is a work-related accident in the machinery factory, a worker was crushed by the machine at work, his right arm was broken on the spot, and only four fingers were found, and the whereabouts of the thumb are unknown so far, and the surgical expert consultation is being organized to operate as soon as possible. "The doctor on duty in the emergency department is thinking about Director Xu's report, and this kind of work is their process.
Director Xu is the guiding ideology of the work here.
"Take me to see it. ”
Director Xu can already imagine how serious the injured person was this time.
It suddenly occurred to me that there were not two more interns.
"Don't be stupid two of you, join the rescue mission, I didn't hear that there are still ten minutes, you hurry up and prepare. ”
Only then did Bai Xiao and He Xin come to their senses.
As soon as the nurse next to her heard about the new intern, she immediately greeted with a smile, "Doctor Bai, Doctor He, let's go to the door to pick up the ambulance." ”
To put it bluntly, interns don't have many emergency rooms, and most of them are assigned to other departments.
Unless they are students who have no way out and are not pleasing to them, it seems that these two grades are not very good.
Some of the interns who are messing around will be sent here.
He looked at the two of them sympathetically.
Bai Xiao and He Xin immediately followed.
When I came to the gate, sure enough, the ambulance arrived with a whistling whistle.
One by one, looking at the blurred flesh and blood of the patients who were carried down, the two of them threw themselves into the rescue work without saying a word.
"The chest was burst, the artery was broken, the bleeding was not stopping, the pancreas was ruptured, and it needed surgery and was sent to the operating room. ”
He Xin shouted the diagnosis results, usually they study the cases in the teacher's mouth and the video screen in the classroom, but now they are living cases.
There is flesh and blood, and the cry that will hurt is heartbreaking.
And the constant moaning sounds.
For the first time, He Xin understood what death was.
Compared to the bunnies and mice in medical school, these are living beings.
What is useless on paper, now is to die or live.
She didn't care about the blood on her hands, and an intern at this level would definitely not be stunned by the blood, but she would still be horrified when she looked at these wounds.
Bai Xiao had firmly pinched the aorta of the patient's chest with one hand and two fingers on the patient's chest, and the blood that was splashing like a small fountain just now suddenly stopped.
She walked briskly with the bed, and the patient's lips were already blue, a sign of excessive blood loss.
He Xin has already shut up, her professional terminology is not unknown to others, but first-hand treatment, she has not fulfilled the responsibility of a doctor at all.
Even the nurses in the emergency department here are experienced in a hundred battles, and they can be separated at a glance, so what is their own.
Bai Xiao pinched her pulse when she went up, I am afraid that the technique of stopping bleeding is better than her, or with her hands, the slimy blood vessels are immersed in a pile of blood foam at this time, and pinching it with her fingers, what kind of strength and skill is needed.
You must know that the average doctor will not be able to pinch it if his hand slips, causing secondary bleeding.
Director Xu looked at the others and immediately decided, "Hurry up and operate, how long can you hold on to Dr. Bai?"
The first thing to deal with in this operation is definitely not the damage of this blood vessel, even if the coagulation agent is injected, it will not work for a few minutes, not to mention that there is a wound that needs to be stitched, time is of the essence, but once Bai Xiao lets go, the patient will immediately go into shock.
Rescuing is not an ordinary difficulty.
"Director Xu, I'll hold on as long as you need!"
Bai Xiao's ability has begun to penetrate the blood, surround the blood vessels, and stop the bleeding can be completed at any time, but if their operation is not over, even if her blood vessels heal, it is meaningless.
The most serious problem in this patient is the rupture of the pancreas, and the coagulation agent can only be injected after suturing, otherwise the operation will be seriously affected, and it will take at least half an hour of operation.
There is no time to wait.
Director Xu didn't say a word, and arranged the operation, "He Xin, the second assistant, Bai Xiao is now the first assistant." ”
The patient was wheeled into the operating room.
Director Xu opened the abdominal cavity and found the pancreas in a blur of flesh and blood and began to stitch it up, Bai Xiao's fingers did not move, because she was indeed pinching the blood vessels now, and she was trying to observe the entire operation process with her ability, which was like a three-dimensional color ultrasound.
She can see clearly, and even every detail will be infinitely magnified.
Director Xu's scalpel accurately cut the broken part, and the blood vessels at that step were separated, and the broken part was strictly and gently peeled off, and finally sutured.
"Dr. He's stitches are handed over to you, you have to be steady and fast, Dr. Bai is still insisting, you have to liberate her quickly. Director Xu gave He Xin room to show.
If it weren't for Bai Xiao's hands being occupied by blood vessels, Director Xu would have allowed Bai Xiao to stitch up.
The technical excision has been done, and now is the time to test the basic skills of surgery, and it is also a part that interns can definitely get started.
Of course, this does not require the consent of others.
He Xin picked up the needle holder, took a deep breath, lowered his head and concentrated, and the needle holder probed steadily towards the wound.
Bai Xiao's voice came from beside her steadily, "There is a vascular bleeding point in this part of the patient that has not yet been anastomized, just one millimeter below your needle holder, right." ”
Seeing He Xin holding the needle to anastomose the wound and stitch up the wound, Bai Xiao tried to send her fingers away, she was already numb, and with a retract of her fingers, she stood aside.
"Director Xu, the patient's visceral bleeding has stopped, but this patient has to be sent to the brain surgery department, and a hemangioma in her brain has ruptured, causing compression of nerves, and it is easy to die of cerebral hemorrhage. ”
Bai Xiao wasn't joking, her ability was as precise as a full-blown MRI just now.
Director Xu is looking at He Xin's work with satisfaction, meticulous, the quality of this batch of interns is too high, such a quality is indeed his luck in the emergency department, and the result is not happy.
Bai Xiao's words smashed Director Xu to a pulp.
"What?"
"The patient's cerebral hemangioma has ruptured and has hemorrhage, although the area of the hemorrhage is not large! ”