Chapter 7 Stop

Wu Aimin withdrew his hand, sighed and said: "Not very optimistic, the patient was injured in an open car accident, the ribs were obviously misaligned, and the patient lost too much blood, considering the risk of organ rupture." ”

"How's the rehydration going?" asked Lin Guangqing, turning his head to the nurse who was operating the instrument on the side.

"The patient was urgently infused with 1000ml on the way here, and I pushed him to remove methyl and dopamine, and Dr. Li went to the blood station to urgently adjust the blood. The little nurse replied.

Wu Aimin took out a flashlight and shone it at the patient's through-hole and said: "The patient already has signs of shock, hurry up and urge Xiao Li, as soon as the blood bag arrives, he immediately prepares to open his abdomen to explore and increase the amount of infusion." ”

There is no way, in the case of not being able to ensure the patient's circulating blood volume, even the world's top surgeon does not dare to open the abdomen easily, in case the major artery in the organ is touched during the operation, he can only watch the patient die due to heavy bleeding.

Lin Guangqing came to Yi Sheng's side and said softly: "Don't forget that you are only an intern now, it is not only you who has a problem, even I am to blame, you stand aside and watch and study hard, you know?"

Yi Sheng nodded, he had already received the data from the Little Medical Immortal System, although these were only temporary, if they could be combined with this case, Yi Sheng was confident that he would master the knowledge.

Five minutes later, Dr. Li came to the operating room with 5 units of blood bags, panting and said, "Director, the blood has arrived!"

"Prepare for surgery!" Wu Aimin said decisively, and the operating room suddenly became busy.

Yi Sheng had been staring at the patient before, confirming each other with the knowledge in his mind, and at this moment Yi Sheng turned around and left, came to the brush table outside and began to brush his hands.

"Let the earth brothers. The young ruler surnamed Li squeezed over and began to wash his hooves next to Yi Sheng.

Watching Yi Sheng brush his hands meticulously, Mr. Li chatted with each other: "Which department is my brother?"

"Nephrology intern. Yi Sheng had already washed his hands, his hands were soaked in medical alcohol, the alcohol was less than one-third of his upper arm, and Yi Sheng felt the coolness brought by the alcohol.

"Intern?" Mr. Li was stunned and said, "The relationship is quite hard!"

He has been coming to the Affiliated Hospital of Nanyao Medical College for almost ten years, and it is the first time he has seen that interns can participate in surgery.

Mr. Li persuaded him with good words: "There is no need to wash so cleanly, the emergency department is busy, and every patient who receives it must brush his hands in strict accordance with the operation guide like you, and he will have bald skin early." What's more, I just saw that the person was already in hemorrhagic shock, even if an expert like me is enough to get started, it's good that you can run errands, so it's better to save it. ”

Yi Sheng nodded, wiped his arm with sterile cotton, copied his hands, returned to the operating room, and put on latex gloves.

Li Zhuzhi, who was following behind, pouted, and said in his heart that he really thought he was a character. But that's right, an intern always has to have some sense of ritual when he enters the operation for the first time, just like getting married, and the first time he gets married, he also dresses himself up quite grandly, and when he gets married for the second time, he will invite a guest to pull him down. I think that when I first entered the operating room, I was dressed neatly as if I was facing a great enemy. Thinking about it, Zhu Zhi Li sighed and said, "Why do you say that the gap between people is so big? When an intern encounters an endangered patient for the first time when he enters the operating room, how can I help the sponge body for the first time?"

In the operating room, Lin Guangqingzheng and Wu Aimin stood aside holding a CT film and discussed in a whisper, the nurses were also hurriedly preparing surgical instruments, and even the anesthesiologist was sitting in front of his instrument to make the final preparations, watching Yi Sheng come to the patient's side, Director Li shook his head and said with a smile: "It's really young, I can't blame me for being scolded for a while, wait a while, what are you doing!"

Mr. Li screamed as he spoke, and Lin Guangqing hurriedly turned around and reprimanded Mr. Li: "What is the name in the operating room!"

But then Lin Guangqing was also stunned, he followed the gaze of Principal Li, and Yi Sheng stood in the position of the second assistant and directly put his hand into the patient's wound.

Everyone in the operating room was stunned.

"You...... You..... What are you going to do!" Zhu Zhi Li said tremblingly, pointing at Yi Sheng.

What is this? This is murder!

In the absence of a surgical vision, there is no way to know the situation inside the patient's wound, and Yi Sheng directly poked his hand in, which is tantamount to murder!

Lin Guangqing suddenly regretted why he took an intern into the operating room, why he didn't observe for two more days, it was over, and he was afraid that he would fall here for the rest of his life.

Wu Aimin frowned, he naturally knew what Yi Sheng was doing, as the director of the emergency department, he knew that Yi Sheng used the bare hand hemostasis method to compress the patient to stop the bleeding, and he often used the bare hand hemostasis method in the emergency department, especially when he went out to the scene for first aid, but he knew very well in his heart that even if he used the bare hand hemostasis method, he could not completely guarantee that it could stop what had happened, and now he had no way to stop it, and he couldn't force Yi Sheng's hand out of the patient's body, which would cause secondary damage to the patient.

"You let go!" Lin Guangqing came to Yi Sheng's side and ordered.

"The patient's rib punctured the right hepatic artery, which is deep and difficult to suture, and if there is more than blood, our blood bag will not be able to sustain the patient's life at all. Yi Sheng's hand groped in the patient's abdominal cavity, found the bleeding point along the patient's broken ribs, and gently pressed it: "Stopped." ”

Lin Guangqing subconsciously looked up at the monitor, the patient's blood pressure was slowly rising, it seemed that Yi Sheng was right, and the bleeding stopped.

Mr. Li showed an expression of disbelief, a hospital intern, stopped the bleeding with his bare hands, and stopped?

Wu Aimin's heart was even more shocked, it had only taken less than five minutes from Yi Sheng's probing into the abdominal cavity to stopping the bleeding, how did he accurately find the bleeding point? How could he dare to be so bold? If the bleeding point was not found but the blood vessel was completely ruptured during the exploration, it would be a living human life!

But now that the bleeding has stopped, time waits for no one, Wu Aimin can't bother to reprimand Yi Sheng, he took a deep look at Yi Sheng, Wu Aimin hurriedly said to the nurse: "Open a second venous channel, increase the amount of blood transfusion, and prepare for surgery." ”

Yi Sheng's bare hands only temporarily controlled the bleeding of the right hepatic artery, and after a long time, the liver will be irreversibly damaged due to ischemia.

Yi Sheng stood in the position of the second assistant in advance, although it did not affect Wu Aimin and Lin Guangqing's surgery, but it occupied the position of Principal Li, as the attending of the emergency department, it is rare to encounter such an endangered patient, Principal Li also wanted to go up and get together to see how his director performed the operation, but it was a pity that Yi Sheng occupied his place, and Principal Li looked at his hands still hanging in the air wearing latex gloves and was stunned.