Chapter 834: Operation (5)

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If the next operation leads to the death of the patient, then he will definitely not leave this matter at that, their military hospital will definitely not admit this matter, after making up his mind, the old man sits with his hands folded on his chest and waits for the result. !Remember. [.guanm.? Officialdom - Novel]

"Calculate the time for hepatic hilar space occlusion, and notify me when the time is up to restore the hepatic blood supply!" Xiao Rin instructed the patrol nurse, with Mu Rongyun's strong attitude, he really made the other people obediently shut their mouths, and some returned to their positions, only Tang Ji and the other person were still standing aside and hesitating.

"Yes!" The itinerant nurses responded that as long as the treating physician did not say that it was over, they must still stick to their posts, which is the duty of nurses.

"Head nurse, check the plasma and match the blood in time!"

"Yes!"

"Medic, can you tell us what you're going to do next?" Tang Ji stood on the side and watched, he had completely given up the position of second assistant standing on the side of the operation.

"Heart stitches!" Xiao Rin glanced at Tang Ji and said expressionlessly.

"What?" The Tangji people screamed unconsciously. "You don't choose to give the heart back to beating, but what do you do with heart stitches, what are you kidding?"

"Forensic Doctor Mu, I'm sorry for you!" Xiao Rin winked at Mu Rongyun, who snorted coldly and turned around and walked in front of Tang Ji.

"I think I've made it clear just now, are you going to get out on your own, or am I going to throw you out?"

"Dr. Mu, we don't have much time, deal with it quickly."

"What to urge, you can do that kind of surgery alone." Mu Rongyun replied impatiently to Xiao Rin, and the people had already forced Tang Ji to go out the door.

"This is so rude. It's the first time I've seen such a move against a doctor with considerable authority to kick people out of the operating room. The old man sitting next to Xiao Zhenfeng couldn't tolerate it any longer, it was the apprentice he handed over, and he was kicked out of the operating room with contempt like this, which was a shame as a doctor.

"Be quiet. I can't hear what's going on inside. Xiao Zhenfeng grabbed the old man who stood up, and exerted the strength in his hand to drag him back to the chair.

"But ......"

"If you don't want to lose face as the dean of the positive pole, just sit obediently. Don't make me repeat that. Xiao Rin's attitude was a little arrogant, and that Mu Rongyun was even more indifferent, these two brothers were really a perfect match. Ben wanted to get up and leave, so he chose to wait until the end.

"Hold up the wounded face of the heart and show me." Mu Rongyun had returned to his position, and he had already made the due move before Xiao Rin gave the order, and this tacit understanding was a feeling that could be described in words in the eyes of others.

turned the heart out of the way, dragged the heart and showed the wound in front of Xiao Rin. "Chrome, needles, give Forensic Mu a pair of scissors." Xiao Rin shouted at the instrumenter.

"Can you do it with one hand?" Xiao Rin asked Mu Rongyun, who nodded.

Practicing needle suturing and knotting, Mu Rongyun was holding his heart in his hand, and he had one hand to help cut the threads. With the cooperation of the two people, the wound on the heart was quickly sutured, and the work that should have required several people to complete was done cleanly and neatly without the help of others. The blood that was slowly flowing out of the heart was immediately stopped.

The surgeon, who was returning to his position, took the opportunity to completely suck up the remaining blood in the chest cavity, shortening the time for Xiao Rin and them.

"Found the bullet." Xiao Rin was about to check whether there was a larger contusion in his heart after the stitches, and with a casual glance from the corner of his eye, he found that there was a yellow, orange and orange warhead in the pericardium of his left chest. Judging by the location of the warhead. The residual scorching heat in the warhead will inevitably take a toll on the heart as well, but there is no time to worry about that right now.

Taking the tweezers handed to him, he was amazed at how the instrumentainist was beginning to understand his next move so well, and just as he was curious, a voice came from overhead.

"The heart pause is two minutes, you hurry." Mu Rongyun was not used to spending a long time on the operating table, and this kind of old work made him choose a forensic doctor among entering the police station to be a forensic doctor and surgeon, and it was much easier to operate on a dead person than on a living person.

The right hand slowly poked under Mu Rongyun's heart, and carefully clamped the warhead out of the pericardium, and when it sounded, Xiao Rin casually threw the clipped warhead and tweezers into the iron plate on the side.

The bullet will enter with a high caloric concentration of burns, a surgeon standing in the second assistant position thought of this, he looked at the removed bullet suspiciously, what will he do next?

Xiao Rin frowned, the bullet will inevitably cause burns under the heart, if you continue to repair the heart burn, you must use polyester or autologous pericardial patch repair or use 4-0 polypropylene thread '8' or intermittent horizontal mattress suture, but that suture method will greatly reduce the cardiac resuscitation time, even if all the repairs are successful, and the heart cannot be successfully resuscitated before brain death, everything is in vain.

On the other hand, if cardiac resuscitation is performed without suturing, depending on the position of the warhead, if the outer wall of the heart chamber that is burned during the erection of the heart is damaged and the bleeding cannot be stopped immediately, the patient will also face death from excessive blood loss.

The surgical procedure adds a level of difficulty.

"The nurse reported the time when the surname Zhang stopped erection, and the time when the hepatic hilar space occlusion was performed." There was no time, Xiao Rin gritted his teeth, and two fires seemed to ignite in his eyes.

"The heart was stopped for 2 minutes and 35 seconds, and the hepatic portal space occlusion was performed for 4 minutes."

"Prepare for an injection of epinephrine 1mg apex."

Xiao Rin glanced at Mu Rongyun, and after hearing the two orders he gave to the nurse, he already understood what he was going to do, and he nodded at Xiao Rin.

He took the heart from Mu Rongyun's hand, slowly put it into the pericardium, and pressed it twice with his right hand, signaling that the nurse could inject epinephrine.

One, two, four......

Simulates a normal heart beat, and compresses flexibly.

Time is losing every second, belonging to the familiar feeling of the heart beating 'poof', Xiao Rin squinted excitedly.

The anesthesiologist who was guarding the side of the detector was also staring at the monitor screen without moving, and suddenly the radio wave lines belonging to the heartbeat reacted. "There's a heartbeat index! There was a heartbeat. ”

Whew, Xiao Rin really exhaled and slowly let go of the right hand holding his heart.

That little red thing, 'plopping!' Plop 'tirelessly beating up.

"Heartbeat resuscitation, success!"

When everyone was immersed in excitement and joy, Xiao Rin looked at the data on the detector, and then looked down at the beating heart in the chest, and then the key part, in addition to the gunshot wound and the stabbed liver, at the same time, the internal organs of the abdominal cavity caused by multiple rib fractures have different degrees of damage, which undoubtedly increases the difficulty of the operation.

"We seem to be in a bit of trouble, the place where you just took out the bullet is inside the pericardium, which means that there is still a slight wound to the heart." Mu Rongyun said to Xiao Rin while using a suction device to suck out the blood in his chest and abdomen. "The lungs and spleen continue to bleed, and there are so many areas that need to be repaired." As soon as his words came out, everyone fell silent, and what he meant indirectly explained one thing, Hua Muyun could still die because of too much loss.

The blood that overflows from the lungs and spleen can still be controlled with a suction device, but if the heart continues to be repaired, the liver repair surgery will inevitably not be completed for a while, and if the blocking belt is released, the suction device will definitely not be controlled.

"Which do you do first?" Mu Rongyun asked, this is a multiple-choice question of A and B, although it is simple, but the reversal of the order is likely to make this operation on the verge of failure, and the person lying on it is likely that he will never wake up.

"Repair the heart!" Xiao Rin made a decisive choice, he didn't even consider another possibility, for him, after ensuring that the hidden danger was eliminated, the liver was partially disposed of, such a process did not need to consider other possibilities at all.

Di Di Di, just as Xiao Rin was about to hold his heart out again, a car coat made a harsh sound, and Xiao Rin's face changed.

"It's ventricular fibrillation!" Mu Rongyun screamed anxiously.

"Defibrillator! 2% lidocaine 2mg intravenously! ”

When the nurse injected the syringe into the catheter, the instrumentaturist handed the electrode plate coated with saline to Xiao Rin's hand, and after the tacit understanding between them before and now, they automatically did something without too many instructions.

"50 joules! Get ready. ”

"Ready!"

"Get out of the way!" Xiao Rin shouted, and the two electrode plates were attached to the left and right ventricular walls respectively, and 50 joules of direct current shock defibrillated.

"Stuck in Varicosefiber, no reaction."

"Salt water!" When the instrumentaturist had wet the electrode plates, he turned around and shouted, "70 joules!" ”

After increasing the strength, there was a response on the detector, and the anesthesiologist screamed in surprise that there was a response, the blood pressure gradually rose, and the heartbeat recovered.

"We'll start repairing the hidden dangers, and you'll take care of the rest." Xiao Rin shouted at Mu Rongyun twice, how can he always do it himself, otherwise there would be no point in calling this guy over.

Putting down the work in his hand and retreating to the position of the assistant seat, in front of the others, Murong Yu couldn't refuse, he obediently took Xiao Rin's position, but there was anger in his dark eyes.

"You remember for me that my appearance fee is very expensive."

Xiao Rin hehehehe (To be continued.) If you like this work, you are welcome to vote for recommendation and monthly passes, and your support is my biggest motivation. )

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