Chapter 317: Race Against Time
Miao Laomo looked at the red taillights of the ambulance driving out of the hospital gate, patted Mi Zixuan and said, "Okay, you did your best, don't think about it." ”
Miao Laomo also felt very aggrieved about this matter today, he hoped that Lu Pengyu could leave everything behind, and he was thinking about how to save Yang Li, if this was the case, Yang Li might still survive, but Lu Pengyu was afraid of taking responsibility and sent her to the city hospital, so Yang Li was almost cut off from life, and there was a chance that she would die on the road.
A fresh life disappeared in front of her eyes, which made Miao Laomo feel very uncomfortable, if her illness really had no way to cure it, Miao Laomo would feel better, but her illness was obviously still hopeful, but the risk was greater.
Miao Laomo also knew that if he and Lu Pengyu's position were reversed, he probably wouldn't dare to take this risk, but the current relationship between the hospital was too tense, and the doctors and nurses didn't make any mistakes, and some people still tried their best to make up nonsense and say that the doctors and nurses had made something wrong when treating them or their relatives, so as to blackmail the hospital for money.
If something goes wrong, or even if you don't make a mistake, you have to bear some responsibility for the patient's death, which is even more difficult to do.
Miao Laomo really didn't know what the relationship between doctors and patients was tense like this.
The red taillights of the ambulance disappeared from Mi Zixuan's field of vision, and just when Miao Laomo was about to turn back, Mi Zixuan suddenly said: "I can't care about Lao Miao, I can't just watch the patient go to death." ”
Still saying this, Mi Zixuan turned around and ran, Miao Laomo only came to shout urgently: "Why are you going?" Then Mi Zixuan ran away without a trace.
More than ten minutes later, Mi Zixuan ran out of the outpatient building with a first-aid kit in one hand and a surgical bag that could be said to have been snatched out of the operating room in the other.
Now it is impossible to persuade Gan Fei to send Yang Li back to the county hospital immediately, and it is too late, the only way to save Yang Li is to catch up, and the operation is done in the ambulance, Mi Zixuan is more risky to do this, there are all kinds of medicines, instruments, and anesthesiologists to do it in the hospital, but there is no shadowless light to operate on the patient in the ambulance, just rely on the lights in the ambulance compartment, the light is too dim, and the environment cannot reach the sterile conditions, and there is no complete range of various drugs, let alone instruments and anesthesiologists.
If Yang Li is operated on in the operating room, Mi Zixuan is still 30% sure, but in the ambulance, because of the restrictions of the environment and conditions, Mi Zixuan is only 20% sure.
But if he doesn't catch up, Yang Li doesn't even have a twenty percent chance of surviving, Mi Zixuan can only take a risk, as for what consequences he will cause if he does this, he has no heart to think about it now.
There were emergency patients in the ambulance, so the driver drove very fast, there were fewer cars in the county in the middle of the night, and even fewer cars on the highway, plus the ambulance went almost twenty minutes earlier than Mi Zixuan, so it took a certain amount of time for Mi Zixuan to catch up with the ambulance.
When the black Wrangler crossed the highway toll gate, Mi Zixuan didn't see the shadow of the ambulance, he could only speed up and chase, the Wrangler was almost driven to extreme speed by him, and the body made a weird and scary sound, but Mi Zixuan didn't care at all, his eyes looked straight ahead, trying to find the ambulance.
The county is not too far from the city, driving slowly for almost an hour, and driving fast is only about forty minutes, Mi Zixuan finally saw the tail light of the ambulance when he was about to get off the highway, and at this time, the nurse in the ambulance and Gan Fei were already panicking.
The last thing Mi Zixuan wanted to see happened-the appendix was perforated, and at this time, Yang Li had fainted in pain, her abdomen was as hard as a wooden board, her face was blue and white, and her lips were frighteningly purple.
The black wrangler frantically honked his horn, trying to attract the attention of the ambulance driver to stop the car, but the driver was also in a hurry, not only did not stop, but scolded the mother and increased the speed of the car a lot.
Mi Zixuan gritted his teeth and rushed directly to the front of the ambulance, the piercing brake sounded, and soon the ambulance stopped, and before the driver could scold the words, Mi Zixuan had already rushed out of the car with a first-aid kit and a surgical bag, and the driver was an emergency person, so he recognized Mi Zixuan at once.
Mi Zixuan opened the car door and rushed up, Gan Fei was stunned, and nurse Xiao Chen was also stunned, and the two of them said in unison: "Why are you here?" ”
Mi Zixuan looked at Yang Li's situation and chuckled in his heart, and said hurriedly: "Don't care why I'm here, I'm going to operate on her right now, and tell the driver to hurry to the city hospital." ”
Xiao Chen immediately exclaimed, "Are you crazy to operate in an ambulance?" ”
Mi Zixuan's face turned pale and said, "Don't talk nonsense, help." After speaking, he tore off Yang Li's clothes on the upper half of her body with a force on her hand.
Mi Zixuan was afraid that Gan Fei would stop him, so he immediately said urgently: "If you want her to live, just listen to me." ”
Xiao Chen's hands trembled and said, "How to anesthetize?" Not enough of anything, huh? ”
Appendicitis resection requires hard anesthesia, but now in an ambulance, let alone an anesthesiologist, there is no corresponding anesthetic drug.
Mi Zixuan picked up a bottle of iodine and poured it into Yang Li's abdomen, and said urgently: "Lidocaine infiltrates anesthesia, I brought the medicine in the first aid kit, there is no need to dilute the S injection with water, and the needle of the No. 5 S injection device is connected to the twenty ml S injection device, fast." ”
Gan Fei's brain was blank at this time, Xiao Chen was in a hurry to follow what Mi Zixuan said, the ambulance started out of the toll booth again, leaving Mi Zixuan's black Wrangler across the road, Mi Zixuan walked in a hurry, the car key was not pulled, and the car doors were open.
In the dim light of the ambulance, after Mi Zixuan quickly injected Yang Li with lidocaine, the scalpel immediately made an incision of almost four centimeters in Yang Li's right lower abdomen, which was a bit big, and in the operating room of the hospital, with Yang Li's emaciated figure, Mi Zixuan could cut off the appendix with a one-centimeter incision.
But now it is not in the operating room, but in the ambulance, in such an environment, the only thing Mi Zixuan has to think about is how to cut the appendix as soon as possible, instead of considering that making the smallest incision as possible will not affect the beauty of the patient's figure.
There is no electric knife in the ambulance to stop bleeding and cut the fat, Mi Zixuan directly used a scalpel to cut the fat, and there is no time to stop the bleeding, so he can only stuff a few dressings to compress and stop the bleeding, and bluntly tear open the external oblique muscle, and the blood gushes out, Mi Zixuan still doesn't have time to find the bleeding point to stop the bleeding, so he directly pulls up the peritoneum below with his hand, and cuts it with a pair of scissors, Yang Li has little time, and he doesn't have time to use a hemostat to clamp the omentum and pour it down twice, confirming that the hemostat is not clamping the tissues and organs in the abdominal cavity to cut the peritoneum.
According to the conventional practice of appendicitis, after opening the abdominal cavity, the assistant used a retractor to open the incision, completely leaking the surgical field, and the chief surgeon used two long forceps to carry a little inverted bowel tube along the colon, and finally found the appendix and removed it.
But now Mi Zixuan has that time? He didn't have Yang Li, so as soon as Mi Zixuan opened his peritoneum, he reached in directly and groped in the abdominal cavity with one hand.
The ambulance driver's voice sounded through the pager in the car: "Xiaomizi will be there in three minutes before we reach the city hospital, I have already contacted them, you must let the patient hold on." ”
Now that might be making Yang Li wait for three minutes? She couldn't even wait a minute, and her appendix had been adhered to the surrounding intestines at this time, forming a large cyst, which was even more troublesome.
But no matter what kind of method is too delayed, Mi Zixuan gritted his teeth and directly chose to use his fingers to swim away all the adhesions, he did so It was too risky, the appendix had been swollen and perforated because of inflammation, the appendix was congested and swollen so badly, the appendix wall was very fragile, and it was okay to use a hemostat to free the adhesion in a visual environment, but with his hands, if he was still invisible, an accident would break the appendix, resulting in greater perforation, and more toxic substances in the appendix would enter the abdominal cavity, aggravating peritonitis, Accelerate the process of Yang Li's death.
The risk is so great, other doctors definitely don't have the courage to do it, but Mi Zixuan gritted his teeth and continued.
Seeing Xiao Chen's fear, Mi Zixuan's movements were very fast, and in less than half a minute, he really swam away the adhesions around the appendix with his hands, and then gently lifted it up, through the dim light in the ambulance, Xiao Chen and Gan Fei could see the swollen appendix in Mi Zixuan's hand, which was almost black, and all they could smell in their snorts was a foul smell.
Mi Zixuan exhaled and said, "Prepare for appendectomy, give me hemostats, ligate the mesoappendium on the first line, and make a purse on the third line." ”
Xiao Chen is not a nurse in the operating room after all, and the speed of preparing these things is a little slow, Mi Zixuan had to help her, but fortunately, the appendix has been freed, and the next steps are done in a visual situation, which is much less difficult.
The ambulance stopped, the door was quickly opened, and a group of doctors and nurses in white coats appeared outside the car pushing a flat cart, at this time the sky was white, and then under the stunned expressions of these doctors and nurses in the emergency center of the city hospital, Mi Zixuan waited until the appendix and shouted: "Immediately send it to the operating room for abdominal irrigation, the patient's appendix has been cut off, and now it is suspected that heart failure has appeared, immediately let the cardiology department consult, quickly." ”
The ambulance driver looked at Mi Zixuan dumbfounded and stammered: "So soon, you are here, in the car, cut off the appendix and appendix?" ”
It's no wonder that the driver was shocked like this, from the time Mi Zixuan got into the car to the time he arrived at the city hospital, it took only five minutes to die, and in such a short time, Mi Zixuan actually cut off the patient's appendix, which ......