At this time, Zhu Zemin, Bao Wenjie, Ye Weiwei, and Bei Siyi's expressions were just like when Mi Zixuan had just arrived at the emergency department of the county hospital and had a beautiful thoracostomy after surgery, Che Zhiping, Xiang Qixuan and others looked at his expressions, all with a look of horror, who would have thought that an intern could have such superb surgical skills?

Anyone who hears what Mi Zixuan did may have the first reaction is to feel that this is a fantasy, but when such a thing appears alive in front of everyone's eyes, in addition to horror and shock, what else can everyone feel?

Qi Weiwei's self-esteem was trampled on by Mi Zixuan's words, and she said unbelievably: "You can't be an intern!" As soon as the words came out, Qi Weiwei regretted it, the kid in front of her was younger than herself, what could she be if she wasn't an intern? Could it be the official doctor of the hospital? How is this possible.

Mi Zixuan looked at the group of stunned and stunned people and said irritably: "Is it really important whether I am an intern or not?" Now it's important to save people, can you stop talking nonsense? ”

Zhu Zemin coughed awkwardly and said, "Yes, it's important to save people." ”

Everyone glanced at Mi Zixuan again like a ghost, and they were busy with their own work.

Bei Siyi suddenly shouted at this time: "Hey, sir, wake up, wake up." ”

Mi Zixuan looked sideways and found that the patient with perforated hollow organs he had just dealt with was unconscious, his face was terrifyingly white, and his face seemed to be smeared with a thick layer of white powder.

He ran over in a few steps and squatted down to touch the patient's abdomen, his face immediately became heavy, and he said urgently: "The patient is in hemorrhagic shock and suspects a ruptured spleen." ”

Bei Siyi's face immediately became ugly when she heard this, she knew very well that patients with a ruptured spleen would have massive abdominal bleeding, and if the bleeding was not stopped by surgery as soon as possible, in addition to transfusing a large amount of plasma, the patient would die of excessive blood loss in a short period of time.

Now the only way to save him is to immediately send him to the hospital for surgery, but now at the scene of the car accident, Bei Siyi raised her head and looked in the direction of the ambulance, but she couldn't see the shadow of the ambulance at all, and all she could see was a long queue of vehicles.

It takes at least half an hour to carry the patient to the ambulance and rush to the hospital.

Bei Siyi immediately shouted at Zhu Zemin: "Director, come here, there is a patient with a ruptured spleen." ”

Zhu Zemin's heart chuckled as soon as he heard this, and he also knew that in such an environment, the patient had a ruptured spleen, and the chance of survival was very small.

Zhu Zemin ran over in a few steps, showed the patient and said urgently: "Hurry up and send it to the hospital." "Zhu Zemin can only do his best now and resign himself to fate, after all, doctors are not omnipotent gods, and many times they can't do anything.

The two interns ran over carrying the stretcher sweaty, and when they heard Zhu Zemin's words, they were about to carry the patient onto the stretcher, but Mi Zixuan stretched out his hand to stop them and said, "It's too late to send him to the hospital now, and he must be operated on immediately." ”

As soon as these words came out, it was like a thunderclap on the ground, which shook Zhu Zemin, Bei Siyi, Qi Weiwei and others' brains blank, and their ears buzzed, and the first to react was Qi Weiwei, who glared at Mi Zixuan angrily and said, "What are you kidding about conducting a laparotomy in such an environment?" Let's not say that there are no corresponding medical devices and equipment and drugs here, let's talk about the problem of plasma, we don't have plasma, what can we use to replenish blood volume for him? ”

Qi Weiwei is right, patients with ruptured spleen need to transfuse a large amount of plasma during the operation, only enough plasma can maintain his blood volume, to ensure that his vital signs are as stable as possible, if there is no plasma supplement, once the abdomen is opened, it will not be long before the patient will die due to excessive blood loss.

If you don't open your abdomen, there is still a certain amount of pressure in your abdominal cavity that can delay bleeding, but if you open your abdomen, the abdominal pressure will disappear, and blood will gush out.

Now that the patient is in danger, does Mi Zixuan have time to explain to Qi Weiwei? Directly: "I will solve the problem of plasma." ”

Qi Weiwei raised her head and glared at Mi Zixuan and said, "How can you solve it if you tell me?" And you're not saving people, you're killing people, you're saying, you're an intern, what qualifications do you have to operate on patients? ”

Mi Zixuan rudely pushed away Qi Weiwei and squatted down, and after tearing off the patient's clothes, he said: "Let him lie down, a few people will press him, there is no corresponding anesthetic, I can only use lidocaine for anesthesia, the patient may wake up because of pain during the operation, and then struggle, be sure to hold him." ”

Zhu Zemin frowned and said, "Young man, aren't you messing around?" He should now be taken to the hospital for emergency treatment. ”

Mi Zixuan raised his head violently and glared at Zhu Zemin and said, "You know very well that if you can't get to the hospital in his condition, you will have to die, and the only way to save him now is to perform surgery here immediately." ”

Zhu Zemin hurriedly said: "But how do you operate here?" How to solve the problem of plasma? ”

Mi Zixuan gritted his teeth and said, "Don't you know about autologous blood recovery?" ”

Autologous blood recovery Zhu Zemin of course knows, but this requires an autologous blood recovery machine, and there is no such equipment at the scene, how to carry out blood recycling? Is it possible for you to have such a major surgery at such a young age? Or is it in such an environment?

Mi Zixuan saw that everyone was not moving, and immediately shouted: "You are also doctors, are you just watching him die in front of you like this?" Are you worthy of the white coat you're wearing? ”

Zhu Zemin sighed and said: "Young man, I know that you are eager to save people, but there is really no way to save him here, so let's send him to the hospital, so that he still has a glimmer of hope." ”

Mi Zixuan glared at Zhu Zemin angrily and said, "I just said that he can't survive the hospital." Speaking of this, Mi Zixuan picked up the first-aid kit placed next to him, and rudely poured all the things inside outside, he quickly opened the incision bag and took out a scalpel and put it in his mouth.

Seeing that he was about to use the knife, Qi Weiwei grabbed his wrist and said, "You can't do this?" ”

Mi Zixuan shook his hand violently, how strong was he? Qi Weiwei, a weak woman, was directly thrown by him and staggered back a few steps, and then sat on the ground, and the hot pain on her buttocks almost made Ye Weiwei cry.

Seeing Mi Zixuan treating the goddess in their hearts so roughly, Qiu Gang, Xing Bin and others immediately glared at Mi Zixuan, if Zhu Zemin hadn't stopped them, this group of guys with strong blood would have to do it.

It was at this moment that Mi Zixuan actually cut the skin of the patient's abdomen with a knife, and Bei Siyi immediately let out an exclamation.

Mi Zixuan didn't look at her and quickly cut through the fat layer, and at the same time said in his mouth: "Prepare gauze, and cut a bottle of salt water of 500 milliliters from the bottom, pour out the salt water, quickly." ”

At this time, Mi Zixuan's momentum was amazing, and Bei Siyi subconsciously began to do what he said.

And Zhu Zemin's cold sweat came down, not to mention Mi Zixuan's identity, let's just say that operating on patients in such an environment is not saving people at all, but killing people, he took a few steps forward and said urgently: "Stop, stop." ”

Mi Zixuan raised his head, looked directly at Zhu Zemin and said, "This is the only way to save him, you don't want to watch him die like this, right?" It's fate. ”

Mi Zixuan's eyes had the persistence of saving people, and the doctor's insistence in the face of patients, such eyes made Zhu Zemin dare not look directly at him, and the director of the emergency center of the first affiliated hospital of Beijing Medical University actually lowered his head at this time.

And Mi Zixuan also tore open his abdominal muscles, and directly cut the peritoneum with a knife, and the bright red blood immediately gushed out, and a red stream appeared on the ground in an instant, at this time, there was no magic field at all, some were just boundless blood red.

Seeing this scene, many female interns were so frightened that their faces turned white, and Zhu Zemin, Ye Weiwei, Bei Siyi and others also changed their faces drastically, but at this moment, Mi Zixuan put a hand into his abdominal cavity, and he groped for a while before shouting: "I pinched my spleen, immediately bring the dressing and the cut infusion bottle, quickly." ”

The first thing a patient with a ruptured spleen should do when opening the abdomen is to find the splenic pedicle, because there are two large arteries and veins in this tissue, and only by finding the splenic pedicle can the blood continue to be lost.

This is simple, but it is very difficult to do, such an operation is not at all a resident can do, and even many attending doctors can not do such an operation, for no other reason, first of all, the patient's spleen is ruptured, the abdominal cavity is full of blood, even if several suction devices keep sucking, the abdominal cavity is still full of blood, unless the patient's blood is all clean, it is possible to suck out the blood in the abdominal cavity, see the situation in the abdominal cavity, but then the patient has already died.

It is too late to suck blood, and the surgeon needs to find the spleen pedicle and perform ligation to stop the bleeding without vision, relying on his own experience and skills.

The anatomy of someone and human is different, and the structure of each person's human organs is different, which is fundamentally different from that in books.

This is a test of a doctor's skills and experience, and only a doctor with considerable experience can find the spleen in such a short time like Mi Zixuan.

But he was too young, and he also said that he was an intern in a county hospital, and now he said that he had found a spleen, not to mention Qi Weiwei, these interns, even Zhu Zemin didn't believe it, how could it be so fast?

One by one, they looked at Mi Zixuan with a ghostly expression on their faces, stunned on the spot, feeling that everything today was like a dream.

Bei Siyi suddenly said urgently: "The patient's blood pressure drops, 60, 40." ”

Mi Zixuan hurriedly said: "Then why don't you hurry up and bring the dressing and the cut infusion bottle?" What are you waiting for? ”