Chapter 402: I want Liu Yuan's judgment
After a while, someone hurriedly prepared a syringe for Zhou Heng, Huang Desheng had already cut the clothes of the wounded, spread a hole towel after disinfection, raised his hand and pressed it along his ribs, his brows were even tighter.
"Master, this person's left rib is broken six, some bone fricatives are obvious, two of them can be felt to be completely shattered, looking at this appearance, it has pierced the lungs."
Zhou Heng nodded, if you want to treat this person at this moment, you must stop the bleeding as soon as possible, the newly developed hemostatic drug of the Beishan Research Institute can be used, but chest surgery must be performed to suture the damaged lungs, and the head cannot be craniotomy for the time being, and can only be controlled by medication.
After all, the conditions here do not allow, there is no kind of monitoring equipment, if you rashly carry out a craniotomy, there is no difference between blind cutting, the good result is a vegetative person or stupid, and the bad result may not even be able to get off the operating table.
This kind of result is not something you can do with hard work, so you have to wait for your family to come over before you can decide on a rescue plan, and the boy in red is still so arrogant.
Zhou Heng took a deep breath, "Now try my best to maintain vital signs, open the circuit to maintain pressurized infusion to ensure body fluids, I will find the location of the hemopneumothorax, and try my best to ensure that his breathing is smooth." ”
With Zhou Heng's words, many people followed suit, Xiao Liuzi had already begun to look for blood vessels, and Huang Desheng followed the direction of the ribs and began to look for fracture points.
Zhou Heng stared at the patient's chest, saw the location of the bleeding seventh rib, and squinted slightly, although there was bleeding here, it was also thanks to such an external opening, otherwise all the bleeding would flow into the lungs, then this person would not be able to hold out to the hospital, and I am afraid that he would hang up on the road.
Seeing that Huang Desheng wanted to stop the bleeding, Zhou Heng hurriedly reached out and grabbed him.
"You can't stop the bleeding locally, if it's more dangerous to stop the bleeding now, stop the bleeding medicinally, wait for the family to come, you go and prepare the operation notice, and the next critical illness notice."
Hearing Zhou Heng say this, Li Xiaoxian, who was dressed in red, quit, shook off the doctor who treated the wound on his hand, stood up and ran to Zhou Heng's side, and grabbed Zhou Heng's arm.
"It's not going to work, you have to be treated now."
Zhou Heng raised his eyes to look at him.
"The patient is in critical condition at the moment, we have two directions for treatment, this needs the family to make an idea, after all, the consequences of the two choices are completely different, we need the authorization of the family, you are not a family member can not make the decision, please be patient."
Li Xiaoxian gagged, wanting to continue arguing, but suddenly found that he really had no position, pursed his lips and glanced at the door, as if he was discerning whether the injured person's family was coming, and then turned to look at Zhou Heng.
Without waiting for him to speak, Zhou Heng asked first:
"Don't worry, tell me where you came back from, how he got hurt, how long he walked from the time he was injured to us, the more carefully you think about it, the better."
Li Xiaoxian paused, and then looked at the other little boy they were together.
"This is not the beginning of spring, we went to the western suburbs horse farm to hunt game, I don't know what came out, hurt Xu Jinhuan's hunting dogs, and in an instant these hunting dogs were messed up, crazy as if they were running around.
Xu Jinhuan's horse was also injured by mistake at these two times, the horse was frightened, and ran crazy with the dogs, I followed him closely, and found that something was wrong and quickly chased after him, and then my horse tripped when it rushed down the mountain, I fell off the horse directly, and they were not much better behind.
However, Xu Jinhuan was taken by the horse and ran out further, and the whole person was thrown out and fell on a stone, and I don't know if he was bitten by something, or what, we quickly stopped a car and sent him back to the Spring Hall, walking for a total of half an hour. ”
Zhou Heng nodded, frightened and injured, how did these sound so familiar, and looked sideways at Li Xiaoxian.
"The horse is dead?"
"Dead."
"What about dogs?"
Li Xiaoxian was very anxious, but looking at Zhou Heng's serious appearance, it seemed that these were also very important, and he suddenly lost his charter, and hurriedly said:
"I patronized and rescued people, and I didn't pay attention to the dogs, but I left the little house, and if there is anyone alive, they will take care of it."
Zhou Heng nodded, at this time, the door of the emergency department was opened, and a group of people rushed in instantly, one of them was also carried in on the Taishi chair, looking at the shape of his legs, Zhou Heng quickly avoided his gaze and looked at this person's face.
Among the people who came, the old man in this chair seemed to be the oldest, looking like he was sixty or seventy years old, the ancients could live to this age is definitely a long life, and his face looks somewhat similar to the injured, needless to say that this is the grandson of the injured person.
Sure enough, the old man kept tapping the armrest of the Taishi chair and shouted emotionally.
"Carry me over quickly, how is the doctor, how is my grandson?"
Zhou Heng stopped them from rushing up, after all, the rescue indoor space was relatively small, if these people all went in, they would no longer be able to come inside.
"Who are you injured, we need to discuss the treatment plan."
The old man was a little excited, his white beard was constantly trembling, and after listening to Zhou Heng's words, his eyes widened and he shouted:
"I'm his grandfather, why don't you save people, you still have to discuss, what is there to discuss, can you afford to delay your illness? My grandson is the only male in our Xu family's generation, what do you mean? ”
Zhou Heng raised his hand, you can't reason with the patient's family at such a time, but you have to express your meaning as soon as possible.
"I will now talk about the patient's condition, the patient is a head trauma, chest trauma, intracranial hemorrhage, about seven broken ribs, punctured the lungs, causing pulmonary hemopneumothorax dyspnea, we have given the patient fluid support, and carried out chest negative pressure treatment, the lung condition has been relieved.
We now have two options, the first conservative treatment is to open the chest to deal with the fracture site, remove the broken bones, and repair the ruptured lungs, but the head trauma is observed first to see the prognosis effect.
The second option is to perform a craniotomy at the same time as the thoracotomy to find the bleeding site and take the blood clot for visual hemostasis, but this operation is extremely dangerous and may not survive to the end of the operation.
Of course, if you don't choose a craniotomy, the patient may never wake up, and the large area of intracranial hemorrhage compresses the brain tissue and nerves, and the person will seem to be asleep forever, without talking, laughing, or waking up. ”
The white-bearded old man's body trembled very much, and someone next to him wanted to persuade him, so he stretched out his hand to pull the person away and stared at Zhou Heng.
"You say, the brain is bleeding and you want to open the brain?"
Zhou Heng bowed slightly, "Yes, you see that the patient's impact site is on the forehead, although it looks like a dot on the outside, but the inside of the brain is like a piece of tofu, and if it is shaken slightly, an impact injury will also form on the opposite side, and sometimes this impact injury is more serious than the damage caused by the impact."
The part of his impact is at the edge of the hairline on his forehead, and the corresponding part of the brain here manages the person's motor area and the writing area, and if this part is compressed for a long time, the damage to the person is irreversible, even if he wakes up one day, he may have become a child in his mind, unable to walk, unable to write and speak. ”
The old man was stunned, staring at Zhou Heng with round eyes, his fingers trembling violently, and he waved his hand to his side.
"This is a quack doctor, go to the Tai Hospital to find the imperial doctor, I want to find the imperial doctor to see my grandson, go and take my post."
A middle-aged man wiped a handful of tears and quickly knelt down in front of the old man.
"Dad, Your Majesty decreed as early as last year, eighty percent of the imperial doctors are studying in the Rejuvenation Hall, and this Zhou Yuan judge is in charge of the Tai Hospital, you go to find someone, and you are just his disciples, let's believe the doctor's words, as long as there is a glimmer of hope, I don't want my son to die!"
When the man said that he was emotional, he directly threw himself on his knees, and when he knelt like this, the surrounding group of people all knelt on the ground.
Old man Xu was angry and slapped the handrail hard.
"Hurry up and find someone, go to the judgment of Liu Yuan, don't think about me, he also came to show me his leg before, go quickly!"