Chapter 39: Rescue

"Oh, you're back," the car had just stopped, when he saw a man running up.

"Liu Li? What are you doing here? There were no people in the car who didn't know her, especially Yang Zijiang, and their hearts immediately "thumped".

"Dean Lang,"

Looking at Liu Li's eagerness, she must have been waiting here for a while. I saw her running up, and before the car stopped, she was already pulling the car door in a hurry.

"Oh, why are you in such a hurry?" Lang Shikun muttered, "You're back?" Can I help you? ”

"Yes, Dean, quick, operating room!" Liu Li had an anxious look.

"Operating room? What's wrong? It seems that Liu Li is waiting for herself here, and Lang Shikun is even more strange, "Aren't you in the art troupe?" ”

"Really? Why did you get to the hospital? Fang Bojing was even more puzzled, when he left, because Liu Li was injured, he was resting in bed?

"What's wrong with you? Are there patients in the regiment? ”

"Commissar!" Seeing Fang Bojing, it was like seeing the backbone, I don't know if I had a support, or because I was afraid, Liu Li opened her mouth and cried.

"Don't cry, what's going on?" Seeing Liu Li, Yang Zijiang didn't dare to go forward at first, after all, the leaders were there, but now when he saw her crying, he was naturally more anxious than anyone else. After all, it was his most beloved person, and he couldn't help but want to go over and take her hand and comfort her.

"Liu Li, don't be afraid, the leaders are here!" Seeing Yang Zijiang's eager appearance, Zeng Fan hurriedly grabbed him and rushed to speak comforting words in front of him.

"Oh," Hearing that everyone was comforting themselves, especially seeing Yang Zijiang's anxious look, Liu Li quickly settled down her anxious emotions and spoke.

"Political commissar, we are looking for you in the hospital, the car driven by Liao Zhenchang. When he was halfway down, he didn't know what was going on, but his car drove faster and faster, and he ended up crossing the intersection. He may have been in a hurry to hit the brakes and turn back, but the bike almost flipped over due to the speed. Commander Zhang was thrown out of the car and fell on the road. The car staggered and crashed into a tree. Xiao Liao was also injured and was rescued in the emergency room, the key is that Commander Zhang was seriously injured and was in a coma! As he spoke, he began to cry again. It can be seen that she is really anxious!

"Huh?" Hearing that such a big accident had happened, several people looked at each other, "Liu Li, what's wrong with you?" ”

Everyone looked at Liu Li, although they had their own starting points, it could be seen that these people were very concerned about her.

"I wasn't injured, because sitting behind Liao Zhenchang was stunned when I was hit. But Commander Zhang was miserable, he was thrown out when the car was at high speed, and there were stones everywhere on the road, and he fell at that time, and he was unconscious. Liu Li sobbed and said,

"I gave him CPR as required by first aid. The heart is beating, but the person is still unconscious, and now he urgently needs surgery, so we called the big leader, knowing that you are coming out, waiting for you here, dean, you go and save him! And as he spoke, he began to cry again,

"Don't cry, don't cry?" Lang Shikun persuaded her, "Did he make a film?" ”

"Shoot!"

"Then go and get it to me, notify the head nurse, anesthesiologist, and go to the operating room to prepare for the operation,"

"I'm ready, I'm waiting for you in the operating room,"

"That's good, don't panic! Ready to sterilize," as they spoke, they had arrived in the operating room. "Surgical gown! Get it! ”

"Here," the head nurse ran over, only to see that the anesthesiologist was already standing in front of the operating bed, and it seemed that all the preparations here had been completed, and he was waiting for Lang Shikun.

Zhang Wenyuan was lying on the operating table, covered with snow-white sheets, his face was pale and there was no breath of life.

The patient is in serious condition and has started a blood transfusion and a ventilator has been installed. All the lights in the room were on, and the bright lights illuminated every grim face.

Lang Shikun's face was solemn, he had already changed into a surgical gown, and he had watched the film carefully, knowing that Zhang Wenyuan was seriously injured, because he was an expert in this area, so he already had a bottom in his heart about how to perform the operation.

The patient's muscles are relaxed, there is no voluntary movement, and there is no natural response to all external stimuli. The corneal reflex, pupillary reflex, cough reflex and swallowing reflex have all disappeared, and all kinds of superficial and deep reflexes and pathological reflexes are completely absent, and the situation is very critical.

The vital signs are extremely unstable, not to mention the urine and urine, it is already completely incontinent, so to speak, if it is not operated on immediately, it is a dead body.

CT films show that Zhang Wenyuan has multiple contusions and fractures, after all, the trauma is fine, the key is massive bleeding from internal organs, where the blood comes from, and those organs are damaged, no one knows. He has a large abdomen, indicating that there is already a large amount of blood and body fluid in the abdominal cavity.

"Let's start, you guys did a good job in the early stage, according to the film show, it is estimated that the spleen is ruptured, and if you can't do it, you will have to have a spleen removal operation,"

"It's the dean, we also estimated it this way, and we have done the anesthesia!"

"Okay, get ready for surgery!" Lang Shikun gave the order,

"Various posts ready to start, scalpel, hemostat!" He commanded in an orderly manner.

According to the orders of the chief surgeon, the assistant handed over the required instruments from time to time, and after a while, began to wipe his sweat. Because of the ancient paintings, Lang Shikun was in a bad mood, and he never rested, and he was tired enough to choke in the morning. I just got out of the car and entered the operating room, and my body was also very tired.

But the illness is an order, the operating room is the battlefield, what can he say?

The atmosphere in the operating room was solemn and tense, and the work of the surgeon was bold and meticulous.

Although, before the operation, as the chief surgeon, Lang Shikun had carefully studied the results of the CT scan. However, due to the difference in the angle and position of the scan, when the abdominal cavity is fully opened, there is still some discrepancy from the actual situation. Therefore, he had to perform surgery while observing the specific damage to various organs in the abdominal cavity.

He should focus on understanding the size of the spleen and the condition of the surrounding organs, the location and number of accessory spleens, the amount of ascites, whether there are lesions in the biliary tract and pancreas, etc., and also measure the pressure of the portal vein and ligate the splenic artery.

In addition, when dealing with splenectomy surgery, especially when dealing with the splenodiaphragmatic ligament, many nearby organs will be involved, so it is necessary to be cautious and cautious. If it is not done well, it is easy to damage the greater curvature of the stomach or tear the short blood vessels of the stomach, causing bleeding and unnecessary damage to the patient.

He is skilled in medicine and calm. The incision wound should not be too large, and when the spleen is lifted out of the incision, the head nurse should be instructed to immediately block a large gauze pad into the spleen fossa, which can not only stop bleeding, but also prevent the spleen from sliding back into the abdominal cavity. Then the connective tissue around the spleen pedicle should be cleaned up, and the splenic hilar artery and vein should be ligated and severed respectively.

If the spleen is large and the spleen pedicle is thicker, it is necessary to clamp the spleen pedicle with 3 large hemostats in parallel at the hilum of the spleen, cut off between the two forceps at the distal end, and ligate with thick silk thread at the proximal end of the remaining two hemostats, and then sew one between the two forceps, and pay special attention to avoid damaging the tail of the pancreas when dealing with the spleen pedicle.

The operating room is tense and orderly, and outside the operating room, everyone is waiting anxiously.

"Woo," a cry came from afar, "I'm going to take a look, so let me see it!" ”

Someone was praying hoarsely......