"Xia Fei, get up and go to surgery." Jing Xin pushed the door from outside the lounge door, "There is an emergency spleen rupture, hurry up." ”

"Okay." I got out of bed weakly.

I have always felt that the aura of people and the aura of this world are figured out, once you are weak, any cowardice and bad luck will find you. Just like the night shift, every night shift that is ready for a big night is usually a dull night's sleep, and every night shift that wants to be lazy and prays for nothing will work all night.

I pursed my lips and struggled to walk in the direction of the operating room.

While wearing a mask, I asked Jing Xin, "What's the situation?" ”

"I don't know, it's just that the doorman aunt said that there is a particularly urgent spleen rupture that is about to come up, I am afraid that the patient will go into hemorrhagic shock, so I asked you to come here and wait."

"Not here yet?"

Jing Xin shook his head.

My patience is usually only three seconds, and as long as the patient doesn't show up, I want to be irritable, and just as I am about to be irritable, the doorbell rings just right.

Opening the door, Lin Jia quickly pushed the patient in, "The spleen ruptured caused by the car accident, and there was a lot of bleeding, did you tell the anesthesia, ready to recover the machine?" ”

"It's all set." Jing Xin shouted at the sound of Lin Jia leaving.

There are usually two aisles in the operating room, the patient aisle is responsible for taking the patient directly to the operating room, and the medical staff needs to go in through the medical aisle to change clothes and walk through the buffer room to the operating room.

Lin Jia pushed the patient into the door and turned around and hurriedly went to change clothes, without explaining the condition to the two of us, proving that the patient's condition was relatively stable for the time being, but we still didn't dare to slack off, and the anesthesiology teacher had already gone to the conversation room to have a pre-anesthesia conversation with the patient's family to sign.

Jing Xin and I quickly pushed the patient into the operating room.

The patient's face was already pale, and his skin was a little cold, "What's your name?" "I tapped the patient on the shoulder.

I screamed several times before I slowly opened my eyes, and then closed my eyes again, "Hey, I can't sleep, what's your name." ”

It is at this time that the fluid is prepared, the fluid is hung, the gas is exhausted, and the venous access is re-established, which is a life-saving route for trauma patients, and only infusion can usually buy the patient valuable time in addition to surgery.

When the patient came with a set of fluids, all the two of us had to quickly put on another set and prepare for a blood transfusion.

"Xia Fei, come on." Jing Xin's face was embarrassed: "I have lost too much blood, and the whole thing has been deflated, and I can't touch anything." ”

"You go get a tourniquet again, don't just count on me alone, you look on the other arm, it's okay don't worry, I really can't find it, we'll wait to cross the central vein."

Jingxin nodded, quickly took out a tourniquet from the treatment cart again, and began to look for blood vessels with me.

At the patient's wrist joint, I felt a little elastic vein, exhausted, tried to change the angle of the indwelling needle, adjusted the angle of the indwelling needle upwards after inserting the needle, and sure enough, I didn't put the steel needle in it anymore, but chose to withdraw the steel needle a little first and then enter the tronosaurus, and it was successful.

"Whew, tie it."

"I'll go," Jing Xin loosened her tourniquet, "you're too good, aren't you?" ”

"During my internship, I rotated in the emergency department for a long time, and there was always such an emergency department at night, so I practiced it."

Now that the intravenous access has been established, I immediately contacted the blood transfusion department to prepare blood for blood collection after consulting with the anesthesiologist.

At this time, Lin Jia approached from outside the operating room, glanced at me, nodded slightly, and did not joke as usual, first, the patient's condition was more urgent, and secondly, the two of us really didn't have the energy to joke anymore.

"Are you ready? Okay, I'll wash my hands. ”

"Wash your hands," the anesthesia teacher said to Lin Jia without raising his head while holding the patient's chin.

Soon, the operation began with everyone's non-stop movements.

"The abdominal cavity has been opened, is the blood recovery machine ready?"

"Alright."

Then I heard the sound of sucking blood from the suction device line, "Ho, it's a lot of bleeding." The anesthesia teacher said, looking at the blood in the vampire ball.

"Pay attention to your blood pressure," Lin Jia reminded.

"90/60." Lin Jia nodded, and continued the work at hand without stopping.

"Jingxin gave me a wet gauze pad, it's too deep, I'm going to pad it."

"Okay." Jing Xin quickly wet a gauze pad, and then quickly handed it to Lin Jia.

"Give me a bigger one."

"Prepare for the ligation of line seven."

Everyone fully cooperated under Lin Jia's command.

Soon, the patient's spleen was cut off, and the severed spleen was intact, but the traces of the crushing of the spleen were clearly visible.

"Prepare to stop the bleeding, and when the hemostasis is over, you can close the abdomen. Is the blood pressure stable? ”

"Blood pressure is good."

"How much blood was transfused?"

"Two units of red blood cells, two bags of plasma, and washed out autologous blood."

"Okay, okay."

"Jingxin will give me another gauze pad, I need to press for a while."

The abdominal cavity enters a gauze pad again.

It didn't take long for Lin Jia to pull out all the gauze pads in the abdominal cavity, and then said to us, "Count, prepare to close the abdomen." ”

"Small gauze, 1,2,3,4......."

Soon the first inventory was completed.

"You can close your stomach and finish the inventory, you can have enough things."

"Jingxin will give me another small round needle No. 4 wire, I need to sew it."

"Okay."

Jing Xin handed the needle and thread to Lin Jia's hand, and when Lin Jia used it up and returned it to Jing Xin, Jing Xin shouted, "Lin Jia, you didn't give me the needle." ”

"No way, I just clamped the needle on this." Lin Jia turned his head and said to Jingxin.

Assistant Li Nan also said: "I also saw the teacher clamping the needle. ”

"It's over, the needle is lost, let's find it quickly." I felt a sudden burst in my heart from the audience.

This small round needle is made of a radius of one-half length and a thickness of 8*14, which means that the length of this needle is only about one centimeter long. It's all blind to think of this.

"Lin Jia, what did you do just now?"

"I'm running out of needle grippers."

"Are you sure?"

"Sure."

"Stop first, find the needle first." I patted my head with a splitting headache, looking for a needle at night, I almost wanted to scold, but because of Lin Jia, I couldn't help it.

"Find the operating table first."

Jing Xin began to carefully transfer things on the instrument tray to the instrument cart, and then began to shake the laparotomy sheet, there was no one on the list, and there was no one on the instrument tray.

"Xia Fei, no."

"You look for the equipment cart now, everyone is standing still and not allowed to move, I will start looking for the audience now."

I looked at the soles of everyone's shoes first to make sure that none of them got stitches on the soles during the movement.

I opened all the waits, and in an instant the operating room was even a little dazzling, and our operating room was not equipped with magnets, so it was all up to the naked eye to find it.

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