Chapter 0046 - Dangerous Surgery
"Director Tian's phone!" The name on the phone is displayed.
After answering the phone, Song Zimo shrugged: "They couldn't stand it, there were more than ten fights and brawls, more than ten injuries, the light ones were accepted by the orthopedic department on duty, and the two heavy ones went through the process of the trauma emergency center and immediately rescued the operation." ”
"Didn't you just say resist? It's too fast, Director Tian can't do it, he has to replenish his kidneys. Zhang Lin said.
The hot pot can't be eaten, everyone looks at each other, the chopsticks in Zhang Lin's hand slammed a handful of mutton into the pot, the seasoning was not touched, he blew a few breaths, stuffed it into his mouth, and exhaled the mouth of the soup.
"Let's go!" Yang Ping said that first aid time is the most precious.
Xiao Wu instructed the waiter: "Stay, stay, wait for us to come back." ”
Song Zimo swept WeChat to pay the bill, and if he didn't eat, he opened the stage, so he left, and people thought that he was a bully meal.
Zhang Lin didn't put the chopsticks until Xiao Wu pulled him, and he was stuffing mutton into his mouth.
The fire of the hot pot was not turned off, and it didn't matter whether people wanted to leave the table or not, a few people said hello, left in a hurry, rushed to the hospital, and arrived at the emergency department in a few minutes.
There were a lot of policemen in the hall of the emergency department, and Yang Ping and several people swiped their cards into the emergency room.
The rescue room is closed, and you have to swipe your card to enter, and there are several police officers in the emergency room.
Doctors and nurses are so busy that their feet don't touch the ground, and they are skilled in rescuing. Director Tian Fang Yan was still in the emergency room, and when he saw the arrival of reinforcements and friendly troops, he immediately greeted him and said: "There are two of them that are relatively heavy, one of them has been slashed dozens of times, the blood vessels and nerves of the limbs are broken, and the one in the back is the heaviest, and it has entered the spinal canal, and it is estimated that the spinal cord is damaged." There was also a left groin that was stuck with a wine bottle, the femoral artery was broken, the glass remained, and he was in shock. I have done an electrocardiogram and drawn blood, but the results are not yet out. I'm going to send it to the operating room immediately, I'll take Fang Yan to do a few spine work, and you guys have a femoral artery rupture, how about it? ”
Director Tian is not in a hurry and has the demeanor of a general.
This arrangement is more reasonable, the spine can only be done by the deputy chief physician, Yang Ping currently has no surgical authority, besides, he has not been involved in the spine now, and he will not do it. Unlike injuries to the limbs, they have been systematically trained.
"No problem, that's it." Yang Ping was simply decisive, and it was boring to pull and pull at this time.
Yang Ping wanted to see the patient, but as soon as he talked, the patient was pushed away. This speed was fast enough, and several people immediately rushed to the operating room.
Song Zimo opened the cabinet in the locker room, took out a bag, and threw it to Xiao Wu: "Open it and distribute it to everyone." ”
When Xiao Wu looked at it, it was full of chocolate.
"German sports chocolate, high calorie, essential for emergency surgery." Song Zimo said.
"Thank you, Song Gongzi!" The little five gave a few pieces of chocolate to each person.
Yang Ping quickly finished eating the chocolate and changed his clothes.
As soon as I entered the door of the operating room, the itinerant nurse came over and said: "I just called from the laboratory department, this patient is positive for HIV preliminary screening, and the paper report will be delivered immediately. ”
If the initial HIV screening is positive, it is suspected of AIDS, and this operation is a bit stressful.
Xiao Wu used the computer in the operating room to call up the patient's test report, and yes, the HIV initial screening was positive.
"Dingdong, Task: Complete a high-risk operation, successfully complete the operation, no occupational exposure, and reward 6,000 points."
This is really a high-risk operation, generally this kind of patient surgery is done by the Seventh Hospital of the City, but the Seventh Hospital of the City is an infectious disease hospital, and its infectious disease department is strong, and other departments, especially surgery, are very weak. This kind of emergency or some major surgery cannot be done by infectious disease hospitals, and can only be done by general hospitals.
The anesthesiologist wore an eye mask and two layers of gloves early, and the visor was anti-foggy, but there was still moisture on it. I can't see it clearly.
Fortunately, the anesthesiologist had enough experience, and in the fuzzy, the tracheal intubation was successfully anesthetic.
The roving nurse prepared a disposable sterile sheet, and Su Yixuan had already rushed over.
Yang Ping called her aside and said, "You don't have to go on stage for this operation, there are four of us, it's enough." ”
Su Yixuan asked puzzledly, "What's wrong, I'm fine." ”
Yang Ping was a little in a trance and said, "There are a lot of us, a few are enough, Xiao Wu Zhang Lin wants to try to hand over the equipment." ”
"The spacesuit is ready!" The itinerant nurse shouted.
A space suit is a special surgical gown with a hood that seals the whole person inside to prevent blood splashing during surgery.
Su Yixuan saw that they were going to wear space suits, and immediately understood why Yang Ping didn't let her go, and her heart was moved.
Said stubbornly: "I am the most skilled in cooperation with you, which can reduce the risk of accidental injury during the operation, especially the delivery of those sharp weapons, they don't understand at all, don't look at them usually do surgery with you, very tacit, these instruments, they are not familiar with me, I have been trained in Modu, Hong Kong, RB, these high-risk infection surgeries, I have been trained, believe me, no problem." ”
Yang Ping looked at her, why was the little girl disobedient.
Actually, it's nothing, it's just that he doesn't want her to take risks, the man has nothing to hide about himself, and his feeling for Su Yixuan is that he already likes her.
"Well, be careful yourself, you know? Slow down, double gloves. Yang Ping told with concern.
Su Yixuan nodded, and there was a warm current in her heart.
"The two of us are enough, and it's easy to get injured by mistake when there are many people! You two don't wash your hands. Song Zimo had already put on gloves and started to disinfect, talking to Xiao Wu Zhang Lin.
The rescue surgery for AIDS patients must be protected in place, not discrimination, nor dislike, but science, scientific protection can ensure their own safety, and only by ensuring their own safety can they better save people.
Yang Ping washed his hands and began to wear a surgical gown, which was well protected by a space suit, but the operation was extremely inconvenient.
Especially the field of vision, through the protective shield, it is not clear to see things, and it is even more inconvenient if the doctor who wears glasses, but fortunately, Yang Ping does not wear glasses.
"When you open it, it will spurt blood, what are you going to do?" Song Zimo asked.
Yang Ping put on his gloves: "What do you say?" ”
"Open the abdomen, find the external iliac artery, block the blood vessels, and then do the following?" Song Zimo said.
Yang Ping gave a thumbs up, he was indeed a genius, if it weren't for himself, he would be a star.
The method Song Zimo said is the safest way to not only reduce bleeding, but also to calmly find blood vessels.
"Senior brother, should we go up?" Zhang Lin Xiaowu was eager to try, but worried.
To be honest, I'm a little worried, but as a doctor, I can't help it, it's my own job. Just like when a police officer encounters a gangster, others can escape, but the police can't. It's not how noble it is, it's the bottom line of the profession.
"Your brothers are so active, you come, let's continue to eat hot pot." Song Zimo was angry, how many times did he say that he didn't need to go up, and asked.
Lay out the sheet, simple preoperative check, no delay at all.
Yang Ping made an incision in the lower abdomen, because when the system was tested, he had done hundreds of surgeries to find the external iliac artery, and he was already very proficient in the anatomy of the pelvic vascular nerves.
Soon, from the incision to the finding, in less than two minutes, the external iliac artery was found and clamped by the blood vessels, which was deliberately slowed down.
"Why are you so skilled?" Song Zimo asked while pulling the hook.
He dissected more than a dozen corpses while he was a student before gaining proficiency in dissection. Yang Ping could not have had this opportunity to dissect so many corpses. But looking at this level of proficiency, I feel like I am doing surgery on the external iliac artery every day.
"Loosen the bundle underneath and disinfect again." Yang Ping ignored him, gave a decisive and resolute order, and the aura of the main knife was big enough.
Loosen the cloth towel underneath, it is unknown who stuffed the towel into his wound at the time, and then the cloth strip was tied up.
This person should be experienced, if it weren't for such a local method to stop the bleeding, this patient would have been unable to do it a long time ago.
After loosening, there is no bleeding, and the wound is disinfected again.
"Don't touch it, there's a lot of glass in there, be careful." Yang Ping reminded Song Zimo.
The glass of the wound is the most dangerous, and you can usually use your hand to reach into the surgical area to operate, but at this time, it is absolutely unacceptable, the sharp glass can easily puncture the gloves, puncture the skin, and infect HIV.
"Vascular clamp!" Yang Ping held the vascular forceps.
"Well, take out the big pieces, and the broken glass won't be a big deal." Song Zimo carefully pulled the hook.
When Su Yixuan handed over the vascular forceps, she gently reminded: "Slow down, don't worry." ”
Song Zimo looked at Yang Ping and then at Su Yixuan, there was a situation.
The vascular forceps are stretched out and pulled out.
A piece of glass, at least three centimeters long, is gently placed in a curved disc.