Yang Ping didn't care about anything other than saving people, it was the leaders' business, and he just buried his head in surgery.

Saving one is one, there is no other better way.

Knowing the anatomy of the human body almost with his eyes closed, Yang Ping's speed is very fast.

The image of the boy's CT scan is immediately converted into information in the brain that directly guides the surgery.

Where to hurt, where to bleed, how fast to bleed, where to threaten life, where to give the highest priority, naturally forms a clear order.

Open your chest, without hesitation.

It's as skillful and easy as slicing the skin.

The bleeding in the mediastinum is stopped, the cardiac tamponade is relieved, and the damaged lung is repaired and repaired, and the non-repairable is decisively removed.

Everything is for the purpose of saving lives, and anything else that is superfluous is discarded, and every operation is straightforward.

The ribs are fixed with fixation clips of memory alloy to restore a normal thoracic cage.

Immediately after that, open the pelvis, which will require great risk.

If you are someone else, you will never dare to open the pelvis at this time, you must first consider interventional embolization to stop bleeding, then fix the pelvis with an external fixator, and wait for the blood pressure to stabilize before considering whether to open the pelvis.

At this time, the pelvis is opened, the closed volume space is opened, the pressure in the retroperitoneal space is instantly reduced, the blood is immediately driven by the pressure difference to spray stronger, and the wounded will die immediately due to the instantaneous increase in bleeding.

But at this time, if the bleeding is not stopped immediately, the blood pressure cannot be stabilized at all, and the wounded have no hope of survival, this is the only bridge to victory, there is no other way.

No matter how risky it is, opening the pelvis and trying conservative measures such as interventional embolization will only waste time.

The sound of the suction device rattled, the blood tide had not receded, and the tip of the vascular clamp on Yang Ping's hand had already reached into the blood, reaching the bleeding point.

Clamping, ligation, all in one go, all actions are done in the blood.

The blood tide receded, and when a clear surgical field appeared, Yang Ping had already completed the hemostasis of several of the most important blood vessels.

Song Zimo looked dazed, what the hell is this technique, there is blood everywhere, and before he can see it clearly, he successfully ligates blood vessels in the blood.

The ligation of blood vessels completed by Yang Ping's blind operation is actually accurate in each ligation position.

Can his eyes see through?

Otherwise, how could there be such a strong blind exercise ability?

The several blood vessels ligated in the blood are all the most lethal bleeding, and some of these broken blood vessels have been retracted, which is a clear surgical field, and it is not easy to operate under direct vision.

"The CT scan can see the distribution of the blood accumulation, infer which blood vessels are damaged, be proficient in anatomy to a certain extent, and then find the bleeding point with the eyes closed, after all, there is very little variation."

Yang Ping explained while operating, lest Song Zimo look like magic.

It's a reasonable explanation, it's like typing, you are so proficient that you don't need to look at the keyboard, you don't need to think about which word you want to type, and your hand will naturally press which keys.

When Song Zimo was hesitating, Yang Ping ligated a few more blood vessels.

With the cessation of perisacral venous plexus hemorrhage, pelvic hemorrhage was completely controlled, and various organs were explored.

After repairing the injured organcera, reduction and internal fixation of the pelvic acetabular fracture are initiated.

The reconstructed steel plate was nailed to the pelvis, and the separated pubic symphysis was also fixed by the steel plate, and the crushed and deformed pelvis actually returned to normal.

"Blood pressure is up, 8548mmHg." Liang Fatzi regularly reported his vital signs.

Eventually, the blood pressure began to rise slowly, indicating that a reversal was beginning to appear.

Life hovers at the critical line for a long time, then begins to revive and then gradually moves away from the critical line.

Bilateral femoral shaft fractures, closed reduction, interlocking intramedullary nail fixation, reduction, opening, placement of guidewire, medulla dilation, insertion of nails, placement of locking nails, the steps are coherent, and all in one go.

The full-body trauma surgery was successfully completed in one go, and the vital signs were stable within the normal range.

“9062mmHg——”

Liang Fatzi continued to report his blood pressure.

If the blood bank can keep up with the subsequent AB blood type, the child will definitely be able to survive the danger.

Sixteen-year-old upright flower season, should not be zeroed!

"How?"

Lao Han shuttled back and forth between several operating rooms, keeping abreast of the progress of each operation.

"It should be pulled back." Yang Ping looked up.

Lao Han is a little relieved, saving one is one.

"Let the ICU pay attention to fat embolism, pulmonary embolism!"

Yang Ping explained a few words, took off the surgical gown, he did not rest, and immediately ran to the next door to participate in the rescue of the female driver.

Director Ouyang, with Dr. Jin, as well as the two deputy chief physicians of the Department of General Surgery and the Department of Thoracic Surgery, were nervously operating, and the female driver's heart had stopped beating just after the chest was opened.

The female driver's life is currently maintained by an artificial heart-lung machine.

They were doing intrathoracic heart compressions, and the thoracic surgeon held the heart in his hand, squeezed it rhythmically, and then injected epinephrine into the heart with a syringe, and there was still no response.

The heart was in his hand like a mass of dead flesh, without any sign of beating.

This woman, drunk and drunk, rushed the Maserati into the crowd, I don't know if I ever thought about how she would end.

——

In the emergency hall, the father of the female driver, a man in his fifties, was constantly calling to find someone, not knowing whether to find someone to save his daughter or someone to help settle the trouble.

The bejeweled woman, the mother of the female driver, looked anxious and knocked the door of the emergency operating room from time to time.

Around them, a few suits and leather shoes entourage, and a lawyer with briefcases who rushed to the scene.

The door of the operating room opened, and Director Han, Dean Sun, and Director Zhao came out and stood at the door, without calling their names.

The woman rushed forward, "How is my daughter?"

"The heartbeat and breathing have stopped, and the rescue is being carried out, and there is little hope." Director Zhao sighed.

The woman immediately grabbed Director Zhao's chest, howled and cried, and asked how and why it was like this.

The man put down the mobile phone and grabbed the woman's hand, and the security guard also rushed up, separated the woman, and Director Zhao tidied up the collar.

"The injury is too serious, we are doing our best, we have to be mentally prepared."

Medical objectivity is as cold as iron, and Director Zhao can only objectively report the condition.

As a father, the man was dizzy, this precious daughter, how many disasters he had had, he could settle them one by one, and now he felt scared for the first time, really scared.

When the heart stops, it means that he is dead.

The man shuddered, touched his forehead, and tried to hold his mind, and the hot phone he was holding in his hand almost fell.

"Please, doctor, help her, she's still young." The man's pleading tone.

"We're doing our best, the injury is too serious." Director Zhao was very calm.

After many years of experience as a medical director, this kind of scene is commonplace.

The boy who had just been rescued by Yang Ping was pushed out and sent to the trauma ICU.

Before his family arrived, the principal and teachers followed: "How is it?"

"The operation was successful, and the vital signs are stable at present, but now they are not out of danger and need to be sent to the intensive care unit for further monitoring and treatment." Xiao Wu and Zhang Lin escorted the patient.

Another student was pushed out of the operating room with a disfigured right calf and had his leg amputated.

As the flat car was rolled out, looking at the empty limb, the student's mother cried out heartbreakingly, and the father hugged her and kept comforting her.

They were fine a few hours ago, but now they are missing a leg due to the flying disaster, and they can't face it anyway.

Compared to the student who died at the scene of a head injury, he was much luckier, at least he was able to live.

The families and teachers of the students who are still undergoing surgery are staring anxiously at the door, nervous.

The third student came out, and this one had a splenectomy, a partial liver resection, and a partial intestinal resection.

At the door of the emergency operating room, there was a mess, and the government staff responsible for pacifying them were constantly comforting the families.

The parents of the female driver sat back in the blue plastic chair, and her father picked up the mobile phone several times, but he didn't know who to call at this time.

These students were pushed out one after another, and the parents of the female driver did not even lift their eyelids, let alone go up to understand the condition, as if the whole thing had nothing to do with them.

Knowing that they were the parents of the female driver, the mother of the amputee student lost control and rushed to the scene crying and demanding an explanation.

At a distance of three meters, the staff pulled the grieving mother.

The lady subconsciously got up, took two steps back, and pulled her clothes in disgust, for fear that the people who rushed up would dirty and mess up her clothes.

The disdain and contempt on the face is enough to make anyone angry.

——

Yang Ping has already taken over the operation of the female driver, and Song Zimo has also stood in the position of a helper.

Director Ouyang, Dr. Jin, and the deputy chief physician of the Department of General Surgery and the Department of Thoracic Surgery automatically moved out of the way.

"Defibrillation!"

Direct intrathoracic defibrillation of the heart.

Under the stimulation of the electric current, the heart finally had a faint beat, and the sound of the wheels of the cart rubbing against the ground sounded in the corridor, and the follow-up emergency blood type AB was finally in place.

As long as you can get back to the beat and have a glimmer of heart, this is the last chance.

The cart rushed into the operating room, the nurse who sent the blood gasped, and the itinerant nurse immediately checked the blood type, hung the blood bag on the infusion stand, and the blood transfusion set with a heating and pressurization device quickly injected the suspended red blood cells into the human body.

The operation continues! Must continue!

From the thoracic cavity to the abdominal cavity to the pelvic fracture, the femoral head inserted into the pelvis is pulled back into place, and finally the limb is fractured.

Be methodical and take it step by step.

Trauma should have been treated step by step, saving lives first, then salvaging limbs, and then function.

According to the conventional principle, such patients will be treated with chest, abdomen and pelvic injuries, and the life-threatening will be relieved, and the comminuted fractures of the limbs can be left for later surgery.

But this is a principle set for ordinary people, and Yang Ping has his own principles.

At Yang Ping's speed, the limbs are fractured, and it doesn't take much time to do it by the way, and these comminuted fractures have active bleeding, and the amount of bleeding is very large.

Pelvic fractures typically bleed 500 to 5000 ml, and one femoral shaft bleed between 200 and 2000 ml.

This high energy causes comminuted fractures, and the amount of bleeding is higher than the upper limit.

Blood accounts for 7%-8% of body weight, and an adult weighing 50-60 kg will have only 4,000 to 5,000 milliliters of blood in the whole body.

If not supplemented by a blood transfusion, a severe pelvic fracture can drain the body's blood.

Acute hemorrhage reaches 30% of the total blood volume, which has reached the limit of human compensation, thus threatening life.

30%, that is, 1200 ml to 1500 ml, if the rescue is not timely, it will cause death.

If the speed of surgery allows, of course, it is best to solve all these fractures, and any of them will be a leak of blood.

Step by step, because the speed of the operation of ordinary people cannot meet the requirements of one completion.

Yang Ping did not take a step-by-step approach, but completed the operation at one time.

The two deputy chief physicians of the Department of Thoracic Surgery and the Department of General Surgery stood on the stage, just observing with admiration.

They just watched silently, this young man who had undergone interprofessional surgery, the level of thoracic and abdominal trauma surgery far exceeded his own, and he had only heard about or observed the operation before, but he had not really performed on the same table.

Now the same operation, I have seen it with my own eyes, it is close at hand, and I can only worship it.

The replenished blood of the same type, carrying oxygen, circulates throughout the body, and the cells are rejuvenated, but some cells die due to lack of oxygen.

This patient, even if he is saved, will be left with some sequelae, such as brain dysfunction.

Professor Huang Zhong from the Department of Trauma and Orthopedics of the First Affiliated Department of Trauma and Orthopedics arrived at Sanbo Hospital by helicopter with the directors of thoracic surgery and general surgery, and they hurried to the emergency department.

The female driver's father finally saw the savior: "Professor Huang, it's hard work, trouble you, I'm afraid they won't be able to deal with it." ”

Professor Wong waved his hand and motioned not to disturb him.

Director Han, who came out to greet him, said, "Xiao Yang is busy inside? ”

Huang Zhong was very respectful to Director Han, turned his head to the female driver's family and said, "Dr. Yang represents the highest level of surgery in the medical field, and I am here to observe and learn." ”

The tone is sincere, not the slightest casual.

"Professor Wong——?" What did the female driver's father want to say.

Huang Zhong waved his hand again: "If Dr. Yang can't save him, then he will accept his fate." ”

Huang Zhong is so frank and direct.

After listening to this, the noble lady threw her head back and fell back, so that two people around her could hold her.

The female driver's heart still beats faintly, and it has unloaded all its work.

Next to her, the artificial heart-lung machine, ECMO, has been running, replacing the functions of her heart and lungs.

"The heart is beating weakly, continue to use ECMO."

The last vascular forceps were thrown on the curved plate.

On the monitor, the curve that symbolizes life has been maintained.

Save one, be one.

This, for the time being, was also saved.

"How?"

Director Han came over again.

"It should be pulled back!"

Yang Ping stared at the data on the monitor.

Then he turned his head to Song Zimo and said, "Close your chest!" ”

Just now, I didn't dare to close my chest, for fear that my heart would stop beating again.