Director Bai and the fat boy under his hand are undergoing surgery for a comminuted fracture of the pelvis, and the second assistant on the stage is Director Bai's graduate student and a little fat man.

Director Bai weighs almost two hundred pounds, and the fat boy's visual weight is about the same as Director Bai's, and the little fat man will not be less than one hundred and eighteen.

The three fat men were on the same stage, the operating table was very crowded, and the other trainee, who was in charge of pulling the hook, was already squeezed into misery.

"Gauze, gauze, gauze---"

Director Bai kept repeating the action of tamponade gauze into the pelvic retroperitoneal space, and dozens of pieces of gauze dedicated to tamponade and hemostasis have been filled.

Comminuted pelvic fracture is a landmark surgery in trauma orthopedics.

It is also the most difficult and risky surgery in trauma orthopedics.

Some severe comminuted fractures, especially those with conservative treatment, are still unable to stabilize blood pressure and require incision to stop bleeding, which is very challenging.

This patient was operated by Director Bai's group, and after the interventional embolization was done in the emergency department, the blood pressure still dropped.

Director Bai had no choice but to go to the operating table, and opened the pelvis to stop the bleeding in an emergency, who knows, after opening, blood gushes out like a spring.

The old white belt group has been experienced for so many years, and at the critical time, I had to use gauze to stuff it, this method is a bit traditional, but after the test of time, it is very reliable, and it is also the last axe to stop bleeding.

From a few pieces of gauze to a dozen, and then to dozens of pieces, stuff them into the pelvis.

The gauze was pressed fifty or sixty yuan, and the packing was almost in place, but the blood pressure was still not stable, and after this last trick, Director Bai lost his composure, and his forehead began to sweat.

An intern secretly said to Fat Boy behind his back: "Mr. Yang from the Institute of Surgery is next door, should you call him over?" ”

Fat Tsai immediately said to Director Bai: "Director, we are basically done to stop the bleeding now, do you want Professor Yang to help you take a look, rest assured?" ”

Director Bai is a person who wants to save face, but at the moment of life and death, face is worth a few dollars, and if he takes his life, it is not a loss of face.

Hearing what Fat Boy said, Director Bai immediately said, "Please Professor Yang, hurry!" ”

What's more, it is not ashamed to invite Professor Yang, and even Director Tan sometimes asks him to escort him.

"What are you panicking about?" Director Bai reprimanded the fat boy, and with Yang Ping's bottom, Director Bai now speaks much louder.

The fat boy was trained inexplicably, but he was familiar with Director Bai's personality, and immediately echoed: "I just can't be as fearless as you, Director." ”

"As surgeons, we must be calm, we must not mess around, take our time, experience needs to be accumulated." Director Bai seemed very tolerant and calmly taught the fat boy.

Yang Ping appeared in the operating room with Dr. Jin, and Director Bai saw Yang Ping for the first time, turned his fat body and said, "Professor Yang, the bleeding is a bit evil, but it can't be stopped, please help me take a look?" ”

"I'll see!"

When it was time to save his life, there were not so many politeness, and Yang Ping and Dr. Jin immediately brushed their hands on stage.

Director Bai wanted to see how Yang Ping stopped the bleeding, and legend has it that he was so miraculous that it was the first time that he had really operated on the same stage at close range.

"It's okay, I'll help you out." Director Bai looked very generous.

Yang Ping didn't think much about it and said, "Director Bai, you take a break, guide and guide on the side, and I will do it with Lao Jin." ”

"Okay, I'm on the side, just say anything if I can help." Director Bai knew that it would be embarrassing to insist any longer.

"Ah Fei, you and Xiaopang go to rest, don't take off your surgical gown, and you will go on stage later."

Director Bai wanted to stay on the stage to watch the operation, but the position was not enough, so he ousted the fat boy and the little fat graduate student from the stage.

Yang Ping turned his head to look at the blood pressure displayed on the screen, it was still dropping, it seemed that the tamponade method did not work, he asked the itinerant nurse: "How many bags of blood are left?"

"There are still six units of suspended red blood cells and five bags of plasma in hand, and the additional ones are not sent like this."

The itinerant nurse hung another bag of plasma.

"Anesthesiologist! Pay attention to blood pressure, measure every five minutes, and I want to reopen the pelvic retroperitoneal space to stop bleeding."

Confirm that the anesthesiologist is in the state.

Yang Ping began to take Dr. Jin out of the gauze inside.

The gauze that is completely soaked in blood is a dark red color, and some have black blood clots on them.

Yang Ping withdrew the gauze to stop the bleeding.

Sometimes it is electrocoagulation to stop bleeding, and sometimes it is vascular clamping to clamp the bleeding point, and the silk thread ligates the blood vessels.

Advancing layer by layer, like a super-advanced demining machine.

Dr. Jin couldn't keep up with the rhythm at all, and Yang Ping had to slow down so that Dr. Jin could barely keep up.

The camera on the surgical light was not turned on, the screen on the wall had no surgical images, and the fat boy was next to him from time to time to probe to look.

Seventy-three pieces of gauze, all of them were withdrawn, and I don't know how this wave of operations was done, there was no heavy bleeding in the pelvis, only blood oozing from the fractured end, and the blood pressure on the screen did not drop at this time.

"Reset! Prepare the steel plate formwork. ”

Yang Ping reduced the fracture, and for each reduction of two fractures, he temporarily fixed it with a K-wire needle, and then put the template into it for shaping, bent the steel plate according to the molded template, and then put the steel plate into it, and put screws on the steel plate one by one.

The whole process took less than half an hour, not only to complete the hemostasis, but also to reduce and fix the fracture.

The suction device sucks up the residual blood, and the fracture is reduced to no longer oozing blood, so the pelvic surgical area is now clean.

Dr. Jin doesn't know how to evaluate it, and he hasn't been on stage with Yang Ping very often, but this time he had surgery on the same stage, and he looked directly up close, and such a complex pelvic fracture seemed so easy and simple in Yang Ping's hands.

In less than half an hour, not only the hemostasis was completed, but also the fracture reduction and plate fixation were also completed.

Fat Tsai sighed in his heart on the side, the gap between Lao Bai and Professor Yang, how big is this, let alone himself.

"Director Bai, in fact, you stopped bleeding very thoroughly, and the back is bleeding from the end of the fracture, I reduced the fracture and fixed it, and naturally no longer bleed." Yang Ping knew that Director Bai had a good face, so he gave him a step down.

Director Bai could see it clearly, knowing that Yang Ping took care of his face, and kept nodding: "I said why is this bleeding so evil, it turned out to be bleeding at the end of the fracture." ”

"Professor Yang, you rest, and I will talk to the fat boy."

How could Director Bai be embarrassed to let Yang Ping do it, do the finishing work by himself, help himself save Taiwan, and fully take care of his own face, I am really grateful.

"Ah Fei, come on stage!"

Director Bai's confident voice.

——

The rescue next door can be described as thrilling, Song Zimo took Xiao Wu to his chest and wanted to open his chest and press his heart.

Xu Zhiliang and Zhang Lin put down the operation on their left thigh and temporarily took over the operation in the pelvic area to continue to stop the bleeding.

The switching and connection between the two is very tacit.

Because the patient has sternal fractures and multiple rib fractures, chest compressions can only be performed with a thoracotomy.

For Song Zimo, who has the ability to perform full-body trauma surgery, this is his strength.

Chest opening is very fast, faster than prying open a box or kicking open a door.

Incision, stretch out, expose, very skillful.

In less than a minute, the heart was already in the hand.

Song Zimo rhythmically squeezed and massaged the heart, and the pump thrust formed by artificial squeezing maintained the blood flow throughout the body.

The patient was young, and because of cardiac arrest caused by hemorrhagic shock, there was great hope for successful resuscitation.

About three minutes of direct heart compressions.

"With ---"

The heart in Song Zimo's hand resumed beating, and he immediately asked the instrument nurse for an adrenaline to inject directly into the heart.

Xu Zhiliang and Zhang Lin continued to complete the remaining hemostasis of the pelvis, and the division of labor and cooperation between the two teams was very harmonious.

The tense atmosphere in the operating room has eased slightly, and the rate of blood pressure drop has slowed down, and as long as it is still dropping, this high school student is not out of danger of life, and he may have cardiac arrest again.

Song Zimo and Xiao Wu began to explore the chest cavity and repair the damaged tissue.

"Teacher Zhang!"

This time, the intern was obviously more persistent than the previous one and finally seized the opportunity.

"Your wife, Mr. Li, just had a caesarean section - gave birth to a pair of dragon and phoenix fetuses, the mother and child are safe, and now they have been sent back to the obstetrics, Mr. Li asked you to be busy with the operation first, and then go to the obstetrics department to accompany her." The intern finally finished speaking.

Zhang Lin was stunned, happiness came suddenly, like a dream.

Xu Zhiliang looked at him and was stunned: "Brother, are you a father?" Hurry up. ”

"This surgery?" Zhang Lin hesitated.

"Come on, with me? I'll take an intern. Xu Zhiliang said, but after speaking, he realized that this surgery could not be done with an intern.

Even Professor Yang went to the rescue table next door, and there seemed to be no one who could use it except for the interns.

"Is Mr. Li okay?"

Zhang Lin took a few breaths, his mind was a little clearer, and the rescue just now was indeed a bit overdrawn.

The intern replied: "It's okay, there is a pediatric sister who accompanied me throughout the whole process, and the head nurse from the surgical institute also went, two babies, one four pounds and two taels, and one four pounds." ”

When Zhang Lin heard that his wife was fine, he was relieved, and he felt very guilty for not being by his side for such an important matter.

But this operation, I really can't let it go now, and Xu Zhiliang definitely can't bring an intern.

"Help me tell Mr. Li that I'll go to the obstetrics department after the operation, Lao Xu, go on."

In fact, while talking, their hands have not stopped, and they have been operating.

The two stopped talking and continued the operation, chatting while operating.

, it's not the obstetrics department to ask for orthopedic consultation, it's my wife's caesarean section, and it's fine in the morning, and I suddenly said that I was born.

"A real dragon and phoenix?" Xu Zhiliang asked.

Zhang Lin said proudly: "Teacher Zhang never speaks. ”

Xu Zhiliang said apologetically: "I'm sorry, at first I really thought that the obstetrics department would ask us for a consultation?" ”

"I thought that the obstetrics department would ask us for a consultation, and it was okay, when the full moon wine was full, the red envelope would be a little bigger."

"It must be, just by virtue of the relationship between the two brothers, at least two hundred!"

"Two hundred? Add at least a zero to the back, otherwise the full moon wine will not have your seat. ”

"I said, brother, what's the secret to having twins in this life? Have a secret to evidence-based medical support? ”

"Want a secret? Add a zero to the red envelope. ”16030/10547742