Chapter 550 Push all the way

Xu Zhiliang and Zhang Lin chatted while continuing the operation.

Song Zimo and Xiao Wu were also busy, with sternal fractures and multiple rib fractures, and the fractured end punctured the lungs, resulting in hemopneumothorax.

When they were admitted to the emergency department, they had already left the chest closed drainage, which temporarily removed the threat to life from the chest injury, and the main contradiction was transferred, so Song Zimo and Xu Zhiliang gave priority to pelvic fracture and left thigh avulsion.

Because these two injuries are heavy hemorrhages, it is useless to transfuse blood without rapid stopping.

Now that the avulsion injury on the left thigh has been treated, the pelvic fracture surgery has been completed for the most part, and the chest cavity has been opened just after the rescue, it is better to take this opportunity to deal with the chest injury.

Otherwise, multiple rib fractures and abnormal breathing are also fatal.

Song Zimo repaired the damaged lungs, ligated the bleeding blood vessels in the chest, reduced and fixed sternal fractures and multiple rib fractures, and the memory alloy fixation clip specially used for rib fractures is very convenient to use.

Here, Xu Zhiliang also completed pelvic fracture hemostasis, fracture reduction and fixation.

Finally, the blood pressure on the monitoring screen was stabilized and did not drop again, and as the blood transfusion continued, the blood pressure began to slowly rise.

Blood transfusion and fluid regeneration and bleeding are in a positive balance, which is the key to the success of rescue in hemorrhagic shock.

Only positive balance can have an accumulation effect on the components and volumes of the body's circulation, and slowly return to the life-sustaining level.

The reason is simple, the water in the pool is greater than the water coming out in order to fill the pool.

"How's the urine output?"

Song Zimo asked the itinerant nurse.

The roving nurse lowered her head and picked up the urine bag: "Five hundred and twenty milliliters, a lot more than before." ”

The presence of urine indicates that shock is being corrected.

Chest and pelvic surgery was completed, and two teams operated on upper and lower limb fractures.

The principle of treatment in trauma surgery is to save lives first, then save limbs, and then consider function last.

Therefore, when rescuing, all the initial measures revolve around the core of saving lives.

Now that the threat to life is gone, all that remains is to deal with broken limbs, which are not as urgent as life-saving, but also fast.

If it takes too long, it is easy to cause complications such as infection and fat embolism.

Some interns took advantage of the inattention of the itinerant nurses to shuttle back and forth between the operating rooms, and they were very excited when they encountered this kind of big rescue, especially the big rescue of the department with full firepower.

This kind of visit is easy to increase the risk of surgical infection, but most of the time it is difficult to prevent it, and the itinerant nurses do not have so much energy to keep an eye on these interns who are everywhere.

The information of the operating rooms involved in the rescue is constantly being disseminated with the interns who are circulating.

"How about which one next door? The blood was gushing, and I couldn't stop it, and it scared me into sweating. ”

Someone asked the new intern who had just slipped in, and the intern had just come from next door and witnessed Yang Ping saving Taiwan: "Professor Yang came to the rescue." ”

"That's nine out of ten!"

Another intern, who seemed to be more qualified, said calmly.

Yang Ping is the god in the hearts of these young students and the idol of studying medicine.

The fracture surgery of the limbs was successfully completed, and Xu Zhiliang moved his waist:

"Brother, go to the obstetrics department to accompany your wife, and I'll do the rest."

Usually reprimanded and reprimanded, the relationship between Xu Zhiliang and Zhang Lin is actually very good.

"Then I'm ready to retreat?"

Zhang Lin began to take off his surgical gown, and he couldn't suppress the joy in his heart anymore-

The comminuted pelvic fracture next door was successfully completed.

The blood pressure of the wounded slowly rose, and Director Bai stood in front of the screen of the C-arm machine like a victorious general, staring at the pelvic X-ray perspective on the screen.

The pelvic fracture is very well reduced, the separation of the sacroiliac joint has been corrected, the space of the pubic symphysis is also within the normal range, and the horizontal and vertical steel plates firmly connect the bone pieces together, and the normal pelvic shape is so beautiful at this time.

Although the key surgical steps were not completed by Director Bai, it did not prevent him from having an unparalleled sense of achievement.

"Ah Fei!"

Director Bai shouted in a majestic voice.

The fat boy leaned over, and the little fat graduate student also leaned over, waiting for his top general to give the order.

Three mountains surround the screen of the C-arm machine, fan-shaped, full of weight and distinctive features.

No matter where you stand, others can tell at a glance that this is Director Bai's medical group, and compared to any other medical group, only Director Bai's group has such a sense of heaviness.

"Lao Bai! Done so soon? This pelvic reduction is beautiful? ”

Director Han had just finished an operation and took the time to visit the operating rooms to see what support everyone needed. He saw a beautiful image of his pelvis on the C-arm screen.

Director Bai's old face flushed, and his humble voice was a little vague: "Reluctantly." ”

Director Han praised him: "It's not reluctant, it's very beautiful!" Lao Bai, I heard that when I opened my pelvis, blood was gushing, I was worried that you wouldn't be able to stand it, but I didn't expect it to be done so quickly? ”

"The bleeding is a bit evil, but fortunately, the bleeding has been stopped, and it is relatively thorough." Director Bai puffed up his chest.

Director Han asked a few more casual questions, and then went to other operating rooms.

Director Bai took out his mobile phone and took pictures at the screen, he wanted to keep the information, and he would give lectures in the future, about pelvic fractures, and take out these photos, which are enough to stand out from the crowd.

"Ah Fei, about the rescue of this case, you can write a paper, we usually have scientific research thinking, doctors can achieve a certain level, can not be limited to repeated surgery, understand?" Director Bai advised.

Fat Boy kept it in mind, Director Bai was preparing to enlarge the move, Fat Boy turned his head and said to the little fat graduate student: "Little Fatty, you are ready to prepare, this paper is written at a level, and it will be handed over to me for revision after writing." ”

Chubby graduate student nodded to receive the taskβ€”β€”

Yang Ping went around the operating rooms to see if there was anything he needed help with.

The injured who were injured by jumping off the building were in charge of Director Ouyang's medical team, Dr. Jin operated overnight and needed to rest, and Director Ouyang took a graduate student to perform the operation.

The wounded man's spine was transversely severed from the thoracolumbar segment, then dislocated anteriorly and backward, and with the fracture and dislocation of the spine, the spinal cord in the spinal canal was also completely transcribed, and he would definitely be paralyzed in the future, and he would live in a wheelchair for the rest of his life.

This girl in her twenties has just been admitted to the civil service and has a bright future.

I didn't do anything wrong, watering the flowers in my yard, but I didn't expect disaster to fall from the sky, and a living person fell from the seventh floor and smashed on her back, when she had just bowed over and watered, and the falling human body directly broke her spine.

The mother of the high school student was operated on by Director Tan, and the injuries were also very serious, with a pelvic acetabular fracture, one side of the femoral head directly inserted into the abdominal cavity, four thoracolumbar vertebrae burst fractures, intracranial epidural hematoma, bilateral pupil dilation, dull light reflex, and neurosurgery was also involved in the operation.

There were also several serious traumatic injuries from car accidents, which were operated on almost at the same time.

Fortunately, so far, no bad news has come.

After a circle, there was nothing to help himself, Yang Ping called Li Guodong and asked him to prepare to send the patient to the operating room to continue the operation at the Institute of Surgery.

Because of the sudden rescue, the operation of Yang Ping's own department was suspended, and now the rescue is nearing the end, and the suspended operation can be resumed.

Song Zimo, Xu Zhiliang, Xiao Wu, and a group of their own trainee interns also came out of the operating room, and everyone returned to the department together.

Back in the ward of the Institute of Surgery, head nurse Cai also came back from the obstetrics department, and she went to accompany Zhang Lin's wife for a while.

"Zhang Lin's wife and children are doing well, right?"

Yang Ping expressed concern.

"Zhang Lin, this kid is a little blessed, he gave birth to a pair of dragon and phoenix fetuses, one of them is a little jaundice, the neonatologist said that it is not in the way, just take a few days of blue light, I said hello to the head nurse over there to help take care of it." Nurse Chua was very thoughtful.

The head nurse also prepared red envelopes for everyone, which have been packed according to the rules of the department.

"Give Zhang Lin a period of vacation!" Yang Ping instructed Xu Zhiliang.

Then everyone went to the obstetrics department under the leadership of Nurse Cai to see Zhang Lin's wife and children.

Zhang Lin was sitting on the edge of the bed helping his wife massage her legs, the two children were lying in the crib, and the obstetric nurse was preparing to send one of them to the neonatal department to take a blue light.

Seeing Yang Ping coming to visit with his brothers from the department, Zhang Lin immediately got up.

Everyone exchanged a few words of greeting and sent red envelopes.

Zhang Lin was so happy that he couldn't close his mouth, and handed over the red envelopes he received to his wife.

The late Liang Fat Man followed up: "Teacher Zhang, my wife has such a big event as giving birth to a child, and I won't notify you." ”

Immediately afterwards, Xiao Su, Tang Fei, and Zhou Can also came in, and they took Dr. Li's hand and asked for warmth, and the atmosphere was very warm.

"And another?"

Liang Fat Man rubbed his hands, hunched over and wanted to get closer to tease the child.

"My daughter just went to the new pediatric ward to shine on blue light, fatty, what are you doing?"

Zhou Can saw the fat man's actions and immediately stopped him: "Fat man, don't get too close to your cigarette smell." ”

The fat man immediately straightened up, as if he had just finished smoking, so he retreated a long distance.

"I like children so much, I can't have one with your flight attendant earlier." Zhou Can made fun of the fat man.

The fat man touched the red envelope and found that there was no one on his body, why did he disappear when he brought the red envelope.

Zhou Can handed him a red envelope: "Dropped next to the anesthesia machine, I thought whose red envelope was yours when I saw the cover." ”

"I put it in good condition, how did it get to you? It's really weird. The fat man took the red envelope and gave it to Zhang Lin.

The cover of this red envelope is actually a customized red envelope for the Spring Festival of Chinese cigarettes, and it is estimated that the red envelope set is given by the way when buying cigarettes.

"Fat brother, your combat power is a little bad, chasing that flight attendant hasn't moved for so long," Xiao Wu's fat man joked.

The fat man blushed: "Don't worry, everything is under control." ”

"Fatty, your roundabout tactics are not good, you must carry forward the style of our department to do surgery, hit and rush, and push all the way!" Xu Zhiliang gave him advice.

This wooden and stammering Xu Zhiliang actually pointed out himself in love, and the fat man was not convinced: "Old Xu, look at your momentum, you rushed in front of me?" ”

Xiao Wu said: "General Xu has known each other for a few days, and he has long been holding hands to go shopping and watching movies, let me tell you, he will get his certificate in less than three months, believe it or not?" ”

The fat man was speechless, Xu stammered so badly? Actually pushed all the way? The style is so tough?

At this time, Yang Ping received a call from Oman, whose "camel man" Yasmini was about to come to China, accompanied by a doctor from Oman.

The first is the latest.