"Propox powder 10ml, intravenous!"

"Remifentanil 5ml, Push Quietly!"

The operation began, but only five minutes later.

The anxious voice of the little nurse sounded next to the monitoring instrument, "The main knife is not good, and the patient's oxygenation is getting lower and lower!" ”

Ouyang Ming glanced up and said lightly.

"Is your airway cleared?"

"That's it!"

"Intubation!"

"Intubation complete."

"Prepare for handmade oxygen!"

"Over."

"Start delivering oxygen!"

As oxygen is slowly delivered into the patient's body, the oxygen level on the monitor slowly recovers.

On the operating table, Ouyang Ming commanded his assistants in an orderly manner, like a general on the battlefield.

"The patient is breathing on his own and is ready for thoracotomy surgery."

"Proofreading time!"

"19:32!"

"Over."

"Now perform a bilateral thoracotomy incision that transcribes the sternum!"

"Knives!"

Ouyang Ming took the scalpel and gently slashed through the patient's skin.

Chen Xu was puzzled, "Why don't you make a lateral chest incision?" ”

The anterolateral incision of the chest has less impact on the heart and lung function, and the chest wall muscles are incised less, and the postoperative pain and movement limitation are less.

Li Xiyang shook his head, "The lateral incision on the chest is poorly exposed to the posterior mediastinum and lower lobes. ”

"Bilateral thoracotomy incisions, on the other hand, that transcribe the sternum, expose both lungs, hila, mediastinum, and proximal large vessels.

In addition, in the case of continuous bilateral lung transplantation, the pleural cavity can be opened sequentially to allow satisfactory intraoperative ventilation.

Although the disadvantages are also obvious, such as long incisions, large trauma, and the long time required to open and close the chest.

The early postoperative period has a greater impact on lung function, often requiring respiratory support, and early pain is also obvious.

However, the incision to be made should be determined according to the patient's condition at the time.

The life of the patient in front of you is the most important thing! ”

Chen Xu was stunned.

In the stands, the cuts have been completed.

The footage from the monitor shows that the patient's left and right ribs are broken to varying degrees.

The fifth rib on the right pierced the lung, and the depth of the wound was about 1 cm.

Right-angle pliers......

Separate the clavicle ligament above the sternal stalk......

Separation of pleural ......

Separation of poststernal loose connective tissue......

Hand chest wax ......

Tamponade of the bone marrow cavity to stop bleeding......

Periosteal electrocoagulation to stop bleeding......

Chest brace ......

Stretch to reveal the surgical field......

Hand tissue scissors, electric knife......

Heparin is given intravenously to establish cardiopulmonary bypass......

Clearing the ribcage......

Remove the ribs......

Minimal bleeding and no air leakage was found......

Hand the 6X14 injury-free line and begin to repair the lung injury gap......

Passing wire hook socket thread ......

Mosquito forceps fixation......

As the minutes passed, Ouyang Ming's forehead began to ooze sweat.

The surgeon's mental tension is highly tense, and maintaining a movement for a long time is a great drain on physical strength.

Nearly forty minutes passed before the lung damage was finally completed.

Just when everyone was just breathing a sigh of relief, a bloody arrow suddenly splashed out of the patient's chest,

Ouyang Ming was caught off guard and was directly sprayed in the face.

"Oh no, it's in the eyes!"

The little nurse hurriedly stepped forward to help Ouyang Ming off the operating table and wiped Ouyang Ming's face with a towel.

God knows if the patient has any blood disease, it's simply too dangerous.

Everyone panicked.

The patient's chest was still spurting blood, and his blood pressure dropped rapidly.

Liu Ming had already found the location of the bleeding, "It's spleen bleeding!" ”

"Quick, electrocoagulation hemostat!"

But the second assistant Huang Yi hesitated, "The bleeding location is the spleen, and the use of electrocoagulation to stop bleeding is likely to cause the patient's spleen necrosis!" ”

Liu Ming's eyes were red, and he yelled, "Do you have a better way?" ”

Under the operating table, Ouyang Ming quickly wiped the blood on his face, but when he opened his eyes, his vision was scarlet.

In his current state, let alone stopping the bleeding, it is difficult to hold a scalpel.

The situation was critical, Ouyang Ming said quickly, "Listen to Liu Ming." ”

Then he told the little nurse to hurry up and take him out to wash his eyes.

Ouyang Ming left the operating room, and Huang Yi trembled and handed the electrocoagulation hemostat to Liu Ming.

Liu Ming gritted his teeth and quickly took it.

But at this moment, a figure stood in front of him and put his hand directly into the patient's chest.

"Li Xiyang, what are you doing?!"

"You..."

However, in the next second,

"Damn, the bleeding stopped!"

Chen Xu's snort interrupted Liu Ming's roar.

At the same time, the attention of everyone is drawn to the blood pressure monitor.

"Steady!"

"Oh my God, he really plugged the bleeding spots!"

Huang Yi's eyes widened in disbelief.

Li Xiyang turned his head and said calmly, "7X17 round needle, 4# no damage line!" ”

"Huh?"

"Oh oh oh!"

Huang Yi was stunned for a moment, and then hurriedly handed over the needle and thread.

I saw Li Xiyang holding the needle holder and pounding in the patient's chest a few times, and all the bleeding points in the spleen were stitched up.

Huang Yi is like seeing a ghost, doesn't this guy even need to pull a microscope?

If it weren't for the fact that the patient really didn't bleed anymore, he even wondered if the other party was funny.

"Dr. Li, great... Awesome! ”

Huang Yi was so shocked that she stammered.

But Liu Ming on the side suddenly snorted coldly, "It's just a mess!" ”

The relationship between the heart and the spleen is the relationship between producing blood and transporting it to all parts of the body.

Do you know how big a patient's cardiovascular blood flow is?

Cardiovascular compressions with bare hands?

A slightly heavier hand can cause excessive pressure on the heart and cause a cardiovascular burst!

Didn't anyone teach you these things when you were in medical school?

Huang Yi muttered in a low voice, "The key is not that people stop the bleeding!" ”

Liu Ming turned his head and glared at him fiercely, "What do you know, although the bleeding has stopped, the patient's spleen function may be injured a second time, and you will be responsible for the patient's family to investigate it?" ”

Under the operating table, Chen Xu wanted to say something for Li Xiyang, but in the end he held back.

Liu Ming is not simple, he came two years earlier than them, and now he is a junior attending doctor.

Moreover, the two were in the same laboratory during their doctorates, and Liu Ming was a man of the hour and was deeply loved by his mentors.

But he also knew that this guy was notoriously cautious.

Eighty percent felt that Li Xiyang had stolen the limelight, so he was so angry.

stopped the bleeding, and Li Xiyang got off the operating table directly.

He didn't bother to pay attention to the latter's accusations at all.

Because Ouyang Ming invited him here, he couldn't explain to an assistant.

Seeing that Li Xiyang didn't even look at himself, Liu Ming was even more annoyed.

He knew that Li Xiyang had been in the limelight in the emergency department recently, but he was the attending officer, how dare this kid?

"You..."

He wanted to say more, but he heard a deep shout, "Enough! ”

I saw that Ouyang Ming had just rinsed his eyes and returned to the operating room.

He had heard everything outside.

Originally, Ouyang Ming invited Li Xiyang to come over, just in case,

In case the patient suffers cardiac arrest during the operation, I hope Li Xiyang can help.

In fact, the operation went well, Ouyang Ming thought that Li Xiyang would not be needed.

But I don't want an accident to happen at this time,

Stop the bleeding with bare hands......

It doesn't seem like this guy's first time doing it.

Nodding at Li Xiyang, Ouyang Ming was glad that he had made a correct decision.

Liu Ming was unconvinced, "The main knife, but he..."

Ouyang Ming directly waved his hand and interrupted, "Stopping bleeding with bare hands has never been taboo, why are you so excited?" ”

"Even machines have intermittent periods, and the same is true for the heart, and the blood flow in the cardiovascular system slows down between the two beats of the heart!

As long as you can calculate the time and press the cardiovascular pressure with your bare hands, you can minimize the cardiovascular pressure. ”

After Ouyang Ming finished speaking, he felt ridiculous.

Liu Ming pouted even more, who doesn't know this theory.

But in fact, the interval between two heart beats is less than 1 second, and the time of lowest pressure may only be seven or eight milliseconds!

In such a short period of time, who dares to say that they will be able to do it?

Even those big names in the imperial capital dare not say that they are 100% sure!

At this time, Huang Yi asked in a glutinous voice, "Doctor Li, what do you think are your chances of success?" ”

Everyone looked at Li Xiyang, and Ouyang Ming was no exception.

He wondered if this little guy was a master of art or just bold.

Li Xiyang groaned slightly, putting on a serious thinking look,

Then he looked up and said, "Not much, 99.9%!" ”