Chapter 260: Kidney rupture
11 o'clock in the morning.
Qian Min went to the office to find Li Xiyang, "Doctor Li, there is an emergency!" ”
Li Xiyang put down his work and quickly asked, "Where is the patient?" ”
"Rescue Room 3!"
"Let's go!"
Li Xiyang quickly stood up and followed Qian Min out of the office.
On the way, Li Xiyang asked the patient what the situation was.
Qian Min said, "The ambulance pulled over was a young man who had been in a car accident and had been in a coma. ”
Car accident?
"What about the injury?"
Qian Min said quickly, "The patient had multiple abrasions, but the most serious was an open wound on his left arm and a broken rib on his right chest!" ”
"What about the viscera? Have you done a check-up? ”
In general, the most lethal thing for car accident patients is not external injuries, but often death caused by bleeding from internal organs.
Qian Min nodded, "I have urgently done chest and abdominal CT and color ultrasound, and I am still waiting for the results!" ”
Li Xiyang nodded, let's go see the patient first.
……
Rescue Room 3.
Li Xiyang saw the young man who had been in the car accident, about twenty years old, and looked like a college student.
But at this moment, it looks a little miserable, the whole body is wrapped in thick gauze, and the blood penetrates the stars.
A pair of eyes were tightly closed, and he was falling into a coma.
Li Xiyang first glanced at the ECG monitor next to the bed and found that the patient was relatively normal except for a little low blood pressure.
Then he turned his head and asked Qian Min, "Have you notified the family?" ”
Qian Min said, "I have been notified, and I am on my way!" ”
Li Xiyang nodded, and then stepped forward to remove the gauze and examine the wound.
Similar to Qian Min's description, the man had more than a dozen abrasions, the most serious of which were on the patient's left arm and right chest ribs.
Although the fractures are severe, they are not fatal.
The only thing to worry about now is whether the patient's internal organs are intact.
At this moment, the familiar light screen flickered.
[Right kidney: Ouch, ouch, it's over, what's going on, brother, you're talking]
[Left kidney: Big... Big brother, I... I can't do it anymore]
[Right kidney: Brother, what nonsense are you talking about, you can't die, I'm the only one left when you die]
[Right kidney: brother, brother...]
Seeing that the organ dialogue was established, Li Xiyang frowned.
The worst was happening.
The patient's left kidney was injured, and the condition is not good!
Just then, the little nurse ran in with the patient's chest X-ray.
"Doctor Li, the examination report is out!"
Li Xiyang hurriedly took a look, "The left kidney is ruptured!" ”
Many of the blood vessels and nerves have been devastated!
Li Xiyang frowned, "It seems that the patient's left kidney can't be saved." ”
Qian Min was a little surprised that it was so serious.
However, that's better than dying.
Although there is one less kidney, the body may be a little worse in the future, but saving life is the key.
Li Xiyang nodded, it is true.
However, the patient's left kidney ruptured and hemorrhaged, which is also extremely life-threatening.
And there are two very serious fractures on the body.
These injuries must be dealt with simultaneously, "Xiao Qian, go and call the bone outside and ask them to send an attendee." ”
"Good!"
As soon as Qian Min left, the patient's parents arrived.
The couple ran all the way into the emergency room, and saw their son lying on the hospital bed, which was so miserable.
The mother broke down and cried, "Son, you... What's wrong with you? ”
The father held back, but his face was full of sadness and worry.
"Doctor, how is my Xiaopeng?"
Li Xiyang didn't hide it, but said directly, "The patient has two serious fractures, but the most serious is the rupture of the left kidney, which needs to be nephrectomy!" ”
Yes?
Kidney... Nephrectomy!
Both husband and wife had their mouths wide open, their faces full of shock and fear.
Li Xiyang comforted, "You don't have to worry too much, if the opposite kidney is normal, after removing a kidney, it will generally not have much impact on the human body, because the normal kidney on the opposite side can also meet the normal physiological functions." ”
"Really, doctor?"
Li Xiyang nodded, "Really!" ”
"However, the patient now needs to be operated on immediately, and the longer the delay, the more dangerous it will be, so you can cut the surgical protocol!"
"Okay, let's do the operation, doctor, my son's life will be handed over to you, you must save him!"
"Don't worry!"
……
Fifteen minutes later, the preoperative preparations are complete.
Anesthesiologist, instrument doctor, Li Xiyang, Qian Min. There is also a doctor from the orthopedic surgeon, Dr. Huang.
This Dr. Huang is in his thirties and has a very raw face.
Li Xiyang has been to the bone for consultation many times before, but he has never seen it.
Probably a new doctor.
Li Xiyang is not good at communicating, so he nodded at the man, even if he said hello.
"Lao Xu, let's start!"
Lao Xu nodded, walked to the operating table and began to anesthetize the patient.
Huang Youdao, who was on the side, couldn't help frowning slightly when he saw this scene.
Previously, he received a call from the director in the department, saying that there was a doctor Li in the emergency department who needed help, so he arranged for him to come over.
I thought that the other party would be a doctor with very experienced information, but I didn't expect it to be a hairy boy.
If you are younger, you should be smaller, anyway, you will come here to cooperate with the work.
But when he got here, the man didn't explain anything except show himself the patient's examination report.
Then I went straight to the operating room and prepared for the surgery.
This young man is too unreliable!
However, thinking that this was someone's emergency operating room, Huang Youdao suppressed his anger and asked with a smile, "Doctor Li, has this operation begun?" What are you going to do? ”
Li Xiyang glanced at him and said, "There are three places on the patient's body that need to be treated, nephrectomy will be put aside first, and when the anesthesia is over in a while, I will do the left arm connection, and you will be responsible for sternal fixation!" ”
Huang Youdao was stunned, "I do sternal fixation?" ”
"What? You won't? ”
Huang Youdao rolled his eyes, what did the little thing in his heart say?
A sternal fracture is a fart for me Huang Youdao!
I'm damn it's questioning you!
He had seen the film before, and the patient had only a slight fracture of the sternum and a comminuted fracture of the left arm.
This left arm repair is to let him come, and it is quite tricky.
As an emergency physician, are you too much to do such a difficult extraosseous surgery?
Of course, Huang Youdao will not say these words directly.
Seeing that guy's arrogant attitude, Huang Youdao snorted coldly in his heart.
Okay, you can do it.
When you can't do it anymore, don't blame Lao Tzu for laughing too loudly.
Li Xiyang didn't know what he was thinking, and he wasn't questioning Huang Youdao before,
It's just that he is thinking about how to deal with the patient's trauma in the shortest possible time and gain more safe time for the nephrectomy operation.
Although kidney rupture is not fatal, bleeding from internal organs is too large and can accumulate in other surrounding organs.
So the key to this surgery is to be fast!
After two minutes, the anesthesia is complete.
Li Xiyang said to everyone, "The operation begins!" ”