Chapter 277: Combined Surgery
The atmosphere at the scene became awkward for a while.
Zheng Xiaoyu hurriedly played a round in the middle, "Director Yan, Dr. Li is joking, don't take it seriously!" ”
Is it?
Yan Song looked at Li Xiyang, but the other party turned his face directly, and he didn't look like he wanted to cater at all.
Yan Song, who was angry, turned pale.
In fact, Li Xiyang didn't have the leisure to deal with Yan Song here at all, and at this moment he was thinking quickly about the patient's surgical plan in his mind.
As far as the current judgment is concerned, it is actually quite clear.
First of all, the problem of intracranial hemorrhage had to be handed over to Yan Song, and the suturing of organ bleeding was handed over to Zheng Xiaoyu, and he was responsible for multiple fractures on his body.
It's just that the question is that the patient is too young, and so many surgeries are performed at the same time, can they survive?
But the difficulties are already in front of us, and there is no time to think about them so much.
disinfect
Hand washing
Wear protective clothing.
When Li Xiyang's preparation had just ended, Lin Yue pushed the patient and ran in.
Immediately afterwards, Jiang Lan helped the two old men in.
"Dr. Li, this is the patient's grandparents and father!"
As soon as the introduction was finished, the two old men in the family knelt down directly for Li Xiyang and the three of them.
"Doctor, you must save my grandson, he can't be fine!"
Li Xiyang and the three of them all took a step back, because they couldn't contact their families after aseptic disinfection.
Zheng Xiaoyu hurriedly glanced at Jiang Lan, and Jiang Lan stepped forward to help the second elder up.
Li Xiyang sighed, "Don't worry, family, we will definitely do our best." ”
At this time, the father on the side took out a pile of 100 yuan bills from his wallet, "Doctor, I'm in a hurry, I don't have much cash on me, this 800, you take it first, as long as I can save my son's life, I am willing to spend as much as I want!" ”
This time, Jiang Lan grabbed the man's arm, "Big brother, Doctor Li, they have already done the disinfection, if you do this, you will kill your son!" ”
Yes?
Hearing this, the man hurriedly took a few steps back.
At this time, Li Xiyang and the three had already entered the operating room.
……
"Dr. Li, here are X-rays, CT scans."
Qian Min took the preoperative examination report that had just arrived.
Li Xiyang took it and took a quick look, and his brows became more and more furrowed.
"The patient had comminuted fractures of the third, fourth, and sixth ribs on the right side, the liver, gallbladder, and spleen had been ruptured, the right tibia was comminuted fractured, the broken bone was exposed, the right femur was fractured, the right hip bone was comminuted, the right humerus was fractured, the right radius was comminuted, the right cheekbone was comminuted, the nasal bone was fractured, the spine was obviously deformed, and the shadow in the skull was about four centimeters in diameter."
Everyone knew that the patient's injuries were serious, but they still didn't expect them to be so serious.
Zheng Xiaoyu sighed, "The internal organs are too serious, and the success rate of the operation is almost less than 10%. ”
Yan Song on the side snorted coldly, "If you want me to see, this Chengdu is hard to say!" ”
The five organs were directly broken, and even if they kept giving blood transfusions to the patients, they never came back at all.
Li Xiyang was silent, because what Yan Song said was right.
At this time, Qian Min suddenly said, "Doctor Li, the patient is blood type O, didn't we bring in a little girl with kidney failure last month, this age is also the same, and the kidneys are still good..."
Before Qian Min finished speaking, Li Xiyang let out a low shout, "Get out!" ”
Qian Min was stunned, "Doctor Li, I... I'll just tell you..."
"Didn't you hear me tell you out?"
Li Xiyang had a calm face and said coldly again.
"What's that, Xiao Qian, you go out to look at the patient's family, his grandparents are so old, don't have any accidents." Zheng Xiaoyu hurriedly played a round.
Yan Song glanced at Li Xiyang, and then said, "Yes, you just go out and stare at the point, and do a good job in the old man's ideological work." ”
Yan Song thought at first that Li Xiyang was young and vigorous when he collided with him.
Now it seems that it is to be strict and responsible for the work.
Seeing this, Yan Song naturally would not be as careless as Li Xiyang.
Qian Min glanced at Li Xiyang, and had the impression that this was the first time she had lost her temper when she saw the other party.
Ashamed and self-reproachful, he left the operating room.
In fact, Li Xiyang is protecting Qian Min.
There are surveillance recordings in the operating room, if the child is saved, then nothing will be said, and if the patient is really dead, she is likely to lose her job and even be involved in criminal cases.
Qian Min left the operating room, and Yan Song asked, "Xiao Li, what are you going to do now?" ”
Li Xiyang thought for a while and said, "First of all, we must focus on saving life, if the fracture on the patient's body is not fatal, stop first, I will work with Dr. Zheng to repair the internal organs of the patient, and as for intracranial hemorrhage, please ask Director Yan!" ”
Yan Song nodded, "Okay!" ”
In fact, he still wanted to say that it was really necessary to do this, but seeing that a young man was so persistent, how could he say something depressing.
Forget it, you can do what you have to do, and the rest is up to God's will!
"This is an emergency joint operation, Xiao Li, let you arrange it in the center."
Li Xiyang nodded, there was no ink.
Standing in the position of the chief knife, Li Xiyang quickly spoke, "The patient, male, eight years old, fell from a high altitude. ”
Comminuted fracture of the right tibia, exposed broken bone, fracture of the right femur, comminuted fracture of the right hipbone, fracture of the right humerus, comminuted fracture of the right radius, comminuted fracture of the right zygomatic, fracture of the nasal bone,
Comminuted fractures of the third, fourth, and sixth ribs on the right side, and the liver and gallbladder have been ruptured.
The spinal vertebrae are markedly deformed, and the intracranial shadow is more than about four centimeters in diameter.
Vital signs: body temperature 36 degrees 2, pulse rate 80, respiratory rate 22, blood pressure 10371, blood glucose 309, hemoglobin 112 grams. 71 heart rate per liter,
Hypothermia, slow breathing rate, low blood sugar, and unstable vital signs.
In this case, it is difficult to perform surgery, but for now, I can only fight for it.
"Lin Yue adjusted the temperature of the operating room to 18 degrees!"
"Huh?"
Lin Yue was stunned and didn't understand what it meant.
Li Xiyang explained, "The more and lower the ambient temperature, the slower the patient's internal circulation and the less bleeding. ”
Now the child is too badly injured to minimize bleeding from the wound.
Lin Yue understood, and immediately ran to adjust the temperature in the operating room.
At the same time, Li Xiyang asked the little nurse to prepare to connect the blood cardiopulmonary bypass machine.
"Dr. Li, the temperature is set!"
"The cardiopulmonary bypass machine is also connected!"
When everything was ready, Li Xiyang nodded, "The operation begins!" ”
Surgery name: Craniotomy for intracranial hemorrhage, liver injury repair, cholecystectomy, spleen repair.
All of a sudden, everyone started to act.
Li Xiyang took the scalpel and opened the patient's chest, Zheng Xiaoyu pulled out the patient's broken ribs in time, and Lin Yue was responsible for cleaning up the residue.
Yan Song had also cut the patient's scalp and opened the skull.
Everything seems to be going well,
But just as Li Xiyang was about to repair the patient's liver damage first, a rapid alarm sounded from the bedside ECG monitor...