Chapter 2 Arterial Variation? Ordered in danger!
"Okay, you can try it!"
Song Siming looked at Li Yang, then at Zhao Heng, and said in a weak but firm voice.
"Director, this won't work!"
Hearing Song Siming's words, Li Yang suddenly became anxious.
"Can't do it?! Do you have a way now? ”
Song Siming said angrily.
Li Yang was silent for a moment, he was about to speak, but Song Siming looked directly at Zhao Heng and said, "I'll leave it to you, young man." ”
To be honest, Song Siming absolutely didn't believe that a surgical instrument could find a bleeding point that even the senior attending doctor Li Yang couldn't find, but since Zhao Heng thought of the external iliac artery mutation, it means that there is still a chance, with the current situation, it can only be a dead horse as a live horse doctor, try it.
If the hospital is a battlefield of life and death, then the operating room is the front line of the most fierce battle on this battlefield, and there is no room for hesitation at the moment of life and death.
"Scalpels, vascular forceps, suction devices!"
With Song Siming's permission, Zhao Heng did not hesitate for a moment, and immediately said.
Instrument nurses, itinerant nurses and anesthesiologists are all a little confused at the moment, this moment ago was still a surgical instrument table, why let him operate now?!
Moreover, even the senior attending doctor Li Yang can't figure it out, how can this surgical instrument that everyone can't even name be on the table?
However, after a short period of confusion, everyone still obeyed Song Siming's decision and immediately cooperated.
Zhao Heng was calm, if he had changed before, he would definitely not have this certainty, but the experience of emergency abdominal trauma surgery that he had just picked up and fused and fell from Song Siming, the director of the emergency department, made him feel as if he had been immersed in the field of acute abdominal trauma surgery for decades.
You must know that in Dongfang Hospital, in terms of emergency surgery, Song Siming is a proper boss, even in the whole country, he is the top expert in emergency surgery.
It can be said that Zhao Heng is now proficient in the practical experience and emergency treatment of acute abdominal trauma surgery.
Otherwise, it would not have been possible to find that the bleeding site could be a mutation of the external iliac artery in such a short period of time.
Zhao Heng took a deep breath and looked down, at this time, the patient's abdominal cavity had accumulated a finger-deep fresh hemorrhage, and the blood was still surging continuously, indicating that the blood vessels that caused the bleeding were indeed arteries, and the breach was not small.
At this moment, the anesthesiologist said urgently: "The patient's blood pressure is 50/30mmHg!" ”
Everyone, even Li Yang, who was a little resentful of being robbed of the position of the main knife, all looked at Zhao Heng and wanted to see if he could create a miracle at this time.
"Vascular clamp!"
Zhao Heng said urgently to the instrument nurse.
Instrument nurse Xu Manni hurriedly handed the vascular clamp to Zhao Heng, however, in Xu Manni's opinion at this time, the patient's abdominal cavity is full of blood, and there is no vision at all, which is impossible to accurately find the blood vessel to stop bleeding, unless there is a very rich experience in hemostasis treatment, otherwise this is simply an impossible task.
Zhao Heng took the vascular forceps, took a deep breath, groped deeply into the blood accumulation in the abdominal cavity with his left hand, and held the vascular forceps in his right hand, ready at any time.
Drip, drip!
The alarm of the life monitor is still ringing, and the patient's face is getting paler and his breathing is getting weaker and weaker.
Everyone in the operating room looked at Zhao Heng and hoped that he would be able to create a life-saving miracle!
Relying on the rich experience obtained from fusion, Zhao Heng was very skilled in finding the broken external iliac artery in the sea of blood in an instant, pinching the broken end of one side of the blood vessel with his left hand, and holding the vascular clamp directly with his right hand.
"Vascular clips!"
Zhao Heng said to Xu Manni, the instrument nurse standing opposite.
What?!
This finds the place of bleeding?
Xu Manni's face was full of astonishment, and the other people in the operating room were also surprised.
How difficult this bleeding is, the performance of the senior attending doctor Li Yang just now has explained everything, it can be said that everyone in the operating room is prepared for the worst.
But at the beginning of Zhao Heng's instrument matching, he found the bleeding and broken blood vessels so accurately, is this possible?
However, it was only stunned for a moment, and the good professional quality made Xu Manni very skillful in finding the vascular clip and handing it to Zhao Heng.
Next, Zhao Heng clamped the broken blood vessels on both sides in turn, and then said to Xu Manni: "You can apply pressure and suction to remove the blood." ”
Xu Manni looked at the blood in the abdominal cavity, and at this time there was no fluctuating feeling of arterial bleeding, she knew that the ruptured artery had really been found, and the bleeding had stopped.
As the suction device hisses, the blood in the abdominal cavity is cleared little by little.
Looking at the decreasing hemoperitoneum, the fractured and mutated external iliac artery was also exposed.
The bleeding stopped!
Everyone in the operating room is like a big stone in their hearts.
"Help me through."
At this time, Song Siming couldn't sit still, he was dizzy, stood up against the wall, and the itinerant nurse on the side immediately helped him to the operating table.
"Sure enough, it's a mutation of the external iliac artery."
Song Siming just glanced at it and identified the culprit of the bleeding.
"Young man, you are very good, can you do the next blood vessel suture?"
Seeing that Zhao Heng stepped forward at a critical moment and saved a life at the last moment, Song Siming's impression of Zhao Heng at this moment was very good.
However, he was still a little worried, the suturing of this artery and blood vessel requires great skill and proficiency, even if the young man in front of him can think of an extremely rare extrailiac variant artery rupture, but this requires strong suturing skills and proficiency in arterial suturing, can it be done well?
"Director, I can do a good job."
Zhao Heng looked up at Song Siming, nodded confidently and said.
Before the change, he may still be a little worried about arterial sutures, but just looking at the treatment of the abdominal emergency surgery in front of him, his level can be said to be the same as Song Siming, the top expert in the country.
"Okay, I'll leave it to you."
Song Siming nodded.
Li Yang, who was standing on the side, was a little depressed at this time, when was he, the attending doctor of the Oriental Hospital, couldn't even suture the artery.
However, who let the young man in front of him find the bleeding point that he had never been able to find so accurately just now?
And looking at his action of clamping the artery, it can be said that he has a deep and accurate essence, and to this extent, it can be said that he cannot be blinded.
No one will joke about their job, if Zhao Heng stands up and can't find the location of the bleeding, then the best result is that he loses his job.
"Six zero-strip needles and threads."
Zhao Heng nodded and said to Xu Manni, the instrument nurse.
"Okay."
Xu Manni quickly found six zeros with needle sutures and handed them to Zhao Heng.
Originally, when she was preparing for this operation, her impression of Zhao Heng was nothing other than that she was very handsome and handsome.
However, there is no shortage of handsome such things among the male doctors in Dongfang Hospital.
Besides, can you eat handsome as a meal?
No matter how handsome he is, it's just an instrument with a table, not even a doctor, and his monthly salary, in addition to paying rent, I'm afraid even eating will be a problem.
This is the reality of today's society.
But now, Xu Manni has a new understanding of Zhao Heng.
Zhao Heng quickly trimmed the artery, put down the scissors, took the needle and thread, and began to anastomosis the artery, his movements were fast, but very precise, each stitch was impartial, and the spacing between each stitch was as if it had been measured with a ruler, it looked like a machine was operating, and there was a sense of smoothness.
I rub!
Seeing this scene, Li Yang, who was standing on the side, opened his mouth wide.
This kind of smoothness of arterial sutures, even for him, can only be done occasionally in good condition.
Big brother, your skills are so good, why do you want to make an instrument matching table?
Li Yang couldn't help but complain in his heart.
He was sure that with the technique and technique of suturing the arteries, it would not be a problem to eat a bowl of rice at all, and he would not be reduced to a completely untechnical instrument table.
How did he know that before this operation, Zhao Heng did not have this technique at all.
Besides, what Zhao Heng is picking up and fusing now is only Song Siming's experience in emergency surgery for abdominal trauma, and as for the rest, it is just an ordinary level.
"Yes, the basics are solid."
Song Siming watched Zhao Heng's artery sutures from the side, and nodded with great satisfaction.
As a doctor of the older generation, I attach great importance to basic skills.
In his opinion, young doctors now want to have major surgery at every turn, but they are a little relaxed about the practice of basic skills.
The society is impetuous, and even the doctor profession is sometimes a little impetuous.
Soon, the stitching was complete.
The bleeding stopped, and the patient's blood pressure rose.
"Director, patient's blood pressure has risen, 120/70mmHg."
The anesthesiologist looked at the life monitor and said with a long sigh of relief.
Everyone in the operating room, seeing this scene, has a surge of joy in their hearts, as a medical staff, what they want to see most is the moment when the patient's life is saved.
The sense of accomplishment and pride in saving a person's life through personal efforts and operations is incomparable to anything else.