Xue Tao had already completed the temporary compression to stop the bleeding at this moment, and handed over the disinfection position to Wang Zhongxing.

Wu Guonan looked in the direction of Peng Yuanming with a different expression: "Both lower limbs are amputated?" None of them? ”

Peng Yuanming walked over, looked around, and said, "Director Wu, can you take a look at the blood circulation at the end of the lower limb at this moment?" ”

"After a certain length of proximal femoral artery injury, agglutinating emboli are produced by injury to the distal artery, which is a reactive blood clotting process."

"If the blood is not passed, it will coagulate, and I am afraid that there are also a large number of blood clots in the deep veins of the patient, and the body's self-protection mechanism will ensure the blood supply to the head, heart and other organs."

"The surrounding blood vessels will naturally clot into blood clots."

"Even if I were to suture up the femoral and brachial arteries now, it would be useless for the distal limbs!"

"Unless your orthopedic department can do a limb salvage. Otherwise, instead of dealing with the artery, it is better to amputate the limb directly and treat it to avoid subsequent accidents due to limb necrosis. Peng Yuanming also suggested decisively.

When everyone heard this, their faces changed.

While amputation is easy, limb salvage is difficult, rather than a simple procedure.

But Peng Yuanming is not shirking responsibility, but the current situation is like this.

"How much time has passed since the patient was injured?" Wu Guonan asked Xue Tao, who was the first doctor in the Department of Orthopedics to receive patients.

After an injury, blood clots do not occur immediately and require a certain amount of reaction time.

"It has only been more than 40 minutes since I was sent to the hospital, but there is no way to determine the time of injury. Xue Tao replied.

"Or transfer to the Minmin University Hospital." Peng Yuanming saw Wu Guonan's embarrassment, and made pertinent suggestions.

"If this patient can be transferred to the hospital, he will be transferred directly in the emergency department." Wu Guonan said.

"Then there's no way, I can't do limb salvage." Peng Yuanming spread his hands.

The atmosphere was at a stalemate.

Listening to the conversation of this group of people, Nie Mingxian, who was in front of the anesthesia, kept rolling his eyes for a while, and he was secretly irritable in his heart.

If you don't have surgery, how much money do you have to lose to use the medicine yourself? Will you make up for it in the end?

Watch a bunch of people do senseless arguments there!

Nie Mingxian really can't wait for a slap directly from a person-

It's just such a thing, you really can't do limb salvage first, can't you really do it, can't you temporarily turn and amputate it during the operation?

That is, he is now a doctor in the anesthesiology department, and he no longer has the authority to operate in emergency surgery for the time being, otherwise he would have to wear clothes and go to the stage.

Anesthesiologists are registered to practice anaesthesia routinely, not to practice surgery.

"The patient's current vital signs are not stable, and if there is any further delay, our anesthesiology department may not be able to keep the current vital signs!" Nie Mingxian began to urge.

Peng Yuanming looked at Nie Mingxian and said metaphorically: "Director Nie, it's not that we don't want to do it, but we can't help it now, my suggestion is to amputate the limb directly, and save my life first." ”

"It's not very meaningful that my life is gone, and my legs are still there."

Coincidentally, Peng Yuanming is the only person in the hospital who knows that Nie Mingxian's surgical attainments are not weaker than Wu Xuanqi of the Minmin University Hospital, but now Nie Mingxian has become an anesthesiologist by mistake.

He can't leave the problem to Nie Mingxian, but limb salvage is what Wu Guonan of the orthopedic department must do, but Wu Guonan will definitely not be able to do it, so if he deals with the suture problem of blood vessels at this time, he is wasting precious time doing useless work.

"Good! Director Huang, you are an expert in vascular surgery, I listen to your advice! "Wu Guonan is very decisive.

Since Peng Yuanming suggested amputation, then amputation.

Wu Guonan knew what Peng Yuanming meant, but now this situation, even if he called the old director of Hongdu, he couldn't deal with it.

Once a thrombus occurs, neither DIC nor a long strip of thrombus can be handled by the orthopedic department of En's Central Hospital.

No diamonds, no porcelain work.

"Director Peng, let's talk to the patient's family together......

Five minutes later.

The entrance of the operating room, the family communication room.

A middle-aged man in uniform in front of Peng Yuanming and Wu Guonan!

Slammed the table, with an angry look on his face—

"You're saying it's going to amputate both hands and feet?"

"None of them?"

"If that's the case, even if he can save his life in the end, how will he survive in the future?" The middle-aged man glared angrily, and almost wanted to eat Peng Yuanming and Wu Guonan.

"If your life is gone, it is even more pointless to discuss whether your hands and feet are not there."

Peng Yuanming explained: "There can be no more hesitation and delay. ”

"The patient's condition is complicated, in addition to the arterial damage in the limbs, there is also bleeding in the internal cavity organs, chest and abdomen, multiple bleeding, can make people die."

"In such a situation, the optimal solution is to amputate the limb to stop bleeding and save life."

"Because even if we call a vascular surgeon to come over for a consultation now, the patient's current situation may not be able to support that time."

"Death or limbs?" Peng Yuanming was not threatened by Liu Chaodong's words at all, he was clearly organized and extremely decisive.

"I want it all!" Liu Chaodong continued to hammer the table.

"Then you have to bear the risk of losing the patient's life at any time during the operation, can you represent the patient's family?"

"Let me tell you clearly, in our city, under the current situation, the only doctor who can do limb salvage surgery and endovascular thrombectomy is Dr. Wu Xuanqi in the Minmin University Hospital."

"Other doctors can't do it, you don't have to ask, I know more about the situation than you."

"But Dr. Wu has now gone to the operating table to do rescue surgery, and the Minmin University Hospital has its own rescue patients, and it will take two hours to set off at the earliest."

"And he said on the phone that he might not be ...... when he came."

Peng Yuanming's words seemed to stimulate the other party's middle-aged: "Can you leave in two hours?" Who the fuck are you looking for? What a big show?! ”

"Why didn't he wait for someone to die before coming to collect the body?"

"He doesn't know what's going on here, so you asked him to come over?"

"People here are dying."

"What is the identity of the person lying in the operating room, don't you count it in your heart? Didn't I tell you? ”

Liu Chaodong slapped the wall and got angry, not holding back his temper at all.

The standard hat was removed, revealing the Mediterranean. Then he smashed the brim of his hat directly.

Peng Yuanming is very experienced. After taking a deep breath, he took out his mobile phone directly: "This family, whose life do you say is not life?" Whose emergency surgery isn't a lifesaver? ”

"Whose life is more important than whom, whose life is more noble, come, say !!! here"

Peng Yuanming turned on the recording button.

"Video recording is also possible!" Peng Yuanming chose the most violent way to deal with emotions.

The middle-aged man was silent.

No matter what his identity is, if he says this, he will be kidnapped to the commanding heights of the moral grill, and he can feel that the people under him are more important than others, but he can't say it.

"There's no way around this!"

"In an emergency, you have to use a heavy code."

"Do you think we're willing to amputate patients? Are we willing to get a disability out of it? ”

"If you can't do it, it will only harm the patient!"

"Dr. Wu is currently on the operating table, we are asking him to come for consultation and surgery, note that it is please, not asking him to come over for surgery, can Dr. Wu leave his patient's operation alone?"

"You hurry up and decide, we don't have much time to talk." Peng Yuanming put down the phone again, and he didn't really want to record.

"Isn't there anyone in the whole city except him?"

"Do you have to have him?" Liu Chaodong rubbed his Mediterranean scalp with both hands. It's very irritable.

Everyone understands the reason, but Zhang Yu, who is lying on the operating table now, is his soldier, his nephew, and the only orphan bloodline of his brother in life and death, and he is about to lose him.

"People have it, but there are almost no people who dare to do it!"

"I also do vascular surgery myself, I can't do it, we are in Enshi Minmin University Hospital, People's Hospital, and our central hospital, these three are relatively enough. The National People's University Hospital and the People's Hospital also have specialized vascular surgery, but when I called around, none of them dared to come for surgery. ”

Peng Yuanming didn't give Liu Chaodong a chance to waste time:

"It's not a trick, it's not a hard work, just make up the numbers."

"If we don't amputate the limb now, then after the surgeries in our other departments are completed, the necrotic limbs of both lower limbs and both upper limbs will become a more fatal talisman!"

Mediterranean expression, but special determines that his attention is very sharp.

He asked, "What do you mean by almost nothing?" To be clear, is there anyone else who can do it but Dr. Wu? ”

Peng Yuanming hesitated for a moment before saying, "Yes, but he can't do it now, he is now an anesthesiologist in our hospital!" ”

"Then what are you doing here? Go find him! What do you call an anesthesiologist or an anesthesiologist? As long as you're a doctor, save your life! "The Mediterranean is so angry that it bubbles up.

"Do you have the authority to do the work of the traffic police to post tickets? Can you go? Peng Yuanming was also so angry that he replied at the time, quite experienced!

"Can this be the same?"

"Why can't it be the same? An anesthesiologist is an anesthesiologist, a surgeon is a surgeon, neither the law nor the temporary authorization of the hospital can cross the law, and you yourself are the police. You say it can't be the same? After Peng Yuanming finished speaking, he turned on his mobile phone.

"You still have a minute to think about and entangle, if the operation process is delayed because of the signing, we will not be able to return to the sky."

Mediterranean's eyes were blood-red: "Do you know that he now has a very important clue!" He can save ......"

Peng Yuanming said: "This leader, I don't understand what you said!" ”

"I only know that he is now in our hospital, a patient, a patient who is about to lose his life, if he is not treated in time, even if he is a god, he will have to be reduced to nothing, and how much wealth and information he has will be in vain."

"If you're not a family member, I'd like you to get in touch with the family."

The chest of the Mediterranean Sea rose and fell violently, and he looked at Peng Yuanming:

"Contact his family? His parents, my comrades-in-arms, grandfather, uncle are all down there, and my grandmother is in her nineties. His legs and feet are not very convenient, he is coming from the countryside, his family is poor, and he has no money to get married. ”

"Which family member are you looking for? Do you dare to look for it? I'm a family member! ~”

"I want you to save him, save him intact, can you do it."

When Mediterranean couldn't control his emotions, Peng Yuanming received a phone call, and then he didn't care about anything else, and connected through the wall in person.

The tone was extremely respectful: "Hey, I'm Peng Yuanming!" ”

"Okay, I got it."

After Peng Yuanming hung up the phone, he said to Mediterranean: "There is no way now, the patient on Dr. Wu's side is also uncertain." ”

"He won't be able to make it even after two hours."

"Now I can only amputate my leg."

"The other one, the one you said he couldn't do surgery, I called him to ask for surgery, you don't dare to ask, can I please do it?" The Mediterranean is determined.

Peng Yuanming knew Nie Mingxian: "Do you know that I could not have told you about him, but why should I tell you?" It's to save time. ”

"I can give you the phone, but I want to tell you a premise, he was originally a top student in the Third Hospital of Kyoto University, and he signed a job in our hospital in order to be able to afford the cost of his father's cancer chemotherapy."

"And I joined the anesthesiology department, which has a higher cost for talent introduction, and signed a contract."

"If you let his future ruin and he can't continue to work, you will be killing his father in disguise, I don't recommend you make this call!"

"But the choice is yours." Peng Yuanming actually thought that Nie Mingxian could take action once and save this patient.

However, these words are the concerns in his heart at the moment.

Peng Yuanming finally gave the phone to Mediterranean.

Mediterranean then personally packed up his emotions and called, and before connecting, he asked Peng Yuanming: "Is it surnamed Nie?" ”

Soon, the phone was connected, and Mediterranean immediately became polite, without the hardness just now: "Hey, hello, is it Doctor Nie?" I asked you to come to the central hospital for an operation, and Director Peng here said you. ”

The call was hung up directly!

Mediterranean was so angry that he almost smashed his phone.

When I called again, it showed that I was on a call, not that I was blocked.

He even borrowed a mobile phone, and after calling, the other party hung up again just after he spoke.

"What shit?!" The green tendons on the Mediterranean forehead are exposed, and because there is no hair, it is particularly conspicuous.

Liu Chaodong looked at Peng Yuanming: "A few doctors, can you please call Dr. Nie again?" ”

"His parents are my comrades-in-arms, and they entrusted him to me on their deathbed, but this child is very strong, and he will follow the old path of his parents."

"If all his limbs are amputated, I don't know how to face his parents, please."

Liu Chaodong revealed his true feelings, and the iron man was tender.

Peng Yuanming's mood is very complicated.

He can understand Liu Chaodong's mood, but he can only secretly hate himself for being incompetent, if his skills can be so good, why bother to ask others?

However, Liu Chaodong may not be able to understand Liu Chaodong's current mood.

After Peng Yuanming called, he first reported his identity, but Nie Mingxian fortunately didn't hang up the phone.

Peng Yuanming directly turned on the amplification.

Nie Mingxian's words are clear and audible.

"Director Peng, what do you mean by calling? Please be smart. ”

"You can save people, huh?" Before Peng Yuanming could reply, Liu Chaodong answered the phone and replied in a hoarse and helpless voice.

"Doctor Nie, Doctor Nie, professor, expert, I can call you grandpa, can you come and save my people? Shall I kneel down and beg you? Liu Chaodong's words are very rough, and he doesn't look like a literate person at all.

The young man on the other side groaned for a while, and then after taking a deep breath, he said, "I'm sorry, I still have my father to take care of!" ”

"Ask for another skill."

"It's hanging."

After speaking, Nie Mingxian was about to hang up.

But Liu Chaodong heard that Nie Mingxian was admitting in disguise that he could do such an operation, and at the same time interrupted: "Doctor Nie, wait a while, I really want to ask you for a favor." ”

Liu Chaodong took a step back and said, "Doctor Nie, if it's not like this, where do you say you are?" I'll send someone to pick you up, is there a way for you to come and have a look first? After taking a look, there is no way, let's talk about another one. ”

Nie Mingxian listened to Liu Chaodong's words, and after a while, he replied: "I'm in the operating room, but it's not useful." I'm not a surgeon, I'm an anesthesiologist. ”

Liu Chaodong became angry: "What are you pretending to be here?" Are you a doctor? ”

"If you don't save yourself when you die, what about your medical ethics?"

"Are you worthy of the oath you swore in the first place? What can be done? You just want to get rid of your responsibilities and want to see death without help! ”

"You have no medical ethics, don't be a doctor as soon as possible, go home and nurse the baby."

"What kind of anesthesiologist are you?" Liu Chaodong is stimulating the other party.

I want to get away with it.

But this time, Nie Mingxian did not hang up the phone, but said with relief:

"Thank you for your advice, but I can only blame that when I chose to go to surgery, the surgery gave me too little money."

"When my dad didn't have money, no one ever told you that this kind of medical ethics could be exchanged for money."

Toot toot.

After speaking, Nie Mingxian hung up the phone, his tone was firm and indifferent, and he did not hesitate.

Peng Yuanming wanted to say something, Chen Liwei walked out, and then whispered a few words in Peng Yuanming's ear.

Peng Yuanming's face immediately changed, and he was stunned and asked, "What?" ”

"If the liver and intestine are ruptured, liver repair is required immediately, and the ...... of liver pedicle injury cannot be ruled out"

"The thoracic surgeon said that the situation of the thoracic surgery department is fine...... Chen Liwei said stiffly.

These words instantly doubled Peng Yuanming's pressure, which means that whether the patient can live now depends on him.

Whether his limbs can be saved or not is also his task, and the fine sweat on his head keeps oozing-

"No, now I have to amputate the limb immediately, I'm not discussing with you, I'm informing you, you are not a family member of the patient, I won't tell you, I'll go back now to inform the leadership of the hospital, and amputate the limb immediately!"

"If in doubt, you communicate directly with the leadership of our hospital."

"My life is gone, what do you want JB's legs? Grass. Peng Yuanming scolded and turned around and left, not saying anything more to Liu Chaodong, a layman.

Hearing this, Liu Chaodong slammed the table in the family communication room in the operating room with his fist again, knocking the table and jumping on the ground, his fist flushed.

Then he shouted into the window: "Save your life first!" Save your life! ”

His saliva was splashing, snot and tears sliding from the sides of his nose grooves to the corners of his mouth, mingling with saliva, but he didn't have time to care.

Now that Liu Chaodong is no longer talking to him, it proves that the situation is very dangerous.

……

Just after Peng Yuanming and Wu Guonan got Liu Chaodong's verbal informed consent, they rushed directly to the operating room.

Xue Tao arrived in front of Wu Guonan and asked a little anxiously: "Director Wu, how did the family decide?" ”

In fact, I have the answer in my heart.

Wu Guonan sighed: "The family decided to amputate the leg, has the child arrived?" If he arrives, he will immediately go over and get the signature, and we will start the stage at the same time after he goes on stage. ”

Double lower limb amputation, also known as double lower limb amputation, is not difficult to operate, and there is no problem with Wu Guonan and Xue Tao opening the stage at the same time, but they definitely need an assistant to help.

Amputation is not a leg chopping operation, a knife down, neatly and neatly.

It is also necessary to do a good job in the storage of blood vessels, nerves, muscles and other tissues, and it is definitely not possible without the help of an assistant.

"Ziye said that it has come down, and it is estimated that it will take a little while."

"Director Li of the Department of Joint Surgery has also brought someone down to help, dealing with the situation of both upper limbs, and is now in the locker room." Xue Tao replied to the task and arrangement just now.

Patients not only need amputation of both lower limbs, but also both upper limbs may have to be amputated if necessary.

Dog thing, it's really ruthless.

……

When Fang Ziye finished wearing sterile hand washing clothes and rushed to the operating room!

Xue Tao temporarily gave Fang Ziye a task, that is, to let Fang Ziye take the informed consent form for the operation and go to his family to sign it!

It is necessary.

Wu Guonan, Xue Tao and others arranged the operation and preoperative disinfection preparations, and Fang Ziye went to print and sign the documents.

Fang Ziye did not hesitate, such an emergency moment, he could not drag the mud and water.

Fang Ziye quickly went downstairs to the anesthesiologist's studio, printed the corresponding informed consent form for amputation, and then hurried upstairs again, looked at the patient's name, and shouted, "Is Zhang Yu's family here?" Zhang Yu's family. Come and sign it. ”

Liu Chaodong was guarding outside, and when he heard the words, he walked into the family communication room with only one window, but this time, next to him, there was also a person.

After Fang Ziye handed over the consent form for informed conversation, Liu Chaodong was carefully scanning, and tears were in the corners of his eyes.

A young man next to him, who was about thirty-five or sixteen years old, said, "Liu Ju, Lin Jie is also inside, can you call a few doctors to come and see?" ”

"Save Zhang Yu first." When Liu Chaodong heard this, he was indifferent, picked up the pen, and began to sign.

"Then how will you explain to your sister-in-law then? They are all in the same operating room, Zhang Yu, you have arranged such a big bunch here, which is unfair to Liu Linjie. ”

"You can't be unfair to your own children because of what happened to you, you can't do that, you have to arrange it. He's yours. The thin young man next to him didn't seem to be able to look at it.

Although Liu Chaodong wants to repay his kindness, if he takes Liu Linjie's life in exchange for repaying his kindness, he can't tolerate it.

"Don't worry about it so much, listen to the arrangements in the hospital." After Liu Chaodong signed his name with a large pen, he sent the document to Fang Ziye.

Wearing a mask, he sniffed, and his mood stabilized a little: "Hard-working doctor, you must save Zhang Yu's life!" ~Please. ”

Fang Ziye had not participated in the previous conversation with Liu Chaodong, but when he heard the conversation between the two, he was secretly stunned in his heart.

Seriously glanced at the two of them: "We will do our best." ”

"Is another trauma emergency patient your colleague as well?" Fang Ziye asked more.

"Yes, doctor." The young man next to him spoke.

and clenched his fists slightly: "If you can, I hope the doctor can take more care of it, both of them were injured at the same time, so don't be careless." ”

After Fang Ziye got the informed consent form for the operation, he immediately turned around and walked back without stopping.

It's just that Fang Ziye, who had just left the family communication room, didn't hesitate to do one thing, dialed the phone, and the phone was connected immediately.

"Hey, Ziye, what's the matter? Going out to eat? "Huang Kai is very good at the moment.

He didn't have to be on the front line, so he naturally didn't know that so many things were happening in the department.

"Master Kai, can you come to the operating room for a hard time, there are two critically ill patients here at once today, Director Wu and Xue Tao, as well as Brother Zhongxing and I, all have to have amputations in one of the operating rooms, and the other critically ill patient was just entrusted to Director Zhang and Dr. Group Guang......" Fang Ziye sought the other party's opinion.

"Another patient, do you know? I'll be right away. Huang Kai did not refuse, but immediately got up.

For general emergency surgery, arranging for a senior attending to come forward is enough to save face.

For example, Fang Ziye's surgery is generally treated only by people who are in a very urgent situation, and it is the director and the deputy chief physician in the department who go out in person.

"I don't know, but I can think about getting to know each other, the identities of these two are quite special, let's talk about it in detail when the time comes."

"Kaiye, thank you! ~" Fang Ziye replied.

"What's the matter, I'll go over and see what's going on, if it's good, let's have a drink together today?" Huang Kai said with a smile.

"Okay, Master Kai, say sorry to my sister-in-law for me." Fang Ziye knew that Huang Kai could come because he had taken his own favor, and now Kaiye's wife was still pregnant.

"Your sister-in-law is still at work, so she didn't come with me. I'll send her a message to explain. Huang Kai felt that it didn't matter, he wanted to accompany his wife, but on weekdays, his wife's unit leader disagreed.

(End of chapter)