"Brother Chaoyang, Fang is always the boss of trauma surgery, I happened to be passing by, maybe Mr. Fang still has his own affairs." Liu Faming hurriedly explained.

is also a big injustice, and he can't let Fang Ziye be taken away by the old brother in his department like this, delaying Fang Ziye's trip.

Lu Chaoyang was obviously familiar with Fang Ziye's three words, hesitated a little after listening to the explanation, and then explained with a smile and embarrassed: "I'm sorry, Doctor Fang, it's not that I don't know Zhenjun, but Doctor Fang, you are too young, I thought it was a doctor in our department......"

Lu Chaoyang's words Fang Ziye couldn't find any problems, Fang Ziye's current age happened to be a doctorate student.

Lu Chaoyang's politeness made Fang Ziye even more polite: "Thank you Brother Chaoyang for your compliment, in fact, he is also old, but he looks young......"

Lu Chaoyang asked again: "Does Doctor Fang have any other arrangements?" To be honest, our department has just come to another patient with a hematoma in the lower abdomen, and Michel has temporarily dealt with it in the emergency department before, but the situation is still dangerous. ”

"I was arranged to take over the desk at any time in the advanced operating room, and there may be a shock investigation, the professor and associate professor have recently gone out for a meeting, if it is convenient, Dr. Fang will go over and help the handle......

This day is a weekend, and it is also a weekend, and Fang Ziye's defense can make it easier to call many professors from the defense presidium.

Other professors have time to come to Han City on weekends for trips, which is actually quite busy, and it is normal for the deputy senior officers of Zhongnan Hospital to have other meetings outside the province or flying knife surgery on weekends.

No one can expect to be treated with an emergency room that is on call 24 hours a day.

"Then I'll study with Brother Chaoyang." Fang Ziye replied.

Without him, the patient of vascular surgery who was inadvertently rescued last time gave too many knowledge points.

It seems that vascular surgery is more fatal than trauma surgery, so after correcting and treating, more knowledge points are given.

Lu Chaoyang didn't have time to greet Fang Ziye, and after Fang Ziye agreed, Lu Chaoyang and Liu Faming began to discuss the patient's current situation.

At present, it is tentative that the open injury of the abdomen, accompanied by vascular activity injury, the patient has a large amount of bleeding when he is admitted to the hospital, the amount of bleeding is unknown, and the conservative estimate is not less than 2000ml, which exceeds more than 30% of the total blood volume of the human body.

The patient is currently undergoing intravenous access, rapid infusion, temporary simple bandaging to stop bleeding, compression tamponade to stop bleeding and other treatments in the emergency department, and may be sent to the operating room for emergency exploratory hemostasis surgery at any time.

"Brother Qi said that you were already on the stage, so you called me directly." Lu Chaoyang said to Liu Faming.

"Good work, Brother Chaoyang." Liu Faming lowered his head slightly, feeling a little guilty.

"Hey, it's good to get used to it, we vascular surgery, who doesn't go on the road of emergency consultation for ten or eight years..."Lu Chaoyang was about to share his experience, and his voice was interrupted by the ringtone of his mobile phone.

After connecting, Lu Chaoyang's face immediately became solemn, and he quickly replied: "Prepare for surgery!" ~”

At the same time, the itinerant nurses and anesthesiologists who had prepared the corresponding instrument kits for vascular surgery in the operating room immediately left the operating room and went to the door of the operating room to pick up patients......

It was the first time for Fang Ziye to experience such a scene, and he felt a little novel and nervous, of course, after panicking for a few seconds, he still asked Lu Chaoyang very calmly what he could do.

Lu Chaoyang saw that Fang Ziye, a trauma surgeon, was brought into the operating room by himself, and he didn't even know much about the routine preoperative preparation of vascular surgery.

He said, "Doctor Fang, you wash your hands and get dressed first, and then help spread the towel later." ”

Lu Chaoyang did not have special arrangements for Fang Ziye, and he did not dare to teach Fang Ziye the most basic vascular surgery.

Fang Ziye did as he was told.

Soon, the patient with an open injury to the lower abdomen but was stuffed with gauze was pushed into the operating room, and Mitch of the vascular surgery department personally escorted him all the way, and the white coat had not yet been taken off at this moment.

In fact, it was already a violation for him to wear a white coat and overalls into the operating room.

But there is no way, special affairs, now Mizzy hands are pressing on the two arteries to stop bleeding, and any part of both hands may be released, which will make the patient experience life and death again.

Seeing this situation, Lu Chaoyang hurriedly asked, "Brother Qi, what's wrong?" ”

"Intrailiac and extrailiacal, I don't know the specifics, I originally wanted to wait for a hemostat, but at that time, the patient's high pressure was nearly below 60, and I couldn't wait, so I could only put on gloves and stick it in directly."

"If you think you can save it, you can save it!"

Mitch found himself explaining a lot: "At present, the blood pressure is stable for the time being, so temporarily prick the internal and external iliac arteries, and then start the laparotomy." ”

"Hemostat! ~" Lu Chaoyang only gave instructions in the direction of Fang Ziye at this time.

But Fang Ziye, who had already washed his hands and put on a sterile surgical gown, had bypassed Miqi, who was covered in bacteria, from a more tricky angle, and plugged the relatively large vascular forceps along the opening of the open injury, and clicked and clamped it shut.

Fang Ziye's voice then said: "Teacher Mi, if you touch it, it should be a closer section of the internal iliac artery, you loosen it a little bit to see if the blood vessels will expand, if not, then touch the specific location." ”

While Fang Ziye was talking, Mi Qi raised his head and rubbed against Fang Ziye's chest, Fang Ziye's brows instantly furrowed when he heard this, and he was a little disgusted.

But human life is at stake, saving lives is the main thing, what is it to pollute a piece of clothing?

"Yes! ~" After Mizzie's right hand moved, his eyes flashed, and then he let go of his claws, pulled out his abdomen, and grabbed it twice in the air.

The sterile gloves just reflected his slender fingers, but between the fingers, there were dried blood scabs and undried blood clots, which looked very bloody.

After relaxing his two fists, Miqi said: "Doctor Fang, give me another hemostat, and I will operate the rest. ”

Miqi also knew that he had rubbed his head against Fang Ziye, who was wearing a sterile surgical gown, but when he rubbed it, he rubbed it. Mizzie doesn't panic, and she doesn't apologize.

After Fang Ziye did so and gave him a hemostat, he went out again to wash his hands and disinfect his hands.

Liu Faming was at the end of washing his hands, and when he saw Fang Ziye standing beside him, he hurriedly asked, "Doctor Fang, how is the situation inside?" ”

"It should be okay, oh, Mr. Mizzy has come out." Fang Ziye saw Mi Qi in a white coat, who had been liberated from the patient's body and came out of the operating room.

"Doctor Fang, your operation is skillful and capable, and the main focus is practical." Mi Qi greeted Fang Ziye while quickly bypassing the two of them and leaving in the distance.

The white coat is not suitable for long-term in the operating room, it is an expedient measure in an emergency, it is a matter of no choice, but after sending the patient, it is still necessary to go.

"Teacher Mi, you're saying that my operation is not skillful, right?" Fang Ziye made another interpretation.

"It's good to be practical, it's just this time, and what kind of fancy things to pay attention to." Mitch said, approaching the door of the operating room, and he changed his shoes and walked out of the door.

This distance is no longer suitable for chatting.

Then Fang Ziye and Liu Faming washed their hands and dressed, and completed the disinfection and towel laying operations, so that the three of them and another doctor of vascular surgery became the chief surgeon and the first, second and third assistants, and began the debridement and exploration of the abdomen.

The first stop was the internal and external iliac artery on the left side, and looking at the hemostat that had been temporarily placed before, it was already effective in stopping the active massive blood spurt, and only a small number of bleeding points remained.

In Lu Chaoyang's view, this is not a big problem, and while casually electrocoagulation to stop some small bleeding points, he said: "This time the lower abdomen is open injury, and the damaged blood vessels are quite typical. ”

"It is a common vascular package injury with the left middle and lower abdomen as the approach, and many patients have been sent to this package, so after seeing such a situation, Michel Ge reacted to clamp the internal and external iliac arteries as soon as possible, which is very suitable......"

As Lu Chaoyang spoke, he clicked and used a hemostat to methodically clamp several arteries, which were branches of the arteries further downstream than the internal and external iliac arteries.

"Brother Chaoyang, this is the blood splitting technique, right? Restoring the blood supply to a branch that is determined to be free of bleeding can reduce the blood flux of the bleeding branch. The doctor asked.

"Yes, that's ......" Lu Chaoyang looked at Fang Ziye and found that Fang Ziye was listening carefully, as if he didn't know anything about these basic knowledge.

However, Lu Chaoyang wanted to test Fang Ziye's operation level, and deliberately left Fang Ziye a gap that was deliberately ignored, so Fang Ziye was quickly captured and dealt with.

This reaction speed, this accuracy of operation.

There is no doubt that this is the basic skill that many young doctors in vascular surgery are looking forward to, and it is a hemostasis at the level of the room.

It's just that his mother's skills have grown crooked, and they didn't grow to Liu Faming and others, but ran away to Fang Ziye, which is purely a tyrannical thing.

"How's Dr. Fang's sutures?" Lu Chaoyang asked on a whim.

When Fang Ziye heard this, he knew that he might have a chance, so he analyzed the difficulty of the operation that Lu Chaoyang could better understand, and said: "The vascular flow rate of my suture of the broken tail artery of nude mice should be more than 90%. ”

Vascular suturing is one of the hallmarks of hand surgery.

Lu Chaoyang's hand trembled slightly.

Next door, Liu Mingming, who was about to suture the blood vessels, and another doctor, silently 'lost' the needle holder after hearing this, and looked at Fang Ziye while swallowing saliva and squinting his eyes.

Glancing at Lu Chaoyang's eyes, his eyes were full of disgust.

Brother Chaoyang, don't ask, if you don't ask about this opportunity, we'll accept it. It's okay now, I've already asked, we have to give priority to Fang Ziye to stitch at least one section, and then let him let go and give us permission!

What kind of trauma surgeon is this?

The inner activities of the people were quite riotous.

(End of chapter)