Fang Ziye stood beside the operating table, and the heart hanging on his chest was finally gradually put into place.

Master has arrived! Professor Han also arrived.

The gods are coming, presumably the patient's pelvic active hematoma will be dealt with in the end, and the chance of survival will be greater!

"Ziye, what's the situation now?" Deng Yong asked in a serious tone.

After Fang Ziye became the general hospitalist, he never called his superiors to help for two months, mainly because the diseases encountered were not particularly dangerous.

Conventional diseases, general treatment may not be as handy as Fang Ziye, this kid's growth curve is too violated, even if Fang Ziye's master Yuan Weihong, who belongs to the best of the young generation, he has to start to 'retreat and avoid the seat' in front of Fang Ziye!

Fang Ziye himself is also quite sensible, and he did not embarrass these directors, lest he be embarrassed if he was on the same stage when Fang Ziye couldn't handle it, and he couldn't solve it when he called the directors.

"Master, there is an active hematoma in the pelvis, an open arterial injury, the temporary needle holder is clamped and closed, and the active hematoma in the back of the pelvis is not broken at present, but it needs to be removed! ~”

"There were no results of any ancillary tests before the operation." Fang Ziye said a short sentence to show the messy situation of the patient vividly.

"After finding it, it was temporarily clamped one by one, and if it was not found, it could only be found by opening the hemostat and reproducing the bleeding opening." Fang Ziye took the initiative to ask for help and explain his plan.

Fang Ziye hurriedly began to use the suction device to start attracting the liquid blood clumps in his abdomen.

Now that he has arrived on the operating table, there are a lot of hemostats, so Fang Ziye has enough instruments to push slowly.

"Yes, Master, the left arterial injury was more serious, so I directly clamped the left common iliac artery." Fang Ziye replied, his tone calm.

"Let's help! ~ If you don't have surgery early to solve active bleeding and restore blood supply, it won't help if you have surgery later! ~”

"Prepare a debridement kit for the lower extremities, a pelvic fracture kit, and a lower extremity vascular replacement kit for vascular surgery."

The tone was a little shocked.

Deng Yong raised his eyebrows,?

Fang Ziye didn't say much, put his hands into it, and began to operate.

At the same time, Fang Ziye had already peeled off the muscle layer from the best angle, and after breaking the peritoneum, he used the retractor to pull it in his direction, exposing more vision.

Now no one knows which artery is damaged, so they can only try one by one.

"Good! ~Go now. Due to the urgency of the patient's condition, there were two itinerant nurses and two instrument nurses in the operating room.

Han Yuanxiao was very polite, before he was promoted to Zhenggao, like Xie Jinyuan, he also followed Deng Yong, except for being commensurate with the professor on very formal class occasions, more often he was still called Teacher Deng.

"Take a big incision, a beautiful thing, in the face of life and death, insignificant. The better the surgical field is exposed, the more detailed and convenient it will be to deal with it later. Chen Hongxing did not hesitate to suggest.

Fang Ziye had already checked the arterial branches of the lateral iliac artery system, and Deng Yong had actually only checked the second one.

"Wash your hands and get on stage! ~”

"Okay, let's make a longitudinal incision!" Fang Ziye decided to extend the patient's original wound downward.

"Click! ~" After Fang Ziye finished the fourth hemostat, he raised his head and asked, "Master, is there no breach in the branch of the internal iliac artery?" ”

The knife speed and cutting quality of this TM Fang Ziye are a little violated! It looks like the tip of the knife is dancing on the skin and the lower edge of the skin, and the amplitude of the knife is very large and the force is very strong.

Then he said, "Master, Professor Han." After the initial examination of the branch vessels of the left common iliac artery system, let's loosen it to see the hemostatic effect, right? ”

Deng Yong glanced at Fang Ziye, his expression was serious, his eyes were like a bull's eye, and he directly played a scoundrel: "You are young!" You have a lot of strength! You're fast! Here you go! ”

The common iliac artery is posterior divided into medial and medial iliac arteries, each with its own medial and external iliac arteries, and many branches.

However, Fang Ziye's previous clamping to stop bleeding can only be used temporarily, and after clamping for a long time, the left lower limb will die, which is obviously not a long-term solution.

I secretly said in my heart, fortunately, Fang Ziye didn't come to his own group, otherwise, he was not Fang Ziye's teacher, how could he hold it down?

After Deng Yong finished speaking, he still instructed again: "Forget it, when you call the vascular surgery department, you directly mention Professor Wu Yong's name, and say that it is Deng Yong's suggestion from the trauma surgery." This thing is not useful for ordinary vascular surgeons. ”

Gradually, Fang Ziye once again emphasized to the anesthesiologist: "Anesthesiology teacher, the patient's current situation is relatively special, and the preoperative emergency department is life-threatening, and you can't pay attention to the principle of sterility, so you need to pay more attention to the antibiotics that the patient can use during the operation." ”

Fang Ziye did not reply, and after finding the external iliac artery from the left common iliac artery, he began to identify its shape one by one.

Chen Hongxing was about to remind that the eldest brother didn't cut it like this, and you might be complained about by the professor of general surgery later, but when the voice came to his mouth, he paused.

Deng Yong also went to rummage slowly, so he had time to see an artery.

"Good! ~" Professor Han was young, faster than Deng Yong's nod, and admitted it a full second earlier.

"Ahh

I secretly said in my heart, fortunately, I have enough mechanism, as long as I don't fight on the same stage with Fang Ziye, I will still be the boss.

Fang Ziye didn't dare to vigorously poke the suction device directly into the inner layer.

However, what is shown on the tip of the knife is that it is easy to use, and each knife seems to be cut in the best position, at least the best position that Chen Hongxing understands.

Before Deng Yong could react, Fang Ziye clicked and temporarily clamped a vein rupture.

When Deng Yong heard this, he said: "You operate your side first, and when Yan Zhiming comes, I will ask him to cooperate with me to operate me... You put this hemostat? ”

Deng Yong frowned, good boy, I have to hurry. Deng Yong began to turn over the second artery.

The first stop naturally came to the left common iliac artery, which had been clamped with a hemostat.

When the professors came, it was best to listen to the command, give more advice, and consult more in all their actions.

Such gelatinous blood, if it happens to collapse the opening of the blood vessel, there is also a certain auxiliary hemostasis effect, and now Fang Ziye needs to suck up the outermost lump of blood clot to see if the ruptured arterial opening can be found.

In other words, Fang Ziye's level of hemostasis is really good, I don't know how to practice, how many broken blood vessels have I encountered?

Or is it just plain? Talent?

Deng Yong was still thinking smartly, and Fang Ziye had already sent in three more hemostats.

"Master, help me find the obvious breach in the arterial branch here!"

It's okay, it's still in time! ~

However, Fang Ziye couldn't care what the two bigwigs thought, after opening the hemostat at the common iliac artery in his left hand, the hemostats in his hands had already been propped up, ready to clamp something at any time.

Fang Ziye's hemostasis technique is so powerful, then I knew that I should let Duan Hong also come over to take a look, Duan Hong's best thing is hemostasis, if Duan Hong sees Fang Ziye?

"Click!" Obviously, Deng Yong's YY couldn't be particularly stopped, and was directly interrupted by Fang Ziye again with the sound of a hemostat.

"Otherwise, postoperative infection will be a problem."

This requires a special familiarity with the anatomical structure, Fang Ziye looked at the current field of vision, it is still not enough for the time being, and when the general surgery superior comes, he also needs the surgical field, so he asked: "Brother Xing, is it more convenient to deal with the left longitudinal incision in your department, or is it a vertical incision?" ”

Deng Yong's previous sentence and the next sentence were used in a row, and the first sentence had no follow-up.

As a professor, Deng Yong's instructions are still very smooth, and his tone is not negotiable, but unquestionable.

It's a butcher and a chef combined, right? So fast? Can it still be so good?

When Fang Ziye was about to hesitate how to open the vision on the other side, Deng Yong and Han Yuanxiao came to the stage one after another, standing opposite and subordinate to Fang Ziye.

"If there is still a small breach bleeding, will it be disposed of after bleeding?" Fang Ziye is very sensible.

When Fang Ziye examined the arterial eruption downstairs, he knew that a string of arteries in the left common iliac artery system had more hemorrhage.

Chen Hongxing decided to extend the opening further upwards around the umbilicus by a short section to the level above the umbilicus, stopping the outermost round knife cut.

At the same time, the hemostat in Deng Yong's right hand had already reached Fang Ziye's hand.

"Click!" Fang Ziye's hands were as if there was no shadow, and he sent another open artery on the road.

It's just that Chen Hongxing finished cutting the skin and found that Fang Ziye had cut into the muscle layer, and the speed was as fast as a horse.

"Good! ~I'm in charge of the medial system, and you're in charge of the lateral system. Deng Yong immediately divided the labor.

Han Yuanxiao obediently followed Deng Yong's side at this moment, took a deep breath, and sighed: "Teacher Deng, sure enough, when Ziye started to shake people, it was basically death chasing him!" ”

After the two bigwigs went out, Fang Ziye began to stand in the main knife position at the pelvis, using the prophesive device commonly used for pelvic fractures to use the patient's existing breach to open the skin of the abdomen.

"Tour, call for emergency consultation, please consult with interventional departments, vascular surgery, and spine surgery to assist in surgery."

The operation of hemostasis is very simple, that is, to stop bleeding, all in order to stop bleeding.

Deng Yong used the S hook to help open it, and Professor Han Yuanxiao took the hook in Fang Ziye's left hand and asked, "Can it still work?" Do you want to hand the knife to Mr. Deng? ”

Now the blood has gradually coagulated, and it is no longer the previous pool of blood, although there is residual warmth in the abdomen, it has become gelatinous.

Although Fang Ziye's tone was calm, Deng Yong and Han Yuanxiao knew how much courage and exquisite operation skills it took to pass through the peritoneum and intestine directly to the left common iliac artery at the abdominal wall under blind vision.

The professor of the anesthesiology department was running around at the moment, nodding his head when he heard the words, slightly impatient: "I know, what's the matter with the infection in the current situation?" ”

Finally, after Fang Ziye saw two hemostatic points that were difficult to distinguish with the naked eye, he began to spray small blood spots like needles, and gave two small blood vessels a set of "clipping" gift packages!

After clamping his hands at the same time, he released them, and then quickly picked up two hemostats, his eyes were like eagles, standing on the stage in front of the ghost gate, and his hands danced smartly and quickly......

(End of chapter)