I quickly looked at Dr. Huang and the nurse who performed the operation, and was relieved to make sure that they didn't notice their appearance.

This little episode was not noticed by the three people who were concentrating on the operation.

Dr. Huang continued to grope between several small intestines in Fang Wei's stomach, and suddenly heard the nurse next to him exclaim, "It's not good, the patient's blood pressure has dropped!"

Ye Nan was shocked, and hurriedly looked towards the monitor. Sure enough, the blood pressure had dropped to 55/35mmHg. After thinking for a while, he secretly said: "It should have been caused by bleeding again at the beginning of the operation!" After a little hesitation, he explained to the nurse: "Speed up the speed of blood transfusion and infusion, and quickly replenish blood volume!" At the same time, intravenously push batrazyme 40mg to stop bleeding!"

The nurse looked at Dr. Huang, and Dr. Huang had already stopped searching for bullets in Fang Wei's stomach at this time, and when she saw that the nurse looked over, she thought about it and nodded in agreement, and said, "Hurry up, hurry up!"

With Dr. Huang's approval, the nurse adjusted the speed of blood transfusion and infusion, and dispensed the medicine, which was neatly pushed into the infusion tube.

Seeing that the medicine had been pushed in, Ye Nan nodded towards Doctor Huang and motioned for him to continue. At this time, I have already opened my stomach, and I can't delay any longer. Judging from the situation just now, it should not be a big problem, after all, there are still a few units of blood in reserve, which is enough to support the completion of this operation.

Fortunately, Dr. Huang began to search again, and after a gentle groping inside, he finally exhaled lightly, slowly withdrew his hand, and pinched a bullet on the finger end of the latex glove with a lot of blood, and hooked up a piece of small intestine by the way.

Seeing that the warhead was found, Ye Nan also breathed a sigh of relief, looking at the section of small intestine that Dr. Huang was hooking in his hand, there was also an obvious faint yellowing bullet hole on the milky white and warm intestine, and now it was slowly oozing yellow-white chyme from the hole.

Doctor Huang pointed to the bullet hole and chuckled at Ye Nan: "His luck is really good, the bullet is exactly nailed to this hole and stuck in the posterior abdominal wall, so there is basically no digestive juice leaking out of the abdominal cavity, mainly a lot of blood is accumulated in it!"

The nurse neatly found the sheep intestine, threaded the needle, clamped it with a needle holder and handed it over. Dr. Huang reached out and took it, neatly sutured the inner layer of the intestinal tube with a continuous suture method, tied a knot and buried it in the intestinal tube. Then, the outer layer of the intestinal tube was sutured with an intermittent mattress inversion, and the intestinal tube was successfully repaired. The sheep intestine used to suture the intestinal tube can be absorbed by the human body, so it can be sutured in the abdominal cavity without removing the sutures.

At this time, the two glanced at the monitor in unison, and their blood pressure rose to 75/50mmHg, and both of them breathed a sigh of relief when they saw this blood pressure.

After Dr. Huang sewed up, he put down the needle holder, took the hook of Ye Nan's right hand, and said to Ye Nan with a smile: "Mr. Ye's hands are a little numb after pulling for so long, move around and clean the accumulated blood stains in his stomach." ”

Ye Nan took the irrigator handed over by the nurse opposite, and replied with a smile: "Okay, then I'll move a little!" This abdominal irrigation he did a lot when he practiced before, even after two years, now it is like a familiar road, the stainless steel tube of the irrigator is inserted into Fang Wei's abdominal cavity through the opening of the large peritoneum, and the flush button on the handle is lightly pressed, and a warm stream of water rushes into the abdominal cavity.

Ye Nan held the irrigator in his hand, kept moving up and down, changing this position to flush the entire abdominal cavity as much as possible, and waited for the normal saline that rushed into the abdominal cavity to turn pale red. Ye Nancai pressed the water absorption button, and stretched the tube into it corner by corner, and even into the pile of intestinal tubes, sucking out all the residual fluid as much as possible. After repeating this several times, it was finally cleaned up.

Dr. Huang looked at Ye Nan's skillful movements, nodded with satisfaction, and looked at the monitoring instrument next to him, and the blood pressure and heartbeat displayed on it were still normal. He began to prepare to suture the abdominal cavity, but this time he took the hook of Ye Nan's left hand and smiled at Ye Nan: "Wait a minute, there are still two places that need to be retrieved, I'll rest first." Seeing that Mr. Ye is so skilled, then there should be no problem with this suture, how about bothering Mr. Ye to do it?"

Ye Nan smiled, he didn't worry much about the sutures, after all, after the previous surgery, he often gave such a hands-on opportunity to Ye Nan after the teacher finished it, Ye Nan was also a little confident in this, so he nodded and said: "Okay, let me do the finishing things in this way, Dr. Huang will take a break and guide on the side!"

Ye Nan took the needle holder and toothed tweezers handed by the nurse who had been sutured and threaded, and carefully hooked the large peritoneum with continuous sutures and sutured it one by one. Although the technique was a little rusty at first, after a few stitches, the speed became faster and faster, and the large peritoneum was soon sutured.

Dr. Huang nodded frequently from the sidelines, and asked with some curiosity, "What department does Mr. Ye do?"

Ye Nan knew what Dr. Huang was thinking, and he himself felt quite surprised, he hadn't done it for two years, and now he can still have the skills and speed that he was most proficient in, and he can't figure it out. While handing the needle holder in his hand, which was no longer a thread, to the nurse to change the thread, he shook his head and smiled: "I am an internal medicine and pediatrician, and I have been in the operating room for two years!"

"What? Are you an internist, not from the emergency department?" Hearing Ye Nan's words, Dr. Huang was also surprised, looking at the speed and effect of Ye Nan's sutures just now, he thought that it was made by a veteran of emergency surgery for more than a few years. I couldn't help sighing: "It's really terrifying......

After receiving the needle holder that the nurse had changed the thread, Ye Nan began to prepare to suture Fang Wei's abdominal wall muscles. Dr. Huang withdrew the retractor that was pulling the opening, used tweezers to arrange the abdominal muscles on both sides of Ye Nan to be sutured, and then took the thread scissors handed over by the nurse, ready to help Ye Nan cut the threads.

This time, the speed is obviously slower than when suturing the large peritoneum, because this suture is an intermittent suture, and it is necessary to stitch a stitch, tie a knot, and cut it before you can stitch a stitch, and the requirements for suture are much higher.

Ye Nan recalled the way of suturing and knotting back then, carefully clamped the abdominal muscles with tweezers with his left hand, and took the needle holder with the arc needle in his right hand to hook the abdominal muscles on both sides, and after connecting them with the thread, he released the needle holder and put down the tweezers, pinched the arc needle with his left hand and pulled it to straighten out the line, and the needle holder in the right hand went around the straight line of the left hand twice, and after hooking up two circles of the line, he clamped the thread exposed on the opposite side of the incision and gently pulled it, and the abdominal muscles on both sides of the incision were pulled together.

After the needle holder clamps the thread and pulls it back and forth twice, the thread is basically tightened. Then I loosened the thread, and then I twisted the thread in my left hand twice, and then clamped the thread and pulled it, and a standard suture knot was tied. Dr. Huang held the thread scissors and cut the sutures for Ye Nan neatly, and the first stitches were considered complete.

With the familiarity of the first stitch, the next step is fast, Ye Nan's neat crochet and thread are knotted, and with the cooperation of Dr. Huang's thread scissors, the abdominal muscle layer is sutured in just about ten minutes.

After sewing these two layers, although it doesn't look very difficult, sewing it requires a high degree of mental concentration, and Ye Nan's forehead can't help but start to sweat a little. Tilting his head slightly to the side, the nurse on the side hurriedly and carefully picked up clean gauze to wipe away the sweat for Ye Nan, so as not to drip into the patient's wound and cause infection.

PS: Keep asking for tickets!

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