Chapter 268: Steel Piercing Injury (Part II) (Thanks to the book friend "Wet Master Stays" for donating blood and more)

Flame cutting produces much less vibration than mechanical cutting. It is also thanks to the fact that the steel bar that runs through Zhou Ming's body is not a prestressed steel bar, otherwise the stress change caused by flame cutting will only cause more serious vibration.

After saving Zhou Ming from mid-air with the fastest speed and the slowest action, the ambulance of 120 also arrived at the scene quickly - if it weren't for the need to avoid rapid acceleration and sudden braking during transportation, this distance would have been driven in about ten minutes.

"Flame cutting...... No wonder. Sun Lien nodded, the vibration of flame cutting was small, and the fifty centimeter steel bar set aside was divided into five cuts at that time, supplemented by the process of running water to cool down, which also ensured that the temperature generated by acetylene cutting would not be transmitted to Zhou Ming. From Sun Lien's point of view, this follow-up rescue has actually been done very well.

"Now the steel bar on the outside of his body is still too long, and he can't get into the CT machine. Brother Imaging Coroe looked at Zhou Mingde's state, and even took out a tape measure to measure it, and then shook his head with some regret. The most important factor affecting Zhou Ming's entry into the CT machine is the angle of this section of steel bar - after the steel bar extends from his leg, the lower half of the steel bar forms a dead angle area of about 55 centimeters at the widest point with his left leg. The aperture of the CT machine rack of the Fourth Hospital is 72 cm, and the state of this steel bar determines that Zhou Ming cannot accept CT examination at present, so he can only wait for the firefighters to dispose of the steel bar outside before making plans.

The nurses had opened four intravenous infusion lines for Zhou Ming, and according to the advice of the anesthesiology department and thoracic surgery, Zhou Ming was given a sufficient amount of painkillers and tranquilizers to prevent him from suddenly waking up during the examination or follow-up treatment. In case the body twists and causes damage to the blood vessels, it is difficult for the gods to save it.

"What do you think?" While the firefighters hadn't arrived yet, and Brother Luo was trying to use B-ultrasound to probe Zhou Ming's injury, Zhou Jun came over and asked Sun Lien's opinion, "Do you wait for the examination to be clear before surgery, or do you want to operate as soon as possible?"

"If you can choose on the premise of ensuring the stability of the patient's vital signs, it must wait until it is clear. Sun Lien said a nonsense that had no new meaning. "Rebar penetrating injury...... The devil knows how many organs he has injured, and the surgical area involved alone includes the pelvis, abdomen, chest, and neck. Sun Lien shook his head, anyway, his knowledge of emergency surgery was limited. It doesn't matter if you say it conservatively, "In this case, the more patients you can know, the more you can be sure of the surgery." ”

If elective surgery can be scheduled, it will be best - but this is obviously just Sun Lien's personal luxury. The patient himself has been tied into skewers with steel bars, and this can still be operated on?

The firefighters finally rushed to the rescue room of the fourth hospital with hydraulic shears. After carefully cutting about 40 centimeters of steel bar, Zhou Ming was finally able to be sent to the CT room for imaging examinations.

"This patient's condition is quite troublesome, but it's okay...... At least it's stable, but this hemopericardium is a bit troublesome. "A group of doctors are huddled in the CT room for consultations. Wang Hua, director of thoracic surgery, looked at the image and frowned, "I have to find Director Tong to take a look at this." ”

Tong Chunlai was not on duty in the hospital today, Wang Hua pushed open the door of the CT examination room, and made a phone call directly in the corridor to call someone to save the scene. At the same time, Zheng Guoyou discussed the operation process with Zhou Jun.

"From this point of view, extracardiac, thoracic and hepatobiliary surgeries must be prioritized. Zheng Guoyou first said, "He has a pelvic fracture, a femur fracture, a rib fracture and a vertebral injury, but except for the femur fracture, it is not too troublesome." It is okay to do it after the situation has stabilized - the femur fracture should be treated as soon as possible, otherwise there may be a problem of fat embolism. ”

"This steel bar has a diameter of 1.5 centimeters, and it may not be realistic to cut it during surgery. Zhou Jun was also estimating the situation, "In other words, you have to complete the disassembly of all organs before you can pull this thing out." ”

Brother Luo on the side suddenly interjected, "I remember that there is no electric grinding in the orthopedic department, and the titanium alloy grinding disc should also be able to grind the steel bar, right?"

Zheng Guoyou glanced at Brother Luo, and suddenly laughed, "Although your imaging department is not a clinical department, you can't take it for granted, right?" He pointed to the steel bar on Zhou Ming's body through the window, "One and a half centimeter of construction steel bar, cut with a bone saw or electric grinder, it will take at least half an hour to cut it." Flying metal debris from this process, heat, vibrations, and even changes in the weight of the rebar that breaks in two after cutting can pose a direct threat to the patient's life. ”

Brother Luo's face was a little panicked after being criticized by Director Zheng for a while, he had heard that there were cases of borrowing a hand grind from the dental department to remove foreign bodies in the emergency department before, but he really didn't think about these things involved in surgery.

"Okay, Lao Tong will be here soon. Wang Hua walked back from outside, "Director Zhou, you should first take a look at the blood in the patient's pericardium." Although the amount of bleeding is not too large, it is also troublesome if the blood clots. ”

In fact, without Wang Hua's instructions, Sun Lien had already found the syringe that he had been carrying in his pocket and had not taken out. However, because of the rebar, the traditional needle entry direction does not seem to be feasible. While Zhou Ming was lying on the CT examination table, it was best to reduce some movement. Therefore, Luo Ge has a good eye to push the mobile B to do the guidance.

"Yes, yes, that's it. Brother Luo, who was driving the guide, commanded Sun Lien to stick the syringe down, "Okay, let's go down a little ......."

"Director Zhou, the authorization of the hospital office has arrived. Xu Yourong trotted into the CT monitoring room in sneakers and said to Zhou Jun, "Also, the patient's work leader has also arrived." ”

Zhou Ming is a formworker and an engineering worker with a regular employment contract. Such an unfortunate accident occurred on the construction site, and the head of his unit should have stepped forward.

"Oh...... Good. Zhou Jun nodded, and easily sent Sun Lien out, "Lien, you go and communicate with the patient's leader." ”

Sun Lien soon met Zhou Ming's leadership. Two middle-aged men who hadn't even taken off their hard hats were holding their handbags, and one of them was anxiously making a phone call.

"You are Zhou Ming's leader, right?" Sun Lien knew at a glance that these two people were the main ones, "Hello, I'm ......" Sun Lien was slightly stunned when he said this, Zhou Ming's situation should not be regarded as a patient accepted by himself. “...... I am the doctor in charge of Zhou Ming's treatment. ”

The two middle-aged men glanced at each other suspiciously, "That's right......" They seemed to have made a quick decision in their eyes, "How is Zhou Ming's situation now?"

"It's stable for the time being, but the steel bar hurts more organs. Sun Lien probably relayed the surgical arrangements discussed by Zhou Jun and Zheng Guoyou, "At least two surgeries will be performed, and the first one is more important." After the second one is done, let's take a look at the patient's condition. ”

The two of them discussed it in a low voice and asked, "What about the cost of treatment...... How many are there? Are Zhou Ming's family members here?"

"Cost of treatment...... It's hard to say. "Sun Lien is a little difficult, these two surgeries are the types he has not experienced, and it is indeed a little difficult to estimate the price," his family is currently only his brother in the ...... It was that welder Qian Huaxin. ”

"Then let's talk to the family first. The two middle-aged men nodded, "Can you please call him over? We don't know which ...... he is."

Sun Lien frowned a little strangely, but he still nodded and responded to the matter. Soon, he brought Qian Huaxin, who had been rubbing his hands anxiously. And took a few steps back, making room not to disturb their communication.

The two leaders first shook Qian Huaxin's hand covered with blood and dust, and then whispered a few words.

Qian Xinhua first nodded gratefully, then his expression gradually became a little stiff, and then he showed a look of horror.

"That's my brother......'s life! I...... How can I take the money and let him wait for death?" Qian Xinhua shouted, "No, no, this is absolutely not good!"