The second operation lasted five hours. Liu Pingchuan stood alone in the operating room for nearly eight hours — from 5 p.m. to 1 a.m.

High-intensity surgeries are extremely physically demanding. Emergency surgery is more difficult than regular elective surgery. Surgeons have to perform surgery without adequate imaging exploration, which is no less difficult than driving a Formula 1 car without glasses for high myopia.

Liu Pingchuan is not too young. Although he said that Zheng Guo might not be able to carry it, in fact, his physical condition was not as good as that of a good young man who had just entered the clinic. On the way, Sun Lien asked Hu Jia to send glucose to Liu Pingchuan twice, and with the help of other supernatural doctors in the middle, he barely finished the entire operation.

This is the end of the epic operation. And Sun Lien himself was tired enough. Constantly observing the state of the surgeons below, and at the same time directing his girlfriend to send glucose water everywhere to replenish their energy - the fatigue of this work is almost the same as the next surgery.

It's just that the results of the surgeon's hands-on surgery generally end in reimbursement of several lives. Sun Lien's on-the-spot command allowed the group of professors who performed the surgery to steadily exert their due strength one by one. At least Zhang Junyi was pushed out of the operating room alive. This alone is enough for all the doctors who participated in the surgery to be proud.

One that almost fell into the mud was snatched out of the hands of Lord Yama. Although people have not completely stepped through the ghost gate and returned to the world, at least half of their feet are now in the world.

This level of achievement can be called a "miracle". What is even more remarkable is that such a miracle is not given by some invisible god or by an accident who does not know the law. This is entirely the result of the hard work of the doctors of the four hospitals.

Surgeons have done the best they can. Next, it's up to the biochemists in the intensive care medicine department to get to where they go.

For such a serious patient, light transport is a university question. In the ICU, a separate ward was set aside for him directly opposite the nurse's desk, and Wu Faxian, director of the intensive care department, personally led the team to escort the patient. The road from the operating room to the transfer elevator was cleared in advance by the property management staff and guards. In order to minimize the transfer time, and control all possible accidents in the transfer process - from the operating room to the transfer elevator, from the transfer elevator to the designated ward in the ICU, there must be absolutely no obstruction.

If surgical treatment is the cumulative result of precise decision-making on the lesion through the scalpel, then the treatment of internal medicine is based on the present and constantly tries to stop the dominoes of deterioration by predicting the progression of the disease before it progresses to the next step.

For Zhang Junyi now, stabilizing the internal environment is the overriding priority. Although an autologous blood recovery machine was applied, doctors still performed a large amount of blood transfusions on Zhang Junyi during rescue and surgery. This reality also means that in Zhang Junyi's body, a considerable part of the blood does not belong to him.

Large blood transfusions can cause a lot of serious problems. One of the most immediate consequences is DIC. Since the blood products transfused are mainly plasma and suspended red blood cells, Zhang Junyi's blood system, which has been almost completely replaced, lacks sufficient clotting substances. And he has multiple wounds all over his body, and a large amount of blood clotting substances will inevitably be consumed in his body. Such a "supply and demand imbalance" will lead to the human body falling into the death vortex of DIC. The blood inside the capillaries clotted incorrectly, while the other parts that needed to clot bleed profusely because of the lack of clotting substances.

Such a situation is particularly fatal for Zhang Junyi. He didn't even want to have room for rescue like other patients – whether it was an internal hemorrhage in the liver, a fragile arachnoid hemorrhage, or a pulmonary embolism...... All in all, once Zhang Junyi has DIC symptoms, even if it is only a mild DIC aura, he may die directly.

It is precisely because the doctors in the intensive care department understand this situation that they are particularly concerned about Zhang Junyi. Along the way, they saved almost all the work they could, just to get Zhang Junyi to the ICU ward as soon as possible. If it weren't for the fact that Zhang Junyi's basilar skull fracture, thoracic and lumbar fractures needed special handling tools to be moved to the ICU bed, this transportation time would have been much shorter.

In order to rush for time, the intensive care medicine department began to intervene in Zhang Junyi's internal environment in the operating room. In the separation and storage of blood products, in order to prevent blood products from becoming ineffective due to agglutination, almost all blood products will be added with a certain amount of sodium citrate.

Sodium citrate itself is non-toxic to the human body. They are metabolized in the liver by mitochondria through the trihydroxy acid cycle into harmless carbon dioxide and water.

However, there is an upper limit to the metabolic rate of sodium citrate, and when the infusion rate of sodium citrate attached to the blood transfusion exceeds the metabolic capacity of the liver, it may lead to various serious consequences including metabolic alkalosis, hypokalemia, and hypocalcemia.

In order to correct this problem, the Intensive Care Medicine Department of the four hospitals decided to work closely with the transfusion doctors in the operating room. They performed multiple arterial blood gas analyses on Zhang Junyi during the operation, and injected 25ml of 10% calcium gluconate before and after to combat hypocalcemia caused by sodium citrate. Arginine hydrochloride and potassium chloride are also used to treat metabolic alkalosis and hypokalemia.

Work in the Intensive Care Unit begins before the transfer, and after the transfer, the work shows no signs of ending.

"We don't have time to discuss it with you right now, and we'll talk about it when we're done. Sun Lien changed into an isolation gown and entered the ICU, and the doctors and nurses in the ICU had no intention of talking to Sun Lien at all. The ICU attending doctor, who often met with Sun Lien, turned his head to participate in the treatment after saying a word, and he seemed to be in a hurry.

Sun Lien's ability to be admitted to the ICU is already regarded as a high opinion of the intensive care medicine department. In fact, if it weren't for the fact that Sun often came up with his observations before ICU doctors noticed a major change in a patient's vital signs, he wouldn't have received this level of preferential treatment.

Knowing that his appearance was actually an obstacle to the work of the intensive care doctors, Sun Lien deliberately found a place that was not too obstructive to stand. He struggled to stand on his tiptoes, trying to keep his eyes past the doctors and nurses walking back and forth, and to see Zhang Junyi lying on the hospital bed.

He wanted to determine what Zhang Junyi's current situation was, and he also wanted to see if there was anything he could do.

Sun Lien's attempt soon paid off, and he saw a state of gradually darkening color from the dense and lengthy state bar on Zhang Junyi's head. It is clear that this is a state that has just emerged and is becoming more serious.

This condition is "acute alcoholism".