The system takes me for surgery

This crazy woman didn't stop her crazy behavior, she was still rummaging around in several rooms, shouting all the time: "Fox, come out! I'm going to kill you today!"

After receiving Xiaoxia's alarm, more than a dozen policemen immediately dispatched to search the entire Internet for Xiaoxia's exact location.

The woman searched the whole room, but couldn't find it. She became more irritable, and smashed the glass table in the living room to pieces.

When the glass burst, Xiao Xia was frightened, kicked her foot, and the things stacked on the dilapidated chair collapsed and scattered all over the floor.

When the woman heard this, she kicked the storage room frantically.

The door was kicked open suddenly.

Bai Qiuyi and several colleagues pushed the woman down to the ground and subdued her.

She shouted: "Little friend, I'm the police sister who answered your call just now. Are you in there? If you said yes, please answer me."

At first, Xiao Xia didn't dare to respond, but after hearing a few times, she mustered up her courage and replied in a low voice, "Sister, I'm here."

Bai Qiuyi and his colleagues immediately knocked open the door of the storage room, and saw a little girl covered in dust and spider silk.

"Can you get out by yourself?" Bai Qiuyi asked.

"My stomach hurts so much." Xiao Xia moved her body and slowly crawled out, with blood all over the floor.

Seeing her mother being held on the ground by the police, Xiaoxia cried and said, "Let go, my mother, let go of my mother... okay..."

While thumping, Xiao Xia's stomach got worse and she kept rolling on the ground, Bai Qiuyi hurriedly called an ambulance.

After the ambulance doctor of the affiliated hospital checked Xiaoxia's body, he looked distressed and found that there was tenderness in the spleen area of ​​the abdomen, so he rushed to the hospital and called the general surgery department for consultation.

The doctor who came for consultation said that Zhou Aimin said, "Maybe the spleen has ruptured."

Xiaoxia's face was pale, dripping with cold sweat, Zhou Aimin shouted: "Push to the operating table immediately."

The condition is very critical, and a green channel was opened for Xiaoxia and rescue work was started immediately.

Immediately establish double venous access for anti-shock treatment, the blood transfusion department prepares sufficient blood sources immediately, the laboratory department immediately completes various blood transfusion tests, the CT room immediately completes the abdominal CT examination to confirm the diagnosis of spleen rupture, and the anesthesiology department and operating room immediately prepare for surgery.

Zhou Aimin quickly contacted Zhao Yonghui, director of general surgery, and said that the operation was very dangerous.

After Zhao Yonghui got the video report, he frowned and touched his chin from time to time.

Zhou Aimin said: "Now the blood volume has gone up, but the blood pressure is still very unstable."

"Yunfei help me call Liang Yi up." Zhao Yonghui said.

Liang Yi is not a person in general surgery. No matter how talented he is, medicine is a practical work based on experience. Without experience, many problems will definitely occur.

It would be understandable for Shan Linfei and Lei Curly to be assistants on stage. After all, they often perform operations with Zhao Yonghui, and have worked in general surgery for several years and have some experience. Although Zhou Aimin feels that it is not good to question his leadership, but now When the patient's condition is critical, the most suitable person should be selected.

Zhou Aimin said: "Why is it called Liang Yi? He just came to the general surgery department not long ago. Isn't Lin Fei and the others more suitable?"

Zhao Yonghui smiled and said, "You can't go wrong with Liang Yi."

The director of anesthesia, Fei Yunfei, also said: "Let Liang Yi do it too, this operation is a tough one."

Strange why even the anesthetist said that, Zhou Aimin was puzzled, but since they all said that, he couldn't say anything more.

Soon Liang Yi came up, this was Zhou Aimin's first surgery with Liang Yi.

The operation has begun.

During the operation, Zhou Aimin found that there was about 1000ml of blood and blood clots in the patient's abdominal cavity, two ruptures of the spleen, contusion and laceration of the body and tail of the pancreas, and two contusions and lacerations of the mesentery.

This is what he often did not think of. The current situation is several times more difficult than the previous preoperative evaluation.

The spleen was ruptured centrally, and the splenic artery was bleeding in a jet-like manner.

Zhou Aimin and Zhao Yonghui said: "" This spleen cannot be kept. "

Seeing such a large amount of bleeding, Zhao Yonghui kept shaking his head and said, "Maybe I am still so young, I am worried that the risk is very high. There is a risk of repeated severe sepsis after splenectomy. The incidence of severe sepsis in adults after splenectomy is 7-8. 100 times/[-] people/year, OPSI may occur from a few days to a lifetime after splenectomy."

OPSI refers to dangerous infection after splenectomy. It is an extremely dangerous systemic infection. It can occur within a few days after splenectomy and lasts for a lifetime, but it usually occurs 2-3 years after the operation. The typical symptoms are sudden onset, onset Ferocious, may have symptoms such as chills, high fever, nausea and vomiting, headache, diarrhea, and general fatigue.

The condition can progress rapidly, followed by symptoms such as respiratory distress, irritability, shock, coma, bleeding spots on the skin, and severe electrolyte imbalance, and can die within 48-72 hours after the onset. Conventional anti-infection is almost ineffective, and blood culture colonies The number is as high as more than 1 times that of sepsis.

Special attention should be paid to the splenectomy of children, because splenectomy may cause dangerous explosive infection, so we must be very cautious about splenectomy in children, which will greatly increase the chance of infection, and even be fatal in severe cases.

When Zhao Yonghui was hesitating, Zhou Aimin said, "Boss, you can't wait any longer. The bleeding is too much. If you drag it on, the little girl's life will be gone. Now there are many people without spleen in the world, and they can still live like that. Well, it doesn't affect your life at all."

"Okay, then the only option is to remove the spleen." Director Zhao still felt uncertain, so he turned to ask Liang Yi, "What do you think?"

Liang Yi said, "It should be possible to preserve the spleen."

Zhao Yonghui's eyes were as big as copper bells.

Zhou Aimin glanced at Liang Yi, and felt that Liang Yi's words about protecting the spleen were too easy, this is a matter of life and death!

"You do it?" Zhao Yonghui gave Liang Yi a seat.

Zhou Aimin thought it was the director who was mocking Liang Yi. After all, this kind of thing often happened on the operating table, especially those colleagues who often confronted the department leaders were often ridiculed like this on the operating table.

Liang Yi stepped forward to the position of the chief surgeon, and Director Zhao took a step back.

The anesthesiologist Fei Yunfei had seen Liang Yi's surgery many times, and he was no stranger to it, but Zhou Aimin was so frightened that his jaw almost dislocated, a junior doctor was asked to do an operation that the dignified director couldn't continue with. Save Taiwan, and the spleen can't be saved at all, this is an operation, not a joke, nonsense!

This group of people!
Liang Yi immediately entered the state, quickly sucked out the blood in the abdominal cavity, checked the location and degree of spleen damage, and then pressed the bleeding point with a gauze pad.

After exposing the free spleen, because the spleen shrunk after the spleen ruptured and hemorrhaged, so there was no adhesion. Liang Yi held the spleen out of the incision, and then filled the spleen bed with a large gauze pad.