Big Doctor Live Room

Chapter 531 Interruption of the External Iliac Artery
Chapter 531 External iliac artery rupture
"The six small intestinal mesenteric tears have been sutured, and the liver suturing is in good condition. Give the patient a booster injection to treat the pelvic bone fracture. How many units of plasma and blood have been transfused? Seven units or eight units?"

After more than 30 minutes of the operation, Chen Qun finally breathed a sigh of relief, raised his head, and asked the itinerant nurse beside him.

"There are only four units of whole blood and three units of plasma. Dr. Chen, your hemostasis is too fast, and the blood in the blood vessels cannot escape you. I have been a nurse for more than 20 years. This is the first time I saw someone use traditional sutures to compare The electric forceps can stop the bleeding even faster, really gaining insight!"

The aunt nurse expressed her shock to Chen Qun, but Zhao Xue rolled her eyes.But, I understand more and more why the hospital chief waited for Chen Qun to come and take a look.

If another doctor operated here, the patient might not be able to stop the bleeding and die directly.

Because of the six ruptures in the patient's mesentery, two of them were very hidden, but Chen Qun found them out with ease.Otherwise, bleeding from multiple bleeding points is the most likely to lead to more chaos and panic, and more panic and chaos, and finally the situation is completely out of control.

Besides, if it was replaced by other doctors to suture the liver, it would take an hour or two less to finish it.I heard that this doctor was the one who served as Chen Qun's assistant last night, but he would climb up the pole and go directly to Chen Qun to help with the operation.

Although Zhao Xue has been here for less than half a year, she is familiar with all kinds of infighting methods in the hospital.If someone directly wants to parachute a doctor over to perform an operation on a patient, and the hospital cannot object for various reasons, they will definitely try their best not to interfere in the operation, so as not to argue.

If the situation does not permit, good doctors and nurses must be sent, then most of them will choose those doctors who do not have a mountain faction but have solid basic skills to help.One is that it won’t disgust the big bosses in the airborne, thinking that this hospital is stumbling behind; the other is that in case of any accident, these are the ones that can be discarded!
These people are generally professional scapegoats, to a large extent because they have strong technical skills, but they are not willing to be the department head's younger brother, or they are completely stupid because they are stupid and do not know how to communicate. Most of them are specialized in hospitals. The group of people who do the dirty work in the major departments.

Hospitalization can always be said to be their highest level, and it is very likely that they will not be able to stand out until the group of people who suppressed them retire.

The inpatient in front of me was thrown out last night to take the stage with Chen Qun, which shows that his surgical skills are very good.Now from his performance as an assistant, it can be seen that he is countless times stronger than Zhou Lin.

Besides, what happened today is very weird. If there are doctors on the top of the mountain, they will definitely not ask for help from foreign aid who came here temporarily.

Wang Xu is not an idiot. It must be that this operation is likely to be a scapegoat. If someone deliberately punishes him, he will arrange those patients who are very difficult to save.

Compared with medical accidents, my little face is not important at all.Wang Xu should also know that the situation is critical, so he hugged Chen Qun's thigh temporarily.

Zhao Xue knew that what she guessed should be some kind of truth, maybe a hospital manager came to seek refuge, and their life in the hospital might be easier.After all, Chen Qun was not a problem at all for all the dirty tricks that couldn't be put on the table.Apart from using surgery to treat people, the hospital really couldn't find any other suitable way to squeeze them out.

Perhaps, you can talk to Sister Qi Hong and temporarily recruit this guy.Let sister Xin take care of him again, and no one will continue to trip him up.

"OK, the blood in the pelvic cavity has been processed, and the abdominal cavity is dry. Disinfect and clean it immediately. Call the intensive care unit and send the patient back to the temperature immediately."

"It seems that the blood pressure is a little high, do you need to check it?"

Seeing that the operation was completed so quickly, Wang Xu hurriedly reminded him.After all, this is his patient, and he is responsible for any problems.What's more, at this critical juncture, if he was a little careless, he would be swept away.

"Okay, you finish closing the abdomen, and we will wait another 10 minutes before sending the patient up. Are there any electric blankets or warm water bags that can be placed next to the patient to warm him up. As for the high blood pressure, I think it is just rising. Because of the pressure agent."

Chen Qun agreed from the sidelines without hesitation, and he knew better what the general worry of a hospitalized person is.Half a year ago, he was more conscientious than this hospitalist, but he also had problems.

What's more, the hospital chief unexpectedly found an outsider to rescue him temporarily. No need to ask, he knew that it was the kind of smelly, hard and honest doctor in the hospital. When he encountered an emergency, he couldn't even find a superior doctor.

Seeing that Chen Qun agreed to come down, Wang Xu let out a sigh of relief and couldn't help asking for advice.

"Dr. Chen, why did you inject the patient with a vasopressor just now? Why?"

Chen Qun pointed to the readings on the screen and explained.

"You just told me that his blood oxygen saturation is 100%, which is a bit abnormal. Most normal patients can't reach [-]% when they are inhaled oxygen, so if there is a problem, it is definitely the blood pressure. The problem started first, and a little supercharger was given first, just to avoid a sudden drop. This is a lesson I have learned from thousands of operations. It is too normal and not normal."

These are his words from the bottom of his heart, a lesson of blood and tears. This happened to three different patients in his simulation system space, and a complete crash ensued, adding to his record of beheading thousands of people.

Wang Xu nodded approvingly. He has seen several episodes of such cases where the situation was very good, but suddenly collapsed in the end.However, he is more concerned about another issue. After all, all the patients are rescued now, and all the indicators are normal, with a little bit of abnormality. This may be the best result, so he naturally doesn't have to worry about it.

"Then I would like to ask Dr. Chen, you made a big incision at first. I didn't know why at first, but I didn't know it was useful until you finished the operation. May I ask how you foresee the situation in the patient's stomach. "

"It should be a wealth of clinical experience! You said that the patient's stomach is as hard as a stone, which means that there is a problem. There is multiple bleeding. Naturally, a long hole is needed to detect every problem place as quickly as possible. As for me I chose the left side because I am more comfortable with this position and the operation speed is faster. Well, this is based on feeling, and it is often impossible to explain the situation clearly.”

Chen Qun directly gave a very metaphysical reason. To put it bluntly, he just followed his feelings.

Wang Xu didn't contradict this answer at all, and it wasn't because Chen Qun was fooling him, but he took it for granted and continued to ask the next question.

"Excuse me, Dr. Chen, how did you judge that the patient's external iliac artery was severed by glass?"

"It's not easy? Only one very important blood vessel is cut off, which will cause the abdominal pressure to become very strong, and this will happen at the beginning. We checked the chest and there is no problem, and the rest It's a bleeding abdomen."

This is Chen Qun's speculation based on his rich clinical experience.

(End of this chapter)