My medical skills are a billion points

However, this patient with subdural hemorrhage needs regular review of head CT to prevent increased bleeding.

Once this patient becomes comatose or the disturbance of consciousness worsens, it means that the subdural hemorrhage has increased, and surgical treatment is required if necessary.

There are two patients who need emergency surgery, but every doctor is very busy.

This made Xiao Chu face a difficult situation.

After thinking for a while, Xiao Chu said to Gao Yingjun: "Handsome, please ask the orthopedic department for consultation with the patient with comminuted fracture of the left lower limb. Transfer the patient to them.

The patient can't wait any longer, and the operation must be done as soon as possible. We can't spare the manpower, so we have to transfer it to the orthopedics department. "

"But the patient in front of me with hemorrhagic shock must also undergo surgery as soon as possible. How about you come with me?"

For now, only Gao Yingjun is free for the time being.

Xiao Chu must go to the operating table with him as soon as possible.

Gao Yingjun was a little excited.

This is the first time that Xiao Chu has asked him to be an assistant in thoracic surgery.

Gao Yingjun rubbed his hands together, and asked nervously, "What do I need to do?"

Xiao Chu pointed to the film made by the patient and said:

"The inserted piece of glass was at least five centimeters deep, but it has already injured the pericardium and lung lobes.

I can do this operation, but I need someone to stabilize the glass so that it doesn't shake.can you do this "

There is absolutely no problem for Xiao Chu to take glass slices for this operation.

But the premise is that someone needs to stabilize the glass to prevent the glass from shaking and aggravating the damage to the heart.

That is to say, the first assistant requires a particularly stable hand.

He is holding the glass slide, and it cannot be shaken in the slightest, so as to facilitate Xiao Chu's operation.

Gao Yingjun looked at the position of the glass on the film, pondered for a while, and nodded fiercely.

"No problem! Xiao Chu. I will definitely hold on to the piece of glass and remain motionless."

"That's good, get ready for surgery!"

"Have the family members come? Hurry up and get them to sign."

Wang Li on the side said hurriedly: "Mr. Xiao, the family members of the patients injured in the car accident here are all outside the hall. I'll go and call the family members of this patient."

Soon, Wang Li called the man's family.

Xiao Chu explained to the family members in detail that the patient's condition is very critical, and that an operation must be performed immediately to remove the glass slices.

Otherwise, the heartbeat may stop again, and it may not be possible to rescue it again.

After a few minutes of preoperative conversation, the family members hurriedly signed and agreed to the operation.

The patient is then wheeled into the operating room.

Because other doctors are busy.

For this operation, Xiao Chu was the chief surgeon.

The first assistant is tall and handsome, and the second assistant is a doctor in training, whose role is to pull the hook and cut the thread.

Xiao Chu and Gao Yingjun also hurriedly changed their hand washing clothes, and disinfected their hands in the bathroom.

Then I came to the operating room, put on surgical gowns and sterile gloves, and stood on both sides of the patient.

"From now on, handsome, hold the glass steady for me, don't let it shake a little bit, I'm going to start."

Holding a scalpel in his right hand, Xiao Chu said to Gao Yingjun seriously.

Gao Yingjun also looked solemn, holding the glass piece firmly with his right hand, and nodded heavily.

"Xiao Chu, feel free to do it, I will definitely not shake the slightest bit."

After routine disinfection and draping, Xiao Chu took a scalpel and made an incision from the anterolateral side to the skin, and an electric knife to cut the subcutaneous tissue and periosteum.

Separate the sternum manubrium and saw the sternum longitudinally with a sternum saw.

The trainee doctor used a syringe to fetch water to cool down, coated the bone marrow cavity with bone wax (wrapped with saline gauze), and handed a small spreader to open the sternum.

Xiao Chu first carefully avoided the glass shards, and gradually healed the lung contusion.

"You hold the glass steady, I'm going to use the knife!"

Xiao Chu said solemnly.

Gao Yingjun's hand holding the glass remained motionless, but beads of sweat loomed on his forehead.

"Sweat!"

Gao Yingjun said.

The itinerant nurse hastily wiped off his sweat with gauze.

Xiao Chu quickly and steadily separated the tissues around the glass piece without touching the glass piece at all.

His hands were as steady as a rock, without any extra movement.

Gao Yingjun was stunned.

While Gao Yingjun sighed in his heart, he respected and worshiped Xiao Chu from the bottom of his heart.

He couldn't imagine that Xiao Chu, a resident doctor, could perform such a difficult operation so perfectly!

It's breathtaking!

Soon, Xiao Chu almost removed the tissues around the broken glass.

"Pull out the glass!"

Xiao Chu said in a deep voice.

Hearing the sound, Gao Yingjun slowly pulled out the glass.

The moment the glass was pulled out, a bloody arrow shot out.

"Bleeding!"

Gao Yingjun let out a cry.

Chapter 250 One wave has not settled down, another wave has arisen

The reason why there was no bleeding before was because there was glass inserted in it.

Has the effect of oppressive hemostasis.

Now that the glass is pulled out, the pressure drops sharply, and the punctured blood vessel will bleed.

This is normal.

And Xiao Chu picked up the electric knife, with quick eyesight and quick hands, he quickly clicked on a few blood vessels that were bleeding, and soon stopped the bleeding.

Gao Yingjun held the pulled glass piece in the air, and even forgot to put it in a sterile tray.

He even appeared in a trance for a moment just now.

Because the moment the glass was pulled out, the bleeding was too severe.

For a moment, he felt that the patient was going to die.

Because the bleeding is so fierce!

The bleeding quickly submerges the ruptured blood vessel. It is really difficult to accurately stop the bleeding!

But what he didn't expect at all was that Xiao Chu used the electric coagulation knife to completely stop the bleeding within ten seconds.

This hemostasis technique, the speed of hemostasis, is too unbelievable!

Gao Yingjun was even more amazed at Xiao Chu's hemostasis technique.

Now the shards of glass have been pulled out, and the bleeding from the wound has stopped.

Gao Yingjun had sharp eyesight and quick hands, and he passed No. 4 thread to ligate the bleeding point, and No. 4 Prolene suture to sew the lung section.

The thread was not cut, and both ends were clamped with a needle holder, and the wound was washed with warm saline to check for bleeding and air leakage in the lung.

Then the 26-gauge silicone tube was used for mediastinal and pericardial drainage.

10-4 steel wires with a diameter of 5 are used to suture the sternum.

Apply bone wax again and apply it to the cut surface to stop bleeding.

钢丝剪剪除多余部分钢丝，10*24圆针/以及7号线缝合肌层，3-0三角针可吸收线缝合皮肤。

Done!

Done work!

Just so fast!

That's how awesome it is!

It only took an hour and a half from Xiao Chu to the time when the skin was completely sutured!

It can be said that the operation record of the provincial thoracic surgery department has been broken!

But at this time, Gao Yingjun looked at Xiao Chu like he was looking at a god!

"Xiao Chu, I'm curious that you are so young, but where did you learn your superb medical skills?"

Gao Yingjun looked at Xiao Chu with doubts on his face.

Although Gao Yingjun had already experienced Xiao Chu's difficult operations many times.

But he still had doubts in his mind.

Xiao Chu is so young, why is he so powerful!

Even Zhou Ziqiang, who has been working for many years, does not have such rich surgical experience.

But Xiao Chu did it!

This has to be amazing!

Xiao Chu smiled slightly.

"Can I say, is this talent?"

How can Xiao Chu explain it?

It is impossible for him to say that he is an asshole, that's why his medical skills are so good.

Gao Yingjun shook his head and sighed, "Oh, people are so angry!"

At this time, in the other two operating rooms, Zhou Ziqiang performed a ruptured spleen operation, which had not yet stepped down.

And Zhao Fangshu received a patient who was considering intestinal rupture and was undergoing an exploratory laparotomy.

Xiao Chu and Gao Yingjun were the last to be on the operating table, but they were the first to get off the operating table.

The two washed their hands again, took off their hand washing clothes, and put on white coats.

As soon as he walked out of the operating room, he was surrounded by family members outside the door.

"Doctor, how is my husband?"

"Doctor, how is my son?"

……

All the family members were anxiously asking about the patient's condition.

They may be the patient's wife or the patient's parents.

Xiao Chu understood the urgency.

He pressed down with both hands to make everyone quiet down, and then said:

"The patient's operation was successful, and his vital signs are relatively stable now. He is out of danger for the time being!"

"But after all, the piece of glass inserted in his chest injured his pericardium and lungs, and now he needs to be admitted to the intensive care unit for observation after he comes out of the operating room.

After his vital signs are completely stable, he will go to the general ward. "

Hearing that the patient's life was out of danger, several family members were all very excited and expressed their gratitude to Xiao Chu.