My medical skills are a billion points

"Shot in the abdomen, now hypotension and hemorrhagic shock!"

Xiao Chu said hastily.

Gao Yingjun was stunned!

It was also the first time he saw a gunshot wound!

Seeing Gao Yingjun in a daze, Xiao Chu poked him, and said in a low voice: "They are policemen, don't be dazed, hurry up and rescue them!"

The most urgent thing now is to take out the bullet in the man's body.

Otherwise, continued bleeding would cause his death.

Gao Yingjun checked the man and asked, "Xiao Chu, what do you think of this situation?"

"Small-caliber bullets will flip over if they touch bones in the body, and may cause multiple unpredictable wounds, and may also cause multiple organ injuries!"

Xiao Chu explained.

Gao Yingjun said: "Then what should we do?"

"Ct imaging of the chest and abdomen, as well as ultrasound examinations of the chest and abdomen are required, and blood preparation is required."

Gao Yingjun pointed to the wound on the man's abdomen, and said puzzledly: "When the bullet penetrated the abdomen, it cracked the pelvis, but now the pelvis is where the bullet is not found."

"Where did the bullet go?"

Gao Yingjun said, and ordered several interns to turn the man over together.

Several people exerted force at the same time, turning the man into the right side lying position.

At this time, a bullet hole in the man's left back was bleeding, which caught everyone's eyes.

"Found it, between the fourth and fifth ribs, the wound is bleeding, and it looks like the bullet has penetrated."

Gao Yingjun said, and asked an intern to push the color ultrasound machine.

"Xiao Chu, we need to give him an abdominal ultrasound as soon as possible to see if there is any internal bleeding!"

Chapter 266 Thanks to Xiao Chu

Xiao Chu nodded.

This policeman definitely needs an operation, but the preoperative inspection must be clear.

Color Doppler ultrasound and CT are definitely indispensable.

Soon, the man had finished all the checks.

Xiao Chu found that the internal organs in his body were seriously damaged.

There was a ruptured spleen, a perforated bowel, a fractured pelvis and broken ribs.

In a slightly better situation, the bullet did not stay in the body, but penetrated out of his body.

However, because the bullet bounced in his body, it caused multiple organ injuries.

This operation is somewhat troublesome.

But the place where the injury needs to be operated on is in the abdominal cavity.

Pelvic fractures and rib fractures do not require surgery.

Seeing this situation, Gao Yingjun was gearing up.

"Director Xiao, you see that this patient mainly has ruptured spleen and intestinal perforation. Let me perform the operation today. How about it?"

Although Gao Yingjun is a resident doctor, he is already a senior resident doctor.

The attending physician has passed the qualification examination and is waiting for the hospital to hire him.

He used to specialize in general surgery, and he often performed operations on abdominal organs.

Like before, he followed Chen Bin as the first assistant in spleen rupture and intestinal perforation operations, and he also performed many cases.

But seeing this patient today, it happened to be a very good case, so he couldn't help asking Xiao Chu.

He had done this kind of surgery before, but he always followed Chen Bin as an assistant. How could he feel a sense of accomplishment as the chief surgeon!

After all, the ultimate dream of every surgeon is to become the chief surgeon.

Looking at Gao Yingjun's expectant eyes, Xiao Chu agreed to him.

"Okay, you will be the chief surgeon for today's operation, and I will be the first assistant."

Xiao Chu also knew Gao Yingjun's surgical skills.

He has also done this kind of operation, so Xiao Chu let him be the chief surgeon.

Of course, with my own help, even if Gao Yingjun lacks experience, I can correct him.

Furthermore, as the deputy director of the department, Xiao Chu has the responsibility to train subordinate doctors.

That's why I gave Gao Yingjun a chance today.

Gao Yingjun grinned when he heard that Xiao Chu agreed to be the chief swordsman.

"Director Xiao, I'm sure I've done this operation beautifully. I'll invite you to lick it tonight!"

Xiao Chu said with a smile: "Rolling is the next best thing. During the operation, one must maintain a steady state of mind. Don't make mistakes."

Gao Yingjun nodded solemnly.

Soon, the man was lying on the operating table under anesthesia.

Gao Yingjun was the chief surgeon, Xiao Chu was the first assistant, and a trainee doctor was the second assistant.

Gao Yingjun picked up the scalpel and started the laparotomy.

After entering the man's abdominal cavity, the first thing he had to do was to repair the ruptured spleen.

The bullet passed through the splenic flexure of the spleen, causing a severe rupture of the spleen, which is unlikely to be repaired.

Gao Yingjun looked at the broken spleen, then looked up at Xiao Chu.

"Director Xiao, the spleen is broken like this, it can't be repaired, it can only be removed!"

This spleen was shattered by bullets.

Even if Xiao Chu is the main sword, it can't be repaired.

Then just cut it off.

Xiao Chu pulled the hook to expand the surgical field of view, and said: "Then let's do a splenectomy, this spleen can't be repaired."

Four or ten minutes later, with Xiao Chu's cooperation, Gao Yingjun removed the man's spleen.

Then, Gao Yingjun repaired the transverse colon that was pierced by bullets.

During the whole operation process, Gao Yingjun played steadily and did a good job.

The pelvis was just cracked by a bullet, so no special treatment was needed.

Gao Yingjun carefully checked the patient's abdominal cavity and found no other problems, so he prepared to close the abdomen.

"and many more!"

Xiao Chu shouted suddenly.

"There is something wrong with the patient's blood pressure!"

Everyone hurriedly looked at the monitor.

It was found that the patient's blood pressure on the monitor was slowly dropping.

its not right!

Gao Yingjun frowned.

The injured organs in the patient's abdominal cavity were resected, resected, and repaired. There is no problem anymore!

Why does the patient's blood pressure drop?

Gao Yingjun was a little puzzled.

Just as Gao Yingjun was thinking, the patient's blood pressure dropped from 105/60mmhg to 85/55mmhg.

wrong

The patient's blood pressure drops so fast, there must be some bleeding!

Gao Yingjun carefully checked the abdominal cavity again, but still found no bleeding point.

With suspicious eyes, he could only look at Xiao Chu.

And when Xiao Chu found out that the patient's blood pressure started to drop, his mind was already spinning, thinking about the reason for the drop in blood pressure.

He shot the bullet into the man's body, turned it inside the body, and passed it out again in his mind several times.

Seems to have found the problem.

Seeing Xiao Chu looking over, Gao Yingjun said with some doubts:

"Director Xiao, there is no bleeding point in the abdominal cavity. But the patient's blood pressure is still dropping. Is there still bleeding point?"

As long as the patient's blood pressure continues to drop, it indicates that there is bleeding.

Of course, Gao Yingjun also considered this issue.

But he didn't find any bleeding point in his abdominal cavity, so he could only turn to Xiao Chu for help.

Xiao Chu looked at the patient's slowly dropping blood pressure on the monitor, and expressed his opinion.

"The bullet hit the pelvis, ricocheted and probably went back left.

The position where the bullet exits is exactly between the fourth rib and the fifth rib, and the position of the bullet hole is also exactly the position of the intercostal artery.

So I consider the drop in blood pressure of the patient may be caused by the rupture of the intercostal artery! "

Gao Yingjun stared closely at Xiao Chu's eyes, and said sternly, "There is also an intercostal artery injury?"

Xiao Chu nodded seriously.

"This possibility cannot be ruled out, otherwise we cannot explain the reason for the drop in blood pressure.

After all, there are no bleeding points in the abdominal cavity, so we can only consider whether there are bleeding points in other injured places. "

Gao Yingjun thought for a while, and finally believed in Xiao Chu's words.

Because the patient's abdominal cavity has no bleeding point, and he has a rib fracture.

So we can only consider whether there is intercostal artery bleeding.

After finalizing the plan, the scalpel in Gao Yingjun's hand quickly made an incision on the man's left back, in the fourth intercostal space.

After probing, he was surprised to find that the patient's fourth intercostal artery was indeed broken.

At the moment when he saw the bleeding point of the intercostal artery, Xiao Chu also breathed a sigh of relief.

After all, in this operation, he did not use his ability and relied entirely on his own judgment to determine the bleeding point.

There was no need for Gao Yingjun to make a sound, Xiao Chu directly took the hemostat and clamped the broken blood vessel.

Then Gao Yingjun ligated the broken blood vessel.

Finally, the patient's blood pressure did not continue to drop, but began to rise slowly.

Gao Yingjun couldn't help breaking out in a cold sweat.

If it wasn't for Xiao Chu's timely reminder, the patient's blood pressure would be problematic.

Then he will close the abdomen of the patient, and then send the patient to the ward.

It would be bad if the patient's blood pressure drops after that time.

Chapter 267 Race with Death

After getting off the operating table, Gao Yingjun still had lingering fears.

He looked at Xiao Chu and said happily: "Director Xiao, it's fortunate that you were an assistant today. Otherwise, if I didn't find out the patient's blood pressure problem in time, then I would be miserable, and this patient might have to undergo a second operation. "

"It seems that I will learn more from you in the future."

As he spoke, Gao Yingjun returned to his hippie smile again.