My medical skills are a billion points

Zhou Ziqiang had a big question: "Why can't we do that?"

Xiao Chu immediately showed a triumphant smile.

"Because I found a huge abscess."

Zhou Ziqiang didn't care about it at this time, the bet between them was over.

He hastily opened the intestines next to Xiao Chu and had a look, and was immediately shocked.

Xiao Chu's hands are carefully holding a fist-sized abscess.

There is a transparent capsule outside the abscess, which is very thin and will break if you don't pay attention.

No wonder Xiao Chu didn't dare to move!

It turned out that Xiao Chu was protecting the abscess and preventing it from bursting.

Once this huge abscess bursts, the man's abdominal cavity will be full of pus.

This much pus, entering a person's abdominal cavity, will 100% cause a serious infection.

At that time, sepsis will be caused, and the patient will not be far from death.

Zhou Ziqiang immediately gasped.

"Xiao Chu, you must insist on not moving. Don't move. If you move, the abscess will burst, and the pus will spread rapidly throughout his abdominal cavity. This man will surely die!"

Xiao Chu carefully held the huge abscess with both hands, and remained motionless.

But he still said calmly: "I know Brother Zhou, that's why I didn't move. If it really breaks, the operation we performed today will be in vain!"

The reason for the formation of abscess is actually very simple.

The man's intestinal perforation was actually the abscess.

Because after his intestinal tract was perforated, the serosal layer wrapped the fecal fluid exuded from the intestinal tract, and it became larger and larger, turning into this fist-sized abscess.

Now the abscess is almost on the verge of bursting.

Zhou Ziqiang hurriedly said: "Old Gao, don't look for perforation anymore, this abscess is formed by perforation.

You gently prop it open, I'm going to remove the rotting tissue, rinse it with antibiotics, and then you remove it! "

At this time, the monitor sounded a rapid alarm.

Zhou Ziqiang immediately asked, "What's going on?"

Xiao Chu said: "I didn't move anything, this abscess is not ruptured!"

The anesthetist said, "It's because the blood pressure has dropped. The rest of the operation must be completed as soon as possible, otherwise he will suffer from cerebral ischemia!"

It seems that there is not much time left for the operation.

The operation must be completed as soon as possible, otherwise the man will eventually die from infection.

Zhou Ziqiang picked up a pair of scissors and gently cut a small incision on the abscess.

"Handsome Gao, hurry up, attractor!"

Gao Yingjun took the suction device and hurriedly sucked up the oozing pus.

……

The operation lasted for nearly two hours, and finally the abscess was completely removed.

Zhou Ziqiang washed the entire abdominal cavity with antibiotics to avoid infection.

At this time, the man's operation was considered a complete success.

Chapter 336 To pull or not to pull?

It was already two o'clock in the afternoon, and he missed the noon off work time.

But for emergency physicians, this is commonplace.

After the operation, the patient was also sent to the intensive care unit for observation.

Only now did the three of Xiao Chu have a short rest.

Since he didn't eat at noon, Xiao Chu wanted to order takeaway, but Zhou Ziqiang stopped him.

"Since I lost, I owe you both a barbecue, and I will order the takeaway today."

Xiao Chu and Gao Yingjun did not refuse, they lay on the bed in the duty room and rested for a while, waiting for the delivery to arrive.

……

On the expressway around the city, a heavy truck was pulling a load of steel and was driving at a constant speed.

Just 100 meters behind it, a taxi, dashing from left to right, was rapidly overtaking the vehicles on the road.

In the back seat of the taxi, a middle-aged woman in her fifties, holding a mobile phone in her hand and turning on the navigation, gestured to the driver in front of her.

"Master, we will arrive not far ahead, hurry up, I have something urgent."

The taxi driver swiped and pulled the navigation on the car while stepping on the gas pedal.

"Don't rush, the speed is already very fast."

The driver turned his head and said.

Unexpectedly, the middle-aged woman in the back seat suddenly widened her eyes and pointed forward in fear.

"car……"

The driver hadn't turned his head, only heard a loud "bang".

The taxi rear-ended directly, and the steel heavy goods vehicle was pulled in front.

Since the speed of the truck in front was not fast, the taxi hit violently, causing the steel behind the truck to hit the taxi.The roof was smashed flat, and the door was directly deformed.

Although the two people in the car were wearing seat belts, the violent impact also caused their heads to hit the front windshield and the front seat.

The two passed out at that time.

The passing vehicles saw that there was a car accident ahead and called 120 one after another.

Twenty minutes later, it was the emergency personnel from the provincial hospital who came to the emergency scene.

After checking the patient's injuries, the emergency doctor was taken aback and immediately called the emergency department for help.

"At the scene of the car accident, a taxi and a truck rear-ended near the Chengnan intersection of the Ring Expressway.

The roof of the taxi was severely dented, and the driver was successfully rescued. Because the rear door was severely broken and inserted into the chest of the rear passenger, the passenger still has vital signs.

We are afraid that after the car door is opened, the wound will lose pressure and hemorrhage, so we ask emergency experts to come to the scene for guidance. "

The emergency doctor hastily said his request.

Because the passenger in the back of the taxi was stabbed into the chest by a steel plate and was seriously injured.

With his level, he couldn't handle it at all, so he asked the emergency department for help, hoping that the department could send experts to the scene for rescue.

Otherwise, the injured person might not survive.

"Got it, we'll get ready right away."

The emergency nurse who answered the phone hung up and called the ward nurse station.

"There was a car accident near the south intersection of the Ring Expressway, and the on-site emergency personnel couldn't handle it. Please ask our experts for on-site guidance."

"Okay! I'll go to Director Xiao right away."

The nurse who answered the phone put down the phone and ran to the office to call Xiao Chu.

Because other doctors need to be on duty in the department, while Xiao Chu only treats outpatients.

Besides, this car accident required Xiao Chu to go to the scene to guide the patients.

At present, he is the only one who is the most suitable in the emergency department, and his medical skills are also the best, so he is the best candidate to go to the scene to guide.

When Xiao Chu received the news, he didn't dare to be negligent. He hurriedly contacted the ambulance on standby and rushed to the expressway around the city.

In about ten minutes, the ambulance arrived at the scene of the accident.

Xiao Chu hurriedly jumped out of the ambulance and asked the emergency doctor at the scene: "How is the injured now?"

The first responder hurriedly replied: "The injured was conscious before, but now she is in a severe coma. She needs to be rescued as soon as possible."

At this moment, a middle-aged woman's head and face were covered with blood, her true face could no longer be seen, and she was seriously in a coma.

She was sitting on the right side of the taxi, and the door was severely deformed and could not be opened.

Xiao Chu could only go in from the left side of the taxi to check on her situation.

Wearing sterile gloves, he first touched the injured carotid artery and found only a weak pulse.

It shows that the patient at this time still has a heartbeat. Although he is unconscious, he will not die immediately.

Xiao Chu looked at the steel plate again, where it was inserted into the patient's chest, and he had a rough judgment in his heart.

At this time, the patient's blood had soaked the taxi seat, and the blood dripped from the taxi to the ground, bright red, very dazzling.

After Xiao Chu checked the patient's condition, he felt that the patient's condition was very dangerous and not optimistic.

After all, the place where the steel plate was inserted was in the middle of the wounded, and the amount of bleeding was very large, which was likely to cause hemorrhagic death.

The first responder lying outside the car window looked at the condition of the injured again, and couldn't help feeling worried again.

The wounded man's injury was really too serious.

Blood kept flowing from the wound.

This is also because there is a steel plate compressing the wound, so the bleeding speed is slower.

If the steel plate is pulled out, the blood can be ejected from the chest cavity of the heart at once.

He looked at Xiao Chu who was frowning tightly, and asked, "Director Xiao, how are you doing?"

Xiao Chu frowned, and said: "The location where the broken part is inserted is probably the superior vena cava. If you pry open the car door and pull out the steel plate, you will definitely bleed profusely. It is very dangerous!"

Because the steel plate was inserted right in the middle of the injured person's chest, the first responders could see that it was dangerous.

He hurriedly said: "If the superior vena cava is injured, it will cause severe hemorrhagic shock in a few minutes. We are outside now, and it will take ten minutes at the fastest to go back. It is too late."

The paramedics voiced his concerns.

The human superior vena cava has a diameter of 2 to 3 centimeters, thicker than a human thumb.

Once this blood vessel is damaged, the amount of bleeding is terrific, and it can kill a person in minutes.

Although the first responders were not unreasonable to worry, Xiao Chu had his own thoughts.

"Now pull out the broken part, and within 2 minutes, I can find the bleeding site and temporarily stop the bleeding."

Because Xiao Chu was very clear in his heart.

If the steel plate is inserted in the patient's chest, although the amount of bleeding is slow, it will not stop the bleeding, and there is still a risk of death from hemorrhagic shock.

The first responder immediately said: "Even if it is only 2 minutes, the bleeding volume of the vena cava will reach more than 10 milliliters. Even if there is no delay on the way, it will take [-] to [-] minutes at the fastest before entering the operating room.

The heart and brain ischemic damage caused by that time will be irreversible.Shall we give her a blood transfusion to replenish her blood volume first? "

The whole body blood volume of an adult is about [-] milliliters.

The amount of bleeding in 2 minutes can reach [-] milliliters, and the blood loss is nearly half.

In this case, it will cause serious cardiovascular and cerebrovascular blood supply insufficiency, causing heart and brain damage.

So that's what first responders worry about.

Chapter 337 There Are Other Ways

The suggestion of the first responders is to wait for the blood plasma to be transferred, and then to transfuse the wounded with blood to maintain the blood volume to avoid shock, and then think of other ways.

And Xiao Chu waved his hand directly, and said: "It's too late, this position is unstable, the window frame has already moved, and the bleeding has already started to increase.

Now you pull out the steel plate as soon as possible, I can block the blood vessel, this is her only chance. "

Because it was impossible to transfer blood from the hospital.

First of all, no one knows the patient's blood type.

If you want a blood transfusion, you must take the patient to the hospital first.