Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 4
After speaking, he turned to look at the nurse who stayed behind.
"You have been compressing the blood vessels just now, and then you can add aspirin and recombinant tissue plasminogen activator...to prevent thrombosis and cause cerebral infarction."
"Oh well."
The nurse hurriedly followed suit.
Bang!
"The operating room is ready!"
At this time, head nurse Liu Juan ran in and said.
Qin Feng glanced at the two doctors in front of him with serious expressions.
"Prepare for surgery!"
One minute later, Chen Fang was pushed into the operating room next door.
Three doctors, Qin Feng, Xiao Jing, and Wang Xiaohui, as well as an anesthetist and all the nurses.
All hands were washed and disinfected, put on sterile clothes, gloves and masks, and walked into the operating room.
At this time, Deputy Director Chen Yuanfang had finished anesthesia.
Qin Feng stood on the operating table, with the first assistant Xiao Jing and the second assistant Wang Xiaohui behind him.
He looked up at the time and said in a deep voice.
"It's 15:37 in the afternoon, the patient Chen Yuanfang is undergoing surgery for a ruptured carotid artery.
Start now! "
Chapter 4 Nonsense!Can you do carotid suture?
on the operating table,
Dr. Xiao Jing took over from the nurse to press, and deliberately moved his fingers two centimeters behind the wound to expose the view of the wound.
"Thank you!"
Qin Feng glanced at her with a smile and nodded.
Xiao Jing was a graduate of Jinling Medical University. After entering the city's first hospital, she also asked to come to the emergency department.
Later, Director Zhou took a fancy to him, so he stayed by his side all the time, and went to the operating table as soon as he became a regular.
It took only half a year from observation to the position of first assistant, and now he can be regarded as an attending doctor with considerable emergency experience.
Xiao Jing didn't speak, but just stared blankly at Qin Feng in front of him.
I don't know why, from the moment I appeared in the emergency room, to now I'm on the operating table.
He couldn't refute or resist every word he said!
Qin Feng, who was originally handsome and approachable, pushed Zhao Yitian away in the emergency room and performed the venous channel puncture himself.
She hasn't understood that technique until now, it's as easy and precise as she usually inserts a straw!
You know, although Qin Feng chose the two thickest veins on the neck and buttocks.
But even if she has been in the emergency department for several years and has rich experience, and often encounters the need to open the venous access puncture, she still thinks she can't do it so freely and freely.
before the operating table,
Qin Feng concentrated his attention and quickly cleaned the wound with iodophor, and the neat wound appeared in his sight.
After disinfection, he used surgical forceps to find the location of the severed artery.
He was also there when Deputy Director Chen was injured, and the depth of the fruit knife across her neck came to mind.
So I have a rough estimate of the injury in my heart.
With such a large amount of bleeding, the artery must be injured, but other arteries or veins must have been severed.
There are many superior arteries in the human neck, including more than a dozen common carotid arteries and superior thyroid arteries.
Among them, the common carotid artery and the superior thyroid artery are the two thickest arteries in the neck.
Open the wound and investigate.
"Huh~ Sure enough, what a blessing!"
Qin Feng exhaled a sigh of relief, showing satisfied eyes, his judgment was correct.
Carotid rupture!
The superior thyroid artery ruptured!
Checking down the wound, except for the muscle tear, the other arteries were lucky.
It's also fortunate that the man's hastily drawn knife didn't hurt too deeply.
Otherwise, Chen Yuanfang might not even be able to survive the operating table.
Now Qin Feng is more confident. As long as the two arteries are sutured together and the blood supply resumes, the danger should be gone.
"Report data."
"BP has returned to normal, CVP is still a little low."
Hearing Qin Feng's voice, the nurse quickly reported the information on the instrument.
"The blood volume has almost recovered, we can reduce the infusion and control the speed.
Heparin 10mg, papaverine 30mg, injected intravenously, I am about to start surgery. "
Qin Feng nodded when he heard the words, looked at the itinerant nurse and said.
"Yes." The itinerant nurse replied.
"Qin Feng, are you really going to do it? This is against the rules!"
Just as he was about to pick up the suction device, Wang Xiaohui, the second assistant on the side, quickly grabbed him, his eyes were full of tension and worry,
"You are an intern, and Director Chen's condition has at least reached the standard for a third-level operation.
Even in our city's No. [-] hospital, there are only a few directors who can do it. If something happens, we all have to leave!
It's too dangerous, don't be brave, Director Chen is stable now, you've done well enough.
Let's wait for the directors of other departments to come to perform the operation! "
"Sister, don't you think it's too late to say this now?"
Hearing her tense persuasion, Qin Feng shook his head helplessly and said with a smile,
"And Deputy Director Chen's situation is not optimistic, the more dangerous it is to delay for one more minute."
"In this way, if you are really worried, let's start doing it first, and wait for the other directors to arrive and then replace them to continue. It's okay, right?"
He, Dr. Wang and Dr. Xiao, both had the same expressions, and he still tried to persuade them tactfully.
Seeing that they no longer objected, Wang Xiaohui nodded and let go of her hand.
Qin Feng picked up the attractor and regained his serious eyes.
"attract......"
The suction device quickly sucks away the subcutaneous blood, exposing a clear surgical field of view.
"Vascular clamp."
"it is good."
Seeing him reaching out his hand, Wang Xiaohui quickly handed the instrument into his hand.
Qin Feng first blocked both ends of the broken carotid artery with a large blood vessel, and then completely blocked both ends of the superior thyroid artery.
One...
two...
three...
four...
4 seconds!
Get it all done and fast!
After confirming that the blocking was complete, he gave Kazuki a look.
At this time, Xiao Jing slowly let go of the hands that were firmly holding the blood vessels, and she couldn't help feeling a little nervous in her eyes.
"Whoo~"
Finally, when he took his hand away completely, not a single drop of blood leaked from the ends of the two arteries.
Perfect blocking!
For a moment, everyone looked at Qin Feng in amazement.
Especially Xiao Jing and Wang Xiaohui, who were on both sides, couldn't help being shocked!
This method and speed are as fast and accurate as a textbook.
The two of them followed the director on the stage, and they have seen many times that the aorta ruptured due to various accidents and needed to be blocked.
And Qin Feng's hand speed is simply faster than those experienced directors!
Is he really an intern?
Could it be some hidden boss!
"1% lidocaine, 50ml to flush blood vessels."
Qin Feng still said intently.
The nurse next to him quickly got ready and handed it over.
Because it was cut by a sharp blade, the ends of the broken blood vessel are still very smooth.
He simply removed 1mm, smoothed it, and then softened it with warm salt water and hot compress.
Prepare to connect blood vessels.
"3-0 no damage line."
Qin Feng took a deep breath and stretched out his hands.
First assistant Xiao Jing handed him the threaded vascular needle, and everyone became nervous.
The next step is the most important part, connecting the blood vessels.
Qin Feng no longer hesitated. The moment he got the needle, he felt as if he had undergone countless operations, without any nervousness.
full of confidence!
Time waits for no one, hurry up.
Immediately the needle is threaded through the vessel and a quick suture begins.
......
At this time, outside the operating room,
"How is Deputy Director Chen? Where is she?"
A doctor in a white coat, about five or sixty years old, and another person behind him hurried over.
Looking solemnly at Zhao Yitian, who was still sluggish at the door, and Liu Juan and others next to him, he asked in a deep voice.
"Director Zhang, Director Cao, and Deputy Director Chen are already undergoing surgery."
When the head nurse Liu Juan saw the person coming, she hurriedly said.
These two are the director and deputy director of cardiovascular and cerebrovascular, and they rushed here after receiving the news.
The carotid artery was severed, this is a fatal injury!
However, because their cardiovascular and cerebrovascular inpatient department is some distance away from the emergency building, and there are more family members in the hospital now.
It took two or three minutes to wait for the elevator alone, and it was nearly 3 minutes when they arrived.
But hearing that Chen Yuanfang was already undergoing surgery, the two of them were also relieved.
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