Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 446
A patient's operation requires the constant supervision of at least two anesthesiologists or nurses.
Focus on patient life support, through perfect monitoring, in addition to various drugs, fluids, and other methods, to adjust the patient's life state to the best situation during the operation.
Therefore, an excellent anesthesiologist is the treasure in the eyes of all surgeons!
Because of them, the top surgeons can display the most powerful surgical ability to save the dying patients.
......
"The anesthesia is over."
Soon, Deputy Director Tian of the Anesthesiology Department raised his head and said.
The patient's current condition is very bad, but the anesthesia is still completed, and the drug is constantly monitored and adjusted with a solemn expression to increase the patient's physiological indicators.
"Okay, get ready for ecmo."
Qin Feng said in a deep voice when he heard the words.
The first step before surgery is to connect the patient to the body fluid circulation system to help complete the autologous blood circulation.
Otherwise, if the abdominal cavity is opened hastily, once there is heavy bleeding, it may cause death in an instant.
The chest cavity has been opened, which is just suitable for the interventional environment of ecmo.
Qin Feng stood on the main knife position, and Zhang Qingquan stood on the first aid.
This part, he will personally operate!
Cut off the aortic wall and insert the artificial blood vessel...
Inject cardioplegia and the heart rate drops!
Distal aortic occlusion, done!
Proximal aortic occlusion, done!
Cardiopulmonary bypass intubation, complete!
In just a few minutes, Qin Feng completed the ECMO blood vessel connection. The speed of his hands shocked the deputy directors Yu Shuang and Lu Mingming who were waiting beside him, as well as the anesthetist and a group of nurses on the side.
This speed is too fast!
As for Zhang Qingquan, who was helping with the operation, besides listening to Qin Feng's instructions to act without having time to think, his mind was blank.
Even Director Zhong, who is known as "a knife in the capital" in the Department of Cardiac Surgery, has never seen such a fast hand speed.
And every movement is so precise, exactly!
terrible!
"Speed up the rehydration, and turn on the ECMO."
Qin Feng picked up the needle-holding forceps and said in a deep voice.
woohoo~
In the next second, the extracorporeal circulator started, and a deep sound sounded.
1 seconds......
2 seconds......
3 seconds......
Everyone waited silently, knowing that a stream of blood appeared in sight.
Cycle successfully!
"Speed up the blood transfusion and correct the state."
Seeing this, Qin Feng said to the nurse next to him, then looked at Yu Shuang and Lu Mingming who were waiting aside,
"Director Yu, Dr. Lu, let's start the operation."
The two looked at each other, seeing the surprise in each other's eyes, then nodded,
"it is good."
Chapter 329 Life-saving surgery, stealing from Hades
Surgery, officially started!
The first step is to open the abdomen to stop the bleeding, which is also the most critical.
"Knife."
Qin Feng stretched out his hand, and the scalpel fell into his palm.
This step, he is the first to operate.
Because the patient's abdominal injury is serious, it can't be confirmed by CT and line drawing. It can only be confirmed by feeling, which is also the most test of the rich experience of the surgeon.
After making a judgment, he dropped the knife from the side of the patient's right rectus abdominis and made a straight cut.
Cut the superficial fascia, deep fascia, peritoneum layer by layer...
The moment the abdominal cavity was opened, dark red blood gushed out from the wound like a spring.
In an instant, the entire surgical field of view was covered, and nothing could be seen clearly.
"Attractor!"
As a first aid, Zhang Qingquan immediately inserted the suction device, sucked blood quickly, and cleared his field of vision.
And when the vision of the abdominal cavity gradually became clear in front of several people, the horrible injury still shocked the eyes present.
"Sigh~~~"
"This injury is really too serious."
Yu Shuang frowned tightly, while Lu Mingming's complexion was even more serious.
The entire abdominal cavity is like a mess of flesh and blood, the damage is extremely serious, and blood is still spilling out from the various wounds.
Qin Feng estimated that since the patient appeared in the emergency room, until now, the blood loss has exceeded at least 4000ml.
If it wasn't for the desperate blood transfusion from the double venous channel, he would have died just now in the emergency room.
Even now it is still in an extremely dangerous state!
Surgery cannot be delayed, the longer the time, the greater the danger to life.
"Explore the abdominal cavity and prepare hemostatic sutures."
Qin Feng said immediately.
Yu Shuang and Lu Mingming didn't hesitate any more, they were robbing Hades for someone!
"Third-degree damage to the spleen."
"Second-degree rupture of the liver."
"Duodenal rupture."
"Second degree stomach injury."
"Severe retroperitoneal hematoma."
......
In just 2 minutes, after the three people investigated in different areas, the injury became more and more complicated, and the horrible incision made people feel chills in their hearts.
What kind of resentment and enmity does this have to be so crazy?
At this time, Yu Shuang couldn't help raising her head and glanced at the newly appointed deputy director of the emergency department in front of her.
If such a serious injury was placed in the past, let alone Xiehe, it would be difficult for any hospital in the world to do this.
Even being able to send patients to the operating table is considered a success for the hospital.
As for survival, it is a miracle.
And the miracle is the unknown!
Qin Feng took a rough look. There were 5 damaged organs in the entire abdominal cavity, 19 wounds, and [-] of them were penetrating injuries.
The duodenum and spleen, the duodenum was almost completely severed, and the spleen should have been disturbed by a knife. The wound was seriously damaged, and repairing it may take a lot of time.
Fortunately, part of the spleen can be removed, which saves life and shortens the operation time.
In this case, resection rather than forced suture is an appropriate choice.
Even if the patient needs a long recovery period after the operation, it is better than dying.
"let's start."
Qin Feng breathed out lightly, he was already mentally prepared for this, and said in a deep voice.
Yu Shuang and Lu Mingming on the opposite side nodded, and a joint operation officially started!
The spleen, liver and other parts were handed over to Yu Shuang, Lu Mingming was in charge of the stomach and rectum, and Qin Feng gave priority to other wounds and cleaned the whole abdomen.
"4/0 surgical thread, round needle."
The splenic hilum is the most vulnerable and important part of the spleen, and serious damage will bring irreversible damage consequences.
So Yu Shuang was extremely careful when handling the spleen.
The wound is too close to the spleen door!
If the person wielding the knife exerted a little more force, the spleen would probably be completely lost.
"Electric knife."
Holding an electric knife in his hand, Qin Feng began to clean the entire abdomen, closed the bleeding point, and kept track of the operation status of the two at the same time, providing support at any time.
After all, there are still many wounds in the patient's abdominal cavity, which need to be dealt with.
time!
time!
......
Rescue outside,
Two policemen sat on the bench next to the operating room, and the young Jiang Yuan was so gloomy that he could drip water.
Soon, the sound of footsteps sounded in the emergency room.
"Jiang Yuan, Lao Du, where's Xiang Feiren?"
The leading capable man, dressed in leather, ran up to the two of them and asked impatiently.
"In the operating room."
With a crying voice, Lao Du pointed to the operating room next to him.
wow~
The next second, the man grabbed Jiang Yuan's collar and picked it up suddenly, his face full of anger.
"Didn't you say it's okay? Why! Why did Xiao Fei suffer such a serious injury!"
"You know whose son he is, if he dies, how will you explain it?"
"Say it!"
Looking at the other party's angry eyes, Jiang Yuan's condensed eyes couldn't help shrinking.
However, he regained his composure immediately.
"Captain Gao, I will explain this to the higher-ups, but it's not that you don't know our identities."
He said calmly,
"I'll give you, Uncle Xiang and his family an explanation for Xiaofei's accident.
But now, I'm still the commander-in-chief of this mission, let go! "
bang~
Hearing this, the man's face was purple, trembling all over, and his eyes were full of anger.
After a few seconds of silence, he let go of his hand and punched him hard in the face.
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