Signing in at the hospital, the first operation shocked the whole country!

60/30!

"problem occurs......"

Seeing this number, Jiang Yuan shrank his pupils and looked at Zhao Wenfeng.

"Send it to the emergency room and open the operating room!"

The man was lifted onto the flat car and quickly sent to the emergency room. The double vein channel was opened to the maximum for rehydration and anti-shock.

"One detoxification, sodium bicarbonate correction, hurry up!"

"laryngoscope."

Jiang Yuan also immediately opened his mouth and performed intubation to assist breathing.

The other party went into shock instantly, and since there was no external trauma on the body, it must have caused severe bleeding inside the body.

"With such low blood pressure, there must be something wrong with the organs in the chest and abdomen. It should be bleeding."

He looked at Zhao Wenfeng and said seriously.

"Well, it's too late for CT." Zhao Wenfeng nodded, then looked at the nurse, "Disposable puncture kit, abdominal puncture."

Wear gloves and tear open the package.

The syringe plunged into the man's abdominal cavity and was pulled back.

The dark red blood entered the needle tube, and the hearts of both of them sank instantly.

"Heavy bleeding in the abdominal cavity, it is estimated that the organ is ruptured, and an operation is required immediately."

Zhao Wenfeng pulled out the needle and immediately arranged to say,

"Send it to the operating room immediately!

Jiang Yuan, come on stage with me. "

"it is good!"

Jiang Yuan nodded when he heard the words.

At this time, there is no time to think about other things. We must first find the bleeding point, stop the bleeding, and buy time for the operation.

Now it's a race against life!

operating room,

The two were scrubbing and disinfecting their hands. They had already taken off their white coats and changed into sky blue surgical gowns.

"Don't be nervous. I've already notified the Department of Hepatobiliary Surgery. We will open the abdomen later to stop the bleeding and find out the situation."

Zhao Wenfeng turned his head to look at him and comforted him.

"Well, don't worry, Brother Feng, I'm not nervous."

A relaxed smile appeared on Jiang Yuan's face when he heard the words.

This is also the first time for him to undergo such a difficult operation. After all, he can't even cut the appendix in general surgery, let alone the difficult operation of suspected organ rupture?

However, the full vascular suture obtained two days ago made Jiang Yuan feel confident.

In addition, I am a resident doctor who follows the stage, and it is enough to obey the attending doctor. What is he afraid of?

"Let's go."

After cleaning, Jiang Yuan followed Zhao Wenfeng with his arms raised and entered the operating room.

The nurses put on surgical gowns for the two, and the operation is about to begin.

"vital signs."

Zhao Wenfeng took the chief surgeon position, and Jiang principle took the first assistant position.

"Blood pressure 95/70, heart rate 110, blood oxygen 70, can be operated on."

"Okay, anesthetize."

Hearing the indicator, Zhao Wenfeng looked at the anesthetist and nodded.

After three packs of plasma, the patient's blood pressure was blown to above 90, which was in line with the physiological index of the operation.

quickly,

The anesthesiologist next to him gestured, OK.

The anesthesia is over!

"Current time, August 2020, 8, the patient's abdominal cavity is hemorrhaging...the operation begins."

"Knife."

The equipment nurse at the side heard the sound and slapped the scalpel on Zhao Wenfeng's hand.

Holding a scalpel, he made an oblique incision on the edge of the left rib without hesitation, facing the spleen and stomach.

As for why they started here, based on the patient's previous performance and abdominal bleeding, both of them suspected that it might be a problem with the spleen.

Because if other internal organs are damaged and bleeding, the pain is extremely obvious, but only the spleen is the least painful.

This situation often occurs when the capsule of the spleen ruptures intact and the amount of bleeding is small.

Once the capsule is damaged and blood enters the abdominal cavity, the pain will be extremely obvious, and the condition of the patient in front of him is almost completely consistent with such symptoms.

From the moment he came in full of energy and made a lot of noise, to the sudden fainting and the sudden drop in vital signs, this kind of hysteresis is a sharp contrast.

The possibility of spleen rupture is the highest!

So at the beginning of the operation, Zhao Wenfeng carried out incision exploration according to this conjecture.

"Pull the hook."

After peeling off the skin layer and fat layer, Jiang Yuan used a retractor to open up the entire abdominal cavity.

And at this moment, the two looked at each other.

The abdominal cavity was filled with dark red blood, and the amount of bleeding exceeded 1000ml in just a few minutes.

And in this blood, there are also broken tissues visible to the naked eye.

spleen!

Sure enough, it was a ruptured spleen!

"It's getting a little serious."

Zhao Wenfeng stopped, frowning,

"Urge the hepatobiliary surgery department and let them come over as soon as possible."

"Ok."

The itinerant nurse nodded, picked up her phone and walked out.

"Jiang Yuan, clear your vision, I'll find the blood spots."

"Attractor."

Hearing this, Jiang Yuan took the suction device and inserted it into the abdominal cavity.

swoosh swish~

There was a sound of airflow, and a large amount of blood was sucked out of the body along the introduction tube, but the clearer vision made both of them sink their hearts.

The degree of shattering of the spleen far exceeded the preoperative estimate, and it was completely shattered!

And the bleeding point was finally exposed in sight. An artery under the spleen, which was as thick as a little finger, was continuously gushing out fresh and bright red blood to fill the abdominal cavity.

"Hemostatic forceps."

Zhao Wenfeng reached out his hand into the abdominal cavity, pressed the artery with his thumb, and pressed to stop the bleeding.

Jiang Yuan picked up the hemostat, clamped the front end of the artery and buckled it to death, temporarily stopping the bleeding.

As for the small blood vessels nearby, they were also damaged and bleeding, but fortunately, the amount was not large.

click~

The operating room door opened and a nurse walked in.

"Doctor Zhao, there are two on-duty doctors on the liver and gallbladder side, and the fastest one will take half an hour."

"Half an hour?"

Hearing this, Zhao Wenfeng frowned even deeper.

He can wait for half an hour, but the patients on the stage may not be able to wait.

If there is hemorrhagic shock, it will be life-threatening at any time.

"Wait no more! Call Director Gu."

After pondering for a few seconds, Zhao Wenfeng's tone was calm and firm,

"Preparing for the splenectomy, Jiang Yuan, come as the assistant surgeon and listen to my instructions, can you do it?"

"it is good."

After the words fell, Jiang Yuan nodded in agreement.

Splenectomy belongs to the category of above-level 3 surgery in the surgical classification.

This is a relatively large operation, relatively difficult to operate, and there are many potentially dangerous complications after the operation.

The most critical thing is the traumatic rupture of the spleen, which needs to be carried out against time. Half an hour is enough for a skilled surgeon to complete the entire operation.

Although Zhao Wenfeng is the attending doctor, he doesn't have much experience in this kind of operation, and he has only worked as an assistant surgeon with Deputy Director Liu of Taiwan several times.

His level is not yet able to independently operate splenectomy, making such a decision is already a violation of the rules.

So you must ask the director for instructions and get approval.

beep~ beep~ beep~

"Hey, Wenfeng, what's wrong?"

"Director Gu, I have a patient with a ruptured spleen in a car accident. After laparotomy, the spleen was completely broken and needs to be removed immediately. However, there is no hepatobiliary surgeon who can come, so I want to perform the operation directly."

The phone was connected, and after hearing Gu Hai's voice, Zhao Wenfeng quickly reported the situation.

"Wenfeng, don't worry, you must control the bleeding and stabilize your vital signs."

On the phone, Gu Hai thought for a few seconds, then spoke,

"I agree with you to perform the operation. First clean up the abdominal cavity. I will arrive in about 20 minutes. Be careful."

"Good director."

After speaking, the phone hangs up.

Jiang Yuan was ready, even staring at the blood vessels that were bleeding.

This is simply the practice of preparing for my own full vessel suture!

"I'll block the blood vessel first, Jiang Yuan, take care of the hemostat."

Zhao Wenfeng glanced at him and said seriously,

"Line 7."

slap~

Holding the needle forceps, Zhao Wenfeng inserted the curved needle in an awkward posture because the artery of the spleen is located relatively high and the gap between the ribs is small, and began to ligate the splenic artery carefully.

1 minutes......

2 minutes......

3 minutes......

Dang bang~

"Let go of the hemostat."

Finally, the needle-holding forceps fell into the plate, Zhao Wenfeng raised his head and said in a low voice.

Jiang Yuan slowly let go of the hemostat, and there was still a small amount of bleeding in the blood vessels, but most of them were under control.

"Whoo~"