Surgical Fate

On the road.

The scene of the car accident.

"The light truck was overloaded and was rear-ended by a taxi. The taxi was hit by scattered steel plates. There were two people in the car..."

"...The accident happened three kilometers west of Renhe Hospital. A taxi and a truck collided. The roof of the taxi was severely dented. The driver was successfully rescued. The rear door was severely broken and inserted into the rear. The wounded chest, the wounded still has vital signs, we are afraid that after the car door is opened, the wound will lose pressure and cause massive bleeding, and we urgently need the guidance of a chest specialist on the spot.”

The emergency department of the hospital immediately dispatched Chen Shaocong and Lu Chenxi to the scene of the incident.

Then Lu Chenxi saw an unusually familiar necklace on the neck of the wounded in the taxi.

"It's Aunt Cheng. Chenxi!" Chen Shaocong called out.

After the door was broken.

Chen Shaocong discovered that "the position in the body has shifted."

"It's the vena cava." Lu Chenxi cried, "It's indeed the vena cava. Hurry up and open the window frame!"

"Two thousand milliliters, Chen Xi, think about it!" Blood loss of two thousand milliliters is no joke.

"There is no other way, I am in charge!" Lu Chenxi yelled, "Call An Min, call the total value, now only she has the confidence!"

After pulling out the window frame, Chen Shaocong asked Yang Yu to call the chief on duty immediately, and broadcast the emergency call in the hospital to An Min, telling her to prepare for the operation immediately, and told her that the injured person was Cheng's mother. "

hospital.

An Min is in the outpatient clinic.

"Doctor Fu, Department of Thoracic Surgery, please go to the emergency department immediately after hearing the broadcast." The radio in the hospital sounded "Doctor Fu, Department of Thoracic Surgery, please go to the emergency department immediately after hearing the broadcast."

An Yin told the patient to wait a moment, and then called the emergency department directly, "I am Fu Anmin."

"Director, Dr. Lu is asking for help after the car accident. The injured is Dr. Lu's mother..." Before the emergency nurse finished speaking, there was no voice on the other end of the phone.

An Min no longer cared about the pain in her feet, and ran to the next door, "My patient, please help me." The mobile phone she never had with her today was always there, and before Zhang Mohan could answer, she had already run out completely, and while running Leave a message in the WeChat group, "I am Dr. Chenxi, and my mother is RH-negative type O. Anyone who can donate blood should go to the blood station or blood collection point immediately. I don't know how much blood is needed, so please come if you can. I Urgently need your help!"

"An Min." Someone called her from behind.

An Min turned her head back, "Zhuang Shu, Cheng Lu's mother was in a car accident." Seeing him for some reason, she suddenly couldn't hold back, and tears appeared again.

Zhuang Shu was startled, and immediately went to her side, took her mobile phone and called Chen Shaocong.

In the ambulance.

Chen Shaocong answered the phone, "An Min..."

"An Yin - An Yin - An Yin -" Lu Chenxi yelled, "Mom was injured, is it us who was injured!"

"I'm Zhuang Shu." Another reassuring voice came from the other end of the phone, "What's the situation now?"

"A car accident, a foreign object pierced the chest, and the vena cava was injured." Lu Chenxi told Zhuang Shu the truth.

Zhuang Shu turned the phone on speakerphone.

An Min grabbed Zhuang Shu's hand, "How much bleeding is the vena cava now?"

"It must be more than 3. I stopped the bleeding in [-] minutes. You know the blood type of the mother. It will take an hour for the blood station to arrive at the fastest. An Min, help mother!" Chen Xi cried again.

Zhuang Shu was also silent.

An Min hung up the phone and dialed Li Hongjie, "Do you have a solution for the blood station? I need at least 6 units of RH-negative type O blood cells. The vena cava is damaged and the blood loss is 10 milliliters. Even if the blood station has spare blood It can’t be delivered within [-] minutes, but I need this time.” Now it’s too late to contact the netizens of the blood clan, the hospital has strict regulations on blood use, and the blood that has just been drawn cannot be directly used on seriously injured patients.

Zhuang Shu took out his mobile phone and called Chen Shaocong again, "We know the situation. An Min is contacting Li Hongjie to find a way to get it from the blood bank in the shortest time and send it to the hospital."

It seems that Chen Shaocong is still hands-free, and Lu Chenxi's voice came, "Is it okay? My mother is RH negative blood, is there time?"

"It's too late to talk about it now." Zhuang Shu's mind turned quickly, "Tell me about the situation in more detail right away."

Lu Chenxi immediately explained more about the situation, "...Zhuang Shu, can my mother be saved?"

"How long?" An Min was also on the phone in a hurry, "It will take about three to 10 minutes for the backup of the blood bank? Okay, please come here immediately." The phone rang again, "The other parts still need to be transferred... half an hour? Okay, Please go there immediately." Turning around, "Zhuang Shu, no, at least 10 minutes, and it's the rush hour for work at [-]:[-], I'm afraid the road conditions will be bad, so we must allow enough time."

Zhuang Shu actually thought of an unconventional method, picked up the phone, "Lu Chenxi, please don't give up, let's try to grab her for an hour."

An Min was startled when she heard this, "Cryogenic therapy, artificial sleep? Are you crazy? The National Trauma Association does not promote this method; we don't know the precise time to maintain the hypothermia!" This time she dared not be careless.

"But now this is the only way to save Cheng's mother." Zhuang Shu said firmly, "An Yin, trust me!"

An Min looked at him, picked up the phone in his hand, and dialed without looking at it, "Emergency, this is Fu Anmin, and I want [-]ml of zero-degree normal saline."

Zhuang Shu also dialed Zhang Mohan's phone number, "...the wounded will be in a state of continuous bleeding after they are delivered. You should perform thoracotomy immediately. The thoracotomy and anesthesia should be performed at the same time. You can't delay even a second. Immediately into the operating room."

"You go to the operating room, and I'll finish the admission part." An Min looked at him with a blank face and firm eyes: Don't do it with Zhang Mohan, you do it.

Zhuang Shu glanced at her, "This is our common patient."

Emergency.

An Min and Zhuang Shu watched as the ice cubes were poured into a large amount of normal saline.

Zhuang Shu reached into the water and measured the temperature with his own perception. "I asked Dr. Downer, who proposed this method, if the patient died in the end, the autopsy result might be organ failure caused by low temperature. Is it worth betting on yourself? career."

"It's worth it!" An Min didn't hesitate, "For Cheng's mother, Chenxi will understand me." As long as there is a way, try everything.

"Teacher." Li Hongjie rushed over when he got the news, "The operating room and team are ready, and the ambulance will arrive in five minutes."

An Min hurried out.

Zhuang Shu asked the nurse to bring the salt water and left with her, and he went to the operating room by himself. He didn't want to disappoint An Min's trust, and also believed that An Min would do her part well.

The gate of the courtyard building.

The sound of the ambulance came from far to near, and after it stopped, the rear compartment door opened.

An Min helped to pull the stretcher bed out of the car together, "Puncture under the clavicle, direct injection of hypothermic saline from the central vein; tweezers, needles." Holding the equipment in his hands, he raised his eyes, calmly, "Listen to my instructions, and prepare to let go. "

Lu Chenxi nodded.

"Three, two, one, loose!"

Lu Chenxi let go and closed her eyes at the same time, she was afraid that blood from her mother's vena cava would spurt out, but the scene she was worried about did not happen.An Min has successfully taken over and started preliminary stitching.

Under the watchful eyes of Chen Shaocong, Yang Yu, and other medical staff, Fu Anmin calmed down, skillfully and meticulously contained the hemorrhage, and "sent to the operating room."

Lu Chenxi didn't dare to look at it.

When she entered the building, she saw Li Hongjie telling the nurse something.

"Hongjie." Lu Chenxi called him.

Li Hongjie turned his head and looked at the blood on her hands, "Operating Room No. [-]." After hanging out for a long time, he could say he understood Lu Chenxi.

"Can we really make it in time?" Lu Chenxi frowned.

Li Hongjie said in a deep voice, "I have already called, and the relevant department has agreed to provide a special car to escort the road. The road must be unimpeded."

Lu Chenxi stared blankly at Li Hongjie.

Li Hongjie stepped forward, "Cheer up, there are still many things to do."

"Yes." Lu Chenxi nodded mechanically.

operating room.

"Blocking forceps, 5-0 Prolene line." Zhuang Shu has already taken over Cheng Lu's subsequent surgery.

Soon An Min also changed clothes and went inside, standing in the position of the first assistant, "Gauze."

Zhuang Shu is still doing vena cava anastomosis.

The door of the operating room opened again.

An Min lowered his head and assisted Zhuang Shu to continue the operation, "Lu Chenxi, just stand behind, don't talk, or get out!"

When the others looked back, it was indeed Lu Chenxi.

Lu Chenxi remained silent, and went to the position of the second assistant, "I want to see, only here can I feel at ease."

Zhuang Shu couldn't help looking at her, but An Min didn't even look at her.

13 minutes later, emergency room.

"Blood is here!" A nurse yelled.

Chen Shaocong rushed out.

"This is three units, and the rest will arrive soon." Originally, there were only three units in reserve, but suddenly more people came to the blood station to donate RH negative type O blood.

Chen Shaocong yelled loudly, and the person snatched the box and ran into it, "Someone will sign for you later."

operating room.

陆晨曦看向计时器，麻醉时间13分钟22秒，手术时间是10分钟12秒“33分钟。”他们急救到送到医院大概用时是二10分钟。

"It's 32 minutes and 47 seconds." An Min corrected her time and cut off the Prolene line as the first assistant.

In the elevator in the hospital, someone beckoned to Chen Shaocong, "Here!" The elevators in the hospital are all responsible. Li Hongjie instructed the operator of one of the elevators to let him use it privately when he saw Chen Shaocong running wildly. When patients go up and down the most stairs, there are surgical patients from other departments who need to go up and down, but they really can't take care of it. Even if it is only shortened by 1 minute, it is good.

Chen Shaocong rushed into the elevator, the door was closed, and there were only him and the operator. He looked up at the numbers and was still anxious.

In the operating room, Lu Chenxi was a little unsteady: 34 minutes.

"Here we come, here we come, three units of RH-negative red blood cells." The nurse came in carrying the box.

An Min continued with her work, "Steady." This was said to the others at the operating table, and she raised her eyes slightly, "Blood transfusion, prepare to warm up."

Zhuang Shu also raised his eyes slightly. Although he was wearing a mask, An Min knew that he agreed.

"Ask, there are still three units, when will they arrive." An Min cooperated with Zhuang Shu, "Lu Chenxi, go to rest, I will call you after the operation."

With tears in her eyes, Lu Chenxi "I won't (go)..."

"Go!" An Min turned his head at this moment, his eyes were sharp, "Do you want to push Mom to me alone?" The voice was cold.

Lu Chenxi's eyes were full of tears, but when she heard her coldness, she shed tears, "Of course not."

"Papa Dong left it to you." An Min turned his attention back to the operation, "I'll take care of this."

Zhuang Shu nodded, it is true that the anastomosis of this part of blood vessels is faster.

The two quickly switched positions.

"Tweezers, needle and thread." An Min called for tools.

Lu Chenxi's eyes were obscured by tears, "An Min, there will be someone behind, right?"

Changing his position, Zhuang Shu turned his head, "Yes."

Lu Chenxi left the operating room.