When doctors have a simulated operating room

The doctor was very good at the surgery.

Fuck!

I knew Dr. Zhang was awesome but I didn't expect him to be so awesome!

Can you do B-ultrasound? ?

Just at this moment, the B-ultrasound doctor finally arrived.

As a result, he looked at it!

What a guy!

Zhang Yi! You don't have martial ethics? ?

Why are you trying to steal the job in broad daylight?

Didn't I just come a little late?

"Zhang Yi... I..."

The B-ultrasound doctor stood behind Zhang Yi and hesitated, trying to get back his position in the hospital~

But at this moment, Zhang Yi didn't notice him, and only focused on the display screen in front of him.

"How about Zhang Yi, let me do it? After all, I am a professional." The B-ultrasound doctor said cautiously.

However, the next second, Zhang Yi directly told all the test results:

"Free shadow areas were found in the liver area. The area is not large, but there is still bleeding. It is probably a liver laceration.

Also, no complete reproductive organs were found in the entire perineum...

Let's do a cystostomy and explore the rectum and vagina to see the situation."

After speaking, Zhang Yi turned his head and looked at the B-ultrasound doctor: "Doctor Liang, if possible, come earlier next time. The patient is so serious. How much time will it take for you to come?"

"I...I..."

The B-ultrasound doctor's face turned red.

Before he could explain anything, Zhang Yi looked up and asked, "Where's the orthopedic surgeon? Hasn't he come yet?"

The nurse quickly responded, "I called and said he'll be here soon, but I guess they're also very busy in the orthopedic surgery department... so..."

Zhang Yi frowned slightly, and when he was about to speak, a doctor in the emergency room suddenly said, "The blood gas results are out, Doctor Zhang, can you take a look?"

Zhang Yi took it and looked at it, and he was so scared!

The total hemoglobin has dropped again!

The last hospital measured it and it was still 8.5, and it dropped to 7.8 again in the past hour!

There are also various oxygen saturation, oxygen partial pressure, various trace elements such as calcium, potassium, sodium, etc. are all dropping!

"What about the blood pressure?!"

"The blood pressure has risen after taking the medicine, 105/78mmhg!"

Zhang Yi immediately decided: "Then let's go directly to the operating room. Where are the family members? Have they been notified?"

"The family members are outside."

"But Dr. Zhang, aren't we waiting for the orthopedic and gynecological doctors?"

"There is no time. Since the blood pressure has risen, let's go directly to the operating room!"

"Okay!"

"Li Fei, go and explain it to the family members. Xiaomin, come with me to the operating room! As for the orthopedic and gynecological people, let them come in directly when they come."

"Okay!"

Time is running out. When the total hemoglobin has dropped to 7.6, it means that the blood loss has reached the critical point of 800 ml.

If the bleeding is not stopped, no matter how much blood is transfused or how much other plasma is supplemented, it will be useless.

If the source cannot be stopped, everything else is in vain.

Soon, the patient was sent to the emergency operating room.

Everyone in the operating room moved quickly, some were preparing the skin, some were disinfecting, and some were catheterizing.

But when the nurse inserted the catheter into the urethra, she was shocked!

"Doctor Zhang, look at the color of the urine!"

The nurse was shocked!

Normal urine should be yellowish.

But the urine drawn out of the catheter was all blood red.

Zhang Yi glanced at it and said, "This person is probably bleeding from the genitals. The whole pelvis is broken, and the bladder can't be much better. Forget it, don't catheterize it for now, maybe it's not urine, but blood."

The nurse then quickly pulled out the catheter.

Unexpectedly, the blood in the catheter kept gushing out while it was being pulled out.

The nurse's hand was sprayed with blood.

And even after the catheter was pulled out, the blood kept flowing out of the urethra.

The nurse looked panicked: "What should I do, Doctor Zhang... I... I... I didn't use any force at all."

"Don't be nervous, the whole pelvis is deflated. If normal urine can be drawn out, it means the bladder is still there. If it can't be drawn out, it just means the bladder is gone."

After hearing what Zhang Yi said, the others in the operation breathed a sigh of relief.

"Okay, has the blood been delivered from the blood bank?"

"It's here, just arrived."

"Give anesthesia, the operation begins."

Under the dual blessing of inhalation anesthesia and intravenous anesthesia, the patient who had been shouting in pain finally fell asleep quietly.

The operation was very difficult.

First, the abdomen must be opened to check the specific extent of damage to several organs.

Those that can be preserved will be preserved, and those that cannot be preserved will be directly removed and ligated.

For a woman in her forties, there is generally no need to have children anymore.

If the bleeding point is found around the uterus and appendages, Zhang Yi will definitely cut it off without hesitation.

At this time, Zhang Yi cuts layer by layer along the incisions that have been marked in advance.

When entering the abdominal cavity and pelvic cavity!

Suddenly!

Wow!

The gurgling blood keeps gushing out!

"Oh my God! Why is there so much blood?!"

"Gauze!"

"Give me the long forceps!"

Zhang Yi took the forceps and stretched them into several large blood vessels while asking without raising his head: "What's the blood pressure?"

"98/60!"

"First add 200CC of red blood cells, and then add two norepinephrines."

"Okay!"

Two minutes later, the blood pressure rose to 116/76mmhg.

Several doctors and nurses around breathed a sigh of relief again.

My goodness, this situation is really like a roller coaster.

Up and down, no peace...

Then, Zhang Yi explored again.

After pulling open the peritoneum and the surrounding skin and fixing them, everyone could see the situation inside clearly.

Organs and tissues, some broken bones, blood and even excrement were all mixed together...

People frowned.

An emergency doctor beside him whispered: "Oh my God, this... can you still tell what is what?"

Bladder, cervical opening, rectum and part of the sigmoid colon at the upper end of the rectum.

Almost all of them were crushed!

Seeing this scene, several people understood in their hearts.

Today's operation is another tough battle!

And it may take more than ten hours to finish!

Of course.

Standing in front of them at this time is Zhang Yi.

Zhang Yi is different from other doctors.

Maybe, Doctor Zhang can finish in just a few hours?

"It's all broken. Li Fei, go and tell the family about the condition of the organs. The uterus can't be saved and needs to be removed."

"Okay!"

Zhang Yi continued to explore inside.

It was found that the entire pelvic skeleton was not broken badly, only into three pieces.

The main problem was the bones connecting the pubic bone.

And this operation cannot be completed in one go. It can only be completed in two or even three stages.

The first stage is mainly to clean the pelvic cavity and then do an external fixation of the pelvis.

If the function of the bladder and rectum is determined to be irreparable, then only cystostomy and rectal fistula can be performed to ensure the patient's subsequent excretion.

Just when Zhang Yi finished the exploration and was about to start the operation, Li Fei hurried in:

"Doctor Zhang, the family outside said that the uterus cannot be removed. If the uterus is removed, they will not pay for the medical expenses!"