Zheng Ren sighed softly and glanced at the ventilator.
The parameters were all normal.
At this moment, he hated himself for being careless.
He called Chu Yanran and Chu Yanzhi over. The stage should have started by now. Because of his momentary soft-heartedness, he had to face the anesthesiologist who was flipping through a book to administer anesthesia.
Zheng Ren was regretting it. He had never thought that he would use his own people in an unfamiliar place. Was it too arrogant?
Seriously … forget it, with me around, I'll just do it bit by bit.
If there was a next time … It was better not to have a next time. Wouldn't it be better to go to the desert and look at the stars quietly? Everyone was safe and sound, and that was the most important thing.
The people from the General Surgery Department looked at the young patient and were looking at his face.
"Why aren't you in position?" Zheng Ren asked in a deep voice. The volcano in his heart was about to erupt.
"The electroplating rod … I'm afraid of touching it," the doctor from the general surgery department said hesitantly.
"Where's your director?" Dean Wang asked unhappily when he didn't see his director.
"When I called just now, he was …" The doctor from the General Surgery Department glanced at the director's expression and said carefully, "He was drinking … He couldn't come …"
Zheng Ren laughed in exasperation.
It's the weekend, and they're already drinking before noon?
He really loved wine even more than Su Yun.
It wasn't even at this time, so it was likely that he had drunk enough. It seemed that he could not count on this side of the surgery. He had to do it himself.
President Wang was so angry that his face turned red.
Today was the weekend, and there was nothing wrong with drinking at home. If this happened at any other time, they could only transfer the patient to the province.
As for whether he could survive to a higher-level hospital, that would depend on his fate.
Fortunately … Boss Zheng from the 912 was here today.
Director Wang did not say anything. Instead, he carefully glanced at Zheng Ren. He wanted to see his expression and determine if he knew how to perform general surgery.
"Director Wang, do you want me to help?" Zheng Ren glanced at the electrocardiogram monitor. The blood pressure did not rise or fall. The blood bag was hung up, but there was no pressurized transfusion device.
He was too lazy to complain, so he asked politely. Although his words sounded polite, his tone was completely different.
"That's great, Boss Zheng. Thank you, thank you." Director Wang rubbed his hands in gratitude.
"Do you have a pressurized transfusion device?"
"No," the operating theater nurse immediately answered.
"Use your hands to pinch. The blood has to be transfused as quickly as possible. What kind of rice would he give? Wu Xue, Director Wang, you go too. "Zheng Ren mobilized all the manpower he could use.
The nurse in the operating theater nodded and stood next to the blood bag. She raised her arm high and squeezed the blood bag so that the blood would be pumped in faster.
Zheng Ren instructed the two doctors from the general surgery department to get into position.
Zheng Ren estimated the position of the patient's buttocks and waist, then added a folded sterile surgical drapes. Only then did he call for the others to carry the patient to the operating table.
After getting into position, a junior doctor went to wash his hands and disinfect them. It seemed that he was already very familiar with doing these things. There was no need for Zheng Ren to tell him.
As fresh frozen red blood cells were injected, the patient's blood pressure gradually rose. Although it was slow, it was a good trend.
"Is the suction device ready?" Zheng Ren asked.
"Done."
"How many?"
The circulating nurse was stunned.
"I need two negative pressure aspirators. If that's not enough, move the mobile aspirator over," Zheng Ren said.
The nurse was a little confused but still followed Zheng Ren's instructions.
"Open another bag and two suction devices!" Zheng Ren urged.
"Alright!"
"Disinfect the long forceps, right?"
"It's being disinfected. It'll be ready in 10 minutes."
"Do you have hemostatic gauze?!" Zheng Ren asked again.
"Teacher, yes," a junior doctor from the general surgery department replied timidly. With the hospital director around, even his voice was much softer.
"Take 20 pieces first," Zheng Ren said. "You have to be fast."
20 pieces … Was he going to fill it with hemostatic gauze? The junior doctor from the general surgery department was stunned.
Zheng Ren did not stand on ceremony. He washed his hands and went on stage, standing directly in the surgeon's position.
The operating time was at least 10 minutes later than he had expected. It had delayed a lot of things. If he were to be polite after this, it would be hard to say if the patient would be able to survive. Zheng Ren glanced at the monitor. His vital signs were stable.
He then looked at the ventilator. The various system parameters were also stable.
After disinfecting it and wiping it dry with a large gauze, Zheng Ren made a 15cm incision beside the right rectus abdominis, no more, no less.
"Electrocautery, medium bend," Zheng Ren said as he stretched out his hand.
Five seconds later, the electrocautery was handed to him.
Zheng Ren had no choice. He had regretted it countless times in his heart.
Each step was delayed by a few seconds. In the end, it was a huge number.
The electrocautery stopped the bleeding, separated it layer by layer, and reached the peritoneum to protect it.
"Aspirator."
At this time, the circulating nurse and Liu Xuzhi had just moved the aspirator over.
"Director Wang, go and help," Zheng Ren said unhappily.
Director Wang stood behind him and could not help at all. It would be a pity not to use such a strong laborer. Although he was warming up the blood, he could still warm it up with his armpit. It would not delay his work.
After hearing Zheng Ren's words, Director Wang was stunned for a moment. Then, he helped the nurse put away the aspirator.
Zheng Ren took an aspirator with a sleeve and handed the forceps that clamped the peritoneum to the first assistant opposite him. He gently tapped the peritoneum with a scalpel and made a small opening. Before blood could gush out, he immediately inserted the aspirator.
Whoosh, whoosh, whoosh. A low sound came out. Dark red blood was sucked out endlessly.
"Another aspirator. Hurry up." Zheng Ren's tone unknowingly became much sterner.
A minute later, the second aspirator was inserted.
The blood in the stomach was quickly sucked out. The peritoneum was opened, and the large curved retractor pulled open the intestine. A shiny electroplating tube appeared in front of everyone in the pelvic cavity.
This was the culprit. Zheng Ren first observed the arteries around the electroplating tube.
Because it was an embolization, the arterial bleeding had already stopped.
Zheng Ren could guarantee this.
They were all pelvic arteriovenous plexus hemorrhage. During the earthquake relief, the situation of patients with severe pelvic fractures was much more serious than this little girl.
It was the first time Liu Xuzhi had seen the anatomical effect of a severe pelvic fracture after interventional surgery with his own eyes.
He had indeed seen it with his own eyes. The smell of blood and internal organs was pungent. Liu Xuzhi felt dizzy and slightly nauseous.
Usually, as a radiologist, he had to deal with heavy, cold machines and invisible radiation. How could he have the chance to see an autopsy?
The autopsy last night was the clearest explanation he had ever seen. But today, he actually saw the effect of a severe pelvic fracture after embolization.
In the past, Liu Xuzhi only knew that the patient would live after embolization and would not bleed a lot.
However, seeing the effect of the embolization with his own eyes was really clear at a glance!
The white blood vessel wall drooped weakly, like a fibrous rope. Looking at the thickness, Liu Xuzhi felt that if there was no interventional embolization, the blood would definitely go straight to the room once the abdomen was opened.
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