"Hemostatic gauze, large gauze pad." Zheng Ren extended his hand and the nurse quickly opened the sterile packaging. Ten seconds later, the hemostatic gauze and gauze pad were placed in Zheng Ren's hands.
Cover the damaged venous plexus with a hemostatic gauze and apply pressure with a large gauze pad.
"Boss Zheng, will this work?" Liu Xuzhi saw that the hemostatic gauze was stained with blood when it was spread out. He felt uncertain and suddenly asked.
"We've done many embolization surgeries for pelvic fractures in Pengxi Village. We can stop the bleeding without surgery. It'll be fine." Zheng Ren began to explore the damage to the intestines and explained, "The arterial pressure is marked by the mercury column, and the venous pressure is marked by the water column. The pressure is different, so there's a big difference."
Liu Xuzhi was a little confused. He thought about writing this down and going back to flip through the books.
"Then why do we have to perform the surgery?" Liu Xuzhi immediately thought of another unexplainable point.
"Old Liu, the patient's intestines are damaged. This is an exploratory laparotomy to repair the intestines. There was bleeding in the veins, so I took a look, "Zheng Ren explained helplessly.
He still had to ask. Old Liu's standard was indeed very average. However, he was a radiologist, so he could understand.
"…" Liu Xuzhi had forgotten about this matter, and his face instantly turned red. He was too nervous. He was too nervous that he had forgotten about this.
"Take a look and apply pressure to stop the bleeding. The patient will bleed less." Zheng Ren said, "About 2500ml of fresh non-clotting blood was sucked out just now. There were also a few blood clots, so it's about 300ml. The patient's bleeding is too much, so it's better if we can reduce it."
So precise? Liu Xuzhi quietly turned around and glanced at the negative pressure attraction bottle behind him.
The total amount of liquid in the two bottles was about 2550ml. Liu Xuzhi sighed in his heart. Boss Zheng was too confident.
"Do you have a colorectal department?" Zheng Ren asked.
President Wang shook his head.
"What about patients with hemorrhoids?"
"They're all done by the general surgery department," Director Wang replied. He watched the surgery and felt an extremely professional power from the conversation between Zheng Ren and Liu Xuzhi. His recognition of Zheng Ren grew stronger and stronger, and there was even an indescribable sense of dependence on him.
Although he was young, he was indeed worthy of being a professor of the 912. His rescue technique was skillful and quick, but it was a little too cruel.
However, it was understandable that it was an emergency rescue.
"What can you do …" Zheng Ren paused halfway through the question.
The two doctors from the General Surgery Department were confused. They looked at the electroplated steel rod with fear in their eyes.
It was impossible to rely on them.
At this moment, he missed Su Yun very much.
The surgery could not be performed by one person, especially when the patient had such a serious compound injury. He still remembered that in Sea City General Hospital, there was a patient who was penetrated by a steel bar. In the end, Su Yun pulled out the rebar and stitched it up.
Now, there was only him.
Next time, he must not let these guys go. Zheng Ren was very distressed.
She kept reminding herself, but unknowingly, she had gotten carried away. Subconsciously, she thought that she could handle everything, but when she went on stage, she began to regret it.
If Xie Yiren, Su Yun, and the Chu sisters were here, the surgery would have been done.
Zheng Ren reflected deeply on himself, but his hands did not slow down. He began to explore and suture the intestines.
Because the metal head was not very sharp, the damage to the intestines was not serious, so it was a blessing in disguise.
There were six damaged points in the intestines, and he sutured them one by one. He then removed the large gauze pad and saw that the pelvic venous plexus had stopped bleeding.
If there was a huge damage or fracture, it could be ligated. However, Zheng Ren examined it again. There was no such situation, so he saved some effort.
"Director Wang? Can you pull out the electroplated rod? "Zheng Ren asked.
"…" President Wang took two steps back.
"Old Liu?"
"I'll … try." Liu Xuzhi's hands were a little weak. He was a radiology doctor. The smell of the organs and blood in the abdominal cavity made him want to vomit.
Why did he have to pull out such a long electroplated rod?
He tried his best to keep his hands from shaking, but then he had the urge to pee.
"Boss Zheng, I … Um … I need to pee …" Liu Xuzhi's face was as red as a monkey's butt.
To say such words at this time was simply like a deserter. Although he had experienced earthquake relief and seen many things, this was the first time he had faced such a situation head-on.
Although he was a doctor, doctors were different.
Zheng Ren saw that Old Liu was terrified, so he did not force him. He looked at the doctor in the fourth assistant position opposite him and said, "You, go and pull out the electroplated rod. Wear gloves and be careful not to hurt anyone. You have to be especially careful not to hurt yourself! "
"Okay." The doctors in the general surgery department had more or less seen emergency rescues, so they still had this bit of courage.
"After pulling it out, fill it with a large gauze. After I finish the abdominal cavity, I'll go down to stop the bleeding and suture it," Zheng Ren said with a sigh.
An hour and thirty-two minutes later, the surgery was over.
Liu Xuzhi's legs went soft as he watched. His legs trembled a little, and he could not even stand steadily.
"Director Wang, please take a look at this for the family," Zheng Ren said as he wore sterile gloves and weighed the half of the electroplated rod in his hand.
Director Wang was also a little scared, but he still forced himself to put on a pair of gloves and forced a smile.
Zheng Ren looked at the blood pressure on the monitor that had returned to 100/60 mmHg and was comforted. The completion rate given by the System was 95%. Although it was not 100%, it was enough.
He knew where he was lacking.
If all the venous plexus were anastomosed, the completion rate of the surgery could reach 100%. However, the town hospital did not have a microscope, nor did they have such a thin blood vessel suture needle.
Zheng Ren was already very satisfied that he could do this much.
Liu Xuzhi accompanied Zheng Ren to change his clothes with an embarrassed expression. Liu Xuzhi still felt embarrassed when he thought about how he had just peed his pants.
"Boss Zheng, just now I …"
"It's okay." Zheng Ren smiled. "You're not a surgeon, so it's normal for you not to be used to it. But did you see the anatomical structure of the pelvic cavity today? "
Liu Xuzhi nodded vigorously.
If there was any major gain, being able to see the physiological anatomy of the pelvic arteriovenous plexus was his biggest gain. Moreover, it was not just the physiological anatomy, but also the anatomical situation after the arterial embolization.
"I reckon that after seeing the anatomical structure today, you'll go back and reflect on it. Your level will increase a little. There won't be many opportunities like this. Old Liu, your luck is still pretty good, "Zheng Ren said with a smile.
"Almost." Liu Xuzhi was still not confident. "By the way, Boss Zheng. What should we do with the second-stage surgery in two days? "
"Didn't you do one yourself? There shouldn't be any problems."
"I'm still a little worried," Liu Xuzhi said in a low voice.
"Oh, I'll see if I have time. If I don't, I'll ask the professor or Liu Zewei to come over."
Liu Xuzhi was relieved.
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