Gao Shaojie immediately ran.
As a doctor, his reaction was the same when he encountered an emergency.
A large amount of adrenaline was secreted, and the sound of high-energy phosphate bonds breaking in the body seemed to be clearly heard in his ears.
He quickly ran to the elevator and saw that the stretcher trolley had just entered, so he followed.
After entering the elevator, the smell of blood became even stronger in the narrow and cramped space. It was so thick that it made people suffocate.
Gao Shaojie glanced at the ECG monitor on the stretcher trolley. The blood pressure … could not be measured. The heart rate was 160 beats per minute, and the blood oxygen saturation was 80%.
Hemorrhagic shock was the minimum. Gao Shaojie had his own judgment.
That technician … Was he pinching the patient's hepatic portal to minimize the bleeding? There was no blood left to bleed.
Su Yun knelt on the stretcher trolley. The black hair on his forehead was stained with a few drops of blood, but he was still stubbornly floating.
"Boss, do you want a hybrid surgery?" Su Yun was very calm on the stretcher trolley. He did not panic at all as he asked.
"The liver has a large area of grinding contusion. It's a mess," Zheng Ren was also calm. He replied, "I want an interventional surgery to accurately determine the location of the bleeding and try to leave some of the liver."
"…" Gao Shaojie was stunned.
This was a f * cking dead person. Could he still be saved?
"Is there a chest bottle in the operating theater?" Zheng Ren asked.
"Yes." Su Yun's answer was very simple because the elevator had already reached the operating theater on the third floor.
Gao Shaojie helped pull the stretcher trolley out of the elevator and ran toward the operating theater.
Although it was' running ', its speed was not particularly fast.
After all, there was still someone kneeling on the stretcher trolley to stop the bleeding. What if the technician was accidentally thrown off?
The technician was young, so it would not be a problem for him to fall. However, he was holding the patient's hepatic portal in his hand.
If he used too much force and the hepatic portal was torn, the patient would really be dead.
"Chief Pan, emergency department. Anonymous, liver rupture. Blood pressure can't be measured. I'm going into surgery." After the last call, Zheng Ren walked into the operating theater.
There was no Xie Yiren, only a circulating nurse was busy inside.
The next surgery was probably not over yet.
The circulating nurse carried the patient to the operating table. She walked with afterimages, and she was busy jogging all the way.
Su Yun pinched the hepatic portal and watched Zheng Ren wash his hands, put on his lead apron, and disinfect. He said with a smile, "Boss, are you not used to it?"
Zheng Ren ignored him and disinfected as quickly as possible.
"What tactic?" Su Yun was bored when he saw that Zheng Ren was ignoring him, so he put away his cheeky smile and asked seriously.
"Laparotomy, exploration, and interventional radiography to find the bleeding blood vessels," Zheng Ren said.
He used half a bottle of iodophor, a dozen soaked gauze, and a hasty disinfection. Then, he started to lay the surgical drapes.
He deliberately left the right femoral artery open for interventional radiography.
"Boss, you sure have a big heart. There are only two of us, how many tactics do you want to do? You can't use me like that. " Su Yun's tone made people want to smash the sterilized curved plate in their hands on his head.
"It's okay. I can do it," Zheng Ren said. "Even if I can't do it, I have to do it. The liver is rotten. I can't just do hepatectomy."
After laying out the drapes, Zheng Ren scrubbed in, put on a surgical gown, and went straight to the operating table.
He did not let the circulating nurse come up. Instead, he stood in the position of the first assistant and acted as the scrub nurse himself. He used the hemostatic forceps to clamp the blade and installed it on the handle.
After disinfecting and wiping it clean, he cut a 15cm incision along the previous wound.
Zheng Ren immediately used the sterilized tourniquet to make a leather sheath and wrapped it around the patient's hepatic portal. The tightness was just right, freeing Su Yun's hand.
Su Yun immediately went to scrub in and disinfect his hands.
Gao Shaojie came over to take a look and was shocked.
The patient's right lobe of the liver was almost gone. It was broken into pieces and could not be pieced together.
The left lobe of the liver was also partially ruptured.
If it was only the right lobe of the liver that was shattered, it could be removed directly.
However, even the left lobe of the liver had trauma. Could it be that it was all cut off?
"Su Yun, hurry up. I want to do an angiogram," Zheng Ren roared.
Although Su Yun was about to fly up, Zheng Ren still disliked it.
"Chief Zheng, can I go on stage and try?" Gao Shaojie took the initiative to volunteer.
There were only two people in Sea City General Hospital. They had to perform both surgery and interventional radiology. There was still a surgery downstairs that was finishing up, so they were very busy.
It was not appropriate to stand here and watch at this time.
Although it was not recorded in the medical administration division, although he did not receive an invitation, and there were many violations, Gao Shaojie still stood up and wanted to help.
"You are …" Zheng Ren hesitated.
This guy had already f * cking forgotten who Gao Shaojie was.
"…" Gao Shaojie was speechless. It turned out that in Zheng Ren's heart, he was just an insignificant supporting role …
No, he was not even a supporting role. He was just an extra.
And he was the kind who brought his own lunch box.
"Chief Zheng, a noble person has a short memory." Gao Shaojie smiled awkwardly. "I'm Gao Shaojie, the deputy director of the Department of Interventional Medicine at the First Affiliated Hospital of Provincial Capital Medical University."
"Oh, oh, then I'll have to trouble you." Zheng Ren did not stand on ceremony and immediately agreed.
If only Professor Rudolf Wagner was here. Unfortunately, this patient came at the wrong time. Not only did he get off work, but he also rushed over to do the radiofrequency ablation.
Zheng Ren was also very helpless.
As for this doctor who said that he was the deputy director of the Department of Interventional Medicine at the First Affiliated Hospital of Provincial Capital Medical University, he did not care whether he was or not. If the surgery was not done well, he could just kick him off the stage.
Whether it was good or not, one puncture was enough to determine.
Now that the patient's blood pressure was almost zero, it was not something that an ordinary doctor could do to successfully place an arterial sheath.
"The lead apron is over there. Go put it on yourself. Hurry up!" Zheng Ren did not stand on ceremony and directly shouted.
Su Yun scrubbed his hands but did not wear a surgical gown. Instead, he first left a closed thoracic cavity drainage between the sixth and seventh ribs on the right side of the patient's chest wall.
The gurgling gas was drawn out, bringing with it black and red blood.
"Yanran, the anesthesia is done. You can go out first," Zheng Ren said.
Chu Yanran shook her head and said, "It's okay to eat some noodles occasionally."
The anesthesia was completed and the double-lumen tube had long been inserted. However, the patient's blood pressure and heart rate were problematic. As the anesthesiologist, she did not dare to leave.
Zheng Ren did not insist and said, "Go put on a lead apron."
"Okay." Chu Yanran went next door to take a lead apron and put it on.
The lead apron was very loose. It hung on her body and swayed, making people feel that her small body would be crushed at any time.
"Urge blood! Get the emergency department's nurse to wait for blood. Hurry! "Zheng Ren roared.
The circulating nurse was already so busy that she turned around. She put the gastric tube and urinary catheter in, prepared a sterile bag, and prepared a chest bottle for Su Yun. At this time, she was just about to prepare the negative pressure suction when she heard Zheng Ren's roar and quickly agreed.
Every one of them was very important, but there was indeed not enough manpower.
Wang Qiang followed Gao Shaojie and put on the lead apron. He originally wanted to be Gao Shaojie's assistant.
Seeing that the circulating nurse was very busy, he said, "Leave this to me. If there's anything I don't understand, I'll ask you. You go and urge blood! "
"Who are you?"
"Wang Qiang, deputy director of the Secondary Hospital's interventional department."
.。 m.
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