Oh, it's good that you're satisfied. "Zheng Ren's expression was a little stiff. He had something on his mind, so he could not be bothered to be perfunctory with Sister Zhao.
Sister Zhao saw that Zheng Ren's behavior was different from usual, so she asked, "I think the patient is in good condition. Chief Zheng, are you worried?"
"Yes, Sister Zhao." Zheng Ren said, "The patient is considered to have a traumatic carotid artery injury. It looks good now, but maybe in the next second, a stream of blood will spray up and the person will be gone."
Sister Zhao was surprised. Even an experienced clinical assistant doctor had never seen such a situation. She operated the machine doubtfully and performed CTA on the patient's neck blood vessels.
The examination took more than 20 minutes before Zheng Ren asked Su Yun to send the patient back.
He did not forget to remind Su Yun not to let the patient move.
Su Yun knew the severity of the situation. Zheng Ren's worry was also his worry.
After receiving so many emergency patients, he had seen all kinds of strange things. It was better to be safe than sorry. This was the only way.
Su Yun had once treated a patient with spontaneous pneumothorax in the Imperial Capital.
The patient came on foot and was diagnosed with spontaneous pneumothorax on the left side with 60% compression of the lung tissue. The patient admitted that he had a history of pneumothorax and recovered after receiving closed drainage treatment.
There was nothing much to say about this kind of patient. The medical history was simple, and the treatment was simple. If he refused to undergo thoracotomy or thoracoscopic surgery, he would be put on a chest bottle for observation for a few days.
However, after the chest flask was inserted, new dark red blood began to flow out of the chest tube.
Su Yun was not careless. He moved a stool and sat next to the patient to observe the drainage of the chest bottle.
Two hours later, the drainage rate had reached about 200ml per hour.
Su Yun made a prompt decision. He explained the patient's condition to the patient's family and performed a thoracotomy.
In the end, he didn't know whether to laugh or cry.
Because the patient had a closed drainage, there was adhesion between the lungs and the pleura. This was a spontaneous pneumothorax. When the lung tissue was compressed, it caused the apical adhesion area of the pleura to be torn.
During the operation, there was only a torn area the size of Big Mother's fingernail. There was blood seeping out of that area.
It was just this little bit of bleeding. When the thoracic cavity was being compressed, the bleeding was not obvious. When the air was drawn out and the pressure in his chest returned to normal, he began to bleed profusely.
When he went on stage, the patient was already in the early stages of hemorrhagic shock.
He was almost gone.
If Su Yun was even a little bit careless.
If there was a major rescue that day, everyone would go on stage, delaying the observation and treatment time.
If …
There were thousands of ifs, and the patient would die in the ward.
Therefore, clinicians would have a problem — all doubts and doubts in their hearts would be magnified infinitely.
Perhaps this was also a form of pessimism and obsessive-compulsive disorder.
That was the attitude they used to treat patients with suspected carotid artery lacerations.
Seeing that Zheng Ren did not leave, Sister Zhao knew that he was anxious, so she simply rushed out the film.
When the CTA image of the blood vessels in the neck appeared on the screen, both of them were stunned.
A triangular piece of glass was inserted into the carotid artery.
Although the carotid artery bleeding had been stopped, no one could tell when this unstable factor would go wrong.
The moment he saw the glass shards, he immediately picked up his phone and called Su Yun.
"Glass fragments can be seen in the patient's carotid artery. Don't press on the left side of the wound, you must not press! "
"Yes, invite the vascular department for a consultation. Inform them to prepare for emergency surgery."
"Comfort the patient and stabilize the patient's emotions."
After that, Zheng Ren let out a long sigh and put his phone away.
If he could find the problem, he could solve it.
The most difficult and dangerous period for this patient had passed.
This kind of surgery was first performed by the General Surgery Department. After all, it was a neck surgery. However, with the division of the vascular department, it was done by the vascular department.
It was not that Zheng Ren could not give it a try, but first, he did not have any suitable medical supplies that could block the carotid artery. Second, the surgical training time had run out. If he did not train, who would dare to touch the carotid artery?
As for the technical strength of the vascular department of Sea City General Hospital, it might not be able to handle this surgery.
However, Zheng Ren did not care.
If the surgery could not be done, he could go on stage together. Superselect, enter the carotid artery, and place a covered stent at the bleeding location.
Although the latter was not handled rigorously and formally, it was a good method to save lives.
"Chief Zheng, how did the glass get in?" Sister Zhao asked as she did the post-processing.
"It's probably a high-speed glass fragment that pierced the skin. Moreover, there are no obvious signs on the surface of the body, but the condition inside the body is very serious." Zheng Ren still could not help but be afraid when he thought about it.
If he was careless, the patient would bleed profusely as the glass fragment fell from the carotid artery at some point. Then, he would die within a minute.
Holding the radiographic films that had just been printed, Zheng Ren hurried back to the emergency department.
The chief of the vascular department was also pulled over from the cafeteria.
Because the vascular department was a small department, there were not many related surgeries, so there was not even a chief resident.
A small hospital was filled with all kinds of irregularities.
When Zheng Ren walked in, Chief Fan of the vascular department was walking out.
The two of them met face to face. Zheng Ren waved the radiographic films in his hand and said, "Chief Fan, take a look?"
Chief Fan nodded cautiously. Zheng Ren called the patient's wife to the office and found a radiographic film viewer to insert the radiographic films.
On the CTA of the neck blood vessel, the triangular glass fragment that was less than 1 cm was particularly eye-catching.
Almost as soon as he saw the radiographic films, the glass fragment 'pierced' out of the radiographic films like a horror movie.
"Chief Fan, prepare for the surgery," Zheng Ren said.
"Sigh." Chief Fan shook his head and said, "The patient's life is really tough."
Zheng Ren deeply agreed.
If there were not many coincidences, the first-aid ambulance would probably have brought a corpse to the hospital.
The diagnosis was clear, and there was nothing more to say. The emergency surgeon issued a hospitalization form, and Chief Fan brought the patient back in a hurry to prepare for the surgery.
This kind of surgery was also very fast to recover from.
Zheng Ren estimated that he could be discharged from the hospital two or three days after the surgery.
Many big things, once discovered, were trivial matters.
Fatal injuries and diseases were diagnosed clearly, and the patient could be discharged from the hospital two or three days after the surgery. Thinking about it, she was indeed lucky.
After working in the clinic for a long time and seeing a lot, she slowly began to believe in fate.
At the scene of the car accident, the patient who was hit would be discharged from the hospital in half a month or a month.
It was a small scratch, and the patient would be fine. However, there was a one in 50,000 chance of delayed carotid artery endometrial avulsion. After three to five days in the hospital, the patient suddenly became incontinent and lost consciousness. Zheng Ren had also personally witnessed the case. (Note 1)
That's why, humans …
…
…
Note 1: Carotid artery endometrial avulsion. This case was encountered by a friend of mine when he was in the neurosurgery department. Later, I checked the book, and the probability was one in 50,000.
The case of carotid artery, I remember there is a similar content in the American drama 'Good Doctor'. This case was selected from the Journal
There are some places where I also find it amazing. But in the clinic, there are some small probability events.
Reading website: M.
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