The surgical field was exposed. There was a five-centimeter long wound on the left edge of the liver. Although the first hepatic portal was controlled by a latex tube, there was still a small amount of blood seeping out.
Zheng Ren quickly cleaned the damaged liver wound. Since the injury was short, there was no necrotic tissue.
He probed the inside of the liver rupture. It was about four centimeters deep, and there was still dark red blood flowing out of several blood vessels.
Zheng Ren reached for the patterned forceps.
He clamped and ligated the active bleeding vessels and ligated the damaged bile duct.
After dealing with the bleeding point, Zheng Ren heaved a sigh of relief. There were no signs of further bleeding after the latex tube was released from the first hepatic portal.
"Blood pressure," Zheng Ren asked.
Chu Yanran answered.
Following the removal of the bleeding spleen, the bleeding point in the liver was stopped and the patient's vital signs began to improve.
He should feel better after a transfusion of 16 U of frozen red blood cells and 1000 ml of fresh frozen plasma.
Zheng Ren estimated the extent of the liver wound and said, "Call Su Yun and ask him if he can handle the hemorrhagic shock postoperatively. If he can, ask him to follow us to the ICU. "
Chu Yanzhi hesitated for a moment before running out of the operating room to wake the drunkard who had drunk himself unconscious.
Zheng Ren cut a piece of the greater omentum and plugged it in the liver wound. Then, he used silk thread to perform an interrupted mattress suture. The margin of the suture was very standard and the line was one centimeter per suture.
[This suture is very standard! It's one centimeter per stitch. It's exactly the same as measured with a caliper.]
[It's amazing. The surgeon is also very cautious. He left the greater omentum in the liver wound to prevent small blood vessels from reopening after the blood pressure rises and causing bleeding.]
[There's no way a person with such skill wouldn't be cautious. Young man, let me tell you something. Be careful during surgery. Don't be reckless.]
[How many minutes has it been? Did you even have fifteen minutes?]
[Based on my calculations, the surgery should be completed in thirteen and a half minutes. Splenectomy and liver rupture suture. Although it's not a major surgery, the speed is amazing.]
[Life and death are decided by speed. The surgeon didn't even choose a small incision and directly made a 25cm incision. The incision is really wide.]
After the suture was completed, Xie Yiren prepared warm saline.
The peritoneal cavity was irrigated and the mixture of blood and warm saline was aspirated.
He examined the abdominal cavity again and the splenic fossa after the splenectomy. A drainage tube was placed near the spleen fossa and the liver wound respectively, and then the abdomen was closed.
"Su Yun has woken up. He'll head over there immediately," Chu Yanzhi reported.
"Completely awake?"
"Sounds like it." Chu Yanzhi rubbed her hands, which had been chilled by the freshly frozen red blood cells, as she recalled last night's feat with a smile on her face.
"Yes, the ICU has more equipment and the nurses are more experienced." Zheng Ren agreed with this statement.
He estimated that the patient would not have much of a problem after the surgery. However, it was better to stay in the ICU for one or two days.
As for how many patients would be sent to the ICU today, they did not have to worry about that for the time being.
The fire was burning at the eyebrows, so he had to focus on the present.
"Inform the ICU to prepare the ventilator. The patient will arrive in 20 minutes."
After suturing and closing the abdomen, the patient was intubated and sent directly to the ICU.
Chu Yanran sat on the stretcher trolley and curled her legs as much as possible to reduce the surface area of her body.
Her posture was awkward as she had to hold the balloon and pay attention to the patient's vital signs while escorting the patient.
As soon as Zheng Ren got off the stage and sent the patient to the ICU, he rushed back to the emergency department.
Although the surgery was short, it had taken nearly an hour.
It was enough time for the subsequent patients to be transported over.
When he arrived at the emergency department, Old Chief Physician Pan was directing the resuscitation. The old chief was calm and collected as he assessed the severity of the patient's injury with the relevant department staff and decided which department to send for further treatment.
Zheng Ren glanced at the many patients. Most of them had fractures and head injuries, which were not too serious. Only then did he relax.
After asking around, he found that two patients with internal bleeding had been sent over during the surgery. The more serious one was sent to the second general surgery department and Chief Surgeon Sun went on stage to resuscitate him. The other was sent to the first general surgery department for the deputy chief of the team to resuscitate.
Old Chief Physician Pan's presence gave people a special sense of stability. No matter how busy or chaotic the situation was, he could always find the key point.
As most of the patients' family members had not arrived at the hospital yet, the relevant staff in the medical administration division were also very busy. They recorded the details of every patient who needed surgery and perfected the relevant legal procedures.
Due to the increasing number of medical disputes, the hospital was very cautious about such matters and the legal procedures were relatively complete. Even if it was a large-scale emergency rescue, they had to strive for perfection.
This was the experience of hundreds of disputes a year.
Zheng Ren had once heard from an old doctor that in the 1980s and 1990s, social security was relatively poor, but doctors were still very respected. Usually, when external injuries came, the nameless doctor could go on stage without thinking, saving a lot of time for resuscitation.
Now, if another doctor dared to do so … Zheng Ren was certain that if he encountered a malicious family member, his future would be ruined.
When Zheng Ren came down, Old Chief Physician Pan said solemnly, "How was the surgery?"
"Liver rupture, spleen rupture. The surgery went smoothly and the patient has been sent to the ICU," Zheng Ren gave a brief report to the old chief.
"Okay." Old Chief Physician Pan nodded. "There were a lot of patients today, but only a few patients with internal organ ruptures at the beginning came from the Pentium Overpass. The rest are mainly patients with bone injuries and some with brain injuries, so they have to stay in the emergency department for observation. "
Zheng Ren grunted in response.
"Pay attention to the possibility of delayed intracranial hemorrhage. Don't let your guard down," Old Chief Physician Pan reminded.
Zheng Ren continued to nod.
As time passed, more and more patients with minor injuries were sent to the hospital. Due to the first-aid ambulances being overwhelmed, most patients could not wait in the snow and ice, so they came to the hospital on their own.
Most of these patients were unable to control the speed of the car when the snow had just fallen. The injuries caused by collisions and rear-end collisions were not very serious.
Some patients were elderly people who were taking a walk. The instant the road froze, they slipped and fell, causing injuries such as Colles fractures and intertrochanteric fractures.
The orthopedic surgery department was very busy. Zheng Ren roughly calculated that each of the four orthopedic surgeries in Sea City General Hospital had sent about ten patients with external injuries.
This did not include the most common type of Colles fractures that the emergency department could handle.
Colles fractures are usually caused by indirect force, and are common in falls, especially on slippery surfaces like today's, when the ground is slippery and the hand is on the ground.
Elbow extension, forearm rotation, wrist extension, palm landing on the ground caused injury. The stress acted on the distal radius, causing this fragile part to fracture.
Treatment was relatively simple. Reduction, fixation, splinting, and medication to promote blood circulation and remove blood stasis were all that was needed.
If the patient wanted to stay for observation … Under normal circumstances, they would stay for observation. However, in today's situation, the doctors tried their best to persuade the patients to go home.
The emergency department was already overcrowded, so there was no room for observation.
Zheng Ren was not from the orthopedics department. He had only performed manual reduction once or twice during his internship, so there was nothing much he could do to help.
He went back and forth to inspect the patients, treat them, and divert the patients. He was busy until the afternoon.
At 14: 25, the emergency department received a call from the ICU, saying that a patient with hemorrhagic shock needed a full consultation.
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