As soon as he entered the ICU, he immediately felt countless hostile gazes on him.
What was going on? Zheng Ren was surprised.
Logically speaking, there was no enmity between him and the ICU, but they …
"Chief Physician Pan, you're here." An ICU doctor approached them and started explaining the patient's condition.
"The patient was admitted to orthopedic surgery ward five at 9.18 am due to a traffic accident and was diagnosed with a pelvic fracture. His blood pressure at the time was elevated. An hour later, his blood pressure was measured with massive bleeding. An emergency pelvic CT scan revealed a large retroperitoneal hematoma. After ICU consultation, he was transferred to continue treatment. "
The patient's medical history was detailed and the patient's condition was relatively simple. It was a pelvic fracture with bleeding, so there was no need for differential diagnosis.
Pelvic fractures were generally not serious. They would be fine after a period of rest. Surgery was rarely needed.
This was due to the structural characteristics of the pelvis. Usually, there would be bleeding on the fracture surface and a small or moderate amount of fluid accumulation. This did not require any special treatment. It was enough to give hemostatic drugs and antibiotics.
However, once the pelvic fracture caused blood vessel rupture, the blood vessels that were punctured were the internal and external iliac vessels and the pelvic venous plexus.
These blood vessels were located behind the peritoneum and the bleeding would be enveloped by the retroperitoneum. Most of the time, the ruptured arteries or venous bleeding would stop the bleeding due to increased local pressure.
However …
This patient's condition was unique. There might not even be a case like this among a hundred patients with pelvic fractures.
The vascular damage to the retroperitoneum was more severe. Considering that a larger artery had ruptured and the pressure could not stop the bleeding, the patient's blood pressure continued to drop and he entered hemorrhagic shock.
What was more troublesome was that the retroperitoneum pressure was so high that it was impossible to stop the bleeding surgically.
As soon as the retroperitoneum was opened, the accumulated blood would immediately rush up to the ceiling under the immense pressure.
Zheng Ren's heart skipped a beat when he saw Su Yun sitting on a chair beside the patient with a pen and paper in his hands, calculating something.
He did not look the least bit tipsy after the hangover, but he was slightly dispirited.
However, when this dispiritedness appeared on his handsome face, it was a different feeling.
"Let's take a look at the patient first." Old Chief Physician Pan calmly strode to the patient's side to observe the patient's vital signs and the emergency CT scan from the doctor next to him.
"Pelvic fracture with pelvic artery rupture and retroperitoneal hematoma." When Su Yun heard Old Chief Physician Pan's voice, he raised his head but did not stand up or look at Old Chief Physician Pan.
Zheng Ren knew what he meant.
The patient's condition was not suitable for surgery. They could only use interventional surgery to stop the bleeding before deciding on the next treatment plan based on the situation.
Su Yun's judgement of the illness was very accurate. How would he save Yeming Qing? This guy was indeed not simple.
"Little Zheng, are you confident?" Old Chief Physician Pan did not know much about interventional radiology, but after the emergency treatment of the placenta abruption patient, he had bought a book on interventional radiology and studied it.
He did not expect himself to do it. At the very least, he had to know if Zheng Ren could do it.
Sometimes, young people would be impulsive. It was still better for the older comrades to help keep a check on them.
Pelvic fracture combined with retroperitoneal hematoma and hemorrhagic shock were one of the indications for interventional surgery.
However, Old Chief Physician Pan was still hesitant. After all, he had never done it himself. He still had to rely on Zheng Ren for this kind of thing.
"No problem," Zheng Ren said. "Prepare the blood and preoperative preparations. Push the patient to the interventional radiology room."
Su Yun's black hair fluttered in the wind. The dispirited look in his eyes disappeared and was replaced by excitement.
Zheng Ren was on guard. What was this sissy trying to do?
"I'll set up the operating table for you," Su Yun said. "This is the order of infusion. Don't mess it up."
Su Yun passed the paper in his hand to the nearest nurse.
"Another order based on urine specific gravity?" The nurse took the paper and glanced at it. She said regretfully, "Brother Yun, you went to the emergency department for nothing."
"Haha." Su Yun did not argue. He only smiled. The black hair on his forehead fluttered in the wind, making him look very handsome.
Zheng Ren did not have the time to watch Su Yun flirt with girls, but the man had his own way of doing it. The order of infusion of crystals and colloids based on urine specific gravity could effectively target the internal environment disorder caused by hemorrhagic shock.
If it was a martial arts technique, this would be considered a high-level secret manual.
Due to the advanced technology of the Internet, this kind of calculation was also roughly explained on the Internet. However, the problem was that the calculation based on urine specific gravity required a large number of formulas, which was beyond the knowledge of medical students.
Moreover, constantly testing the urine specific gravity and repeatedly adjusting the order of infusion was also a tiring process.
Therefore, those who could do this were all amazing people.
This guy could do it. Zheng Ren informed Old Chief Physician Pan and left the ICU to return to the interventional radiology operating room to prepare the surgical equipment.
After the placenta abruption surgery, Old Chief Physician Pan went through the procurement process and brought in a batch of medical supplies that Zheng Ren needed.
This time, Zheng Ren did not have to face the tragic situation of being isolated and helpless again. Not only did he have medical supplies, but he also had an assistant. It was just that the assistant was not very satisfactory.
…
…
Zheng Ren returned to the emergency operating room and began to prepare.
Xie Yiren came to help. She seized the time to learn everything about interventional radiology. It seemed that the girl was ready to enter the operating room as Zheng Ren's assistant.
Zheng Ren would definitely not agree. It was not a circulatory surgery where the patient could have a cardiac arrest at any time. Why would there be an extra person to take the thread?
As for Su Yun, Zheng Ren would definitely not stop him if he wanted to help.
One was an obnoxious, sarcastic, handsome guy, and the other was a beautiful and cooperative girl. There was no need to think about which one he would lean towards. Zheng Ren was very straightforward.
There were not many instruments needed. After all, it was only an embolization surgery, a very simple procedure in interventional radiology.
Fifteen minutes later, Zheng Ren heard the sound of a stretcher trolley.
At this time, the preoperative preparations in the interventional radiology operating room were complete.
Zheng Ren gently lifted the patient onto the operating table to avoid further bleeding. He switched on the machine and switched to operating mode, then began to scrub in and put on his clothes.
Not only did interventional radiology require radiation, but they also needed to wear a lead apron that weighed dozens of kilograms. It was much more difficult than ordinary surgery.
However, in special cases, interventional radiology was the only solution. If they did not do it, they could only watch the patient die from excessive blood loss.
Zheng Ren walked to the storage room and picked up a lead apron. Just as he was about to put it on, he suddenly realized that he had forgotten something.
After completing the isolated and helpless mission, the System seemed to have rewarded him with a set of radiation energy conversion lead aprons and a silver treasure chest.
Zheng Ren was not interested in opening the silver treasure chest. After all, he had opened three of them in a row and obtained three skill books. There was not much point in opening another one.
However, a lead apron that could convert radiation energy into energy sounded very high-end. According to the literal meaning, it seemed that the apron could convert radiation into energy and supply it to the wearer.
If that was the case, the future would be interesting.
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