Chapter 550 Pushing all the way
Xu Zhiliang and Zhang Lin continued the operation while chatting.
Song Zimo and Xiao Wu were also busy and suffered a fractured sternum and multiple ribs. The fractured ends punctured the lungs, causing hemopneumothorax.
When they were admitted to the emergency department, closed chest drainage had been placed, which temporarily eliminated the threat to life caused by the chest injury. The main problem was transferred, so Song Zimo and Xu Zhiliang gave priority to dealing with the pelvic fracture and left thigh avulsion injury.
Because these two injuries are major sources of bleeding, if the bleeding is not stopped quickly, no amount of blood transfusion will help.
Now that the left thigh avulsion has been treated, and the pelvic fracture surgery has been mostly completed, and the chest cavity has been opened just now, it is better to take this opportunity to treat the chest injury.
Otherwise, flail chest and abnormal breathing caused by multiple rib fractures are also fatal.
Song Zimo repaired the damaged lung, ligated the bleeding blood vessels in the chest, reset and fixed the sternum fracture and multiple rib fractures. The memory alloy fixation clip specially used for rib fractures is very convenient to use. One for each rib, totaling ten in total. Seven ribs were fractured and all were reduced and fixed.
Here Xu Zhiliang also completed the hemostasis of the pelvic fracture, reduction and fixation of the fracture.
Finally, the blood pressure on the monitoring screen was stabilized and did not drop any further. As the blood transfusion continued, the blood pressure began to slowly rise.
Blood transfusion, rehydration and bleeding enter into a positive balance, which is the key to successful rescue of hemorrhagic shock.
Only positive balance can have an accumulation effect on the components and capacity of the human body's circulation, slowly returning to the level of maintaining life.
The reason is very simple. Only when the water in the pool is greater than the water coming out can the water in the pool be filled.
"How is the urine output?"
Song Zimo asked the traveling nurse.
The circulating nurse lowered her head and picked up the urine bag: "Five hundred and twenty milliliters, a lot more than before."
The presence of urine indicates that the shock is being corrected.
The chest and pelvic surgeries were completed, and the two teams performed surgeries on upper and lower limb fractures respectively.
The treatment principle of trauma surgery is to save lives first, then save limbs, and finally consider function.
Therefore, during rescue, all initial measures focus on saving lives.
Now that the threat to life is over, the remaining work is to deal with the fractures of the limbs. These operations are not as urgent as life-saving, but they also require speed.
If the time is too long, it can easily cause complications such as infection and fat embolism.
Some interns shuttled back and forth between operating rooms while the circulating nurses were not paying attention. They were very excited when they encountered such a big rescue, especially one where the department was fully equipped with firepower.
This kind of visit can easily increase the risk of surgical infection, but most of the time it is impossible to prevent it. The traveling nurse does not have so much energy to keep an eye on these interns who are wandering around.
Information about the various operating rooms involved in the rescue was constantly spread among the interns who were passing by.
"What about the one next door? There was blood pouring out, and I couldn't stop it. I was so scared that I sweated."
Someone asked the newly sneaked intern. This intern had just come from next door and witnessed Yang Ping saving the stage: "Professor Yang came to save the stage."
"That's a sure shot!"
Another intern who appeared to be more qualified said calmly.
Yang Ping is the god in the hearts of these young students and their idol in medicine.
The fracture surgery on the limbs was successfully completed. Xu Zhiliang moved his waist:
"Brother, go to the obstetrics department to accompany your wife. I will do the rest."
Usually scolding is reprimanding, but the relationship between Xu Zhiliang and Zhang Lin is actually very good.
"Then I'm going to retreat?"
Zhang Lin began to take off his surgical gown, unable to contain his joy any longer.
——
The operation was successfully completed for the comminuted pelvic fracture next door.
The wounded man's blood pressure slowly rose. Director Bai stood in front of the C-arm screen like a victorious general, staring at the pelvic X-ray perspective on the screen.
The pelvic fracture has been reduced very well, the separation of the sacroiliac joints has been corrected, and the gap between the pubic symphysis is also within the normal range. The horizontal and vertical steel plates firmly connect the bone fragments together. The normal pelvic shape is so beautiful at this time.
Although Director Bai did not complete the key surgical steps, it did not prevent him from having an unparalleled sense of accomplishment.
"Ah fat!"
Director Bai shouted in a powerful voice.
The fat boy leaned over, and the chubby graduate student also leaned over, waiting for the order from his superior general.
Three large mountains surround the screen of the C-arm machine, spread out in a fan shape, full of weight and distinctive features.
No matter where you stand, others can tell at a glance that this is Director Bai's medical team. Compared with any other medical team, only Director Bai's team has such a sense of depth.
"Old Bai! Finished so quickly? Is the pelvis reset beautiful?"
Director Han had just completed an operation and took the time to visit each operating room to see what support everyone needed. He saw the beautiful image of the pelvis on the C-arm screen.
Director Bai's face turned red, and his voice was so modest that he said, "Hardly."
Director Han praised him: "It's not forced, it's very beautiful! Lao Bai, I heard that when you open your pelvis, you'll see blood pouring out. I was worried that you wouldn't be able to withstand it, but I didn't expect it to be done so quickly?"
"The bleeding is a bit evil, but fortunately, the bleeding was stopped and it was quite complete." Director Bai puffed up his chest. Director Han asked a few more questions and then went to other operating rooms.
Director Bai took out his mobile phone and took pictures on the screen. He wanted to keep the information for future lectures on pelvic fractures. Taking out these photos would be enough to stand out from the crowd.
"Ah Fei, you can write a paper about the rescue of this case. We usually need to have scientific research thinking. Doctors must reach a certain level and cannot be limited to repeated surgeries. Do you understand?" Director Bai warned.
Fatty kept it in mind. Director Bai was preparing to make a big move. Fatty turned to the chubby graduate student and said, "Little chubby, you are ready to prepare. This paper should be written to a good level. After you finish it, give it to me for revision."
The chubby graduate student nodded and accepted the task.
——
Yang Ping went around the operating rooms to see if there was anything he needed help with.
The injured who were injured by jumping off the building were under the care of Director Ouyang's medical team. Dr. Jin had operated all night and needed rest. Director Ouyang was leading a graduate student during the operation.
The injured man's spine was transected from the thoracolumbar segment, and then dislocated front and back. As the spine was fractured and dislocated, the spinal cord in the spinal canal was completely transected. He would definitely be paralyzed in the future and live in a wheelchair for the rest of his life.
This girl in her twenties has just been admitted to the civil service and has a bright future.
She did nothing wrong. She was watering the flowers in her yard, but she didn't expect disaster to fall from the sky. A living person fell from the seventh floor and hit her on her back. Break her spine.
Director Tan was responsible for the operation on the mother of a high school student, and her injuries were also very serious. The pelvic acetabulum was fractured, one side of the femoral head was directly inserted into the abdominal cavity, four thoracolumbar vertebrae were burst and fractured, intracranial epidural hematoma, and bilateral pupils were dilated. , had slow light reflexes, and neurosurgery was also involved in the operation.
There were also several serious trauma injuries from car accidents, and they were in surgery almost at the same time.
Fortunately, there is no bad news so far.
After going around, there was nothing he needed help with. Yang Ping called Li Guodong and asked him to prepare to send the patient to the operating room to continue the surgery at the Institute of Surgery.
Due to the sudden emergency, surgeries in Yang Ping's own department were suspended. Now that the rescue is coming to an end, the suspended surgeries can be resumed.
Song Zimo, Xu Zhiliang, Xiao Wu, and a group of their own interns also came out of the operating room and returned to the department together.
Back at the ward of the Institute of Surgery, head nurse Cai also came back from the obstetrics department. She went to stay with Zhang Lin's wife for a while.
"Is everything going well with Zhang Lin's wife and children?"
Yang Ping expressed concern.
"Zhang Lin is a little lucky boy. He gave birth to twins, a boy and a girl. One of them has severe jaundice. The neonatologist said it won't be a problem and just needs a blue light for a few days. I said hello to the head nurse over there to help take care of it." Nurse Cai is very considerate.
The head nurse also prepared red envelopes for everyone, which were packed according to the rules of the department.
"Give Zhang Lin some time off!" Yang Ping ordered Xu Zhiliang.
Then everyone, led by head nurse Cai, went to the obstetrics department to see Zhang Lin's wife and child.
Zhang Lin is sitting by the bed massaging his wife's legs. The two children are lying in the crib. The obstetrics nurse is preparing to send one of them to the neonatal department for a blue light.
Seeing Yang Ping and his brothers from the department coming to visit, Zhang Lin immediately stood up.
Everyone exchanged pleasantries and gave red envelopes.
Zhang Lin was so happy that he handed all the red envelopes he received to his wife.
Fatty Liang, who was late, followed up: "Teacher Zhang, for such a big event as my wife giving birth to a baby, we didn't even notify her."
Immediately afterwards, Xiao Su, Tang Fei, and Zhou Can also came in. They held Dr. Li's hand and exchanged greetings. The atmosphere was particularly warm.
"Where's the other one?"
Fatty Liang rubbed his hands and bent his waist to tease the child.
"That one just went to the new pediatric ward to take a blue light, fat man, what are you doing?"
Zhou Can saw the fat man's actions and immediately stopped him: "Fat man, don't get too close to the smell of cigarette smoke."
The fat man straightened up immediately, as if he had just finished smoking, so he retreated far away.
"I like children so much. I'd rather have one with that flight attendant of yours soon." Zhou Can teased the fat man.
The fat man touched the red envelope and found that he didn't have it on him. He obviously brought the red envelope but it was missing.
Zhou Can handed him a red envelope: "I dropped it next to the anesthesia machine. I thought it was someone else's red envelope, but when I saw the cover, it was yours."
"I obviously put it away well, how did it get into your hands? It's really strange." The fat man took the red envelope and gave it to Zhang Lin.
The cover of this red envelope is actually a red envelope customized for the Spring Festival by China Cigarettes. I guess it was a red envelope cover that was given when buying cigarettes.
"Fat brother, your fighting skills are a bit weak. You have been chasing the stewardess for so long and there is no movement," Xiao Wu joked about the fat man.
The fat man blushed: "Don't worry, everything is under control."
"Fat man, your roundabout tactics are not working. We must carry forward our department's surgical style, hit hard, rush hard, and push flat all the way!" Xu Zhiliang gave him advice.
Xu Zhiliang, who was dull and stuttering, actually gave him advice on love. The fat man was not convinced: "Old Xu, look at your momentum, did you rush in front of me?"
Xiao Wu said: "We have only known General Xu for a few days, and we have already held hands while going shopping and watching movies. Let me tell you, he will get his certificate within three months. Do you believe it or not?"
Fatty was speechless, Xu stuttered so badly? Actually pushed all the way? Such a tough style?
At this time, Yang Ping received a call from Oman. Oman's "Camel Man" Yasmeni was preparing to come to China, accompanied by a doctor from Oman.
(End of chapter)