Chapter 22 Critical Surgery (Please collect and read)

Author: Jiangdi Youbai

Chapter 22 Critical Surgery (Please collect and read)

Lin Dong was still conscious when he was on the ground.

But when Lin Dong was taken to the emergency department of the hospital, he had already passed out.

When Lin Zhonghua and Wu Xie arrived, Lin Dong was already in shock. Fortunately, they were delivered in time, so they immediately inserted a gastric tube, a urinary catheter, and administered oxygen.

Moreover, the nurse in the emergency department immediately started taking blood tests, mainly to rule out coagulation function. The only doctor in the color ultrasound room had already pushed the only bedside color ultrasound in the hospital to the emergency room.

The blood bank in the hospital has also begun to operate...

Lin Dong's condition changed so quickly that it exceeded everyone's expectations.

The rate of blood loss caused by spleen rupture is a bit too fast.

"Grade IV splenic rupture. The amount of fluid in the abdomen exceeds at least 1000ml. Surgery must be performed immediately. Have you called Director Lu?" Dr. Huang's face in the ultrasound department changed suddenly.

Splenic rupture is divided into four grades, but if it can bleed so much in a short period of time, it is definitely not the first three grades.

"Director Lu is on his way over."

"Little crab, you and I go to the operating room first and do a pre-operative skin test immediately!" He Ling from the department was on duty today. He ordered after knowing the preliminary diagnosis.

Wu Xie nodded immediately!

He Ling then said: "Lin Zhonghua, your son's current condition is very urgent. He is bleeding heavily. If he is transferred to the county hospital, he probably won't be able to carry him."

"You must sign for spleen resection and rescue immediately. Come with me and sign for surgery. There is no other choice!"

"The risk is very high. Surgery may save your life, but without surgery!" He Ling had already made his meaning clear and stopped.

When Lin Zhonghua's wife heard this, she immediately beat Lin Zhonghua hard: "I told you to teach your son a lesson, but you don't listen!"

Then she immediately turned pale and her whole body went limp!

He collapsed on the ground.

"Okay, I sign! Surgery!" Lin Zhonghua was so anxious that his face was sweating profusely, and his eyes were muddy with anxious tears and sweat.

"I sign and the operation will begin immediately. Lao He, you have to help me."

"Little crab." Lin Zhonghua's voice was choked, and he forced himself to hold on, and his head began to shake from side to side.

However, He Ling did not prepare such an informed consent form for surgery in advance. Splenectomy after splenic rupture is a level III surgery. Only Lu Junyin in the entire hospital is qualified to perform this surgery!

Normally, such diseases would not appear in town hospitals.

"I'll go to the operating room first. Dr. Wu, go take him to sign, and then come to the operating room right away. I'll call Liu Chengshan to come with us for preoperative preparations."

"After you sign, call Zhong Yusheng and ask him to come over and take over the duty! Then come down to the operating room." He Ling finished the instructions quickly.

"Send to the operating room!"

"Call the blood bank and prepare blood! For matching, it is estimated that at least 1000ml of blood will be prepared and a venous channel established..." He Ling gave quick instructions while decisively pushing the patient towards the operating room.

Lin Zhonghua's wife stood up again at this time, with tears in her eyes and messy hair. She did not straighten it, but looked at Wu Xie as if she saw a life-saving straw.

"Little crab, Sandongdong is your brother, you have to help him!" He said and grabbed Wu Xie's hand with his right hand.

"Let's not waste any more time. Let's sign the signature first. The operation will be done soon!"

"We will try our best. There was no turning or moving before the operation. The bleeding rate may not be uncontrollable yet. Please rest assured!" Wu Xie quickly led the two of them toward the department.

The more critical the moment, the less chaotic it is.

Family members can mess with things, but doctors can't.

The illness came like a mountain, and this Lin Dong had such a serious spleen rupture. If he hadn't been at the first scene, he would have waited for a phone call to check his body or his family members would have carried him to him, and he would probably have been able to perform chest compressions now!

Wu Xie neatly created a surgery template and wrote the name by hand.

I didn't write down my ID number, etc. I just glanced at the general risk and handed it to Lin Zhonghua: "The situation is very urgent now. Sandongdong was still conscious at the time, but now he is in shock."

"The condition has worsened seriously, and we have dealt with it as soon as possible, but whether we can survive it in the end depends on the specific situation."

"You have to be mentally prepared, we are already dealing with it as quickly as possible."

"Come and sign. If you hesitate at this time, you give up. There is no chance!" Wu Xie can't guarantee it. He doesn't even know Lin Dong's specific diagnosis now!

"I sign!" Lin Zhonghua did not hesitate.

After finishing writing, he just held Wu Xie firmly with his hand: "Brother, I know you come from a big hospital, you have the ability!"

"You saved my son, and you will be the benefactor of our house for life!"

"Little crab!"

"We tried our best, mainly to see Director Lu." Wu Xie took off his hand and ran towards the operating room with the informed consent form for the operation.

Wu Xie arrived.

Lu Junyin and Liu Chengshan have already arrived in the operating room. The anesthesiologist has not yet completed general anesthesia, but He Ling and Liu Chengshan have already made preoperative preparations.

"wear clothes!"

"The patient is currently comatose and has no pain stimulation. Let's start the operation."

"Doctor Dong, please add some muscle relaxation later!" Lu Junyin ordered.

Upon hearing this, Wu Xie immediately exited the operating room again and started washing his hands. At the same time, he found splenectomy in the skill list and silently raised it to the proficiency level.

Whether this level is enough or not, it can only be used like this, without too many knowledge points!

You will regret less when the book is used!

All emergencies will not allow you to be fully prepared, so you still have to work harder!

When Wu Xie got dressed and went on stage, Lu Junyin and the others had already started the operation.

And the innermost layer of the abdomen is exposed, which is about to open the abdominal cavity.

"Prepare the suction device, a lot of cotton pads and gauze, do you have gelatin sponge..." Lu Junyin asked.

"Director, no. Our hospital doesn't have such good things." There are only three nurses in the operating room, who are on duty in turns.

"Alas!" Lu Junyin sighed and could only do his best.

Wu Xie approached, and Lu Junyin opened the abdominal cavity. It can be seen that there is a large amount of residual blood in the abdominal cavity, and blood clots are intertwined with bright red blood, which looks like irregular blood flow...

The spleen was slightly enlarged, measuring 100×60×50 mm, which is smaller than the normal spleen of an adult, but the patient was a teenager.

The spleen was dripping with blood, and there were a lot of ruptures. The bright red blood gurgled out, like a bursting blood fountain, which did not spurt out, but seemed to be inexhaustible.

"Stop the bleeding first!" Lu Junyin's brows jumped upon seeing this.

Although he is the deputy chief physician and has the authority to perform third-level surgeries, he has performed very few splenectomies!

"Find the splenic artery first!"

"Little crab, you are responsible for sucking blood." Lu Junyin explained neatly.

At this time, we can only do it slowly, little by little.

The splenic artery is the main blood supply artery to the spleen and the main source of blood supply to the spleen.

Wu Xie watched Lu Junyin turn over and over in his abdomen with a rather jerky technique.

Then he took the initiative to lift the negative pressure suction device, and while pulling it, he pried open the retroperitoneum, exposing the origin of the splenic artery that Lu Junyin complained about, along with the celiac trunk and abdominal aorta, to everyone's view.

middle.

Everyone was stunned when they saw this and were silent for five seconds.

Looking at Wu Xie again, he still lowered his head and stared intently. He used a negative pressure suction device to press against the peritoneum, exposing the splenic artery that Lu Junyin said, and it was the starting part. This meant that he should quickly tie it or clamp it with a vascular clamp.

Bar.

"Vascular forceps!" Lu Junyin's mood was complicated for a while, and he immediately ordered.

Liu Chengshan took the initiative to hand it over. The current equipment nurse had not arrived at the hospital yet, so he took over temporarily.

Seeing that Lu Junyin was about to clamp down, Wu Xieque blocked it with a negative pressure suction device, and then tapped another blood vessel with the head of the suction device.

Lu Junyin indicated that it was this blood vessel that was being clamped.

I thought it was posted automatically last night, second update in a row
Chapter completed!