Wang Yang pulled the flat car, roaring at it, asking everyone to give way. The female family of the patient could not keep up with the speed of the flat car, and twisted her feet and fell to the ground.

First, you need to go to the emergency room and have a preliminary treatment before you can enter the operating room. Otherwise, when the operating room starts, the patient will not know how many times he will die.

In the rescue room, a nurse cut the patient's coat open. Wang Yang saw that the blade on the patient was not big, but it was particularly fatal. It was located just on the left side of the sternum and below the left breast.

After calculating the time of cardiac arrest, it should have been almost three minutes from the time I arrived at the hospital. The time for human cerebral ischemia is usually reached within five minutes. Once the cerebral ischemia ischemia, the person will be finished. Even if Wang Yang is excellent in medical skills, he will not be able to save him.

"Go and urge Director Xiao to prepare for the operation."

Wang Yang knew that there was not much left to him anymore, so he took the sterile hand table and tore it open it, put it on quickly, "Knife!"

Lu Ming quickly handed the blade to Wang Yang. Wang Yang's fingers penetrated the wound and carefully investigated it. He asked Lu Ming to insert iodine on the left chest wall of the patient. Wang Yang's blade was immediately cut off without any dragging.

The patient could not give Wang Yang time to separate bluntly, so Wang Yang could only cut the hole deeper. The patient's current situation should be pericardial tamponade.

Pericardial tamponization means that the heart is squeezed by a large amount of fluid accumulated in the heart membrane, and requires timely surgery to relieve heart pressure.

When Wang Yang opened his chest cavity, he saw that the patient's heart was swelling so much that it was too late to wait to go to the operating room. Now he had to have a preliminary surgery himself.

However, Wang Yang was still unsure of the surgery on the heart and used up the only surgical designated surgery method and learned the emergency treatment method of pericardial tamponade.

"Oxygen inhalation!"

The nurse put the oxygen mask on the patient, and Wang Yang began to perform bone marrow aspiration and established two venous channels, which was to allow the patient to transfusion through the venous channels in a timely manner after entering the operating room.

“Dopamine!”

The patient's blood pressure does not need to be tested, and Wang Yang knew that it was so low that it was unreasonable. Now he could only use dopamine to force his blood pressure.

After these preparations were completed, Wang Yang's eyes turned to the patient's heart. When he gritted his teeth, the blade directly cut a hole in the pericardium.

As the huge pressure was released, a red liquid gushed out and directly sprayed onto the ceiling of the rescue room. The doctors and nurses present were stunned by this scene.

Is this bloody room?

Because the emergency department surgery is just being built, many nurses have not been here for a long time. The word "blood" in the mouth of nurses with relatively old experiences can be heard. After all, nurses often talk about what they encounter during the treatment process.

Wang Yang threw the blade in his hand into the cut bag, his palm penetrated deep into the chest cavity, and began to press the heart with bare hands.

Just like last time at Concorde, this time it is even more dangerous, it is pressing the heart.

Fortunately, Wang Yang cut open the pericardium, which made the heart less stressed, and the heart began to beat again. As for the effusion in the pericardium, it still needs to be processed in the operating room, and the equipment in the rescue room is far from enough.

Under Wang Yang's guidance, Lu Ming also performed tracheal intubation on the patient and pinched the ball to help the patient breathe and inhale oxygen.

“Go to the operating room.”

Wang Yang squatted on the flat car, Lu Ming, Lin Miao and Yang Ming, three divided the work, two pushed the cart, and one person solved the obstacles in front.

As soon as the flat car left the door of the rescue room, he heard the crying of those women in their thirties, heart-wrenching, but Wang Yang didn't even look at her. However, the woman rushed up and held the flat car. The flat car that was originally moving forward quickly suddenly shook by the resistance. Wang Yang felt the remaining heat between his fingers.

You should know that the patient is now in a state of open chest and pneumothorax, and it is not in a sterile environment. The longer the delay, the more serious the matter will be.

"let go!"

Wang Yang roared angrily.

But the woman seemed to have not heard it, and she still cried with the flat car. Because the woman was holding the flat car in the direction of Wang Yang, she was only about five centimeters away from Wang Yang.

A fire rose in Wang Yang's heart. The one who annoyed the most was such a person. He could not do anything and make trouble.

"I'll let you go!"

Wang Yang kicked the woman with one foot, kicked the woman out with great force, and then directed the others to continue rushing to the operating room.

Lin Miao and Yang Ming were both shocked. Is this the first doctor who dared to hit his family?

The patients around were also shocked. This doctor was so awesome. Please be a melon-eating crowd.

As for those women, the head nurse also saw the situation and took several nurses to see the woman's situation and helped Wang Yang clean up the mess.

Many young nurses thought that Wang Yang was really handsome and quite domineering when he was just now.

Without any obstacles, the flat car successfully entered the operating room. The anesthesiologist immediately performed a double-cavity intubation on the patient. Wang Yang had already prepared the passage for the bone marrow cavity puncture in advance. After they left the tube, Wang Yang let go of the hand that pressed the patient's heart. The heart trickled out blood, and the amount of blood was less, so he could accept it.

Wang Yang quickly went to the locker room to change his clothes, Lu Ming changed his isolation suit and started brushing his hands, and Meng Yue prepared the equipment.

When Wang Yang put on his clothes and came out, Lu Ming had already prepared a sterile sheet and was waiting for Wang Yang to undergo surgery.

Wang Yang could not consider aseptic treatment for this patient. What he could fight for now is time, and what Wang Yang lacked the most was time.

Wang Yang used a chest opener to open the ribs. At this time, the patient's heart beat very strongly, and did not stop beating like before, giving people a sense of fear.

The double lumen tube was inserted, the ventilator began to work, and the lungs on one side of the patient were deflated under the operation of the anesthesiologist. Wang Yang's surgery field became wider. This time he saw it more clearly. There was a 1cm wound under the left anterior wall of the heart, and blood was flowing out.

Wang Yang reached out and slapped Wang Yang with the hemostasis forceps. Wang Yang used the hemostasis forceps to investigate the depth of the wound, about 2cm deep.

“Stand directly.”

Wang Yangdao.

Although he had never had a similar operation, Wang Yang was very familiar with the anatomy of the heart. He directly asked Meng Yue for a small needle and thin thread, and started suturing with a needle holder.

After the suture is completed, there are three threads on the rupture of the patient's heart, which is very delicate and will not have any problems due to the pulsation of the heart.

Then, Wang Yang began to check the lungs to see if there were any other undiscovered wounds and heart bleeding, because the outer layer of myocardium is protected by pericardial layer. Even if there is bleeding, most of them accumulate in the pericardial.

However, if the amount of bleeding is relatively rapid, it will cause more and more blood in the pericardial cavity, and the excretion volume is less than the amount of bleeding, which will cause pericardial blockage.

Fortunately, Wang Yang relieved the heart in advance, so the patient saved his life. The whole operation was not difficult. The difficulty lies in the time and the rescue time, so there should not be any delay.
Chapter completed!