Chapter 432: Road Accident (2)
Li Xiang was silent. Wang Yang was still busy with his hands. He Lan pulled out 1ml of blood in his chest, added saline, and took a look. Fortunately, it was colorless, light red and transparent, and there was no infectious hemothorax.
This made Wang Yang feel relieved and began to check the patient for blood clots in the chest cavity, as well as for blood clots on the surface of the pleura and the fiber envelope formed by the body.
On the other hand, Xinglin live broadcast room was also opened.
“Is this surgery in the tent?
Why is there still water on the ground?"
"The surgeon is going to rescue and rescue the disaster, but the patient's condition is a bit serious. Hemopneumothorax. Without professional surgical instruments, the difficulty of this operation is equivalent to blind exercise throughout the whole process!"
A thoracic surgeon in the live broadcast room said that it would be difficult to get blindly in the operating room. If this is blindly done throughout the whole process, the difficulty can be imagined.
Moreover, this situation is still outside the operating room, which is more difficult.
"This operation actually put the surgeon on hold, and it's not right to do it, and it's not right not to do it."
"I think this operation cannot fail. If the boss takes action, then there must be something."
Wang Yang asked Li Xiang to place the chest drainage bottle, so he began to peel off the blood clots on the surface of the pleura. The tweezers were carefully separated. Meng Yue, who was standing beside him, held the tray, and Wang Yang clamped the blood clots on the tray piece by piece.
"Sucker, suction, brine rinse."
Seeing that the cleaning was almost done, Wang Yang continued to command.
Zhou Kun sucked the suction device and sucked out the blood that was generated in the patient's chest cavity, while He Lan poured salt water over. At this time, Wang Yang could not be allowed to consider whether it was warm salt water.
In the current situation, we can only take one step at a time, but in fact, we are touching the stones across the river every step.
"Doctor Wang, the patient's heart stopped beating."
Zhao Sui, who was standing beside him, listened to the patient's chest with a stethoscope.
"Damn it."
Wang Yang felt a little sore and numb on his thighs. He knelt on the ground for more than ten minutes, but his body was still curled up.
However, the patient's heart suddenly stopped beating, forcing Wang Yang to change the surgical plan.
"The patient may have traumatic asphyxiation. Li Xiang, let you deal with the chest cavity here."
Wang Yang looked at the diagnosis of the system light board and said instantly.
Wang Yang immediately felt the effect of this plug-in in temporary changes, because the operation is originally a non-deterministic thing, and the situation of critically ill patients is also prone to qualitative changes.
This is also the reason why many car accident patients cannot be rescued, because there are too many sudden symptoms, which will make the surgeon busy for a while.
Because each is an extremely important step, it can only be performed at the same time, just like this surgery.
If Wang Yang insists on undergoing pneumothorax surgery, the patient will suffer from long-term heartbeat, resulting in symptoms of general shock, and it will be difficult for the gods to save him when the gods come.
"I'll go, the surgeon asked the assistant to take over. What happened?"
"You see the surgeon's movements. This is to be prepared to cut the atrium. Could it be that the patient's sudden heart stops?"
The doctors in the live broadcast room were discussing wildly that this operation was more thrilling than any of Wang Yang's previous operations. This sudden situation caught them off guard.
"Pneumothorax surgery was originally difficult, but now I have to do heart surgery."
"Does anyone explain what the sudden symptoms are? The doctor who intervened said he doesn't understand."
"This should be traumatic asphyxiation. This patient should be a car accident patient. Traumatic asphyxiation is often caused by car accident patients. It is because the patient's chest and upper abdomen are violently squeezed due to blunt violence. At the beginning, it is not visible and exposed. When the chest cavity opens, the pressure in the chest will increase dramatically, which will cause the venous system near the heart to collapse, bleeding around the capillaries, causing temporary blockage."
A surgeon quickly explained it, and immediately most of the interventional doctors who were involved in the live broadcast understood.
Wang Yang looked at the patient and had no choice but to start with the right atrium. Li Xiang did pneumothoracic puncture there, and Wang Yang did atrial decompression.
Once the pressure is released, the patient's heart can resume beating.
“Is there any lactate dehydrogenase?”
Wang Yang asked while working, and he cut open his pericardium directly.
The trickle of blood gushed out, causing red stains on Wang Yang's gloves and protective clothing to appear on his body.
Qin Wen quickly delivered the syringe. Wang Yang watched Zhou Kun aspirate the blood in the chest cavity, injected the syringe into the vein, used heparin to stop the hemotherapy and sutured the wound.
Check the surrounding bleeding points and suture them in turn.
Seeing the symptoms on the system disappear and a few more infection symptoms, Wang Yang breathed a sigh of relief, glanced at Qin Wen, and nodded at him.
There is no way to treat this infection. It is now a sterile environment. In addition, there are many bacteria in rainy days. If the rain enters the patient's chest cavity, it will definitely cause inflammation, but the patient's life has finally been recovered.
"Damn, the surgeon is so awesome. This reminds me of the pericardial blocking surgery he once had. It seems that this is the operation."
"Don't 6, this is the normal operation of the surgeon."
"I learned that when I encountered such a patient in the future, I also treated it like this by academics. I first punctured the pneumothorax and then treated the pericardium to release the pressure. Then, while the pneumothorax is solved, the pressure on the pericardium is also relieved."
The doctors on the live broadcast were discussing the operation until the sentence appeared in the live broadcast room, and the wind direction changed instantly.
"Which city in Lake Province is the craftsman supported?"
A doctor with a hospital suffix asked in the live broadcast room.
“Orthopedics supporting Lake Province report.”
“General surgeons supporting Lake Province report.”
"Reported by thoracic surgeons supporting Lake Province."
The live broadcast room started to flood the screen in a row, and no one discussed the surgeon's surgery for a while.
"Come on, although I didn't go to the battlefield, my heart is with you!"
Professor Wang Jing's words directly ignited the live broadcast room.
In an instant, the live broadcast room was full of support.
Although the assistance is only one ten thousand of the medical staff in the country, this one ten thousand represents the medical staff in the country.
Wang Jing was inexplicably excited as the barrage splashed the screen, and she wanted to rush to the front line. However, this kind of flood caused him to do very little things, and he even needed to share manpower to take care of himself. He was a burden.
But when Wang Jing saw that the live broadcast room craftsman had already rushed to the front line, he really admired him. This is the real doctor.
It is not for money or profit. If one side has difficulties, all sides will support it.
Wang Yang's operation was also coming to an end. As for the patient's shoulder dislocation, Wang Yang handed it over to Zhou Kun to deal with it, and he slowly stood up, his legs were kneeling on the ground and it was a little numb.
The other patient's friend recorded this picture with his mobile phone. In fact, they still have another identity, that is, the kind of travel blogger, who has a very large number of fans.
Chapter completed!