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Chapter five hundred and fourth unauthorized surgery

Wang Yang looked at the patient's condition and was similar to what Director Yang said. It was a pelvic fracture caused by a car accident, which caused continuous rupture of the artery in the pelvis and bleeding.

Moreover, the patient's current situation is not conscious, which is a relatively dangerous situation. Why do you have to wait for the patient to wake up before sending him out after the operation is because you are afraid that the patient will lose consciousness.

A body without consciousness can be imagined what it looks like. The human body is a particularly interesting thing, and there are many places that have not been studied by modern scientists.

"The patient's blood pressure and heart rate are reported to me now."

Wang Yang looked at the anesthesiologist.

"The blood pressure is currently 0mmhg, and the heart rate is 120 beats per minute."

The anesthesiologist replied.

When Wang Yang heard that his blood pressure was zero, he was shocked. His blood pressure was zero, but blood loss was not ordinary.

Fortunately, the heart rate is still normal, but the blood loss is too much, so the machine cannot detect the existence of blood pressure.

Wang Yang punctured through femoral vein and did not see blood appear when he punctured, which made Wang Yang frown. Generally speaking, if the machine cannot detect the existence of blood pressure and punctured blood, it proves that the blood circulation in the patient's body can maintain a normal supply.

"Is the plasma coming?"

Wang Yang asked.

If there is no redness, Wang Yang would not dare to perform surgery blindly. He would not even dare to do it casually. The surgery was originally a blood loss process, and the intubation needed to enter the artery.

"Here you come!"

The circuit nurse came in with a few packets of plasma and quickly placed the plasma on the pressure regulator and delivered it into the patient's body.

Wang Yang was not idle in this process and returned to the operation room to continue watching the patient's film.

A few minutes later, the tour nurse went to the operation room to inform Wang Yang of the operation, and the patient had blood at the puncture point.

Wang Yang stopped his movements and went to the operating room. Looking at the patient lying on the operating table, the circuit nurse handed Wang Yang a catheter, and Wang Yang entered through the femoral artery cannula.

Due to normal blood circulation, Wang Yang's puncture was also particularly successful. Then, it was to use intubation to make a urethral tube to prevent fluid and urine from existing in the patient's body.

The pelvis belongs to a circular structure in the human body. It is composed of two hip bones and a sacral coccyx formed by the fused skeletons such as the pubic y-shaped cartilage on both sides. There are many arteriovenous veins connected. If you are not careful, it will cause major artery, veins rupture, and the patient will die quickly.

Since patients who have treated retroperitoneal hematoma once in Tao City, Wang Yang still has some of his own experiences with patients with this type of pelvic fracture.

After embolizing the iliac artery, the patient's blood pressure increased significantly, and Wang Yang breathed a sigh of relief. After re-envisioning, he found that there was no bleeding point, Wang Yang returned to the operating room.

As soon as I walked into the operation room, I found that only the doctors from the medical department were waiting for him, and Director Yang was gone.

"Where has Director Yang gone?"

Wang Yang asked, the patient had just finished embolization and stopped bleeding, and the best thing was to do is to have surgery now.

"It seems that there is a problem on the ward, so Director Yang went over to solve it."

The doctor in the medical department replied.

Wang Yang looked at the patient and said that the patient's current situation was that due to embolism and bleeding was stopped and the fracture was not fixed in time, it would lead to secondary bleeding. The film showed that there was a bone spur protruding on the right thigh. If it was not handled in time, once the bone spur was compressed and pierced the right femoral artery of the thigh due to muscle contraction, the patient would die on the spot.

After weighing the gains and losses, Wang Yang found a tour nurse and told him about his intention to be a member of the station.

This nurse also knew Wang Yang. After all, Wang Yang often came to the general surgery department to pick up Meng Yue, so naturally there were gossip nurses to investigate Wang Yang. As soon as the investigation was conducted, they found that Wang Yang's resume and strength were amazing.

It is naturally what all nurses dream of being a nurse with such a talented doctor. After all, most nurses have a dream of using a platform, and those who get the highest job are the top nurses.

"Doctor Wang, what surgical instruments are prepared?"

The tour nurse asked.

"The main ones are exploration and repair of the middle and lower fractures of the right femoral artery, and fracture fixation."

Wang Yangdao.

The patient's film shows that the patient's right knee joint bone structure is normal, but one-third of the middle and lower sections of the right femoral artery are embolized, which is caused by a squeeze injury to the popliteal fossa.

With the help of the circuit nurse, Wang Yang first made the patient's position into a supine position, waiting for the circuit nurse to take the surgical instrument back.

Ten minutes later, the operation officially began.

The live broadcast room of the surgery has also started again.

Wang Yang tried to try a blood circulation test about 6cm in the middle and lower section of the femoral artery to determine whether it is embolized. Imaging must coexist with practice, which is the respect for surgery.

“Is this a pelvic fracture surgery?

The boss has switched to orthopedic surgery again?"

"The big guy had an operation for pelvic fractures before. At that time, it seemed that he only treated the problem of retroperitoneal hematoma. This operation was actually the procedure after the treatment of retroperitoneal hematoma. You can watch and learn carefully."

"Orthopedics come to report and study."

"Vascular doctors come to report and study."

With Wang Yang's broadcast, the live broadcast room suddenly became lively again.

"Oh, why isn't it an interventional surgery? I really want to learn interventional surgery."

A doctor who intervened expressed his own thoughts.

It was soon attacked by other doctors.

"Add in, intervene, every day, how many interventional surgeries the boss has done, are you not sure about it?"

"Haha, do you want to tell the boss and just intervene in the future?"

"Why don't you let the surgeons in your hospital resign? In the future, all the patients in your hospital can do it with interventional surgery."

Doctors are all irritable brothers. They were originally angry in the hospital, but it was only a matter of minutes to turn into keyboard warriors online.

In addition, I have been writing papers on computers all year round, so I typed very quickly.

The interventional doctor was criticized silently. According to the procedures broadcast in the live broadcast room, the interventional procedure is indeed far more than other procedures.

"A new interventional doctor wants to learn how to stop bleeding after interventional embolism of retroperitoneal hematoma with pelvic fracture, so he joins the group. There are big shots of surgery in the group."

Now everyone in the live broadcast room has gradually become a group. Basically, every operation of Wang Yang has been recorded and sent to the group files for other doctors to learn and watch repeatedly.

Wang Yang made a longitudinal incision along the middle and lower section of the right femoral artery at the lower tourniquet, revealing the right femoral artery, and the traces of vascular contusion on the upper third of the femoral artery can be clearly seen.

"Hiss, the right femoral artery is a bit blocked. Is this a car accident?"

"Last time, there was a patient like this in our hospital. The right femoral artery ruptured during the operation and the patient died on the spot."

"This kind of blockage is very difficult to deal with. You need to remove the blood clots and be careful not to rupture the arteries, especially the femoral artery is surrounded by arteriovenous arteries. Whoever does the stimulation will have experience."

Orthopedics and vascular doctors have expressed their sighs, after all, the connection between the two is the closest.
Chapter completed!
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