Chapter 57 Don't say much, just do it!
At this time, there was no blood flowing out of the patient's subcutaneous tissue, which did not mean that Wang Yang's surgery was successful, but rather a dangerous sign.
Because there is no blood flow, it means that the patient is in hemorrhagic shock, the blood volume in the body is insufficient, and the small blood vessels are temporarily closed due to insufficient blood supply, and the remaining blood volume in the body produces body protection.
"My speed is faster!"
Wang Yang became even more alert, because the current situation is the most dangerous time.
Wang Yang quickly performed blunt separation, opened his peritoneum, protected it with sterile gauze, took the hook in Meng Yue's hand, changed the direction of the hook, and handed it to Meng Yue again.
The operating room door was pushed open, and Lu Ming rushed in with the circuit nurse.
Wang Yang Yuguang saw the two of them and said calmly: "Start blood transfusion!"
The nurses on the tour didn’t say much, and it was true to save the patient.
Take out the fresh suspended red blood cells from your arms and hang them on the infusion rack.
These red blood cells are frozen. When they are retrieved, the traveling nurse will hold it in her arms and use her body temperature to increase the temperature of the frozen red blood cells for easy input.
The nurse on the tour began to check the blood type code on the red blood cells. After recording, she put it in a pressurized blood transfusion device and put another bag of blood bags into her arms to continue to heat up.
Lu Ming also asked the tour nurse for two bags to put in his arms and heated them with his body temperature.
The red blood cell bag in the pressurized blood transfusion device quickly faded away, and the nurse on the circuit hurriedly continued to replace it with another bag, circulating continuously.
Seeing the red blood cells entering the human body along the puncture and infusion channel, everyone's hearts finally settled a little, and the rest would be due to Wang Yang's surgery.
Seeing that the blood transfusion was successful, Wang Yang continued to turn his head and start the operation.
As the surgery field was exposed, there was a 5cm wound on the left edge of the liver. Although the first liver port was blocked by a latex tube, the latex tube was not a plug. As the plasma entered the body, the latex tube could not completely block the first liver port at all, and blood still overflowed from the edge, but the blood volume was not that large.
Wang Yang did not care about the first liver sect. As long as it was not a major bleeding, this amount of blood was acceptable.
The next step is to clean the wounds caused by liver damage. Due to the timely rescue, the injured tissue did not die, which is good news for Wang Yang.
Wang Yang performed a surgery without necrotic tissue in the training room. If there is necrotic tissue, the operation will become difficult again.
I used my hands to explore the inside of the rupture of the liver. The deep diameter was about 4cm, and the surrounding ruptured blood vessels were still overflowing with blood.
Wang Yang stretched out his hand, Meng Yue patted the patterned clamps into Wang Yang's hand, and Wang Yang clamped and ligated the active bleeding blood vessels. When the blood vessels were ligated successfully, Wang Yang began to ligate the damaged bile ducts.
After treating several bleeding points around the liver, Wang Yang loosened the latex tube of the first liver portal and found that there was no sign of bleeding in the liver.
"blood pressure!"
“90/70.”
Lu Ming replied quickly.
Wang Yang nodded. As the bleeding spleen was removed, several bleeding points in the liver were successfully stopped, and the patient's blood pressure began to rise slowly, and there was no danger.
After the patient's body has sufficient red blood cells, supplement 16u of frozen red blood cells and 1000ml of fresh plasma, the patient will be cured.
Wang Yang thought this way, estimating the wound next to the liver, cutting off a large omentum, blocking it into the wound of the liver, and then suturing the wound. The margins of the suture are very standard, making people look pleasing to the eye.
“Is this a mattress-breaking suture?
This is so accurate, it looks like a caliper is more stitched."
Xu Guosheng praised: "Awesome, I left the large omentum at the wound to prevent the sudden increase in blood pressure and the small blood vessels from being able to withstand the collapse, causing bleeding. However, this operation is a bit too fast!"
“It’s too fast, just a few minutes have passed?
Ten minutes?
An appendix surgery?”
"It should be that the patient's condition is very serious, and he has a speed of life and death. I didn't see a big man who often talks, but suddenly a big man came today."
After the suture was completed, Meng Yue handed over the warm salt water. Wang Yang took it and began to rinse the patient's abdominal cavity, and then used a suction device to suck away the remaining blood and the remaining warm salt water.
Considering the patient's condition, Wang Yang repeatedly checked the abdominal cavity and left the T-type drainage tube, and Wang Yang began to close the abdomen.
"The surgery was successful?"
"Yeah, it worked!"
The tour nurse took pictures of his large-scale chest and began to pack up and prepare to leave. Fortunately, nothing happened, otherwise the tour nurse would have felt guilty.
Many patients died on the operating table because of the inadequate blood loss and blood plasma. The life of the circuit nurse is not simpler than that of the doctor. They are also runners of life! "What should I do with this patient?"
"Switch to the ICU, both the general surgery and the emergency department cannot do the postoperative problems of this patient, so I can't be there anytime."
Wang Yang also said the truth. Except for him and Director Xiao, no one in the entire emergency department can do the postoperative problems of this patient. If the postoperative problems are not handled in time, then there will be a big problem.
It is safer to leave it to ICU. The doctors there are more reliable than the emergency department. The general surgery situation is similar to that of the emergency department.
"Notify the ICU to prepare the ventilator, and the patient will be sent to the ICU in fifteen minutes!"
Wang Yang asked Lu Ming to contact the iCu, while Meng Yue started intubation of the patient, and after the test, he pushed it directly to the iCu.
While pushing the patient, Wang Yang was also paying attention to the patient's vital signs. With the system light board, Wang Yang could know the patient's condition at any time.
After handing the patient over to the doctor who IICU, Wang Yang breathed a sigh of relief, returned to the operating room to change his clothes, and Wang Yang returned to the emergency department tiredly.
Wang Yang had nearly thirty surgeries today, and several were done in the training room, plus ten appendixes and ten gallbladders. Wang Yang collapsed in the office.
The doctors and nurses who passed by Wang Yang's office saw Wang Yang's appearance and were talking about it.
"The other doctors are busy, why does Dr. Wang sleep here alone?"
A passing doctor said jealously.
"Doctor Wang is the hospitalized person, so he naturally has privileges."
Another doctor said sarcastically.
Two passing nurses stood in front of them angrily when they heard the words of the two doctors.
"You know, I did ten surgeries with Dr. Wang this morning. How many surgeries can you do a day?"
"I also had ten gallbladder surgeries with Dr. Wang. Including Dr. Wang had twenty surgeries, what are you all? How dare you mock Dr. Wang?"
Both doctors are both men, so naturally they can't compare to the nurse who is sharp-tongued, but they didn't believe the words of the two nurses, and they did twenty surgeries a day. Unless he is not a human being, how could he persist?
"You don't even make drafts, do you know what the concept of twenty operating rooms is?"
The male doctor sarcastically said.
One of the female nurses raised her chest and placed the record sheet in front of the male doctor.
The male doctor looked at the column of the ten gallbladder surgeries above, all of which were Wang Yang's names.
At that moment, the male doctor couldn't speak for a long time.
Twenty surgeries... he is a monster, right?
Chapter completed!