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Chapter 581 Splenectomy (6 more on June 25) Please subscribe

When Sun Lien walked out of the operating room, his hands were shaking.

Of course, he was not dizzy—if an emergency doctor said he was dizzy, he must have wanted to take the opportunity to convey news such as "I was abducted by aliens" to the outside world.

Sun Lien was excited, excited that he still had the opportunity to do rib internal fixation.

There were many dangers during the operation of the great wizard, thanks to the fact that 3200cc of whole blood was drawn from the knight of the icon tribe in advance and stored in a blood storage bottle for more than ten minutes.When Chen Tianyang finished hemostasis on the great wizard's lungs and was about to bury the drainage tube, his blood pressure suddenly dropped to an undetectable level.Chen Tianyang immediately cut open his upper abdomen with a knife, and took a step to the right, giving way to the operating position on the chest.

Dr. Huang quickly took over the position that Chen Tianyang stepped aside, and continued to bury the tube as quickly as possible, while all the doctors were completing the work at hand as quickly as possible.They all understood that this was the worst-case scenario—the patient's spleen ruptured and hemorrhaged further developed, and the hemorrhage in the body was likely to kill him in a short time.

Chen Tianyang cut open the great wizard's upper abdomen with one knife, and then a pool of dark red blood gushed out from the incision.

"Don't worry, listen to my password." Hu Jia took his apprentice, holding the whole blood just sent from outside, ready to start the pressurized blood transfusion, but was stopped by Chen Tianyang, who was staring at the wound, "I Do block first..."

Chen Tianyang stuffed his hand directly into the patient's body, and then he directly took out a small piece of spleen and threw it into the bent plate aside, while muttering, "It's broken."

After inserting his hand into the patient's abdominal cavity for the second time, Chen Tianyang groped for a few seconds, first pinched the splenic artery with his fingers, and then gave instructions, "Pressure blood transfusion, give me a vascular clamp, bent."

Hu Jia quickly handed over the vascular clamp, and Chen Tianyang used the vascular clamp to complete the splenic artery occlusion operation without any surgical field, and then he began to stare at the monitor closely, waiting for the final judgment.

"Blood pressure is up." Under the pressurized blood transfusion, Hu Jia didn't even estimate the speed of her blood transfusion - she squeezed a bag of whole blood through the central venous access in less than 2 minutes.At the same time, her apprentice was infusing Lactated Ringer's solution under the central venous channel under pressure.The speed is slightly lower than that of Hu Jia, and a bottle of 2ml Lactated Ringer's solution has not gone down halfway after [-] minutes.

The old wizard was indeed seriously injured, but his vitality was similar to thatched grass on the African savannah. As soon as the low blood volume was corrected, his heart rate began to drop steadily, and his blood pressure quickly returned to the level acceptable for major surgery scope.

"This man is lucky." Chen Tianyang glanced at the detector again, and nodded after confirming that the patient's blood pressure was rising steadily, "The main bleeding point in his abdominal cavity is the spleen, and the bleeding is under control, and other places are fine. "

"Prolonged bleeding may be in danger of DIC, you should act faster." Chen Tianyang just relaxed a little, and Liu Tangchun, who was acting as a blood transfusion doctor in the distance and instructing Hu Jia and her apprentice to pressurize the infusion, urged, "Hurry up." Take care of the problem with the spleen, and be careful of spleen necrosis if the blocking time is too long."

"It's not that I'm bragging, old Chen. I'm the first-class fast hand when doing the operation on the spleen." While arguing with Liu Tangchun, Chen Tianyang still disliked Sun Lien's inability to pull the hook, "Your pulling angle is too small , work harder, didn't you eat in the morning?"

"Eat." Sun Li'en nodded, while using some strength in his hands, he tried to pull the traction hook further, "I'm afraid that if you pull too hard, the patient's incision will be torn open..."

Liu Tangchun turned his gun and began to sneer at his own disciple, "You think you are a carpenter in the orthopedics department, who can tear people apart? You can pull the hook at ease, anyway, the pain will not hurt you." After finishing speaking , Liu Tangchun said seriously to the apprentice next to him, "Did you hear that? Don't imitate your brother Sun—you are too timid to do emergency treatment."

Liu Tangchun was talking to his apprentice, and his Boletanvian apprentice had a special name—his name was "Konuo", which translated into Chinese means "Colonel".

Bolitanvia is located between Tanzania and Mozambique, and its folk customs are quite similar to those of the two places.The biggest characteristic of the local residents is that they choose words very "randomly" when naming.Not only "today", "yesterday" and "tomorrow" can be used as personal names, but even positions, daily necessities, and even "hello" in greeting can be used as personal names.

Anyway, Liu Tangchun, who retired from the army, always felt that his little apprentice was taking advantage of him by beating around the bush——Old Liu Lin only got a second lieutenant when he retired, and now he brings a colonel to follow behind him every day... ...what's the matter?
So Lao Liu insisted on calling his apprentice "boy" or "my boy", depending on whether he was addressing Kono directly or mentioned Kono to others.

Ko Nuo is a very honest kid, and he even vomited once when he and Lao Liu came on stage to take over patients for the first time.But later, he showed a very strong self-motivation.Anyway, Chen Tianyang was lucky to be talking about Liu Tangchun all day long. Every time he talked about it, the smug expression on Liu Tangchun's face became more prosperous.

"Brother...brother did a good job." Ko Nuo said honestly to Liu Tangchun, "Brother is much better than me, at least he didn't vomit when he entered the operating room for the first time."

There was a burst of joyful laughter in the operating room, and even Willis laughed out loud - the medical team stipulates that Chinese must be used for communication within the team, which can also reversely help these "foreign students" learn as quickly as possible through the language environment Chinese.Only by learning and being able to use Chinese fluently can the medical team and subsequent groups continue to train them.

In order to leave a medical team that cannot be withdrawn, the medical team sent by Song'an Province really worked hard.

"Have you guys finished chatting? Have you had a good chat?" Chen Tianyang yelled, "The excision is over, Willis, come over and close your belly, I'll watch."

Dr. Wang, who was doing hemothoracotomy and implantation of tubes, also raised his head and signaled his apprentice to come over and close the chest, "I've done it here too."

"Director Liu, do we still need pressurized blood transfusion for the remaining 800CC?" Hu Jia raised his head and asked, "Six bags have already been squeezed into my side."

"No need, the rest of the blood hangs in the venous channel in the middle of the elbow, just drip it slowly." Liu Tangchun ordered, "When the abdomen and chest are closed, this person will almost be saved—you should pay attention to nursing care after surgery, especially Monitoring of adverse reactions to blood transfusion and respiratory function should be strengthened."

The medical team does not have an ICU, and critically ill patients can only take care of each other in shifts.This is actually a very helpless thing.

"Okay, the matter here is basically settled." Chen Tianyang took off his gloves, heaved a sigh of relief and began to shout at Sun Li'en, "You are no longer needed here, go out and triage the patients quickly - old rules, priority is critical Seriously."

Liu Tangchun added, "The Department of Ophthalmology and Gynecology can send patients there directly. For other departments, you can wait half an hour before letting patients in—we old bones have to breathe for half an hour before we have the strength to continue treating patients."

(End of this chapter)