I really don't want to be a doctor

Chapter 186 The Triad of Death

Yu Wenxing was really focused at the moment.

The feeling of direct contact with the viscera with the hands,
The feeling of contact with laparoscopy is really different,
He could even feel the throbbing of his veins,

He could even clearly feel the temperature of his spleen,
He could even clearly smell the stimulation brought by the blood.

That real sense of touch,

It is far incomparable to the joystick of the laparoscope.

He also understood at this moment,
Why do many surgeons still love direct laparotomy?
This feeling,

Really addictive.

Shaking my head and putting these frivolous thoughts out of my head,

"Stitches."

Yu Wenxing shouted softly.

But before the needle was handed over, Deng Liming's phone rang.

The anesthesiologist rushed over to help Deng Liming answer the phone.

Wu Liang called.

"Director Deng, another spleen rupture occurred."

Wu Liang's voice was anxious.

Indeed, the spleen is the most prone to rupture during a severe blow to the abdomen.

Deng Liming's face darkened, "How is the emergency department doing now?"

"The situation is very bad. Just now more than 20 patients came directly. Most of them have injuries. The debridement room is full of people."

Wu Liang said quickly.

Deng Liming's face became even darker, he hung up the phone, and asked, "Yu Wenxing, how long do you need?"

The next thing is to sew,

The difficulty of sewing is not small,
Usually it takes at least ten minutes to suture.
after all,

Suturing the spleen is different from suturing the skin,
When suturing the skin, just align the skin and suture with simple interrupted sutures.

And when suturing the spleen,
Mattress sutures must be used.

It is also necessary to ensure the density and strength of the sutures to ensure that the spleen will stop bleeding while avoiding cutting wounds.

Yu Wenxing didn't lift his head,
"If nothing else, three minutes."

"5 minutes?!!!"

Deng Liming exclaimed,
Suture needles, flying,
The split in the spleen was quickly pulled together,
"tie."

After two stitches, seeing that Deng Liming hadn't moved, Yu Wenxing yelled.

"it is good."

Deng Liming calmed down and quickly tied the knot.

I am also glad that Yu Wenxing was allowed to perform this operation,
The speed of this stitching,

I'm afraid it's not much slower than cutting directly.

After 2 minutes, the suture is complete.

The accumulation in the abdominal cavity was cleaned with gauze, the splenic artery was reopened, and after confirming that there was only a little bleeding, the spleen was pushed back into the abdominal cavity.

Next,
stitched layer by layer,

Yu Wenxing did it very quickly,
He has practiced simple interrupted suture for nearly ten years.

"It's a little over, 6 minutes."

Deng Liming remained silent for a long time.

Deng Liming can see Yu Wenxing's level,
"How about I ask the intern to help pull the hook?"

Deng Liming asked.

He's the chief of general surgery,

There are many things waiting for him,
Now that there is Yu Wenxing on the operating table, at least there should be no problem with the rupture of the spleen.

Although it is absolutely unreasonable to let an intern do the operation alone,

but.
Special event.

Deng Liming had to go down to preside over more important matters.

"Row."

Yu Wenxing did not delay,
He also knows what time it is now, one more person is more powerful.

Deng Liming thought for a long time,
Call Yang Le.

Yang Le didn't delay either.

After Yang Le came, he handed Yang Le to Yu Wenxing, and Deng Liming ran away quickly.

"Me and us for surgery?"

Yang Le was dumbfounded.

"Correct!"

Yu Wenxing nodded.

"Brother Xing!!! You are my big brother!! You must teach me!"

Yang Le hugged Yu Wenxing's neck all at once, arching his lips towards Yu Wenxing.

Yu Wenxing's expression changed drastically immediately,
Struggling like crazy.

Hastily agreed, "OK! OK!"

Only then did Yang Le retract his lips, raised his eyebrows at Yu Wenxing, and even added his lips, making a sound of "Zi Shu Zi Liu".

Because the elevator could not be used, the patient had to climb the stairs with his back on his back. The two waited for another 5 minutes, and the second ruptured spleen was sent in.

Taking advantage of these few minutes, Yu Wenxing took out his mobile phone and looked at it, and immediately his face became gloomy.

The epicenter was in Shuiwen County, just over 100 kilometers away from the middle of the river.

Level 7.2.

The focal depth is 10 kilometers.

This is already the case in Jiangzhong, one can imagine the situation in Shuiwen County.

Yu Wenxing felt a little palpitated,
It was an unbearable pain for all.

but,

Fortunately,

The first batch of soldiers has already set off.

"Get this done first."

Yu Wenxing thought to himself,

In fact, the general surgery department is better, and the orthopedics department and the emergency department are the most stressful places. Yu Wenxing washed his hands while assessing the situation.

Yang Le trembled with excitement,

Mouth trembling,
He wanted to speak, but seeing Yu Wenxing's face darkened, he didn't speak in the end.

The splenectomy does not require high assistants, as long as the retractor is pulled properly. Although Yang Le has no experience, with Yu Wenxing's help to find a good angle, he only needs to use force.

Opening the peritoneum and holding out the spleen, Yu Wenxing sighed softly in his heart.

This patient was not so lucky.
The splenic portal artery is damaged,
Repairing in this case is almost impossible,

Although some scholars believe that it can also be repaired in this case, that is, in addition to the conventional repair, plus the repair of the splenic portal artery,

But first of all, the suture of the artery is ridiculously difficult,

Secondly, the splenic hilar artery is not a small artery, so it is very likely to be re-opened directly after suturing, and a second operation may be required.

Yu Wenxing did not try to be brave.

After all, the principle of treatment for ruptured spleen is "life-saving first, spleen second".

Two hemostatic forceps clamped the splenic portal artery and vein, cut it off directly after ligation, took out the spleen completely, treated the blood and exudate, and sutured the peritoneum, and the operation was completed.

"Brother Xing, you are amazing."

Stars appeared in Yang Le's eyes.

Yu Wenxing glared at him, "Stop talking nonsense, let's go to the emergency department together, they must be crazy."

The emergency department is really crazy.

The debridement room is full of patients, and all the doctors are running fast.

Looking at the continuous flow of patients entering the emergency department,

Yu Wenxing's heart sank a little.

It wasn't long before the earthquake happened.

To be able to come to the hospital at this time, first of all, it must be very close to the hospital, and the injury must not be serious.

"The seriously ill are still behind."

Yu Wenxing thought to himself, and the next second, a roar came.

"General, come and have a look, the liver is ruptured!"

Yu Wenxing's heart skipped a beat, and he quickly ran towards the source of the sound.

When Yu Wenxing arrived, Wu Liang had already arrived.

The patient was already lying in the emergency room, with an empty needle on the tray next to it.

in the empty needle,
It is a faint bloody liquid.

"I just had a B-ultrasound, and my liver ruptured! I can't control my blood pressure."

The emergency doctor said quickly,

Yu Wenxing's face sank all of a sudden.

For patients with abdominal wall trauma, liver rupture is definitely one of the most serious injuries, and if the blood pressure cannot be controlled, it means that the amount of ruptured bleeding is not small.

Liver rupture is much more difficult to treat than spleen rupture.
After all, the spleen is ruptured, at best, it needs to be cut.

Who dares to cut the liver directly!
This also makes the treatment of liver rupture not so difficult.

and,

In the case of severe liver injury, partial hepatic lobectomy is often required to determine partial hemostasis, which takes a very long time to process, and excessively long anesthesia, resuscitation, and operation time can easily lead to hypothermia, acidosis, blood clotting disorders;
This is the triad of death.

Glancing at the ECG monitor next to him,

Blood pressure: 74/42mmHg.

"Resuscitate first, I will notify Director Deng immediately."

Yu Wenxing said.

"Row."

The emergency doctor nodded, "Then please hurry up."

Deng Liming was taken aback when he received the call, and immediately replied, "Send it to the operating room immediately!"

(End of this chapter)