Rebirth 90: I opened a hospital in Shencheng

Chapter 179 Complete Lung Surgery!
At this time, Nie Chen, who took over the scalpel, opened a small surgical field along the vertical line of the piece of iron.

It's a pity that I don't have one assistant and two assistants by my side tonight, and no one pulls the hook for me.There was no second assistant to take the hemostat for himself.

Of course, this did not prevent Nie Chen from quickly taking out the sharp piece of iron that was pierced four centimeters deep.

Then perform rapid debridement on the contaminated tissue around this piece of iron.

The most important thing is to debride the wounds contaminated by iron sheets to prevent secondary infection.

If the debridement is not thorough and secondary infection in the chest cavity occurs after suturing, then it is hopeless.

The scalpel in Nie Chen's hand was replaced by tissue scissors, which fluttered up and down.

Clean up all the tissues that have been stained with iron sheets and caused a little pollution.

Then rinse the debridement solution again.

"absorb."

Nie Chen took two hooks from the aluminum plate, fixed the positions, and slowly pulled the surgical field away.

The scope of the surgical field was stretched to the maximum, and the situation inside the wound was exposed to the field of vision.

Then instruct Dai Chunni, who is the surgical nurse, to use a medium-sized suction device to suck out the mucus and blood in the surgical field.

"Pull the hook."

Nie Chen asked Dai Chunni, who was not even daring to breathe too loudly, to pull the two hooks that she had already opened at this time.

As expected.

This sharp piece of iron pierced into the lungs and punctured the branch of the pulmonary artery, which caused such rapid and severe hemorrhage.

If it is not now, you can directly operate to stop the bleeding.

By the time the injured person was transported by ambulance to the emergency department of the People's Hospital, he was probably gone.

"Circle needle."

Nie Chen, who used a hemostat to stop the bleeding of the pulmonary artery branch, asked Dai Chunni to perform suction of the surgical field. Then he fixed the hemostatic forceps in the surgical field and took the needle holder and forceps in his hand. .

And Dai Chunni, who had already fixed the retractor, carefully handed the round needle with nylon thread for suturing blood vessels to Nie Chen.

Brush brush.

Nie Chen's tweezers took the round needle and began to hook the blood vessels on both sides, and began to perform the vascular mattress suture method that he is best at.

"Stainless steel wire, round needle."

This sudden operation, no matter how tight the time is.

Before the operation, Nie Chen also prepared a detailed surgical plan.

Let Dai Chunni, who is the nurse of this operation, prepare all the surgical instruments and supplies before the operation, and the suture thread used to suture the lungs in this operation is stainless steel wire.

Stainless steel sutures have not been widely used in the field of lung suturing in this era.

It was also Nie Chen who had the mentality to prepare even a little bit, and asked Zhang Xin, a drug supplier, to get a little stainless steel suture for himself, but he didn't expect it to be used for lung suture today.

Because of the special characteristics of the lungs, there is a very large tension between opening and closing. It is difficult to fix the long-term opening and closing of the lungs with ordinary sutures or suturing methods.

In 1990, domestic lung sutures were still clamped with steel nails.

Stainless steel sutures are also used, but the toughness and flexibility have not yet reached the quality required for medical treatment.

The few stainless steel sutures that Zhang Xin collected were actually from Singapore.It was purchased from the Thoracic Surgery Department.

But for Nie Chen, even if the price is higher, the things that can be used at this time are good things.

Sizzle sizzle.

The tweezers in Nie Chen's hand controlled the round needle with stainless steel thread, and he was skillfully and quickly suturing the damaged part of the lung
Then suture the damaged tendon, skin flap and epidermis.

Sew it out layer by layer.

The whole operation took an hour from debridement to suturing of blood vessels, lungs, skin flaps, epidermis, and various sutures.

Clap clap clap.

Unknowingly, when Nie Chen finished the last suture and the needle holder spun to tie the last knot, there was bursts of applause in the operating room.

at this moment.

Nie Chen, who was completely immersed in the operation, noticed that several ambulance personnel from the emergency room of the People's Hospital had already arrived in the operating room.

The one who applauded the most was a doctor in a white coat, about 30 years old, about 1.7 meters [-] in height, with a suit hair cut in threes and sevens, with sharp edges and corners, and raised eyebrows like an upside-down character. He looked energetic and lively. .

Oh, it's Feng Aihua!

Feng Aihua was Nie Chen's attending doctor in the emergency room of the People's Hospital before he was reborn.

Unexpectedly, Dr. Feng Aihua, who was supposed to use the school to mobilize the relationship, mortgaged the outpatient clinic, took the initiative to go to the People's Hospital as an intern, and met him.

It turned out to be like this, because of the explosion incident tonight, I reunited with myself in the operating room of Aihua Clinic.

"As expected of Dr. Nie Chen, who has become so famous during this period that even I, a doctor in the emergency room who doesn't hear anything outside the window, can know your name."

After Nie Chen sewed up the lungs of the injured, he entered the operating room, gave first aid to the other injured, and sent them to the ambulance.

Then Dr. Feng Aihua, who stayed at the Aihua Clinic for on-site rescue, watched Nie Chen's operation in its entirety.

Don't say anything else.

That is to say, since the small operating room in the Aihua Outpatient Clinic can afford a major operation such as suturing the lungs.

And there is a beard and a tail, and the degree of completion of this operation is extremely high.

From blood vessel suture, lung suture, tendon suture, skin flap suture, epidermis suture all series, different suture concepts, the suture method is stable and complete until the last stitch.

It was really pleasing to the eye and made Feng Aihua amazed.

"It's no wonder that Dr. Song Dongyang of the facial features surgery department has been making a big announcement in our hospital these days that he will go to the Aihua Clinic to learn more advanced surgical techniques from Dr. Nie Chen."

After seeing the operation, Feng Aihua was refreshed, "Doctor Nie, it seems that I will come to visit often in the future."

Nie Chen completed the operation, but he didn't exchange too many pleasantries with Feng Aihua.

"The wound is no longer a serious problem. After returning to the hospital, I will be in the ICU for 24 hours of nursing care. It is estimated that I can be transferred to the general ward. I have prescribed the postoperative medicine list and nursing orders."

Nie Chen handed over the order he had made to Feng Aihua before the injured man was sent to the ambulance.

"The three ambulances in the hospital have already started, and they have run back and forth a few times."

Before leaving, Feng Aihua glanced at Nie Chen's order, and his face became more solemn, "The factory explosion this time was very serious, and thanks to Dr. Nie, you rescued the injured just now. One more name will be added."

"Someone died?" Nie Chen thumped in his heart.

Even if I have been a doctor for two lifetimes, I am used to seeing life and death in the emergency room.

But for ordinary people who died due to unexpected events, Nie Chen still has a kind of sympathy and sadness that cannot be seen directly.

That's why when the explosion sounded in the early morning and it was judged that it was a factory accident explosion, Nie Chen greeted all the Aihua outpatient staff in the apartment as soon as possible, put on their respective white coats and walked retrogradely to the scene.

I originally thought that the injured person I had just treated, who had an iron piece stuck in his lungs, was already in the most critical condition.

But he never thought that while he was treating the injured, the knitting factory worker who was rescued from the scene was still unable to survive.

Feng Chunhua held Nie Chen's hand and shook it up and down twice.

Before leaving, he patted Nie Chen on the shoulder: "When I was at the scene just now, I had a quarrel with the factory manager who directed the rescuers! If the factory manager hadn't blocked the rescuers from rescuing the injured first, I wouldn't be so angry."

Ye Jingtian, the director of the knitting factory again.

The ambulance has carried three injured people who were pulled into the car from the scene.

Feng Aihua sat in the passenger seat, stretched out his head and waved to Nie Chen: "Doctor Nie, I thank you on behalf of the injured!"

As emotional as Feng Aihua in my impression.

"Attorney Zhou and Lawyer Chen beat up the factory manager Ye just now. Lawyer Zhou said that Zhou De Law Firm will sue the knitting factory at dawn."

Chen Chunmei, who had already returned from the scene to the Aihua Clinic, was aggrieved and reported the situation to Nie Chen, "Lawyer Chen has asked Captain Nie of our joint defense team to control the factory director and prevent him from running away."

"You're so arrogant, I'm so mad!" Huang Chuyu, who also came back from the scene, couldn't help but swear a few words.

At this time, in the Aihua Clinic, the injured and their family members had followed the ambulance to the People's Hospital for a more in-depth and detailed systemic examination.

Only Nie Chen, Chen Chunmei, Zhang Xiuxiu, Huang Chuyu and Dai Chunni were left in the clinic.

After the intense rescue operation was completed, all five were sleepy at the same time.

"It's only [-]:[-] and it's not even [-]:[-], everyone should rest here in the outpatient clinic."

Then Nie Chen asked Chen Chunmei again: "Have the identities of all the injured and injured been verified and clearly recorded?"

This is what Nie Chen asked Chen Chunmei to stay at the scene when he rescued them.

"It's all been recorded. Lawyer Zhou also asked Lawyer Chen to check it again on the spot. Lawyer Zhou said that we can take advantage of the breakthrough of work-related injuries to sue the knitting factory for compensation." Chen Chunmei yawned and said to Nie Chen.

(End of this chapter)