Rebirth 90: I opened a hospital in Shencheng

Chapter 598: Every second counts!
"What's the patient's condition?"

"Car accident."

"Send it to the emergency room."

"it is good."

The patient's neck was immobilized.

Rescue the interior.

"Ventilator."

Liu Xiaodong quickly connected the ventilator to the patient.

Nie Chen opened the patient's eyes with a flashlight and observed.

Said: "The patient's pupils are anisotropic and he has a head injury. He is considering intracranial hemorrhage. What is his blood pressure?"

Liu Xiaodong glanced at the monitor and said, "Blood pressure is fifty or thirty."

Nie Chen cut off the patient's clothes with gloves on, and then pressed his hands on the patient's chest and abdomen.

"Rib fractures."

Liu Xiaodong said: "The second vein channel has been established."

"The organs are bleeding." Nie Chen said.

The recording nurse is recording with a pen while observing the monitor.

"Right lower extremity is swollen, consider a fracture."

"Arrange X-ray and CT."

"Yes!" Liu Xiaodong responded.

In the rescue room, the atmosphere is tense.

After Zhou Xuezhen transferred the child to the pediatric department, she immediately came to help.

Now there are only Nie Chen, Liu Xiaodong, Zhou Xuezhen and two nurses in the emergency room.

"Send it to the CT room immediately, and let them release the film quickly."

"Okay." Liu Xiaodong responded.

Then he quickly contacted the CT room, and then Zhou Xuezhen and others pushed the patient to the CT room, not daring to delay for a moment.

Traffic accident patients are very common in the emergency department. Basically, every three to five days a day, one seriously injured patient in a traffic accident dies before being rescued, and sometimes during the rescue process.

It can be said that car accident patients accounted for 20.00% of the entire hospital and 40.00% of the emergency department!

Nie Chen informed Yu Zhongcai, and Yu Zhongcai came over to take a look and said: "Intracranial bleeding and abdominal bleeding are very possible. If you undergo surgery, you should pay attention."

"kindness."

After half an hour.

The CT results are out.

Nie Chen looked at the CT scan and said, "There is massive bleeding in the abdominal cavity, and the symptoms of peritonitis are obvious. Surgery must be performed immediately."

"I'll be your assistant, let the family members sign it first." Yu Zhongcai said.

Nie Chen nodded and said, "No problem."

The family members of the patient came in a hurry and were caught by Zhou Xuezhen as soon as they arrived at the emergency department. They took the consent form for the operation and asked the family members to sign it. After understanding the risks and consequences of the operation, the family members signed the consent form with a pen.

Because there were two patients in the car accident, one was the driver of a large truck, who suffered only partial trauma, but the driver of the car was miserable, and flew out without wearing a seat belt.

The family members of the patient were very anxious. When the traffic police told them about the scene of the accident, they gradually calmed down...

I know this is a hospital and there are police nearby, so I don't dare to mess around.

Next door to the operating room.

Nie Chen and Yu Zhongcai washed their hands.

"Come on." Yu Zhongcai said.

Nie Chen smiled and said, "Is your hand much better?"

"It's much better, but I still can't take risks. I have to be [-]% sure to be worthy of the patient. If I'm not sure, I'll try my best to go to the operating table as little as possible. I'll be your assistant for this kind of surgery." Yu Zhongcai said.

"It will be alright. Have you done the hand exercises I taught you? There are also psychological hints every night."

"Just keep doing it, otherwise it won't get better so quickly."

"That's good."

operating room.

Nie Chen stood at the position of the chief surgeon, and Yu Zhongcai stood opposite him.

"operation time."

"15:20."

Nie Chen nodded: "The operation begins."

This is his second operation today. The skin graft operation in the morning took nearly three hours, and this operation will probably take about two hours.

"Knife."

Holding a scalpel, Nie Chen made a transverse cut on the patient's abdomen.

"Hook."

Yu Zhongcai used a hook to stretch the severed abdomen open, exposing the internal organs.

"drainage."

"Down the catheter!"

"Turn on."

Peritoneal drainage.

Nie Chen frowned and said, "Blood pressure?"

"120~80"

Yu Zhongcai asked, "What's wrong?"

"The patient had two bleeding points in the abdominal cavity."

"two?"

"Well, the gallbladder is ruptured, the intestinal mucosa is bleeding..."

Yu Zhongcai was stunned.

Intestinal bleeding?

"Chronic bleeding."

Nie Chen said: "Prepare to stop the bleeding.

“Prepare for gallbladder removal.

"Yes!"

Gallbladder rupture can cause bile to spread, but also a series of complications.

But his gallbladder rupture didn't seem to have anything to do with the car accident, so Yu Zhong was stunned, and he didn't care about the gallbladder rupture, and asked directly about the bleeding of the intestinal mucosa.

Of course, a car accident could cause a traumatic gallbladder rupture, but the odds are far too small.

"The removal is complete."

Then Nie Chen sutured the patient's gallbladder wound to stop the bleeding.

The chronic bleeding of the intestinal mucosa can only be repaired by means of repair.

"Wipe your sweat."

Two and a half hours had passed since the operation.

It takes more time than the skin grafting operation in the morning.

Yu Zhongcai said: "Repair the intestinal mucosa."

All the blood in the abdominal cavity has been drained out, so the cause of the massive intra-abdominal hemorrhage is definitely not caused by the rupture of the biliary and chronic bleeding of the intestinal mucosa.

What could be the reason?

Nie Chen frowned, observing the patient's abdominal cavity while repairing the intestinal mucosa.

"Director Yu, the patient's liver guard is bleeding in the abdominal cavity!"

"Liver? I'll stop the bleeding."

"it is good."

Nie Chen was repairing the intestinal mucosa and had no extra hands to stop the patient from bleeding.

However, the patient's abdominal cavity was so large, and the opening was awkwardly located, so Yu Zhongcai could only reach in with one hand, and he was very careful.

After trying for a while, Yu Zhongcai said, "I can't stop the bleeding, and I can't find the bleeding point."

"Continue to drain." Nie Chen said.

"The intestinal mucosa is repaired immediately. How is the patient's blood pressure and heart rate?
"Blood 110~80, heart rate 74."

Fairly normal.

Nie Chen breathed a sigh of relief.

It took more than ten minutes for Nie Chen to finish repairing the intestinal mucosa.

Yu Zhongcai nodded and said, "The hemorrhage behind the liver may be due to the shock caused by the impact of a car accident."

"Yes, the liver ruptured."

Hemorrhage caused by liver rupture is generally uncommon. If the spleen is ruptured in car accident patients, liver hemorrhage is very dangerous.

Liver rupture accounts for about 15.00% and 20.00% of various abdominal injuries.

However, this patient's bleeding points and rupture points were very strange.

It seems that it was not caused by a car accident, but by beating with instruments.

"The bleeding is stopped."

"drainage."

"Yes!"

Check the gauze instruments and prepare to close the abdominal wall. "

"The gauze instrument is intact."

Shut up.

After Nie Chen sewed up the patient's wound, he finally breathed a sigh of relief.

"The operation took 4 hours and 21 minutes."

This is the longest operation Nie Chen has ever performed.

There was a lot of pressure in his heart, but he overcame it.

Surgery is over.

Nie Chen and Yu Zhongcai were washing their hands.

The two glanced at each other before Yu Zhong said, "Call the police?"

"Yes." Nie Chen nodded.

If it is hepatic hemorrhage, the right liver is more likely to hemorrhage than the left liver, but the patient is hemorrhaging from the left liver, and the bleeding point is at the back of the liver.

Moreover, the patient had obvious bruises on his waist, which did not last long, about five or six hours.

Excluding the operation time and car accident time, there are only 10 minutes left. During these 10 minutes, what did the patient experience and why did he drive fast?

All this must be left to the police. After all, Nie Chen and others are not detectives.

(End of this chapter)