Big Doctor Live Room

Chapter 1397 Distal splenorenal shunt

The eldest lady and the two nurses had just walked out of the operating room, when they saw a tall and strong man immediately greeted him, and hurriedly inquired about the situation.

"Nurse, is there something wrong inside? If blood transfusion is required, there are seven or eight of us here, as many as we need!"

Dongfang Wenxin wrinkled her small nose, and took the opportunity to criticize.

"You crow mouths, you can't say a word of good things. Here, this is the bullet that was just taken out of the patient's heart. It's completely fine. I just need to rest for a few days to heal the gunshot wound on my leg, and then I can be discharged from the hospital! Something Put it away, we have no private evidence!"

At the beginning, the stalwart man was stunned.

"Why so fast, doesn't it take several hours for a heart operation?"

Dongfang Wenxin despised these guys very complacently, adding to her condescending air of a young lady again.

"Who told you that heart surgery requires thoracotomy? Most heart surgeries can now be completed with interventional surgeries. Your colleague's bullet entered the heart along the femoral vein, so the interventional surgeries can be performed directly with a rope. Just pull it out and come out wherever it goes in. The operation is completed in two to three minutes, and it does little harm to the patient, and there is no need to open a new opening to enter the femoral vein."

After the eldest lady pretended to be a wolf with a big tail, she strode away with two little nurses who looked like maids, without even turning her head.

The tough man immediately felt relieved, looked at the fierce nurse, and said something with a lot of emotion.

"The current nurses are more fierce than me. This is the first time I have seen them."

After walking around the corner, Miss Dongfang covered her mouth and laughed, and ran outside with two little nurses. After only a few steps, she saw the elevator door open.Tie Jun rushed out with the help of a woman who was half-sitting on the cart, and when he saw the eldest lady, he hurriedly questioned her.

"Sister Xin, which operating room is available now?"

"No. [-] and No. [-] have only been sterilized, and only No. [-] and No. [-] operating rooms have operations! What happened?"

Dongfang Wenxin pointed to the girl that Tie Jun was pressing, only to find that she was wearing a waiter's costume from the opposite restaurant, and it looked like she was a waiter delivering food. On the girl's neck, there was a puddle of blood, so Tie Jun had to press hard.

"Penetrating neck trauma. It was scratched by the broken blade of the meat grinder. If it had gone even an inch further, he would have died!"

The eldest lady and the two nurses immediately helped to send the trolley back to the operating area, and shouted loudly towards the corridor.

"Little broom, notify Dr. Chen Qun to come out to deal with urgent patients!"

"Little broom understands!"

A cute electronic sound immediately echoed above his head.

Before they could send the patient to the operating room, the door of No. [-] operating room opened, and Chen Qun had already snatched it out.He only glanced at it before giving instructions to the team members around him.

"Knife wound, second area, clear cervical dilator injury and carotid artery opening, give me gloves, I'll come and take over right away!"

As Chen Qun said, he let go of his palm and shouted into the loudspeaker at the door of the operation door.

"Immediately notify the emergency rescue team to enter the No. 4 operating room. Others immediately prepare two large-caliber IVS, start preparing for tissue perfusion, and immediately conduct six units of cross-matching blood. Prepare [-] units of fresh O-type blood plasma!"

To him, the condition of the patient in front of him was worse than anyone else could see.On his diagnostic panel, several very ominous data and several big question marks appeared, and then an increasingly elusive system sound rang in his ears.

"Special Rescue Mission: Chain Reaction. Rescue patients within three hours. Mission difficulty three gold stars, experience 1000 million. Mission reward, master skill 1 point."

Chen Qun looked at some bad data on the diagnostic panel, and turned to Tie Jun to ask a question.

"How much CC blood does the patient have? Is it too much or too little?"

Tie Jun remembered what happened just now. He heard the screams in the kitchen while he was eating, and immediately ran in for emergency rescue. tragedy occurred.The amount of bleeding should not be a lot.

"It's probably less than 1 milliliters, and I don't know the exact amount. But it took less than a minute from the patient's cut to when I pressed the blood vessel."

It looks like it's really troublesome!

Chen Qun sighed and patted his shoulder.

"You did a good job, otherwise we would be in more trouble! It's just that you found out that the blood on your body and the patient's neckline is still wet and not solidified, which is not normal. Even if it is cold now, the blood on your neck and face After being sprayed with blood, the scars should have condensed, but they didn’t. This is very unusual, and it seems that this patient is more difficult than we imagined. Give the patient a thorough blood coagulation test immediately!”

The few tough men who were waiting for their comrades-in-arms next to him saw that the attending doctor, Chen Qun, analyzed a lot of things in just a few words. It could be said that he was meticulous. It would be a pity that such a person would not become a detective or change his career to join them .

But with such a doctor's ability, it would not be difficult to remove the bullet within a few minutes.Such doctors are really just like the nurses in the hospital, they are all arrogant and powerful people.

In fact, in less than 10 minutes, Chen Qun completed the suturing of the patient's carotid artery and muscles. Looking at various physiological data, he felt more and more bad feelings emerging in his heart.

But at this moment, Qi Hong, who had just arrived, looked at the data Chen Qun wanted and frowned.

"Your inference just now is correct. The patient's international normalized coagulation ratio is now 1.7, while that of a normal person is 1. The higher the data, the longer the coagulation time. Could it be that excessive bleeding caused her platelet loss? It’s all used up, leading to hypotension and hypocoagulation, which is also common in trauma.”

As soon as the words fell, the patient lying quietly on the hospital bed had convulsions.

Chen Qun had been prepared for a long time, and when he saw this abnormal situation, he breathed a sigh of relief, knowing that he should probably know what the question mark given by the broken system was.

"Two milligrams of haloperidol, no, wait, change to two milligrams of lorazepam, give me the shot, get it now!"

A mechanical arm swung down from the top of his head and handed the medicine Chen Qun needed behind him. Chen Qun took the needle wrapped in a plastic bag, tore it open, bit off the plastic protective cover on the needle with his teeth, and put the needle into the patient's shoulder.

"Little broom, analyze the patient's condition immediately. There is no sign of brain damage or stroke, the CT scan is normal, the drug test is normal, the alcohol concentration is high, and there is a general convulsion. What are the possibilities?"

Almost at the same time, the electronic sound of the small broom gave the answer.

"The probability of delirium tremens is 90.00% seven, and the other eleven possibilities have a percentage less than one."

Qi Hong raised her head at once, looked at Chen Qun, and thought about her words before expressing her incomprehension.

"It's alcoholism caused by cirrhosis, and it can also answer why her blood doesn't coagulate. So... her liver has internal bleeding?"

Chen Qun said very solemnly.

"The answer is absolutely correct. We need to perform surgery immediately to perform a distal splenorenal vein shunt on her!"

"Distal splenorenal shunt? You are going to have the most risky operation in the world without any preparation at this time? Don't you want to check her bleeding site?"

"There's no time left, let's do it first!"

(End of this chapter)