world famous doctor

Chapter 300 Liver Trauma
Zhou Chen's mood suddenly became uncontrollably excited.

"When has it been? What fee should I pay? The patient's life is the first priority. I will advance the money first. As for the signature issue, what if his family members will not arrive until tomorrow? Then should we delay it until the patient dies tomorrow? save?"

"But...but this is the hospital's rule..."

Doctor Zhang Jian grimaced and muttered to himself.

Zhou Chen's face darkened all of a sudden.

At this moment, I don’t care about being polite anymore, so I’m polite:
"Okay, okay, don't say anything. The rule is that the dead are alive. The situation is critical now. Time is equal to the life of the injured. We must race against time and carry out rescue immediately... Who is responsible? I, Zhou Chen, One person carries it.”

Zhou Chen's attitude was so firm that the other doctors and nurses present didn't say much.

They all got busy immediately.

Liver trauma, whether blunt or sharp, is in most cases critical due to blood loss.

Generally, at the same time of anti-shock, surgery should be performed to stop the bleeding as soon as possible, which is the key to successful rescue.

However, the method of surgery depends on the patient's general condition, as well as the location and extent of the liver injury.

After emergency anesthesia for the wounded, the abdomen was opened immediately.

Zhou Chen actively searched for the bleeding site.

Because the wounded patient's liver was bleeding from more than one place, and some of them were bleeding profusely and violently.

Therefore, it was impossible to identify the specific situation of liver damage for a while.

Zhou Chen frowned. There was a high possibility that the injured person had large blood vessel damage in his liver.

Zhou Chen used the assistance of the famous doctor system to identify the injury.

He immediately blocked the first hepatic portal, and then quickly dealt with other damaged parts.

There were several superficial lacerations no more than three centimeters deep, and Zhou Chen used full-thickness suturing.

This kind of full-thickness suture is very simple and simple, but the hemostatic effect received is very good.

In the process of suturing, it should also be noted that the suture should not be too deep, so as not to cause ligation of the large blood vessels and bile ducts, leading to necrosis and infection of liver tissue, or the appearance of new repeated hemorrhage.

At the same time of suturing, more attention should be paid to the fact that the tension should not be so large that the liver tissue would be cut.

Zhou Chen then removed the inactivated liver tissue for the wounded man, and performed sponge packing on several large and deep wounds of his liver.

This sponge is a pedicled omentum gelatin sponge.

This kind of sponge is very effective in completely removing liver tissue fragments and blood clots that still have a small amount of bleeding after completely stopping bleeding. It is placed in the liver for drainage and then sutured.

Because the injured man's liver was extensively ruptured, Zhou Chen performed a partial hepatic lobe resection while strictly following the indications.

In fact, before doing these things, Zhou Chen also prepared a set of methods to control bleeding in the face of complex and severe liver trauma that cannot stop the bleeding, or is generally in poor condition, unable to tolerate complex operations, and the conditions and skills are not available, that is, use gauze Packing method, placing multiple double cannula drainage around the…

Fortunately, the method Zhou Chen prepared did not come in handy.

Soon, Zhou Chen used the surgical method to treat and achieved results.

Injuries in such traffic accidents usually combine other injuries.

After Zhou Chen treated the main ruptured liver injury, he treated other combined injuries.

After some hard work by Zhou Chen.

The condition of the middle-aged injured man stabilized quickly.

Zhou Chen told several nurses that the injured should be given intravenous hypertrophic therapy after surgery.

The nurse nodded.

Zhou Chen's purpose for doing this is because after liver injury, hepatic insufficiency often occurs. It is very important to protect the function and nutrition of important organs.

After giving the oral doctor's orders, Zhou Chen returned to the emergency room and issued written, more specific medical orders on the computer.

Such as increasing oxygen intake, a certain amount of glucose, amino acids, multivitamins, fat emulsion, normal saline and trace elements are infused daily from the vein to ensure sufficient calories.

Intermittent blood transfusion, plasma, albumin, etc. promote wound healing and support organ function.

After the rescue of the injured was over, Zhou Chen and Dr. Zhang Jian sat in the doctor's office and had to take a nap.

Zhang Jian remained silent, frowning slightly, looking at Zhou Chen helplessly, with a complicated expression.

Zhou Chen and the other party looked at each other, as if to see what the other party wanted to say, so he asked:

"What's the matter? Dr. Zhang? I wonder if you have anything to say?"

After being silent for a while, Zhang Jian gave a wry smile, and then said slowly:

"Actually, in today's matter, you did the right thing to treat the wounded, but what we did is indeed against the regulations..."

Zhou Chen didn't ask much, he sighed secretly.

"Is there anything more important than the lives of the injured?"

"That's what I said, but the injured person is saving money for the operation, and no family member has signed the operation to agree to the operation. Secondly, he has not paid the fee..."

Dr. Zhang Jian said in a very low voice.

Zhou Chen raised his water glass and took a sip silently, then said frankly:

"Don't worry about it, I will talk to the hospital about it later."

Zhang Jian once again took a meaningful look at Zhou Chen.

After all, it was Zhou Chen who performed the surgery, and the probability of a successful operation was higher than that of other doctors.

If it was another general doctor, he would never dare to take this risk.

If the rescue fails, the family members of the injured will make a fuss on this ground.

At that time, even if it is a doctor hired by the hospital, the hospital will not stand on the side of the doctor.

Because you broke the rules in the first place.

After thinking for a while, Zhang Jian shook his head with a wry smile, and began to say with emotion:

"Actually, I agree with your approach, but I still hope that if I encounter this kind of thing again in the future, I will still..."

"Okay, Doctor Zhang, you don't have to say anything. Even if this happens a thousand times or ten thousand times, I will still rescue the patient first without hesitation. Things like signatures and fees are more important than the injured." To my life, they are all secondary and not worth mentioning..."

Zhou Chen replied forcefully.

As soon as the words fell, Zhou Chen suddenly asked again:

"By the way, Doctor Zhang, is there a meeting in the hospital this Friday afternoon?"

"Yes, the leadership's regular meeting on Friday."

"That's easy."

Zhang Jian was a little puzzled by Zhou Chen's sudden words.

At 02:30 in the afternoon, when the hospital leadership was preparing for a meeting, Zhou Chen suddenly pushed the door open.

He Shi Shiran came to an empty seat and sat down.

This kind of leadership meeting can only be attended by the directors of various departments in the hospital, as well as the vice presidents and deans.

As a Gui Peisheng who just arrived at the hospital, Zhou Chen was so rude, not once or twice.

(End of this chapter)