Great doctor starts with adding points

When Lin Dong was on the ground, he was still conscious.

But when Lin Dong was taken to the emergency department of the hospital, he was already in a coma.

When Lin Zhonghua and Wu Xie arrived, Lin Dong was already in shock. Fortunately, he was delivered in time, so a gastric tube and urinary catheter were inserted immediately, and he was given oxygen treatment.

Moreover, the nurses in the emergency department immediately started blood tests, mainly to rule out blood coagulation function. The only doctor in the ultrasound room has already pushed the only bedside ultrasound to the emergency room.

The blood bank in the hospital has also started to operate...

The rapid change in Lin Dong's condition exceeded everyone's expectations.

The blood loss rate caused by the rupture of the spleen is a bit too fast.

"Grade IV rupture of the spleen, the amount of fluid in the abdomen exceeds 1000ml at least, the operation must be performed immediately, did you call Director Lu?" The face of Doctor Huang in the ultrasound department changed suddenly.

Spleen rupture is divided into four grades, but it is definitely not the first three grades to be able to bleed so much in a short period of time.

"Director Lu is on his way."

"Xiao Xie, you and I go to the operating room first, and do the pre-operative skin test right away!" He Ling, who is on duty today in the department, ordered so after he learned the preliminary diagnosis.

Wu Xie nodded immediately!

He Ling then said: "Lin Zhonghua, your son's condition is very urgent and he is bleeding heavily. If he is transferred to the county hospital, he may not be able to handle it."

"I must sign the spleen and cut it immediately, you come with me, sign the surgery, there is no other choice!"

"The risk is very high. Surgery may save your life, but if you don't have surgery!" He Ling had already expressed his meaning clearly and stopped.

Lin Zhonghua's wife heard the words, and immediately slapped Lin Zhonghua severely: "You don't listen to me telling my son to teach me!"

Then she immediately turned pale and her whole body went limp!

Slumped on the ground.

"Okay, I'll sign! Surgery!" Lin Zhonghua was so anxious that he was sweating profusely at the moment, and his anxious tears and sweat were cloudy.

"I'll sign, and the operation will be performed immediately. Lao He, you have to help me."

"Little Crab." Lin Zhonghua's voice was choked with sobs, and he braced himself, his head began to shake from side to side.

However, He Ling did not prepare the informed consent for such an operation in advance. Splenectomy after a ruptured spleen is a Class III operation. Only Lu Junyin is qualified to perform this operation in the entire hospital!

Such diseases usually do not appear in the town hospital.

"I'll go to the operating room first. Dr. Wu, go and take him to sign, and then come to the operating room immediately. I'll call Liu Chengshan to come and prepare for the operation together."

"After you sign, call Zhong Yusheng and ask him to come and take over the shift! Then come down to the operating room." He Ling quickly ordered.

"Send to the operating room!"

"Call the blood bank and prepare blood! Type matching, it is estimated that at least 1000ml of blood should be prepared, and an intravenous channel established..." He Ling quickly ordered while pushing the patient towards the operating room decisively.

Lin Zhonghua's wife stood up again at this time, with teary eyes and disheveled hair, she didn't tidy it up, but looked at Wu Xiefang as if she saw a life-saving straw.

"Xiao Xie, San Dong Dong is your younger brother, you have to help him!" He said and grabbed Wu Xie's hand with his right hand.

"Don't waste any time, let's sign the contract first, the operation will be done soon!"

"We will do our best. There was no turning or moving before the operation, and the speed of bleeding may not be uncontrollable for the time being. Please rest assured!" Wu Xie hurriedly led the two towards the department.

The more critical the moment, the less chaos.

Family members can mess up, but doctors can't.

The illness came like a mountain. This Lin Dong had a severe rupture of his spleen. If he hadn't been at the first scene, he would wait for a phone call to check his body or his family would send it behind his back. Chest compressions would probably be possible now!

Wu Xie quickly set up a surgical template and handwritten the name.

I didn’t write the ID number, etc. I just glanced at the general risk and handed it to Lin Zhonghua: "The situation is very urgent now. Sandongdong was still conscious at the time, but now he is in shock."

"The condition has deteriorated seriously, and we have dealt with it as soon as possible, but whether we can survive in the end depends on the specific situation."

"You have to be mentally prepared, we are already dealing with it as quickly as possible."

"Come and sign. If you hesitate at this time, you just give up. There is no chance!" Wu Xie can't guarantee that, he doesn't even know Lin Dong's specific diagnosis now!

"I sign!" Lin Zhonghua did not hesitate.

After finishing writing, he just held Wu Xie firmly with his hand: "Brother, I know you are from a big hospital, you are capable!"

"You saved my son, you are our house's benefactor for life!"

"Little Crab!"

"We all try our best, mainly to see Director Lu." Wu Xie took his hand, and ran towards the operating room with the informed consent form for the operation.

When Wu Xie arrives.

Lu Junyin and Liu Chengshan had already arrived in the operating room, and the anesthetist hadn't finished the general anesthesia, but He Ling and Liu Chengshan had already made preoperative preparations.

"wear clothes!"

"The patient is currently in a coma, without painful stimulation, and the operation is started."

"Doctor Dong, add some muscle relaxation later!" Lu Junyin ordered.

Hearing this, Wu Xie immediately exited the operating room again and began to wash his hands. At the same time, he found the splenectomy in the skill list, and silently clicked it to the proficient level.

This level, whether it is enough or not, can only be used in this way, without too many knowledge points!

When the book is in use, you will hate less!

All the emergency visits will not make you fully prepared, so you still have to work harder at ordinary times!

When Wu Xie got dressed and went on stage, Lu Junyin and the others had already started the operation.

And the innermost layer of the abdomen is exposed, and the abdominal cavity is about to be opened.

"Prepare the suction device, a lot of cotton pads and gauze, is there any gelatin sponge..." Lu Junyin asked.

"Director, no. Our hospital doesn't have such good things." There are only three nurses in the operating room, who are on duty in turn.

"Ah!" Lu Junyin sighed, he could only do his best.

When Wu Xie approached, Lu Junyin opened the abdominal cavity. You can see that there is a large amount of residual blood in the abdominal cavity. Blood clots and bright red blood are intertwined, like irregular blood...

The spleen was slightly enlarged, with a size of 100×60×50 mm. This size was smaller than the normal spleen of an adult, but the patient was a juvenile.

The spleen was dripping with blood, and there were quite a few ruptures. The bright red blood gurgled out, like a bursting fountain of blood. It didn't spurt, but seemed inexhaustible.

"Stop the bleeding first!" Lu Junyin frowned when he saw this.

Although he is the deputy chief physician and has the authority of third-level surgery, but the splenectomy he has done is very few!

"Find the splenic artery first!"

"Xiao Xie, you are in charge of sucking blood." Lu Junyin confessed neatly.

At this time, we can only do it little by little.

The splenic artery is the main blood supply artery to the spleen and also the main blood supply source of blood supply in the spleen.

Wu Xie watched Lu Junyin toss and turn in his abdomen rather jerky.

He lifted the negative pressure suction device a little actively, and while pulling it, pried open the retroperitoneum, exposing the origin of the splenic artery, the celiac trunk and the abdominal aorta that Lu Junyin complained about to everyone. middle.

Everyone was taken aback when they saw this, and remained silent for five seconds.

Looking at Wu Xie again, his head was still lowered, his eyes fixed, and he used a negative pressure suction device to withstand the peritoneum, exposing the splenic artery that Lu Junyin said, and it was the starting part, meaning to quickly pierce it or use a vascular clamp to clamp it Bar.

"Vascular forceps!" Lu Junyin's mood was complicated for a while, and he ordered immediately.

Liu Chengshan took the initiative to hand it over. The current equipment nurses have not yet arrived at the hospital, so he temporarily replaced them.

Seeing that Lu Junyin was about to clamp down, Wu Xieque blocked it with a negative pressure suction device, and then tapped another blood vessel with the head of the suction device.

He indicated to Lu Junyin that it was this blood vessel that was clipped.

I thought it was automatically released last night, Erlian updated