Back in 2002 as a doctor

The sound was like a bell, echoing in the corridor, the woman and her son were stunned for a moment, and the young men beside them were also stunned.

Zhou Congwen pushed open the door of the treatment room, "Shen Lang, hurry up and sew up. There is a patient with a knife wound in the general surgery department. I'm going to the operating room for surgery. Go there after you finish the sew."

As he said that, Zhou Congwen took the breast bottle from the nurse's hand, but he didn't ask for blades, cut bags, etc., and turned and left in a hurry.

The voice of the woman arguing with her son subconsciously subsided.

The knife wound is already dying...

These key words make people calm down quickly.

Zhou Congwen didn't care about what might happen below, so he went directly to the operating room to change his clothes.

I changed the isolation gown as quickly as possible, put on the sterile cap, and heard the door of the operating room slam when I fastened the mask strap.

The patient is here!

Zhou Congwen walked out quickly with a chest bottle in hand, "Sister Li, help me prepare a cut bag, salt water."

He helped the nurse in the operating room pull the flat trolley in, and the nurse glanced at the patient, "I'm going, I was robbed? You're so ruthless."

"I don't know. I took a look and found that the blood pressure was almost undetectable. Brother Gao is urging the blood. Prepare something. I'll put a chest bottle on and carry it to the operating table."

The old nurse on tour responded, "Cut my clothes for me."

Pushing the person to the emergency room, Zhou Congwen cut off the patient's clothes, and the roving nurse delivered a bunch of things without touching the floor, threw them on the sterile cart, turned around, and went to install the electrocardiographic monitoring and other equipment.

The patient had lost consciousness. Zhou Congwen lifted the patient's eyelids and looked at it. The light reflex of both pupils still existed.

Buy time, buy time, buy time!

Simple disinfection, Zhou Congwen even omitted the time to install the blade to the handle, and cut it directly.

The patient's skin and subcutaneous tissue were pale, and no blood flowed out.Only a little trace of blood oozing can be vaguely seen on the edge of the knife edge.

The blood pressure was as high as 60 mm Hg. Zhou Congwen put down the blade, picked up the hemostatic forceps and simply bluntly separated it, then stabbed it in with one forceps.

With a puff, a large amount of black blood gushed out from where the pliers entered.

The patient was already in a state of shock, his muscles were relatively loose, and the chest tube was inserted smoothly.

"Breast bottle!" Zhou Congwen shouted.

"Wait a minute, I'm busy!" The roving nurse replied angrily.

The rescue of severe cases in the emergency department on night shift is like this, busy, like a nightmare.

Zhou Congwen clamped one end of the chest tube with a hemostat, and began to suture and fix the chest tube.

After the chest bottle was connected, the hemostat was opened, and a large amount of black blood flowed into the chest bottle along the chest tube, bubbling and gurgling.

"Xiao Zhou, do you drive it?" the itinerant nurse asked.

"Sister, do you think we can't open her?" Zhou Congwen sighed and looked at the ECG monitor and said, "At least one intercostal artery has been cut off. I don't know how many holes there are in the lungs."

The patient's blood pressure is 60/30mmhG.

Together with the anesthesiologist and the itinerant nurse, the patient was carried to the operating table, and the flat car in the emergency department was full of blood, rippling like hell.

"Sister Li, is the deep vein puncture kit ready?" Zhou Congwen glanced at the venous access left in the department and was a little dissatisfied.

Although doctors and nurses left two channels, the rate of fluid is only more than 1 drops per minute. How long does it take to replenish the lost fluid.

"Yes, I'll get it for you."

"Bleed!"

Chapter 0413

Zhou Congwen was also polite. He took off the sterile gloves and changed a glove to indwell the deep vein channel. Then he took off the gloves again to brush his hands to prepare for disinfection.

Tonight, I took off and put on my gloves a lot, and Zhou Congwen had such an idea inexplicably in his mind.

With combined thoracoabdominal surgery, the surgical posture will definitely not be as comfortable as that performed by the chest department alone. At most, a small cotton pad should be placed on the left back of the patient.

At this time, Dr. Gao from the general surgery department walked in while wearing a mask strap.

"Xiao Zhou, do you also have your chest opened?"

"No way, too much bleeding." Zhou Congwen brushed past him, Dr. Gao sighed, turned around and went to brush his hands with Zhou Congwen.

The patient's condition is quite critical, and the way to solve the problem is to stop the bleeding.

Turn on the faucet of the water, and then keep pouring water into it, so that the patient can live.

But it's just possible. Whether it works or not depends on the efforts of the medical staff, and more importantly, the lives of patients.

Many patients with similar serious knife injuries cannot be rescued.

time!

What is missing now is time!

No one spoke, and the frequency of brushing their hands side by side seemed to be many times faster.

The little doctor from the general surgery adjusted his position, and Zhou Congwen and Dr. Gao came back to disinfect the sheets.

"Xiao Zhou, where are you guys?" Dr. Gao asked while disinfecting.

"Shen Lang is busy down here..." Zhou Congwen suddenly remembered that there was Li Qinghua, and he immediately said to the itinerant nurse: "Sister Li, please call our director for surgery."

After speaking, Zhou Congwen conducted a deep self-reflection.

In my subconscious mind, I always thought that I was the one who kept my word and the one who should be responsible.

But now it is 2002, and it is still in the Third Hospital of Jianghai City.

The director is Li Qinghua.

Zhou Congwen sighed, quickly sterilized, laid sterile drapes, and put on clothes for surgery.

There was only one equipment nurse, and it was very difficult for Zhou Congwen to get anything at the position of the patient's leg.

"Wait a minute, the nurse on standby will arrive soon." Xun Xun said helplessly.

It is rare to encounter joint operations by two departments. It is only once or twice a year. I did not expect to meet today. It is really unlucky.

"Well, stimulate the blood." Zhou Congwen also knew that there was no good way, so he started to disinfect.

He took a deep breath and cut the skin on the chest wall, but there was still no blood.The skin and subcutaneous tissue on both sides were slightly oozing blood.

With blunt dissection, the pleura is quickly seen.

"Automatic chest opener."

After opening, the patient's chest cavity was like a small pool of water, and the blood inside was rippling along with the swelling of the lung lobes.

The aspirator was covered and inserted into the chest cavity. There was a heavy hissing sound, and the temperature of the blood could be felt on the wall of the aspirator tube.

Zhou Congwen didn't waste time, he inserted the suction device directly into the chest cavity, blocked it with the lung lobes, and started to explore.

Sure enough, the intercostal artery was broken, and there were 3 holes in the lung lobe. Fortunately, no other large blood vessels were damaged, and the chest wound was controllable.

The intercostal artery was ligated, and the lung rupture was stitched up. The general surgery department had just completed peritoneal protection when Zhou Congwen said in a deep voice, "Warm salt water."

"..." Doctor Gao's pupils narrowed, and he asked in surprise, "Xiao Zhou, are you done?"

"Well, the intercostal artery is broken, the lung is ruptured, and everything that needs to be repaired has been repaired." Zhou Congwen said lightly.

Dr. Gao and the little doctor from the general surgery department were stunned. When they heard Zhou Congwen asked for something just now, they thought he was preparing it first, so as not to delay the operation by touching hands.

This... is too fast, okay?

Although he thought so in his heart, Dr. Gao didn't bother with other departments' affairs, so he took the time to investigate.

Exploration of the abdominal cavity is much more difficult than that of the thoracic cavity, and there are many internal organs.

Zhou Congwen ordered warm saline to fill the chest cavity and asked the anesthetist to inflate the lungs. After checking that there was no profuse bleeding or gas, he ordered a large gauze to cover the incision.

Can't sew yet.

During the thoracotomy, many small blood vessels are in a "closed" state with no blood flow due to hemorrhagic shock. After a while, after the bleeding stops, the small blood vessels will be re-opened after continuous injection of fluid.

If it is closed now, the patient will still have various "unexplained" bleeding after surgery, and it is even possible to enter the palace twice.

After covering the wound, Zhou Congwen glanced down and saw that Dr. Gao was probing the intestines.

There were several holes in the patient's bowel, and one of the incisions passed right next to the mesenteric artery, almost puncturing a very important artery.

It can be considered lucky, Zhou Congwen thought to himself.

"Xiao Zhou, help me take a look at the top, and I'll fix the bottom. The main trunk of the mesenteric artery is fine, but a small blood vessel is broken, and it's still bleeding," Dr. Gao said.

"Big hook." Zhou Congwen stretched out his hand.

Holding the large pull hook in his left hand, he pulled up the skin, muscles, and tissues of the upper abdomen. Zhou Congwen took a look.

"Brother Gao, the liver is broken, about 1.5cm in length."

"I'll deal with the blood vessels first." Dr. Gao was sweating anxiously.

"Blunt scissors, round needle No. 4 thread." Zhou Congwen reached out for something.

Dr. Gao was concentrating on finding the bleeding point in the lower abdomen, ignoring what Zhou Congwen wanted and what he wanted to do.

Zhou Congwen cut off a piece of omentum, compared the size, put it aside first, and then began to explore the liver wound.

The patient was indeed "lucky". The liver wound was about 1.5cm long, but not deep. It seemed that the knife had been exhausted when it was inserted, and there was no wound that needed to be cut into the liver to heal.

"Brother Gao, the wound on the liver is not serious, did I sew it?" Zhou Congwen asked.

"Ah? Do you know?" Dr. Gao asked in surprise.

"The greater omentum is stuffed in to stop the bleeding, and it's not difficult to do continuous mattress sutures." Zhou Congwen said lightly.

Doctor Gao heard what Zhou Congwen said was right, so he nodded.

At this time, a helper is needed to stop the bleeding immediately.Moreover, I just got my practicing certificate in 2002, and the scope of my profession is still relatively vague, so basically no one cares about it.

The most important thing is that thoracic esophageal cancer surgery requires laparotomy for a large gastric resection, lifting up and anastomosis with the esophageal stump.

So everyone defaults that chest doctors can do simple general surgery.

With the "permission" of Dr. Gao, Zhou Congwen folded the greater omentum into a shape he was satisfied with and stuffed it into the opening of the liver, squeezed it to stop the bleeding, and then started continuous mattress sutures.

The liver is very fragile and it is difficult to suture.A little more force will tear the liver; a little less force will not be able to stop the bleeding.

Therefore, operations such as liver resection are relatively difficult in general surgery, and now only the director of the Third Hospital can do it.

For continuous mattress sutures, Zhou Congwen made an instrumental knot and then cut it off.

After checking that the liver was fine, he reached into his abdominal cavity and touched his spleen.

"Zhou Congwen, take it easy, we're doing a ligation on this side." The little doctor in the general surgery department said very unhappy.

Chapter 0414 Kick the Door

"Oh." Zhou Congwen touched a complete spleen, feeling a little happy in his heart, and didn't care about or argue with him.

If the spleen is bleeding, it will be even more troublesome if it needs to be removed. It is better to finish the operation as soon as possible.

Zhou Congwen pulled out his hand, and the forearm of the sterile suit and the sterile gloves were covered with blood.

"I'm here, don't worry!" A swift voice came from the door of the operating room.

The equipment nurse who added the station has rushed over.

"Don't worry, our operation is over, you can count slowly." Zhou Congwen said lightly.

"..." The instrument nurse who came from Jiatai was stunned for a moment, and walked behind Zhou Congwen to take a look at the operation area.

"Brother Zhou, did you do it yourself?" the equipment nurse asked.

"The damage is relatively small. I have dealt with it, and it can be closed when Director Li comes to stop the bleeding."

"I'll go..." The equipment nurse was surprised, "Brother Zhou, you've been doing really well recently."

"The operation is simple, there is nothing serious or not." Zhou Congwen smiled, "Go and brush your hands, you still have to count, don't catch up with the blood collection and delay things later."

"Okay!" The equipment nurse agreed crisply.

Eating hot pot and singing songs at home at night, suddenly there is an emergency, and I am called to the hospital to add another station. No one will be happy.Moreover, the surgeries that need to be added must be particularly large, and it is possible to do several things.

She didn't expect that after the arrival, the thoracic surgery, which was originally as slow as an old cow plowing the field, has already seen the light!