When a doctor opened a plug-in

When he was about to get off work in the afternoon, Xiao Lin had already walked out of his sadness.

Xiaolin's full name is Lin Ran, and he didn't come to the emergency room for a long time. The cause and effect of this old man, Xiaolin was a little regretful and heartache in his eyes.

Lin Ran didn't know if he was crying because of the old man's innocence, or because of his helplessness towards women, or the helplessness in front of his life.

The emergency department didn't believe in tears. Before Chen Cang had time to grieve, an operation came suddenly!

"Chen Cang will come to the operating room immediately! Hurry up!" Li Baoshan said, Chen Cang was in danger!

On the way to the operating room hurriedly, Chen Cang was uneasy.

What happened?

Chen Cang is a little puzzled!

Before he could think too much, Chen Cang headed straight for the operating room. The head nurse in the operating room was already waiting outside. Seeing Chen Cang coming in, he said anxiously: "Hurry up and wash your hands and change clothes! Operating room 3!"

When Chen Cang heard of Operating Room 3, he became a lot nervous for no reason.

The No. 3 operating room of the Provincial Second Hospital is generally empty, waiting for emergency operations at any time.

For example, a rescue patient sent in a car accident was sent directly to Operation Room 3 to prepare for surgery. Li Baoshan performed these operations.

Li Baoshan is the pillar of the emergency department of the Second Provincial Hospital, the superstructure and height!

With him, he can support a major operation in the Second Provincial Hospital!

So Chen Cang became more nervous and nervous!

After preparing everything, the head nurse Li Ying looked at Chen Cang and encouraged: "Come on!"

Chen Cang nodded and entered the operating room!

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In the operating room, an extremely nervous rescue is underway!

Emergency Department Director Li Baoshan, Outer Cardiology Director Tao Mi, Orthopedic Director Li Jianwei, General Surgery Director Zhang Youfu!

Car accident patients are more dangerous and often cause serious multiple organ damage.

At this time, everyone is facing a "chest and abdomen joint injury" caused by a car accident!

The patient's diaphragm ruptured, liver was punctured, stomach ruptured, colon penetrating injury, multiple fractures of the sternum, and severe pelvic fractures.

When she was sent to the hospital, her blood pressure was only 7040 with combined chest-abdominal wounds above the belly button, generalized peritonitis, and hemorrhagic shock.

All signs indicate: the patient's condition is extremely poor!

The life of an 18-year-old boy is passing bit by bit.

All directors of the Second Provincial Hospital were dispatched to carry out this rescue work!

Liver repair, liver stitches!

Diaphragm repair and intestinal suture.

Plenty of warm saline and metronidazole to flush the abdominal cavity...

In the operating room, only the sound of the machine and the sound of the instruments intertwined.

At this time, no one dared to speak out!

Because the patient's condition is very special, the operation time cannot exceed four hours, otherwise the situation is likely to change!

In order to ensure the progress and efficiency of the operation, everyone can only abandon some non-serious or life-threatening operations and focus on those very dangerous operations.

Even the chest surgery has been carried out at the same time as the liver suture!

Zhang Youfu's eyes were solemn, and the atmosphere didn't dare to take a mouthful. The liver needle was replaced with thick gut suture. The operation was thrilling!

At this moment, the patient suddenly had bleeding!

There have been two bleedings and cardiopulmonary bypass has been established. What is the cause of bleeding at this time?

Suddenly everyone discovered that the patient had ruptured the splenic artery!

The scalp was numb, and the difficulty of the operation continued to increase!

The blood has stopped!

The reason was also found.

But soon, another big problem appeared in front of everyone.

Zhang Youfu suddenly widened his eyes, panicking: "Now the patient's blood pressure is very low, but the peripheral blood circulation is not much. The main pressure is concentrated in the area of ​​the splenic artery. Because the splenic aorta has been damaged, the blood vessel wall is very thin. I'm afraid that it won't last long... and even heavy bleeding will occur. At that time, the situation is hard to say..."

Everyone's expressions changed: "Can't ligation and stitching work?"

Tao Mi shook his head: "The patient's physical condition is too...too bad! If the ligation takes less than 90 seconds, according to his current situation, if the ligation time is too long, even if the stitching is completed, the later recovery will be a problem. !"

A problem appeared in front of everyone!

How can we complete this vascular anastomosis in 90 seconds?

The splenic artery supplies blood to multiple organs such as the stomach, pancreas, and spleen. If a large amount of blood is lost, multiple organ damage is inevitable.

Clinically, some patients may experience splenic artery embolism and splenic infarction.Or when surgery is performed on patients with ruptured spleen, accurately finding the splenic artery is the most important thing to control bleeding.

At this time, a problem suddenly appeared. It takes less than 90 seconds to ligate the blood vessels to stop bleeding, and the establishment of the external circulation cannot guarantee the blood supply to many organs.

Li Jianwei looked up: "Old Tao, can you sew?"

Li Jianwei is the director of the Department of Orthopedics and the vice president of the hospital. His words at this time represent the expectations of everyone and touch everyone's desire!

Can you sew it?

Can you sew the splenic artery in 90 seconds?

Tao Mi suddenly became nervous. After a long time, he took a deep breath: "I...I might not be able to do it!"

Tao Mi's words immediately caused everyone's heart to fall to the bottom.

Even Tao Mi, the chief director of cardiac surgery, can't do it. Who else can do it?

Tao Mi's sentence is even equivalent to giving the patient a critical illness notice and even...

Tao Mi took a deep breath and continued: "It's not that I am incapable or that I am old, but... These 90 seconds are basically unrealistic. The fastest I have ever seen is this speed, but that person Still in the capital, it is too late at this time. We in Dongyang Province who can successfully anastomoses the blood vessels within 90 seconds may...maybe none of them!"

Tao Mi shook his head, it was too difficult...

It is too difficult!

"This pays attention to the flexibility of a hand, and also requires the surgeon to have good vascular suture skills and stability. This is an artery. While the suture is fast, it must be tight and firm. At least 30 stitches must be completed on this blood vessel. The stitching, this...too difficult!"

Indeed, vascular suture is inherently difficult and extremely demanding. The suture must be tight and firm. Otherwise, it is easy to rupture or other problems after the operation.

When Li Jianwei heard this, his face suddenly changed!

"Director Zhang, is there anyone in your department who is good at suturing blood vessels?"

Zhang Youfu shook his head. If they had such a talent... it would be great...

Everyone couldn't help sighing.

How to do?

What to do!

Li Jianwei was about to say: "Old Tao, come on, do your best! Do your best!"

At this time, there is no other way but to try.

Only believe Tao Mi.

At this time, Li Baoshan suddenly thought of someone: "I have a personal choice, you can try it!"