godfather of surgery

Chapter 550 Pushing all the way

Xu Zhiliang and Zhang Lin continued the operation while chatting.

Song Zimo and Xiao Wu were also busy, with fractured sternum and multiple ribs, and the fractured end punctured the lung, resulting in pneumothorax.

When receiving treatment in the emergency department, closed thoracic drainage was placed to temporarily relieve the threat to life from the chest injury, and the main conflict was transferred. Therefore, Song Zimo and Xu Zhiliang gave priority to treating the pelvic fracture and left thigh avulsion.

Because these two injuries are heavy bleeding, if the bleeding is not stopped quickly, no amount of blood transfusion will help.

Now the left thigh avulsion injury has been treated, the pelvic fracture operation has been completed more than half, and the chest cavity has been opened just after the rescue, it is better to take this opportunity to deal with the chest injury.

Otherwise, the flail chest and abnormal breathing formed by multiple rib fractures are also fatal.

Song Zimo repaired the damaged lung, ligated the bleeding blood vessels in the chest cavity, reset and fixed the sternal fracture and multiple rib fractures, and the memory alloy clips specially used for rib fractures are very convenient to use. Seven ribs were fractured, all of them were reset and fixed.

Here, Xu Zhiliang also completed the hemostasis of the pelvic fracture, the reduction and fixation of the fracture.

Finally, the blood pressure on the monitoring screen was stabilized and did not drop again. As the blood transfusion continued, the blood pressure began to rise slowly.

The positive balance between blood transfusion, rehydration and bleeding is the key to successful rescue of hemorrhagic shock.

Only a positive balance can have an accumulation effect on the composition and capacity of the human body's circulation, and slowly return to the life-sustaining level.

The reason is very simple, the water in the pool is greater than the water out, so that the water in the pool can be filled.

"How's your urine output?"

Song Zimo asked the itinerant nurse.

The itinerant nurse lowered her head and picked up the urine bag: "520ml, much more than before."

There is urine, indicating that the shock is being corrected.

Thoracic and pelvic surgery was completed, and two teams operated on upper and lower extremity fractures separately.

The treatment principle of trauma surgery is to save the life first, then save the limbs, and finally consider the function.

Therefore, during the rescue, all the initial measures revolve around the core of saving lives.

Now that the threat to life is gone, the remaining work is to deal with the fractures of the limbs. These operations are not as urgent as saving lives, but they also pay attention to speed.

If the time is too long, it is easy to cause complications such as infection and fat embolism.

Some interns shuttled back and forth between the operating rooms while the itinerant nurses were not paying attention. They were very excited when they encountered this kind of emergency rescue, especially the one with full firepower in the department.

This kind of visiting is likely to increase the risk of surgical infection, but most of the time it is impossible to prevent, and the roving nurses don't have so much energy to keep staring at these interns running around.

The information of the various operating rooms involved in the rescue is constantly disseminated along with the interns who are running around.

"How about the one next door? The blood is pouring out, and it can't be blocked. I'm so scared that I'm sweating."

Someone asked the new intern who sneaked in. This intern just came from the next door and witnessed Yang Ping saving Taiwan: "Professor Yang rescued Taiwan."

"That's a sure thing!"

Another intern who appeared to be more qualified said calmly.

Yang Ping is the god in the hearts of these young students and the idol of medical students.

The fracture operation of the limbs was successfully completed, Xu Zhiliang stretched his waist:

"Brother, go to the obstetrics department to accompany your wife, and I will do the rest."

Usually reprimands are reprimands, but the relationship between Xu Zhiliang and Zhang Lin is actually very good.

"Then I'm going to retreat?"

Zhang Lin began to take off the surgical gown, and could no longer restrain the joy in his heart.
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The comminuted pelvic fracture next door, the operation was successfully completed.

The wounded's blood pressure rose slowly, Director Bai stood in front of the screen of the C-arm machine like a victorious general, staring at the X-ray view of the pelvis on the screen.

The reduction of the pelvic fracture is very good, the separation of the sacroiliac joint has been corrected, the gap of the pubic symphysis is also within the normal range, and the horizontal and vertical steel plates firmly connect the bones together. The normal shape of the pelvis is so beautiful at this time.

Although the key surgical steps were not completed by Director Bai, it did not prevent him from having an unparalleled sense of accomplishment.

"Fat!"

Director Bai called out in a majestic voice.

The fat boy leaned over, and the chubby graduate student also leaned over, waiting for his immediate general to give an order.

Surrounding the screen of the C-arm machine, three mountains spread out in a fan shape, full of weight and distinctive features.

No matter where they stand, others can tell at a glance that this is Director Bai's medical team. Compared with any other medical team, only Director Bai's team has such a sense of heaviness.

"Old Bai! Finished so quickly? This pelvic reset is beautiful?"

Director Han had just finished an operation, so he took the time to visit the operating rooms to see what support everyone needed.He saw a beautiful image of the pelvis on the screen of the C-arm machine.

Director Bai blushed, and his humble voice was a little vague: "Barely."

Director Han praised him: "It's not forced, it's very beautiful! Lao Bai, I heard that the pelvis was opened, and the blood was rushing out. I was worried that you couldn't stand it. I didn't expect it to be done so quickly?"

"The bleeding is a little tricky, but fortunately, the bleeding was stopped, and it was relatively thorough." Director Bai puffed up his chest.

Director Han asked a few more casual questions, and then went to other operating rooms.

Director Bai took out his mobile phone and took pictures on the screen. He wanted to keep the materials and give lectures about pelvic fractures in the future. Taking out these photos was enough to make him stand out from the crowd.

"Ah Fei, you can write a paper on the rescue of this case. We usually have to have a scientific thinking. Doctors can reach a certain level and can't be limited to repeated operations, understand?" Director Bai urged.

Fat Boy kept it in mind, Director Bai was going to make a big move, Fat Boy turned to the chubby graduate student and said: "Little Fatty, you are ready to prepare, this paper is written to a level, and I will revise it after it is finished."

The chubby graduate student nodded to accept the task.
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Yang Ping went around the operating rooms to see if there was anything he needed to help.

The wounded who were injured by jumping from the building were taken care of by Director Ouyang's medical team. Dr. Jin had an overnight operation and needed to rest. Director Ouyang took a graduate student to perform the operation.

The injured person's spine was transected from the thoracolumbar section, and then dislocated forward and backward. With the fracture and dislocation of the spine, the spinal cord in the spinal canal was also completely transected.

This girl in her twenties has just been admitted to the civil service and has a bright future.

She did nothing wrong, she was watering the flowers in her yard, but she didn't expect that disaster would come from the sky. A living person fell from the seventh floor and hit her on the back. At that time, she had just bent over to water, and the falling body directly broke her spine.

The mother of a high school student was operated by Director Tan, and her injuries were also very serious. The pelvis and acetabulum were fractured, one side of the femoral head was directly inserted into the abdominal cavity, four thoracolumbar vertebral bodies burst and fractured, intracranial epidural hematoma, and bilateral pupillary dilation , slow to light reflex, neurosurgery is also involved in the operation.

There are also several serious traumas in car accidents, and they are undergoing surgery almost at the same time.

Fortunately, so far, there is no bad news.

After turning around, there was nothing he needed to help, so Yang Ping called Li Guodong and asked him to prepare to send the patient to the operating room to continue the surgery at the Institute of Surgery.

Because of the sudden rescue, Yang Ping's operation in his own department was suspended. Now that the rescue is coming to an end, the suspended operation can be resumed.

Song Zimo, Xu Zhiliang, and Xiao Wu also came out of the operating room with a group of their own interns, and they all went back to the department together.

Back in the ward of the Institute of Surgery, head nurse Cai also came back from the obstetrics department, and she went to accompany Zhang Lin's wife for a while.

"Is everything going well with Zhang Lin's wife and children?"

Yang Ping expressed concern.

"Zhang Lin is a bit lucky. He gave birth to a pair of twins, and one of them had a bit of jaundice. The neonatologist said it would be fine, and it would be fine to take a few days of blue light. I greeted the head nurse over there and took care of it." Head nurse Cai is very considerate.

The head nurse also prepared red envelopes for everyone, which have been packed according to the rules of the department.

"Give Zhang Lin some time off!" Yang Ping told Xu Zhiliang.

Then, led by head nurse Cai, everyone went to the obstetrics department to see Zhang Lin's wife and child.

Zhang Lin was sitting by the bed helping his wife massage her legs. Two children were lying in the crib, and the obstetric nurse was about to send one of them to the neonatology department for a blue-ray exposure.

Seeing Yang Ping bringing his brothers from the department to visit, Zhang Lin got up immediately.

Everyone greeted a few words and gave red envelopes.

Zhang Lin was so happy that he couldn't close his mouth from ear to ear, and handed all the red envelopes he received to his wife.

Fatty Liang, who was late, followed in: "Mr. Zhang, my wife gave birth to such a big event, so I didn't notify you."

Immediately afterwards, Xiao Su, Tang Fei, and Zhou Can also came in. They held Dr. Li's hand and asked about his health. The atmosphere was very warm.

"And another one?"

Fatty Liang rubbed his hands, bowed his waist, trying to get closer to tease the child.

"That one just went to the new pediatric ward to take a blue light, fat man, what are you doing?"

Seeing Fatty's actions, Zhou Can immediately stopped him: "Fatty, don't get too close to your cigarette smell."

The fat man straightened up immediately, as if he had just finished smoking, so he retreated a long distance away.

"I like children so much, it would be great to have a baby with your stewardess sooner." Zhou Can teased the fat man.

The fat man touched the red envelope and found that he didn't have it on him. He obviously had the red envelope and why it disappeared.

Zhou Can handed him a red envelope: "It fell next to the anesthesia machine. I thought someone else's red envelope, but when I saw the cover, it was yours."

"Obviously I put it well, why did it get into your hands? It's really strange." The fat man took the red envelope and gave it to Zhang Lin.

The cover of this red envelope is actually a custom red envelope for the Spring Festival of Zhonghua Cigarettes. It is estimated that the red envelope will be given along with you when you buy cigarettes.

"Brother Fat, your combat prowess is a bit weak. You haven't made any movement after chasing the stewardess for so long," Xiao Wu joked about the fat man.

The fat man blushed: "Don't worry, everything is under control."

"Fatty, your devious tactics are not good. You need to carry forward the style of surgery in our department, punch and rush, and push all the way!" Xu Zhiliang gave him a trick.

This dull and stuttering Xu Zhiliang actually gave himself advice on love, the fat man was not convinced: "Old Xu, look at your momentum, you rushed ahead of me?"

Xiao Wu said: "General Xu has only known each other for a few days, and he has long been holding hands to go shopping and watch movies. Let me tell you, he will get the certificate within three months, believe it or not?"

The fat man was speechless, Xu stuttered so badly?Pushing all the way?Such a tough style?

At this time, Yang Ping received a call from Oman, and Oman's "camel man" Yasmeni was going to come to China, accompanied by a doctor from Oman.

(End of this chapter)