My medical path

Chapter 30 Who will do it first?
It has been made clear that there is no need to open the chest.

Now that it is clear that it is a laceration of the stomach, the surgical incision on the abdomen can be opened on the upper side, so there is no need to make a large incision in the entire abdomen.

Chen Bo continued to scan other wounds. Two or three wounds on his hand were on the back of the left forearm, obviously left when he reached out to block the knife.

Continue to scan other places, at this time a wound on the inner thigh caught Chen Bo's attention.

It was also a small wound of only about a centimeter.

It doesn't look very eye-catching at first, but Chen Bo found through scanning that a small hole was poked on the femoral artery in the deep part of the wound!
Chen Bo saw that the small opening of the femoral artery was continuously bleeding with the pulsation of the artery.

Because there is muscle blocking, bleeding in this part does not rush to the ceiling in an instant like the carotid artery.

Moreover, the thighs are thick and can hold a lot of blood.

It looked like there was only a small amount of blood oozing from the wound outside, but with such active bleeding, it wouldn't take long for this patient to go into shock again!

So when Huang Daguang and Luo Hao were discussing who should do it first, Chen Bo spoke up.

"I think the general surgery side should do it first, and then our orthopedics side should do it at the same time!"

Hearing Chen Bo's words, Huang Daguang and Luo Hao were taken aback for a moment, then Huang Daguang frowned, feeling a little displeased.

"This joint operation is of course life-saving first. Now the life-threatening is obviously the chest and abdomen. Your orthopedic surgery on your hands and feet, to put it bluntly, you can still live well without your hands and feet!"

"And in other words, if our side doesn't save your life, what's the use of the surgery on your hands and feet, even if it's as beautiful as embroidery, and your life is gone!"

When Huang Daguang heard Chen Bo's words, his heart was full of disdain, and his mouth was very rude.

Under normal circumstances, when collaborating between departments, they usually wouldn't speak so bluntly and harshly.

But Huang Daguang himself, as a deputy chief physician, is already considered a high-ranking professional in a small place like Jiangcheng County People's Hospital, and he is an important person in the department.

And there was another reason that Chen Bo and the others didn't know.

Huang Daguang was dating his little girlfriend before coming to the operation.

Huang Daguang finally seized the opportunity to prove to his little girlfriend that he is still old.

At the beginning, I secretly went to the toilet to use some Viagra.

It turned out to be like a paper airplane, and it came down just as it was about to take off. You can imagine how bad his mood was.

At this time, a young doctor with a lower title than him actually wanted to perform surgery before him, and he seemed so unprofessional!

Huang Daguang was in a bad mood and had no way to vent his worries, so how could he discuss politely at this time.

And he thought it was polite to say so.

He scolded him for not knowing anything by name, even if he was saving face for him.

Luo Hao also had doubts at this time.

Logically speaking, judging from Chen Bo's performance last time, he is a person with very solid basic knowledge, and such a situation should not have happened.

Did he discover something we didn't?
At this moment, Lu Shiqing and Wang Ruoyun frowned unconsciously when they heard Huang Daguang's words.

They could tell from the words that Huang Daguang was not polite to Chen Bo at all.

Apart from their secret dissatisfaction with Huang Daguang, they also had worries about Chen Bo and a faint trust that they didn't even realize!
Yes, through several operations with Chen Bo before, they also developed trust in Chen Bo in their hearts.

They believed that Chen Bo would not make such an arrangement for no reason.

"I have a basis for saying this." Chen Bo said at this time.

Hearing Huang Daguang's unkind words directed at him, Chen Bo secretly despised him.

Without listening to any analysis, he easily denies others, this Huang Daguang is too selfish!
But in the face of doubts, a gentleman like me must not jump over the wall and quarrel with him with a blushing face!

Chen Bo thought to himself:

To this kind of person is to slap him in the face, and to slap him in the face openly!
"Look at the four wounds on the chest, three of which are more than five centimeters." Chen Bo pointed to those locations and continued:
"What does this mean? It means that the wound was not stabbed, but scratched..."

"The chest cavity is protected by ribs. Although such a scratch looks scary, as long as the bones are not cut off, it is generally impossible to enter the chest cavity."

"If it can enter the chest cavity, it means that the ribs have been cut open, but from the film, the ribs are not broken."

Chen Bo pointed to a wound in the center again, and continued:
"Look at the wound, it's only one centimeter in size, and it's neat. It's obviously a puncture, but it happened to be blocked by the sternum at the back. Otherwise, there would be large blood vessels in the back, and this patient would not have had a chance to be sent to the hospital. .”

After listening to Chen Bo's analysis, everyone nodded frequently

The process of the injury can be analyzed by seeing the wound, which already shows that Chen Bo is indeed a person with very rich clinical experience.

"This is all your own guesswork. It depends on what you said, but how do you explain the accumulation of air and blood in the chest cavity?"

Huang Daguang was dissatisfied when he saw that Chen Bo brushed his face in public.

Everyone was also full of doubts, so they all looked at Chen Bo at this time, wanting to hear his analysis.

Chen Bo seemed to know in advance that Huang Daguang was going to ask this question.

He glanced at Huang Daguang, paused, then pointed to the inconspicuous wound on the left rib and said to everyone:

"I guess the problem is here!"

Chen Bo continued with a heavy tone:
"I think you have seen it too. The other wounds on the abdomen are the same as the chest wounds, very long. Although the abdomen is not protected by ribs like the chest, what do you think is the characteristic of this patient?"

Chen Bo looked at everyone with questioning eyes, and everyone was busy thinking about Chen Bo's question.

Without waiting for their answer, Chen Bo continued:

"This person is very fat, especially this beer belly. I dare say that the fat alone is more than ten centimeters, so although the wounds on the abdomen look deep, I guess they did not reach the abdominal cavity."

"But the small wound under the ribs is different. This location is relatively superficial, and the fat is also the thinnest. And judging from the shape of the wound, it is obviously a puncture!"

Chen Bo paused, looked at the thoughtful people, and continued to analyze:

"Why gas and blood appeared in the chest and abdominal cavity at the same time, my consideration is that the knife pierced the stomach and diaphragm, and then pierced the lungs!"

Chen Bo expressed his judgment, which was astonishing!
Because the examination did not find damage to these solid organs such as the spleen.

At present, this is the only wound that can explain the simultaneous occurrence of gas and fluid in the chest cavity and abdominal cavity.

Hearing this, everyone faintly felt that Chen Bo's analysis made sense!
After hearing Chen Bo's words, Huang Daguang felt that his analysis seemed reasonable, but after all, it was just Chen Bo's guess.

He thought that he would definitely not lose to this junior in his professional field.

And he can't lose, if he loses all his majors, he won't have to mess around in the future!
(End of this chapter)