My medical path

Chapter 31 You Shouldn't Open Your Chest

Chapter 31 You Shouldn't Open Your Chest

A specialist doctor, or a specialist doctor at the level of deputy chief physician.

Unexpectedly, he can't compare with a doctor at the attending physician level of other departments...

Then what face does he have!
Who in the hospital will trust him in the future?
"These are all your conjectures. Even if you are right, where is the bleeding in the chest coming from?"

"Didn't it hurt the blood vessels of the lungs? If not, where did so much bleeding come from? And if the blood vessels of the lungs were injured, conservative treatment would be difficult to work. Isn't it necessary to open the chest for exploration?"

Huang Daguang expressed another doubt that cannot be ignored.

"I think the bleeding is from the rupture of the diaphragm." Facing Huang Daguang's doubts, Chen Bo continued to analyze:
"If the hemorrhage is caused by pulmonary vascular injury, then the depth of the lung puncture should be relatively deep..."

"In this case, as the patient breathes, more and more air will be inhaled into the lungs, and the volume of air accumulated in the chest cavity should also increase..."

"But you can see on the film that there is only a small amount of pneumothorax, so I think the lung is only pierced with a very small and shallow opening."

Chen Bo looked at the crowd and continued:

"Of course, this is just a guess. The possibility of pulmonary vascular injury cannot be completely ruled out. We can only verify it when we have surgery."

After listening to Chen Bo's analysis, everyone agreed with Chen Bo's point of view, and his analysis was very reasonable.

Especially Luo Hao, as a general surgery doctor, he felt that Chen Bo's analysis had a high probability of being correct.

Why didn't I consider it so comprehensively?

At this time, Huang Daguang lost his face.

Even if he didn't want to admit it, he had to say that Chen Bo's analysis made sense.

And when I checked the wound myself, I really ignored the small wound under the left rib.

But it was impossible for him to admit that he would fail, so he looked at Chen Bo and questioned:
"Even if your analysis is correct, it is right to start the operation with the general surgery department first. Why did you start the orthopedics department at the same time? Didn't that affect other people's operations and increase the amount of bleeding?"

This made sense, so everyone thought to themselves and waited for Chen Bo's answer.

"Normally, this is indeed the case. If it weren't for the special case, I would wait for the general surgery to stop the internal bleeding before considering our surgery."

Chen Bo then moved his steps, pointed to a small wound on the patient's right thigh and continued:

"But this wound made me have to reevaluate the order of the surgery"…

"Don't look at it, it's just a small wound of one centimeter. I analyzed it just now. This wound is also a puncture, and the femoral artery is under the wound!"

"Although the wound doesn't seem to be bleeding much, the thigh can actually hold a lot of blood." Chen Bo then continued with gestures:
"Everyone will know by comparison. The right thigh is already thicker than the left thigh, and the right foot is obviously colder than the left, which means that the blood supply on the right is worse than that on the left."

Following Chen Bo's guidance, sure enough, everyone saw that the right thigh was indeed much thicker.

I touched both feet at the same time, and the skin temperature on the right was indeed lower than that on the left.

"So why am I doing both?"

Chen Bo continued: "Because we need to quickly stop the bleeding and at the same time restore the blood supply of the blood vessels, keep the blood vessels and this leg at the same time..."

"And you", Chen Bo looked at Huang Daguang and said firmly:
"You shouldn't open your chest!"

It was so!
After listening to Chen Bo's explanation, everyone became somewhat enlightened.

After hearing Chen Bo's words, Huang Daguang's face suddenly became ugly
"Hmph, then you guys just do it, I want to see if it's really what you said!"

Huang Daguang did not argue this time, and continued to say to Chen Bo in a bad tone:
"I can declare in advance that you will be responsible for the problems caused by your misjudgment!"

As he spoke, Huang Daguang walked to a corner of the operating room, found a stool to sit on, and began to close his eyes and meditate.

He had to wait until Chen Bo, a young man who didn't know the heights of the sky and the earth, hit a wall before he made a move.

If it is found that there is no rupture in the diaphragm when the time comes, the gas and blood in the chest cavity are obviously not caused by the knife in the abdomen.

"When the time comes to open the chest, you can't rely on me?" He thought to himself.

The debate has come to an end.

According to Chen Bo's opinion, the operations on the abdomen and right thigh were performed at the same time.

Other parts were stuffed first or simply sutured to stop bleeding.

In terms of anesthesia, the equipment for blood transfusion has been prepared, and the general surgery group and the orthopedic group are also prepared according to the requirements of their respective specialties.

After disinfecting the abdomen and the right thigh surgery area separately, the operation started on both sides at the same time.

Anesthesiologist Wang Ruoyun and nurse Lu Shiqing were also extremely nervous at this time.

They were inclined towards what Chen Bo said in their hearts, but when it was time to confirm the proof, they were unavoidably nervous.

Although Huang Daguang pretended to close his eyes and rest his mind at this time, he seemed very calm.

But in fact, he has been paying attention to the movement on the operating table, and from time to time he slightly opens his eyes to glance at the operating table.

At this moment, the operating room was very quiet, with a tense and serious atmosphere.

At the same time, the wound was opened. According to Chen Bo's suggestion, Luo Hao adopted an upper laparotomy to explore the wound.

This time, Chen Bo did not pursue a small incision, but also used a large knife, because now the key is to detect hemostasis and repair blood vessels as soon as possible.

Chen Bo asked his assistant Pang Minghui to press down on the position corresponding to the femoral artery in the groin, in order to stop the bleeding temporarily.

Then with a large knife, according to the layers displayed by the system scan, a [-]-centimeter wound was opened with one knife.

Of course, Chen Bo carefully avoided the main superficial veins, and this knife also directly cut the deep fascia.

The onlookers could clearly see a stream of dark red blood gushing out following the knife.

Assistant Pang Minghui quickly recovered the blood with the suction device in his other hand.

Chen Bo used the automatic pull hook to quickly expose the muscles underneath.

Continue to use your hands to spread the muscles from the muscle gap to both sides, and the underlying blood vessels and nerve sheaths are instantly exposed.

At this time, the audience's attention was no longer on thinking and admiring Chen Bo's skilled, streamlined and fast operation.

At this moment, everyone's eyes were focused on Chen Bo's exposed blood vessels and nerve sheaths.

And the moment Chen Bo opened the muscles with his hands, he had already pressed down two parts with two fingers.

Only then did the onlookers clearly see that Chen Bo's two fingers were pressing on a blood vessel.

Looking at the pulse of the blood vessels, needless to say, this is the femoral artery that Chen Bo mentioned!
To everyone's surprise, through the middle of Chen Bo's two fingers, a crack the size of a fingertip on the wall of the femoral artery can be seen!
Chen Bo's judgment was absolutely correct!
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(End of this chapter)

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