Pure doctor Wu Xie

Chapter 282 The Surprise of Technology (Subscribe)

"Use it, the family has already expressed their opinion." After a while, someone came back in a hurry and brought the news to everyone.

However, the news he brought back seemed to be completely ignored.

Everyone on the stage has gathered together at this moment.

Holding his breath, he was concentrating on watching a person's operation.

And after seeing that he successfully treated an artery in the abdominal cavity again.Everyone breathed a sigh of relief.

The doctor from the hepatobiliary surgery department was still urging: "It's amazing, if you can stop a few more bleeding points, this patient might really be able to save his life."

The anesthesiologist stood solemnly in front of the anesthesia machine, looked at the vascular surgery doctor and said, "I think it's better for you to change the verb. Rather than picking it up, it's better to say it's snatching back!"

While speaking, he reduced the dosage of the medicine, and at the same time observed the monitor on the anesthesia machine with both eyes.

"Low Potassium High Sodium!"

"The patient lost too much blood, and concentration occurred." The student of the anesthesiologist hurried back at this moment.

"Pull again! After 10 minutes, send another tube. Pay attention to ask the family members if the patient has any history of heart disease." The anesthesiologist said decisively and calmly.

However, the corners of his eyes were still flickering and beating along with Wu Xie's operations.

"The extracorporeal circulation machine is pushed over..."

"Wait a little bit, I will be able to connect it right away. The blood vessels of this patient's lower extremities have no way to form arteriovenous return." Vascular surgery and cardiac surgery are not separate, so the doctors of vascular surgery will operate like this .

Let me ask: "Tourist teacher. Have you called our director?"

"Yes, today's New Year's Eve. Director Zhong drank, but Director Qi was on his way..."

Hearing this, Wu Xie glanced unexpectedly at the doctor on duty in the vascular surgery department.Regardless of whether he is in the surgery class or the normal class, it is already quite good to be able to do this step in surgery.

Being able to establish arteriovenous circulation and connect to an extracorporeal circulation device requires very deep basic skills.

"The bleeding in the pelvis is serious..." the doctor of the general surgery department said suddenly after carefully opening and cleaning up a layer of 'digestion'.

Seeing this, Wu Xie's scalp felt numb.

This is a variant of retroperitoneal hemorrhage, and it is also accompanied by bleeding from spinal cord injury. The situation is more dangerous than active intrapelvic hematoma.

Wu Xie immediately looked at his brother in the spine surgery department: "Can you stop the retroperitoneal bleeding?"

"Once the blood circulation is established, the retroperitoneal bleeding must be dealt with immediately!"

But it seems that the level of the doctor on duty is not as good as that of the vascular surgeon.

He shook his head, the skin between his forehead covered with fine sweat.

"This kind of injury has never been encountered in our department. It is a miracle that such a patient can be pushed to the hospital." He explained.

Although slightly pale, it is also a fact.

For such a disease, you will basically die before reaching the hospital. There are not many doctors who have experience in dealing with it, or even have experience in successfully dealing with it.

Wu Xie heard this, and then saw that the retroperitoneal bleeding was already quite large.

Immediately don't control too much, the knowledge points that have been stored with great difficulty in the recent period, the original intention is to accumulate, add some knowledge points of nuclear magnetic film reading, and all add points to the hemostasis.

Just a little froze of consciousness, Wu Xie had a lot more things in his mind.

"Stuff the gauze to stop the bleeding temporarily, give me 2 minutes!" Wu Xie said decisively.

Then he turned his head and glanced at the heart rate monitor.

This patient's desire to survive is too strong, and such a strong desire to survive is a kind of fate.At first, Wu Xie thought that he would JUGG even if he couldn't even enter the operating room, so he didn't add some hemostasis to waste his knowledge.

After all, corpses don't need to stop bleeding.

But he has survived until now, so Wu Xie didn't dare to say a word wasted.

The spine surgeon still has basic professional skills, so he stuffed the sterile saline pad first, forming temporary compression to stop bleeding.

However, in Wu Xie's mind, there was a lot more content about the different schools of hemostasis in an instant.

Pushing blood is just one of them.

The concept of blood-severing technique and blood-separating technique that Professor Xue said before was integrated in an instant.

Using both hands, Wu Xie quickly found the few remaining ruptured arteriovenous veins from the abdominal cavity, bleeding, slipping like eels in the pool of blood, but Wu Xie accurately grasped them and clamped them temporarily!

"Teacher of vascular surgery, please help me with a ligation and suture. It must be sutured, otherwise, the vitality of the lower limbs will be irreversible..."

"Do you still want to save your limb?" Everyone looked at Wu Xie in astonishment, thinking that Wu Xie was going to heaven.

"If you don't save your limbs, you have to keep your pelvis!" Wu Xie said.

He didn't know if this made sense. After all, the patient's high pills had been misplaced to the point where he didn't know where to go, and he didn't know if the other pill had been crushed and exploded.

However, if he is to survive, then the reconstruction of the pelvis must be done.

However, before that, he had to stop the bleeding temporarily to save his life before he could call Fu Qian over to help. Otherwise, it would be meaningless.

"Teacher Xun, call Director Fu Jinjin of the Trauma Surgery Department. If you don't know his phone number, open my mobile phone. The unlock code is 111012!" Wu Xie instructed Xun Xun.

"Okay, teacher." It would be more polite to patrol and ignore.

After Wu Xie put down the bleeding from the large blood vessels, he immediately moved to the rear of the peritoneum.

However, this time, Wu Xie did not choose to stop the bleeding at the bleeding point, but chose to start from the abdominal cavity and the front edge of the vertebral body, and began to anatomically expose the blood vessel source of the bleeding point.

The concept of hemostasis, in addition to the blood-promoting school, also has the blood-distributing school and the corresponding concepts of blood-cutting.

Simple understanding cannot deal with such a disease that does not follow the textbook. However, taken together, it may be possible to control the bleeding. Moreover, if the patient's lower limbs are to be active, some blood may have to be wasted.

Therefore, hemostasis of retroperitoneal bleeding must be thorough!
"Silk thread!" Wu Xie shouted at the doctors in other departments, as if treating them as assistants.

But the doctor in the general surgery department was not unconvinced, but asked, "Doctor Wu, what kind of blood vessel is this?"

"Let's deduce it after the operation. It's a waste of time to be distracted by talking now. I'm sorry." Wu Xie declined.

Where is the time for teaching and discussing academics now? Everything is based on saving lives.

In just seven or eight minutes, Wu Xie ligated the upstream artery, cut off and shunted the blood to other areas, and put it into the abdominal cavity.

However, after these parts of the hemostasis are completed, the patient still cannot ensure the balance of circulating blood volume.

Therefore, Wu Xie once again moved to the abdomen, and started a bloody battle against the branch blood vessels with the abdominal aorta as the core.

It was a real bloody battle.

"Silk thread!~"

"After I performed the ligation, the kidney capsule was sutured within 15 minutes. Is that enough?" Wu Xie asked the urology doctor.

"Our director may be able to do it, but I can't."

"Then let it go for a while, and then tie it up again. It's best to keep the patient's kidney."

"The heartbeat hasn't stopped, and it's still a little fast now. Instruct the blood bank to bleed!" The anesthesiologist professionally reported the current vital signs to everyone at any time.

Everyone breathed a sigh of relief.

Another 10 minutes passed.

Wu Xie had just finished hemostasis, which was equivalent to this patient's hemostasis. Wu Xie used Ruyi-level hemostasis techniques, which lasted for more than 40 minutes, nearly five to ten minutes.

Only when the patient's blood pressure is stabilized.

After Wu Xie finished, he stepped back a little and took a breath.

In any case, the temporary life-saving operation has been completed.

"Doctor Wu, you are really awesome. You can really give such a patient a way to live..."

"This patient is also lucky, at least he can survive for a year." Someone said with emotion.

Wu Xie's rescue process was very dangerous, if he hesitated a step, and if Wu Xie was not around, then the patient could go straight away without any way out.

"You're tired, let's take a rest first." Fu Qianjin was already in the operating room. He also drank some wine, but not too much.

It's just for a drink, so he also wants to come on stage.

Otherwise, ordinary people really can't do such a broken pelvic reconstruction.

Especially now, Associate Professor Zhou Xiaoning and others have gone back to celebrate the New Year, and no one will come if they want to call for foreign aid from the outer court.

"Okay, Director Fu!" Wu Xie was also a little tired.

He at least needs to rest his mind so that he can better perform the follow-up surgery.

At this time, basically all the surgical superiors were present.

The professional level of the doctor on duty may not be high-end, but Wu Xie is the worst in terms of professional ability to call people.

"Director Fu, your orthopedics department has really picked up a treasure. This Dr. Wu, entrusting it to your orthopedics department is a bit of a waste of money." The director of the general surgery department said without any concealment.

"Fuck you, our trauma surgery department is messing with you, why don't you ask our trauma surgery doctors if you have the skills?" Fu Qianjin laughed and cursed upon hearing this.

However, after saying this, Fu Qianjin said to the tour: "Teacher, please tell the family members outside that the right lower limb should be amputated at the base of the thigh. We will find a way to save the left lower limb."

"But the right lower limb is so damaged that it is impossible to save it."

Although Wu Xie had already made preparations for limb salvage in advance.

But doctors are not gods, and not all injuries can be treated with limb salvage.

If it continues, it may affect the patient's vital signs and increase the extent of his already extensive surgical trauma.

"Go talk, amputate."

"It is already a miracle that this person can survive. Our abilities are limited and we cannot create more miracles."

"Don't waste any more time," said the director of vascular surgery.

Vascular surgery and orthopedics are the main undertakers of limb salvage. If both sides say so, then amputation is inevitable.

The circulating nurse is not responsible for the conversation and signing, but this is not a conversation, but a message.

Whether it is life or legs, this point still needs to be clarified.

"The family agreed." After a while, the traveling nurse came in, feeling a little heavy.

It is estimated that the scene she saw when she went out just now was not particularly good.

However, sensationalism will not appear in a bloody operating room.

"Pfft!~"

While everyone was working hard on the rescue operation, an artery that Wu Xie had temporarily ligated suddenly opened, and blood splashed on the operating table and rose into the sky.

Some people turned their heads subconsciously, and then looked back at the surgical field.

However, Wu Xie pinched the proximal end of the ruptured blood vessel with his hands immediately, and rubbed it with his fingers to feel the changes in the wall of the blood vessel.

"It doesn't matter. There should have been a small breach before, but it was not discovered by careful inspection, so it was breached in the middle."

"Teacher Anesthesia, are the patient's vital signs okay?" Wu Xie turned around and asked.

However, when Wu Xie turned his head, almost everyone looked at Wu Xie very strangely.

Because at this moment, Wu Xie just pinched the blood vessel with three fingers to stop the bleeding.

"How can it be okay?" The anesthesiologist smiled bitterly, but he could only do his best to continue to maintain the changes in the patient's vital signs.

Can this patient still have no problems with his vital signs?

It's just that it's not dead yet.

"Doctor Wu, how do you stop bleeding?" the director of the vascular surgery department blinked and asked, slightly surprised.

Although he is not a particularly professional vascular surgeon, he has some experience with vascular surgery, but he has never heard anyone say that this hemostasis can be so outrageous.

It may also be that he is not professional enough to get in touch with that higher field.

"Director Huang, it's just pressing to stop the bleeding. It's the most basic."

"We in the trauma surgery department occasionally encounter patients with severe bleeding, so we have a little experience."

But this director Huang was puzzled, and said bluntly: "Your teacher's family raises blood eels, how many blood vessels can allow you to practice like this?"

This sentence reminded everyone.

However, soon, Fu Qianjin said something very heartfelt: "Director Huang, being good at touching does not necessarily mean touching a lot. Could it be that someone with good talent can touch less but still be good at it?" ?”

"It's not that kind of recreational activity. If you touch a lot, you'll have experience." Fu Qianjin was protecting Wu Xie, and at the same time began to speak yellow accents.

The progress of the operation has been moving in a favorable direction, and everyone's mood has become friendly.

"Director Fu, Director Huang, please stop talking jokes. This patient is still on the verge of shock at any moment. Hurry up and finish the operation and send him to the ICU?"

"People have vital signs, but they have had three or four cardiac arrests before?"

"It's not elective surgery and common cases, it's not as optimistic as you think!" the anesthesiologist reminded.

I even wanted to scold my mother in my heart.

At this time, the operation encountered another big problem.

That is, the intestinal tube now has a relatively long defect and cannot be continuous.

Therefore, the director of the general surgery department is suffering from severe pain in his head at the moment.

Although Wu Xie saved his life, the remaining professional medical treatment was a big part of their headache.

Of course, Wu Xie and Fu Qianjin also encountered big trouble...

(End of this chapter)