Come on, Dr. Wu

Chapter 315: Accident
Upon hearing this, Chen Zhendong hurriedly admitted the patient to the hospital, arranged for the inpatient department, and arranged a gynecological consultation.

To be honest, not only Wu Xiaofu had never encountered a case of endometriosis that had spread to the liver, but even Chen Zhendong had never seen one. There were only so many cases in the world, and if they really encountered one today, it would be really good luck.

To be honest, Chen Zhendong was also a little excited.

If you can treat such a case throughout the whole process, you will not only be able to publish a good paper, but also accumulate valuable experience.

If he really has the chance to encounter a similar case in the future, he will not be as stupid as he is today.

To be honest, he really felt that his performance in front of Wu Xiaofu today was not satisfactory.

He didn't even think about it that way. You know, although he had never seen such a case, he had always read and mastered the information. This was his disadvantage due to lack of experience.

Let alone Chen Zhendong.

As soon as the director of the gynecology department heard that there was a suspected case of endometriosis that had spread to the liver, he came in person for a consultation. His idea was similar to Chen Zhendong's, and they were also very curious about this case.

Not only Chen Zhendong hadn't seen it, they hadn't seen it either.

Gynecology naturally has its own set of examination methods, especially through vaginal endoscopy.

If it is really endometriosis, no matter where it is located, through endoscopy, at least it can be confirmed that there is indeed uterine endometriosis, and then through various examinations, it can be ruled out and confirmed.

"It really is endometriosis. However, we need to wait until the examination is complete to see whether it has spread to the liver."

The director of gynecology said this after the examination, with surprise in her tone, because she had also seen the patient's symptoms and was very confident that the patient might really have an ectopic liver.

You should know that endometriosis is divided into ovarian type, peritoneal type, deep infiltration type and endometriosis in other parts according to the different sites of onset, among which the most common is ovarian type.

The rarest is endometriosis caused by other parts of the body.

At this time, the patient may be suffering from the rarest liver type among other parts of the body.

After hearing this, Chen Zhendong was still fine, but the patient became a little panicked.

"Doctor, this means that my disease may not be a surgical one, but a gynecological one?"

To be honest, at this moment, the patient felt that it might as well be a liver cyst. After all, if it is a liver cyst, if it is really not cured, just do the doctor said, liver drainage will be enough. But if it is a gynecological disease, will it affect fertility!

"Well, now we can confirm that it is endometriosis. As for the specifics, we still need to see other tests. But don't worry, endometriosis is not incurable. If you cooperate with the treatment well, you will recover soon."

The patient felt relieved after hearing this.

"But what is endometriosis?"

Not to mention, the patient really had never heard of this disease. Wu Xiaofu thought that the director of gynecology did not say anything that was out of line. It was certainly okay to endorse Wu Xiaofu, but when it came to how to explain the disease and reassure the patient, the director of gynecology was more professional.

“Let me put it this way. Under normal circumstances, the endometrium is the tissue covering the uterine cavity. It undergoes periodic changes under the regulation of estrogen and progesterone, and is shed regularly to form menstruation and be discharged from the body.

However, if the endometrium grows outside the uterine body, such as the ovaries, uterosacral ligaments, and uterine surface, endometriosis may develop.

As for the pathogenesis of endometriosis, it can only be said that it has not been fully elucidated so far. There is no single theory that can explain the occurrence of endometriosis. The endometrial implantation theory is currently widely recognized.

In addition, the occurrence of endometriosis may also be related to the body's immune function, genetic factors, environmental factors, etc."

Having said that, the director of gynecology looked at the patient and had some unfinished words to say.

Endometriosis has a familial clustering tendency, which means that if the patient gives birth to a daughter, she is likely to also suffer from the disease.

However, in order not to make the patient more worried, there is no rush to talk about these things. We will explain them later. At present, we have not yet determined where the ectopic location is.

Although the director of gynecology used a lot of cool words, the patients still understood some of what he said.

"So, my uterus is not in the right place, but somewhere else?"

Uh!
The patient's words may be rough but the truth is there. Although they are not completely right, they are somewhat right. That's roughly what he meant. Of course, it doesn't mean that the entire uterus grows in other places. The endometrium is mainly...

Seeing Wu Xiaofu and the others nod, although Wu Xiaofu and the others corrected themselves again, the patient still couldn't help panicking.

This is not serious. What is the uterus? It's the place where babies are born. If it grows crooked, how can it be healed?

"Doctor, I can't get pregnant, right?"

The director of gynecology quickly waved her hands and said, "Of course that's impossible. As long as you receive active treatment, you can get pregnant. Don't worry."

It will definitely have an impact on fertility, but it certainly won’t mean that you will be unable to have children in the future.

After calming the patient down, Chen Zhendong began to arrange the examination.

Wu Xiaofu did not stay any longer and went back directly as he had to go to the imperial capital the next day.

The National Science and Technology Awards were held in the imperial capital, which took one day, so Wu Xiaofu had to go out again.

This time I’m still with Yu Shifu.

"Xiao Fu, you've been on business trips more than I have in the past year, and every time you've been on a business trip, it's always an enviable job."

Yu Shifu's words made Wu Xiaofu laugh. It was true. He really went out a lot in the past year.

Outside the Imperial Capital Airport.

Wu Xiaofu swore that he really didn't have a physique that would attract disasters, and that things would get bad wherever he went.

But there are quite a few accidents that happen.

Such as this time.

"Ah! Help."

Wu Xiaofu and Yu Shifu couldn't help but look towards the source of the sound, and then they saw a shocking scene.

A woman in a bright red dress was being chased by a slightly sloppy man. The man seemed to be holding a knife in his hand, and the knife was still bright red. The woman didn't seem to be injured. Looking down, Wu Xiaofu couldn't help but shrink his eyes. It was a man.

A man was lying in a pool of blood, and perhaps because of excessive blood loss, his whole body seemed to be twitching.

The situation of the man and woman at this time also frightened the other passengers, who hurriedly moved away.

The airport security and the police officers near the airport were still quick. Before the slovenly-looking man could hand the knife to the woman in the bright red dress, she had been subdued.

Wu Xiaofu and Yu Shifu did not dare to delay and hurried towards the injured man.

When the police saw Wu Xiaofu and his friends approaching, they tried to stop them. Wu Xiaofu quickly said, "We are doctors."

After hearing this, the police relaxed their vigilance.

When Wu Xiaofu arrived at the blood splatter, his expression was solemn. Based on the amount of blood on the ground, he knew that the patient's bleeding volume would probably not be less than one thousand milliliters. Moreover, judging from the patient's condition, the injured part should be in the abdomen.

With so much bleeding, I'm afraid a large blood vessel has been cut.

Wu Xiaofu squatted beside the patient and examined him directly. The patient was about 40 years old. Due to excessive bleeding, his face was pale, his hands and feet were cold, and although his breathing and pulse had not stopped, they were very weak, and his consciousness was blurred.

"Hello, brother, can you hear me?"

There was no response when called, which was a common situation due to excessive blood loss. Wu Xiaofu and Yu Shifu looked at each other and knew that if the bleeding was not stopped in time, the patient would most likely lose his life.

"gauze."

The airport has an emergency medical kit. In fact, before Wu Xiaofu could say anything, someone had already handed the kit to him. Yu Shifu took out gauze from it. Wu Xiaofu could only stop the bleeding by packing.

Wow wow wow!

Fortunately, we were at the airport, where an ambulance is always on hand. When they heard there was a patient, they drove over directly.

"Wu Xiaofu from the First Affiliated Hospital of Donghai University."

Seeing the ambulance stop and the medical staff inside coming out, Wu Xiaofu hurriedly revealed his identity.

After a brief examination just now, Wu Xiaofu had determined that the patient had injured the abdominal aorta, causing massive bleeding. In addition, the patient's spleen and intestines were also damaged. It was obvious that the knife was intended to kill people. The stab was very deep and there was no mercy at all.

The conditions at the scene were poor, and Wu Xiaofu could only use a large amount of gauze to pack the wound. This was the dumbest but also the most direct way to stop bleeding when encountering large blood vessel bleeding. By packing with gauze, the large blood vessels were squeezed to achieve the purpose of stopping bleeding.

Of course, it is impossible to stop bleeding by this, but as long as the technique is good, it can reduce bleeding and buy time for rescue.

Several medical staff got off the ambulance and were about to take over, but when they heard Wu Xiaofu's words, they stopped immediately.

Today, among China’s medical teams, there may be people who don’t know Yu Shifu, but there are not many who don’t know Wu Xiaofu.

These people in front of me are just like that.

When they heard that it was Wu Xiaofu, and then saw Wu Xiaofu's familiar face, several people stood directly beside Wu Xiaofu.

"Doctor Wu, what should we do next?" Wu Xiaofu said without delay, "Come on, carry the patient into the car and go to the nearest hospital as soon as possible."

The several people were very skilled and quickly carried the patient into the ambulance.

But this is an airport, and even with the lights on, it is not easy to get to the hospital as soon as possible.

“Is there a surgical kit in the car?”

"Have."

The equipment in the ambulance was unexpectedly complete. The nurse had already arranged a monitor for the patient. Looking at the blood pressure and heart rate that were about to drop to a straight line, as well as the terrible electrocardiogram, Wu Xiaofu knew that he would not be able to survive until he could reach the hospital.

Once the abdominal aorta is damaged, bleeding will be severe. What's more, the patient's abdominal aorta was directly severed.

The effective treatment time is actually only five minutes. If the bleeding cannot be stopped effectively within five minutes, the consequences can be imagined. Even if the patient does not die from hemorrhagic shock, multiple organ failure will cause life-threatening consequences.

Even with Wu Xiaofu applying pressure to stop the bleeding, it would only last ten minutes at most.

"How long will it take to get to the hospital?"

"I've asked the traffic police for help, but I'm afraid it will take another ten minutes."

"Teacher, let's go together."

Wu Xiaofu looked at Yu Shifu, who nodded. To be honest, he did not recommend Wu Xiaofu to do anything rash in the car. Although it was for the purpose of saving people, Wu Xiaofu would have to bear considerable risks afterwards regardless of whether he could save the people or not.

Because operating on a car is bound to be an illegal operation.

Well, one is high and the other is accurate. Not to mention Wu Xiaofu's future. Wu Xiaofu is not allowed to take risks. It's just that now is the time for the National Science and Technology Awards. If something gets out, Wu Xiaofu may just be a runner-up.

However, as doctors, looking at the patient's current condition and ignoring it is not in line with the original intention of their medical practice.

"Xiao Fu, just assist me. I'll do it."

Wu Xiaofu glanced at Yu Shifu and of course he couldn't agree. He was aware of the risks involved. He was the one who took the initiative to do this, so how could he let Yu Shifu bear the risk? Don't look at his great reputation, but no matter what he said, he was still just a minor attending physician and hadn't even been appointed as the deputy director yet. If something happened, at most it would be said that he was young and frivolous and didn't know better, so he would have to stop practicing medicine for a while and pay some money.

But if it were Yu Shifu, there would be a lot of articles to write about.

"Get me dressed."

Wu Xiaofu rejected Yu Shifu with his actions, and the nurse hurriedly put a disposable surgical gown on Wu Xiaofu.

Wu Xiaofu put on the gloves and spoke to the front.

"Drive steadily."

The driver, who was about to turn left at the traffic light, immediately went straight. The ambulance driver was experienced and knew that the doctor was going to perform an operation in the ambulance.

Seeing Wu Xiaofu's condition, Yu Shifu no longer insisted. Saving the patient was the most important thing.

After putting on gloves, Yu Shifu helped with disinfection, and Wu Xiaofu directly expanded the incision to two fingers long.

One hand reaches directly into the abdomen.

"Wire!"

Ah!
The nurse was confused. They were about to put the thread in. Shouldn’t they determine the location of the blood vessel first?

However, this was not the time to hesitate, and the nurse quickly handed over the line.

When Yu Shifu saw Wu Xiaofu taking over the thread and starting the operation directly in the abdominal cavity, he also raised his eyebrows. He had heard of some of Wu Xiaofu's magical operations, such as stopping bleeding with bare hands, instantly determining the location of bleeding blood vessels, and quickly tying them with one hand.

But even after hearing and seeing Wu Xiaofu's actions, Yu Shifu still couldn't help being shocked.

He knew that since Wu Xiaofu dared to perform ligation directly, it meant that the broken end of the patient's bleeding blood vessel had been identified.

What kind of luck is this?

You know, broken blood vessels are not so easy to find. Even large blood vessels will shrink rapidly after being broken. No one knows where they will fall. Maybe they are hidden inside some tissue. It is not easy to find them.

Not to mention a broken blood vessel, even if it is a normal blood vessel, if you are familiar with the anatomy, you cannot find it easily by feeling only without looking.

Wu Xiaofu's comment is somewhat exaggerated, well, a little exaggerated.

But the magical thing is that after Wu Xiaofu asked for the thread twice and performed the ligation twice, the patient's vital signs really stabilized a lot.

This is Wu Xiaofu stopping the bleeding from the main bleeding vessel!
It really did!

The people in the car looked at Wu Xiaofu with horror in their eyes. Is this something a human can do?

Are you cheating?
"Turn left ahead."

"it is good."

The driver's voice was heard, Wu Xiaofu responded, the car body began to shake, and Wu Xiaofu was prepared. He had already taken his hand away from the patient.

"Wire."

The patient's main bleeding was in the abdominal aorta, but that doesn't mean that only the abdominal aorta was bleeding. A single knife cut into the abdomen broke so many blood vessels.

It doesn't mean that the patient will be safe after ligating the abdominal aorta.

It was just that he could buy more time for the patient. Before arriving at the hospital, Wu Xiaofu could only try his best to buy time for the patient.

Wu Xiaofu asked for the thread and began to ligate some other blood vessels that were bleeding more severely.

At this time, with fluid replenishment, the patient still has hope as long as he can get to the hospital and start surgery within half an hour.

call!
After Wu Xiaofu finished doing all this, he couldn't help but take a deep breath, and the nurse also wiped the sweat off his face considerately.

People sweat not only when they are tired, but also when they are nervous, panicky, or when they are nervous. Medical staff are undoubtedly often exposed to this test.

Chi!
The ambulance stopped, the door opened, and medical staff came to respond.

District Hospital, this is the nearest hospital to the airport. However, this is not the time to choose. Wu Xiaofu got off the car and began to hand over the situation to the doctor who picked him up.

The doctor who came to pick up the car was called Liu Chong, the deputy director of the emergency department of the district hospital, in charge of surgery. He happened to be on duty today. After seeing the patient's condition and Wu Xiaofu's attire, he knew what had happened in the car.

He frowned, but said nothing.

"The patient had a stab wound in the abdomen for fifteen minutes. The abdominal aorta was ruptured, the spleen was ruptured, and the intestine was ruptured. The amount of blood loss was between two and three thousand. I have performed a temporary operation in the car and completed the ligation of the abdominal aorta and surrounding blood vessels..."

Listening to Wu Xiaofu's words, Liu Chong couldn't help but look at Wu Xiaofu twice when he rushed the patient to the emergency room. He was so professional. When did the doctors at the airport become so professional?

The airport was the one who contacted the district hospital. The airport did not explain the matter in such detail. It only said that the district hospital needed to send a doctor to pick up the car and explained that the patient had a knife in the abdomen and other conditions. It did not say anything, including that Wu Xiaofu participated in the rescue.

So, Liu Chong still doesn’t know that Wu Xiaofu is not from the airport medical team.

Wu Xiaofu was about to follow in the emergency room when Yu Shifu pulled him. Wu Xiaofu looked at Yu Shifu and understood what he meant. At this point, he had actually completed his mission.

However, after hesitating for a moment, Wu Xiaofu still spoke.

"Teacher, this condition is very serious. Let me do it."

It's not that I look down on the doctors in the district hospital. The level of the Imperial Capital Hospital, even though it is a district hospital, is undoubtedly no worse than that of an ordinary provincial hospital.

With Wu Xiaofu's skills, he should be able to rescue the patient. However, with so much blood loss and organ damage and compression, if the operation is incomplete, even if the patient is saved, there will probably be no good result. After all, Wu Xiaofu is still somewhat confident in his skills.

Seeing Wu Xiaofu like this, Yu Shifu stopped trying to persuade him.

"Okay, leave this to us."

Liu Chong did not let Wu Xiaofu in and spoke directly, but Wu Xiaofu did not stop.

"I'm Wu Xiaofu from the First Affiliated Hospital of Donghai University."

Wu Xiaofu!
The other medical staff from the airport medical team who came with the car also hurriedly said, "This is Dr. Wu Xiaofu from the First Affiliated Hospital of Donghai, not from our airport medical team."

Liu Chong also knew Wu Xiaofu, and he couldn't help but raise his eyebrows at this moment, and immediately stopped trying to stop him.

Yu Shifu followed closely behind, "I'm Yu Shifu from the First Affiliated Hospital of Donghai. Let's prepare the operating room first."

Yu Shifu!
Liu Chong's face became even more serious. In the hospital, Yu Shifu had more face than Wu Xiaofu. "Okay, the operating room is ready and can be used at any time."

Liu Chong gave a wink to the head nurse who came over to greet him, and then entered the emergency room. After all, rescuing the patient was the most important thing now.

The head nurse was also excited at this time. The vice president of the First Affiliated Hospital of Donghai City came. He was an academician, the kind that their president had to welcome personally.

(End of this chapter)