Dumped At The Start, The First Surgery Shocked The World
Chapter 40 Within An Hour
What did you learn?
How to stroke the pliers, how to help you wipe the sweat...
Doctor Mu is embarrassed...
After the whole operation, he only supported the forceps, wiped off the sweat once for Xianxia, and helped to suture dozens of stitches.
"Cough cough."
"Xiao Xia, well done."
Patting Xia Xia's shoulder, Dr. Mu's face turned red.
At this moment, a little nurse rushed in and shouted to the two of them.
"Operating room 3 needs the help of two doctors."
"The patient's right foot was completely broken. It has been two hours since the amputation. The patient has been kept in an ice bucket. Dr. Li can't get down from the No. 5 operating room. Are you two okay?"
"If it's okay, please turn the platform immediately."
The two didn't say a word, and immediately rushed towards the No. 3 operating room.
operating room.
The patient has entered general anesthesia. The patient's right foot was completely severed from the ankle, the muscles were torn, the Achilles tendon, and the blood vessels were all ruptured.
Sudden.
Drop drop!
The detector flashed red light, blood pressure, and heart all tended to zero.
"No, the patient has ventricular fibrillation."
"What about Doctor Mu?"
Ventricular fibrillation is equivalent to cardiac arrest. The heart loses the ability to activate blood, resulting in ischemia of tissues and organs throughout the body, especially the brain, which is the most sensitive to ischemia. Once it exceeds 4 minutes, the brain will cause irreversible damage.
Beyond 10 minutes, patient survival is equivalent to zero.
The patient was in good condition before anesthesia and was relatively young. He was only 29 years old and had no history of heart disease. No one in the operating room had thought of ventricular fibrillation.
For a moment, Dr. Mu was stunned.
At this time.
Xia Xia rushed up and immediately gave the patient chest compressions.
Shout out to the nurse at the same time.
"A shot of amiodarone."
"quick!!!"
Summer's two-minute cardiac emergency after amiodarone injection
After two minutes, the patient gradually regained his heartbeat.
"Okay, okay, the patient has recovered."
The little nurse exclaimed.
Everyone in the operating room breathed a sigh of relief at the same time.
Summer doesn't look relaxed.
"The patient lost so much blood that he was in hemorrhagic shock and the operation had to be over within an hour."
"Otherwise the patient is at risk of secondary ventricular fibrillation."
"Doctor Mu, prepare for the operation."
The entire foot was broken. In addition to the bones, the Achilles tendon, nerves, and blood vessels all had to be connected. This was a very complicated operation. Dr. Mu had done three such operations, and the fastest one took three and a half hours.
An hour...he couldn't do it at all.
"no."
"In an hour, I can't complete the operation."
"The patient's condition is unstable and can be considered stable before continuing the operation."
Summer vetoed.
"The organ is isolated from the body, and the highest survival rate is within six hours. The patient has been delayed for two hours, and he has no more time."
"If he waits any longer, his feet won't be able to connect."
"The surgery must be done now."
Within six hours, the survival rate was the highest. As the deputy director of the Department of Orthopedics, Dr. Mu certainly understood this truth.
but……
The problem is, he can't do it.
He also wants to save the patient, but what can he do if he can't?
He frowned and said quietly: "The operation can't be completed within an hour."
"can be completed."
Xia Xia didn't say a word, went directly to the stage, and said to Dr. Mu: "Take four bone nails, and hit the bone nails first."
first step.
Bone.
The patient's wound is not crushed, and the fracture is complete. When connecting, only the broken bone needs to be connected with a bone nail.
Ding Ding Ding! ! !
In the operating room, there was the sound of hammers and nails.
Ten minutes later, four bone nails were struck.
Next, pick up the Achilles tendon.
Take a longitudinal incision 2 cm medial to the midline of the Achilles tendon, close the stump of the Achilles tendon at a position of about 30 degrees, and suture.
Eight minutes.
The last five stitches left, Xia Xia said to Dr. Mu.
"Doctor Mu, prepare for the suture of the blood vessels."
Two minutes later, the Achilles tendon was attached.
Dr. Mu found the fracture of the blood vessel. Since the blood vessels are many and relatively small, the two men sutured them at the same time.
Dr. Mu is 35 years old and has been a surgeon in surgery for 10 years.
He considers himself a top-notch stitcher.
A slender blood vessel only takes about three minutes. There are a dozen blood vessels, large and small. In half an hour, two people can connect all the blood vessels.
After suturing a blood vessel, Dr. Mu glanced at Xia Xia.
I saw that Xia Xia had already picked up the third blood vessel to be sutured.
He is very fast and steady.
His gaze was firm, without the slightest nervousness.
Like an emotionless sewing machine.
too fast! ! !
Ten minutes later, Dr. Mu sutured four blood vessels, and Xia Xia sutured nine, leaving the last slender blood vessel. Xia Xia did not say a word and sutured directly.
After a minute.
All blood vessels were sutured perfectly.
Xia Xia said: "Look at the blood flow."
to the most critical step.
The bones and the Achilles tendon are very easy to connect, but whether the foot can be saved depends on the bleeding. Since there is no inflow of blood, the broken foot has turned black and blue.
Thirty seconds later.
Dr. Mu was in a hurry.
"Why hasn't it changed?"
"Wait." Summer said.
Another twenty seconds passed.
Heiqing's broken foot gradually turned bloody, and the color changed to cyan.
"awesome!"
"Doctor Xia is awesome!"
"The feet are saved."
There was cheers in the operating room, and everyone was very excited. Next, there was the last step.
Get on the nerves!
If the foot is saved, whether it can be used or not depends on the recovery of the nerve.
"Doctor Mu, clamp the nerve fracture, and I'll suture it."
Dr. Mu strikes and sutures in the summer.
The nerves are slender and difficult to suture.
In addition to the importance of nerves to a person, Xia Xia was very careful when suturing, the speed was a little slower, and it took a full fifteen minutes.
Subsequently.
The torn skin is sutured.
The wound was sterilized, and the fracture was fixed with a splint until everything was done.
Xia Tian glanced at the time and said to everyone.
"The operation was over, and it took 55 minutes."
"Everyone is great."
In the operating room, life and death can be seen every day, but as medical staff, performing a successful operation and curing patients gives them a strong sense of satisfaction.
"Doctor Xia, you are the best."
"Thanks to Doctor Xia."
"Doctor Xia, there is another patient with a fractured tibia and fibula. Shall we turn the table with you?"
The little nurses in the emergency room looked at the summer one by one.
Summer smiled.
"sure."
"Doctor Mu, let's go together."
Operating Room 21.
Ye Zimo completed the first operation.
"The operation is over, and it will take one hour and 45 minutes."
Wang Boyi touted him: "Senior Brother Ye is amazing. The bone surgery was done in more than an hour. Ordinary doctors need at least three hours, right?"
I am really great.
Ye Mo is confident in his chest, but keeps a low profile on the surface.
"An hour and 45 minutes is not the fastest, it's just not bad."
"There are days outside the sky, and there are people outside people."
"In the capital, you can see all kinds of talented doctors. If you have the opportunity, you can go to the capital and you can meet them."
At this time, a little nurse said something lightly.
"You don't have to go to the capital, you can see it."
"Doctor Xia only took 55 minutes to set the bone."
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