Start From Emergency Doctor

Chapter 245

Mao An’s situation was similar to that of Zhihui before, but his spleen was ruptured.

However, compared to Zhihui, Mao An’s spleen was more severely ruptured.

Hemorrhagic shock combined with rupture of the spleen is a more critical situation.

There are many structures called sinusoids in the tissue of the spleen. Normally, the sinusoids store part of the blood in the sinusoids. When the human body loses blood, the spleen will cause the sinusoids to contract and release the blood stored in the sinusoids. To the periphery, to replenish blood volume.

Not only that, there are also a large number of macrophages attached to the blood sinusoids, which can swallow aging red blood cells, pathogens and foreign bodies…

But at this time, Mao An’s spleen suffered severe trauma…

The human spleen is located on the upper left side of the abdominal cavity, opposite to the 9th-11th ribs, and the long axis is consistent with the 10th rib.

On the other hand, Mao An’s left hand rib was hit by a car and the rib was inserted into Mao An’s spleen, causing penetrating injuries, causing severe spleen rupture and subcapsular rupture.

If the ribs are taken out, the blood vessels and tissues that are penetrated will inevitably release a large amount of blood, causing fatal bleeding.

Now, the only way is to perform a splenectomy!

“Has the patient’s family come?” Zhou Yuan frowned and asked.

In fact, family members should sign their names before going to the operating table, otherwise they are not in compliance.

But Mao An’s condition was too critical at the time and he had to open his abdomen to stop the bleeding immediately, otherwise it would definitely be a dead end. Zhou Yuan did not expect a penetrating injury to his spleen.

Removal of the spleen is no small matter.

The spleen is one of the peripheral immune organs and the largest lymphocytes in the human body. A spleen alone occupies 25% of the lymphocytes in the whole body.

If the spleen is lost, the cellular and humoral immunity of the body will be greatly reduced. Moreover, the spleen itself has some medically unexplainable mechanisms to fight tumors and inhibit the development of tumors. Once the spleen is removed, the incidence of tumors in Mao An will increase a lot. …

The immune function of patients after splenectomy is low, and their susceptibility to severe infections increases for life, and they are prone to acute fulminant infections, sepsis and meningitis. Although after a period of adjustment after surgery, the body’s immunity can be improved to a certain extent. Recovery, but it is basically impossible to recover as ordinary people.

This is no longer a question of unsuccessful surgery.

In general operations, family members are required to sign because they are worried that the failure of the operation will bring a series of troubles, and the doctor can bear it. As long as the operation is successful, there will generally be no problems.

However, the splenectomy affected Mao An during the second half of his life. After success, he became a susceptible population for the second half of his life. He failed and died on the spot.

It is absolutely impossible to avoid family members or the patient himself.

“I don’t know, there are a bunch of parents in the emergency department who are all looking after their children. I don’t know if their family members are here!” Zhang Ling said quickly.

“Hurry up and find his family! I will stabilize the patient!”

Zhou Yuan said, and took over the external drainage tube from Zhang Ling’s hand.(Read more @ wuxiax.com)

Zhang Ling ran out immediately.

Just out of the operating room, a large group of people gathered around.

“Doctor, how is my baby! Where is my baby!”

“Nurse, where do you perform the operation? I want to see if my child is on the operating table!”

Zhang Ling pushed everyone away and ran straight to the emergency department hall.

The emergency department is most afraid of accidents like this kind of children. Seven aunts and eight aunts will come to the hospital to accompany them. Once something goes wrong, the saliva of the family members can spray the doctors and nurses to death.

Zhang Ling picked up the microphone and shouted, “There is now a traffic policeman in the operating room. May I ask if the family of this traffic policeman is here! The family members should come to the nurse’s desk in the emergency department hall as soon as possible!”

There was no response after shouting twice, and Zhang Ling’s heart was cold.

No signature, how to operate?

Splenectomy, if the doctor does it without the consent of the family or the patient, regardless of success or failure, the patient has the absolute right to speak.

If it succeeds, the patient says that he would rather die than have the spleen removed. After the spleen is absent, the immune function plummets, especially in old age, and the patient loses his spleen, almost dying of all kinds of diseases.

It failed… the doctor killed someone without a consent form!

Once the patient takes the doctor to court, no matter what the outcome is, it is almost impossible for the doctor to win the lawsuit!

Just when Zhang Ling was about to rush back to report, a woman of about 30 years old squeezed out of the crowd and walked over.

“Traffic police? Are you saying that there is a traffic police in the operating room! Isn’t he called Mao An? He is my husband!”

Zhang Ling was a little surprised, and said: “The wounded has no identity certificate. We can only confirm that he is a traffic policeman! The only traffic policeman on the scene is him…”

“It must be my husband! My husband is on guard at Yanjing Primary School!”

Zhang Ling nodded, “Come with me!”

With that, he took Mao An’s wife to confirm his identity.

Before being sent to the operating room, Zhang Ling and others took pictures to prevent this from happening-it is impossible for the family members of the patient to enter the operating room, and it must be kept sterile.

“Husband!” Mao An’s wife was stunned when she saw the photo, and her eyes were filled with tears.

“Is this your husband?”

“Yes, it’s my husband…”

Zhang Ling nodded, “Your husband’s spleen is now pierced by ribs and has a penetrating injury. He can only undergo spleenectomy, otherwise his life will not be saved…”

With that said, Zhang Ling gave the informed consent form to Mao An’s wife.

A brief introduction to the consequences of losing the spleen, Zhang Ling was a little worried that Mao An could not hold it up, and said: “You have to hurry up. Your husband has already experienced a massive blood loss, and now he is hanging on to his life by transfusion and blood transfusion. Delaying it will be very dangerous. Maybe the spleen will be removed in the end and it won’t be saved.”

Mao An’s wife was stunned for a second, and directly signed the name on the consent form: “I believe you!”

“You must save my husband! I heard that my husband saved many children, you must save my husband back!”

Zhang Ling looked into the eyes of Mao An’s wife, feeling a little heartbroken, and said, “Don’t worry, we will do our best! Your husband is a great hero, and we will definitely save him!”

With that, quickly re-sterilized and entered the operating room.

“Zhou Yuan, it’s okay!”

Zhou Yuan nodded and said nothing.

As soon as Zhang Ling changed into the surgical gown, she heard a voice from Zhou Yuan.

“Ok, next step, remove the spleen.”

Zhang Ling was taken aback and looked at the nurse next to Zhou Yuan with a dazed expression: “Zhou Yuan, did you start the operation without authorization?!”

Zhang Ling’s face turned pale suddenly.

This is something related to Zhou Yuan’s future. Once something goes wrong, the doctor’s career may be over…

She ran over in a hurry.

Zhou Yuan has completed the first few steps of the spleenectomy book, completed the dissection, exposure and ligation of the splenic artery, and is now in the process of removing the spleen….