Chapter 322

Xia Gaofeng's face was dignified and asked, "how to treat it now? Have you had a blood transfusion?"

When Wu Peng saw Xia Gaofeng coming in, he was relieved. This is their backbone. He quickly explained: "director, we have been continuously rehydrating and giving blood transfusion. Now the blood pressure continues not to rise, or it will fall down as soon as it rises!"

Wu Peng's words made everyone feel a clatter.

This is a manifestation of active bleeding in the chest.

That is the so-called progressive hemothorax!

Wu Peng's words immediately made people understand that the patient's situation was a little dangerous.

What is progressive bleeding, which means that there must be rupture of large blood vessels in the chest, otherwise it would be impossible to bleed continuously.

Moreover, this progressive bleeding requires immediate thoracotomy and exploration to stop bleeding.

In this case, we must have someone to stabilize the morale of the army.

Xia Gaofeng, the chief director of cardiac surgery, stood up!

Xia Gaofeng was calm and dignified, but there was no panic. After carefully examining the patient's various conditions, he made a series of arrangements in an orderly manner and said to Wu Peng, "how much thoracic drainage? Give me the chest X-ray examination."

Wu Peng took the chest film out of the bag and replied to Xia Gaofeng, "chest drainage has exceeded 300 ml!"

"But after the blood was extracted through chest puncture, the blood accumulation in the chest increased rapidly!"

Xia Gaofeng looked at the X-ray, his face was dignified, and the shadow of pleural cavity on the X-ray continued to increase!

"No solidification?"

Wu Peng nodded: "no!"

Xia Gaofeng knew: "immediately prepare for surgery, thoracotomy, exploration and hemostasis!"

Wu Peng was stunned: "director Xia... Don't you wait for thoracic surgery?"

Xia Gaofeng pointed to the patient in the rescue room and asked, "who's waiting for him?"

A "who is waiting for him" made Chen Cang feel a tremor in his heart.

……

……

At this moment, we must perform thoracotomy, explore hemostasis, supplement blood volume in time and correct shock!

For the treatment of emergency patients, we can best see the ability and level of a hospital.

Soon after the consultation call, the doctors of cardiac surgery, orthopedics, cardiology, respiratory and thoracic surgery were all in place!

"Venous access established!"

"Rehydration completed!"

……

All the work is proceeding in an orderly manner.

At this time, a sudden news made everyone confused

"The patient is suffocating!" the nurse who is paying attention to the patient suddenly said.

With this sentence sounded with a trembling voice, everyone present couldn't help cooling his heart.

Suffocation

That's not good news.

Asphyxia for more than a certain time will cause hypoxia in the body, and when the brain is hypoxic for more than a few minutes, it will face irreversible brain damage, and even hypoxia in various organs.

The human body is just like countless living bodies, and oxygen is their nourishment. Their weak physique will starve to death in a few minutes.

In the human body, it is the necrosis of tissues and organs.

Suffocation?

Why is that?

Is it a foreign body obstruction in the mouth?

Like secretions?

Or phlegm?

Blocked airway?

Or

A terrible idea came to mind.

Tracheal rupture?

Accompanied by thoracic bleeding.

Caused by blood blocking the respiratory tract!

If it's the second, it's bad.

Xia Gaofeng quickly changed his face:

"Suck sputum and clean up oral foreign bodies!"

"Immediately open the chest to stop bleeding!"

"Repair the broken airway!"

……

A series of orders were issued in an orderly manner, and everyone entered the tense and busy work.

The most important thing in this operation is open chest exploration and hemostasis!

Thoracotomy exploration must be completed within the specified time to stop bleeding vessels quickly.

Suture the damaged airway!

At this time, a mouthful of sputum was sucked out.

The patient's breathing recovered again, and they couldn't help but breathe a sigh of relief.

But summer peak lacks frown.

incorrect!

There should be other reasons, not just phlegm!

Moreover, the patient's blood oxygen saturation is constantly decreasing.

Summer peak quickly issued instructions.

Although it's not that blood enters the trachea, but... This possibility can't be ruled out.

Now it's a mouthful of phlegm. What should I do next time if it's a lot of blood?

The doctors of thoracotomy and thoracic surgery are cooperating with Xia Gaofeng, and Meng Xi gives them auxiliary help.

The of thoracic surgery is a senior attending doctor in his thirties and sixties.

Soon, the thoracotomy is finished!

I don't know how many pieces of gauze have been used, piled on one side of the surgical towel, and the blood in the chest even has to be pumped and washed with a syringe.

Soon, a bleeding hole was found!

There is a contusion and laceration on the aortic arch, and the blood is constantly emerging. The ejected blood can just reach the damaged tracheal orifice, which may cause asphyxia under the joint action of phlegm and.

Next, the main tools focused on the broken aortic arch!

The suture needs to be completed in a very short time.

This kind of rupture is too troublesome to ligate blood vessels.

Xia Gaofeng had a quick eye and hands. He quickly blocked the blood vessels, and the amount of bleeding was much better.

Manual hemostasis.

Next, the blood vessels need to be sutured.

But... The time of aortic repair and suture is too short.

Now the summer peak has been very difficult to do.

Surgery is indeed more experienced as we get older, but we also face all kinds of problems caused by aging.

But who will do it?

Who will sew it?

This is a difficult problem.

After looking at Meng Xi, she shook her head seriously and said, "I can't! In a short time... I can't sew well."

Xia Gaofeng glanced at GE Huai, but when he saw Ge Huai's hesitant eyes, Xia Gaofeng immediately shook his head and denied it before asking for a word!

Turning to look at Chen Cang, he solemnly said word by word: "Xiao Chen! You sew!"

As soon as the words came out, the surroundings suddenly became quiet.

Let Chen Cang sew the aorta!?

Who is this man?

The clothes are obviously the intern's white coat.

Director Xia... It's too risky to let a student sew it!

Thinking of this, everyone's face changed.

This is not an ordinary operation. It is an operation that cures the sick and saves people.

It's an inadvertent life-threatening aortic suture.

Is it too hasty for you to let a student do such an operation!?

But... This is Xia Gaofeng's instruction!

As the person in charge of this operation, this is the highest instruction on the operating table this time.

Chen Cang did not hesitate. Various red names had begun to form in his eyes.

More than one blood outlet!

But the biggest one is on the aorta, which is the main reason.

Chen Cang was very calm, without a trace of wriggling. He took the suture and looked at Xia Gaofeng: "director, I call 1... 2... 3, you ligate!"

Xia Gaofeng nodded!

At this moment, everyone was watching this operation nervously!

nervous!

Suffocation!

Everyone took a deep breath and waited for the operation to begin.

They really want to know what is willing to let director Xia favor a young man so much.

Have a student sew up the broken aortic trunk.

Because... The faster the aortic suture, the better!

There is no fastest, only faster!

But again, the closer the aorta is, the better.

As the largest blood transportation hub of the human body, it is one of the most active places for blood. It must be carefully cared for and the suture must be firm!

Therefore, this suture is of great significance and full of difficulty!