Chapter 56

"The 65 year old patient had radiofrequency ablation only yesterday, with liver bleeding, chest water and right hemopneumothorax. I need Dr. Chen to be an assistant when I want to have a chest operation to stop bleeding. "

In the third operating room, a tall doctor quickly introduced the situation. Without waiting for Chen Qun to answer, he gave instructions to the nurse.

"2 units midazolam, 5 units morphine, femoral artery injection immediately!"

As he spoke, the scalpel in his hand quickly made a cut in the patient's right chest.

As soon as Chen Qun understood it, he knew that it was with his hemostatic technique that he had completed the operation. After all, if the liver is soaked with blood and water into the chest, you need to open the chest and abdominal cavity. The risk is doubled. In addition, if the patient has heart problems, the risk is doubled.

Before he fully understood, he listened to the second order from the chief surgeon.

"Mobilize all plasma in the hospital and prepare for blood transfusion!"

Chen Qun knew that his emergency operation yesterday was in everyone's eyes, so he thought of him in the most urgent time. After all, on the hospital operating table, it's always technology. It has nothing to do with all the positions.

As soon as the chest was opened, the blood gushed out immediately, infecting several pieces of hemostatic gauze prepared by the nurse in an instant.

As soon as the doctor saw it, he immediately looked at Chen Qun, "you try your best to stop the bleeding. I'll do it later. Prepare Argon Plasma Coagulant and put it into the bronchial obstruction device

Hearing a series of orders from the chief surgeon, Chen Qun quickly nodded his head to show that he understood. I know that this tall doctor should be Wu Hongming, the surgical director of the Red Cross Hospital, the most famous surgeon in the city, and the biggest trump card of the Red Cross hospital against the municipal hospital.

Chen Qun looked at the patient's chest and drowned the blood in his lungs. Without thinking about it, he immediately put his left hand into the patient's chest, "Dr. Wu, I still need a little vision, and the incision needs to be cut two centimeters down!"

"Well, you stand to the left, and I'll give you a new view!"

Wu Hongming, who was about to get out of the way, immediately listened, picked up the scalpel and cut a two centimeter incision from his ribs.

The blood immediately gushed out.

Without waiting for Wu Hongming to speak, Chen Qun's palms were stretched in a little, and the bleeding stopped.

Unarmed hemostasis is usually a skill that military doctors can master. I can't believe that a young man can practice it. I can't believe it.

Wu Hongming quickly got out of his way and became an assistant. He inserted the bronchial blocker into the trachea of his right lung.

"Right lung deflation"

"I'm going to deflate my lungs!"

Chen Qun and Wu Hongming spoke almost at the same time and gave the same order.

Wu Hongming was more and more relieved to know that the young doctor was indeed a genius rather than a boaster. He had a meeting in Lujiang a few days ago and came back yesterday. He happened to see the final work of his operation. He was much better than other doctors. Today, in an emergency, Ma Shang thought of asking him to help.

"Erythromycin, get ready! Electric knife ready

"No, Doctor Wu. I'll sew it up! Microscope

How do you sew one hand?

Wu Hongming looked at the palm of his hand that he put into his abdominal cavity. He had a question in his heart, but he didn't criticize or oppose it. Now there are still many quarrels, especially for young doctors. Some arrogance is understandable. After all, he pressed his finger on the other orifice, and the amount of bleeding was greatly reduced.

As soon as he thought about it, he decided to give it a roundabout reminder.

"How much blood has he lost, nurse?"

"Six packs of platelets, one plate of cryoprecipitated coagulation factor!"

"Let him warm up in the operating room, continue blood transfusion, make sure he can clot!"

As soon as he finished, Chen Qun, who was wearing a microscope in his left eye, bent his left hand into a strange shape and clamped two arteries at the same time. When he pressed another bleeding point with his little finger, he fixed the bleeding point with his remaining thumb and index finger. The right hand quickly sutured the bleeding point, and most of it was sutured in an instant.

The infiltrated blood in the chest immediately disappeared.

"Suction!"

Wu Hongming immediately issued another order, let the resident who acted as the third assistant suck the blood out of the chest.

The view of the chest gradually cleared up.

Chen Qun slowly squatted down and put forward another request, "lift the patient's body up a little, and I will sew the second bleeding point."

"Stop bleeding without electric knife?""It's close to the patient's blood vessel. The wall of his blood vessel is very thin. If it burns, it's bleeding. I'll sew it up!"

Chen Qun once again refused to stop bleeding with an electric knife and sewed up the second wound. Because the position was very backward, Chen Qun had to work very hard to sew each stitch, but in the alternating coordination of fingers that looked like an octopus tentacle, he used the speed of a normal person to sew up the patient's second bleeding point.

"Dr. Wu, the blood has stopped. You are the master of the operation!"

Wu Hongming looked at the stitches of the second bleeding point, almost speechless.

If he is in this case, he can't sew at all, but burn to stop bleeding, which will inevitably lead to the rupture of blood vessel wall. Just now Chen Qun asked for an extra two centimeter incision, which is actually for his preparation for suturing, not that he needs a larger vision.

In other words, when the young man put his left hand into the lower side of the patient's chest for unarmed hemostasis, he analyzed all the conditions of the patient and found out the best way to stop the bleeding. In an instant, he came to the conclusion that he needed two centimeters of space to suture.

If someone else cut another 10 cm, they can't sew at that position. The best choice is to make an incision in the abdominal cavity for a second suture.

This is not reasonable at all? What kind of doctor can give a solution at the moment of seeing the patient's condition? And implemented smoothly?

When will the science of medicine rely solely on talent and experience?

He was a genius of all the people. But he also went through a variety of trials, countless successes and failures, to create his current position.

Talent can only solve a certain technical problem. For example, those with good stitching skills often have only good stitching skills and can't find a position for surgery, let alone the ability to think globally.

If any doctor wants to develop this kind of thinking, it is at least after hundreds of surgeries. It is impossible for him to train after one or two surgeries. It is not uncommon for him to come up with a second plan in an instant. They are all famous doctors in China, at least over 50 years old.

Is he a reincarnation of an old military doctor?

At the thought of this unreliable idea, Wu Hongming shakes his head and looks at Chen Qun's cleaned chest. He says a word with mixed feelings.

"Good boy, let me take charge of the operation, don't you mean let me take a scalpel and watch it? You've done everything I've done. All right, all right, you'll finish the rest of the operation together! "

Chen Qun glanced at the chief director awkwardly. Knowing that he was being carefully studied, he slowly gave instructions, "gauze, hemostatic forceps, forceps, prepare normal saline."