Chapter 338

339 rebounding bullets

Chen Qun took the injured patient to the operating table. As soon as all kinds of sensors were installed, several screens immediately sounded a beep alarm.

"Hemoglobin down to 8!"

"Systolic pressure 53, diastolic pressure 11, she's dying!"

"Abdominal cavity showed a lot of fluid, it should be massive bleeding, need blood transfusion immediately..."

Several nurses reported the situation in Chinese and English at the same time. They also looked at Chen Qun, who was still calm. It seemed that he was gesticulating with both hands, standing in front of the operating table, looking up at the data on the screen, The palm danced up and down several times, then he handed down his head and ordered in an indisputable voice.

"Give me a scalpel and sternotomy saw, ready to open the chest first, Iron Army, strong, Hello, Zhou Lin, open the chest together. Zhao Xue, immediately prepare iodophor, to the left side of the back of the second and third ribs of the bullet shot out of the wound for disinfection

Zhou Lin hesitated for a moment, then put forward his own question, "do you want double surgery? I'm afraid I can't do it. What's more, the ultrasonic instrument hasn't been delivered yet. You can't be sure how many bleeding spots there are

Chen Qun looked at him with flying eyebrows, and his eyes were shining.

"Yes, although the instrument has not yet been delivered, the X-ray has determined the entry point and exit point of the bullet. We only need to make a simple geometric connection, and we can roughly infer how many organs were injured."

For him, this is no longer speculation, but an iron fact.

However, unlike usual, this time, instead of directly entering the system space and using various advanced equipment to check the patient's injury, he made a simple model analysis by directly using the two points of the bullet line he knew, and speculated that after the bullet was shot into the patient's pelvic bone, when the pelvic bone was broken into several pieces, it rebounded and flew upward.

The bullet lacerated the intestines in the patient's abdominal cavity, penetrated the spleen, then penetrated through the diaphragm, entered the thoracic cavity, passed through the left superior intercostal artery, and finally penetrated between the second and third ribs. In less than a second, the whole process caused multiple injuries to the patient.

After drawing a conclusion, Chen Qun immediately suspended his time and entered the operating room. He summoned a few team members to carry out tests and operations, with a completion rate of 93%.

Maybe this sudden massive hemorrhage is a difficult operation for other doctors, but it's not very difficult for Chen Qun, who is training for total visceral injury every day. Even if the bullet deviates a little bit, and then goes through the heart and shoots on the shoulder blade, he is 70% or 80% sure of saving people.

There is no other reason, only hand familiar!

Chen Qun returns to the real world again and is immediately questioned by Zhou Lin. If you change to another doctor, you may be furious and smash the forceps directly. But Chen Qun doesn't have such an idea at all. Instead, he thinks that Zhou Lin is mature and prudent and thinks for him.

Here is a foreign country. Even if the operation is successful, you may encounter trouble. If the operation fails, it will definitely cause great trouble. At least, you don't want to be a doctor all your life.

Chen Qunli raised the scalpel and bone saw in his hand and erected the bone saw in the air.

"Suppose this is the trajectory of the bullet in the human body. From the pelvic bone below, it rebounds, changes its trajectory, penetrates upward, passes through the intestine, liver and spleen, passes through the diaphragm, penetrates an artery, and finally flies out of the body. So, you open your chest immediately and deal with the second important artery. I'll deal with the massive hemorrhage of hepatopancreas

Fearing that Zhou Lin would be under great pressure, he immediately said, "you are only responsible for finding the location of the wound, and I'll do the surgical suture, because I'm fast!"

After Chen Qunyi explained, he took the iodophor from Zhao Xue and quickly disinfected the ribs. Then he picked up the scalpel and made a big cut between the ribs. A piece of blood immediately gushed out.

However, the number is a little less than that of the simulation space. Chen Qun immediately yelled to Zhou Lin and Tiejun, "there is no thoracotomy equipment here. You two open my ribs with your hands. I reach in to stop the bleeding with my bare hands and feel if the blood vessel is broken."

Iron Army just know Chen Qun said that he means great strength, quickly stood in the patient's head position, stretched out his hands, only buckled on the third rib, roared, "open!"

With his sudden exertion, his ribs were immediately pulled apart by three or four centimeters. Zhou Lin quickly learned from the Iron Army and clasped his hands on the second rib.

"Just use one hand. There is only one bone here. If you use one hand, you may break the bone!"

Zhou Lin secretly scolds himself as a fool. All the iron soldiers are blocked by the back ribs. It doesn't matter if they exert all their strength. But there is no resistance on my side. If I make a great effort, I will kill people. Quickly with his right hand a little hard pull, and pull away a distance of one or two centimeters.Chen Qun immediately put his right hand in, touched it a little, and skillfully grasped the superior artery at the tip of his finger. With two titanium forceps in his left hand, he neatly clamped the wounds of the superior arteries on both sides. Then he released his palm and told Zhao xuephen.

"You immediately aspirate the congestion inside, and then inform me, I'll do the vascular anastomosis and suture, and you'll prepare a liter of warm normal saline after heating. Remember, move fast, or these two men won't be able to support you for long. "

Zhao Xue took a little look inside and gave a suggestion, "suction just needs a straw to enter. They don't have to work so hard to open such a big gap. They can loosen it a little."

Chen Qun chuckled and nodded, "I'm so busy that I forgot that. You three should deal with the wound as soon as possible. I'll deal with the massive bleeding in the abdominal cavity. "

"But the position is not enough, Zhou Lin, you try to shrink on the operating table and give Chen Qun a place to come out."

"No, I can operate from the opposite position. Give me a bench!"

With that, Chen Qun bypassed the operating table, stood on a high stool handed over by the nurse, picked up the scalpel, and quickly made a big opening in the left middle of the patient's abdominal cavity.

For a few members of the team from China, there is nothing surprising about this knife. But for a few Mayo nurses in the operating room, they opened their eyes wide together, and their movements stopped together.

After all, the nurses who came to help were all elites and backbones with high professional ethics and full compliance with the Hippocratic oath. Naturally, they did not pay attention to Dr. Ford's warning. Their technology is not the best, but also the most professional group.

However, with more than ten years of nursing experience, they have never seen a knife go down and properly expose the internal diaphragm of the abdominal cavity, as if they had practiced thousands of times.

Chen Qun did not wait for a few nurses to see clearly. He picked up the small scissors in his hand and gently cut the red diaphragm. The technique was applied appropriately, just to the place where the effusion and congestion were surging up.

"Sea surface forceps, hemostatic gauze, Ouyang Yang, you immediately carry on the suction!"

Chen Qun issued the order in an orderly way.