Chapter 530

Chapter 530 preperitoneal patch repair

After Chen Qun called, he went to the ward again and saw that the father and daughter, who were going to have a kidney transplant, no longer needed the operation he had expected. On the contrary, his father needs to change his kidney. This sudden reversal of the plot makes Wang Xu and his aunt obviously resist.

Even if they don't study medicine, they know that their young daughter is likely to wake up after removing the mercury pollution from their bodies. However, being a vegetative father for ten years is even worse. Any rational family member will make a reasonable choice as to which one to rescue.

It looks like the ball is in his hand again. In addition, for his father, kidney replacement is not a rush for a day or two. Let Chen Qun have a little time to consider how to treat him. What he wants to do now is to wake up the two patients together and talk about the others.

Chen Qun was discussing with everyone in the narrow clinic what plan to prepare next when he heard the phone ring suddenly.

"Dr. Chen, I have a comatose patient here. Most of his soft tissues are injured, and his abdomen is as hard as a stone. I'm afraid I can't save him alone. Could you please give me a look?"

"There's the man. I'll be right there!"

"No.3 operating room of general surgery department, the second floor opposite you!"

Chen Qun put down the phone and raised his eyebrows to Qi Hong, "don't you have some complaints about being excluded here? No one wants to help. Now there is a patient. Let's take him as the first shot. "

Qi Hong didn't say good spirit to pass white his one eye, "where did I complain? It's just that people give us all the dirty work and say it's our duty. It seems that they are not doctors? I wouldn't have come if I had known! "

Chen Qun was dumbfounded, and quickly comforted some runaway female school tyrants.

"In fact, we are angry for president Liu. Who let him say today that there is chaos and no organization here. Even the mud Bodhisattva has three points of fire, not to mention the largest hospital here! We don't have to worry so much, just do our duty well. Besides, I've told President Su about the Du family's father and daughter, which will lead to other things. We have to prepare for the worst when we are swept out of the house. "

Qi Hong chuckled, "in fact, I think you and President Liu are two bad luck stars. Who provoked you? This time, most of the bad luck is here. Even if Dean Liu has no idea, but sister Xin has plenty of ideas. Just wait and see the play. "

Chen Qun shakes his head, takes Zhou Lin and Zhao Xue with him and rushes to the operating room of the first Department of general surgery.

Three people with the fastest speed disinfection, into the operating room, but see the operation did not start. Wang Xu, wearing a mask, is doing abdominal CT for the patient. Seeing Chen Qun coming over, he welcomes him happily. He doesn't talk nonsense and introduces the patient's condition directly.

"The patient's body was traumatized by a large area of glass slag, bilateral femoral fractures, traction splints had been put on the ambulance, and intubation was carried out. Blood oxygen saturation can reach 100% during oxygen inhalation, but only about 30% without oxygen inhalation. After testing, there was no pneumothorax. Abdominal bleeding, more than one organ damaged

"It's OK. Let me do it. We'll... Rescue him together. Immediately transport two units of plasma, two units of whole blood, start large blood transfusion protocol, and then do a fast ultrasound test to determine which organ bleeding. The mobile CT machine has been moved away for a while. It's no longer needed. No. 10 scalpel

As soon as Chen Qunyi passed, he became an attending doctor. He took Wang Xu, the real chief resident of the hospital, as a second assistant and stopped the CT machine. Anyway, we have to open the abdomen to stop bleeding, so we can't use CT scan.

He generally said that he took the scalpel handed by the nurse and made a long vertical cut in the patient's slightly left position. A lot of blood came out of the abdominal cavity.

"It should be internal mesentery bleeding, liver fragmentation. Zhou Lin, come here and pull the hook for me. I'll repair the liver first. "

As soon as Chen Qun's words were finished, he put his palm directly into his abdominal cavity.

This barbaric act immediately startled the doctors and nurses in the room. What's the age of entering abdominal cavity directly with hands?

In a few doctors and nurses stunned, Chen Qun unhurried to the fool of Wang Xu command.

"Fast suction hemostasis, immediately transport two units of platelets!"

As Chen Qun spoke, he grabbed the suction tube from the nurse's hand and began to pump vigorously. Within a few seconds, most of the blood was pumped, exposing the intestines in the abdominal cavity.

"There's a hematoma in the pelvis. It's supposed to be a pelvic fracture and bleeding. Preperitoneal patch for repair immediatelyChen Qun side said, side of the hemostatic cotton gauze to the plug into the abdominal cavity, looks like a long time ago.

Wang Xu, as an expert in surgery, naturally recognized that Chen Qun's incision from the beginning was not random, but very particular. As for where to pay attention to and why to choose the position on the left, he could not say at all.

It's just that he vaguely knows that from Chen Qun's simple knife, he can see that the cutting technology he has been studying in recent months has a lot to do with it. It seems that he has found an unprecedented road in the fog. This road can't be taught concretely, it can only give the simple rules at the beginning, and then it can be played freely.

Wang xucai raised the first question, why did it follow.

Surgeons don't mean that the bigger the incision, the better. If the bigger the incision, the better. Wouldn't it be better to do an appendectomy and cut the patient's abdomen? Any incision is for the needs of surgery, only requires a slightly larger incision, convenient in this field of vision to complete all operations.

Chen Qun is not an ordinary doctor, but the top group in the world. His operation last night has shown us what it means to simplify the complex, and it's a great coincidence. However, at the first sight of the patient today, he gave a general judgment and dismissed an incision covering all the trauma locations for surgery.

It's just divine. It's a direct prediction.

Wang Xu remembered that he had studied the wound size of a lot of Chen Qun's patients these days, and came up with an idea that made him dare not imagine his own judgment. Chen Qun is the kind of simple and rough route that seems to be open and close, but in fact, he is meticulous, and he won't open an extra one centimeter incision. Any operation, at the time of his scalpel, has been in control of the overall situation.

This talent can't be trained by practice, but Wang Xu was able to see Chen Qun find the broken part of the pelvic bone in a twinkling of an eye. For the time being, he didn't carry out any rescue. He just gave drugs to control it. His two hands used titanium forceps to stop bleeding for a while, and then he started the most problematic liver suture.

For human organs, the liver is one of the most difficult to sew, probably only the pancreas can be compared with it. The reason is that the liver is fragile, just like a piece of tofu.

Wang Xu just watched Chen Qun complete the liver wound fusion in less than 10 minutes, which he couldn't finish in an hour, and found several pieces of broken glass, which completely eliminated the hidden danger of this kind of glass trauma.