Chapter 531

Chapter 531 rupture of external iliac artery

"Six small intestinal mesenteric lacerations have been sutured, and the liver is sutured in good condition. How many units of plasma and blood have been transfused to treat pelvic fractures by delivering a booster to the patient? Seven units or eight units? "

More than 30 minutes after the operation, Chen Qun finally took a breath of air and raised his head to inquire about the itinerant nurses around him.

"Only four units of whole blood, three units of plasma. Dr. Chen, your hemostasis speed is too fast. The blood in the blood vessel can't run away from you. I've been a nurse for more than 20 years. For the first time, I saw someone use traditional suture to stop bleeding faster than electric forceps. What a long experience! "

Aunt nurse expressed her shock to Chen Qun, but it caused a white eye of Zhao Xue. However, I understand why Chen Qun has to wait for him to come and have a look.

If we switch to other doctors to operate here, maybe the patient will not stop bleeding and die directly.

Because the patient's mesenteric six cracks, there are two very hidden, but Chen Qun was familiar to find out. Otherwise, multiple bleeding points will easily lead to more confusion, more confusion and more confusion, and finally the situation will be completely out of control.

What's more, if we switch to other doctors to sew the liver, we can't finish it in an hour or two. It's said that the doctor who worked as an assistant for Chen Qun last night will climb up the pole and directly ask Chen Qun to help with the operation.

Although Zhao Xue has been here for less than half a year, she knows all kinds of infighting methods in the hospital. If someone directly wants to send a doctor to perform an operation on the patient, the hospital can't object to it for various reasons. It will try its best not to interfere in the operation, so as to avoid wrangling.

If the situation does not permit and good doctors and nurses have to be sent, then most of them will choose doctors who have no mountain clique but have solid basic skills. On the one hand, it won't make the airborne boss resent that the hospital is tripping behind the back; Second, in case of any accident, these are abandoned children that can be abandoned!

These people are generally professional, mostly because of their strong technical ability, but they are not willing to be the younger brother of the head of the Department, or they are dull and don't understand communication. They are completely dumb. Most of them are the people who do dirty work in the major departments of the hospital.

Hospitalization can always be said to be their highest level. It is very likely that they will have to work until the group of people who suppress them retire.

In front of him, the general manager of the hospital was thrown out last night to set up a platform with Chen Qun, which shows that the operation ability is very excellent. Now from his performance as an assistant, we can see that he is countless times better than Zhou Lin.

What's more, today's affairs are very strange. If there is a doctor at the top of the mountain, he will never turn to the temporary foreign aid for help. It's more important to say that he is not satisfied with what he has done, and it's more important to say that he has lost the face of the Mercy Hospital.

Wang Xu is not a fool. It must be that this operation is likely to be a black pot. If someone intends to clean him up, they will arrange those patients who are very difficult to rescue. If a patient is hospitalized, he will have to pick up if he doesn't pick up.

Compared with the occurrence of medical accidents, their little face is not important at all. Wang Xu should also know that the situation is critical, just temporarily took Chen Qun's thigh.

Zhao Xue knows that what she guesses should be some kind of truth. Maybe one of the inpatients will come to take refuge. Their days in the hospital may be a little easier. After all, all the shady moves that can't be put on the table are not a problem at all for Chen Qun. In addition to using surgery to treat people, the hospital really can't find any other suitable way to crowd them out.

Maybe, I can talk to Qihong sister and make up this guy for the time being. Let Xin elder sister take care of again, no one will continue to trip him.

"OK, the blood in the pelvic cavity has been disposed of, the abdominal cavity is dry, immediately carry out disinfection and cleaning, call the intensive care unit, and the patient will be sent up to warm up immediately."

"It seems that the blood pressure is a little high. Do you want to check it?"

Wang Xujian finished the operation so quickly, Kwai reminded. After all, this is his patient, and he is responsible for any problems. What's more, at this critical juncture, if he is a little bit careless, he will be out of the door.

"Well, you can close the abdomen and wait another ten minutes before we send the patient up. Do you have an electric blanket or a warm water bag placed next to the patient to keep him warm. As for the high blood pressure, I think it's because of the booster just now. "

Chen Qun agreed to come down next to him, knowing more about the general worry of being hospitalized. More than half a year ago, he was always more conscientious than this one. As a result, he also had problems.

What's more, this inpatient always went to an outsider for help. Needless to say, we all know that it's the smelly and upright doctor in the hospital who can't even find a superior doctor in an emergency.

Wang Xu saw Chen Qun agreed to come down, just more sent a mouthful of atmosphere, can't help asking."Dr. Chen, why did you give the patient a booster just now? Why is that?"

Chen Qun points to the reading on the screen and explains.

"You just told me that his SpO2 is 100%, which is not normal. Under the condition of oxygen inhalation, most of the normal patients are less than 100, so if there is a problem, it is absolutely the first time that the blood pressure starts to go wrong. The first thing to do is to give a little boost agent to avoid a sudden drop. This is a lesson I learned from thousands of operations. Too normal is not normal

This is a lesson from his heart. Three different patients in his simulation system space have all experienced this situation, followed by a complete collapse, adding a record of ten thousand people.

Wang Xu, however, nodded his head. He had seen several cases in which all kinds of situations were very good, but finally suddenly collapsed. However, what he is more concerned about is another problem. After all, now that all patients are rescued, the indicators are normal and a little different. This may be the best result. Naturally, he doesn't have to worry about it.

"Excuse me, Dr. Chen. At first, you made a big cut directly. At first, I don't know why, but I didn't know it was useful until you finished the operation. How do you foresee the situation in the patient's stomach

"It should be rich clinical experience! You say that the patient's stomach is as hard as a stone, which indicates a problem, that is, multiple bleeding. Naturally, a long hole is needed to quickly detect every problem. As for my choice of the left side, it's because the position here is easier for me and the operation speed is faster. Well, it depends on the feeling. It's hard to explain the situation very often. "

Chen Qun directly gave a very metaphysical reason, that is to follow the feeling.

Wang Xu didn't contradict the answer at all, let alone deceive Chen Qun. He thought it was true and continued to ask the following question.

"Dr. Chen, how do you judge that the patient's external iliac artery was cut off by glass?"

"Isn't that easy? It's only when a very important blood vessel is cut off that the abdominal pressure becomes very strong, and that's what happens in the beginning. We looked at the chest and there was no problem. The rest was the bleeding abdomen

This is Chen Qun's conjecture based on his rich clinical experience.