Back in 2002 as a doctor

Page 487

Director Miao has learned a lot today.

As Zhang You said, all 12 operations were completed before lunch, and the speed was even more exaggerated than what Zhang You described.

Zhou Congwen turned around and stepped off the stage, walked up to Mr. Huang, and asked a little complacently, "Boss, I'm doing okay."

"Not bad." Elder Huang raised his eyelids to glance at Zhou Congwen and said lightly, "Just pay attention to safety, there is no major problem in the overall process."

"Hey." Zhou Congwen smiled happily.

A compliment from the boss made Zhou Congwen happier than being number one in the world.

"Boss, go down and watch the patients go to eat. I ordered chicken feet for you."

When it comes to chicken feet, Huang Lao's face is wrinkled with a smile, and he is beaming.

"Deng Ming, don't talk about going back." Huang Lao got up, walked out of the operating room with his hands behind his back.

The door of the operating room was hastily opened, and an itinerant nurse beckoned, "Turn around carefully!"

"Are you coming to the emergency room at noon?" Mr. Huang glanced at it. Although he was far away from the door, he habitually stayed close to the wall so as not to block the way of the emergency flat car with his own appearance.

Zhou Congwen said next to his boss, "Boss, I've been here for a few months, and I'm not used to going to the emergency department anymore. The emergency department is really tough. Last time you..."

As soon as I said this, a doctor in white clothes rushed in with a ninety-degree drift pushing a flat car, and he looked like a veteran.

Zhou Congwen shut up immediately, he noticed that the patient's skin was pale, and bright red blood was bubbling from the neck.

The trauma should not be the carotid artery, otherwise the patient would not be able to make it to the hospital.

"Ding dong~" the sound of the system task sounded.

[Emergency task: neck...]

Zhou Congwen frowned, what kind of trouble is this little guy in the system doing.

However, the color of the system panel is a bit weird.

Judging from Zhou Congwen's experience, most of the emergency tasks are bright red, but the tasks announced this time are red with white, and even the originally clear emergency tasks are very weak.

Not a problem with the system, this color means that the patient is about to die.

Zhou Congwen concentrated on seeing the patient being pushed into the emergency operating room, so he followed.

But Zhou Congwen was still a step too late. His boss straightened his waist and walked over. His gait could not be said to be vigorous, but it did not have the grand old manner before.

"boss."

"The situation is wrong, did you find Zhou Congwen?" Huang Lao said softly, straightening his back.

"A wound on the neck, but the pressure of the blood doesn't seem to be high, it doesn't look like a carotid artery. But the color doesn't look like venous blood, which is a bit strange." Zhou Congwen said.

"People seem to be alive, so it shouldn't be the carotid artery." Deng Ming said.

The three of them followed the flat car into the emergency room while talking.

The patient was carried to the operating table, the anesthetist placed a deep venous channel, and the colloids were placed row by row. The roving nurse shouted for someone to send blood samples, while she quickly installed electrode membranes and connected ECG monitoring.

The blood pressure displayed on the ECG monitor was very low, 60/30 mm Hg.

However, the anesthesiologist is very skilled in his technique. Against the tight time, he established the deep vein channel straight to the point, and the deep vein tube went directly to the superior vena cava.

Connect the tee, hang three colloids in one breath, hit the maximum amount of liquid, and pour it into it in a slippery manner.

At the same time, a tube of blood sample left by the anesthesiologist during the puncture was also sent away. Zhou Congwen could imagine how busy the blood transfusion department would be soon.

The patient is very weird, and what is even more weird is the system task. Zhou Congwen looked at the patient carefully, and there should be no major problems.

As long as he was still breathing when he was sent to the hospital, Zhou Congwen was [-]% sure of getting him back.

What's more, now that I'm standing here with my boss and Director Deng, it should be fine.

Is the system draining water?

No, Zhou Congwen's brows became tighter and tighter. He suspected that there was something wrong with the patient, but he couldn't tell what the problem was in his eagerness.

Glancing sideways at his boss, Zhou Congwen always looked at his boss habitually when he couldn't find an answer.

But this time it was obvious that the boss also encountered a problem. Instead of holding his hands behind his back, he hugged his chin in front of him and looked at the patient.

The anesthesiologist gave a small amount of sedatives, followed by muscle relaxants.

Just as a tube of muscle relaxant was pushed in, the anesthesiologist made a gesture to ask the assistant to prepare for endotracheal intubation.

He just looked up at the ECG monitor, when the patient's blood oxygen saturation dropped to about 50% like a cliff.

The anesthesiologist wanted to change the position of the fingertip blood oxygen saturation clip. He estimated that it was a problem of test error.But before he could take any action, the patient changed.

The face that was originally pale as paper suddenly swelled up at a speed visible to the naked eye, as if the intracranial pressure was extremely high, and the eyeballs were pushed out, and the bulging looked extremely scary.

The patient's facial features were distorted, and his face turned from white to red, then to blue-purple, and finally to black, in less than ten seconds.

Then the patient's tongue sticks out.

It was as if a rope was stretched around the patient's neck in the dark, and an invisible person pulled it back forcefully.

This is what a hanged ghost looks like!Zhou Congwen was startled, and instinctively looked for the blade.

Just when everyone was dumbfounded and didn't know what happened, Mr. Huang picked up the 50ml syringe on the anesthesia cart, tore off the outer packaging, and took the needle directly through the patient's cricothyroid membrane and pierced it into the airway.

Zhou Congwen didn't have time to think about it, he turned around and grabbed the surgical incision kit that the equipment nurse had just brought, and shouted, "Blade!"

"That's for surgery..."

The equipment nurse didn't know what happened yet, but Zhou Congwen's roar woke her up, and she glanced at the patient. The equipment nurse almost fainted from fright.

I have seen blood in the operating room, but who has seen a person who was "strangled to death" by an unknown person in the operating room!

When the patient was pushed in, he was in typical hemorrhagic shock, and the equipment nurse could see it clearly, but now he has changed!

This is not what patients with hemorrhagic shock should look like, and equipment nurses are also experienced in the field, and this syndrome differentiation can still be done.

She even wondered if the ECG monitoring line was wrapped around the patient's neck in a hurry just now, causing the patient to be "strangled to death".

If that's the case, it's fucking fucked up.

However, the equipment nurse observed carefully, but did not see the wire. There was only a "hissing" sound from the needle of a 50ml syringe on the patient's neck.

"ssssssssssssssssssssssss out~"

Gas hissed out from the needle of the 50ml syringe, Mr. Huang took a deep breath, but Deng Ming took the needle of the syringe.

Old and frail, this kind of work is indeed not something Huang Lao can do.

Deng Ming took a deep breath and blew a breath into the needle.

Even the needle of the 50ml syringe was very thin at this time, and Deng Ming blushed from holding back, and only completed a "artificial respiration" under constant pressure.

At the same time, Zhou Congwen had already opened the incision bag, put on sterile gloves, twisted the blade and cut it down.

Chapter 0837 Unparalleled Hemostasis

But Zhou Congwen miscalculated.

With the knife up and down, the tracheotomy was supposed to be done, but as the skin was cut, blood gushed out like turning on a faucet, and it couldn't be stopped.

Several people leaning against the patient were sprayed all over their faces.

Especially Deng Ming, half of his face was covered with blood, he looked hideous and terrifying, like a ghost just crawled out of hell.

"Zhou Congwen, you step aside and perform a tracheotomy." Huang Lao said tightly.

Zhou Congwen was taken aback. In his previous life, no matter how critical the situation was when he met his boss, his boss would rescue and treat him in a calm manner, and there would rarely be any changes.

But this time the boss's voice became tense, and it was obvious that the adrenaline secreted by the body was already too much and was about to burst out.

While thinking, Zhou Congwen turned sideways to make room for the boss, while he concentrated on completing the tracheotomy.

At this moment, both hemostasis and breathing are extremely important, and nothing will work without it.

Fortunately, the operation was performed here, and I, the boss, and Director Deng were all there. The young man's luck is really good.

This is definitely the first-class rescue team in China, if this doesn't work... then it's fate.

While Zhou Congwen skillfully performed the tracheotomy, he glanced at his boss's movements out of the corner of his eye.

Mr. Huang put on his gloves and stuck his fingers into the pool of blood.

He wasn't fast, but it took only 12" before he said softly, "Attractor. "

"What's the problem?" Zhou Congwen asked.

"The vertebral artery has been dried up." Huang Lao said.

"!!!"

"!!!"

"!!!"

Countless exclamation marks appeared in the operating room.

The suction device is connected, and at this time, I don't care about the aseptic and sterile, and the disinfection will be done later. It is the right time to stop the bleeding now.

A hissing sound of sucking blood came, and the truth came to light. Huang Lao pressed two fingers of his right hand deep into the muscle layer.

It was these two fingers that pressed the two ends of the patient's severed vertebral artery, temporarily stopping the bleeding and leaving a chance for rescue.

The anesthetist looked at Huang Lao's fingers in a daze.

The vertebral artery is so deep that there is little hope of seeing it in the supine position.

But Mr. Huang stretched out his hand in the moment, and pressed the aorta as fast as he could...

How did he do that? !

The anesthesiologist associates the few cervical spine operations in the orthopedics department...the patient's vertebral artery...local anatomy...

But no matter what he thought, he couldn't figure out how Mr. Huang did it.

"Prepare for anesthesia." Huang Lao reminded the anesthetist.

"Oh." The anesthesiologist was woken up, and realized that he was in an emergency room, and quickly put aside his doubts.

He was really shocked just now. In the past, his respect for Huang Lao was only on paper, but now it only took one movement, and it was deeply branded in his heart.

"Zhou Congwen, how is your level of vascular surgery?" Elder Huang asked.

"It's okay, by the way, is Director Jiang here?" Zhou Congwen looked around, not knowing who to ask about this.

"I'm here!" Director Jiang hurried in with the doctors under him, wearing sterile masks.

As soon as he entered the operating room, Director Jiang was dumbfounded.A strong smell of blood came over, and the whole surgery room was like Shura's hell, with bloodstains on the walls and roof.

And Deng Ming was the worst, half of his face was covered in blood, he looked like he had just crawled out of the dead.

"This is……"

"The vertebral artery is dry." Zhou Congwen used his boss's adjectives to describe the patient's condition, and then briefly described the patient's condition at that time.

"..." Director Jiang was taken aback, he looked at the patient, and then glanced at Deng Ming, "But why is this happening?"

"It is estimated that a large hematoma was formed after the trauma, and a relatively large pressure was formed locally." Zhou Congwen explained, "As soon as the muscle relaxant is given, the trachea loses the strength of the smooth muscle and is immediately compressed by the hematoma, entering a state of suffocation."

"..."

Everyone in the operating room was busy, but everyone listened to Zhou Congwen's guess.

Can you do this?

Even so!

There is an old saying - you can always see ghosts when you walk at night.

After working in the clinic for a long time, I can encounter all kinds of strange cases, just like the patient in front of me.

No one thought that the patient would have such a big reaction after taking the muscle relaxant, like a hanged ghost...

Zhou Congwen's explanation is reasonable, but unexpected.

"This should be just one of them." Huang Lao suddenly said, "I guess the patient has the absence of the contralateral internal jugular vein."

"..."

"After using the muscle relaxants, the muscle support is lost, and the internal jugular vein on the injured side is compressed by the hematoma, which blocks the return blood flow of the superior vena cava, just like the blood vessel blocking forceps used in your vascular surgery."

"The venous return to the head is blocked, and the blood stasis swells, which makes it appear as horrible as before."