Back to 1999: From operating surgeons to becoming a top doctor

Chapter 166

Soon, the citizens of Yingcheng spontaneously went to Shengli Hospital.

The streets and parks that were once bustling and noisy were now quiet.

The streets and alleys around the hospital were crowded with people, and the blood collection point of Shengli Hospital was crowded with people.

Citizens came to donate blood and draw blood in an endless stream.

They lined up in front of the blood collection window shoulder to shoulder, like several long dragons, filling the spacious hall.

At this time, the blood collection nurse in front of the window was skilled in each movement, and her hands turned into a residual image, registering, checking, testing blood, and drawing blood.

The movements were done in one go, as fast as lightning, almost one person in a few seconds, and repeated.

The number of citizens donating blood far exceeded imagination. Everyone waited patiently without noise. The hospital staff also worked tirelessly overtime to test and check blood under this high intensity.

All of them were working hard, with only one belief in their hearts, to keep Dr. Li alive.

......

In the operating room of Shengli Hospital, Xiao Chenguang has washed his hands, changed into surgical gowns, and put on sterile gloves.

He didn't know what happened outside, but now, Dr. Li's operation was imminent.

Originally, in the absence of blood transfusion protection, Xiao Chenguang had some concerns about this operation.

After all, open-chest surgery is much more complicated than conventional surgery.

Respiratory restriction, neurological anemia, blood embolism... Each of them will seriously affect Dr. Li's survival rate.

Now with Li Guoyong's call for blood donations throughout the hospital, plus the nearly 5,000 ml of plasma and red blood cells that were temporarily taken.

Xiao Chenguang gradually gained confidence.

No matter how strong a surgeon's ability is, sometimes these objective reasons will limit his performance.

"Xiao Xun, after checking, open two channels for plasma and red blood cells and infuse them at the same time."

"Turn the speed to the maximum. If it still doesn't work, increase the pressure to give blood and raise the patient's vital signs first."

Xiao Chenguang has asked Xun, who has checked the blood bag information, to hang all the blood on the infusion stand.

Under the illumination of the shadowless lamp, on the metal iron rack, there are a variety of glass bottles, plastic bottles, bagged liquids, Ringer's, compound, plasma, red blood cells and other crystal colloids, which are rapidly infused into Dr. Li's blood.

Due to his neck injury, close to the internal jugular and subclavian veins, conventional deep vein lumens cannot be indwelled. In order to maximize his blood volume and the use of vasoactive drugs.

Xiao Chenguang directly chose to place a femoral vein catheter at the root of his thigh.

Compared with other deep vein catheters, femoral vein catheters are much easier.

There is no need to consider the risk of pneumothorax caused by puncturing the subclavian, nor the situation of vascular malformation in the internal jugular.

There are some problems with infection rate and movement, but this is not the focus of consideration now.

Taking the deep vein puncture kit, Xiao Chenguang skillfully opened it and prepared the supplies.

The speed was very fast, and the operation was overwhelming.

Disinfection, positioning, touching the femoral artery, moving 0.5cm inward to confirm the femoral vein.

Oblique puncture, needle insertion, blood return, draw the guide wire, and connect the hose.

Fix, connect, open the infusion clamp, and the liquid is poured into the patient's body. The whole process is as smooth as flowing water and done in one go.

Wang Jingang and Xia Tao on the stage had seen him place a deep vein tube before, and their expressions were normal, as if they were used to his operation.

But the director of the anesthesia department was a little unbelievable at this moment.

The last time he returned to the office, he found that one set of deep vein puncture kits was missing.

Later, the anesthesia on duty said that when rescuing the firefighters, Xiao Chenguang used one set because of the condition.

The director of anesthesia was still a little surprised at the time.

After all, this is a new technology that their department is going to develop recently. I have just studied it and have not used it on patients yet.

How come Xiao Chenguang is one step ahead of him and disassembled the kit and used it?

The most important thing is that the anesthesia at that time said that Xiao Chenguang's proficiency in using the deep vein kit is as simple as inserting a catheter at ordinary times.

At first, the director of anesthesia didn't believe it.

Now it seems that this is not inserting a catheter. If you encounter unfamiliar hands or bad blood vessels when inserting a catheter, it may fail.

Now Xiao Chenguang's operation is just as easy as eating and drinking water at ordinary times.

No wonder Xiao Chenguang was specially approved as the technical director. This endless new technology is indeed worthy of the hospital's vigorous cultivation.

At this moment, with the use of a large-diameter catheter, 1500ml of plasma dripped out instantly, and Dr. Li's traumatic coagulopathy was improving little by little.

The remaining 10 units of red blood cells are also being infused intensively.

Only when the body's blood volume is restored can the necessary conditions for thoracotomy be provided.

"How are the blood routine and coagulation tests?"

"Hemoglobin 6g6, red blood cells more than 3, PT10, APTT22. "

"Okay."

Xiao Chenguang turned to look at Xia Tao and Wang Jingang and said, "Director, the blood has been replenished temporarily. Shall we start the joint operation?"

"No problem for me."

Wang Jingang nodded in response.

He pinched the blood vessels and controlled the strength. In fact, for him, the difficulty was the least among these people.

Because the bleeding point of the carotid artery had been found, and with Xiao Chenguang's emergency intervention, the incision had even been reserved.

All Wang Jingang had to do was to wait for them to open the chest and anastomose the exposed damaged blood vessels.

"No problem for me either. ”

Although the anesthesia director was amazed at Xiao Chenguang's operation, that was an area he was not familiar with. For the current tracheal rupture, he had discussed countermeasures with the anesthesia on duty.

By choosing a longer and thinner catheter, passing through the displaced trachea, the catheter was directly inserted into the tracheal protuberances of the left and right branches, and the airbag was fully inflated.

It temporarily plays the role of connection and fixation.

Although the thin and long catheter will be more difficult to use on the ventilator.

Low tidal volume, high airway pressure, and even the risk of atelectasis and low blood oxygen saturation.

But there is no way. Only by saving Dr. Li's life first can we consider other problems.

At this time, everyone's eyes were focused on Xia Tao.

Everyone understood what this operation meant.

Xia Tao had a complicated expression. It was precisely because it was an operation in this profession that he had seen more and encountered more difficulties.

But Dr. Li encountered such a big change, and he would not back down no matter what.

"Xiao Xiao, this operation is very difficult. I will do my best. If there is any problem, you can help me look at it. "

"Okay."

Xiao Chenguang nodded in response.

For a joint operation of this level, since the incident happened suddenly, the people present were all the directors of various departments, and there was no distinction between the main and the secondary in the traditional sense.

Many things and many problems need to be discussed together, because it is an emergency and there is no time for preoperative discussion.

At the time of the incident, Xiao Chenguang was the only one on the stage, so for this operation, everyone assumed that he was the leader and cooperated with each other to perform the operation.

"Prepare for thoracotomy, scalpel, electrocoagulation device, and medical electric saw."