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MTL - Since 1981 Health School-Chapter 364 Suspected rupture of liver and spleen
Chapter 364 Suspected rupture of liver and spleen
Chen Qi didn't say anything, and quickly touched the carotid artery of the wounded, nothing.
Checked the pupils again, they were already dilated.
He was done thinking about it, but he always wanted to try to rescue him, so Chen Qi pulled off the wounded man's clothes, crossed his hands and prepared to perform chest compressions.
As a result, as soon as I pressed it hard, it felt empty, and the chest wall was obviously sunken.
How can I describe this feeling? For ordinary people, it is a very scary and nasty feeling. Some people will be so frightened that they don’t know what to do, thinking that they have made some mistakes.
But for professional doctors, they understand that this means that the ribs of the wounded were all broken in advance, and the chest wall collapsed when pressed, which may have inserted ribs into the lungs or heart, and there is no hope of rescue.
Chen Qi shook his head, took off the middle-aged man's glasses, and gently closed his eyes, feeling very heavy.
The guest died in a foreign country without even knowing his name. There is no freezer in the mortuary of the Fourth Hospital, which means that the wounded can only be cremated at the fastest speed. It is estimated that the family members will not even see the last face.
"Border Alliance, Border Alliance~~~"
Bian Meng hurried over after hearing this: "Brother Chen, what's wrong?"
"Go and get the video camera in the operating room right away, and take pictures of every deceased person. It should be comprehensive. The clothes and shoes of the whole body, face, and shoes must be clearly taken. In addition, the relics of the deceased must be preserved so that the family members can claim them in the future. .”
"Okay, I'll go right away."
Chen Qi looked at the other wounded in the hall, and hurriedly shouted to the director:
"Old man, you should immediately identify all the patients, which ones are in urgent need of surgery, and which ones can be separated first. We can only rescue the seriously ill patients first."
"Okay, don't worry."
Chen Qi gave instructions to Zhou Liuxin, the chief medical officer beside him:
"Old Zhou, you immediately mobilize all the staff in the hospital to donate blood. Our blood storage is far from enough."
"I got it, Dean Chen."
At this time, Huang Ying also rushed in, "Chen Qi, how is the situation now?"
Chen Qi briefly reported:
"Currently there are 25 wounded, 5 of whom are seriously wounded in shock, and 3 of whom are preliminarily judged to be dead. I have asked the border alliance to take pictures of their faces. If no one comes to claim them tomorrow, they must be cremated quickly."
Huang Ying was taken aback: "I have already called for rescue, and the People's Hospital and the Second Hospital are already on their way here. What should we do now?"
"In this way, you and Section Chief Zhou will command at the scene. Director Bian and Director Ma and I will go into the operating room to rescue the seriously injured. We will work together in a division of labor."
While speaking, a woman with blood on her head suddenly screamed not far away:
"Aqin, what's the matter with you, Aqin?"
This wounded man named Aqin was the little girl Chen Qi picked up from the ditch.
At this time, the little girl was already awake, but the severe pain made her cry continuously. The painful scene of the mother and daughter hugging their heads aroused the unbearable pain of all the medical staff.
At this time, Yu Yaqin, the director of obstetrics and gynecology who participated in the rescue, said regretfully:
"This mother and daughter are really unlucky. They are not the passengers in the car, but the villagers of Ruan Si Village next to them. The family conditions are very poor. The mother and daughter pick some vegetables every day to sell in the town. Somehow, they were hit by a car. ,Ugh."
Chen Qi knew that this was not the time to be merciful, so he quickly shouted at Yang Tihao:
"Why haven't you checked this little girl yet, and sent her to the B-ultrasound room immediately. She probably has a ruptured spleen. You have to act fast, she won't last long."
The People's Hospital moved quickly, and a minibus drove into the Fourth Hospital at a drifting speed.
As the most powerful hospital in the region, it often needs to support local hospitals in outstanding situations, so a full set of tools is ready, and as soon as there is an order, get in the car and rush to it.
Zhu Huoyan was the first to jump out of the car, and rushed into the hospital hall in a familiar way. When he saw the wounded all over the place, he gasped. :
"Chen Qi, how is the situation now?"
"Mr. Zhu, you are here. The current situation is very grim. We don't have enough operating rooms, surgeons, and blood stocks. At present, the death toll has increased to 4 people, and 8 people are seriously injured. Their lives are in danger at any time."
There are only 3 operating rooms in the Fourth Hospital of Yuezhong University, and only 3 operations are allowed to be performed at the same time, but the seriously injured can't wait at all.
Zhu Huoyan has experience in this field:
"I brought all the orthopedic surgeons, as well as a lot of surgical instruments and medicines. Now you immediately arrange a few wards as temporary operating rooms. Chen Qi, how dare you work in a rural health center with worse conditions during your internship?" Field surgery, do you have confidence now?"
Chen Qi immediately straightened his chest: "No problem, I will try my best."
At this time, Yang Tihao ran over quickly: "Dean Chen, the B-ultrasound room reported that the little girl named Li Qin had a ruptured spleen and suspected liver rupture."
At this time, the little nurse Song Jiening who was monitoring was also shouting: "Her blood pressure drops and her heart beats faster, Dean Chen."
Chen Qi was about to say something, but Zhu Huoyan interrupted him,
"Liver and spleen rupture, this operation is very difficult. If you can't race against time to stop the bleeding, the wounded may not be able to be rescued. You have been doing cleft lip repair and hand surgery. If you don't touch the liver and spleen, don't take risks. So this machine I'll do the surgery, you see."
If another doctor said that, Chen Qi would definitely kill him. After all, liver, gallbladder and spleen were his specialty in his previous life, how could he not understand?
But when Zhu Huoyan said this, Chen Qi was convinced, because this was the teacher's love and care.
"Okay, then, Mr. Zhu, you will be the surgeon, and I will be the assistant."
Chen Qi was Zhu Huoyan's assistant when he was an intern at the People's Hospital. It has been so many years since he graduated, and this is the first time that the master and apprentice have cooperated.
Because of the special nature of the rupture of the liver and spleen, the operation can only be performed in the operating room. At this time, regardless of whether there will be cross-infection, two patients are squeezed into one operating room, and two operations are performed at the same time.
The patient in front had just undergone abdominal surgery, and before the fracture could be dealt with, he was lifted off the operating bed and placed on a temporary hospital bed next to him. Director Ma continued the operation.
The head nurse quickly changed the mattress sheet, and the little girl Li Qin was lifted up, and then the second operation began.
Chen Qi took out the customized high-end surgical instruments presented by Hanjiang Group that he treasured.
Zhu Huoyan picked up a few surgical instruments and tried them out, his eyes lit up:
"Hey, this feels really good, the weight is just right, and the seams are extremely precise. How about tens of thousands of dollars for this set of surgical instruments?"
Chen Qi smiled: "50,000 US dollars, no counter-offering, this is specially made for me, using the best special steel, I am usually reluctant to use it, it is too extravagant."
Zhu Huoyan thought of something and nodded: "Yes, you should keep a low profile now. If you take this set out, even a surgeon would be jealous."
(end of this chapter)