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Free Web Novel,Novel online - All in oicq.net -> Romance -> Jinyi night tour Text Chapter 135 High Amputation
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- Update time: 2012-09-09
Operating Room No. 2 is the best operating room for observation. There were people standing everywhere. All the famous experts and professors from Zato City gathered here. There was discussion as to whether to preserve the patient's lower body.
"Everything below the waist was damaged. Fortunately, the blood vessels were ligated in time." Hu Dong analyzed.
"Well, one side of the kidney is good, but the other side is seriously damaged." Fu Jianwu, director of the Department of Urology, checked the patient's urinary system and said: "The bladder is ruptured, the prostate is ruptured, and they cannot be repaired. They all need to be removed."
"The ribs are fractured and there is a pneumothorax in the lungs. Only after the thoracotomy can we see the specific situation." Zhu Zeming also joined in.
"Comminuted fractures of the lower limbs, large soft tissue avulsion injuries, multiple fractures of the pelvis and hip bones. Penetrating pelvic injuries." said Wang Guxin, director of the Department of Orthopedics, Guo Jingjing's mentor.
¡°The surface of the liver was ruptured, but fortunately it was all under the capsule and temporarily stable.¡± Liu Chun also appeared in the operating room.
""
Chief physicians from various departments have successively reported the results of their examinations. The conclusion is that not a single piece of this man is intact from top to bottom.
"Have you come up with a surgical plan?" Dean Li asked tiredly.
The voices of discussion were lowered. Everyone was undecided. If the leg is amputated, it will be a high amputation, which is rare in the world. Nothing below the waist. This means everything below the kidneys is removed. Even if this patient can survive, what is that? Human pig? He cannot go to the toilet and has no male characteristics. He needs to be equipped with artificial urination and defecation equipment. To put it bluntly, it doesn¡¯t even have a butt. After such an operation, humans are still humans. Can the person lying on the operating table still survive? The significance of this kind of surgery is not whether it can be done, but whether the patient can survive after it is done?
The operating room was silent. Even in a room with a very constant temperature, it felt extremely hot.
Suddenly, Yang Zongbao said carelessly: "The patient has respiratory failure, his blood pressure is not rising, and he hasn't urinated for several hours. If you can continue this discussion for half an hour at most, then we won't have to discuss it anymore."
This speech is undoubtedly a catalyst for the directors.
Suddenly the atmosphere among the directors changed.
Hu Dong didn¡¯t hesitate and walked directly to the operating table, with Liu Chun as his assistant.
The surgery is not complicated, it just requires cutting. Cut to a scene where all the doctors present felt helpless. This is challenging the limits of human survival with the fewest organs. Hu Dong had part of his intestine removed. Then he changed places with Liu Chun. Fu Jianwu also stood on the operating table.
"Wait a minute, let's go to the chest department first." Wang Liyang called from the side.
"" No one paid attention to him on the stage. Liu Chun was dealing with the rupture of his liver. Fortunately, the situation is not serious, and it does not require complete removal as long as it is repaired.
Seeing Liu Chun complete his operation, Wang Liyang screamed again. Gearing up: "It's our turn for the chest department."
¡°You don¡¯t want to undergo this surgery.¡± Director of Thoracic Surgery Zhu Zeming suddenly stopped Wang Liyang.
"Why?" Wang Liyang didn't have the slightest self-awareness.
What a joke. Just because of Wang Liyang's stubby fingers, the patient was lifeless when he came on stage. However, this man had not realized it yet. After being scolded by Zhu Zeming again, he said angrily: "Zhu Zeming, don't think I'm afraid of you. Why?" I can¡¯t go on stage, but you can.¡±
"Why?" Zhu Zeming didn't want to dwell on it: "Just because I am the chief director and you are a paid employee."
Wang Liyang was so angry that he couldn't speak: "Okay, okay, okay" He said three good words in a row and retreated, but he still couldn't bear to leave and stayed in a corner of the operating room.
After Liu Chun finished, Fu Jianwu from the Department of Urology took his turn to be the surgeon, and Hu Dong stepped down. Fu Jianwu didn't say a word when he came on stage. The patient's damaged kidneys, bladder, prostate and some urethras were removed as quickly as possible
Hu Dong didn¡¯t know when he came to Yang Zongbao¡¯s side: ¡°Xiao Yang, it¡¯s so fun.¡±
Yang Zongbao looked at Hu Dong strangely, wondering why this forty-year-old mature man suddenly lost his temper.
Sensing Yang Zongbao¡¯s strange look, Hu Dong hurriedly explained: ¡°I don¡¯t mean anything else, I just feel it¡¯s great to be with you.¡±
What made Hu Dong vomit blood was. Yang Zongbao deliberately distorted his meaning: "I am straight."
Hu Dong cried.
There were blood stains everywhere in the operating room, and Yang Zongbao and the others were constantly pouring blood into the patient's body. But the patient's body cannot hide the blood at all. As much as goes in comes out. This operation was also one of the bloodiest operations Yang Zongbao had ever seen. A normal adult contains blood?Probably seven to eight percent of body weight. The man on the operating table looks like he weighs about 70 kilograms, so the blood content in his body should be about 5,500 milliliters. In layman's terms, it's eleven pounds. But so far, Yang Zongbao has infused the patient with about 20,000 ml of fluid, including blood and saline colloid, which is nearly 40 pounds of fluid. But even so, the patient's blood pressure still could not return to the normal range. This means that if this situation lasts longer, the patient will basically die on the operating table.
"The patient's heartbeat accelerated, and the electrocardiogram showed pericardial effusion or myocardial infarction." Yang Zongbao's words aroused high tension among the directors. Since the operation reaches this stage, no one wants the patient to die, and everyone wants to create a miracle.
¡°But the treatments for pericardial effusion and myocardial infarction are different, and special diagnostic methods are needed to distinguish the two diseases. If you want to make a clear distinction, it is impossible in the current limited time.
Just when everyone was in despair, Zhu Zeming cursed: "Damn it." He asked Yang Zongbao for a venipuncture needle, estimated a rough range on the patient's body, and inserted the needle. Soon the blood burst out.
"Good luck, pericardial effusion." Zhu Zeming breathed a sigh of relief, but immediately said: "Open the chest immediately." Who Wan picked up the scalpel and opened the patient's chest.
It turned out to be pericardial effusion. Cut open the pericardium and a lot of blood will flow out. After the pericardium was opened, the heart was exposed. Sure enough, there was a small crack on the heart. Fortunately, it was small. If it had been a little bigger, the patient would have died on the way.
Because Zhu Zeming directly incised the patient's chest between the fourth and fifth ribs without removing the ribs. Now that the cause of the disease has been found out, the operation was too small and his hands could not go in and sew, so Zhu Zeming went directly to the patient's chest. The nurse asked for a rongeur to bite off the fourth and fifth ribs before reaching in to mend the wound on the heart.
With Zhu Zeming¡¯s actions, the patient¡¯s blood pressure slowly rose.
"Blood pressure is rising." Yang Zongbao reported.
"Okay." Zhu Zeming's voice was full of relief. Since the chest was opened, Zhu Zeming could not repair the pneumothorax.
"The patient's blood oxygen saturation is declining, you'd better hurry up." Because of the thoracotomy, the patient's left lung lobe has collapsed. Now the patient is only breathing on one side of the lung, so the oxygen content in the blood (blood oxygen saturation) ) has been declining.
"How much time?" Zhu Zeming asked.
"Half an hour is the limit." Yang Zongbao roughly estimated the time.
"That's enough." After Zhu Zeming said that, he got down to work.
Fu Jianwu also started to create a fistula, attaching a urine bag to the patient and fixing it on the abdomen.
Wang Guxin also started to treat the pelvis.
By the time Fu Jianwu had taken care of the urinary catheter, Zhu Zeming's heart and lungs had also been taken care of. Of course, suturing the skin would be replaced with a suturing gun. This saves time. Just press it on the skin like staples. .
"It's my turn." Hu Dong rubbed his shoulders and walked onto the operating table again, and began to deal with the patient's fistula problem. Because the anus cannot be preserved, the only way to solve the patient's excretion problem is to open the patient's intestines directly to the Above the abdominal cavity, it is not excreted through the anus, but in an artificial fecal bag.
Yang Zongbao has never seen Wang Guxin¡¯s surgery, and he looks very capable today. Although he is only about 165cm tall, he is very skilled and decisive in his work. Since the body parts below the waist have been completely abandoned, the surgery is much simpler. You only need to directly saw off the nerves and blood vessels after processing them.
Orthopedic surgeons generally have hands that can separate muscles and bones. They are familiar with the deconstruction of bones and can quickly carry out destructive actions. The principle is the same as that of a chef deconstructing an ox. There is no difference in body structure between humans and animals, they are all living creatures.
Since Zhu Zeming solved the patient's pericardial effusion problem, the patient's condition began to improve. Although he is still very weak, he can still survive with the help of machines.
Ten hours have passed, and the operation continues. The blood transfusion volume has reached nearly 40,000 milliliters. Every place in the operating room that can be stood is covered with blood-stained drapes.
Fifteen hours later, Wang Guxin was still operating, and Hu Dong helped him.
Twenty hours passed, and no one left the operating room. As the operation came to an end, an indescribable atmosphere filled the operating room.
There is only one spinal column connecting the patient's upper and lower hips. Wang Guxin peeled off the skin from the patient's buttocks and waited for the back spine to be cut off so that he could wrap up the patient's abdominal cavity.
The back section of the spine is the most difficult to cut because there are many nerves in the spine.? is the first place in the human body that controls basic breathing movements, so be careful. If too much cerebrospinal fluid leaks accidentally, the patient is likely to suffer from brain herniation and die.
"How is the patient's condition?" Wang Guxin asked Yang Zongbao.
"It can last for a while." Yang Zongbao looked at the monitor and said.
"Okay. Now push the C-arm machine over." Wang Guxin said.
Yang Zongbao knows this. Half of the spine surgeries require a mobile CT machine, except that the C-arm machine is C-shaped and can surround the patient in all directions to check the spinal condition.
Yang Zongbao quickly got a set of radiation-proof lead suits and got fully armed. The directors who didn't get the clothes were secretly worried.
Just when Yang Zongbao didn't know why, Hu Dong got off the operating table and floated to Yang Zongbao and said: "Director Wang is a C-arm machine madman."
"Why" Before Yang Zongbao could finish asking, there was a beep, and Director Wang Guxin, who was not wearing radiation protection clothing, stepped on the first C-arm machine.
"Ah." Because he had just stepped down, Hu Dong did not grab the radiation-proof lead clothing. Now Director Wang stepped on it. Hu Dong screamed and hid behind Yang Zongbao, shouting: "Kill, fine, kill, fine."
"Don't you have a child? This is natural contraception." Yang Zongbao said angrily.
"You are not kind, do you want me to become a eunuch early?" Hu Dong said angrily.
Although the two of them spoke very softly, they were still slapped by Wang Guxin. - Didn't finish reading? Add this book to your favoritesI'm a member and bookmarked this chapterCopy the address of this book and recommend it to your friends for pointsChapter error? Click here to report
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