Chapter 128 Is this the genius of the emergency department?
Wang Ping and others also noticed Xu Qiu's abnormality and asked, "What's wrong?"
Xu Qiu was silent for a moment, then said, "Give me a stool."
The crowd then realized that Xu Qiu had been squatting by the bed.
"I'm sorry, you're so calm, I forgot you can get tired..." Wang Ping showed an apologetic expression.
The circulating nurse quickly moved a stool over.
Xu Qiu's tense thigh muscles finally relaxed.
He glanced outside.
This emergency room has been completely blocked, and the operating room manager is still standing outside, looking inside with worry.
This is the first time to perform a major operation in the emergency room.
It's not that the emergency department has never encountered emergency operations.
But, at least they were all sent to the sterile operating room.
Now they can only operate on the spot, which tests not only the doctor's skills, but also the staff's daily maintenance of the emergency room, and...the patient's luck!
...
"Start the operation, we can't delay it any longer!"
The anesthesia director looked solemn.
The patient had lost more than 50% of his blood and was in a state of severe shock.
He exchanged glances with the chief of vascular surgery, who was in charge of the operation.
The latter nodded, and the chief of anesthesia stepped forward to perform intubation anesthesia.
Then, the chief of vascular surgery stood on the right side of the patient, staring at the patient's neck with a serious expression.
The key to the operation is to find the proximal blood vessels of the ruptured carotid artery and then stop the bleeding.
But the problem now is...
Where is the rupture!
It is definitely impossible to use various imaging equipment to explore it at the moment, and it can only be judged based on the clinical experience of the surgeon.
With experience, if Xu Qiusong finds the rupture within a few seconds, everything will be fine.
Otherwise, the patient may lie on this ordinary rescue bed forever.
Just as the chief of vascular surgery was thinking about the exploration steps,
Xu Qiu's voice rang out: "Go down along the sternocleidomastoid muscle, near the neck sheath, the carotid trunk."
The director of vascular surgery was stunned, and immediately reacted, asking incredulously: "Is this the rupture?"
"Yes."
"How do you know?"
"I felt it out."
Hearing this answer, all the directors in the temporary operating room looked strange.
Feel it out?
You can even feel the rupture... Are you an ultrasound machine?
The director of vascular surgery also found it unbelievable.
He had no idea at all, so he followed Xu Qiu's reminder.
He nervously searched for the carotid artery.
And Xu Qiu's hands were constantly adjusting with his movements.
The director was getting smoother and smoother.
This kind of assistant is really tacit!
What he was going to do, where the scalpel was going to cut, before he could speak, Xu Qiu immediately moved his hand away from the surgical field.
During the process, he still maintained pressure on the blood vessels in the neck, and only a small amount of blood inevitably spurted out.
Zizi---Looking at the pinhole-like blood flow spurting out from between the fingers, everyone took a deep breath, their eyes full of astonishment.
If it weren't for the splashing blood, they almost forgot that this was an extremely dangerous operation!
...
On the stage, the director finally opened the incision, and then explored deeper along the front edge of the sternocleidomastoid muscle.
Finally, he saw the neck sheath.
There was a 0.5cm damaged hole in the main trunk of the carotid artery here, and there were pieces of broken blood vessel wall fragments floating on the hole.
I really found it...
The director stared with his eyes, shocked.
Is this still a human?
This is the hemostatic forceps and ultrasound machine turned into a human!
"Prepare for suturing."
The director reminded.
Four or five hands reached in at the same time, some opened the surgical field, and some clamped the proximal end with non-invasive hemostatic forceps.
Xu Qiu finally felt that the impact force in the blood vessels was much smaller.
He reminded: "It's still spurting blood, we must hurry up."
The assistant in charge of clamping was stunned for a moment, and subconsciously said: "The effect of non-invasive vascular clamps should be better than manual hemostasis, there will definitely be no bleeding..."
The director ignored the assistant and replied to Xu Qiu: "Okay, I will do it as soon as possible."
"Yeah."
As soon as the voice fell, Xu Qiu gently loosened his hand.
Swish, swish, swish--
In an instant, the blood flow was like a snake that had lost its restraints, drilling out from various holes that the non-invasive hemostatic clamp could not seal.
The assistant widened his eyes.
Fuck, this hemostatic clamp is really better than the hemostatic clamp itself!
On the other side, the director's hand speed was very fast.
Although the carotid artery had been cut into irregular ulcers by the glass,
this did not stump him.
In a few seconds, the blood vessel line thinner than a hair shuttled several times, repairing the 0.5 cm wound on the main trunk of the carotid artery.
He was about to breathe a sigh of relief, but found that Xu Qiu's left hand was still on the patient's neck.
"This is..." The director was a little surprised.
"There is another wound."
"Another?"
The director didn't believe it. He tried to loosen the hemostatic clamp slightly and found that there was no bleeding.
"That's not right... There is no bleeding." The director was a little confused.
Xu Qiu said lightly: "The upper plane, the internal jugular vein."
The director was a little suspicious, but after the incident just now, he trusted Xu Qiu a little more.
He searched as he was told, and actually found a wound of about 1mm there!
The wound was very small and buried between the tissues. It was squeezed together just now, so there was no bleeding.
The director quickly dealt with it.
After the repair was completed, the director's back was covered in cold sweat.
If it weren't for Xu Qiu, this tiny bleeding point pressed under the tissue would not have been discovered.
Once the operation was over, after the patient moved, this small bleeding point would be relieved of pressure and burst into more violent blood flow...
The consequences would be disastrous!
"Thank you..." the director whispered.
He looked up at Xu Qiu.
His eyes were pure and his expression was focused. Is this the genius of the emergency department...
...
Released the vascular clamp again.
The carotid artery began to beat under the pumping of the heart.
The blood vessel was repaired!
Everyone breathed a sigh of relief.
Then, the director continued to explore the neck. He cut along the front three-quarters of the main trunk of the carotid artery and suddenly found that the thyroid gland here was also damaged.
"We have to call the director of thyroid and neck surgery..."
Before the director finished speaking, Wang Ping interrupted him: "Xu Qiu has called him in advance."
Behind him, another neatly dressed director came forward to deal with the thyroid gland.
Everyone looked at Xu Qiu at the same time.
What kind of judgment is this...
Just seeing the patient, he directly predicted which doctors from which departments would be needed? !
"Wait, what is Doctor Xu doing?"
When they looked around and found Xu Qiu running to the corner, everyone's expression was slightly shocked.
