Chinese medicine: When you do things to the extreme

Chapter 193: More perverted (Subscribe)
"Then you should go back to the hospital immediately!"

"Huang Xianming called me just now. There were several very difficult emergency cases in the department, two of which we couldn't handle." Tan Zhongyu's voice sounded slightly annoyed.

"Master, is it possible that Professor Ding Xiao and Professor Du Zhonghua are not in the department?" Zhou Yanqing asked with some confusion.

"Here!~"

"Du Zhonghua is already on stage!"

"Ding Xiao?"

"Forget it, go back to the hospital and see what's going on."

"How long have you been landed?" After all, Tan Zhongyu still cared about Zhou Yanqing's personal issues.

"Master, I just landed an hour ago and am eating now." Zhou Yanqing replied truthfully.

"Pack it up and eat on the way!" Tan Zhongyu quickly thought of a compromise.

Zhou Yanqing said yes when he heard that.

Then he looked at Chen Yu opposite him apologetically and said, "There are several patients in the department. I need to go and check on them. My master is not in the department."

"Xiao Shitou, let's pack some food. You take one portion and I'll order some takeout first. We'll have it as a midnight snack after your surgery is done."

As Chen Yu spoke, several takeout boxes appeared in his hands.

It turned out that when Zhou Yanqing called just now, Chen Yu went to get the take-away box.

Zhou Yanqing filled half a box of lunch and half a box of vegetables.

Chen Yu packed all the remaining dishes using four large round boxes and one square box.

To celebrate Zhou Yanqing winning the special prize, the two ordered six dishes, four of which were staple dishes.

I took a taxi before going out, and when I arrived at the door, Zhou Yanqing and the other person got in the car.

The moment Zhou Yanqing looked at Chen Yu, Chen Yu said, "I'll take you to the hospital first, and then I'll change the destination."

"Or I can just go to your neighborhood. My luggage is there anyway."

Zhou Yanqing nodded, and then started eating in the car.

The driver didn't react for a moment, and said with a smile: "Brother, why are you taking food to eat in the car when you are sitting in the restaurant?"

"What's this new saying?"

"I have to go for emergency surgery. It's urgent." Zhou Yanqing said.

"Wow!" The driver looked back at Zhou Yanqing and saw that he was eating voraciously. He had finished one third of the lunch box while waiting for the traffic light for only half a minute.

"Okay, I know a few places where you can't take pictures, and I'll go around them for you then!" After passing the traffic light, the driver increased the speed to a very high speed and drifted on the road.

The situation was urgent. After Zhou Yanqing got out of the car, he went straight to the emergency operating room and called Tian Chao: "Tian Chao, which operating room?"

"Emergency Operating Room 5, Brother Qing, are you back? That's great."

Tian Chao was on the other end of the phone, and he said with great joy: "Brother Zhu, Senior Brother Zhou is back, Brother Zhou Yanqing is back."

Tian Chao used two titles in a row!
"Hurry up and get him over here." Ning Zhu's voice was trembling at this moment.

Zhou Yanqing replied: "I have already entered the locker room."

Then Zhou Yanqing hung up the phone!
If Tan Zhongyu's urging made Zhou Yanqing feel uneasy, then Ning Zhu's frightened tone made Zhou Yanqing feel that things were not that simple.

"Is my life in danger?" Zhou Yanqing murmured. He didn't even put his shoes into the shoe cabinet and ran in directly in his rubber slippers.

The old man guarding the locker room saw Zhou Yanqing and started to curse: "Put your shoes down, you fucking shoes... I'm mad at you..."

After Zhou Yanqing found his locker, he stripped himself naked and put on his pants first. After putting on his pants, he ran while putting on his clothes.

I only started wearing a mask when I went upstairs.

He put on his hat only when he reached the stairs.

He didn't even bother to clean up and went straight to the sink between rooms 4 and 5 in the emergency operating room to start washing his hands.

After stepping open the door of the operating room, I started to put on my clothes.

At this time, Zhou Yanqing asked: "Brother Zhu, what's the situation now?"

"This patient's mid-thigh was severed. I was planning to replant the limb, but his vital signs were unstable during the operation."

"There's no blood loss anywhere else!"

"This way, we can't stop it!~" Ning Zhu's voice was a little anxious.

The patient is anesthetized and the patient is outside.

"Is it a simple lower limb amputation? Should we ask the trauma surgeon to come over?" Zhou Yanqing suggested.

"What the hell are they doing? The emergency department is like crazy today. Someone nearby stepped on the brake instead of the accelerator and hit more than a dozen people."

“The trauma surgery staff are busier than we are.”

"One of our patient's legs fell into the blender. Fortunately, it stopped in time, otherwise we would not have the opportunity to perform the operation." Ning Zhu complained while eagerly waiting for Zhou Yanqing to come on stage to help him perform the operation.

When Zhou Yanqing looked at the stage, he saw that the patient's femoral artery and vein were constantly bleeding at the femoral sheath!

If Brother Ning Zhu had not stopped some of the bleeding in time, the patient might have really died.

Looking at the severed cross-section, it can be said to be a mess, but the other cross-sections of the patient's lower limbs are actually fine.

"Did it go into the blender?" Zhou Yanqing asked, puzzled.

"That's what the patient's coworker said. I didn't have time to ask more questions when I saw him."

"There are a few more patients who were sent here due to car accidents. Professor Du Zhonghua and Professor Ding Xiao have already come on stage."

"Teacher Huang Xianming is also on the stage, so I have to come up." Ning Zhu replied.

"Scalpel!" Zhou Yanqing shouted to his senior brother Ling Qiyuan who was standing opposite him.

"Here! Yanqing, what are we going to do?" Ling Qiyuan asked.

This is a very good case of a difficult and complicated disease. If you can understand it thoroughly, it will be of great benefit to your future career.

"Blood vessel exploration!" Zhou Yanqing said as he took the knife handed to him by Ling Qiyuan and cut into the remaining surface of the right lower abdomen. Following the direction of the groin, he directly cut open the skin and subcutaneous tissue.

Seeing Zhou Yanqing doing this, Ning Zhu frowned: "Yanqing, generally only trauma surgery and vascular surgery can be explored?"

"Can our hand surgery department explore the hematoma in the pelvis and fix it?"

In order to explore and treat a hematoma, one needs to have a certain level of hemostasis skills. Most operations in hand surgery are relatively straightforward, and they rely more on the proficiency level of suturing and basic specialized skills based on suturing.

There are very few times when the basic skills of hemostasis are really needed.

Trauma surgery is different. Trauma surgery attaches great importance to debridement and hemostasis.

"This is all we can do for now. Save your life first, then treat the disease!~"

"Has the trauma surgery department consulted with the emergency department for this patient?" Zhou Yanqing asked. Actually, he shouldn't have questioned Ning Zhu, but Zhou Yanqing was not present at the time, so he was not clear about the consultation process and sequence.

"I've had a consultation, and no problems were found!~"

"When I called again, no one in the trauma surgery department could leave."

"It's better for me to do it myself than to call a doctor over." Ning Zhu replied.

……

Zhou Yanqing didn't wait for Ning Zhu's answer and quickly cut open the femoral sheath and the structure under it.

The reason why Zhou Yanqing dared to open the abdominal cavity and explore the pelvis was because of the currently very powerful incision technique.

In the time it took Ning Zhu and the others to speak, Zhou Yanqing had already pushed the exposure of the layers into the abdominal cavity!
After opening the abdominal cavity, Zhou Yanqing saw a huge hematoma inside.

The hematoma is bright red and the fever has not subsided!

Seeing this scene, Zhou Yanqing said: "I suspect that the patient's lower limbs were torn off."

"But there's no point in pursuing these things now. We still have to stop the bleeding first!"

"Don't move!" Zhou Yanqing saw that his senior brother Ling Qiyuan opposite him was about to extend the negative pressure suction device as soon as he saw the hematoma, so he quickly stopped him.

Ling Qiyuan's attractor froze in mid-air.

Ning Zhu snatched the negative pressure suction device from Ling Qiyuan's hand, then looked at Ling Qiyuan and said, "Don't mess around!~"

Ling Qiyuan swallowed a few times, blinked, and did not refute.

After Zhou Yanqing picked up the tweezers, he asked several people to open the upper layer of the abdominal cavity with retractors, and the intestinal organs in the abdominal cavity appeared inside.

"Hemostatic forceps!" Although Zhou Yanqing was a little panicked, he was not that scared because he had a certain level of skill in hemostasis.

After getting the hemostatic forceps, Zhou Yanqing said to Tian Chao, "Tian Chao, call the chief resident of the trauma surgery department and tell them it's an intra-abdominal hematoma. They need to send another person!"

"Okay!~" Tian Chao immediately went out to make a phone call, not daring to disturb Zhou Yanqing's operation.

Intra-abdominal hematoma is one of the most dangerous diseases in orthopedics, and if not handled properly it may result in death.

Zhou Yanqing's hemostasis skills are also expert-level. He called the chief resident of trauma surgery and only asked him to come to the stage instead of asking him to save the stage.

The big brother's real strength may not be as strong as Zhou Yanqing's.

After Zhou Yanqing quickly flipped a few hemostatic forceps into the abdominal cavity, the blood seepage visible to the naked eye seemed to have slowed down a little.

"Brother Zhu, suck out the hematoma. Just suck out the top layer, not too deep."

"Avoid deeper blood clots and active bleeding. Once we open the blood clot, the bleeding will become more severe." Zhou Yanqing ordered.

"Okay!" Ning Zhu immediately understood what Zhou Yanqing meant.

Zhou Yanqing had to go deeper layer by layer like cutting a thousand-layer pancake, searching for possible ruptured arteries step by step.

This patient, as Zhou Yanqing said, appeared to have a regular lower limb amputation injury, and most likely suffered a pulling injury mechanism.

In other words, his soft tissue was stretched.

The proximal vessels below the femoral artery may be stretched, and of course, the femoral vein may also be included.

When he was admitted to the hospital, there was no major structural damage to the blood vessel wall. However, as the cracks in the blood vessels grew larger, more and more holes appeared in the blood vessel walls.

It was not until Ning Zhu came to power that a breach finally appeared in the blood vessel wall.

This causes a hematoma to slowly form in the pelvis...

There is more than one such opening.

If Zhou Yanqing had not arrived in time, the patient might have died suddenly on the operating table due to "unknown cause of illness".

"No active bleeding is seen!" Ning Zhu said after sucking out a layer of blood clots.

"Then continue moving forward and peel it off slowly." Zhou Yanqing said.

Zhou Yanqing's basic theory of trauma surgery is not as systematic as that of hand surgery, and his treatment of pelvic hematoma is not as professional as that of hand surgery.

At this time, he could only use his existing knowledge to slowly solve unknown theoretical problems.

At this moment, Tian Chao came back in from outside with a phone in his hand: "Brother, Brother Du from the trauma surgery department said he would be here soon."

No one on the stage was moved.

Because just after Ning Zhu sucked away the blood clot, leaving a gap that caused the blood vessel to spurt blood again, the first moment the hemostatic forceps in Zhou Yanqing's right hand pounced on it like a cat seeing a mouse.

The proximal end of the bleeding artery is then precisely clamped.

The operation is decisive and clean!
Ning Zhu swallowed twice and looked at Zhou Yanqing, as if he saw an afterimage.

"Brother Zhu, you continue and push forward slowly. You can leave the rest to me for now!" Zhou Yanqing said.

Ning Zhu was finally relieved after seeing Zhou Yanqing's operation, and began to continue to clean the hematoma in an orderly manner!
"The blood pressure has stabilized a little. But the systolic pressure is still not high." The anesthesiologist gave Ning Zhu and others a positive feedback.

Ning Zhu finally breathed a sigh of relief.

If it weren't for Zhou Yanqing, this time, the patient might have really died on the operating table.

The trauma surgery department said there was no problem, but in the end he died of pelvic hematoma. Hospitalization in trauma surgery is really exhausting.

However, internally, the problem is with the trauma surgery department, and externally, the level of the entire orthopedics department will be questioned for a period of time.

Perhaps words like "orthopedic surgeons are carpenters and hand surgeons are just tailors" will cause a stir again.

"Swish!~" About one minute and three minutes later, Zhou Yanqing inserted another pair of hemostatic forceps, clamping the proximal end of the blood vessel just right.

Almost at this time, the door of the operating room was finally opened, and it was Du Shibin, the chief resident of the Trauma Surgery Department, who suddenly came in.

After Du Shibin entered the room, he was so frightened when he saw the techniques performed by Zhou Yanqing and others that his soul almost left his body.

With cold sweat covering his forehead, he said in a low and rapid voice: "Is this the patient I saw before?"

Ning Zhu nodded: "Brother Bin, that's right!"

"Hematoma in the pelvis!"

"Fuck!" Du Shibin turned around quickly after confirming: "I'll go call someone, you guys wait a moment!~"

"No, no, no, you guys do it first, don't be reckless, I'll go get some help."

After seeing it, Du Shibin was scared away.

It's not that Du Shibin is unwilling to take responsibility, but it is precisely because he is willing to take responsibility that he said he would go out and call for help.

Otherwise, giving him this type of disease to treat would be pushing him into the fire pit and would be irresponsible to the patient.

Ning Zhu saw that Du Shibin, who was a trauma surgeon, had the same attitude. He turned around and saw that Zhou Yanqing's expression was still the same. He thought that Zhou Yanqing had not been panicked since he entered the door.

In my heart, I thought Zhou Yanqing was even more perverted, and I pushed him several levels higher!

(End of this chapter)