Chinese medicine: When you do things to the extreme

Chapter 280 The Tall Man Arrives! (First Update)
Reality is often simpler than television dramas and there aren't so many coincidences.

But sometimes, reality is more unreasonable than TV dramas.

Reality has no screenwriter, no arrangement, only the crushing of wheels, like water entering a whirlpool, making it impossible for you to struggle, survive, or die.

Zhou Yanqing himself was not in danger of life, but the moment this thousand-ton object fell to the ground, his inner bottom line was broken.

The tugging, entanglement, hardship and pain of tearing brought by the choice reached the upper limit of all Zhou Yanqing's previous experiences at his age.

At least at that moment, he felt that the death of the patient in the cart outside was a gift and relief to him, and he didn't need to make another choice.

On the road to growth, every choice is painful.

"Blood pressure is still dropping!~~"

"Yanqing, there is hidden bleeding." Yang Lingchong said instinctively.

He was not asking Zhou Yanqing for help, he was just stating a fact, and then he began to look for potential bleeding points!
Although Yang Lingchong was not asking for help, this sentence broke Zhou Yanqing's hesitation. He leaned his face against the shoulder of a nurse next to him and wiped away tears that were difficult for outsiders to understand.

The voice became slightly hoarse: "Professor Yang, there is an active retroperitoneal hematoma."

"It's the retroperitoneum!~"

Hearing this, Yang Lingchong looked up and was stunned for a moment: "That's it! ~"

If this emergency case happened alone, Yang Lingchong could still find a way to send him to the operating room, but there are simply not enough people now!

It’s no use asking anyone from the vascular surgery department for help.

The Great Summoning is not applicable in all situations.

"Debridement pack!~" Zhou Yanqing forced himself to stop worrying and tilted his head.

"It's open, Doctor Zhou." The nurse who was helping Zhou Yanqing with his shoulder and wiping his eyes turned around and made way to give the instrument table to Zhou Yanqing.

Zhou Yanqing quickly recalled the vascular anatomy of the retroperitoneal hematoma:

This is actually an anatomical field that is not within orthopedics, but Zhou Yanqing's basic surgical theory is good enough, but he has no operational experience, so Zhou Yanqing still needs to think about it a little.

"It's an active retroperitoneal hematoma." Zhou Yanqing looked up and said.

Retroperitoneal hemorrhage refers to bleeding from retroperitoneal organs or blood vessels caused by trauma or other lesions. It is usually acute and progressive bleeding with a large amount of blood loss. The blood tends to spread widely in the retroperitoneal space, forming a huge hematoma and infiltrating into the mesentery.

"Internal iliac artery!" Zhou Yanqing responded quickly and looked for an area he was familiar with first.

For patients with pelvic fracture and massive retroperitoneal hemorrhage causing hemorrhagic shock, ligation of bilateral internal iliac arteries is the preferred option to control bleeding.

If there is active bleeding from the covered organs, perform laparotomy directly!

Push it little by little.

"Clamp?" Yang Lingchong asked.

Although he is an associate professor of vascular surgery, he is not a god, and he would lose his composure when facing such a dangerous disease.

"Clamp! Control the upstream blood flow." Zhou Yanqing responded quickly and successfully found the common iliac artery and internal iliac artery on the left side of the abdominal aorta with his fingertips.

Then he clamped it with hemostatic forceps without hesitation.

The internal iliac artery is the arterial source of most active retroperitoneal bleeding after pelvic fracture!
After clamping, Zhou Yanqing didn't care about what Yang Lingchong on the opposite side did, and began to push back along the abdominal aorta.

According to the arterial blood source of the retroperitoneal hematoma.

In addition to active bleeding from the branches of the internal iliac artery, more bleeding occurs from ruptured organs such as the kidneys and pancreas.

Therefore, Zhou Yanqing needed to go retrograde to explore these two substantial organs.

I just hope that there is no arterial damage to the vertebral artery network.

After controlling the internal iliac arteries and visceral arteries, emergency hemostasis can be achieved.

In fact, even if there is active bleeding in the spinal canal, as long as the amount of bleeding is controlled, more time can be given to rescue the patient!
When Zhou Yanqing pushed the probe upward, the retroperitoneum had ruptured, and a large amount of blood gushed out from the retroperitoneum under high pressure, staining the organs and mesentery in the abdomen red, making the vision even less clear. "Suck blood!" Zhou Yanqing didn't even notice who was holding the other person's hand, and he gave the order directly.

At the same time, Zhou Yanqing's left hand had reached the left renal artery. There was a large amount of hematoma around the left kidney, and Zhou Yanqing's hypothenar felt the fresh turbulence of blood.

There is no doubt that there is left kidney damage and active bleeding.

Zhou Yanqing quickly and temporarily clamped the left renal artery with a hemostatic forceps to stop the bleeding, and then reached out to the right kidney.

There is also bleeding in the right kidney, but the situation is relatively optimistic.

However, it seems that the arteries of the pancreas and the stomach are bleeding quite a lot!

At this moment, bleeding from multiple sources gathered together, and coupled with the blood deposited in the retroperitoneal hematoma, the blood level in the abdomen rose rapidly.

"Hemostatic forceps!" Zhou Yanqing said and took it himself.

"Why do you want to pierce the abdomen blindly?"

A strange voice reached Zhou Yanqing's ears, and Zhou Yanqing didn't even have time to look up: "Yes!"

This patient's condition was far more complicated than it appeared at first glance. There were too many active bleeding points. It would be too late to explore the celiac axis and its branches in the trauma center!
"This is very!" The middle-aged man's voice was a little hesitant.

The hemostatic forceps in Zhou Yanqing's right hand had already been inserted. After a click, there was no flash of light.

However, it is worth everyone's attention that the blood level, which was originally rising rapidly, is slowly decreasing.

This is enough to prove that hemostasis is effective!

"Must be sent to the operating room immediately!~"

"Don't do any more tests, go to the operating room immediately for emergency bleeding control!" Zhou Yanqing replied to Yang Lingchong decisively.

"The plasma has arrived!" A nurse hung up the blood sent from the blood bank without caring what others were saying.

Yang Lingchong did not reply, but looked at the other middle-aged man.

Zhou Yanqing didn't hear Yang Lingchong's voice and looked up.

The man was wearing a mask and a white coat. He was probably in his fifties, with slightly gray hair at the temples.

"Send it to the operating room. Prepare an autologous blood circulation machine. Recycle as much as possible."

"Young man, you are Zhou Yanqing, right?"

"The only one who can clamp both internal iliac arteries and renal arteries and stop the bleeding so quickly and decisively by clamping the celiac trunk must be you." The middle-aged man took two steps away and asked someone to push the bed away!
Even if it is temporarily treated, the patient will still die if he does not go to the operating room for systematic treatment.

Zhou Yanqing didn't say anything because he didn't know the other party's identity.

Fortunately, Yang Lingchong breathed a sigh of relief and said, "Professor Tang, you are finally here!~"

The person who came was Tang Deqiang, a senior doctor of vascular surgery. He rushed here as soon as he received the call, but after all, there was a distance, so he still arrived a little late.

Tang Deqiang turned around and said, "I'm going to the operating room. Wang Jingchun and Teacher Dou are also on their way."

"Thank you for your hard work!~"

After taking off his gloves, he patted Zhou Yanqing and Yang Lingchong on the shoulders and encouraged them, "Well done, try to send the last one to the operating room!"

Professor Tang Deqiang gave the two of them the greatest encouragement and confidence.

If he is sent to the operating room, there is still hope!

At the same time, Zhou Yanqing saw professors of trauma surgery, Liang Dongming and Professor Fei Qin also came one after another...

Zhou Yanqing laughed!
They are here, the tall guys are here, he doesn’t have to worry about the situation in the operating room, he just needs to wait for the last emergency patient!

(End of this chapter)