Chinese medicine: When you do things to the extreme

Chapter 297 Hemostasis Upgrade (Subscription Request)
"Brother Lan, come here and take a look at this patient's X-ray." Zhou Yanqing shouted in the direction of Lan Zhuozhi.

Lan Zhuozhi approached and said with a smile: "Yanqing, do you still need me to watch the movie?"

"Brother Lan, come and take a look at this patient's X-rays. Do you want to consult with the cardiology department?" Zhou Yanqing said.

Lan Zhuozhi carefully looked at the patient's chest X-ray and nodded: "Why is this patient's left ventricle so enlarged?"

"Please ask for one. The patient should still be on the way for CT scan."

"His injuries are not serious, and he is not suitable to be sent directly to the operating room. I will call Sister Qin again." Lan Zhuozhi nodded.

Zhou Yanqing is very good at reading films, but he is still not as good as Lan Zhuozhi and others in judging some extracardiac and intracardiac diseases.

"Okay, then I'll call the cardiology department for consultation." Zhou Yanqing quickly took out his cell phone, found the number of the cardiology department's chief resident, and dialed it.

Just as he finished speaking the main point, Zhou Yanqing's ears pricked up instantly, and the piercing sound of the cart's wheels outside immediately came to his ears.

"I have another emergency here. Thank you for coming over here."

"That's all for now." Zhou Yanqing quickly hung up the phone, put the phone into his white coat, and quickly turned around and rushed to the door of the trauma center.

In the corridor, a patient with blood on his abdomen was moved on a stretcher. One of the people in green clothes pressed the patient's left groin tightly.

"While in the car, the gauze used to temporarily bandage the femoral artery broke." The doctor accompanying the car repeated again.

The first person to see the patient at the door of the emergency department was Deputy Chief Physician Zhang Mu. He saw Zhou Yanqing approaching while putting on gloves.

His face tightened instantly: "It's great that you are here, Yanqing. This patient has a ruptured femoral artery."

"It's not just the femoral artery that is ruptured. We just gave it a temporary and simple treatment on the scene." said the man in green.

Zhou Yanqing had already put on gloves. He quickly pulled open the hem of the patient's clothes, found the surface location of the proximal end of the femoral artery, and then pressed down quickly with the fingers of his left hand.

"Open the debridement pack!" Zhou Yanqing said to the nurse who came over.

"Teacher, you can let go first and let me take a look at the wound." Zhou Yanqing immediately said to the doctor accompanying the car.

"But? Femoral artery?" The man in green might not be familiar with the emergency department of Xiangya Hospital. He had rarely been there before and was a little bit unconvinced of what Zhou Yanqing said.

Zhang Mu said, "Don't worry, take your hand away. Doctor Zhou is very professional in treating femoral artery injuries."

"Hemostat!~" After Lan Zhuozhi came over to help, he slapped the handle of the hemostat into Zhou Yanqing's hand.

After Zhou Yanqing grasped the hemostat, he immediately pinched it open with the fingertips of his hand, and then nailed it directly into the skin wound.

After Zhou Yanqing clamped the femoral artery, he immediately said, "If the patient has bleeding in the abdomen, blocking the bleeding in the femoral artery will increase the blood flow in other blood vessels in the abdomen."

"Open the debridement pack and the round knife again, we will stop the bleeding on the spot!" Zhou Yanqing's voice was very calm.

【精品技能堂温养止血术成功，完成止血术100000次，经验值+1！止血术由专家13/15提升至专家14/15.】

[Daily tasks completed, high-quality hemostasis performed 150 times, hemostasis experience +3, basic vascular anatomy experience +2.]

[Hemostasis has been improved from 14/15 for experts to 2/50 for national players.]

[Daily tasks have been refreshed. ]

Such a reminder floated in front of Zhou Yanqing, causing him to pause slightly and then immediately change his position.

It is a good thing that the level of hemostasis has improved at this time, but Zhou Yanqing is too lazy to care to what extent it has improved.

After arriving at the trauma center, Zhou Yanqing had to perform at least 20 hemostasis operations every day, with different numbers of hemostatic vessels used each time.

This was Zhou Yanqing's third daily task after he arrived at the trauma center. Currently, his daily tasks were not stuck. "Give me a round knife!" Lan Zhuozhi handed over a high-quality round knife and gently opened the patient's abdomen.

The patient was unconscious at this point, so he could hardly feel any pain.

But the tension of the opening should not be too great.

Zhou Yanqing quickly cut open the part of the inner layer of the abdomen where the muscles were not completely severed to expose the field of vision.

Once the muscle layer is opened, the abdominal membrane and intestines are exposed to the field of vision.

The accumulated amount of bleeding in the abdomen is not too bad, but because the blood supply to the femoral artery is blocked, the collateral circulation increases, and the amount of active bleeding tends to increase at this moment.

Located behind the lamination!
The patient did not have a penetrating wound in the abdomen, so the blood behind the peritoneum was not exposed to the abdominal cavity. Only the bleeding from the abdominal soft tissue seeped out and flowed into the abdominal cavity and accumulated.

Zhou Yanqing's mentality might have been more stable, so he pushed aside the intestinal tissue without any delay and made a cut on the peritoneum.

In an instant, the localized hematoma burst out.

When Lan Zhuozhi saw it, his pupils shrank instantly.

There is a sentence in the textbook that says that retroperitoneal hematoma needs to be opened with caution!

However, before he could stop him, Zhou Yanqing had already inserted the hemostat.

It didn't seem like there was any fancy operation, the arterial blood that was originally flowing out was gradually cut off and stopped.

The pool of blood only flowed for a few seconds before it stopped.

"Brother Lan, suck some blood." Zhou Yanqing said quickly.

At this moment, he felt that calling Brother Lan would save more time than calling Doctor Lan.

"Oh, okay!~" Lan Zhuozhi switched many words in his mind, and finally swallowed all the doubts and suspicions.

At first, he wanted to say not to open it, but Zhou Yanqing had already opened it.

Then he wanted to ask someone to call Boss Lin Changhong, but Zhou Yanqing had already been stuffed in.

The situation was brought under control very quickly.

After Lan Zhuozhi sucked out the retained blood, Zhou Yanqing saw some small active bleeding, so he stuffed three more pieces of gauze into it.

"Send the patient to the CT room. We can do a CTA to provide guidance for hemostasis during the operation." After the operation, Zhou Yanqing took out the patient's abdomen with both hands and signaled Lan Zhuozhi and others to release the traction on the abdomen while speaking.

At this moment, only a few hemostatic forceps on the patient's abdomen and left groin showed the process and results of the rescue.

A patient with active bleeding in the femoral artery and a certain mortality rate was treated so calmly and thoughtfully in just over a minute.

There was no thrill like before, nor the sense of urgency that I had during previous surgeries.

"Okay!" Lan Zhuozhi nodded and immediately followed the nurses to push the bed.

Zhou Yanqing turned around and went to the sink, where he began to take off his gloves and wash his hands...

However, although Zhou Yanqing and Lan Zhuozhi did not have time to report to Professor Lin Changhong, the nurses who had time had already done it, and Professor Lin Changhong was already rushing over here from his office.

He arrived at the bedside as the patient walked from the back door of the trauma center to the examination area.

"Director Lin." Lan Zhuozhi and the nurse on duty stopped.

(End of this chapter)