He gently pressed on Lao Qiu's abdomen again. When he pressed on the upper right abdomen, Lao Qiu's whole body tensed up suddenly. He hissed, but didn't shout. He just gritted his teeth and turned his face to the side.
Chen Ping straightened up and turned to look at Old Sun: "Old Sun, did he fall while working this morning?"
Old Sun's face turned pale instantly, his lips trembled twice, and his voice was urgent and panicked: "This morning, when we were setting up formwork on the scaffolding, Old Qiu slipped and fell about a meter or so."
"He got up by himself, dusted himself off and said he was fine. I saw that he could walk and move around and there was no bleeding, so I didn't think much of it."
"And he's only a little over a meter tall. People like us in construction often fall and get hurt... Dr. Chen, is he...?"
Before he could finish speaking, Chen Ping shouted down the corridor, "Wang Tao! Liu Wei! Bring the stretcher over here! Quickly!"
The sound exploded in the quiet courtyard, startling several sparrows by the flower bed into taking flight.
Wang Tao and Liu Wei were originally planning to rest, but when they heard Chen Ping's shout, they rushed over from both ends of the corridor. One of them was pushing a stretcher, and the other was holding a white coat that he hadn't put on yet.
Chen Ping directed them to lift Lao Qiu onto the stretcher. When Lao Qiu was lifted up, he spat out another mouthful of dark red blood, which dripped down the corner of his mouth and soaked a small patch of the white sheet on the stretcher.
Old Sun followed behind, his legs trembling, muttering to himself, "Please don't let anything happen, it's only this high, nothing should happen."
Old Sun was terrified. He didn't earn much money from this job, and if someone died in the accident, he would probably lose everything.
Small contracting teams like his don't even buy insurance for their workers, so they have to bear the consequences themselves if anything happens.
Minor bumps and scrapes are no big deal, but if someone were to fall and die, that would be fatal for a small construction team like theirs.
As Chen Ping walked towards the operating room, he shouted towards the examination room, "Li Fang! Prepare blood! Prepare hemostatic agent and tranexamic acid! Zhou Jie! Turn on the operating lights! Sun Xiaoyan, establish an intravenous line first!"
Li Fang leaned out of the pharmacy window, answered, and then ran off, the clattering of bottles and jars coming from inside the pharmacy.
Zhou Jie rushed into the operating room, and the operating lights snapped on, casting a white light on the operating table.
Sun Xiaoyan followed behind, carrying the IV tray, with the indwelling needle and IV tubing neatly arranged in the tray.
"What's going on?" Zhao Guosheng asked as he came out of his office and saw the scene.
"A worker fell and injured himself, suffering internal bleeding. He didn't feel anything at the time and didn't see it, but now there's probably a lot of blood in his abdominal cavity."
Chen Ping said as he walked toward the operating room.
Upon hearing this, Zhao Guosheng frowned. If someone were to fall and die in their health center, the health center would also be held responsible.
"Old Sun, what's wrong with you? Someone fell and got hurt, and you were right there at the clinic, why didn't you take him to the doctor?"
Zhao Guosheng grabbed Lao Sun and roared, glaring at him.
Old Sun said with a mournful face, "It was only a little over a meter high. I never thought I would get hurt. After the fall, he was still working and was perfectly fine."
"Ignorant..." Zhao Guosheng pushed Lao Sun aside and went straight to his office to put on his white coat.
This was the first time Zhao Guosheng had voluntarily put on a white coat to help out since Chen Ping arrived at the Siping Township Health Center.
Zhao Guosheng was also afraid that something might happen to him. He was only a few years away from retirement, and if something happened at this crucial moment, wouldn't that just cause more trouble?
"Dr. Wang, please contact the county hospital and ask them to send an ambulance immediately."
Zhao Guosheng said to Wang Jianguo.
Right now, none of them know how the person is doing or whether they can be cured here.
Regardless of whether Chen Ping can be cured, we should have the county hospital send an ambulance now, just in case.
If the medical facilities are unable to stop the bleeding in Old Qiu's case, it will be too late to call an ambulance.
"Okay, I'll call the county hospital right away." Wang Jianguo nodded!
At this point, Lao Qiu's consciousness was already fading when he was wheeled into the operating room. His eyes were half-open, and he was mumbling something incoherently.
Chen Ping asked Wang Tao and Liu Wei to leave, then changed into surgical gowns and gloves and walked to the operating table.
First, disinfect a large area of the abdomen with iodine solution, then pick up the scalpel and make an exploratory incision in the upper right abdomen.
The moment the abdominal cavity was opened, dark red blood gushed out and flowed down the abdominal wall to the edge of the operating table.
There was a tear at the lower pole of the spleen, still bleeding. It wasn't very long, but it was deep enough, and there was already a lot of blood in the abdominal cavity.
"Hemostats. Suction device."
Chen Ping reached out, and the items from the instrument tray were accurately handed to his palm.
He first used a suction device to drain the blood from the abdominal cavity, then used hemostatic forceps to clamp the blood vessels on both sides of the tear, and pressed hemostatic cotton onto the wound to stop the bleeding.
The numbers on the monitor next to me were jumping; my blood pressure had dropped from 110 to just over 90, and my heart rate was pounding like a drum.
Chen Ping's hands moved quickly and steadily. He first used absorbable sutures to double-stitch the tear, then checked the surrounding area to make sure there were no other bleeding points before flushing the abdominal cavity with saline solution and closing the abdomen layer by layer.
When the last stitch was finished, the blood pressure on the monitor stabilized at over 90, and the heart rate dropped from 140 to 110.
Old Qiu's breathing calmed down. Although his face was still pale, the grayish-purple color of his lips had faded considerably, turning into a light pink.
Chen Ping took off his gloves and threw them into the trash can. He glanced at the clock on the wall; less than forty minutes had passed since he pushed the door open and came in.
When he pushed open the operating room door, Old Sun was still squatting against the wall in the corridor, his hands covering his head. Hearing the door open, he suddenly stood up, his eyes red: "Dr. Chen, Old Qiu, he..."
Chen Ping patted him on the shoulder: "His spleen ruptured, and there was a lot of bleeding, but it's been treated. It's been stitched up, and the bleeding has stopped. He's stable now. We just need to wait for the county hospital's ambulance to arrive so he can be transferred there and observed for a few more days."
Old Sun's legs went weak, and he had to lean against the wall to keep from falling. He opened his mouth several times before finally managing to squeeze out a sentence: "Dr. Chen, if it weren't for you... I wouldn't be able to face Old Qiu's family today."
"Dr. Chen, are you really alright?" Zhao Guosheng asked.
"It's alright now. Luckily, it's at the health center, where we have an operating room. If it had been delayed any longer, things might have been different," Chen Ping said.
"That's good!" Zhao Guosheng wiped the cold sweat from his forehead and looked at Lao Sun: "Lao Sun, safety on the construction site must never be taken lightly again, you understand?"
"I know, I'll remember this time." Old Sun nodded repeatedly.
Chen Ping returned to the consultation room, washed his face, sat down in the chair, and let out a long sigh.
There wasn't a moment to rest during the afternoon; patients were already waiting outside the consultation room.
About an hour later, the county hospital's ambulance arrived. The group lifted Lao Qiu into the ambulance, and Lao Sun went to the county hospital with him.
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