Chapter 323 Chen Cang, Come Here!

Xia Gaofeng looked solemn and asked, "How is the treatment now? Have you had a blood transfusion?"

Wu Peng was relieved when he saw Xia Gaofeng coming in. This is their backbone, and he quickly explained: "Director, I have been continuously replenishing fluids and blood transfusions. Now the blood pressure does not continue to rise, or if it just rises, go to Get down!"

Wu Peng's words made everyone groan.

This is the performance of active bleeding in the chest cavity.

Also known as progressive hemothorax!

Wu Peng's words immediately made everyone understand that the patient's condition was a little more dangerous.

What is progressive bleeding, which means that there must be a rupture of a large blood vessel in the chest cavity, otherwise it is impossible to continue bleeding like this.

Moreover, this progressive bleeding requires immediate exploratory thoracotomy to stop the bleeding.

In this case, there must be someone to stabilize the military.

And the chief director of Cardiac Surgery, Xia Gaofeng stood up!

Xia Gaofeng was calm and dignified, but he did not panic. After carefully examining the patient's condition, he made a series of arrangements in an orderly manner, and said to Wu Peng, "How much chest drainage? Give me a chest X-ray."

While taking out the chest X-ray from the bag, Wu Peng replied to Xia Gaofeng: "The chest drainage has exceeded 300 ml!"

"But after the blood was drawn out by chest puncture, the blood accumulation in the chest cavity increased rapidly!"

Xia Gaofeng looked at the X-ray, his face was solemn, the shadow of the pleural cavity on the X-ray continued to increase!

"It didn't freeze, did it?"

Wu Peng nodded: "No!"

Xia Gaofeng knew in his heart: "Prepare for surgery immediately, exploratory thoracotomy to stop the bleeding!"

Wu Peng was taken aback: "Director Xia...Aren't you waiting for the thoracic surgery department?"

Xia Gaofeng pointed at the patient in the emergency room and asked, "Who is waiting for him?"

The sentence "Who is waiting for him" made Chen Cang feel a shudder in his heart.

...

...

At this moment, it is necessary to exploratory thoracotomy to stop bleeding, replenish blood volume in time, and correct shock!

For the handling of emergency patients, the ability and level of a hospital can best be seen.

Shortly after the consultation call, the doctors of cardiac surgery, orthopedics, cardiology, respiratory and thoracic surgery were all in place!

"Intravenous access established!"

"Rehydration completed!"

...

All work is proceeding in an orderly manner.

At this time, a sudden news caused everyone to be in chaos.

"The patient is suffocating!" the nurse who was watching the patient's condition suddenly said.

As this sentence sounded with a trembling voice, everyone present couldn't help but feel cold.

asphyxia……

This is not good news.

Asphyxiation for more than a certain period of time will cause hypoxia in the body, and when the brain is deprived of oxygen for more than a few minutes, it will face irreversible brain damage, and even the performance of hypoxia in various organs.

The human body seems to be composed of countless living organisms, and oxygen is their nourishment. Their weak physique will starve to death for a little more than a few minutes.

In the human body, it is the necrosis of tissues and organs.

asphyxia?

Why is this happening?

Is it a foreign body obstruction in the mouth?

Like secretions?

Or phlegm?

Obstructed airway?

Either...

A terrifying thought appeared in everyone's mind.

Trachea rupture?

Accompanied by pleural hemorrhage.

Caused blood to block the airway!

If it's the second, it's a bad thing.

Xia Gaofeng's expression changed quickly:

"Suction phlegm, clean up foreign bodies in the mouth!"

"Open the chest immediately to stop the bleeding!"

"Repair the ruptured airway!"

...

A series of orders were issued in an orderly manner, and everyone entered the intense and busy work.

The most important part of this operation is the thoracotomy exploratory hemostasis operation!

Thoracic exploration must be completed within the specified time to quickly stop the bleeding vessels.

Suture the damaged airway!

At this time, a mouthful of phlegm was sucked out.

The patient's breathing resumed again, and everyone couldn't help breathing a sigh of relief.

But Xia Gaofeng frowned.

wrong!

There should be other reasons for this, not just phlegm!

Moreover, the patient's blood oxygen saturation is constantly decreasing.

Xia Gaofeng quickly issued orders.

Although it's not blood entering the trachea, but... it's really impossible to rule out this possibility.

Now it's a mouthful of phlegm, what if it's a lot of blood next time?

The doctor from the thoracic surgery department was cooperating with Xia Gaofeng, and Meng Xi was helping out.

The thoracic surgeon is a senior attending physician with a grade of thirty-five or six-year-old.

Soon, the chest opening is complete!

I don't know how many pieces of gauze have been used, piled on the surgical towel beside, and the blood in the chest cavity even has to be washed with a syringe.

Soon, the bleeding port was found!

There is a contusion on the aortic arch, blood is constantly coming out, and the ejected blood can just reach the broken trachea opening, which may cause suffocation under the combined action of phlegm.

Next, the main tool is focused on the broken aortic arch!

The stitching needs to be done in a very short time.

This kind of rupture and ligation of blood vessels is too troublesome.

Xia Gaofeng's eyes and hands were quick, and he quickly blocked the blood vessels, and the bleeding was much better.

Freehand hemostasis.

Vascular suturing is required next.

But...the aortic repair and suture time is too short.

Xia Gaofeng is now very difficult to do.

It is true that the older you are in surgery, the more experienced you are, but the older you are, you also face various problems caused by aging.

But, let who do it?

Who to sew?

This is a tough question.

Glancing at Meng Xi, I saw that she shook her head seriously and said, "I can't! In a short time... I can't sew well."

Xia Gaofeng glanced at Ge Huai, but when he saw Ge Huai's hesitant look, Xia Gaofeng immediately shook his head and denied it!

Turning around and looking at Chen Cang, he said solemnly, word by word, "Xiao Chen! Come and sew!"

As soon as these words came out, the surroundings suddenly became quiet.

Let Chen Cang suture the aorta! ?

Who is this person?

The clothes are obviously the white lab coat of the intern.

Director Xia... It's too risky to ask a student to sew!

Thinking of this, everyone's expressions changed.

This is not an ordinary operation, it is an operation that saves lives, every minute counts.

It is an accidental aortic suture that can be life and death.

You asked a student to do such an operation, isn't it too hasty! ?

But... this is Xia Gaofeng's order!

As the person in charge of this operation, on the operating table this time, this is the highest order.

Chen Cang didn't hesitate, all kinds of red names had begun to form in his eyes.

There is more than one bleeding port!

But the biggest is on the aorta, which is the main reason.

Chen Cang was very calm, without a trace of twitching, he took the suture generously and looked at Xia Gaofeng: "Director, I call 1...2...3, you come to ligate!"

Xia Gaofeng nodded!

At this moment, everyone is nervously watching this operation!

nervous!

asphyxia!

Everyone took a deep breath and waited for the operation to begin.

They really want to know what they are willing to make Director Xia favor a young man so much.

Have a student suture the break in the aortic trunk.

Because...the suture of the aorta, the sooner the better!

There is no fastest, only faster!

But again, the denser the suture of the aorta, the better.

As the largest blood transportation hub in the human body, this is one of the most active places for blood. It must be carefully guarded and the sutures must be firm!

Therefore, the stitching this time is of great significance and difficulty!