In the spring of 1987, Li Zheng, a world-class surgical titan, unexpectedly reborn as a useless doctor at Guang'an County People's Hospital, was publicly announced to be dismissed by the de...
Everyone was a little confused when they heard this.
Especially the doctors in the municipal hospital.
When did Li Zheng become a doctor in our hospital? Director Jiang is really good at flattering his own hospital.
Dean Zhang was the most confused. Jiang Fusheng, Fatty Jiang, looked kind and benevolent, but he turned out to be so shameless.
To outsiders, Li Zheng was directly admitted to the municipal hospital. Have you asked me, the director of the county hospital?
If the current situation was not inappropriate, Dean Zhang would risk his reputation to confront this Jiang guy.
"Yes, the city hospital is really full of talented people. I believe you can successfully treat this patient. We will withdraw first." said the fire chief.
Vice President Jiang thanked him again.
After the firefighters left the emergency room, their fellow workers expressed their gratitude repeatedly.
"The patient's blood oxygen level continues to drop! It's only 89%!" the emergency department nurse said anxiously.
"The steel bar cutting operation just now still affected the lungs. The hemothorax must have worsened. Hurry, go to the operating room!" Li Zheng shouted.
Everyone started urgently.
Some were pushing beds, some were getting IV bottles, and some were getting oxygen bags. Everyone was busy but not chaotic, and they quickly transferred the wounded.
"Tell the photographer not to leave yet. The entire operation will be recorded!" Vice President Jiang shouted.
Zhang Yong quickly ran to the operating room, where they were probably still removing the equipment.
Everyone worked together and quickly pushed the patient into the operating room.
Operating Room No. 1 is the largest operating room in the municipal hospital, with a total area of more than 60 square meters. It is specially used for major rescue operations. Although it is not used much in normal times, the role of the large operating room is reflected at critical moments.
In the operating room, everyone transferred the injured to the operating table as soon as possible.
The circulating nurse quickly drew blood and sent it to the laboratory.
The surgery must be performed urgently, but the necessary tests must still be done so that neither can be delayed.
Another circulating nurse immediately installed the cuff, clipped the blood oxygen saturation clip on the injured person's finger, and applied the electrodes.
Vital signs soon appeared on the monitor.
In addition to a further decrease in blood oxygen saturation, blood pressure also dropped and the heart rate reached 137 beats per minute.
The situation is already very grim.
The anesthesiologist on duty has prepared the general anesthetic and adjusted the ventilator.
Director Zhou Wenming took over immediately and performed the anesthesia himself.
Lin Xiaomei and another nurse went on stage together and fiddled with and counted the instruments.
Rows of curved forceps, hemostatic forceps, and curved trays are arranged in an orderly manner.
When the cameraman saw the patient's condition, he was also shocked, and then became very excited.
Being able to personally record this kind of rescue scene is definitely a highlight for me. When I brag about it to my colleagues in the future, they will surely envy me to death.
The photographer quickly set up his camera and began recording their emergency rescue process.
Li Zheng, Vice President Jiang, Director Lei, Director Duan, Chen Dayong, and the fat doctor from the general surgery department.
Six doctors, divided into two groups.
Li Zheng, along with Director Duan and Chen Dayong, was responsible for the thoracotomy.
Vice President Jiang, along with Director Lei and Dr. Xiaopang, were in charge of the laparotomy.
First, perform thoracotomy, and after stabilizing the hemothorax, perform laparotomy.
Chen Dayong and Doctor Xiaopang quickly disinfected the area.
"The steel bars also need to be disinfected." said Li Zheng.
"I understand!" Chen Dayong replied.
Several people quickly put on surgical gowns and gloves.
After disinfection, Director Lei and Director Duan personally laid out the sterile sheets.
"Let's take the steel bars first." Li Zheng said.
Six people stood on both sides of the operating table.
"Big knife, gauze." Li Zheng stretched out his hand.
Lin Xiaomei handed it over immediately.
Now it is a race against time to save lives, so Li Zheng can no longer use a No. 15 blade, but directly uses a No. 22 exclusive skin cutting knife.
The other doctors had no complaints about Li Zheng's surgeon posture.
After all, if it weren't for him, this operation wouldn't be performed here.
With Li Zheng around, they have confidence.
Li Zheng used gauze to thoroughly clean the blood scab at the entrance of the steel bar to the supraclavicular fossa, and then made a longitudinal incision along the front edge of the sternocleidomastoid muscle with the steel bar as the center, cut the skin, and then directly cut the fat layer, and quickly used an electric knife to coagulate the bleeding point under the skin.
The platysma muscle is then divided, quickly exposing the subclavian neurovascular bundle.
This step is very important because when removing the steel bars, these important tissues must be separated as much as possible to prevent secondary damage to the steel bars.
"What's the situation?" Vice President Jiang asked, standing nearby.
Director Duan took a look and nodded, "There's damage to the brachial plexus, but we haven't cleaned it thoroughly yet. There's no obvious damage to the subclavian artery and vein. We're pretty lucky for this location."
Director Duan was very familiar with this area as he worked in orthopedics. After all, the clavicle and scapula were both under the jurisdiction of orthopedics.
Everyone else nodded.
What Director Duan said is correct. What he meant is that if the major blood vessels were not injured, even if the subclavian vein was injured, the amount of bleeding would quickly kill the person.
After making the upper incision and exploration, it was determined that the steel bar had penetrated the apex of the lung below the clavicle.
After filling the upper incision with wet gauze, Li Zheng then moved on to the steel bar exit area below.
The outlet is located on the right side of the anus, about 3 cm.
It almost came out of the anus.
Li Zheng made another spindle-shaped incision around the point where the steel bar passed through. Because the pollution here was very serious, all the tissues around the steel bar had to be cut off.
The anal canal and ischiorectal fossa were soon exposed.
The doctors around had never experienced this kind of surgery, so they were all terrified when watching Li Zheng's operation.
After all, whether it is the entrance or the exit, it is a great test for the practitioner. If he is not careful, the damage will be aggravated.
But Li Zheng's operation did not have any hesitation or unfamiliarity, and it seemed that everything was under his control.
It's really unbelievable.
"Potidol, prepare the bending plate." Li Zheng said.
Two instrument nurses.
Lin Xiaomei handed over two bowls of complex iodine, and another nurse handed over two large curved plates.
"Director Jiang, you disinfect the steel bars below, and I will disinfect the ones above. We need to make the process as sterile as possible." After Li Zheng finished speaking, he took the complex iodine, connected the bent disc under the steel bars on his left shoulder, and began to wash the steel bars with gauze dipped in complex iodine.
As you all know, this is the time to prepare to pull out the steel bars.
Vice President Jiang also did the same and began to scrub over and over again.
After washing for about 3 minutes, the rust on the steel bars was completely washed away.
Li Zheng handed the steel bowl of complex iodine to Lin Xiaomei.
He took another basin of saline solution and washed the steel bars three times. The rusty steel bars were almost shiny after being washed by him.
Vice President Jiang also cleaned the exit below very carefully, but it was still a little worse than Li Zheng's.
However, this end is to be drawn out and no longer passes through the worker's body, so it has little impact.
"Director Zhou, we are going to remove the steel bars. Please pay close attention to vital signs." Li Zheng said.