"What, no bleeding?" Director Lei asked in disbelief, and quickly looked at the wound, feeling as if struck by lightning.
There was definitely a little bit of bleeding from the wound, but that was completely different from heavy bleeding.
It's just a little bit of blood, it's okay if it bleeds for a day.
There was actually no bleeding, which meant there was no heavy bleeding at all.
"Li Zheng, you deceived us so badly!" Vice President Jiang was happy and angry.
Those few minutes just now were definitely the most depressed and lost moments I have felt in these years.
Others have the same idea.
Li Zheng shook his head and said, "I never mentioned heavy bleeding from the beginning to the end!"
this!
Everyone was stunned.
It seems to be true.
The so-called heavy bleeding is just what everyone thinks.
Li Zheng indeed did not say that, and from the beginning till now, Li Zheng has been calm and composed, which is not at all like the behavior of someone treating a patient with severe bleeding.
Director Zhou of Anesthesia said coldly, "The patient's vital signs have been stable, so how could he be bleeding profusely? You guys, when faced with an emergency, you still have to be able to remain calm. Only then can you make calm judgments and not be misled by superficial symptoms."
This Zhou Wenming is showing off.
"You're so good, Old Zhou, you didn't even remind me!" Vice President Jiang said unhappily.
Although he is the vice president, he is younger than Zhou Wenming and has less experience than Zhou Wenming, so Zhou Wenming is also qualified to educate him.
Zhou Wenming chuckled and said, "This is a good lesson for you so that you will remember it."
In the live broadcast room next door.
Dean Zhang sat in the front row. From beginning to end, he had absolute trust in Li Zheng. Even if there was heavy bleeding, he believed that Li Zheng could save the patient.
The doctors behind were amazed when they saw the situation in the operating room.
"Oh my god, the situation is completely the opposite, we have all been deceived!"
"What do you mean by cheating? It's because you have no judgment and just follow the crowd."
"You have the ability to judge. Why did you say some discouraging words just now?"
"I don't want to face the death of such a young life. This is called empathy, understand?"
"Okay, stop arguing and see how Dr. Li Zheng explains it?" someone shouted, and the live broadcast room instantly became quiet.
On TV.
Li Zheng continued to observe the wound and said, "The blood flowing out of this wound is all dark red, and there are even some blood clots. This shows that it is not new blood. Even if there is new blood, the amount is not too large. The reason why the amount of blood flowing out was relatively large at the beginning is that a lot of blood was stored in the passage of this steel bar, and it was gone after it was drained out."
After Li Zheng's explanation, everyone suddenly understood.
I was frightened by the bleeding that started and didn't think or judge carefully.
"Dr. Li is so calm and composed, and his judgment is really strong!"
Next to Dean Zhang, the director of urology department, Dai Huiyang, gave a thumbs up and expressed praise.
Dean Zhang smiled faintly and said, "You still don't understand him well enough. He never fails to handle any case he takes on. This minor hemorrhage has happened several times in our county hospital. Every patient's condition is no less critical than this one, and Li Zheng has always been able to save them safely. This patient will be no exception!"
Director Dai was a little dumbfounded. Is Li Zheng really that strong? If so, then he is really that strong!
"Did Li Zheng also undergo thoracotomy at Guang'an County Hospital?" Director Dai asked. He didn't believe the county hospital could perform a thoracotomy.
Dean Zhang shook his head and said, "No, we mainly focus on abdominal and limb surgeries, but if there is a suitable patient, we can perform thoracotomy. Because Li Zheng's skills are here, we can do it at any time."
Director Dai was speechless. You haven't even performed a thoracotomy yet. You said Li Zheng had treated many patients with heavy bleeding, but they must have been abdominal, or at most ruptured organs. How could that be compared with heavy bleeding in the chest?
Li Zheng is very capable, but he has no experience in rescuing people with this kind of lung injury. Are you so blindly trusting of him?
Director Dai stopped talking and continued watching the operation.
You will know whether Li Zheng has the ability to perform a thoracotomy after watching this show.
The lung damage must be treated, and the pericardium must be examined. There's no way to avoid it.
In operating room No. 1.
Li Zheng stopped observing and confirmed that there was no heavy bleeding.
But the next move is likely to cause heavy bleeding, so it is important to have blood on hand.
Fortunately, the blood transfusion department delivered 1,000 milliliters of concentrated red blood cells, platelets, and frozen plasma in time.
"Prepare for a thoracotomy." Li Zheng said.
Everyone is in their place.
Li Zheng asked the circulating nurse to raise the patient's left side.
Li Zheng took the big knife and extended the incision along the entrance of the left supraclavicular fossa obliquely downward to about 2 cm above the pubic symphysis below the navel.
Looking at this 60-centimeter-long incision, even the battle-hardened Vice President Jiang and the directors were terrified.
Where did Li Zheng get the confidence and courage to cut so long with one knife?
I knew he wanted to explore both the chest and abdomen through one incision, but such a long incision would still have too much impact.
Li Zheng's hands kept moving, continuing to cut the subcutaneous tissue and bluntly separate the pectoralis major muscle...
After cutting through the skin and muscle tissue of the entire chest, the ribs are exposed.
"Wire saw." Li Zheng stretched out his hand.
The jigsaw was already slapped in his hand.
Li Zheng then used a wire saw to cut the ribs to protect the intercostal neurovascular bundle.
The chest cavity was quickly opened.
A large amount of blood accumulates in the pleural cavity.
This was anticipated before the operation.
After sucking out the accumulated blood, Li Zheng began to explore the lung tissue.
There is a tear at the apex of the left lung and a tear at the base of the lung.
There were no obvious contusions or lacerations on the pericardium or major arteries and veins.
Where the diaphragm opens from the base of the lungs, there is also a corresponding opening.
Some of the peritoneal fluid flows into the chest cavity through the diaphragmatic tear.
Without hesitation, Li Zheng thoroughly cleaned the abdominal fluid and then filled the diaphragmatic rupture with gauze.
Director Duan looked again and again, and said curiously, "According to this path, the steel bar should have passed through the apex of the heart, but there is only a small scratch on the pericardium, no obvious crack. This is very strange."
As everyone can see, although the heart was beating very fast, it was definitely not ruptured because there was no obvious fluid effusion in the pericardium. If the heart had ruptured, the patient would not have been able to hold on for so long.
Li Zheng nodded and said, "I can only say that although he was very unfortunate, he was also very lucky. The moment the steel bar penetrated, his heart contracted and he dodged it perfectly!"
Everyone felt a little scared after hearing this.
If the heart is in diastole during that 0.1 second, the rough and sharp steel section will definitely scratch the heart.
Then there would be no rescue now.
It's simply a miracle.
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