Chapter 181 Will My Dad Die?
"The patient is a 38-year-old male who rushed home because he was worried about the heavy rain. He fell down the hillside on the way and was injured. He had a 4.5×5cm blood swelling on the left side of his head, a brain contusion, a skull fracture, no response to external stimuli, and paroxysmal vomiting."
"In addition, the patient had seven fractures and three scratches, and one of the branches pierced the patient's lung."
"The patient is currently in urgent need of treatment for a skull fracture, puncture of a branch in the chest, and fractures."
Inside the temporary hospital, the warehouse was brightly lit.
Experts from different departments examined the patient one after another. His injuries were too severe and his chest was pierced by a branch, so he could not lie flat on the bed. In addition, it had rained heavily since the evening. Even though the girl held an umbrella for the man and followed the donkey cart all the way to the hospital, many parts of his body were still wet and he caught a cold.
"We have to put the patient on the operating cart and start the operation right away... It would be best if the thoracic surgery and craniotomy were performed at the same time." Wu Lin pointed to the patient's imaging data and frowned as he said, "The patient is in this condition now, so he can't lie flat during the operation. We have to use a special position."
Wu Lin: "In addition, the chest cavity is severely injured. There is a high possibility of heavy bleeding during the operation. We must prepare blood supply in advance."
"Don't worry, Professor Wu. The patient has just been matched. We have already recruited volunteers with the same blood type who are ready to donate blood at any time!" A female doctor in a white coat next to her raised her hand to signal.
"Let us take out this branch from the patient's body!" A thoracic surgery expert who served as the examiner looked at the patient's data distributed to him with a serious and earnest expression.
"We will also help." The other thoracic surgery professors nodded seriously.
In many major surgeries, patients often encounter a variety of emergency situations, especially large blood vessel rupture, which is the top priority.
Thoracic surgery, especially lung surgery, is more likely to encounter massive bleeding problems.
After all, the human lungs contain a large number of blood vessels, especially the heart, which is located in the chest cavity and very close to the lungs. In addition, this time a branch penetrated the patient's chest cavity. People were very worried that during the operation, the large blood vessels in the patient's chest cavity would rupture.
You know, tree branches are not straight and thin steel bars. Their epidermal fibers are very rough. And the branch that pierced into the patient's chest cavity may have broken pieces of wood bark and even pierced internal organs.
If the patient is unlucky, perhaps when they open the patient's chest, a large blood vessel has already ruptured. However, because the patient is lying on the bed, the ruptured blood vessel is compressed. Once the patient changes position, the rupture will be revealed, and a large amount of blood will bleed out of the blood vessel.
This is also a common situation in many surgical operations...
A group of experts were discussing the patient's symptoms, as well as how to deal with the crisis and how both parties should cooperate.
Although this patient was only injured by a fall, in fact, the patient needs the cooperation of doctors from at least three departments: neurosurgery, thoracic surgery, and orthopedics to complete the whole operation. However, if an accident occurs, such as when treating a rib fracture, it is found that there is dirt in the abdominal cavity, or a large amount of wood veneer debris is embedded in the internal dirt, doctors from other departments may have to be called in to handle it.
The entire surgical process would take at least ten hours and would not be completed!
Logically speaking, this surgery should have been discussed by the participants first, and then performed.
After all, 150 hospitals are capable of providing deputy chief physicians from the three departments of neurosurgery, thoracic surgery, and orthopedics, as well as professional surgical teams from the corresponding departments.
However, due to the severity of the patient's injuries and the urgency of the situation, the organizers temporarily skipped the competition assessment.
Many contestants, including Su Tangjiang Haichao, stood at the back of the warehouse and listened to the discussions of many experts.
Jiang Haichao frowned and said in a low voice, "I just checked the patient's condition. It's ok to have a brain hemorrhage and fractures, but the branch stuck in the chest has 99% chance of damaging other internal organs. Moreover, the branch is so thick and close to the pulmonary artery. Apart from other things, the probability of bark and sawdust falling into the lungs and puncturing the artery is not low. I estimate that there will be heavy bleeding during the thoracotomy surgery... That's why the supervisor was so nervous earlier."
Jiang Haichao raised his chin and said, "Look at what the person in front reported. There are 15 people who donated blood. Even if each person only donated 200 milliliters, that's 3,000 in total."
You should know that human blood accounts for only about 7% to 8% of body weight.
The patient looked to be 70 kilograms and had about 5000ml of blood in his body.
Su Tang frowned and listened to the patient's condition. "It's probably not as exaggerated as you said. We are mainly worried about bleeding during the operation... But if you want to remove the branch from the chest, the amount of bleeding will definitely be high."
"Come to think of it, I think you can try to help by using acupuncture to stop bleeding and reduce the patient's bleeding volume." Jiang Haichao looked at Su Tang seriously, touched his chin and pondered for a moment, and suggested: "The extrathoracic tumor surgeries we performed before were very successful. I think acupuncture to stop bleeding can at least reduce the difficulty of this super-large surgery by about 25% to 30%."
Less bleeding during surgery can ensure a clear surgical field of vision, and it can stabilize the mentality of the surgeon and others, so the surgery will naturally go more smoothly. When he worked with Su Tang before, there were several lung cancer surgeries. The tumors of those lung cancer patients happened to be near the blood-rich arteries, and some cancers had already eroded the blood vessels in the affected area.
Jiang Haichao had performed surgeries of this magnitude before, and heavy bleeding at the surgical site was common. However, with the help of Su Tang's acupuncture and hemostasis, some larger blood vessels still bleed, but the blood circulation rate is significantly reduced, and the overall amount of bleeding is much less than in the past. In this case, it is very easy to find the source of the bleeding. Once the source is found, the assistant can gently press with his fingers to immediately solve the problem!
Su Tang looked at Jiang Haichao, sighed, and shook her head, saying, "The organizers are now focusing on stability. They don't even plan to let anyone perform surgery, let alone let me use acupuncture to stop bleeding. Moreover, using acupuncture to stop bleeding requires cooperation between me and the surgeon, and basically no surgeon would be willing to cooperate with me for the first time in such a large-scale surgery."
Even when she was in the General Surgery Department of the Sixth Hospital, Director Lei saw with his own eyes that she could use acupuncture to stop bleeding. Later, when convincing others, they had to start with patients with minor bleeding.
Even when he was on the operating table for the second time, Deputy Director Qian had made preparations in advance for that operation, and the patient he selected had also been carefully screened - the patient's condition was not particularly serious, but it was relatively serious, and the blood supply preparations of the hematology department had already been completed, and Director Lei was there to supervise, so Deputy Director Qian was willing to perform such an operation.
In the medical profession, the more skilled one is, the more rigorous and careful one is.
This not only concerns the doctor's reputation accumulated over decades, but also the life of a patient!
As a junior resident, if she wasn't lucky, she would have to start from the bottom of the ladder in any larger hospital or a slightly busier department, and she wouldn't even be able to touch an outpatient clinic or a scalpel. Without strong international papers to support her, and without a department boss like Director Lei to vouch for her, how could others believe what she said?
Could it be that at this time, there is someone similar to the patient with massive bleeding and appendicitis in the general surgery department waiting for her?
Even if there was, given the current race against time, no expert would wait for her any longer.
Su Tang sighed again and frowned. If she were a chief physician now, many experts might be willing to listen to her.
But she is not. She is just a junior resident at the bottom of the food chain among the four million clinical doctors in the country.
Director Lei and Director Fan acknowledge her ability, but doctors in other hospitals do not.
Even if an expert were willing to try acupuncture to stop the bleeding, it wouldn't be this time.
Su Tang saw the situation clearly, so she didn't ask anyone to help her with acupuncture to stop the bleeding.
She even worried that by pestering Dr. Wu and others, she would delay the patient's surgery.
From the consultation with experts to the finalization of the surgical plan, it seems very busy with many people and things, but in fact the whole process is very fast.
Su Tang had just finished talking to Jiang Haichao when Mr. Wu and others in front of her were already rushing towards the operating room.
Jiang Haichao thought for a moment, looked at the backs of the experts from various departments leaving, frowned, and said with regret: "What a pity..."
There's nothing we can do. What Su Tang said is true.
…………
However, Su Tang felt a little regretful about this happening.
While other doctors went back to rest, Su Tang instinctively waited at the door of the operating room and did not leave.
The makeshift operating room was very simple, with only two rows of simple wooden benches at the door.
The girl sat on a chair with her eyes red from crying. Two nurses and three Red Cross volunteers were comforting her. Others were talking in low voices with two other villagers. Everyone was quietly waiting for news from the operating room.
The girl changed out of her wet cotton-padded clothes and put on the thick clothes brought by the volunteers. She curled up in the quilt, her eyes red like a rabbit. She choked with sobs and even had difficulty organizing her words: "My family is not well off. My mother died very early. My father raised me... He went up the mountain this time just to raise money for my tuition. If I had known, I would not have studied. Wuwu~"
The girl's sobbing sounded like a wounded beast.
The pain and despair were mixed with confusion, annoyance, and remorse.
The people around looked at each other, not knowing how to comfort the crying girl in front of them.
In mountainous areas, and even in many impoverished areas, people have the habit of living off the mountains and digging mountain products.
Winter bamboo shoots, kudzu root, etc. are the most common mountain products in winter. I guess the other party’s father wanted to make some money in this way.
Su Tang looked at the girl, feeling mixed emotions as she listened to what she said.
Even after becoming a doctor, she has seen many separations and deaths in the world and has seen many human hearts, but she is still moved by the true emotions of some people.
Just like she was an orphan for both of her lives and was abandoned by her family, she still believed that the vast majority of parents in the world truly love their children.
She envied the girl for having such genuine fatherly love, but she also lamented the cruelty of fate.
"Sister, will my father die?" The girl raised her head and looked at the nurses and volunteers with pleading eyes.