Chapter 268: Steel Penetrating Injury (Part 2)
The vibration generated by flame cutting is much smaller than that of mechanical cutting. Thanks to the fact that the steel bar that runs through Zhou Ming's body is not a prestressed steel bar, otherwise the stress changes caused by flame cutting will probably cause more serious vibrations.
After saving Zhou Ming from mid-air with the fastest speed and slowest movements, the 120 ambulance also arrived at the scene quickly - if it were not for the fact that it was not for the need to avoid sudden acceleration and sudden braking during transportation, the distance would have been driven in about ten minutes.
"Flame cutting... no wonder." Sun Lien nodded. The flame cutting vibration was small, and the reserved 50 cm steel bars were divided into five cuttings at that time, and the process of cooling with running water in the middle also ensured that the temperature generated by acetylene cutting would not be transmitted to Zhou Ming. From Sun Lien's perspective, this subsequent rescue was actually done well.
"The steel bar outside his body is still too long, and he can't get into the CT machine." Koroko looked at Zhou Mingde's condition, even took out a tape measure to measure it, and then shook his head with regret. The main factor affecting Zhou Ming's entry into the CT machine was the angle of the steel bar - after the steel bar extended from his legs, the lower half formed a blind spot with the widest area of about 55 cm together with his left leg. The aperture of the CT machine frame of the Fourth Hospital is 72 cm. The state of this steel bar determines that Zhou Ming cannot undergo CT inspection at present, and can only wait for the firefighters to deal with the steel bar outside before making plans.
The nurses have opened four intravenous infusion lines for Zhou Ming. According to the opinions of the Department of Anesthesiology and Thoracic Surgery, Zhou Ming was given a sufficient amount of painkillers and tranquilizers to prevent him from suddenly waking up during examinations or subsequent treatments. Now Zhou Ming must not move around. If his body twists and causes blood vessel damage, it will be hard for the gods to save him.
"What do you think?" While the firefighters had not arrived yet and Brother Luo was trying to use B-ultrasound to investigate Zhou Ming's injury, Zhou Jun came over and asked Sun Lien's opinion, "Will the examination be clear before the operation, or the operation as soon as possible?"
"If you can make a choice while ensuring the stability of the patient's vital signs, you must wait until it is clear." Sun Lien said nonsense without any novelty. "The steel bars penetrate the wound... I know how many organs he has injured. The surgical areas involved include four parts: the pelvic cavity, abdominal cavity, chest cavity, and neck." Sun Lien shook his head. Anyway, his understanding of emergency surgery is limited. Even if he is conservative, it doesn't matter. "In this case, the more patients you can grasp, the greater your confidence in the surgery."
If you can have elective surgery, it is of course the best - but this is obviously just Sun Lien's personal luxury. The patient himself has been tied into skewers by steel bars, so can he still have elective surgery?
The firefighters finally rushed to the rescue room of the Fourth Hospital with hydraulic shears. After carefully cutting the steel bars about 40 cm short, Zhou Ming could finally be sent to the CT room for imaging examination.
"This patient's condition is quite troublesome, but fortunately...at least it's stable, but this pericardial bleeding is a bit troublesome." A group of doctors were crowding in the CT room for consultation. Wang Hua, director of the thoracic surgery, frowned at the sight, "I have to ask Director Tong to take a look."
Tong Chunlai was not on duty in the hospital today. Wang Hua pushed open the door of the CT examination room and called directly in the corridor to ask someone to rescue the scene. At the same time, Zheng Guoyou discussed the operation with Zhou Jun.
"From this situation, surgery should be given in addition to heart, external chest and liver and gallbladder." Zheng Guoyou said first, "He has pelvic fractures, femoral fractures, rib fractures and spinal injuries. However, except for femoral fractures, it is not too troublesome. It is okay to do it after the situation stabilizes - the femoral fractures must be treated as soon as possible, otherwise there may be fat embolism."
"This steel bar has a diameter of 15 cm, so it is probably unrealistic to cut it in the operation." Zhou Jun was also estimating the situation, "That is to say, you have to complete the dissociation of all the organs before you can pull out this thing."
Brother Luo, who was standing beside him, suddenly interrupted, "I remember that there is no electric grinding in orthopedics? The titanium alloy grinding disc should be able to break the steel bars, right?"
Zheng Guoyou glanced at Brother Luo and suddenly laughed, "Although your imaging department is not a clinical department, you can't take it this way, right?" He pointed to the steel bars on Zhou Ming's body through the window. "It takes at least half an hour to cut the steel bars of 15 cm with a bone saw or an electric grinding. The splashing metal debris, heat, vibrations, and even the weight changes in the steel bars that break into two pieces after cutting may pose a direct threat to the patient's life."
Brother Luo looked a little embarrassed after being criticized by Director Zheng. He had heard of the case of using dentistry to remove foreign objects in the body by using dentistry hand grinding. However, he had never considered the things involved in the surgery.
"Okay, Old Tong will arrive soon." Wang Hua walked back from outside, "Director Zhou, please take the blood in the patient's pericardial first. Although the amount of bleeding is not too large, it will be very troublesome if the blood coagulates."
In fact, without Wang Hua's instructions, Sun Lien had already taken out the syringe that he had not taken out before in his pocket. However, due to the steel bar, the traditional needle insertion direction seemed to be unfeasible. Zhou Ming was lying on the CT examination bed, it was best to reduce movement. Therefore, Luo Ge had the gaze to push the mobile b over to guide him.
"Yes, yes, right, that's the angle." Luo Ge, who was driving and guiding Sun Lien, directing him to pierce the syringe down, "Okay, go a little further..."
"Director Zhou, the authorization from the hospital office has arrived." Xu Yourong jogged into the CT surveillance room wearing sports shoes and said to Zhou Jun, "Also, the patient's work leader has also arrived."
Zhou Ming is a model worker and an engineering staff member with a formal employment contract. If such an unfortunate accident occurred on the construction site, his unit leaders should come forward.
"Oh... OK." Zhou Jun nodded and sent Sun Lien out, "Lien, go and communicate with the patient's leader."
Sun Lien soon met Zhou Ming's leader. Two middle-aged men who had not even taken off their safety helmets were holding clutches, and one of them was making an anxious call.
"You are Zhou Ming's leader, right?" Sun Lien knew at a glance that these two people were the main leaders. "Hello, I am..." Sun Lien was a little stunned when he said this. Zhou Ming's situation should not be considered a patient he accepted. "...I am the doctor in charge of Zhou Ming's treatment."
The two middle-aged men looked at each other suspiciously, "Yes..." They seemed to have made some decisions quickly while looking at each other, "How is Zhou Ming's situation now?"
"It is temporarily stable, but there are many organs damaged by steel bars." Sun Lien probably recounted the surgical arrangements discussed by Zhou Jun and Zheng Guoyou. "At least two surgeries are required, the first one is more important. After the second one is finished, let's take a look at the patient's condition."
The two of them discussed again and asked, "Then how much is the cost of this treatment...? Are Zhou Ming's family members here?"
"The treatment cost... is hard to say." Sun Lien was a little troubled. These two surgeries were types that he had never experienced before. It was indeed difficult to estimate the price. "The only one of his brothers is here at the moment... it is Qian Huaxin, the welder."
"Then let's communicate with the family first." The two middle-aged men nodded, "Can you please call him over? We don't know who he is..."
Sun Lien frowned strangely, but nodded and responded to the matter. Soon, he brought Qian Huaxin, who had been rubbing his hands anxiously, and took a few steps back, giving up a space to not disturb their communication.
The two leaders first shook Qian Huaxin's blood-filled and dusty hand, and then whispered a few words.
Qian Xinhua first nodded with gratitude, then his expression gradually became a little stiff, and then he showed a look of horror on his face.
"That's my brother's life! I...I...How can I let him die with the money?" Qian Xinhua shouted, "No, no, this is absolutely not possible!"
Chapter completed!