If there is a pulse beating, it means that it has not really hurt the heart, otherwise people will not be able to send it.

Punching the heart will not die immediately, but will live for two or three minutes according to individual differences.

In TV series, those who are pierced by the heart and can still cover their chest and leave last words are not outrageous.

“Go on the ventilator!”

"Take a blood sample for testing and prepare a blood source!"

"Turn the operating room!"

Instructions were issued in Zhang Yan's mouth.

The current situation of the injured person is unknown, so it can only be confirmed that the heart was not directly injured, but the amount of bleeding is very large and chest opening is required to be investigated.

Zhang Yan has given the injured an emergency treatment, including acupuncture to stop bleeding and acupuncture anesthesia, allowing the injured to fall asleep.

Entering a lethargy state at this time can reduce the demand for blood in the brain and reduce brain cell damage caused by ischemia.

However, blood transfusions are still required during the operation, so Zhang Yan arranged samples for examination, which is to test the blood type so that he could prepare for blood transfusion during the operation.

The nurse quickly stepped forward and sent the injured to the operating room.

Zhang Yan also took Director Wang Yanjiang and Wang into the operating room.

"Director, you're just taking the surgery before you even took a video?"

"Old Wang, it's too late. After finishing the film, the injured will be helpless after all these troubles!

So, the surgery we are going to do today is to do blindly.

Your emergency department is the battlefield. In many cases, it is impossible to undergo surgery like the surgery in other departments. All examinations are complete and all kinds of conditions are met before the surgery is performed.

This kind of surgery is often done!

This depends on your solid surgical skills, a deep understanding of the body, and doing blindly." Zhang Yan quickly changed into the surgical gown as he said.

Then I went to brush my hands and walked into the operating room with my hands.

The nurse of the patrol came over to help Zhang Yan put on the sterile clothes.

"Let your doctors in the emergency department come over.

I notified Director Shen again that all the idle doctors in the traditional Chinese medicine surgery department also came over." After putting on the sterile clothes, Zhang Yan ordered Zhao Shengli who was running over.

"Okay!" Zhao Shengli agreed to give a notice.

Zhao Shengli knew that Zhang Yan was going to do surgery teaching.

Zhao Shengli couldn't help but be excited when he thought about the surgery teaching of cardiothoracic surgery.

I just don’t know if I can get to the second support later.

Ichisuke didn't dare to think about it anymore. With Director Wang Yanjiang here, it wouldn't be his turn no matter how hard he was.

Zhang Yan didn't care about Zhao Shengli's idea. This was a first aid surgery and every minute was precious.

“Prepare for the surgery!

Connect to ECG monitoring!

Perform acupuncture and anesthesia!”

Zhang Yan issued a series of instructions.

The anesthesiologist was shocked and finally it was his turn to appear.

Quickly go forward and connect to the ECG monitoring, and then prepare for acupuncture and anesthesia.

"I'll do it if you anesthetize!" Zhang Yan stopped the anesthesiologist.

The anesthesiologist was also dug up from Xicheng Hospital and then personally trained acupuncture and anesthesia techniques.

However, Zhang Yan was still not relieved of such a surgery.

Heart rupture repair is a third-level surgery in later generations, and it cannot be performed by ordinary attending physicians.

What's more, the situation of the injured is unknown now and needs to be opened to investigate.

It cannot be performed according to normal acupuncture and anesthesia.

Zhang Yan quickly pulled out silver needles from the acupuncture bag held by the instrument nurse and inserted them one by one on the corresponding acupoints.

At the same time, take out some of the silver needles he had just inserted outside.

Expose the vision of the surgery and will not delay the opening of the chest due to silver needles.

"Electrocondensing knife!"

Zhang Yan reached out to ask for equipment.

Use an electrocoagulation knife to cut the skin and subcutaneous tissues, and slowly expose the sternum.

Pry open the sternum and open the chest cavity.

Zhang Yan did these steps very quickly and very simply, even Wang Yanjiang couldn't react.

It was only after Zhang Yan coughing twice that Wang Yanjiang quickly concentrated and slowly followed Zhang Yan's rhythm.

As the chest cavity was opened, the injured person's condition was exposed.

Zhang Yan looked up at Wang Yanjiang, who was also looking at him.

Both of them were lamenting the luck of the injured.

It is really very lingering, and the injured person is very lucky. The drill bit rubs against the edge of the heart, and the right pulmonary artery was injured by the drill bit, causing damage and bleeding.

At the same time, the drill bit passes through the right lung and is then stuck by the sternum.

Almost, the drill bit touched the spine.

The injured person was really lucky. The drill bit was slightly tilted to the left and would hurt the heart. Once the heart and right coronary artery were damaged, it would not be able to support the hospital at all.

Even if you cannot hurt the right coronary artery and heart, you will eventually touch the spine if you turn a little to the left.

With the power of the drill bit, touching the spine is likely to be a high-level paraplegia.

At Zhang Yan's current level or at current medical level, this kind of high-level paraplegia caused by injury to the spine and spinal nerves is really unsolvable.

At least, Zhang Yan's own level cannot treat such high-level paraplegia.

He can cure spinal damage, but whether the spinal nerve can recover depends on the patient's own recovery ability. Some people can recover quickly, and the nerves will regain their growth and will not experience paraplegia.

Some people may never stand up again in their lifetime.

Fortunately, the injured successfully avoided these two fatal parts.

Zhang Yan turned his head and took a look at the ECG monitoring meaning. At this time, his heart rhythm was still normal, but his blood pressure was a little low.

This is normal, so much blood is released.

Zhang Yan quickly and carefully took out the drill bit, and a stream of blood immediately gushed out.

"Suck blood! Clean up your chest!" Zhang Yan did not feel panic at all, and gave orders calmly.

Throw the drill bit onto the tray and continue to have a head-on surgery.

After finding the damaged blood vessel, Zhang Yan directly reached out and pinched the blood vessel, and stopped bleeding with bare hands.

The bleeding stopped instantly.

"Are the backup blood source ready?"

"It's ready!"

"Prepare for blood transfusion!"

Just after pulling out the drill bit, the injured person's blood pressure dropped suddenly.

This is because before, the drill bit blocked the damaged blood vessels in the body. Although it was bleeding again, it was not very large.

After the blood vessel was removed, there was no blockage and a large amount of bleeding occurred instantly.

Also, Zhang Yan stopped bleeding with bare hands only the largest bleeding point, and there were other bleeding points that Zhang Yan did not deal with.

"Hemostatic forceps!"

As Wang Yanjiang used an absorber to absorb the blood in the chest cavity, Zhang Yan discovered several more bleeding points.

Quickly use hemostatic forceps to clamp several bleeding points to stop the bleeding.

"Erenine venous injection!"

"Infusion, replenish body fluids!"

At the same time as the order was issued, Zhang Yan began to repair the right pulmonary artery.

The right pulmonary artery is a very critical artery. Once damaged, it is easy to cause pulmonary embolism.

Once pulmonary embolism is caused, it is still very troublesome to treat with current medical conditions.

Zhang Yan held the needle-holding forceps in one hand and quickly repaired and sutured the right pulmonary artery.

As the right pulmonary artery is sutured, the injured person's blood pressure stabilizes and begins to rise.

After suturing the right pulmonary artery, Zhang Yan did not stop, changed the needle and suture, and continued to suture other pulmonary blood vessels.
Chapter completed!