"No." Zheng Ren handed the suction device in his hand to Su Yun, opened the peritoneum and provided peritoneal protection.

The thoracic director's surname is Zhang, and he is a short and fat man with a sterile mask. He looks a bit slutty between his eyebrows and eyes.

This man is in the yard, famously stingy and revenge. Generally, there is nothing important, and few people deal with him.

Director Zhang felt a little embarrassed and stood in front of the operating table and hesitated.

Seeing that there was no movement on the other side, Director Pan urged the blood transfusion department and came back and heard this conversation, he gave him a fierce look.

It’s not until the chest department is over, but Yang Lili’s blood pressure is still not measured. At the same time, she is not very likely to undergo chest and abdominal surgery and she can step down alive.

"Let's take a chest and investigate." When Director Zhang saw that Director Zhang was still hesitating, he said directly.

If there weren't a lot of hospital leaders standing in the operating room, Director Zhang really wanted to refuse the operation.

He really wanted to say that he was dead, and he was still trying hard.

Until now, the blood pressure on ECG monitoring is still not measured, and the heart rate is extremely fast, so atrial fibrillation has already begun.

But seeing how fast the emergency general surgery was performed, I stood here for a few minutes and found the broken artery of the mesenterology and started ligation.

Director Zhang sighed and said, "Do your best."

"Su Yun, go and help Director Zhang." Zheng Ren didn't raise his head and stretched out his hand. A piece of warm salt water gauze fell on his hand. While covering the intestines, he saw which section of the intestine had necrosis symptoms, he looked for the knife stab wound on the intestine.

Well? Director Zhang was stunned for a moment and looked at Old Director Pan with a squint. Seeing that he did not object to Zheng Ren's words, his heart immediately began to draw his soul.

Director Zhang knew that the emergency department had "robbed" the general extracurrence emergency surgery this time, is it necessary to rob the extracurrence emergency surgery?

There are not many guns in the emergency department, but the appetite is really big.

Su Yun didn't even look at Director Zhang, so he turned around and stepped down, began to disinfect the chest incision, then brushed his hands again, and put on surgical gowns.

Director Zhang was very helpless. What's the matter?

But it is not easy to have an attack in front of so many hospital leaders. It is mainly because Director Pan is a mountain he dare not provoke.

If it happens... Liu Tianxing is still in the hospital, it is said that he is depressed and has liver disease.

It’s time to bow your head, Director Zhang began to communicate with the head nurse of the emergency operating room and went to the Dawai operating room to get the sterile bag of the chest.

Su Yun ignored Director Zhang. After disinfecting the drug, he began to lay out the orders and brush his hands. He stood beside Zheng Ren, and the two surgeries began at the same time.

Xie Yiren became even busier.

Because it is an unconventional technique, the tacit understanding without saying anything has become a luxury.

Zheng Ren and Su Yun kept asking for equipment in a low voice, and Xie Yiren could barely come over.

Director Zhang and the head nurse of the Dawai Operating Room explained the sterile bags they needed, and sent their hospitalization officer to get them. After turning around and returning, he saw that Su Yun had already opened his chest and was furious.

"What a joke! Without equipment, are you going to work blindly?! This is a thoracic surgery, not your emergency department!"

What he said makes sense. There are ribs on the chest and special equipment is needed to open the chest wall to expose the surgical field. You can use several hooks on the ordinary outside, but it is not possible on the outside of the chest.

If you had thoracic surgery twenty years earlier, you would have to have a rib removed to make the surgery wider.

It makes sense, but emergency rescue is more precious than gold every minute and every second.

Su Yun was dedicated to opening his chest, and the star of the cardiothoracic surgery department had his own confidence and pride, so how could he handle the clamor of a director of the Haicheng City First Hospital?

No one paid attention to him, Zheng Ren and Su Yun were busy, and Director Xiao and Director Pan stood behind Zheng Ren, watching the operation focused, and seemed to have not heard Director Zhang's words.

Director Zhang was helpless and did not dare to complain too much, so he had to take the stage.

The two surgeries were performed at the same time, and there were no fewer people standing there. Usually, there were at least three people on the stage when the chest surgery was opened. At this moment, only Director Zhang and Su Yun did it.

At this time, Yang Lei, who was standing in the Ichisuke position, became the busiest person.

While pulling the hook, you also need to hand over the equipment.

Zheng Ren used his heart and looked at Su Yun's side.

Seeing that Su Yun was proficient in his skills, he was indeed a doctor from a thoracic department, and he was more than a little better than the Puwai who became a monk halfway through the journey.

In fact, Zheng Ren asked Su Yun to provide a station to Director Zhang, which was also a fancy to Su Yun who had had a heart transplant in the imperial capital.

Can I have the best surgery outside the chest, but I can't handle it in an emergency department?

joke!

In order to better cooperate with Su Yun, Zheng Ren did not hesitate and ordered a master-level skill book to add it to the skill tree of cardiothoracic surgery.

Yang Lili started to be stabbed twice in the chest, and then tried her best to hold the criminal's arm, and after breaking free, she was stabbed several times in the abdomen.

It does not harm the liver and spleen, but there are seven or eight ruptures in the intestines, and some intestines are still penetrated.

Severe contamination in the abdominal cavity.

After repeated rinsing, aspiration, and ligation of some injured mesenteric arteries, the surgical field became much clearer.

Repairing damaged intestines is a minor problem. Every Zheng Renfei needle is threaded and repaired quickly.

The big problem is that the patient's mesenteric artery is punctured, mesenteric ischemia, necrosis, and after ligating part of the mesenteric artery, the intestines supplied to the ligated artery will inevitably have necrosis.

The big task of abdominal surgery lies in the resection and anastomosis of the intestine.

However, for Zheng Ren, it is best to have an assistant. If not, it is enough to do it alone.

Gradually, Yang Lei helped Su Yun to work more, and Zheng Ren just wanted to help expose the surgical field.

Even Zheng Ren took care of all the knots and thread cutting tasks by himself. He held the scissors in the palm of his hand and appeared like magic, disappearing without delaying the movements of his hand.

Yang Lili's intestinal necrotic part is about 60cm, which is at an acceptable level. If it is longer, you should be careful of complications such as jejunal syndrome after surgery.

Fifteen minutes after the abdomen was opened, Zheng Ren had removed the necrotic intestinal duct and completed the normal intestinal anastomosis.

At this time, fresh frozen red blood cells and fresh frozen plasma have just been retrieved.

"One person, one bag." Director Pan Shuai first picked up a bag of red blood cells and simmered it with both hands.

Dean Xiao tightened his eyebrows and watched the operation.

But he also saw that the blood was sent, so he asked Director Ding to bring him a bag of red blood cells.

With the dean setting an example, who can say "no" to the leaders of the hospital?

"There is no blood on the blood transfusion department." The phone rang, and the head nurse in the emergency room answered, and then said.

"Director Ding, contact the blood bank in the city center." Dean Xiao said: "At least 20u red blood cells must be prepared."

"Platelets and fibrinogen are also needed." Author Su Yun also paid attention to the subsequent situation when the operation was performed.

Dean Xiao is a clinical background. Knowing that the patient's current situation is still possible, he will inevitably face many complications of organ ischemia and reperfusion injuries and a large number of DICs after blood transfusion.

He nodded.

Director Ding immediately ran out to call the center's blood bank.

Soon, he ran back and came to Dean Xiao and whispered: "Director, type B RH positive blood, there is not so much blood bank in the central area."

The blood supply in the city is from the blood bank in the city center. Some rare types or blood types that have been used more recently may not have enough blood preparation.

"You contact the blood bank and the hospital to find someone with the corresponding blood type to donate blood. You should hurry!" Director Xiao looked at the operation and his face turned pale.

"Okay." Director Ding then left the operating room and went out to talk about these things.

Generally speaking, even if someone donates blood, the central blood bank has its own cumbersome procedure and cannot get blood in a day.

At this time, the chief director of the city's largest hospital still had a certain amount of weight in his speech.

Zheng Ren felt much more at ease when he heard the conversation behind him.

When you come out to scan your face in the hospital, it means that you will not lack platelets and fibrinogen.

These two things are necessary for patients to step down alive, but they rarely come here now, especially fibrinogen.

Due to the lack of fibrinogen, many menqi venous dysfunction techniques cannot be performed.

After the intestinal anastomosis, cover the warm salt water gauze for five minutes. Zheng Ren looked in the abdomen and saw that there were no other untreated injuries. He turned on the warm salt water gauze and saw that there were a slight bloody ends of the anastomosis at the intestinal anastomosis.

This proves that no ischemic necrotic tissue remains, and postoperative intestinal anastomosis should not be a problem.
Chapter completed!