The patient was admitted to the emergency ward, and preoperative preparations were made and preoperative explanations. This series of work was very tedious.

Even though the emergency department was simplified, he was busy for at least half an hour when the patient was allowed to do so. Su Yun pushed the patient to the operating room.

When the patient was pushed onto the stage, the patient's high pressure had dropped to 90 mmHg.

The continuous decline in blood pressure shows that the patient's condition does not seem to be as simple as it shows.

After anesthesia, Su Yun put his position on the patient, put the first layer of sterile sheet, and then went to brush his hands again. At this time, Zheng Ren put on the sterile clothes and started putting on the second layer of sterile sheet.

The operation officially began.

Zheng Ren reached out and was photographed in his hand with hemostatic forceps and iodine gauze.

Disinfect, put the pliers on the side of the patient's leg, then stretched out your hand, and the scalpel slapped it.

Open the skin, 20cm large knife edge, then cut layer by layer, blunt separation, and electric burning to stop bleeding.

Cao Guozhen had already arrived in the operating room. He was standing behind Zheng Ren and watching the operation from the perspective of the surgeon.

The chest opening process is almost perfect and the amount of bleeding is very small.

Although Cao Guozhen was still unwilling to accept it, he complained that he would not get much blood even if he opened his chest.

Opening the chest and opening the abdomen are two completely different ways to open.

Many years ago, when electrotherapy was not widely used in clinical practice, 500ml of blood was necessary to open the chest.

However, during Zheng Ren and Su Yun's surgery, there was no visible bleeding. Some larger blood vessels were directly picked out from the tissue with hemostasis forceps and sewed on them.

Only after breaking the muscles, use electric burns to burn blood seepage in the muscles.

The surgery was done neatly, and Cao Guozhen became more and more afraid the more he looked at it.

Why are these two monsters in the emergency ward so awesome? I really can’t just talk about it if I want to grab the emergency department of the chest.

Zheng Ren and Su Yun had a tacit understanding and did not go for internal fixation of rib fractures, but opened the chest cavity first.

Because there is no strong evidence that thoracic surgery can be performed, so I can only say that internal fixation of rib fractures is required.

this,

It's already crossing the line.

Even if the postoperative recovery is not good and the patient's family is pretentious, Zheng Ren and Su Yun may be in trouble.

certainly,

They found this trouble themselves.

Cao Guozhen's sneer under his mask became stronger and stronger. These two guys in the emergency department were really presumptuous.

Don’t they know that the diagnosis and treatment procedures are violated?

The patient's surname is neither Zheng nor Su. So?

Still inflated, I don’t know anything about my surname.

Although I didn't see any problems after opening my chest, I could just do internal fixation of the rib fracture. The patient's family didn't know that, and I wouldn't instigate him.

However, there is no reason why you don’t get your shoes wet when you walk by the river often.

Let them be so arrogant, not far from something happening.

Cao Guozhen looked at the two of them opening their chests in a flash. Zheng Ren raised his hand and a heavy automatic hook appeared on his hand.

Open the chest cavity and use the automatic hook to pull open the surgical field about 8cm.

Generally speaking, the surgery field is definitely not that big. However, the patient has a rib fracture, and the ribs are not so elastic and tough at this moment, and the surgery field is wider than before.

"I wanted to do thoracic at the beginning, just for this kind of technique." Su Yun despised the operating room too quiet and began to nag, "It's so bright, you don't have to stroke your intestines and get the feces. Boss, do you think so."

As the automatic hook snaps are unscrewed, the lungs appear in front of you.

The middle and lower lobes of the right lung each have a huge hole, and the edges are dark red, appearing in the art field.

Zheng Ren and Su Yun breathed a sigh of relief.

It's really a problem, and the intuition is not wrong!

Zheng Ren was a little scared and secretly scolded the big pig's hooves in his heart, saying that it was a lung rupture and that it was not marked as big.

Can a 0.5cm abrasion lung rupture be the same as a 10cm long and 10cm deep lung rupture?

Zheng Ren used hemostatic forceps to detect it, and then all the hemostatic forceps were in, and then hemostatic forceps were found to the end.

The middle lobe of the right lung almost penetrated.

Cao Guozhen stood behind Zheng Ren and was stunned.

What's the reason for this?

With such a big lung rupture, why doesn’t there be a blood pneumothorax? It’s impossible!

No!

He was confused.

Cao Guozhen has been in medicine for ten years and has seen countless traumas, but this is the first time he has encountered this situation.

What's going on?

Zheng Ren investigated and Su Yun was talking nonsense, "Boss, I guess the force of the steel bars hitting is too strong. The fractured end of the rib fracture is like a dagger, causing trauma in the middle and lower lobes of the right lung, and then it shrinks back due to the elasticity of the ribs itself.

Because the strength is too strong and the trauma is too severe, it is still similar to the kind of sharp weapon injury. At the moment of injury, the bronchial artery was damaged in many places, and a large amount of blood was poured out, filling the lungs directly."

The process Zheng Ren recalled in his heart was similar to what Su Yun said, and there was no big difference.

"So it is similar to the traumatic wet lungs on the video. Because blood is poured into the bronchial and bronchioles of the right lung, there is no pneumothorax. The lungs themselves are not compressed, the pressure is huge, and blood cannot be discharged, so there is no blood chest."

"This case is so misleading." Su Yun was very happy after exploring the patient's lungs, and he never stopped talking.

Compared with the previous caution, it was like a different person.

Cao Guozhen stood behind Zheng Ren and was already in a petrochemical state.

What Su Yun said makes sense. But if he had such a guess, how dare he open his chest?

He thought for a long time and definitely didn't dare.

If there is no indication for surgery and open your chest at will, you may be sued by the family members of those patients with malicious intentions to the Medical Commission.

These two people... are so brave.

But if you continue thinking about it, Cao Guozhen's cold sweat came out in an instant.

If it weren't for Zheng Ren and Su Yun's insistence on opening the chest to investigate, the patient would observe for a few more hours, and would probably not have blood flowed out of the chest cavity, but would have passed through the upper respiratory tract little by little.

It is similar to the process of drowning, but this time it affects the patient's breathing, his own blood.

This is more troublesome than drowning. Once the blood condenses into a scab, the airway will be blocked...

The patient must die in thoracic surgery.

When Cao Guozhen thought that the patient was fine when he was hospitalized, he died in the thoracic surgery department without getting through it all night... Cao Guozhen became stupid.

Even if I just think about it, it is just like watching the most horror movie, creepy and chilling.

His whole body was as blood clotted. He recalled in his mind a patient with a fractured rib and aortic dissection that had appeared in the ward. When he had CT, the dissection was very light and no one was found. A few hours later, the dissection ruptured and the patient died suddenly.

After the patient died, dozens of people came to his home, dressed in mourning, put the patient's body at the entrance of the thoracic surgery department, burning paper to mourn.

Cao Guozhen just thought about that scene and his legs were already weak.

It’s not that the doctor is not concerned about it, nor that the patient’s family wants to cause trouble. A good person will disappear if he says nothing, who can stand it?

But do 10 CT scans a night to prevent and avoid it?

There are hundreds of fractures in the chest department a year, and I am afraid that the patient's family will be sued for death.
Chapter completed!