godfather of surgery

Chapter 317

At six o'clock, Takahashi and Fujiwara arrived at the department. Because he was not very skilled, Takahashi seemed a little sneaky.

The nurse thought it was a thief, but when she caught him and asked him, she realized that it was a new Japanese intern who arrived yesterday.

He moved the medical records to Zhang Lin's desk, folded them neatly, made tea for Zhang Lin, set the teacups, and then sat down to familiarize himself with the computer HIS system and log in his job number. Only then did he remember that he left work yesterday. Teacher Zhang hasn't taught how to use this system yet. He has been tinkering with it for a long time, but he still hasn't mastered it.

At this time, Li Guodong, a diligent graduate student, also arrived at the department. Gao Qiao saw the savior and pulled Guodong back: "Dr. Li, teach me about this medical order system."

Xiao Li glanced at the computer and said nothing. Takahashi thought he was unwilling, so he turned on his phone and said, "Shall I send you a WeChat red envelope?"

True or false, teach you the HIS system, and send red envelopes, local tyrants!
"There's no need for red envelopes, come, let me teach you." Xiao Li sat down, demonstrated and explained.

Takahashi used to be a top student in Japan, and after listening to it, he was able to learn very well. Li Guodong was also amazed at this Japanese's learning ability.

It is said that the Faculty of Medicine of the University of Tokyo is the most difficult exam in Japan, and those who can get in are all academics with super high IQs. It seems that the rumors are true, and Takahashi's learning ability is really strong.

"Shall I send you a red envelope? Add a WeChat account." Takahashi really wanted to send a red envelope.

If in the past, Li Guodong really wanted this red envelope, his financial conditions were relatively poor, and he usually relied on holding some pharmaceutical company's promotional meetings for pharmaceutical companies for Keli, and received a travel expenses of one or two hundred.

Now in the comprehensive orthopedics department, following Yang Ping, his hands are full, and the red envelope is not bad, he waved his hand: "Forget about the red envelope, add a WeChat, so that we can communicate with each other, and I will pull you into our group."

People came in one after another. Takahashi recorded the abnormalities in the inspection report against the computer, and occasionally encountered words that he did not understand, and used translation software to solve them. There was basically no language barrier.

Zhang Lin came over, saw the neat medical records on the table, and the tea that had been brewed. He sat down and tried to scold someone but couldn't find a reason for it.

"Xiao Gao!"

Hearing Zhang Lin's cry, Gao Qiao immediately ran over and stood beside him.

Zhang Lin picked up the cup and took a sip of the tea. It was not bad, but he needed some adjustments: "Xiao Gao, there is a little too much tea."

Gao Qiao immediately took out his notebook and wrote it down. Zhang Lin glanced sideways, and wrote it down in a notebook. Is it necessary?
Takahashi finished recording and said: "Mr. Zhang, I washed the cup for you today. There are exactly 29 pieces of tea residue in it, so I put 29 tea grains in this morning. If there are too many, I will reduce three more in the morning. 26 tea grains are enough." ?"

Zhang Lin's body tensed up and he was paralyzed. He actually counted the tea leaves in the cup. The Japanese were careful enough. Zhang Lin pretended to be calm: "Well, it's okay to do things. The tea leaves can be big or small, and they can't be the same. On the basis of 29 According to the size of the tea grains, slightly add or subtract."

"Understood, Mr. Zhang, I will brew for you according to the quality of the tea." Takahashi found a solution to the problem.

The doctors in the department arrived one after another, and they turned in on time at eight o'clock in the morning. Just after the shift was over, the dedicated line of the Trauma Emergency Center rang.

Trauma emergency centers focus on microtrauma orthopedics, but other orthopedics are also involved.

Every department of the orthopedics department, including the comprehensive orthopedics department, has a dedicated telephone line for the trauma emergency center, so that in an emergency, there will be no situation where the phone cannot be answered.

Early in the morning, the phone rang so frighteningly.

"The trauma emergency center calls for support, the patient is in the emergency room!"

Song Zimo put down the phone. Comprehensive orthopedics is the trump card of major orthopedics. If you need comprehensive orthopedics support, you must encounter extremely serious and complicated trauma patients.

"The Trauma Emergency Center requests support, except for those on duty, all dispatched!"

Illness is an order!

Yang Ping immediately ordered the department staff to act, every second counts, he didn't dare to delay for a second, he led everyone almost running, and rushed to the emergency department.

Sure enough, it was another car accident, a large car accident, and the tense atmosphere in the emergency department hall has been told to everyone.

At the gate of the emergency room, a man was sitting on a blue plastic chair, holding a four or five-year-old boy in his arms. The child was pale, holding a schoolbag, shaking all the time, and there was blood on the schoolbag.

"Don't be afraid, mom is fine, she must be fine." The man kept reassuring the child.

"Dr. Yang, in the rescue room, hurry up!" The nurse led the way, and the door of the rescue room opened.

"Quick! Aortic interventional balloon to stop bleeding, hurry up!"

Director Tan's roar.

"No, the femoral artery can't be catheterized, and the subclavian artery can't reach the aorta blindly!"

It was Director Tan's roar.

"Heartbeat gone again!" the nurse screamed.

On the screen of the ECG monitor, a series of long ventricular fibrillation waves appeared, which is a manifestation of cardiac arrest.

"Defibrillation, defibrillation!"

Once Director Tan encounters such a big rescue, he is like a lion, shouting loudly, and the entire rescue room runs at high speed under his urging.

The wounded was lying on the flatbed car, covered in blood, it was horrible, the entire lower body was crushed and crushed, no different from meatloaf, and the intestines were squeezed out from the wound in the abdomen, scattered on the flatbed car, everywhere.

The dark red blood on the flat car, mixed with feces, flowed everywhere, from the sides of the flat car to the ground, and spread on the ground, forming a pool of dark red blood.

My God, the bloody and deformed scene is extremely stimulating to the senses, which is suffocating!
A Gui Peisheng covered his mouth all of a sudden, ran to the trash can, and vomited it all up.

"This is from that department, tell him to get out!" the strong emergency nurse yelled.

"200 joules! Leave, defibrillation!"

The emergency doctors are well-trained, quickly prepare the defibrillator, turn it on, apply conductive paste, and do it in one go. One electrode is held in one hand, and it is placed on the right subclavian and left apex of the wounded.

"No broken ribs, no chest damage, heart compressions!"

Director Tan's gloves and body were covered with blood. His fiery temper was fully realized during the rescue, and almost every sound was roared out.

Endotracheal intubation had already been completed at the scene, the ventilator maintained the patient's breathing, and cardiac compression and electrical defibrillation were performed alternately.

"Yes, the heartbeat has recovered, but the blood pressure has not been measured."

After another defibrillation, the ventricular fibrillation wave on the screen immediately returned to the normal wavy line of sinus rhythm.

"The blood is here!"

A nurse pushed a pile of blood bags on a cart, rushed over and stopped at the bedside, another nurse quickly changed the blood bags, and the blood was infused into the patient's body through bilateral subclavian vein catheters.

Clap clap!There was the sound of the ambulance medicine box being pulled out and propelled. The doctor was extremely skilled, and one life-saving medicine after another was pushed in from the vein.

This kind of injury, the whole lower body is like being repeatedly beaten by a big hammer of dozens of tons.

Takahashi was greatly stimulated by the sight, and stood by, wanting to help with something, but didn't know how to do it.

The rescue of this kind of patient has only a symbolic meaning, but these doctors and nurses, each of them tried their best, Takahashi suddenly felt a sense of respect,

"Director Tan—!"

Yang Ping rushed to the side of the flat car with his people.

Director Tan seemed to have withstood the enemy's onslaught for several rounds, and ran out of ammunition and food. At this time, he saw the reinforcements coming: "Look, the lower body is gone, the abdominal wound was squeezed and exploded, and the intestines and internal organs are in a mess. I don't know yet. Specifically, just as I was about to push into the operating room, my heartbeat and breathing stopped, so I guess there was no hope."

"If it weren't for the emergency doctor reaching in and pinching the aorta to stop the bleeding with bare hands, I wouldn't be able to survive now." Director Tan was sweating.

The hand of the doctor who stopped the bleeding with bare hands was always inside: "I pinched the aorta, but it still didn't work, the bleeding was very violent."

"Aortic blocking forceps, hurry up! There are also vascular clamps, bring all the vascular clamps."

Yang Ping was very calm, his voice was loud and clear, but there was no trace of impatience or roar, and the whole scene was instantly overwhelmed by him.

The instrument he wanted was pushed and fully opened. Yang Ping immediately put on his gloves and reached in with one hand to search for blood vessels in the internal organs.

"Don't move your hands for now!" Yang Ping ordered the doctors in the emergency department.

The young doctor had not moved from the scene to the hospital, and his hands were already stiff.

Yang Ping's aortic clamp, without being able to see, found the part of the abdominal aorta closest to the diaphragm with his hand feeling: "Hurry up, aortic clamp!"

Domineering, but not rough!
Be quick, but don't rush!

Director Tan handed over the aortic clamp, and Yang Ping accurately clamped the aorta. The whole process only took a few seconds.

The bleeding below has been reduced by half, but it is still coming out. Yang Ping's hand continued: "There are communicating blood vessels above the diaphragm that penetrate into the abdominal cavity!"

Either open the chest now, or look for the communicating blood vessels blindly, and clamp them one by one with a blood vessel clip to completely stop the bleeding.

"Continue to pass me the blood vessel clip, the large one, yes!"

Yang Ping didn't look back, took the blood vessel clamp, and knew the size by touch. He groped in the abdominal cavity with his left hand. He found and clamped a communication branch on the back side of the liver.

The extremely proficient anatomy allows him to clearly understand every structure without looking directly. Wherever he reaches his hand, there is a clear anatomy.

Near the head of the pancreas and next to the pedicle of the spleen, there are communicating vessels, which originate above the diaphragm, blocking the abdominal aorta, and cannot prevent them from bleeding.

More than ten vascular clips were put in one by one, and the bleeding finally stopped. The whole operation took less than 3 minutes.

This is the degree of proficiency in anatomy before such an operation can be done.

Takahashi could see clearly that this was no longer a human operation, but a divine operation. No wonder the academic meeting could calmly handle more than 100 blood vessels.

"Part of the liver can be kept, the spleen needs to be cut off, the rectum needs to be cut off, the bladder and ureter need to be repaired, the pelvis is completely crushed, the pancreas is fine, and the entire lower limb of the pelvis needs to be cut off—" Yang Ping has already made a drawing with the touch of his hands. initial diagnosis.

The hands of the surgeon are the second pair of eyes. Sometimes what the eyes cannot see during the operation is recognized by the touch of the hands.

"Send it to the operating room now, the operating room dedicated to trauma first aid, I'll do the surgery!" Yang Ping resolutely said.

"Dr. Yang, I want to see your operation, can I?"

The young doctor who followed up just now is the doctor who just stopped the bleeding with his bare hands.

Yang Ping glanced at him, and said as he walked: "You are very courageous, you are also very familiar with anatomy, and your judgment on the injury is also very accurate. The blocking position must be higher."

"Dr. Yang!"

Takahashi followed immediately.

(End of this chapter)