There is no need to be too normal to be a doctor
Chapter 145 Dispersion and Baptism!
Chapter 145 Dispersion and Baptism!
The ambulance was driving quickly on the road.
The lights for rescue missions were flashing and sirens were sounding.
The surrounding cars also began to give way.
At this time, the Gu Mining area was also in chaos.
The mine manager stood above the mine with a worried look on his face.
To be honest, this accident was completely avoidable. The current underground construction is completely carried out safely and orderly.
But who would have thought that cracks would suddenly appear in the stable coal seam.
This sudden change caused the workers underground to panic.
When the coal miners saw this, they all started to walk out frantically, and the dispatch truck also started operating quickly.
In coal mines, there is always a saying that goes like this.
Going down, coming up, three to five hundred a day is fast.
If you go down but can't come up, it's two to three million a day.
However, who wants to go down but not come up?
In recent years, young people are not willing to go down the mine at all, and the newly appointed director of the Bureau of Mines has also introduced new policies.
After young people take up the job, whether they are working underground or above the ground, they must go to the underground to train for two years.
But even so, the workers who go down the well are still middle-aged people in their 50s and [-]s who live a conservative life.
They carry the heavy burden of the family on their shoulders and hold firewood, rice, oil and salt in their hands.
The cold wind blowing down the mine is like cutting with a knife, so what?
Nothing compares to the hardship of life. The slow knife smoothes away the ideals in people's hearts one by one.
"How about it?"
"Have they all come up?"
"How many more people are there?!"
Zhu Tao looked at the captain nervously.
Wang Leigang looked uneasy: "There is another one!"
"The situation is quite dangerous, and people have already been sent down to carry it... It seems to be quite serious!"
Wang Leigang's words made Zhu Tao's heart sink immediately.
At this moment, several emergency vehicles quickly arrived.
……
……
At this time, the First Affiliated Hospital of Shanhe Medical University.
Inside the general surgery office.
Zhao Lei looked at the letter in his hand with a solemn expression and looked up at Zhao Xi.
"What are you doing!"
Zhao Xi lowered his head and said nothing.
"Aren't you doing well in the general surgery department?"
"Now your points are relatively high."
"It is estimated that the hospital will hire you as the attending doctor soon."
"Great future, isn't this nonsense?!"
Zhao Lei stared at Zhao Xi angrily, his eyes twinkling a little more.
When Zhao Xi heard the sound, he lowered his head and said in a low voice:
"Why did you take away my application!"
"You are abusing your power!"
When Zhao Lei heard this, he laughed angrily.
"Abuse of power?!"
"Ah!"
"I haven't learned anything else, but I've learned a lot about this set of Mandarin!"
"The emergency center hospital is not perfect yet. Didn't you cause trouble in the past?"
Zhao Xi frowned: "I...I believe in my own level!"
"Besides, I have accumulated rich experience in general surgery. Is it okay to become a general surgeon after I go there?"
Zhao Lei suddenly fell silent when he heard Zhao Xi's words. After a long time...he suddenly thought of something.
"Is it because of Chen Gong?"
After finishing speaking, Zhao Lei stared at Zhao Xi.
Hearing this, Zhao Xi's eyes dodge unnaturally at this moment.
"So what?"
"So what if it's not?"
"Besides, I won't make any progress if I stay here!"
"I went to the emergency room, maybe I can improve a lot."
"You can't be biased!"
When Zhao Lei heard this, he also sighed deeply and couldn't help but shake his head.
At this moment, he suddenly felt a little regretful.
Was he right or wrong in placing Chen Gong next to Zhao Xi?
He had a feeling that Zhao Xi, this girl, obviously had some special feelings for Chen Gong.
If a father doesn't feel this at all, then he is really incompetent.
but……
Zhao Lei blushed and looked at Zhao Xi: "Daughter, dad also knows!"
"You are older too. Dad shouldn't interfere with many things..."
"But……"
"Tell dad honestly, are you interested in Chen Gong?"
Zhao Xi obviously didn't expect his father to ask such a question straight to the point.
For a moment, her fair face turned red.
"me……"
"I just feel like I'm making rapid progress with him."
"I also felt that the surgery went very smoothly with him."
"me……"
"I just like him, what's wrong?"
As he spoke, Zhao Xi felt a sudden change in his heart and raised his head, like an angry little hen, staring at Zhao Lei with the hair on his neck.
Zhao Lei was stunned when he heard the sound.
Good guy!
He originally just wanted to speculate.
As a result, my daughter unexpectedly admitted it directly.
For a moment, Zhao Lei suddenly felt that he didn't know what to say.
"You...you...oh, aren't you acting recklessly?"
"This Xiao Chen is my good brother, call me big brother...you are making me...ouch!"
Zhao Lei was also blushing and didn't know what to say.
Zhao Xi snorted coldly: "That's because you are so sentimental!"
"I told you more, you are not allowed to call him good brother!"
"Aren't you messing around?"
"How old is he?"
"How old are you!"
When Zhao Lei heard this, he immediately frowned: "You girl, let me ask you, how old are you?"
"How old is Xiao Chen?"
When Zhao Xi heard this, he immediately felt aggrieved: "I don't care!"
"You are not allowed to stop my application."
"I've decided to go there."
"You can't stop me!"
"Otherwise, I will report you to the medical department!"
Hearing this, Zhao Lei also felt miserable and couldn't express his feelings.
He didn't expect that the joke he made with Pang Di and Jiang Mingze would actually come true!
in fact……
Zhao Lei does not reject Chen Gong either.
Of course he knows how good this kid Chen Gong is?
Zhao Lei didn't even dare to think about Chen Gong's future. He would definitely become one of the giants of domestic medicine.
Academician, that will happen sooner or later.
but!
No matter how excellent...this...seems to be pretty good?
You are not an academician yourself, but your son-in-law is?
Thor was shaken for a moment?
No, no!
Thor quickly shook his head and said quickly: "No, no, these are two different things!"
"Daughter, dad has to tell you."
"Excellence is excellence, but... finding a boyfriend or girlfriend is a boyfriend or girlfriend, these are two different things!"
"Many excellent people actually don't care about their families."
Zhao Xi shook his head: "Then I want to try it too!"
"If you stop me again this time, I will resign."
Zhao Xi gritted his teeth, his heart pounded, and he said these words directly.
During the period when Chen Gong left, Zhao Xi always felt that something was missing?
Originally, Zhao Xi thought it was because he was missing an assistant.
After all, he and Chen Gong have been together for so long, and they have become accustomed to each other's existence.
but……
but……
Zhao Xi snorted coldly, said nothing, folded his hands on his chest, turned his head to the side, and snorted coldly.
Zhao Lei sighed helplessly when he saw this, and simply didn't say anything else.
Now that things have come to this point, what else can be said?
"Okay, don't talk about this. I'll find a way."
"Go back first!"
After Zhao Xi heard this, his eyebrows suddenly lit up, and he turned around and walked outside.
After walking halfway, he turned back.
"How long will it take?"
"Not for too long!"
Zhao Lei rolled his eyes: "Let's go quickly!"
"I'm afraid I'll regret it!"
Zhao Xi then smiled, turned and left the office.
Zhao Lei sat in the room, a little helpless.
This morning, Lao Song from the medical department gave him this letter and asked him to make his own decision. At first, Zhao Lei didn't know what happened.
After he finished reading it, he suddenly felt a little angry. This girl actually wanted to leave!
Now it seems……
Zhao Lei had to admit one thing: women are not admitted to university!
Stay and stay and stay as enemies.
In this case, Zhao Lei said nothing more.
As my daughter grows older, she can make decisions about her own life.
Now that he has met Chen Gong, Zhao Lei can see that this kid is really good.
It would be nice if we could match them up!
After thinking about it, Zhao Lei actually laughed out loud.
Others look for a partner based on their father-in-law's ability, so it's better for me... I struggled all by myself in the first half of my life, but I didn't expect that at this age, I would start to hug others?
Zhao Lei is very fast and he always does things vigorously and resolutely.
Now that I had decided, I went straight to the medical department of the hospital without any further delay, and then contacted the emergency center hospital.
The director of the emergency center hospital is also very familiar with Zhao Lei. After it was established, he also invited Zhao Lei to serve as the deputy director.
But he was rejected by Zhao Lei.
Today, Zhao Lei is no longer as enthusiastic about management positions as before.
If he wanted to be the vice president, the affiliated hospital would have given him the job.
Nowadays, he is obsessed with completing the concept of vascular reconstruction, and he no longer has that thought.
Now, Zhao Lei also saw Zhao Xi's little thoughts, and simply added fuel to the flames.
Later, Zhao Lei also planned to finish this topic well, prepare a good dowry for his daughter, and give this cheap son-in-law a future.
only……
Zhao Lei couldn't help but still be a little worried.
The emergency center hospital, which a layman may not know, but he knows very well, is a typical hospital where the thunder is loud and the rain is small.
It’s not that there is no future, on the contrary, if the emergency center can really do a good job, it will have a better future than any other hospital in the province.
In the development of emergency medicine, Shanhe Province is considered to be at the forefront of the country.
However, everything there is not complete, and to be honest, the work is not that smooth.
How quickly was Zhao Xi's transfer done?
After the two hospitals connected on the same day, the transfer procedures were carried out directly.
Similarly, Zhao Xi went directly to report that day.
In fact, people are even ahead of the procedures.
As for Zhao Xi, after going there, he was also placed in the third emergency department.
……
……
This side of the Valley Mining Area.
At this time, in a large area outside the valley mining area, four or five ambulances were parked on the roadside. The staff immediately began rescue and observation of the scene, and then began the transfer work.
However, at this moment, the most worrying thing is the last staff member below.
His injuries are the most serious!
As the dispatch truck was getting ready, a miner with a jet black body and blood oozing from the corner of his mouth was transported up.
Ma Baoqing, director of the emergency department of the Provincial People's Hospital, and Fu Tao, of the emergency department of the affiliated hospital, walked over quickly.
Mine director Zhu Tao looked at the dying workers and was extremely frightened.
Nowadays, the province has zero tolerance for mining accidents.
He doesn't dare to be careless at all!
A human life can completely save him as the mine manager.
Things are different now than before. Now the province is pursuing resource transformation and is keeping a close eye on coal mine work.
Regardless of this point, the worker discovered the danger in advance and assisted the staff in relocating, which can be considered a meritorious service.
Therefore, Zhu Tao was very worried about both emotions and reasons.
I'm afraid something might go wrong.
At this time, there was also Liu Bin, director of the first emergency department of the emergency center.
The three directors almost came together together.
Zhu Tao said quickly: "Experts, please, we must save the workers!"
"Any amount is fine!"
"Our coal mine is fully responsible."
"We must ensure the life and health of the other party."
Ma Baoqing heard the sound and did not say anything. Instead, he looked down at the miners with a dull expression.
Although the patient's face was covered with soot at this time, there were no clues on his dark face.
But at this moment, the patient's mouth and nose were full of turbid blood, mixed with soot, flowing down.
With his eyes closed tightly and his hands on his face, he could even feel a hint of coldness.
Ma Baoqing's expression suddenly changed!
At this point, there was no doubt that the patient was bleeding internally.
Although the physical appearance looks the same,...an experienced emergency doctor can tell it.
At this time, the patient is definitely accompanied by damage to internal organs.
Now I can only pray that the amount of bleeding will not be too great, or that... I can make it to the hospital.
but……
Can you hold on?
this is a problem.
Does the patient have other injuries?
Who can tell?
At this time, Fu Tao glanced at Ma Baoqing and said solemnly: "Are you coming? I'm coming?"
Ma Baoqing shook his head: "I'll do it first!"
"Let me see how the patient is doing!"
After finishing speaking, Ma Baoqing immediately squatted down, not caring that the ground was covered with soot, and the jet black gold stuck to his white coat, which was particularly eye-catching.
Ma Baoqing tilted the other person's mouth and nose, then took the stethoscope and carefully listened to the other person's heart area.
Nowadays, it is necessary to determine the physical signs of the other party before continuing to transfer him to another hospital.
If the situation is not met in time, it is very likely that the hospital will be damaged, and people will be lost due to the rush and twists and turns on the road!
The maintenance of vital signs has become the key.
Soon, after listening to this, Ma Baoqing looked solemn: "Weak heartbeat, shortness of breath, monitor blood pressure!"
After hearing this, the nurse immediately started to prepare.
After the sphygmomanometer quickly auscultated it, a value was quickly reported.
"Blood pressure: 66/38 mm Hg!"
As soon as these words came out, the expressions of several directors suddenly changed!
And at this time...the nurse on the side continued.
"The blood pressure is still dropping, and there is probably still a bleeding point that has not been found."
This sentence, like a reminder, made everyone present tremble in their hearts.
Liu Bin stood aside nervously, not even getting close.
He is worried!
Since the establishment of the emergency center hospital, there have been several fatal cases, so at this moment Liu Bin felt a little more timid.
Ma Baoqing and Fu Tao are relatively calm, but... they are limited.
Because at this moment, there are only a few ways.
First, replenish blood!
But there was no blood to replenish in the ambulance at the scene.
The rehydration effect will also be very average.
Second, boost!
Use drugs such as norepinephrine to increase blood pressure urgently, but... at such a speed of blood pressure reduction, there must be the most important bleeding point.
If you cannot find the bleeding point, your blood pressure increase at this moment will only speed up the blood flow.
In this way, it has become a reminder.
Third, stop the bleeding!
but……
How to stop the bleeding now?
Now that the abdominal cavity is closed, the pressure on the abdominal wall can form an internal pressure. As long as this pressure exists, the amount of bleeding can be reduced.
Once the server is started, the pressure disappears, and when the time comes... it will definitely appear like a fountain.
The patient...will definitely die!
After all, who can find the bleeding point in a short time and stop the bleeding accurately?
This is clearly one of the difficult questions in emergency medicine!
How to accurately find the location of the lesion without laparotomy, so that the patient can be successfully transferred to the operating room and meet the conditions for surgical rescue.
Obviously, this question is difficult!
It can even be said to be an international problem.
After Ma Baoqing and Fu Tao completed their intense inspection, they discussed with solemn faces for 2 minutes.
There is still no precise plan.
How to make a choice?
but!
At this moment, a sound suddenly sounded.
Liu Bin was a little surprised when he saw Chen Gong.
Such a young doctor?
"Excuse me, can I check it?"
Liu Bin frowned: "Who are you?"
Before he finished speaking, Ma Baoqing, Fu Tao and others turned around and looked over after hearing the sound.
After seeing Chen Gong, both of them were stunned for a moment.
"Chen Gong?"
When Chen Gong saw the two of them, he nodded slightly: "Director Ma, Director Fu."
After finishing speaking, Chen Gong nodded to Liu Bin, who was standing on the side of the patient: "Please give way."
When Liu Bin saw this, he was slightly stunned before he could speak.
He heard Fu Tao and Ma Baoqing pulling away from him and walking over with Chen Gong.
"How's it going?"
Chen Gong asked straight to the point.
Ma Baoqing and Fu Tao knew something about Chen Gong. After all, they had some knowledge of Chen Gong's skills during Ma Shu's surgery at that time.
Of course I know this kid definitely looks that simple.
Ma Baoqing was not ambiguous and said directly:
"The patient's blood pressure continues to drop, and the current high pressure can only be maintained at around 70, but we dare not transfer him now!"
"I'm worried there will be bleeding!"
"In addition, the abdominal exploration is complicated. After compression, bleeding in the mouth will occur. We are worried about blocking the airway and do not dare to push too hard."
"Currently it is suspected that the internal organs are severely damaged and the abdominal dullness is obvious."
"..."
While speaking, Ma Baoqing had already told him and Fu Tao's diagnosis results just now.
When Chen Gong heard this, his expression changed!
He directly opened the clothes on the patient's abdomen, then put his hands on it, and immediately felt a sense of flexibility.
This sign of flexibility is a danger signal.
In general, signs of tenderness mainly occur due to abdominal adhesions within the abdominal cavity.
But now it seems that is not the case.
Because there is a large amount of blood and exudate in the abdominal cavity, it is not even possible to say what else is there.
Therefore, the abdominal cavity at this moment can be said to be very bad!
However, besides this, Chen Gong's expression became solemn again.
Because the patient had signs of intestinal paralysis.
This is not a good phenomenon!
Paralytic ileus, also known as adynamic ileus, is caused by various reasons that affect the balance of the intestinal autonomic nervous system, affect local nerve conduction in the intestine, or affect the contraction of intestinal smooth muscles, causing intestinal dilation and disappearance of peristalsis, making it impossible to move the intestines. Caused by pushing the contents forward.
At this moment, there is only one cause, and that is abnormal hemorrhagic necrotizing enteritis.
That is to say!
The patient's abdominal cavity is now in very bad condition.
Because of the severe trauma, the patient's abdominal cavity is very dangerous.
but……
Chen Gong knew very well whether it was the flexibility just now or the intestinal paralysis now.
Neither is the key to first aid.
The so-called first aid!
It means the most important thing, the first choice at the moment, the most critical operation: to save your life!
Whatever is deadly, choose what to target.
"What's the blood pressure?"
"The drug has been given, but it's only 70 millimeters of mercury."
At the emergency scene, the blood pressure mentioned is basically high pressure.
Chen Gong pondered for a moment, his face serious.
The patient was in a state of hemorrhagic shock.
Under normal circumstances, such injuries require surgery as soon as possible.
Because shock can occur due to internal bleeding and irritation from visceral contents, such wounded patients should undergo emergency laparotomy.
But surgery will inevitably aggravate the shock!
Therefore, blood or plasma substitutes must be transfused first to raise the blood pressure to above 90 mmHg before surgery can be performed.
Now, I have undergone rescue, but my blood pressure is still less than 90 mmHg.
This means there is ongoing internal bleeding and the bleeding is rapid.
As a result, it is necessary to perform laparotomy to stop bleeding and treat visceral injuries while strengthening anti-shock. Only by stopping the bleeding can shock be controlled.
but!
Where to stop the bleeding?
How to stop bleeding?
These have all become problems!
Thinking of this, Chen Gong also felt a little numb.
Unexpectedly, when I first arrived, I encountered such an operation.
It really made him a little worried!
Chen Gong sighed: "It still stopped the bleeding!"
Liu Bin heard the sound and couldn't help but said:
“Everyone knows that bleeding should be stopped, but how?”
"And where is the biggest bleeding?"
As soon as he said this, Chen Gong turned around and glanced at Liu Bin curiously. He didn't know why the other person was talking like a gun and a stick.
Chen Gong didn't take it seriously, but took a deep breath, looked at the patient attentively, and said something to Ma Baoqing beside him. "Director Ma, I will check the patient's blood pressure later. Please keep an eye on the blood pressure. If there is any change, let me know!"
Ma Baoqing was slightly startled, a little surprised as to what Chen Gong was going to do?
However, he nodded immediately: "Okay!"
At this time, Chen Gong continued to say to Fu Tao: "Director Fu, please do me a favor and tilt the patient's mouth and nose to clean the blood in the mouth in time."
"Observe the amount of bleeding in a while and give me a rough value."
Although Fu Tao also had no idea what Chen Gong was going to do, he nodded and said, "Okay!"
Liu Bin looked at Chen Gong and couldn't help but snorted coldly.
Make a fool of yourself!
In this case, what else are you pretending to do?
Is it strange that he can be saved?
Chen Gong was too lazy to pay attention to him, and said to Liu Bin: "If you can't help, stay away!"
"Either look at the other patients, don't stand here and get in the way."
After saying that, he squatted down and knelt on the ground.
At this time, Chen Gong's mind was completely empty and clear.
Not long after, a diagram of a figure's internal blood vessels suddenly appeared in his mind.
Chen Gong had to find the patient's most fatal bleeding point in a short period of time.
Then under control, the patient can have the possibility of increasing blood pressure.
Only when the blood pressure is increased can the patient be saved!
At this moment……
Not only was Chen Gong not nervous, even in this state of battle, Chen Gong actually felt that his [Thinking] skill was taking effect.
Is this also a rescue?
For a time, his perception increased rapidly, and his concentration was unprecedentedly concentrated.
He knew a lot about the human blood vessels themselves.
During this period, I became proficient to a special level.
Chen Gong has powerful hemostasis skills, plus full-level exploratory laparotomy skills.
It can be said that he knows all the details in the abdominal cavity.
This gives him room to play and operate.
Next!
It just depends on whether he has enough ability.
At this time, Zhu Tao couldn't help but glance at everyone and didn't dare to say a word for fear of delaying the situation.
But... experience told him that the probability of saving this kind of patient was too low.
At this time, the leaders of the Provincial State-owned Assets Supervision and Administration Commission also arrived directly at the scene.
As the direct leader, Zhu Tao walked over quickly.
"lead!"
The other party looked serious and asked directly: "How is the situation?"
"Is something wrong?"
Zhu Tao was sweating profusely: "For now... there is no death toll yet."
The middle-aged man heard the sound and walked over with a solemn expression.
When I saw several doctors in white coats squatting in front of a patient and rescuing the patient, I suddenly felt nervous.
Should something happen?
When you are so sensitive, you really can't kill people randomly.
The middle-aged man's face looked a little more worried.
Ma Baoqing and Fu Tao did not dare to have other thoughts. They carefully observed their indicators and did not dare to relax.
Liu Bin stood aside and nodded when he saw the middle-aged man.
The man saw Liu Bin and asked with concern, "How is the situation? Is the injured... serious?"
Liu Bin frowned: "I think... it's a bit dangerous!"
"We have to do a good job in the aftermath!"
"It is very difficult to rescue, even... there is little hope."
As soon as these words came out, the middle-aged man's expression suddenly changed.
"who are you?"
Liu Bin quickly introduced himself: "Director of the First Emergency Department of the Emergency Central Hospital, Liu Bin!"
Hearing Liu Bin's self-introduction, the middle-aged man's eyebrows tightened.
At this time, a mouthful of blood suddenly spurted out.
Seeing this, Fu Tao quickly asked the nurse on the side to catch the spurting blood and measure it.
"25ml!"
Similarly, Ma Baoqing said quickly: "The blood pressure has pulsated and has dropped!"
Chen Gong nodded, and a red area appeared in his mind.
But, it's just a light red color.
Chen Gong knew that although there was bleeding in the pancreatic area,... it shouldn't be the problem here.
At this time, he began his next step.
The presence of blood in the abdominal cavity will inevitably cause risk factors for the patient after it is emptied.
Upon seeing this, Liu Bin quickly said loudly:
"If you do this, the patient will die faster!"
"Reduced blood pressure may even cause secondary injury to the abdominal cavity."
"You are..."
The middle-aged man couldn't help but become worried when he heard the sound. After seeing that Chen Gong was so young, he felt a little nervous.
But Chen Gong didn't take it seriously and continued to operate!
His hands are very perceptive, and his one-touch operation allows him to grasp the gaps, tissues, and strength of the human body very accurately.
Therefore, there is no need to worry about what Liu Bin said.
Abdominal exploration techniques require quick, accurate, gentle movements, focusing on the key points, and performing them in a certain order to avoid omissions.
The most critical points are injuries to the posterior wall of the stomach, near the cardia, pancreas, duodenum, posterior and lateral walls of the ascending and descending colon, the liver of the colon, the splenic flexure, and the intestinal wall at the mesenteric junction.
These areas are extremely prone to bleeding.
Chen Gong did not dare to perform a caesarean section, so he could only conduct investigations as best he could.
After finding the bleeding point, proceed with the operation.
Time is passing by every minute and every second!
The patient's blood pressure, at this moment, begins to drop again.
But at this time, the body temperature did not fall but rose!
Chen Gong knew that this was an inflammatory reaction in the patient's body and he started to have a fever.
Infection in the abdominal cavity has occurred, which means there is a foreign body.
That’s a rupture of the intestine!
Danger is approaching again!
Ma Baoqing was sweating profusely at this time.
My blood pressure has dropped below 70 again, only 65!
This is a red flag.
When the patient's blood pressure reaches 60 or below, it is very likely... that it will be difficult!
In this severe cold weather, Ma Baoqing was already soaked to the skin, his back was wet with sweat, and his white coat clung tightly to his body.
same!
Fu Tao on the side was also worried.
He couldn't help but said: "Xiao Chen, the bleeding volume is already 300 ml!"
"Do you want to continue?"
"Keep going...I'm worried..."
Chen Gong closed his eyes at this time and said nothing to everyone's reminder.
With your eyes open, what can you do?
It's just through the belly that you can't see the internal operation at all, so it's better to continue to concentrate on the operation.
Again and again!
Chen Gong kept searching for the cause of the disease.
At this time, in the eyes of everyone, he was like a headless fly.
The sweat on Zhu Tao's clothes had even begun to freeze.
Chen Gong didn't dare to relax at all.
Keep going!
The leaders of the State-owned Assets Supervision and Administration Commission were also extremely nervous at this time, but... they did not dare to say another word.
He knew that it was wrong for an outsider to lead an outsider.
but……
It's really too dangerous if this continues.
At this time, Liu Bin said directly: "You are... drinking poison to quench your thirst!"
"If this continues, the patient will definitely die!"
Chen Gong said calmly: "Quiet!"
As soon as these words came out, Ma Baoqing turned around and stared at Liu Bin: "If you don't come here to help, shut up!"
Ma Baoqing was really upset.
The huge psychological pressure made him extremely emotionally sensitive.
As the director of the emergency department of the provincial people, he did not need to give Liu Bin any shame.
He knew this Liu Bin. He was previously the director of the emergency department of the Municipal People's Hospital. This time he changed jobs, which was regarded as a promotion.
but!
Who is he in the eyes of Ma Baoqing and others?
Liu Bin blushed at these words and couldn't help but snorted.
At this moment, Chen Gong suddenly pressed hard and spit out more brightly colored blood!
"How many!"
Chen Gong was sweating profusely and asked quickly.
"60!"
"Sixty milliliters!"
"Too much!"
Fu Tao blurted out quickly.
Ma Baoqing on the side looked livid: "The blood pressure is only 64!"
Chen Gong took a deep breath and said directly: "I know!"
"The bleeding point is on the proper hepatic artery."
This blood vessel is no stranger to Chen Gong.
Good guy!
old friend.
This is the rupture of this blood vessel in the Book of Horses.
just now……
This is also true for this patient.
At this time, the figure in Chen Gong's mind and the situation in his abdominal cavity were completely clear.
Chen Gong said straight to the point:
"The patient had a ruptured pancreas and a ruptured pancreatic vein."
"The rib penetrated the spleen, the spleen was ruptured, and there was a defect in the branch of the splenic artery."
"There was also damage to the dorsal pancreatic artery."
"Rupture of the short gastric artery and regional omental artery."
"Intestinal rupture, mesenteric vein rupture, necrotizing obstruction present."
"..."
In a series, Chen Gong insisted on talking about a series of patient injuries.
After these words were spoken, Ma Baoqing and Fu Tao were immediately shocked!
How did you know?
Can you see this?
Do you... have clairvoyance?
Ma Baoqing and Fu Tao looked at Chen Gong in surprise, wanting to find out.
but……
Chen Gong suddenly said: "But!"
"These are not the point!"
"The most important bleeding point is the rupture of the proper hepatic artery."
"His problem is the most critical!"
While speaking, Chen Gong said straight to the point: "Give me a scalpel!"
As soon as these words came out, the surrounding area suddenly became quiet.
Everyone looked at Chen Gong, wondering what he wanted to do.
Fu Tao quickly persuaded, "No!"
"Xiao Chen, if you operate now, the risk factor is very high!"
"Patients are at high risk of death."
Ma Baoqing also persuaded with a solemn expression: "It's not necessary!"
Chen Gong shook his head and said in a cold voice: "If you don't have an operation, you won't get to the hospital, and you will die!"
"His blood pressure cannot be raised."
"If this continues, the longer the delay, the greater the risk of surgery."
"We can't even get to the hospital!"
"A caesarean section is necessary to stop the bleeding!"
Ma Baoqing asked directly: "Do you have any way to stop the bleeding?"
"Something went wrong...what...what to do..."
Fu Tao also nodded and said, "Yes!"
"You should think it over carefully."
Fu Tao really couldn't bear to see Chen Gong have problems.
He personally sent Xiao Chen to the emergency center hospital.
He really couldn't bear to see such a talented young man... suffer his first failure here.
Chen Gong shook his head and said to Wu Xueyu: "Xiao Wu!"
"Call the hospital."
"Notify immediately to enable authorization."
Because in this case, the patient's family members are not around, if special treatment is required, and there are risks in the operation.
It needs to be filed.
And it needs to be approved.
Wu Xueyu was completely stunned at this time.
He had no idea that the rescue scene would be so dangerous.
However, Chen Gong's words are instructions!
Soon, he stood up, called Jiao Liming, explained the matter in detail, and then informed his superiors.
After Jiao Liming heard this, he was instantly dumbfounded.
At this time, he had just completed Zhao Xi's admission introduction.
I heard such a crisis scene.
On-site abdominal dissection?
Really? Jiao Liming was frightened.
However, now that the matter has come to this, he has to contact the medical department to file a record.
quickly!
These procedures were successfully achieved.
If we say the biggest advantage of the emergency center hospital, it is that there are not so many tedious operations. The approval is simplified, the rescue is rapid, and the scene is autonomous. This is the purpose of the emergency center.
This is also the policy adopted by the new dean after he took office.
After Chen Gong received the authorization, he immediately started his own operation.
The leaders of the State-owned Assets Supervision and Administration Commission behind him saw Chen Gong's actions and admired them.
He knew that if he continued to delay, he would definitely die.
Such a courageous and capable doctor is really... rare!
However, he did not step forward to speak. Instead, he said to Zhu Tao: "Go and notify the family members!"
"It's best to prepare both ways!"
Zhu Tao nodded: "Okay!"
After receiving the leader's instructions, Zhu Tao finally breathed a sigh of relief and set off immediately.
At this time, Chen Gong is here!
Then he said to a woman in the crowd: "Sister He, help!"
"Transfer to the car!"
He Ling heard the sound, nodded immediately, got up and coordinated with several staff members to move the patient directly to the car.
After arriving in the car, Chen Gong said to Ma Baoqing and Fu Tao.
"Two directors, would you like to come with me to the emergency center hospital?"
"I need your help for the operation."
Ma Baoqing and Fu Tao looked at each other and stood up quickly: "Okay!"
While talking, the three of them got into the car together.
After entering, Chen Gong said to He Ling: "Perform on-site surgery!"
"Please driver, please be ready to drive at any time!"
"How long will it take?"
Hearing this, the driver nodded quickly: "Don't worry, it will be delivered safely in 15 minutes!"
Chen Gong heard the sound, took a deep breath, put on gloves, changed into clean clothes, and then asked He Ling to start disinfecting!
"This area!"
"And here."
"Disinfection, the scope is so large..."
Chen Gong quickly drew an area on the patient's abdomen with a marker.
Although He Ling was nervous at this time, she still nodded and started operating.
At this moment!
Chen Gong calmed down. He took the scalpel and pointed it at the patient's abdominal area, making a slight cut.
The blade of the scalpel, which was shining coldly, was like cutting open a balloon filled with gas, which seemed to be able to burst, for the belly that was under strong tension at this time.
At this time, Chen Gong quickly said to Ma Baoqing and others: "Get ready to step up the pressure!"
"Anti-shock treatment!"
"Abdominal compressions, here!"
"Prepare pressure to stop bleeding."
……
After a series of operations, it will be fast!
Along with this, Chen Gong made a small incision in his abdominal cavity.
This opening can only accommodate two fingers.
However, it is enough.
Immediately, blood rushed out and sprayed on Wu Xueyu's face.
Wu Xueyu was startled by the hot blood.
seem!
This is the baptism of emergency.
Blood is the best warning.
Let me tell you: Young man, welcome to the emergency department.
At this time, Chen Gong quickly inserted two fingers into his abdominal cavity.
Then, two fingers found the bleeding point with great precision.
At this time, Ma Baoqing and Fu Tao were more nervous than ever.
Having been emergency specialists for decades, it’s not like they haven’t seen big scenes.
But...
It was the first time I saw such a shocking scene.
too bloody!
Too violent!
Too high-end!
This one is undoubtedly their new understanding of emergency medicine.
At this moment, Chen Gong, a fledgling young man, taught two veteran experts a lesson!
"drive!"
After Chen Gong finished speaking, the driver stepped on the accelerator and the car drove smoothly.
And this time!
Emergency center hospital.
The green channel is open.
On her first day at work, Zhao Xi had already put on surgical clothes and stood in the operating room, waiting for the operation to begin.
She was nervous, scared, but full of expectations.
The leader of the State-owned Assets Supervision and Administration Commission also called the driver at this time and quickly chased him out.
Liu Bin snorted coldly when he saw this.
He didn't believe that Chen Gong could succeed...
Similarly, Ma Baoqing and Fu Tao didn't believe it in their hearts... because they had never seen a patient successfully rescued in this situation.
It’s not that I don’t trust Chen Gong.
But... fear of the unannounced visit of the God of Death.
Life is sometimes very strong, and sometimes... it is as thin as cicada wings.
Just when the car was driving fast.
Along the way, no one spoke.
Wu Xueyu wiped off the blood stains on his face. The hot blood made this young man experience the baptism of blood.
He seemed to have let go of too many fears at this moment.
As an emergency physician.
Isn’t it parallel to life and death?
Looking at Chen Gong's face filled with determination.
Wu Xueyu was deeply shocked.
The car moves slowly.
The siren of the ambulance wailed.
Chen Gong closed his eyes, sweat was already flowing down his face. This time... he really tried his best.
If the rescue cannot be successful.
He... really tried his best.
However, Chen Gong was unwilling to say "I'm sorry, I tried my best."
Because this man covered in soot carries the burden of a family on his shoulders.
He can't die!
I won't allow you to die!
Chen Gong gritted his teeth, and his hands to stop the bleeding began to tremble, but... he did not dare to relax.
Just when the car was driving fast.
Suddenly Ma Baoqing exclaimed: "The blood pressure has gone up!"
The sound of this news is like a bell that drives away the god of death, or a sign of the arrival of dawn.
Everyone looked for information and found out that the patient's blood pressure had been...
It reached 70 millimeters of mercury!
and……
Still improving slowly.
At this moment, everyone became excited.
Ma Baoqing looked at Chen Gong in disbelief: "It's unbelievable!"
"You're so fucking awesome!"
Fu Tao looked at Chen Gong with the same excitement, applying pressure with his hands to stop the bleeding, his eyes full of respect.
this moment!
The two old directors had already ignored Chen Gong's age.
At this moment, they showed respect to Chen Gong beyond their age.
time……
keep flowing.
This time, a little hope emerged in everyone's heart.
perhaps!
Chen Gong is really good.
perhaps!
They can really snatch a life back from the hands of death.
Chen Gong closed his eyes and said nothing, because at this time, his right hand had begun... to cramp.
It can stop bleeding for a long time and it is difficult to stop bleeding.
Let Chen Gong be exhausted.
Fortunately... through the window, Chen Gong saw the door of the hospital.
He knows, just hold on a little longer, just a little bit!
That's it!
……
……
(End of this chapter)
The ambulance was driving quickly on the road.
The lights for rescue missions were flashing and sirens were sounding.
The surrounding cars also began to give way.
At this time, the Gu Mining area was also in chaos.
The mine manager stood above the mine with a worried look on his face.
To be honest, this accident was completely avoidable. The current underground construction is completely carried out safely and orderly.
But who would have thought that cracks would suddenly appear in the stable coal seam.
This sudden change caused the workers underground to panic.
When the coal miners saw this, they all started to walk out frantically, and the dispatch truck also started operating quickly.
In coal mines, there is always a saying that goes like this.
Going down, coming up, three to five hundred a day is fast.
If you go down but can't come up, it's two to three million a day.
However, who wants to go down but not come up?
In recent years, young people are not willing to go down the mine at all, and the newly appointed director of the Bureau of Mines has also introduced new policies.
After young people take up the job, whether they are working underground or above the ground, they must go to the underground to train for two years.
But even so, the workers who go down the well are still middle-aged people in their 50s and [-]s who live a conservative life.
They carry the heavy burden of the family on their shoulders and hold firewood, rice, oil and salt in their hands.
The cold wind blowing down the mine is like cutting with a knife, so what?
Nothing compares to the hardship of life. The slow knife smoothes away the ideals in people's hearts one by one.
"How about it?"
"Have they all come up?"
"How many more people are there?!"
Zhu Tao looked at the captain nervously.
Wang Leigang looked uneasy: "There is another one!"
"The situation is quite dangerous, and people have already been sent down to carry it... It seems to be quite serious!"
Wang Leigang's words made Zhu Tao's heart sink immediately.
At this moment, several emergency vehicles quickly arrived.
……
……
At this time, the First Affiliated Hospital of Shanhe Medical University.
Inside the general surgery office.
Zhao Lei looked at the letter in his hand with a solemn expression and looked up at Zhao Xi.
"What are you doing!"
Zhao Xi lowered his head and said nothing.
"Aren't you doing well in the general surgery department?"
"Now your points are relatively high."
"It is estimated that the hospital will hire you as the attending doctor soon."
"Great future, isn't this nonsense?!"
Zhao Lei stared at Zhao Xi angrily, his eyes twinkling a little more.
When Zhao Xi heard the sound, he lowered his head and said in a low voice:
"Why did you take away my application!"
"You are abusing your power!"
When Zhao Lei heard this, he laughed angrily.
"Abuse of power?!"
"Ah!"
"I haven't learned anything else, but I've learned a lot about this set of Mandarin!"
"The emergency center hospital is not perfect yet. Didn't you cause trouble in the past?"
Zhao Xi frowned: "I...I believe in my own level!"
"Besides, I have accumulated rich experience in general surgery. Is it okay to become a general surgeon after I go there?"
Zhao Lei suddenly fell silent when he heard Zhao Xi's words. After a long time...he suddenly thought of something.
"Is it because of Chen Gong?"
After finishing speaking, Zhao Lei stared at Zhao Xi.
Hearing this, Zhao Xi's eyes dodge unnaturally at this moment.
"So what?"
"So what if it's not?"
"Besides, I won't make any progress if I stay here!"
"I went to the emergency room, maybe I can improve a lot."
"You can't be biased!"
When Zhao Lei heard this, he also sighed deeply and couldn't help but shake his head.
At this moment, he suddenly felt a little regretful.
Was he right or wrong in placing Chen Gong next to Zhao Xi?
He had a feeling that Zhao Xi, this girl, obviously had some special feelings for Chen Gong.
If a father doesn't feel this at all, then he is really incompetent.
but……
Zhao Lei blushed and looked at Zhao Xi: "Daughter, dad also knows!"
"You are older too. Dad shouldn't interfere with many things..."
"But……"
"Tell dad honestly, are you interested in Chen Gong?"
Zhao Xi obviously didn't expect his father to ask such a question straight to the point.
For a moment, her fair face turned red.
"me……"
"I just feel like I'm making rapid progress with him."
"I also felt that the surgery went very smoothly with him."
"me……"
"I just like him, what's wrong?"
As he spoke, Zhao Xi felt a sudden change in his heart and raised his head, like an angry little hen, staring at Zhao Lei with the hair on his neck.
Zhao Lei was stunned when he heard the sound.
Good guy!
He originally just wanted to speculate.
As a result, my daughter unexpectedly admitted it directly.
For a moment, Zhao Lei suddenly felt that he didn't know what to say.
"You...you...oh, aren't you acting recklessly?"
"This Xiao Chen is my good brother, call me big brother...you are making me...ouch!"
Zhao Lei was also blushing and didn't know what to say.
Zhao Xi snorted coldly: "That's because you are so sentimental!"
"I told you more, you are not allowed to call him good brother!"
"Aren't you messing around?"
"How old is he?"
"How old are you!"
When Zhao Lei heard this, he immediately frowned: "You girl, let me ask you, how old are you?"
"How old is Xiao Chen?"
When Zhao Xi heard this, he immediately felt aggrieved: "I don't care!"
"You are not allowed to stop my application."
"I've decided to go there."
"You can't stop me!"
"Otherwise, I will report you to the medical department!"
Hearing this, Zhao Lei also felt miserable and couldn't express his feelings.
He didn't expect that the joke he made with Pang Di and Jiang Mingze would actually come true!
in fact……
Zhao Lei does not reject Chen Gong either.
Of course he knows how good this kid Chen Gong is?
Zhao Lei didn't even dare to think about Chen Gong's future. He would definitely become one of the giants of domestic medicine.
Academician, that will happen sooner or later.
but!
No matter how excellent...this...seems to be pretty good?
You are not an academician yourself, but your son-in-law is?
Thor was shaken for a moment?
No, no!
Thor quickly shook his head and said quickly: "No, no, these are two different things!"
"Daughter, dad has to tell you."
"Excellence is excellence, but... finding a boyfriend or girlfriend is a boyfriend or girlfriend, these are two different things!"
"Many excellent people actually don't care about their families."
Zhao Xi shook his head: "Then I want to try it too!"
"If you stop me again this time, I will resign."
Zhao Xi gritted his teeth, his heart pounded, and he said these words directly.
During the period when Chen Gong left, Zhao Xi always felt that something was missing?
Originally, Zhao Xi thought it was because he was missing an assistant.
After all, he and Chen Gong have been together for so long, and they have become accustomed to each other's existence.
but……
but……
Zhao Xi snorted coldly, said nothing, folded his hands on his chest, turned his head to the side, and snorted coldly.
Zhao Lei sighed helplessly when he saw this, and simply didn't say anything else.
Now that things have come to this point, what else can be said?
"Okay, don't talk about this. I'll find a way."
"Go back first!"
After Zhao Xi heard this, his eyebrows suddenly lit up, and he turned around and walked outside.
After walking halfway, he turned back.
"How long will it take?"
"Not for too long!"
Zhao Lei rolled his eyes: "Let's go quickly!"
"I'm afraid I'll regret it!"
Zhao Xi then smiled, turned and left the office.
Zhao Lei sat in the room, a little helpless.
This morning, Lao Song from the medical department gave him this letter and asked him to make his own decision. At first, Zhao Lei didn't know what happened.
After he finished reading it, he suddenly felt a little angry. This girl actually wanted to leave!
Now it seems……
Zhao Lei had to admit one thing: women are not admitted to university!
Stay and stay and stay as enemies.
In this case, Zhao Lei said nothing more.
As my daughter grows older, she can make decisions about her own life.
Now that he has met Chen Gong, Zhao Lei can see that this kid is really good.
It would be nice if we could match them up!
After thinking about it, Zhao Lei actually laughed out loud.
Others look for a partner based on their father-in-law's ability, so it's better for me... I struggled all by myself in the first half of my life, but I didn't expect that at this age, I would start to hug others?
Zhao Lei is very fast and he always does things vigorously and resolutely.
Now that I had decided, I went straight to the medical department of the hospital without any further delay, and then contacted the emergency center hospital.
The director of the emergency center hospital is also very familiar with Zhao Lei. After it was established, he also invited Zhao Lei to serve as the deputy director.
But he was rejected by Zhao Lei.
Today, Zhao Lei is no longer as enthusiastic about management positions as before.
If he wanted to be the vice president, the affiliated hospital would have given him the job.
Nowadays, he is obsessed with completing the concept of vascular reconstruction, and he no longer has that thought.
Now, Zhao Lei also saw Zhao Xi's little thoughts, and simply added fuel to the flames.
Later, Zhao Lei also planned to finish this topic well, prepare a good dowry for his daughter, and give this cheap son-in-law a future.
only……
Zhao Lei couldn't help but still be a little worried.
The emergency center hospital, which a layman may not know, but he knows very well, is a typical hospital where the thunder is loud and the rain is small.
It’s not that there is no future, on the contrary, if the emergency center can really do a good job, it will have a better future than any other hospital in the province.
In the development of emergency medicine, Shanhe Province is considered to be at the forefront of the country.
However, everything there is not complete, and to be honest, the work is not that smooth.
How quickly was Zhao Xi's transfer done?
After the two hospitals connected on the same day, the transfer procedures were carried out directly.
Similarly, Zhao Xi went directly to report that day.
In fact, people are even ahead of the procedures.
As for Zhao Xi, after going there, he was also placed in the third emergency department.
……
……
This side of the Valley Mining Area.
At this time, in a large area outside the valley mining area, four or five ambulances were parked on the roadside. The staff immediately began rescue and observation of the scene, and then began the transfer work.
However, at this moment, the most worrying thing is the last staff member below.
His injuries are the most serious!
As the dispatch truck was getting ready, a miner with a jet black body and blood oozing from the corner of his mouth was transported up.
Ma Baoqing, director of the emergency department of the Provincial People's Hospital, and Fu Tao, of the emergency department of the affiliated hospital, walked over quickly.
Mine director Zhu Tao looked at the dying workers and was extremely frightened.
Nowadays, the province has zero tolerance for mining accidents.
He doesn't dare to be careless at all!
A human life can completely save him as the mine manager.
Things are different now than before. Now the province is pursuing resource transformation and is keeping a close eye on coal mine work.
Regardless of this point, the worker discovered the danger in advance and assisted the staff in relocating, which can be considered a meritorious service.
Therefore, Zhu Tao was very worried about both emotions and reasons.
I'm afraid something might go wrong.
At this time, there was also Liu Bin, director of the first emergency department of the emergency center.
The three directors almost came together together.
Zhu Tao said quickly: "Experts, please, we must save the workers!"
"Any amount is fine!"
"Our coal mine is fully responsible."
"We must ensure the life and health of the other party."
Ma Baoqing heard the sound and did not say anything. Instead, he looked down at the miners with a dull expression.
Although the patient's face was covered with soot at this time, there were no clues on his dark face.
But at this moment, the patient's mouth and nose were full of turbid blood, mixed with soot, flowing down.
With his eyes closed tightly and his hands on his face, he could even feel a hint of coldness.
Ma Baoqing's expression suddenly changed!
At this point, there was no doubt that the patient was bleeding internally.
Although the physical appearance looks the same,...an experienced emergency doctor can tell it.
At this time, the patient is definitely accompanied by damage to internal organs.
Now I can only pray that the amount of bleeding will not be too great, or that... I can make it to the hospital.
but……
Can you hold on?
this is a problem.
Does the patient have other injuries?
Who can tell?
At this time, Fu Tao glanced at Ma Baoqing and said solemnly: "Are you coming? I'm coming?"
Ma Baoqing shook his head: "I'll do it first!"
"Let me see how the patient is doing!"
After finishing speaking, Ma Baoqing immediately squatted down, not caring that the ground was covered with soot, and the jet black gold stuck to his white coat, which was particularly eye-catching.
Ma Baoqing tilted the other person's mouth and nose, then took the stethoscope and carefully listened to the other person's heart area.
Nowadays, it is necessary to determine the physical signs of the other party before continuing to transfer him to another hospital.
If the situation is not met in time, it is very likely that the hospital will be damaged, and people will be lost due to the rush and twists and turns on the road!
The maintenance of vital signs has become the key.
Soon, after listening to this, Ma Baoqing looked solemn: "Weak heartbeat, shortness of breath, monitor blood pressure!"
After hearing this, the nurse immediately started to prepare.
After the sphygmomanometer quickly auscultated it, a value was quickly reported.
"Blood pressure: 66/38 mm Hg!"
As soon as these words came out, the expressions of several directors suddenly changed!
And at this time...the nurse on the side continued.
"The blood pressure is still dropping, and there is probably still a bleeding point that has not been found."
This sentence, like a reminder, made everyone present tremble in their hearts.
Liu Bin stood aside nervously, not even getting close.
He is worried!
Since the establishment of the emergency center hospital, there have been several fatal cases, so at this moment Liu Bin felt a little more timid.
Ma Baoqing and Fu Tao are relatively calm, but... they are limited.
Because at this moment, there are only a few ways.
First, replenish blood!
But there was no blood to replenish in the ambulance at the scene.
The rehydration effect will also be very average.
Second, boost!
Use drugs such as norepinephrine to increase blood pressure urgently, but... at such a speed of blood pressure reduction, there must be the most important bleeding point.
If you cannot find the bleeding point, your blood pressure increase at this moment will only speed up the blood flow.
In this way, it has become a reminder.
Third, stop the bleeding!
but……
How to stop the bleeding now?
Now that the abdominal cavity is closed, the pressure on the abdominal wall can form an internal pressure. As long as this pressure exists, the amount of bleeding can be reduced.
Once the server is started, the pressure disappears, and when the time comes... it will definitely appear like a fountain.
The patient...will definitely die!
After all, who can find the bleeding point in a short time and stop the bleeding accurately?
This is clearly one of the difficult questions in emergency medicine!
How to accurately find the location of the lesion without laparotomy, so that the patient can be successfully transferred to the operating room and meet the conditions for surgical rescue.
Obviously, this question is difficult!
It can even be said to be an international problem.
After Ma Baoqing and Fu Tao completed their intense inspection, they discussed with solemn faces for 2 minutes.
There is still no precise plan.
How to make a choice?
but!
At this moment, a sound suddenly sounded.
Liu Bin was a little surprised when he saw Chen Gong.
Such a young doctor?
"Excuse me, can I check it?"
Liu Bin frowned: "Who are you?"
Before he finished speaking, Ma Baoqing, Fu Tao and others turned around and looked over after hearing the sound.
After seeing Chen Gong, both of them were stunned for a moment.
"Chen Gong?"
When Chen Gong saw the two of them, he nodded slightly: "Director Ma, Director Fu."
After finishing speaking, Chen Gong nodded to Liu Bin, who was standing on the side of the patient: "Please give way."
When Liu Bin saw this, he was slightly stunned before he could speak.
He heard Fu Tao and Ma Baoqing pulling away from him and walking over with Chen Gong.
"How's it going?"
Chen Gong asked straight to the point.
Ma Baoqing and Fu Tao knew something about Chen Gong. After all, they had some knowledge of Chen Gong's skills during Ma Shu's surgery at that time.
Of course I know this kid definitely looks that simple.
Ma Baoqing was not ambiguous and said directly:
"The patient's blood pressure continues to drop, and the current high pressure can only be maintained at around 70, but we dare not transfer him now!"
"I'm worried there will be bleeding!"
"In addition, the abdominal exploration is complicated. After compression, bleeding in the mouth will occur. We are worried about blocking the airway and do not dare to push too hard."
"Currently it is suspected that the internal organs are severely damaged and the abdominal dullness is obvious."
"..."
While speaking, Ma Baoqing had already told him and Fu Tao's diagnosis results just now.
When Chen Gong heard this, his expression changed!
He directly opened the clothes on the patient's abdomen, then put his hands on it, and immediately felt a sense of flexibility.
This sign of flexibility is a danger signal.
In general, signs of tenderness mainly occur due to abdominal adhesions within the abdominal cavity.
But now it seems that is not the case.
Because there is a large amount of blood and exudate in the abdominal cavity, it is not even possible to say what else is there.
Therefore, the abdominal cavity at this moment can be said to be very bad!
However, besides this, Chen Gong's expression became solemn again.
Because the patient had signs of intestinal paralysis.
This is not a good phenomenon!
Paralytic ileus, also known as adynamic ileus, is caused by various reasons that affect the balance of the intestinal autonomic nervous system, affect local nerve conduction in the intestine, or affect the contraction of intestinal smooth muscles, causing intestinal dilation and disappearance of peristalsis, making it impossible to move the intestines. Caused by pushing the contents forward.
At this moment, there is only one cause, and that is abnormal hemorrhagic necrotizing enteritis.
That is to say!
The patient's abdominal cavity is now in very bad condition.
Because of the severe trauma, the patient's abdominal cavity is very dangerous.
but……
Chen Gong knew very well whether it was the flexibility just now or the intestinal paralysis now.
Neither is the key to first aid.
The so-called first aid!
It means the most important thing, the first choice at the moment, the most critical operation: to save your life!
Whatever is deadly, choose what to target.
"What's the blood pressure?"
"The drug has been given, but it's only 70 millimeters of mercury."
At the emergency scene, the blood pressure mentioned is basically high pressure.
Chen Gong pondered for a moment, his face serious.
The patient was in a state of hemorrhagic shock.
Under normal circumstances, such injuries require surgery as soon as possible.
Because shock can occur due to internal bleeding and irritation from visceral contents, such wounded patients should undergo emergency laparotomy.
But surgery will inevitably aggravate the shock!
Therefore, blood or plasma substitutes must be transfused first to raise the blood pressure to above 90 mmHg before surgery can be performed.
Now, I have undergone rescue, but my blood pressure is still less than 90 mmHg.
This means there is ongoing internal bleeding and the bleeding is rapid.
As a result, it is necessary to perform laparotomy to stop bleeding and treat visceral injuries while strengthening anti-shock. Only by stopping the bleeding can shock be controlled.
but!
Where to stop the bleeding?
How to stop bleeding?
These have all become problems!
Thinking of this, Chen Gong also felt a little numb.
Unexpectedly, when I first arrived, I encountered such an operation.
It really made him a little worried!
Chen Gong sighed: "It still stopped the bleeding!"
Liu Bin heard the sound and couldn't help but said:
“Everyone knows that bleeding should be stopped, but how?”
"And where is the biggest bleeding?"
As soon as he said this, Chen Gong turned around and glanced at Liu Bin curiously. He didn't know why the other person was talking like a gun and a stick.
Chen Gong didn't take it seriously, but took a deep breath, looked at the patient attentively, and said something to Ma Baoqing beside him. "Director Ma, I will check the patient's blood pressure later. Please keep an eye on the blood pressure. If there is any change, let me know!"
Ma Baoqing was slightly startled, a little surprised as to what Chen Gong was going to do?
However, he nodded immediately: "Okay!"
At this time, Chen Gong continued to say to Fu Tao: "Director Fu, please do me a favor and tilt the patient's mouth and nose to clean the blood in the mouth in time."
"Observe the amount of bleeding in a while and give me a rough value."
Although Fu Tao also had no idea what Chen Gong was going to do, he nodded and said, "Okay!"
Liu Bin looked at Chen Gong and couldn't help but snorted coldly.
Make a fool of yourself!
In this case, what else are you pretending to do?
Is it strange that he can be saved?
Chen Gong was too lazy to pay attention to him, and said to Liu Bin: "If you can't help, stay away!"
"Either look at the other patients, don't stand here and get in the way."
After saying that, he squatted down and knelt on the ground.
At this time, Chen Gong's mind was completely empty and clear.
Not long after, a diagram of a figure's internal blood vessels suddenly appeared in his mind.
Chen Gong had to find the patient's most fatal bleeding point in a short period of time.
Then under control, the patient can have the possibility of increasing blood pressure.
Only when the blood pressure is increased can the patient be saved!
At this moment……
Not only was Chen Gong not nervous, even in this state of battle, Chen Gong actually felt that his [Thinking] skill was taking effect.
Is this also a rescue?
For a time, his perception increased rapidly, and his concentration was unprecedentedly concentrated.
He knew a lot about the human blood vessels themselves.
During this period, I became proficient to a special level.
Chen Gong has powerful hemostasis skills, plus full-level exploratory laparotomy skills.
It can be said that he knows all the details in the abdominal cavity.
This gives him room to play and operate.
Next!
It just depends on whether he has enough ability.
At this time, Zhu Tao couldn't help but glance at everyone and didn't dare to say a word for fear of delaying the situation.
But... experience told him that the probability of saving this kind of patient was too low.
At this time, the leaders of the Provincial State-owned Assets Supervision and Administration Commission also arrived directly at the scene.
As the direct leader, Zhu Tao walked over quickly.
"lead!"
The other party looked serious and asked directly: "How is the situation?"
"Is something wrong?"
Zhu Tao was sweating profusely: "For now... there is no death toll yet."
The middle-aged man heard the sound and walked over with a solemn expression.
When I saw several doctors in white coats squatting in front of a patient and rescuing the patient, I suddenly felt nervous.
Should something happen?
When you are so sensitive, you really can't kill people randomly.
The middle-aged man's face looked a little more worried.
Ma Baoqing and Fu Tao did not dare to have other thoughts. They carefully observed their indicators and did not dare to relax.
Liu Bin stood aside and nodded when he saw the middle-aged man.
The man saw Liu Bin and asked with concern, "How is the situation? Is the injured... serious?"
Liu Bin frowned: "I think... it's a bit dangerous!"
"We have to do a good job in the aftermath!"
"It is very difficult to rescue, even... there is little hope."
As soon as these words came out, the middle-aged man's expression suddenly changed.
"who are you?"
Liu Bin quickly introduced himself: "Director of the First Emergency Department of the Emergency Central Hospital, Liu Bin!"
Hearing Liu Bin's self-introduction, the middle-aged man's eyebrows tightened.
At this time, a mouthful of blood suddenly spurted out.
Seeing this, Fu Tao quickly asked the nurse on the side to catch the spurting blood and measure it.
"25ml!"
Similarly, Ma Baoqing said quickly: "The blood pressure has pulsated and has dropped!"
Chen Gong nodded, and a red area appeared in his mind.
But, it's just a light red color.
Chen Gong knew that although there was bleeding in the pancreatic area,... it shouldn't be the problem here.
At this time, he began his next step.
The presence of blood in the abdominal cavity will inevitably cause risk factors for the patient after it is emptied.
Upon seeing this, Liu Bin quickly said loudly:
"If you do this, the patient will die faster!"
"Reduced blood pressure may even cause secondary injury to the abdominal cavity."
"You are..."
The middle-aged man couldn't help but become worried when he heard the sound. After seeing that Chen Gong was so young, he felt a little nervous.
But Chen Gong didn't take it seriously and continued to operate!
His hands are very perceptive, and his one-touch operation allows him to grasp the gaps, tissues, and strength of the human body very accurately.
Therefore, there is no need to worry about what Liu Bin said.
Abdominal exploration techniques require quick, accurate, gentle movements, focusing on the key points, and performing them in a certain order to avoid omissions.
The most critical points are injuries to the posterior wall of the stomach, near the cardia, pancreas, duodenum, posterior and lateral walls of the ascending and descending colon, the liver of the colon, the splenic flexure, and the intestinal wall at the mesenteric junction.
These areas are extremely prone to bleeding.
Chen Gong did not dare to perform a caesarean section, so he could only conduct investigations as best he could.
After finding the bleeding point, proceed with the operation.
Time is passing by every minute and every second!
The patient's blood pressure, at this moment, begins to drop again.
But at this time, the body temperature did not fall but rose!
Chen Gong knew that this was an inflammatory reaction in the patient's body and he started to have a fever.
Infection in the abdominal cavity has occurred, which means there is a foreign body.
That’s a rupture of the intestine!
Danger is approaching again!
Ma Baoqing was sweating profusely at this time.
My blood pressure has dropped below 70 again, only 65!
This is a red flag.
When the patient's blood pressure reaches 60 or below, it is very likely... that it will be difficult!
In this severe cold weather, Ma Baoqing was already soaked to the skin, his back was wet with sweat, and his white coat clung tightly to his body.
same!
Fu Tao on the side was also worried.
He couldn't help but said: "Xiao Chen, the bleeding volume is already 300 ml!"
"Do you want to continue?"
"Keep going...I'm worried..."
Chen Gong closed his eyes at this time and said nothing to everyone's reminder.
With your eyes open, what can you do?
It's just through the belly that you can't see the internal operation at all, so it's better to continue to concentrate on the operation.
Again and again!
Chen Gong kept searching for the cause of the disease.
At this time, in the eyes of everyone, he was like a headless fly.
The sweat on Zhu Tao's clothes had even begun to freeze.
Chen Gong didn't dare to relax at all.
Keep going!
The leaders of the State-owned Assets Supervision and Administration Commission were also extremely nervous at this time, but... they did not dare to say another word.
He knew that it was wrong for an outsider to lead an outsider.
but……
It's really too dangerous if this continues.
At this time, Liu Bin said directly: "You are... drinking poison to quench your thirst!"
"If this continues, the patient will definitely die!"
Chen Gong said calmly: "Quiet!"
As soon as these words came out, Ma Baoqing turned around and stared at Liu Bin: "If you don't come here to help, shut up!"
Ma Baoqing was really upset.
The huge psychological pressure made him extremely emotionally sensitive.
As the director of the emergency department of the provincial people, he did not need to give Liu Bin any shame.
He knew this Liu Bin. He was previously the director of the emergency department of the Municipal People's Hospital. This time he changed jobs, which was regarded as a promotion.
but!
Who is he in the eyes of Ma Baoqing and others?
Liu Bin blushed at these words and couldn't help but snorted.
At this moment, Chen Gong suddenly pressed hard and spit out more brightly colored blood!
"How many!"
Chen Gong was sweating profusely and asked quickly.
"60!"
"Sixty milliliters!"
"Too much!"
Fu Tao blurted out quickly.
Ma Baoqing on the side looked livid: "The blood pressure is only 64!"
Chen Gong took a deep breath and said directly: "I know!"
"The bleeding point is on the proper hepatic artery."
This blood vessel is no stranger to Chen Gong.
Good guy!
old friend.
This is the rupture of this blood vessel in the Book of Horses.
just now……
This is also true for this patient.
At this time, the figure in Chen Gong's mind and the situation in his abdominal cavity were completely clear.
Chen Gong said straight to the point:
"The patient had a ruptured pancreas and a ruptured pancreatic vein."
"The rib penetrated the spleen, the spleen was ruptured, and there was a defect in the branch of the splenic artery."
"There was also damage to the dorsal pancreatic artery."
"Rupture of the short gastric artery and regional omental artery."
"Intestinal rupture, mesenteric vein rupture, necrotizing obstruction present."
"..."
In a series, Chen Gong insisted on talking about a series of patient injuries.
After these words were spoken, Ma Baoqing and Fu Tao were immediately shocked!
How did you know?
Can you see this?
Do you... have clairvoyance?
Ma Baoqing and Fu Tao looked at Chen Gong in surprise, wanting to find out.
but……
Chen Gong suddenly said: "But!"
"These are not the point!"
"The most important bleeding point is the rupture of the proper hepatic artery."
"His problem is the most critical!"
While speaking, Chen Gong said straight to the point: "Give me a scalpel!"
As soon as these words came out, the surrounding area suddenly became quiet.
Everyone looked at Chen Gong, wondering what he wanted to do.
Fu Tao quickly persuaded, "No!"
"Xiao Chen, if you operate now, the risk factor is very high!"
"Patients are at high risk of death."
Ma Baoqing also persuaded with a solemn expression: "It's not necessary!"
Chen Gong shook his head and said in a cold voice: "If you don't have an operation, you won't get to the hospital, and you will die!"
"His blood pressure cannot be raised."
"If this continues, the longer the delay, the greater the risk of surgery."
"We can't even get to the hospital!"
"A caesarean section is necessary to stop the bleeding!"
Ma Baoqing asked directly: "Do you have any way to stop the bleeding?"
"Something went wrong...what...what to do..."
Fu Tao also nodded and said, "Yes!"
"You should think it over carefully."
Fu Tao really couldn't bear to see Chen Gong have problems.
He personally sent Xiao Chen to the emergency center hospital.
He really couldn't bear to see such a talented young man... suffer his first failure here.
Chen Gong shook his head and said to Wu Xueyu: "Xiao Wu!"
"Call the hospital."
"Notify immediately to enable authorization."
Because in this case, the patient's family members are not around, if special treatment is required, and there are risks in the operation.
It needs to be filed.
And it needs to be approved.
Wu Xueyu was completely stunned at this time.
He had no idea that the rescue scene would be so dangerous.
However, Chen Gong's words are instructions!
Soon, he stood up, called Jiao Liming, explained the matter in detail, and then informed his superiors.
After Jiao Liming heard this, he was instantly dumbfounded.
At this time, he had just completed Zhao Xi's admission introduction.
I heard such a crisis scene.
On-site abdominal dissection?
Really? Jiao Liming was frightened.
However, now that the matter has come to this, he has to contact the medical department to file a record.
quickly!
These procedures were successfully achieved.
If we say the biggest advantage of the emergency center hospital, it is that there are not so many tedious operations. The approval is simplified, the rescue is rapid, and the scene is autonomous. This is the purpose of the emergency center.
This is also the policy adopted by the new dean after he took office.
After Chen Gong received the authorization, he immediately started his own operation.
The leaders of the State-owned Assets Supervision and Administration Commission behind him saw Chen Gong's actions and admired them.
He knew that if he continued to delay, he would definitely die.
Such a courageous and capable doctor is really... rare!
However, he did not step forward to speak. Instead, he said to Zhu Tao: "Go and notify the family members!"
"It's best to prepare both ways!"
Zhu Tao nodded: "Okay!"
After receiving the leader's instructions, Zhu Tao finally breathed a sigh of relief and set off immediately.
At this time, Chen Gong is here!
Then he said to a woman in the crowd: "Sister He, help!"
"Transfer to the car!"
He Ling heard the sound, nodded immediately, got up and coordinated with several staff members to move the patient directly to the car.
After arriving in the car, Chen Gong said to Ma Baoqing and Fu Tao.
"Two directors, would you like to come with me to the emergency center hospital?"
"I need your help for the operation."
Ma Baoqing and Fu Tao looked at each other and stood up quickly: "Okay!"
While talking, the three of them got into the car together.
After entering, Chen Gong said to He Ling: "Perform on-site surgery!"
"Please driver, please be ready to drive at any time!"
"How long will it take?"
Hearing this, the driver nodded quickly: "Don't worry, it will be delivered safely in 15 minutes!"
Chen Gong heard the sound, took a deep breath, put on gloves, changed into clean clothes, and then asked He Ling to start disinfecting!
"This area!"
"And here."
"Disinfection, the scope is so large..."
Chen Gong quickly drew an area on the patient's abdomen with a marker.
Although He Ling was nervous at this time, she still nodded and started operating.
At this moment!
Chen Gong calmed down. He took the scalpel and pointed it at the patient's abdominal area, making a slight cut.
The blade of the scalpel, which was shining coldly, was like cutting open a balloon filled with gas, which seemed to be able to burst, for the belly that was under strong tension at this time.
At this time, Chen Gong quickly said to Ma Baoqing and others: "Get ready to step up the pressure!"
"Anti-shock treatment!"
"Abdominal compressions, here!"
"Prepare pressure to stop bleeding."
……
After a series of operations, it will be fast!
Along with this, Chen Gong made a small incision in his abdominal cavity.
This opening can only accommodate two fingers.
However, it is enough.
Immediately, blood rushed out and sprayed on Wu Xueyu's face.
Wu Xueyu was startled by the hot blood.
seem!
This is the baptism of emergency.
Blood is the best warning.
Let me tell you: Young man, welcome to the emergency department.
At this time, Chen Gong quickly inserted two fingers into his abdominal cavity.
Then, two fingers found the bleeding point with great precision.
At this time, Ma Baoqing and Fu Tao were more nervous than ever.
Having been emergency specialists for decades, it’s not like they haven’t seen big scenes.
But...
It was the first time I saw such a shocking scene.
too bloody!
Too violent!
Too high-end!
This one is undoubtedly their new understanding of emergency medicine.
At this moment, Chen Gong, a fledgling young man, taught two veteran experts a lesson!
"drive!"
After Chen Gong finished speaking, the driver stepped on the accelerator and the car drove smoothly.
And this time!
Emergency center hospital.
The green channel is open.
On her first day at work, Zhao Xi had already put on surgical clothes and stood in the operating room, waiting for the operation to begin.
She was nervous, scared, but full of expectations.
The leader of the State-owned Assets Supervision and Administration Commission also called the driver at this time and quickly chased him out.
Liu Bin snorted coldly when he saw this.
He didn't believe that Chen Gong could succeed...
Similarly, Ma Baoqing and Fu Tao didn't believe it in their hearts... because they had never seen a patient successfully rescued in this situation.
It’s not that I don’t trust Chen Gong.
But... fear of the unannounced visit of the God of Death.
Life is sometimes very strong, and sometimes... it is as thin as cicada wings.
Just when the car was driving fast.
Along the way, no one spoke.
Wu Xueyu wiped off the blood stains on his face. The hot blood made this young man experience the baptism of blood.
He seemed to have let go of too many fears at this moment.
As an emergency physician.
Isn’t it parallel to life and death?
Looking at Chen Gong's face filled with determination.
Wu Xueyu was deeply shocked.
The car moves slowly.
The siren of the ambulance wailed.
Chen Gong closed his eyes, sweat was already flowing down his face. This time... he really tried his best.
If the rescue cannot be successful.
He... really tried his best.
However, Chen Gong was unwilling to say "I'm sorry, I tried my best."
Because this man covered in soot carries the burden of a family on his shoulders.
He can't die!
I won't allow you to die!
Chen Gong gritted his teeth, and his hands to stop the bleeding began to tremble, but... he did not dare to relax.
Just when the car was driving fast.
Suddenly Ma Baoqing exclaimed: "The blood pressure has gone up!"
The sound of this news is like a bell that drives away the god of death, or a sign of the arrival of dawn.
Everyone looked for information and found out that the patient's blood pressure had been...
It reached 70 millimeters of mercury!
and……
Still improving slowly.
At this moment, everyone became excited.
Ma Baoqing looked at Chen Gong in disbelief: "It's unbelievable!"
"You're so fucking awesome!"
Fu Tao looked at Chen Gong with the same excitement, applying pressure with his hands to stop the bleeding, his eyes full of respect.
this moment!
The two old directors had already ignored Chen Gong's age.
At this moment, they showed respect to Chen Gong beyond their age.
time……
keep flowing.
This time, a little hope emerged in everyone's heart.
perhaps!
Chen Gong is really good.
perhaps!
They can really snatch a life back from the hands of death.
Chen Gong closed his eyes and said nothing, because at this time, his right hand had begun... to cramp.
It can stop bleeding for a long time and it is difficult to stop bleeding.
Let Chen Gong be exhausted.
Fortunately... through the window, Chen Gong saw the door of the hospital.
He knows, just hold on a little longer, just a little bit!
That's it!
……
……
(End of this chapter)
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