The Godfather of Surgery

Yang Ping didn't care about anything other than saving people. It was the leaders' business, and he just immersed himself in the operation.

Saving one is one, there is no other better way.

He knows the anatomy of the human body with almost closed eyes, and Yang Ping is very fast.

The image of the boy's CT scan was immediately converted into information that directly guides the operation in the brain.

Where the injury is, where is the bleeding, what is the rate of bleeding, where is life-threatening, and where is the highest priority, a clear order is naturally formed.

Open your chest without hesitation.

As skilled and easy as cutting skins.

The hemorrhage in the mediastinum was stopped, the cardiac tamponade was relieved, and the damaged lung could be repaired, but could not be repaired decisively.

Everything is for the purpose of saving lives, any other superfluous things are discarded, and every operation is straightforward.

The ribs were secured with memory alloy clips to restore a normal rib cage.

Next, open the pelvic cavity, which will involve taking great risks.

If you were someone else, you would never dare to open the pelvis at this time. You must first consider interventional embolization to stop bleeding, then fix the pelvis with an external fixator, and wait for the blood pressure to stabilize before considering whether to open the pelvis.

At this time, the pelvic cavity is opened, the closed volume space is opened, the pressure in the retroperitoneal space is instantly reduced, and the blood is immediately ejected more strongly under the drive of the pressure difference, and the wounded will die immediately due to the instantaneous increase in bleeding.

But at this time, if the bleeding is not immediately and completely stopped, the blood pressure will not be stabilized at all, and the wounded will have no hope of surviving. This is the only bridge to victory, and there is no other way.

No matter how high the risk is, the pelvic cavity must be opened, and conservative measures such as interventional embolization are attempted, which will only waste time.

The sound of the suction device rattled, and the blood wave had not yet subsided. The tip of the vascular clamp on Yang Ping's hand had already penetrated into the blood, reaching the bleeding point.

Clamping, ligation, all in one go, all actions are done in blood.

The blood tide receded, and when a clear surgical field appeared, Yang Ping had already completed the hemostasis of several major blood vessels.

Song Zimo was at a loss, what the fuck is this technique, blood is everywhere, and before he could see clearly, he successfully ligated a blood vessel in the blood.

The blood vessel ligation completed by Yang Ping's blind exercise is actually accurate in each ligation position.

Can his eyes see through?

Otherwise, how could there be such a powerful blind practice ability?

The blood vessels ligated in the blood are all the most deadly bleeding. Some of the broken blood vessels have retracted, which is a clear surgical field. It is not easy to operate under direct vision.

The distribution of blood accumulation can be seen on the CT film, and it can be predicted which blood vessels are damaged. If you are proficient in anatomy to a certain extent, you can find the bleeding point with your eyes closed. After all, there is very little variation.

Yang Ping explained the operation, so that Song Zimo would not look like magic.

It is a reasonable explanation, just like typing, you are skilled to the extreme, you don’t need to look at the keyboard, and you don’t need to think. Which word you want to type, which keys your hand will naturally press.

When Song Zimo was hesitating, Yang Ping ligated several blood vessels.

With the termination of bleeding around the sacral venous plexus, the pelvic bleeding was completely controlled, and the exploration of various organs was completed.

After repairing the damaged organs, reduction and internal fixation of the pelvic and acetabular fractures were started.

The pelvis was screwed with horizontal reconstruction steel plates, the separated pubic symphysis was also fixed by the steel plate, and the crushed and deformed pelvis returned to normal.

The blood pressure has come up, 85/48mmHg. Liang Fatzi regularly reported his vital signs.

Eventually, blood pressure began to slowly rise, indicating that a reversal had begun.

After lingering at the critical line for a long time, life begins to recover, and then gradually moves away from the critical line.

For bilateral femoral shaft fractures, closed reduction and interlocking intramedullary nail fixation, reduction, opening, insertion of guide wire, reaming, insertion of nails, and insertion of locking nails are performed in one step.

The whole body trauma operation was successfully completed in one time, and the vital signs were stable in the normal range.

90/62mmHg—

Fatty Liang continued to report his blood pressure.

If the blood bank's follow-up AB blood type can keep up, the child will be able to survive the danger.

Sixteen-year-old upright blooming season, should not be adjusted to zero!

How about it?

Lao Han shuttled back and forth in several operating rooms, keeping abreast of the progress of each operation.

It should be pulled back. Yang Ping raised his head.

Lao Han is relieved, saving one is one.

Let the ICU watch out for fat embolism, pulmonary embolism!

Yang Ping explained a few words and took off the surgical gown. He did not rest, and immediately ran to the next door to participate in the rescue of the female driver.

Director Ouyang took Dr. Jin and the two deputy chief physicians of general surgery and thoracic surgery to the intensive operation. The female driver's heart stopped beating just after the opening of the chest.

The female driver's life is currently maintained by an artificial heart-lung machine.

They were doing chest compressions, and the thoracic surgeon held the heart in his hand, squeezed rhythmically, and then injected epinephrine with a syringe, still no response.

The heart in his hands, like a mass of dead flesh, showed no sign of beating.

This woman, who was so drunk, didn't know if she had ever thought about what would happen to her when she rushed the Maserati into the crowd.

——

In the emergency hall, the father of the female driver, a man in his fifties, was constantly calling to find someone. He didn't know whether to find someone to save his daughter, or to find someone to help settle the accident.

The jeweled woman, the mother of the female driver, looked anxious, and from time to time she would bang on the door of the emergency operating room.

Surrounding them were a few entourages in suits and leather shoes, as well as a lawyer who had rushed in with a briefcase.

The door of the operating room opened, and Director Han, Director Sun, and Director Zhao came out and stood at the door without calling their names.

The woman rushed up: How is my daughter?

Heartbeat and breathing have stopped, and we are in the process of rescue. There is little hope. Director Zhao said with a sigh.

The woman immediately grabbed Director Zhao's chest, burst into tears, and asked how and why it happened.

The man put down his cell phone and grabbed the woman's hand. The security guard rushed up, separated the woman, and Director Zhao tidied up his collar.

The injury is too serious, we are trying our best, and we must be mentally prepared.

Medicine is as objective as iron, and Director Zhao can only report the condition objectively.

As a father, the man was dizzy for a while. This precious daughter, he could deal with all the troubles he had caused. Now he felt scared for the first time, really scared.

If the heart stops, it means - dead.

The man shuddered, touched his forehead, tried to calm his mind, and almost dropped the hot phone in his hand.

Please, doctor, save her, she is still young. The man pleaded.

We are trying our best, the injury is too serious. Director Zhao was very calm.

With many years of experience as the director of the medical department, such scenes are commonplace.

The boy who had just been rescued by Yang Ping was pushed out and sent to the trauma ICU.

Before his family members arrived, the principal and teacher followed: How is it?

The operation was successful, and the vital signs are stable at present, but they are not out of danger now. They will be sent to the intensive care unit for continued monitoring and treatment. Xiao Wu and Zhang Lin escorted the patient.

Another student was pushed out of the operating room, his right calf was damaged, and he underwent amputation.

As the flat car rolled out, looking at the empty limbs, the student's mother cried heart-breakingly, and the father hugged her and comforted her constantly.

They were fine a few hours ago, but now they are missing a leg due to a flying accident. No matter what, they can't face it.

Compared with the student who died at the scene of the traumatic brain injury, he was much luckier, at least alive.

The students who are still operating, their family members and teachers are anxiously staring at the door and feeling uneasy.

The third student came out. This one had a splenectomy, partial liver resection, and partial bowel resection.

The door of the emergency operating room was a mess, and the staff responsible for appeasing the government kept comforting the family members.

The parents of the female driver sat back in the blue plastic chair. Her father picked up the mobile phone several times, but at this time, he didn't know who to call.

These students came out one after another, and the parents of the female driver didn't even lift their eyelids, let alone go up to learn about the condition, as if the whole thing had nothing to do with them.

Knowing that they were the parents of the female driver, the mother of the amputee lost control and rushed to ask for an explanation.

At a distance of three meters, the staff pulled the grieving mother.

The lady subconsciously got up, took two steps back, and tore her clothes in disgust, for fear that the person who rushed up would stain her clothes.

The disdain and contempt on his face is enough to make anyone angry.

——

Yang Ping had already taken over the operation of the female driver, and Song Zimo also stood in the position of the first assistant.

Director Ouyang, Dr. Jin, and deputy chief physicians of general surgery and thoracic surgery automatically moved aside.

Defibrillation!

Defibrillation of the heart directly into the chest cavity.

Under the stimulation of the electric current, the heart finally began to pulsate weakly, and the sound of the wheel of the cart rubbing against the ground sounded in the corridor.

As long as the pulse can be restored, there is still a silver lining, this is the last chance.

The cart rushed into the operating room, the nurse who delivered the blood gasped, and the roving nurse immediately checked the blood type, hung the blood bag on the infusion pole, and the blood transfusion device with the heating and pressurizing device to quickly inject the suspended red blood cells into the human body.

Surgery goes on! must continue!

From the thoracic cavity to the abdominal cavity, to the fracture of the pelvis, the femoral head inserted into the pelvis is pulled back into place, and finally the limbs are fractured.

Orderly, step by step.

Trauma should be dealt with step by step, saving life first, then saving limbs, and finally considering function.

According to the conventional principle, for this kind of patient, the thoracic, abdominal and pelvic injuries have been dealt with, and the life-threatening situation has been relieved.

But this is a principle set for ordinary people, and Yang Ping has his own principles.

At Yang Ping's speed, limb fractures can be done without taking much time, and there is active bleeding in these comminuted fractures, and the amount of bleeding is very large.

The bleeding volume of pelvic fractures is generally 500 to 5000 ml, and the bleeding of one femoral shaft is 200 to 2000 ml.

The comminuted fracture caused by this high energy, the value of the amount of bleeding is closer to the upper limit.

Blood accounts for 7%-8% of body weight. An adult weighing 50-60 kg has only 4000 to 5000 ml of blood in the whole body.

Severe pelvic fractures can drain the body of blood without supplemental blood transfusions.

Acute hemorrhage accounts for 30% of the total blood volume and has reached the limit of human compensation, which is life-threatening.

30%, which is 1200ml to 1500ml, if the rescue is not timely, it will cause death.

If the speed of the operation allows, of course, it is best to solve all these fractures, and any place is a leak of blood.

Step by step, because the operation speed of ordinary people cannot meet the requirements of one-time completion.

Yang Ping did not take steps, but completed the operation at one time.

The two deputy chief physicians of thoracic surgery and general surgery stood on the stage and just watched with admiration.

They just watched silently. This young man who performed interprofessional surgery has far surpassed himself in thoracic and abdominal trauma surgery. Before, he only heard about or observed the surgery, but he did not have the same surgery.

Now the same operation, I have seen it with my own eyes, it is close at hand, I am convinced, I can only worship.

The supplemented blood of the same type, carrying oxygen, circulates throughout the body, and cells are rejuvenated, but some cells die due to lack of oxygen.

This patient, even if rescued, will have severe sequelae, such as brain dysfunction.

Professor Huang Zhong from the Department of Traumatology and Orthopedics in Attached One arrived at Sanbo Hospital by helicopter with the directors of thoracic surgery and general surgery. They rushed to the emergency department in a hurry.

The father of the female driver finally saw the savior: Professor Huang, it's hard work, please, I'm afraid they can't handle it.

Professor Huang waved his hand, motioning not to disturb him.

Director Han, who came out to greet him, said, Is Xiao Yang busy inside?

Huang Zhong was very respectful to Director Han, shook hands with Director Han, turned to the female driver's family and said, Dr. Yang represents the highest level of surgery in the medical field. I am here to observe and learn.

The tone is sincere, not the slightest random.

Professor Huang—? What the driver's father wanted to say.

Huang Zhong waved his hand again: If Dr. Yang can't be rescued, then he should accept his fate.

Huang Zhong is so frank and direct.

After the lady listened to it, she looked up and fell back, so that two people beside her supported her.

The female driver's heart was still beating weakly, and it had taken off all the work.

The artificial heart-lung machine next to her, ECMO, has been running, replacing the functions of her heart and lungs.

Weak heartbeat, continue ECMO.

The last vascular clamp was thrown on the curved disc.

On the monitor, the curve symbolizing life has been maintained.

Save one, be one.

This one was saved for the time being.

How about it?

Director Han came over again.

Should be pulled back!

Yang Ping stared at the data on the monitor.

Then he turned to Song Zimo and said, Close your chest!

Just now I didn't dare to close my chest, for fear that my heart would stop beating again.