Chapter 605 - Go And Warm Up The Blood Bags
Chapter 605: Go And Warm Up The Blood Bags
The thoracic department’s chief resident, Cao Guozhen, and the circulating nurse who took the blood arrived at the emergency department’s operating theater.
At the entrance, Cao Guozhen said, “Chief Zheng, we also opened a chest on our side so we came a little late.”
“If you were any later, you shouldn’t have come,” Su Yun said coldly.
The surgery went relatively smoothly. Su Yun knew that, so he had the time and mood to go against Cao Guozhen.
Cao Guozhen was speechless.
He took a closer look. Inside the abdominal cavity, Zheng Ren had finished suturing the ruptured colon.
He took a glance and saw that the liver was still tattered after being sutured. Cao Guozhen was shocked.
“Chief Zheng, can this still be considered a liver?” Cao Guozhen asked in a low voice.
“There’s no other way. This is the best we can do. We can’t cut off all of it. The liver’s self-regeneration ability is very strong. Now it seems that there’s a fifty percent chance of recovery.” Zheng Ren was also a little helpless.
“What happens after that?”
“We’ll use the bio-protein glue, sprinkle the hemostatic powder, and apply the hemostatic gauze.” Zheng Ren already had a full set of ideas on what to do.
Hearing that so many things were being used together, Cao Guozhen knew that the patient’s injuries were more serious than he had imagined.
“How’s the patient on your side?” Zheng Ren glanced at the System’s interface below. The other patient had severe chest trauma, so he pulled the other patient onto the stage and gave the other patient to the thoracic department.
“Sternum fracture, multiple rib fractures on both sides, and ruptured lungs,” Cao Guozhen said. “The patient is very lucky. The sternum punctured a hole in the pericardium but it did not damage the heart muscle.”
Uh… That was indeed very lucky. If it punctured into the heart, the person would probably be dead on the highway.
“The department chief is performing surgery. Let me come down and take a look at your end.” Cao Guozhen was still relatively honest, and their previous cooperation was quite pleasant.
Cao Guozhen remembered that the emergency department had cleared the mines in the thoracic department before.
“Oh.” Zheng Ren glanced at Su Yun’s side and said, “Chief Cao, I’m almost done with this side. Is your end ready?”
“If you need it, we can proceed,” Cao Guozhen said.
“Then I’ll have to trouble you to help warm up the blood bags,” Zheng Ren said. After that, he shouted, “Lil Fugui, come warm up the blood.”
The professor had just taken off his lead apron and was standing at the machine table, praising Xie Yiren for her skillful violin playing.
Hearing Zheng Ren’s words, the professor felt a little helpless. “Boss, we should buy a machine to warm up the blood bags.”
“I know,” Zheng Ren said.
The professor was very helpless but since Zheng Ren had said it, he could only take two blood bags and warm them up with his hands.
Cao Guozhen was even more helpless. He had asked him to come down but he actually wanted him to warm up the blood. How could the matter be justified?
However, since he was already here, he would do it.
Zheng Ren seized the time to search for any other bleeding spots in the abdominal cavity. After searching around, everything else seemed fine.
The bio gel, hemostatic powder, and hemostatic gauze took turns to cover the patient’s fragmented liver. After that, he began to close the abdomen.
Chief Wang only heaved a sigh of relief in that moment.
He did not dare to slip away the entire time. He was really very tired. Forget about slipping away, even if he was fully focused, it would still be very difficult for him to keep up with Zheng Ren’s speed.
When he saw that he had finished rinsing and was about to close the abdomen, he finally heaved a sigh of relief.
“Chief Zheng, you’re really good at general surgery.” Chief Wang felt that his back was cold and the lead apron on his body was extremely heavy. He sighed from the bottom of his heart.
“It’s alright.” Zheng Ren’s answer was a little indifferent.
He was really two different people at and away from the operating table. Chief Wang smiled. Although he was relaxed, he did not forget the role of an assistant.
As he tied and cut the thread, he carefully observed Zheng Ren’s technique.
Previously, he had used the interventional method to stop the liver’s bleeding. This kind of thought and method of surgery was too amazing. It was as if he was a fairy from the heavens.
Chief Wang was immersed in the exquisite cooperation between Zheng Ren and Professor Rudolf Wagner to determine the bleeding point, so he did not pay attention to Zheng Ren’s technique.
At that time, if one looked carefully, Zheng Ren’s suturing technique was skilled. The needle and thread danced on the skin, and the needle holder and hemostatic forceps cooperated perfectly. He indeed handled himself like a skilled and old doctor.
However, one could not tell how skilled he was from the abdominal closure.
No matter how skilled he was, he would not be able to do such a small task. When he recalled how he used interventional surgery to determine the point of bleeding, Chief Wang felt that his blood was boiling.
There were actually so many uses for interventional surgery and general surgery. This was something that Chief Wang had never thought of before.
It was not that he had not thought of it before. It was just that there were very few interventional doctors to begin with. They did not even have a presence in many hospitals. In fact, many doctors did not even know what the purpose of interventional surgery was other than placing stents under the heart.
Chief Wang instantly thought of many cases. If there was the help of an interventional doctor, it seemed that the difficulty of the surgery would plummet.
Zheng Ren carefully left a drainage strip at the position of the liver and kidney recess.
If there was continuous bleeding, it could be observed from the amount of drainage.
Hopefully… Hopefully, that was not the case.
Zheng Ren himself was not particularly confident about whether the surgery would be successful. After all, the patient’s liver was badly shattered. If he had not followed up with interventional surgery to find the bleeding point, Zheng Ren would not have been able to suture it.
Whether or not he could survive would really depend on his luck.
For a DIC, the patient’s bleeding would be fatal.
For such a heavy injured patient, no one could say that the rescue was 100% successful. Although the System gave a 92% completion rate for the surgical progress bar, Zheng Ren did not dare to guarantee it.
After closing the abdominal cavity, Su Yun’s side of the chest was also done.
The surgery was slightly slower, which was related to the difficulty of fixing the rib fracture later on.
“Do you need me to do anything?” Zheng Ren asked.
“I need you to help turn the patient around,” Su Yun said as he glared at Zheng Ren.
Zheng Ren heaved a sigh of relief. As long as Su Yun started to talk back to him, it proved that the situation was not that urgent.
Chu Yanran held onto the tracheal tube. The few of them worked together to turn the patient over and begin the operation on the left chest cavity.
As expected, Zheng Ren did not scrub his hands and went on stage. He picked up a blood bag and began to pour the blood before standing behind Su Yun and watching.
“Boss, I’m under a lot of pressure with you watching me like this,” Su Yun said.
“What pressure? Hurry up and operate. You talk as if you’re really afraid,” Zheng Ren said.
Seeing the fresh frozen erythrocyte bag in the pressurized blood transfusion device deflate, Zheng Ren hung up the blood bag that had just been warmed up.
As the blood was poured in, the patient’s blood pressure gradually showed up on the monitor. Although it was still very low, with a high pressure of 40 millimeters of mercury, there was still a difference between whether it was there or not.
Soon, Su Yun’s surgery was also completed.
The patient was brought to the ICU with a tracheal intubation tube. Zheng Ren and Su Yun did not change their clothes. They wore isolation suits underneath and a white coat outside. After that, they rushed to the emergency room on the first floor.
Su Yun did not follow the patient to the ICU as usual. Zheng Ren knew that it was because he was leaving tomorrow… No, today.
Whether he went or not, it really did not matter much.
Sea City General Hospital could not be opened if he did not leave.
Here, he would do his best to have a clear conscience.