Chapter 325 Guarding with Life

An ambulance is just a simple mobile first aid station.

There are not many operations that can be done on an ambulance.

Zheng Ren left the patient with a crude closed chest drainage to ensure unobstructed breathing and prevent death from pneumothorax. The blood in the upper airway is continuously sucked out with a sputum suction tube, so as not to condense into scabs and cause airway blockage.

No matter how much, it is to press the incision on Yang Lili's chest and abdomen to avoid bleeding as much as possible.

Hurry up, hurry up!

Zheng Ren knocked on the partition three or five times, urging the driver.

In fact, the city's No. 1 hospital is not far from the Ninth Primary School, but the strong smell of blood on the ambulance made Zheng Ren feel anxious.

In normal times, the ambulance would not be able to fly even if the whistle was turned to the maximum.

But today, there was a police car from the traffic police clearing the way, and the sounds of different whistles were mixed together. The traffic flow between the No. 1 City Hospital and No. 9 Elementary School was much slower. Everyone didn't know what happened, so they unanimously avoided and opened a road.

Even at traffic lights, private cars will take the initiative to give way to police cars and ambulances... a way out.

In the ambulance, seeing the shocking numbers on the monitor and the unmeasured blood pressure, Zheng Ren calmed down.

He took off his blood-soaked gloves and picked up his phone.

"I'm Zheng Ren, preparing for emergency surgery."

"Yes, all preoperative preparations have not been done."

"There are blood samples, send someone to send blood samples to stimulate blood."

"Call the consultation on the thoracic surgery table, and plan to open the two together."

"Ask Yanran to prepare a double-lumen tube."

After hanging up the phone, Zheng Ren frowned, and Yang Lili's breathing was extremely weak, with intermittent deep breaths.

The so-called deep breathing, in the words of ordinary people, means that the dying person is "breathing" before death.

The state is not good, especially bad. Sugar and salt water were poured in, and the blood pressure did not change in any way, and it was still undetectable.

Police cars and ambulances rushed all the way to the emergency department of the city's first hospital.

Because it was a vicious incident of a campus attack, the city notified the First Hospital of the city to attach great importance to it. Dean Xiao has rushed over with a group of people, and Director Pan is standing on the side of the emergency lane with his hands behind his back, not talking to the leaders in the courtyard, and is making a rescue plan in his mind.

Although Zheng Ren was there, Director Lao Pan still had no inertia.

The more comprehensive the rescue plan is, the more likely it is to check for gaps in some subtle points and do everything possible to successfully complete the rescue work.

Police cars and ambulances roared to the scene.

The high-pitched, sharp, and blood-pressure-raising siren sounds mixed together, interrupting Director Pan's thoughts.

There was a police car clearing the way? The front face and side of the ambulance are damaged? Director Pan was very puzzled, but he didn't have time to pay attention to what happened.

The police car did not enter the emergency passage, and the ambulance slowed down slightly and stopped firmly on the emergency passage.

The back door opened, and the flat trolley was pushed over. Yang Lili was carried onto the flat trolley, and Zheng Ren ran towards the operating room with the flat trolley.

Because the city attaches great importance to it, there are more people from the hospital.

Some people are used to being close together, making themselves seem more important.

He blocked the way of the flat car and was pushed away by Zheng Ren. Even Zheng Ren didn't see who was pushed away by himself.

The elevator had been guarded for a long time, and the dark red blood dripped down on the marble floor of the emergency building of the city's first hospital, like flowers blooming all the way.

120 The emergency nurse handed over several tubes of blood samples left in her hand to the doctor, and the doctor quickly ran to the blood transfusion department. The remaining blood samples were prepared to be sent to the emergency laboratory.

Although emergency rescue is extremely urgent. But many procedures are still indispensable, such as the inspection of infectious diseases such as AIDS and syphilis.

Two years ago, the Affiliated Hospital of National Taiwan University ignored a certain point because of the emergency, resulting in all organ transplant patients being infected with AIDS.

Necessary procedures must be followed, and those that can be omitted must also be omitted.

Zheng Ren pulled the flat car and ran all the way to the operating room on the third floor.

Su Yun, Yang Lei, Xie Yiren, Chu Yanran, Chu Yanzhi, the head nurse of the operating room and others have long been waiting in full force, and the door of the operating room is rarely open.

It was quiet, except for the slight sound of the wheels of the flatcar rolling against the marble floor.

Change hands, and the flat car enters the operating room. Zheng Ren went directly to the locker room, changed his clothes, and prepared for emergency surgery.

This time, it was completely different from the time in the imperial capital.

The last time Fang Lin was injured, he was treated right away. But this time, the ambulance drove away and then drove back, and the prime time for emergency treatment was delayed on the road.

Whether the person can be saved, Zheng Ren is really not sure.

If you are sure, you have to save, if you are not sure, you have to save!

she,

Protected the children with his body.

Own,

We must work harder to protect her.

After changing his clothes as quickly as possible, Zheng Ren strode towards the operating room while putting on his hat and mask.

In the operating room, the patient has been carried to the operating table.

The patient's body position on the operating table is slightly lower, and Su Yun has obviously realized that it is possible to operate both of them at the same time, and has made preparations in advance.

Su Yun was performing closed chest drainage on the patient. He did not choose the second intercostal space on the midclavicular line, but the sixth and seventh intercostal space on the midaxillary line.

The advantage of the former is that it can draw out the gas, and the advantage of the latter is that it can draw out the blood. In the ambulance, Zheng Ren didn't dare to draw a large amount of blood. If hundreds of thousands of milliliters of blood were drawn out, it would cause negative pressure in the patient's chest cavity and cause more blood to bleed.

When I came to the operating room, it was different.

"How?" Su Yun asked.

"Where's the person outside the chest?" Zheng Ren frowned and began to brush his hands.

"Right away."

"The chest and abdomen are opened, and the posture... the right side is elevated by 45 degrees." Zheng Ren said.

For general surgery, supine position is required. Thoracic surgery requires side lying position.

If the two departments are doing it together, everyone should be more accommodating and choose a central position. Although the various fields of vision are very limited, it can save time after all.

Su Yun didn't speak. After suturing and fixing the closed chest drainage tube, he began to position himself.

"Double-lumen tube." Zheng Ren finished brushing his hands and came to the instrument table.

"Understood." Chu Yanzhi said.

Chu Yanran was fixing the endotracheal tube, adjusting the parameters of the ventilator, and had no time to speak.

The Xie Yi people handed him the oval forceps and the curved plate, and Zheng Ren picked up a large pile of iodophor gauze and began to sterilize it.

After disinfection, I brushed my hands again and put on a sterile surgical gown. At this time, the leaders of the Department of Thoracic Surgery and the hospital rushed over.

"How's the situation?" Old Director Pan walked up behind Zheng Ren and asked.

"Not optimistic." Zheng Ren stretched out his hand, and the handle of the scalpel slapped him.

"Need a joint incision?"

"Lung rupture, it is estimated that an artery is broken, and it must be treated. The abdomen is intestinal rupture, and the superior mesenteric artery is ruptured. I don't know how many intestines will be cut." One cut down, omitting the step of blunt dissection, went directly to the peritoneum.

For peritoneal protection, the peritoneum is opened, and the dark red bloody fluid with a slightly lower temperature is sucked out by the aspirator.

Seeing the gurgling blood, Director Pan immediately called the doctor and went out of the operating room to stimulate the blood.

At this time, a steady stream of blood is the best hope for the wounded to survive.

"What's the condition of the chest? Do you have a chest CT film?" The director of the chest department asked on stage.