tkworld Chapter 64 Fainted!body shock
Chapter 64 Fainted!body shock
"What are you talking about first?"
While checking the condition of the injured, Chen Dong asked the thin man beside him.
The thin man wiped the cold sweat from his forehead, his face could not stop the panic: "I was driving on the road, their truck suddenly jumped out, and then we collided together."
The Buick he just bought was knocked over, but fortunately, no major incident happened to others, so this can be regarded as luck among misfortunes.
But the driver of the truck was knocked unconscious for some reason, and the man in the co-pilot also fainted.
He was scared at the time, if something happened between the two of them, would he have to pay for it?Then he hurriedly took them to the hospital.
Chen Dong nodded: "Don't worry, I don't know if you have any internal injuries at the moment, let's do a CT scan of the brain first, and then go for a B-ultrasound."
The man agreed wholeheartedly, even if he had to pay a little medical expenses, it doesn't matter, what he fears most is that he will get killed when the time comes.
"Bodhisattva bless, Bodhisattva bless! There must be nothing wrong with these two people!"
At that time, if something happened to these two people, even if it wasn't his responsibility, he wouldn't be able to explain it clearly. At that time, he would definitely lose his fortune.
Thinking of this, the man's calf trembled.
Chen Dong signed the test form, and the man immediately took it to pay the money. Chen Dong was shocked by the speed. This man looked so skinny and ran so fast?Sure enough, thin people are more flexible!
Half an hour later, the test results came out.
The results showed that the indicators of these two people were all normal, except for some minor concussions and flesh injuries. Just hang two bottles of water, and then go back and take a good rest, it will be fine!
Chen Dong told the man the result.
"Nothing? That's great!" The man exhaled, suddenly felt dizzy in his brain, and fell to the ground uncontrollably.
Chen Dong quickly supported him, and shouted to Xiao Li who was on the opposite side: "Come and help."
The two worked together to lift the man to the hospital bed, but at this time the man had completely fallen into a coma.
Chen Dong frowned, feeling a bad premonition in his heart.
According to this man's words, it is impossible for him to have nothing at all!After all, his car turned over in that car accident, which can only explain one problem. He suffered internal injuries, but because of the fear and panic in his heart, he kept holding on and didn't show it.
This made him mistakenly think that there was nothing wrong with him. Now that he heard that the two people were fine, the breath he held in his heart dissipated, and he couldn't hold it anymore.
"Xiao Wu, contact the family members of the injured and tell them to come here quickly."
"Xiao Lin and Director Wang come in and help me!"
Chen Dong said resolutely, before they reacted, Chen Dong had already changed into a sterile surgical gown, sterile latex gloves, and a disposable sterile cap.
"Ah?" Xiao Li, Xiao Wu, and Xiao Lin were stunned for a while.
Director Wang was the first to react: "Ah, what? Why don't you hurry?"
"Xiao Lin, take off the injured man's clothes and put on the heart rate monitor!" Chen Dong said sharply.
The wounded is now in shock!Must be rescued immediately.
"It's too late to do CT now." Chen Dong was startled when he felt that the body temperature of the injured person was getting cold.
"Director Wang, give me the disposable paracentesis kit."
Director Wang quickly found a disposable abdominal puncture bag and gave it to Chen Dong.
The disposable abdominal puncture kit includes puncture needles, gauze, sterile hole towels, trays, disposable gloves, syringes, drainage bags, sterile test tubes, covers, cotton balls, tweezers, culture bottles, and connectors.
There are syringes, cotton balls, tweezers, drainage bags, sterile test tubes, puncture needles, culture bottles, gauze, sterile hole towels in the tray, and the tray is movably connected to the cover through connecting parts, and disposable gloves are provided in the cover.
Disposable paracentesis kit, as the name suggests, is used for paracentesis.
Paracentesis is one of the four major clinical punctures, and it is often used for diagnosis and treatment of certain diseases.
If the blood is not coagulated, it is considered that there is a substantial organ rupture and bleeding.When the patient has peritoneal effusion, puncture and drainage can also be used to relieve the symptoms of abdominal distension, improve the patient's eating and nutritional status of the body, and help improve the patient's quality of life.
Now that there is no time for CT in the injured person's condition, we can only do a paracentesis to see if it is abdominal bleeding. If it is really abdominal bleeding, it will be a bit troublesome.
Chen Dong first sterilized with iodophor twice, then spread a sterile towel on the patient's abdominal cavity, and used lidocaine to perform local anesthesia at the puncture point.
After that, Chen Dong stopped moving, and Xiao Lin, who had been observing Chen Dong carefully, showed a puzzled expression: "Brother Chen, why are you still not moving?"
When Director Wang heard this, he hated iron for being weak and said, "Xiao Lin, do you know why you can't pass the internship period?"
Xiao Lin shook his head honestly, and looked at Director Wang with innocent and harmless eyes, as if asking for advice.
Chen Dong said angrily, "Doesn't it take time for the anesthesia to take effect?"
Xiao Lin suddenly realized that this was the case, and this was the key point that he had to remember well.
After the anesthesia took effect, Chen Dong inserted the puncture needle under the guidance of B-ultrasound, and searched a little until reaching the predetermined site. He manipulated his left hand to fix the skin at the puncture site, and held the puncture needle in his right hand to insert the needle vertically at the anesthetized site. into the abdominal cavity.
It sounds complicated, but in fact it is to find the position, insert it quickly and then pull it out.
Looking at the non-coagulated blood on the tube, Chen Dong frowned. Sure enough, the nurse who received the operation notice also came in wearing sterile surgical gowns.
This location should be the stomach or the spleen. It should be the spleen. The spleen is closely adjacent to the stomach, but it can be said to be the most fragile organ in the body. It is easy to cause spleen rupture.
Splenic rupture is mainly divided into three types, the first type, central type rupture, mainly because the parenchyma inside the spleen ruptures, and intrasplenic hematoma occurs. Generally, there is no intraperitoneal hemorrhage at this time.
Second, subcapsular rupture is manifested as subcapsular hematoma. Smaller hematoma can be slowly absorbed, while larger hematoma can cause subcapsular rupture and secondary abdominal hemorrhage.
Third, true rupture is subcapsular rupture and central rupture at the same time, often complicated by abdominal hemorrhage.
Obviously, this belongs to the third category today, and it is precisely because of the third category that Chen Dong feels a headache.
"The injured person should have a ruptured spleen." Chen Dong expressed his judgment.
Xiao Lin looked at Chen Dong, and carefully wrote down every word Chen Dong said: "Spleen rupture can only be performed by resection, right?"
Xiaolin still has this common sense, otherwise he would not be able to graduate smoothly!
Chen Dong nodded: "Xiao Lin, Director Wang, the hemorrhage of the injured is obviously serious, we must perform the operation immediately, and the nurse will prepare for the anesthesia first!"
"Xiaolin, it's up to you to record the blood pressure of the injured, and you must react immediately if you find anything abnormal."
For splenectomy, the blood pressure of the injured must be closely observed. If there is any abnormality, it is likely to cause a failure of the operation or increase the risk of the operation.
The treatment for splenic rupture caused by external injury is emergency splenectomy. If emergency resection is not performed, the patient may die due to excessive spleen rupture and bleeding.
After entering the abdomen for exploration, Chen Dong immediately pinched the pedicle of the spleen with his fingers to prevent further bleeding, and then sucked up the accumulated blood in the abdominal cavity before performing a splenectomy.
At this time, you must not be too anxious to use the knife directly, because the spleen is in a special position, and the surrounding organs are all important tissues in the body!
After Chen Dong found the splenic artery, he said to Director Wang, "Give me the clamp!"
Immediately, Chen Dong ligated and cut off the splenic artery with clamps to reduce the blood flow into the spleen.
Then use forceps to cut off the perisplenic ligaments, such as splenocolic ligament, spleen-gastric ligament, spleen-phrenic ligament, etc., so that the spleen can be fully freed.
Then carefully separate the gap between the splenic pedicle and the tail of the pancreas, and after the splenic pedicle is fully exposed, it will be ligated and cut off accurately and firmly. At this time, the entire spleen can be resected.
After completing all of this, Chen Dong breathed a sigh of relief. At this time, half of the operation has been completed, but the remaining half is also crucial.
The next step is whether there is active bleeding in the injured, and special attention should be paid to the blood vessels of the gastric fundus, the tail of the pancreas, and the retroperitoneum.
"How is it?" Director Wang asked.
Chen Dong shook his head: "Fortunately, the condition of the injured is all right now."
Xiao Lin also said: "The blood pressure is also normal, we can continue."
Chen Dong nodded, and placed a drainage tube under the splenic fossa and diaphragm of the injured to observe whether there was pancreatic fistula and active bleeding after the operation.
The operation ended here, and the whole process only took half an hour.
Director Wang was shocked when he saw this time!Complete a splenectomy in half an hour?
He can't even achieve this speed now, and the injured are in a particularly good condition. What does this mean?It shows that Chen Dong's operation was very successful.
Many emergency operations need to test the medical skills of doctors, because they are saving lives in the hands of Lord Yan.
But once the speed is increased, the risk will be greatly increased, so this is why many doctors dare not act recklessly. After all, the operation is changing the fate of the sky. If the speed is increased, who will guarantee the patient's life?
This is also the reason why Director Wang was shocked after the operation.
Maybe someone told Director Wang that he had just successfully performed a spleen rupture operation, and Director Wang would not be so shocked, but it would be different if it was completed within half an hour!