Chapter 109: Three Blood Vessels Broken
Compared to Dr. Li's nervousness, Jiang Yuan was much calmer. Seeing that Dr. Li had completed the disinfection, he also helped lay out the sterile surgical towels.
"Okay... Dr. Li, let's get started..."
Jiang Yuan nodded towards Dr. Li opposite and said, "You pull out the glass, and I'll take the back seat!"
"Okay!" Dr. Li nodded. He naturally knew that pulling out the glass was not difficult, as long as he grasped the vertical direction and maintained a relatively sufficient force when pulling out.
The most important thing is to deal with it after the glass is pulled out, if there is any heavy bleeding or the like.
When this happens, it's time to test Jiang Yuan's strength;
Of course, it is possible that such a situation will not occur, but Dr. Li believes that at this position, the glass is several centimeters wide. If it does not touch a blood vessel, it can only mean that the child is really lucky.
, and it is very, very good, so good that it is almost impossible.
So Dr. Li took the forceps handed over by Sister Liu and saw that Jiang Yuan was already holding a thick stack of gauze in one hand and a hemostatic forceps in the other hand. He took a deep breath and reached out to clamp it with the forceps.
That piece of glass.
After feeling that the clamp was secure, Dr. Li raised his head and looked at Jiang Yuan.
Jiang Yuan nodded gently towards Dr. Li. There was no need to say anything at this time. Seeing Jiang Yuan nod, Dr. Li took a deep breath and pulled it out gently.
Following Dr. Li's movements, Jiang Yuan had already narrowed his eyes slightly, and saw that as the glass was pulled out, a stream of blood came out.
Amidst the exclamations of Sister Liu on the side, Jiang Yuan, who had been waiting for a long time, suddenly pressed down the gauze in his left hand, then picked it up again, taking advantage of the accumulated blood there to be sucked away by the gauze, and the new blood had just come from
When blood vessels emerged, look carefully into the wound.
When the old blood was gone and the new blood was coming out, it only took half a second. Jiang Yuan's face changed as soon as he saw it.
Because he saw at least five or six bleeding spots in the wound at the same time, that is to say, at least three blood vessels were cut off by the glass piece. Of course, Jiang Yuan was not sure that he could see them all clearly at a glance.
At this time, Dr. Li also bulged his eyes and took a look. Seeing that there were at least three broken blood vessels, he was dumbfounded. This one was fine, but two would be a big problem. These three...
In just two seconds, the wound was filled with blood again, and started to appear again.
Jiang Yuan didn't dare to neglect, he knew very well that his skills were not too high and he didn't dare to hit too hard, so he just knocked the child out and fell asleep, and although the four silver needles on the thighs were up
It works to a certain extent, but at most it only reduces the bleeding flow rate by half.
I didn't expect that three blood vessels would be broken, so I did encounter some trouble this time.
Doctor Li and Sister Liu on the side looked at Jiang Yuan nervously. It depends on whether Jiang Yuan can stop the bleeding. If he can't, it will be a big trouble.
At this time, Dr. Li quickly took the two small retractors handed over by Sister Liu, stretched them into the wound, and opened the wound so that Jiang Yuan could find and ligate the broken blood vessels.
Jiang Yuan didn't have any nervous expression at this time. He had seen too many situations like this, and he had also seen situations that were a hundred times more dangerous and bloodier than this;
It's just that the wound is very deep now, and the vision is not good. It is not easy to find the proximal ends of the three blood vessels to stop the bleeding and ligate them. Especially in such a blood-filled wound, it is difficult to distinguish
Of the six fractures, which three are proximal bleeding ports;
Then tie these three ligations as soon as possible to control this bleeding. Otherwise, if you tie them wrongly, it will not only be a waste of time, but also a large amount of blood will be lost due to this delayed time.
Jiang Yuan took a breath. What he had to do now was to find the proximal ends of the three blood vessels in the shortest time possible, and then perform ligation. Then he pressed the gauze in his hand toward the wound again, and then quickly lifted it up.
, after the blood in the wound was sucked away by the gauze, the hemostat in his hand quickly inserted into the wound.
"Click..." As the hemostatic forceps clicked together, Jiang Yuan released the hemostatic forceps in his hand and stretched out his hand.
Sister Liu on the side was already prepared and immediately handed the second hemostatic forceps to Jiang Yuan's hand.
Jiang Yuan gently pressed the gauze on the wound again. At the moment of lifting it, his eyes scanned the wound again, and then the hemostatic forceps in his right hand quickly inserted again.
"Click..." The crisp sound of the hemostats clicking together seemed to ring in the hearts of Dr. Li and Sister Liu. Both of them just stared blankly at Jiang Yuan's movements and Jiang Yuan's unhesitating expression.
With such movements, his heart was pounding. In such a poor sight situation, how could Jiang Yuan be so sure of the target?
Is this clamping correct? Is it clamping the three proximal fractures?
The two of them looked at Jiang Yuan's movements with no confidence in their hearts. They could hardly see clearly. Jiang Yuan would pinch one and the other at once. This was really... too unbelievable.
.
But no matter what, their duty is to help.
Jiang Yuan stretched out his hand again, and Sister Liu quickly sent the third hemostatic forceps to Jiang Yuan's hand. At this time, Jiang Yuan also threw away the blood-soaked gauze in his left hand, and then stretched out his hand.
Seeing Jiang Yuan reach out his hand again, Sister Liu automatically reached out and took out a pile of gauze and stuffed it in. This reaction was very quick.
Without looking at it, Jiang Yuan reached out and pressed the gauze in his hand towards the wound. There was no doubt about the nurse's reaction and quality at this time. Anyway, he just used whatever the other party brought over, and he couldn't be embarrassed at all because of this.
waste time.
As Jiang Yuan pressed down the gauze on hand again, Sister Liu and Dr. Li became nervous. If Jiang Yuan had always been successful, then this third time would be the last time.
Jiang Yuan also took a deep breath at this time. He had just clamped the two proximal blood vessel breaks with hemostatic forceps. This was the last time.
But this time, it was a little troublesome, because the only way to tell which of the six blood vessel ports was the proximal fracture was to judge it from the speed and size of the bleeding.
Because the three blood vessels are large and small, the size and speed of the bleeding will naturally be different, and the six fractures will be easily confused.
First of all, Jiang Yuan quickly found the two ones that were bleeding the most. Of course, they should be right, but this last one was a little difficult.
Because the size and flow rate of bleeding from the remaining four blood vessel fractures seemed to be about the same, it was extremely difficult to distinguish the last proximal fracture among them.
Jiang Yuan looked up at the ceiling, took a deep breath again and said, "Okay... Doctor Li, please release the hook..."
Hearing Jiang Yuan's words, Dr. Li was startled. If the retractor is loosened and the wound is squeezed together, how are you going to find it?
But looking at Jiang Yuan's determined expression, Dr. Li gritted his teeth and nodded, saying, "Okay...I'm ready to take the hook!"
Jiang Yuan took off the gauze and watched Dr. Li quickly remove the two retractors from the wound. When he saw the blood inside gushing out again, he pressed the gauze down again without hesitation, sucking out the blood, and then his eyes widened.
Squint, suddenly raise your hand...
As Jiang Yuan lifted up the gauze, the wound suddenly became clean. Before the blood poured out from the fractures, Jiang Yuan's pupils shrank slightly, and the situation in the wound became clear.
It was clear that without the retractor, the two sides of the wound began to close together.
Jiang Yuan had been waiting for this opportunity. As the wound closed, the six fractures of the three blood vessels began to approach, and Jiang Yuan wanted to use this to judge which two blood vessels were the last ones that were not tied.
A break.
An instant later, Jiang Yuan saw that among the six approaching fractures, two unligated fractures were gradually approaching.
"Yes!" Jiang Yuan suddenly inserted the hemostatic forceps in his hand, and then reached out to clamp one of the two fractures where the blood was flowing more quickly.
After clamping the fracture, Jiang Yuan breathed out gently, then released the hemostatic forceps in his hand, and gently pressed the wound again with the gauze in his hand.
Seeing Jiang Yuan's sudden relaxation, Sister Liu on the side knew that Jiang Yuan must have succeeded. She secretly breathed a sigh of relief. She took two pieces of gauze and stretched out her hand to gently wipe Jiang Yuan's forehead.
Looking at Sister Liu's movements, Jiang Yuan realized that his forehead had been covered with fine beads of sweat for some time.
"Has it stopped?" Dr. Li looked at Jiang Yuan nervously and asked.
Jiang Yuan nodded, and then picked up the gauze. The three of them stretched their heads and took a look. Sure enough, the blood seeping out of the wound had slowed down by more than half, and the remaining
Among the three blood vessel fractures, the speed and quantity of blood flowing out are rapidly decreasing.
I believe that in another ten to twenty seconds, after the remaining blood in these three blood vessels has drained away, there will be no more bleeding.
Seeing these conditions in the wound, the three of them breathed a sigh of relief. As long as the three proximal blood vessel breaks were clamped, the subsequent ligation and suturing work would naturally no longer be difficult.
Jiang Yuan carefully took the needle holder handed over by Sister Liu, and with the assistance of Dr. Li, he ligated the three severed ends of the blood vessels that were clamped by the hemostatic forceps one by one.
After the ligation was completed, Jiang Yuan carefully loosened the three pliers one by one and observed carefully for a while. There was no bleeding at the three ligation points. Jiang Yuan was completely relieved.
The next suturing was naturally not a difficult task, but Jiang Yuan still carefully sewed the inner layer of muscles that are most prone to problems before handing over the final finishing touches to Dr. Li, because he was already delayed.
It’s been half an hour, and there are still a lot of patients in the internal medicine department. I guess we have to wait until 12:30 to finish seeing these patients.!~!
Chapter completed!