Late at night, the operating room of G City People's Hospital was brightly lit and the roar was anxious and hoarse.
There were several bags of blood hanging on the infusion stand, and a pile of empty bags on the shelf next to them. The remaining blood could be vaguely seen in the bags.
The pressurizing device squeezes the blood in the blood bag and quickly flows into the patient's body along several transparent blood vessels.
Blood transfusion has become the only support for life on the operating table.
"No, we can't find the blood vessel, gauze! Continue packing, communicate with the family, the hope of rescue is very slim, you must be mentally prepared." Director Wu searched the pelvis for a long time, but could not find the damaged blood vessel, so he could only pack it with gauze.
His forehead was covered with sweat, and he kept moving the sterile area away to let the circulating nurse wipe away the sweat.
Young doctor Yang Ping helped pull the hook on the stage. He stayed up late for several days to perform the surgery. He couldn't hold it anymore and his vision was a little blurry.
Suddenly, a warm current poured in from Yang Ping's head domineeringly, and then the strange feeling spread throughout his body.
The world seemed to be suddenly frozen, all the people and objects were motionless, the pictures in the field of vision were frozen, and Yang Ping's body could not move, but his consciousness could move.
A window appears in the upper right corner of the field of view.
A series of subtitles accompanied by a mechanical female voice--
"Binding successful!"
In an instant, everything around him disappeared, and Yang Ping was in a strange space.
In front of the operating table is an operating table. The patient lying on the table has been covered with sheets, and there are several robotic arms like octopus tentacles dancing around.
What is this place? How did I get here?
"Hey! Is there anyone there? Where is this?" Yang Ping shouted.
The space was eerily silent. No one answered his questions, not even an echo.
Yang Ping cleared his mind and slowly approached the operating table. Judging from the exposed surgical area and the sheets that had been laid, this patient was the same as the one he had just rescued?
"Do you want to start simulated surgery?" A few words appeared on the light screen.
Is this a simulation of rescuing a patient? Yang Ping answered in the affirmative with his consciousness.
The light screen immediately starts counting down to five minutes.
Yang Ping started the operation, and the robotic arm served as his assistant. Indeed, this patient was the one who had been stabbed by the knife just now. The pelvic cavity was filled with gauze, and blood was still pouring out.
He started trying to find blood vessels, but couldn't find them.
At the end of the five-minute timer, the patient's breathing and heartbeat stopped.
Yang Ping was slumped and a little at a loss.
He calmed down, extended the incision, and completely opened the abdominal cavity.
Because the heart had stopped and there was no more bleeding in the abdominal cavity, he used a suction device to completely remove the accumulated blood. This would make it easier to find ruptured blood vessels and serve as an anatomical study.
He turned around in the pelvis and found the common iliac artery. This common iliac artery did not branch off into obvious internal and external iliac arteries. Instead, it went down alone and branched off continuously. Neither the main trunk nor the branches were damaged.
Yang Ping was confused and thought about it, could it be an anatomical variation of blood vessels?
Following this idea, he found the upstream abdominal aorta, searched downward along the abdominal aorta, and found a finger-thick abdominal aortic branch on the dorsal side of the abdominal aorta at least ten centimeters above the previous branch, and then
After following the clues, I finally found the broken part.
This is the culprit of the bleeding. It turns out to be a mutated external iliac artery. It does not originate from the common iliac artery, but directly originates from the aorta. The origin is very high and hidden on the dorsal side. This kind of mutation may be possible for doctors in their lifetime.
Can't touch it.
It is difficult to deal with such mutated blood vessels, let alone a sea of blood in an emergency.
Even given enough time, it is difficult to find. No wonder Director Wu searched for it for so long and couldn't find it.
Repeat simulation?
Yang Ping confirmed "Yes!"
The patient on the operating table dispersed like light and shadow fragments, and then returned to the state at the moment when he first entered the system, and the timing also started again.
Yang Ping immediately looked for the bleeding blood vessel. This time, because he knew the location of the blood vessel, he went directly to the mutated external iliac artery, clamped the two broken ends with the blood vessel, ligated the vein, and then slowly anastomized the artery.
Because vein ligation has little effect, but once the artery is ligated, it will cause necrosis of the lower limb on the same side, so the vein can be ligated and the artery can only be anastomosed.
This time, the entire process took half an hour to complete.
However, the patient's heart and breathing still stopped five minutes later. He was not rescued, and the light screen judged him to be unqualified.
Could it be that this patient only has five minutes of rescue time?
Come again! Yang Ping gritted his teeth.
Repeatedly, I don't know how many times I have practiced it, probably hundreds of times.
The operation was finally completed within three minutes, and the light screen was judged to be qualified.
At this time, the surrounding space immediately disappeared, and Yang Ping returned to the operating room in reality.
The screen also thawed and everything returned to normal.
The external iliac artery was ruptured! And it was a mutated external iliac artery.
This kind of bleeding is like a squirting faucet. If it weren't for the continuous blood transfusion, this patient would have reported for treatment long ago.
"The blood pressure is not good, it cannot be measured, pressurized blood transfusion, hurry! Dopamine--" The condition suddenly changed, the anesthesiologist shouted, without stopping, he took out the medicine from the medicine box next to him, opened the bottle, drew the medicine from the syringe, and drew it from the vein.
The remaining pipe is pushed in.
According to the simulation just now, there is at most five minutes of rescue time, and a life will be lost soon.
"Director, I just saw a bleeding spot, just ten centimeters above!" Yang Ping said to Director Wu.
Do you see bleeding spots?
A sea of blood, can you see it?
Director Wu didn't believe Yang Ping at all, so he glared at Yang Ping while stuffing the gauze.
Lao Wu has his own considerations. At present, with such blood pressure, the only solution is gauze packing. Although packing is a stupid way to stop bleeding, there is at least a glimmer of hope. If the blood pressure can be stabilized, an angiogram can be done and the position can be found slowly.
If the blood pressure is still so unstable, the tamponade has no effect, and the angiography is meaningless. After the angiography is completed, the patient is gone.
"Director, believe me——"
Time counts against the clock. Yang Ping is very anxious and requests again.
He didn't want to see a living life disappear before his eyes, and he knew that he wouldn't last five minutes, but only he knew that.
This chapter is not finished yet, please click on the next page to continue reading the exciting content! Director Wu said impatiently: "Stop talking and pull the hook."
"Keep stuffing!" Director Wu shouted.
"The blood pressure is not good, it still can't rise, and dopamine is useless!" The anesthesiologist was very nervous.
Director Wu's throat was dry and his heart was beating like a drum. If something happened to this patient, he couldn't explain it.
Perhaps in critical moments, the mentality is to grasp at the last straw!
Or maybe Director Wu has other plans!
He rolled his eyes and immediately made a decision, nodded, and then gave Yang Ping a look that was considered permission, but there was no clear agreement on his lips.
Yang Ping got this permission and immediately took action. Two minutes had been spent just now, and now there were three minutes left, so he couldn't waste a second.
"Knife! Vascular clamp! Vascular clamp! Open three suction devices!"
The equipment nurse, circulating nurse, and anesthesiologist were startled. How come the young Dr. Yang was the one doing the surgery?
Maybe you saw a glimmer of light in despair, and after a brief period of confusion, you immediately cooperated.
Xiaowu and Yang Ping are good partners. When they saw Yang Ping's actions, they hesitated a little and immediately helped Yang Ping.
Yang Ping tried his best to stay calm and extended the knife upward along the original incision.
This process is repeated so many times that it almost forms muscle memory.
"Continue to pressurize and transfuse blood! Take the suction device, pull out all the suction heads, and suction directly.
"Attract! Blood vessel clamp!"
When all the gauze used to stop the bleeding was removed, blood spurted out. The red blood flowed rapidly along the three straws, making a hissing sound.
Yang Ping's extreme proficiency allowed him to quickly find the broken blood vessel in the sea of blood. Without looking at it, he directly put his left hand in the blood, pinched the proximal end of the blood vessel with his thumb and index finger, and immediately clamped it with a blood vessel clamp with his right hand.
Then use the same method to clamp the other end of the blood vessel with a blood vessel clamp.
"Vascular forceps!"
Use a vascular clamp to temporarily clamp the accompanying vein of the external iliac artery.
The bleeding was successfully sealed, and the blood already stored in the pelvic cavity was attracted, slowly like an ebbing tide, and continued to lower the plane until the blood vessel with the clamp was exposed.
"Six zeros, blood vessel suture needle and thread!" The scissors in Yang Ping's hand quickly opened and closed, trimming the broken ends of the blood vessels, preparing to anastomose the arteries.
After trimming, put down the scissors, take the needle and thread, and start to anastomose the artery. Each stitch is impartial, with appropriate stitch distance and margin. It is like a precise machine operating, quickly and without errors.
Extreme speed!
Within ten seconds, the blood vessels were anastomotic.
"Thread, ligation!"
A vascular forceps with a thread was inserted into Yang Ping's open palm. Yang Ping ligated the accompanying vein and then ligated the small blood vessels next to it.
At this time, the pelvic cavity is clean.
"The blood pressure is rising." The anesthesiologist breathed a sigh of relief.
Everyone felt like they were surviving a disaster. Looking at Yang Ping, a feeling of respect arose spontaneously.
Especially Xiaowu, he was so worshiped that he fell to the ground.
At this time, the voice and subtitles appeared again: "Ding dong! The system and host match perfectly!"
Yang Ping confirmed that only he could hear the sound and only he could see the subtitles.
After confirming that there was no more bleeding, Yang Ping began to flush the surgical area, placed a negative pressure drainage tube, sutured in layers, and closed the wound, all in one go.
Finish the last stitch.
Yang Ping's whole body was like a deflated rubber ball, extremely tired.
Everything seems like a dream!
The anesthesiologist was sitting on the ground against the wall, holding a bottle of glucose and drinking it.
In the corner, a nurse was on the phone: "Baby, are you still asleep? Where's Dad? Dad is working overtime and hasn't come back yet?"
The panel on the wall shows time: 00:49.
"Director, it's okay——"
Only then did Yang Ping realize that he had completed the operation in one go and left Director Wu aside. There was nothing he could do just now. It only took three minutes. If he didn't finish the operation in one go, he might lose his life.
Director Wu was in shock, but had not yet recovered, and said: "Well, that's good, just save him."
For hemorrhagic shock caused by this kind of trauma, as long as the bleeding is successfully stopped and blood and fluid transfusions are followed to stabilize vital signs and hemoglobin, the probability of subsequent problems is very small.
After observing for a few minutes, the vital signs remained stable. Everyone moved the injured person onto the flat car and sent him to the ICU - Intensive Care Unit.
Yang Ping, Xiao Wu, the anesthesiologist, and the circulating nurse pushed the flat cart to the ICU together, and handed over the shift in detail to the doctor on duty.
After finishing his work, Xiaowu returned to the orthopedics department and continued his shift.
Xiaowu was on duty today, and Yang Ping just called over to help with emergency surgery.
Yang Ping didn't waste any time and rode a small electric donkey back to the rental house in the village in the city.
When he got home, it was already past two o'clock in the morning. Yang Ping hurriedly took a shower and lay down on the bed, hoping to have a good sleep.
But what happened today was so weird that Yang Ping lost all sleep when he thought about it.
