In order to treat patients, the train changed its stopping plan and stopped temporarily in Qingnan County. An ambulance was already waiting on the platform.
Although there are hospitals in Qingnan County, it is impossible for a county-level hospital to have doctors to perform this surgery. Experts must be deployed from Qingzhou People's Hospital.
As an expert in thoracic surgery, Zhou Guangchen certainly would not run away at this moment. He took the initiative to go to the hospital and participate in the treatment, and the other students also accompanied him.
Qingnan County Central Hospital.
The operating room lights came on.
The patient's granddaughter was waiting anxiously outside.
In the operating room, Zhou Guangchen put on surgical clothes and was about to start thoracotomy.
"Chen Shuai, Zhao Yuan, you will be my assistants, Chen Shuai will be the first assistant, and Zhao Yuan will be the second assistant."
Chen Shuai's performance in school is indeed outstanding, with excellent grades. He once assisted Zhou Guangchen in surgery as an assistant. Zhao Principle impressed Zhou Guangchen deeply with his calm and adaptable ability in the carriage.
As an assistant, under the guidance of the chief surgeon Zhou Guangchen, he is responsible for most of the surgical operations, including thoracotomy, finding bleeding points to stop bleeding, and final suturing.
Chen Shuai proposed to be responsible for the thoracotomy part of the surgery.
He considers himself to be the best among this group of medical students, and he is very confident that he can pass the graduation internship and successfully stay in Tianhua Hospital.
Zhao Yuan's performance in accurately diagnosing and treating the woman on the train exceeded everyone's expectations, and also gave Chen Shuai a sense of crisis.
Zhao Yuan didn't pay attention to Chen Shuai, his attention fell on the patient.
Judging from the amount of blood leaking from the patient's wound, this will be an operation full of variables.
Zhao Yuan observed Chen Shuai's every move while analyzing the possibilities of the disease inside the patient's body and the corresponding remedies.
Chen Shuai first used scissors to cut the surgical line, and then used a scalpel to carefully separate the original incision. The position was precise and the movements were skillful, all done in one go.
Everything seemed to be going in an orderly manner.
As the patient's chest gradually opens, the situation changes suddenly.
Big beads of sweat poured out from Chen Shuai's forehead.
"Professor Zhou, it's bad...the amount of bleeding suddenly increased!"
Chen Shuai's voice even trembled a little, and he looked at Zhou Guangchen for help.
Zhou Guangchen pushed away the helpless Chen Shuai.
Zhao Yuan was secretly shocked, as expected!
New changes will happen in the operating room at any time. The human body is the most precise instrument. No one can predict what will happen next moment.
Massive bleeding!
I am afraid of the situation that will occur in any surgery, but I didn't expect it to happen here.
Zhou Guangchen underwent the operation and started a series of remedial measures.
Zhao Yuan took the initiative to stand next to Zhou Guangchen, handed him the designated instruments, and executed orders such as debridement and drug injection.
Zhou Guangchen could feel Zhao Yuan's tacit understanding, and Zhao Yuan responded promptly and accurately to every request.
After more than ten minutes, the bleeding slowed down, but the situation was still not optimistic.
Zhou Guangchen's expression became extremely serious.
If in the hospital where he works, with the testing equipment there, he can find the location of heavy bleeding in time, but now in a county-level hospital, if he tries rashly, it will most likely lead to another heavy bleeding... After trying multiple special hemostatic plans, Zhou Guangchen finally made a decision
Reluctantly decided.
"Zhao Yuan, you will be responsible for closing the chest and suturing it!"
It's not that Zhou Guangchen didn't want to save this patient, but he had tried his best and tried every method he could think of.
Zhao Yuan stood in front of the operating table. He thought there was still a chance!
"Zhao Yuan, what are you doing? I asked you to close your chest! Did you hear that?"
Zhou Guangchen discovered that something was wrong with Zhao Yuan. Instead of taking the needle and thread, he made a surprising move.
"What the hell!"
Everyone's eyes widened in shock!
Zhao Yuan put his hands into the patient's chest.
Without the help of field cameras, Zhao Yuan's move was too bold!
Chen Shuai was so frightened that he trembled.
The biggest difference between military doctors and ordinary doctors is that every wounded person must survive on the battlefield at all costs.
"He is... planning to stop the bleeding with his bare hands!"
"Using bare hands to stop bleeding is usually used for external wounds. Does he plan to use it on internal organs?"
"He actually...pressed the cardiovascular aorta?"
Unbelievable, unbelievable!
This not only requires controlling the intensity, but also combining heart rhythm and blood flow rate!
Although Zhou Guangchen understood what Zhao Yuan was doing, he still felt that he was accomplishing something that was absolutely impossible.
Zhao Yuan was immersed in his own world and highly focused.
Stop the bleeding with one hand, pick up the scalpel with the other hand, and expand the incision.
Judging from his experience, there are more bleeding points in deeper locations.
The skin, subcutaneous tissue, muscles, and peritoneum are incised layer by layer.
The situation inside also becomes clearer.
There is blood all over the chest. There are more than ten bleeding spots that can be seen with the naked eye, and there are some that are difficult to see with the naked eye!
Beep beep beep, the detection instrument sounded an alarm...
"The patient is in shock!"
During emergency treatment in the hospital, patients suffering from shock are classified as Class 1 endangered.
Everyone in the operating room had their hearts in their throats!
"How can it be possible to squeeze such a fragile and important cardiovascular system without causing any accidents?"
"It's really messy!"
One second passed, two seconds, three seconds...
After a full minute, the amount of bleeding decreased significantly.
"The symptoms of shock disappeared."
"The patient's electrocardiogram returned to normal."
Everything starts to go well...
"Electrocoagulation to stop bleeding!"
Zhao Yuan took the electric knife.
Until the bleeding point visible to the naked eye is completely closed.
A layman watches the fun, an expert watches the door.
Zhou Guangchen let out a long sigh. The most critical step: stopping the bleeding was successful!
The operation continued, and Zhao Yuan began to suture the tear in the heart valve.
Muscle memory is like spring coming back to the earth, reviving!
His right hand is as dexterous as a dragonfly dancing.
The left hand is steady, like a rock that contains a lot of treasure.
What makes a good military doctor?
When there are no conditions, in order to keep the patient alive, the technique may be very rough, but when the conditions are sufficient, it can also be very delicate.
For 1 minute, perform acupressure on the cardiovascular system and stop bleeding with bare hands, both at the same time.
After 2 minutes, seal all bleeding ports and start suturing the tears.
The tear is sutured in 10 minutes.
Close the chest for 15 minutes.
In 20 minutes, the operation was over.
The biggest difficulty is to be able to do two things at once in the first two minutes—stopping the bleeding with finger pressure on the left hand and suturing with the right hand.
This shortens the operation time and reduces the patient's blood loss during the operation.
Every move was decisive and there were no mistakes.
A perfect surgery beyond the textbook level!
Medical students could only get a glimpse of what was going on. As a top expert, Zhou Guangchen could not calm down for a long time.
The sterile cap was wet with sweat, and the underside of the sterile gloves was wet and greasy.
Who could believe that a perfect operation was performed in such a harsh operating environment and was performed by a medical student.
The moment Zhao Yuan put down the scalpel, various instruments showed that the patient's vital signs remained stable.
