Acute hemopericardium, as the name suggests, refers to the accumulation of blood in the pericardium.
As a tissue structure that accommodates and protects the heart, the pericardium is actually a membranous sac covering the heart. There is not much space between this layer of fibroserosal sac and the heart, which mainly limits excessive expansion of the cardiac chamber and isolates the heart. and other organs. The pericardium contains some pericardial fluid, which mainly serves to lubricate the heart when it beats.
Due to the small size of the pericardium, if the fluid accumulation exceeds 150 ml, it may cause extremely serious cardiac tamponade. When the pericardium is filled with blood, it will severely squeeze the heart, and the squeezed heart will not be able to relax, and sufficient veins cannot be stored in the atrium. blood, causing the heart to have difficulty working and its ability to eject blood is severely weakened.
To explain it in layman's terms, the impact of hemopericardium on the heart is like a heart that is tightly grasped by a hand and naturally cannot beat normally.
Sun Lien only removed 20 ml of hemopericardium and achieved significant improvement. This shows that Dr. Cao's current hemopericardium problem is very serious. There is no extra space in the pericardium to continue to accommodate blood, so he removed some of the hemopericardium a little. There will be significant improvement after blood circulation.
The only available treatment method now is emergency thoracotomy. Otherwise, there is no other way.
Emergency surgeries are different from emergency surgeries and elective surgeries. The biggest feature is "urgent".
This may sound like nonsense, but in modern medicine, when auxiliary departments are playing an increasingly important role, emergency surgery has brought surgery back to the era before the birth of X-ray. The entire operation except emergency Except for a small amount of body surface reports and information during the consultation, all content needs to be confirmed by the eyes and hands of the surgeon. Weird and bizarre situations may occur, and the only way to deal with them is to rely on the doctor's superb skills. As well as bold and careful intra-operative strategies, he uses every trick to solve the problem.
There is no imaging data as a reference, and there is no corresponding medical history as a basis. Quick anesthesia and then stunned surgery are emergency surgeries in an emergency.
The atmosphere in the operating room today was completely different from usual.
The highest-ranking general surgery doctor on duty in the hospital is deputy director Chen Hua. Since emergency thoracotomy may involve many organs, Chu Guoqiang, director of the cardiac surgery department, was also invited to the scene.
Time was tight and Dr. Cao's condition was critical, so the two doctors in charge of the operation exchanged opinions during the thoracotomy.
"What happened?" Director Chu Guoqiang was young and quite short. He was wearing a mask, frowning and looking at Dr. Cao who had been anesthetized on the bed and asked, "Isn't this Director Wang's student?"
"Medical trouble." Director Chen explained concisely and concisely, "The one who stabbed someone jumped off the building. I don't know whether he is dead or alive."
"Ah?" Director Chu was startled, and then said angrily, "What the hell is this world like!"
"What kind of world can this be?" Director Chen sighed, and shook his head as he watched the skin and muscles on Dr. Cao's chest being pulled apart by retractors, exposing his ribs, "A young doctor with an unlimited future was knifed by a patient. It’s a shame!”
The first operating room has the largest space and can also be kept on standby all year round in case of emergency surgeries. But today, when the surgery started in the first operating room, it seemed extremely crowded.
All the doctors who were on standby in the operating room and were not performing operations spontaneously came to the first operating room. The doctors and nurses who came late could not even enter the operating room. The unique spring in the operating room of the Fourth Hospital
Two doctors were leaning against the door, and the doctors and nurses who had changed into hand-washing clothes and hurried over could only stand on tiptoes outside the operating room anxiously, looking inside.
They are all anxiously waiting for news, waiting for news that their colleagues have turned the corner.
However, Sun Lien was not among them.
The entire treatment team gathered together, and even Dr. Pascal sat in the small conference room with a gloomy face.
Sun Lien lowered his head, not knowing what he was thinking.
Yuan Pingan wanted to go to the operating room to see what was going on, but Sun Lien sat in his seat without saying a word. He wanted to open his mouth to say something, but Zhou Ce stopped him with his eyes.
"So, what are we waiting for here?" Xu Yourong ignored Zhou Ce's eyes and frowned, "Dr. Cao's injuries are all obvious traumas, and there is no need for differential diagnosis... What's the point of us all sitting here?
?”
"There is a differential diagnosis." Sun Lien raised his head, looked around blankly, and then slowly replied, "The case... is at Yuan Pingan's place, you go and take a look."
Several people looked at each other and sat in their seats without moving.
"Let me go take a look..." Dr. Pascal shook his head and stood up, slowly walking towards Yuan Pingan. When passing by Sun Lien, he raised his hand and wanted to pat Sun Lien's shoulder to express comfort, but when he saw
Sun Lien was silent, and Dr. Pascal paused, then shook his head and took his hand back again.
"Smell..." Sun Lien's mobile phone placed on the table rang. Sun Lien, who seemed to be suffering from a five-digit delay just now, jerked and grabbed the phone.
"Sister-in-law..." Sun Lien's voice sounded calm, but the tremor in his tone could not be concealed. "Yes... I... I am in the hospital."
"Okay." After a moment of silence, Sun Lien nodded, "I'll wait for you at the door."
He hung up the phone and stood up slowly.
"You guys are busy first." Sun Lien walked toward the door of the small conference room as if he was sleepwalking. He pushed the door open unsteadily, "I...I'm going to pick up someone."
The cold wind blew, and snowflakes seemed to start to fly in the sky again. Sun Lien was standing at the door of the hospital wearing a white coat. The white coat was lifted up by the cold wind and flipped up and down behind him. He seemed to be trying to save something.
After a while, a small black spot appeared in Sun Lien's sight. It was Cao Xin's girlfriend Shen. This northern girl, who usually has a very hot temper, staggered around, holding her backpack with her left hand and holding it tightly with her right hand.
Covering his mouth.
Sun Lien greeted her, supported her silently, and then walked towards the hospital.
"The operation is in progress." The sign of the Fourth Central Hospital was getting closer and closer, and Sun Lien whispered to Shen, "Deputy Director Chen is doing the surgery over there in the General Surgery Department, and I have invited Director Chu..." He suddenly stopped.
.What's the use of saying these things? It just adds to worries.
"Is his condition very bad?" Shen sniffed twice and said with a thick nasal voice, "Do I...do I need to inform his parents to come over now?"
Sun Lien took Shen into the rescue hall. He patted the snowflakes on Shen's shoulders and nodded silently, "If you can, call now."