Chapter 466 Penetrating Injury

Zheng Ren and Su Yun ran from the emergency ward to the emergency room in less than two minutes like stray dogs that had lost their stiffness.

Lying on the flatbed...a patient, not lying down, but lying in a strange position. A steel bar penetrated from the lower body and protruded from the left armpit.

According to visual inspection, the steel bar is at least 1.5cm thick, and the length left in the body is at least 60cm.

In other words, where the steel bar passes through the patient's body, all organs will have a penetrating injury of at least 1.5 cm.

Zheng Ren's heart tightened, and he looked at the system panel at the top right of his field of vision.

Rectal rupture, colon rupture, stomach rupture, diaphragm rupture, lung rupture, intercostal artery rupture, hemorrhagic shock... a series of diagnoses made people feel numb.

Zheng Ren doesn't take it seriously when it comes to general intestinal rupture and gastric rupture.

Just suture it and it's over. It's amazing that there is an abdominal infection after the operation. As long as the patient can survive it, the patient will be cured.

But this penetrating wound...

Zheng Ren immediately yelled: "Patient's family members! Witnesses at the scene! Who's there!"

A simple and honest middle-aged man stood up with a sad face, "Doctor, I am his neighbor."

"How did you break the steel bar?" Zheng Ren asked.

Su Yun knew what Zheng Ren meant, the patient was pierced by steel bars. Judging by the location, it should have fallen from a high altitude. Then the bottom of the steel bar must be fixed, so that there is enough strength to penetrate the human body.

Only by breaking the steel bar can the patient be brought to the hospital.

If it is too violent, it will cause extensive contusion and laceration of abdominal viscera.

This involves emergency surgery rescue.

After Zheng Ren asked a question, he immediately said to Su Yun, "Notify the operating room and prepare for emergency treatment!"

"Doctor, this kid is doing well in his studies. I heard from his father yesterday that he got the second grade in the preliminary exam, who knows that today..."

"Let me ask you, how did you break the steel bar!" Zheng Ren's forehead was exposed with blue veins, a little hideous.

The middle-aged man was taken aback, and said, "The firefighters sawed it off with a cutting machine, be very careful..."

"Go to the operating room!" Zheng Ren was a little relieved, seeing that the gastric tube and urinary tube had been inserted, and the intravenous access had been established, so he immediately shouted.

The emergency surgery doctor, Su Yun, Zheng Ren, and the patient's family members rushed to the operating room with a flat trolley and an IV bottle.

Because it was daytime, Director Pan was fully in charge of this, so Zheng Ren was very relieved.

When I came to the operating room, it was already busy.

Prepare surgical instruments, prepare general anesthesia equipment, and operate precisely and efficiently.

"Call the chest department, let's do it together!" Zheng Ren finally said, and hurried to change clothes.

Zheng Ren felt a headache when he thought of the patient's injuries.

Don't be afraid of anything else, how do you get that steel bar out?

The posture of the operation is not good.

If it was taken out directly before the operation, the patient would definitely bleed heavily at the various ruptures in the internal organs, and then... immediately cold.

However, taking it out during the operation is also a difficult problem that cannot be faced.

While changing his clothes, Zheng Ren wondered what to do with this operation.

The combined thoracoabdominal incision and movement together are necessary, there is no doubt about it.

However, within one minute after the steel bar was taken out, it was a bit difficult to deal with all the damaged blood vessels involved.

Zheng Ren's speed of changing clothes was a bit slow. Su Yun had changed his clothes early on, and seeing Zheng Ren's expression, he knew it in his heart, so he said, "Just do it and see, not everyone can be rescued."

The two looked at each other and sighed in unison.

Su Yun didn't wait for Zheng Ren, and quickly went to put the chest bottle on the patient.

Change your clothes and quickly come to the operating room.

Chu Yanran and Chu Yanzhi had given the patient general anesthesia, but the patient's posture was particularly awkward. A few sandbags were placed under the left side of the body to cushion the body at an angle so as not to touch the steel bars entering the anus.

Surgery, awkward posture is certain.

"Tell Yang Lei to come up." Zheng Ren brushed his hands and said in a deep voice, "Prepare blood, hurry up."

The itinerant nurse flew up like a bird, her feet barely touching the ground. While helping the Shay people prepare various surgical tools, they also prepared equipment for surgery such as negative pressure suction on the wall.

Chu Yanzhi said: "I'll call, have you sent the blood sample?"

"Sent to the emergency department." Zheng Ren began to put on a sterile surgical gown, and Chu Yanzhi fastened the belt on him, and trotted all the way, swaying the endless calories, to ask Yang Lei to come on stage, and went to the blood transfusion department to urge blood.

Fortunately, it was daytime, Zheng Ren thought to himself.

Su Yun spread out the sheet, and went to disinfect again and put on clothes as quickly as possible.

But how to stand between the two has become a big problem.

Normal surgery should stand on both sides. The surgeon stands on one side of the patient and an assistant stands on the other. However, the steel bars were inserted from the back. The patient was lying on the operating table at a 60° angle, and the person on the other side could not see the operative field at all.

Zheng Ren only hesitated for a second before saying, "Su Yun, come this way."

Stretching out his hand, the hemostat clamped a large piece of gauze soaked in iodophor and patted it into Zheng Ren's hand.

Familiar formula, familiar taste, but Zheng Ren didn't feel it at all.

His mind was running at high speed, planning how to bring the patient back from death.

Disinfection, pat the hemostat and gauze on the side of the patient's leg, turn the hand over, and pat the handle of the scalpel in the hand.

Zheng Ren was also not polite, and he cut it down across the board, from bottom to top, penetrating through the patient's abdominal cavity.

Emergency treatment, race against time, Zheng Ren really wished that no matter how long the steel bar was, the cut would be as big.

Quick blunt dissection to open the abdominal cavity.

As the abdominal cavity opens, the bowels flow out of the patient's abdominal cavity.

This is why general surgery requires a supine position.

After the large gauze pad was placed, and the intestines were covered with a sterile sheet and body, Zheng Ren began to look for the location where the steel bars were damaged.

After the abdominal cavity was fully opened, it was shocking to look around.

The steel bar pierced from the rectum, the left colon ruptured, the stomach ruptured, ran through the entire stomach, pierced the diaphragm, and penetrated upwards.

"Why hasn't the chest department come yet!" Zheng Ren shouted.

Su Yun suddenly felt a powerful aura rising from Zheng Ren's body, like a lion king patrolling his territory, roaring with infinite majesty.

When did he grow up to this point? Su Yun was in a daze.

"Yang Lei, come and help the boss, I'll open the chest." Seeing Yang Lei coming up, Su Yun immediately said.

It is also possible for Su Yun to be in charge of opening the chest, but there are not enough manpower...

Zheng Ren was troubled.

At this moment, Cao Guozhen rushed over, and he said apologetically, "I'm sorry, Mr. Zheng, our side is doing bypass surgery. I heard that there is an emergency, so I rushed over."

"Brush your hands and open your chest with Su Yun." Zheng Ren said while exploring the wound in his abdominal cavity.

Full of majesty, beyond doubt.

Without saying a word, Cao Guozhen ran over to brush his hands, and almost collided with Yang Lei who had just finished brushing his hands.

"Mr. Zheng, do you still need someone?" Cao Guozhen asked.

"Call someone else," Zheng Ren said.

Naturally, the more people, the better.

...

...

In a case in 2002, the patient was not rescued at that time, unfortunately. I still clearly remember that during the operation, the deceased old director of general surgery racked his brains to figure out how to stop the bleeding after the steel bars were taken out. After three hours of surgery, the patient still did not stay. I have occasionally thought of this case over the years, imagining what it would be like under ideal circumstances.