Chapter 72 Isolate and Helpless (Part 1)
In the office, Director Su of the Obstetrics Department finally sighed and stood up and said, "That's the decision. I'm preparing for the operation. I will communicate with the family in person."
"That's the only way." Many directors have long known the final result, but have not heard others admit it, there is always a glimmer of hope.
"Wait a moment." Zheng Ren suddenly took a step forward and blocked the door.
"Huh? Xiao Zheng from general surgery?" Director Su knew Zheng Ren, but his impression was still in the first department of general surgery.
"I'm the inpatient chief of the emergency department now." Director Pan was very protective of the calf. He immediately corrected when Director Su said that Zheng Ren was from the general surgery department.
"What's the matter?" Director Su asked with a frown.
"I can do interventional surgery, and emergency interventional embolization is within the scope of emergency treatment and is not illegal." Zheng Ren said.
"You?" In the office, a dozen eyes stared at Zheng Ren.
"During my internship, I actually did it." Zheng Ren felt that this reason was very weak, and it was so weak that Director Su could believe it.
But for a while, Zheng Ren couldn't find a more suitable reason to persuade Director Su.
"Get out of the way, I'm going to prepare for the surgery." Sure enough, Director Su was very determined, and didn't want to hear Zheng Ren's empty teeth beeping there.
Director Lao Pan looked back at Zheng Ren and asked, "Can it be done?"
"It's just embolization of the uterine artery. The emergency operating room has a hybrid operating table, and consumables can be borrowed from the circulatory department first. Although it won't be very comfortable, it should be fine. The only problem now is that there is no gel sponge."
The surgery of the circulatory department is mainly to dredging, where can there be a gel sponge for embolization?
"Director Pan..." Director Su of the obstetrics department was helpless, but Director Pan's status in the rivers and lakes was there, and he must respect it.
"Hybrid operating table, give Zheng Ren ten minutes..."
"I only need five minutes!" Zheng Ren said loudly.
"Well, five minutes, if it doesn't work, it won't delay your uterus incision. There are instrument nurses and anesthesiologists in the emergency operating room, and emergency surgery has already started, and it will not have any impact on your surgery." Director Pan said.
Director Su calculated the time, and if he tried it, he could give the family a hint that we had done our best, and perhaps the family would accept this better in their hearts.
"Are there any complications?" Director Wang of the Department of Anesthesiology asked.
"Yes, but the chances of it appearing are not high. I don't have time to explain it now." Zheng Ren said.
"Then go to the emergency operating room!" Director Su of the Obstetrics Department immediately made a decision, and then strode out to explain to the patient's family.
First rescue, if the methods are exhausted, then cut the uterus to protect the adults, so that the family members will feel better.
The moment Director Su agreed to go to the emergency hybrid operating room for surgery, Zheng Ren heard a system task prompt.
[Emergency mission: Save a future mother.
Task content: Do a uterine artery interventional embolization.
Mission reward: 100 skill points, 1000 experience points, and a silver treasure chest.
Task time: 3 hours. 】
Zheng Ren didn't have time to take a closer look at what tasks the system issued. At this time, saving people was the most important thing.
Su Yun looked at Zheng Ren for a few seconds with astonished eyes... or looked like a fool, and a smile flashed on the corner of his mouth.
During the internship period, after performing several operations, I dared to say that I would embolize the uterine artery in five minutes during the emergency rescue!
This is just too much bullshit. You are a general surgeon, what kind of big sheep are you wearing?
But the smile on the corner of Su Yun's mouth didn't seem to be mocking, but a hint of curiosity.
When it comes to saving lives, everyone is fast.
Zheng Ren and Director Pan hurried to the circulatory catheterization room to borrow various consumables.
The consumables of the circulatory department are very different from the consumables of the interventional embolism, but it is urgent and can only be used immediately.
On the way, Director Pan asked Zheng Ren what type of gel sponge to use, then picked up the phone and dialed.
Director Pan was really wild. After ten seconds, Director Pan hung up the phone and told Zheng Ren that the gel sponge would be delivered soon.
With the assurance of Director Pan, Zheng Ren is even more confident.
In the circulatory catheterization room, Zheng Ren began to look for all the consumables that could be replaced.
The consumables of the circulatory department tend to be soft and thin, while the consumables for interventional embolization are not necessarily so thin, after all, the uterine artery is countless times thicker than the anterior descending coronary artery that blocks 90% of the coronary artery.
The expert-level Zheng Ren can choose from a much wider range of consumables than the average doctor. After a few minutes, Zheng Ren rushed all the way to the emergency operating room with a pile of guide wires, catheters and the like.
When he came to the emergency operating room, he took a breath and began to prepare other things.
The cold mechanical female voice of the system suddenly appeared in Zheng Ren's ears again, and a new mission introduction began to appear at the top right of the field of vision.
Dual task? Zheng Ren was stunned.
[Special task: isolated and helpless.
Mission content: No one can help you, you can only rely on yourself. It is said that surgery is not done by one person, but in special circumstances, one must face the challenge alone.
Please complete an operation yourself.
Mission reward: unknown.
Task time: 3 hours. 】
Alone and helpless... These words hit Zheng Ren's heart accurately all of a sudden.
There are indeed hybrid operating rooms in the emergency department, and they are well maintained, but Zheng Ren has no assistants, no technicians, and three lacks suitable equipment.
If a normal operation lacks any of these conditions, it cannot be successfully completed.
But he doesn't have time
to grind.
to wait.
to consume.
Whether he can successfully complete the operation is related to whether a woman has the opportunity to become a mother.
Zheng Ren no longer went to see the mission, as for the reward... it was still important to save people.
After turning on the machine that has not been turned on for a long time, a low roar sounded after noise reduction.
The machine is the latest model two years ago, the Siemens artis zee double C-arm bidirectional angiography system. Even if it has been idle for more than a year or nearly two years, it can still be said to be the first-class equipment in China.
It's just a cold machine, and without the people operating it, it's just a pile of useless iron.
Turn on, debug. Because there was no technician, Zheng Ren opened the system operation permission to the operating room. Like the shadowless lamp in the operating room, with the sterile film installed, Zheng Ren can control it by himself in the operating room.
Xie Yi and the Chu sisters received a call early in the morning and were busy together.
Because it was only local anesthesia, the Chu sisters could only wait for Zheng Ren's surgery to fail and the obstetrics department to cut the uterus. But they didn't have much chance to get started, and Director Wang of the Department of Anesthesiology also followed.
And the Xie Yi people are the same. After preparing the items, she has nothing to do with her.
The patient was transported, blood pressure 70/50 mmhG, respiration 25/min, pulse 152/min, pulse oxygen 92%. He was pale and sweating profusely, a very typical state of hemorrhagic shock.
In the deep vein puncture infusion tube, fresh frozen red blood cells are connected into a dark red line, maintaining the patient's vital signs.
Everyone present knew that this kind of maintenance would not last long. Serious complications such as DIC (disseminated intravascular coagulation) can occur because of massive blood transfusions.
Hemostasis as soon as possible is the key. Whether it is a traumatic hysterectomy or a minimally invasive intervention is up to Zheng Ren.
Thank you for the vacuum-heavy reward, and thanks to the book friend 131214012702401 for four 500-coin rewards.