I can see the status bar

Chapter 445 Penetrating Reinforcement Injury

Flame cutting produces much less vibration than mechanical cutting.It was also thanks to the fact that the steel bar running through Zhou Ming's body was not a prestressed steel bar, otherwise the stress changes caused by flame cutting would probably cause more serious vibrations.

After rescuing Zhou Ming from mid-air with the fastest speed and the slowest movement, the 120 ambulance also rushed to the scene - if it wasn't for avoiding sudden acceleration and braking during transportation, the distance would be about 10 The minute is up.

"Flame cutting... no wonder." Sun Li'en nodded. The vibration of flame cutting is small, and the [-] cm steel bar reserved, and the process of cutting into five times at that time, supplemented by running water to cool down the process also ensured that the acetylene cutting produced The temperature will not be transmitted to Zhou Ming.From Sun Lien's point of view, the follow-up rescue has actually been done very well.

"The steel bar outside his body is too long now, and he can't get in the CT machine." Image Ke Luo looked at Zhou Mingde's state, and even took out a measuring tape to measure it, and then shook his head regretfully. Shake your head.The most important factor affecting Zhou Ming’s access to the CT machine was the angle of the steel bar—after the steel bar extended from his leg, the lower half and his left leg formed a dead angle of about 55 cm at its widest point. district.The CT machine frame of the Fourth Hospital has an aperture of 72 cm. The state of this steel bar determines that Zhou Ming cannot accept CT examinations at present.

The nurses have opened four intravenous infusion lines for Zhou Ming, and according to the opinions of the anesthesiology department and the thoracic surgery department, Zhou Ming has been given enough painkillers and tranquilizers to prevent him from waking up suddenly during the examination or follow-up treatment. Zhou Ming, you must not move around.If the body twists and causes blood vessel damage, it will be impossible for a god to save.

"What do you think?" Before the firefighters arrived, and Luo Ge was trying to use B-ultrasound to detect Zhou Ming's injury, Zhou Jun came over and asked Sun Lien's opinion, "Should we wait until the examination is clear before surgery, or as soon as possible?" Operation?"

"If you can make a choice under the premise of ensuring the stability of the patient's vital signs, you must wait until it is clarified." Sun Lien said a nonsense that was nothing new. "Steel bar penetrating injury... The ghost knows how many organs he injured. The surgical area involved includes the pelvic cavity, abdominal cavity, chest cavity, and neck." Sun Lien shook his head, anyway, he knew about emergency surgery. Also limited.It doesn't matter if you say it conservatively, "In this case, the more patients' conditions can be known, the more certain the operation will be."

Of course it would be best if he could have elective surgery - but this is obviously just Sun Lien's personal wish.The patient himself has been tied into a skewer with steel bars, so can he still be scheduled for elective surgery?

The firefighters finally rushed to the emergency room of the Fourth Hospital with hydraulic shears.After carefully shortening the steel bars by about forty centimeters, Zhou Ming could finally be sent to the CT room for imaging examinations.

"This patient's condition is quite troublesome, but fortunately... at least it's still stable, but the hemopericardium is a bit troublesome." A group of doctors were crowded in the CT room for consultation.Director of Thoracic Surgery Wang Hua looked at the image and frowned, "I have to ask Director Tong to see this."

Tong Chunlai was not on duty at the hospital today, so Wang Hua pushed open the door of the CT examination room and made a phone call in the corridor to call for help.At the same time, Zheng Guoyou and Zhou Jun discussed the operation process.

"From this point of view, extracardiac, extrathoracic, and extrahepatobiliary surgeries should be prioritized." Zheng Guoyou said first, "He suffered pelvic fractures, femur fractures, rib fractures, and spinal injuries, but apart from femur fractures, none of them were injured. It’s too troublesome. You can wait until the situation stabilizes—the femur fracture should be dealt with as soon as possible, otherwise there may be a problem of fat embolism.”

"This steel bar has a diameter of [-] centimeters, and it may not be realistic to cut it off during the operation." Zhou Jun was also evaluating the situation, "That is to say, it can only be pulled out after the dissociation of all organs is completed."

Luo Ge on the side suddenly interjected, "I remember that the orthopedics department has an electric grinder? The titanium alloy grinder should also be able to break the steel bar?"

Zheng Guoyou glanced at Brother Luo, and suddenly laughed, "Although your imaging department is not a clinical department, you can't take it for granted, right?" He pointed to the steel bars on Zhou Ming's body through the window, "A building with a height of [-] centimeters It takes at least half an hour to cut the steel bar with a bone saw or electric grinder. The flying metal debris, heat, vibration, and even the change in the weight of the steel bar that is broken into two pieces during the process may affect the quality of the steel bar. The patient's life is directly threatened."

After being criticized by Director Zheng for a while, Brother Luo panicked with embarrassment. He had heard of a case where a foreign body was excised with a dental hand grinder in the emergency department before, but he really didn't think about these things involved in the surgery. Pass.

"Okay, Lao Tong will be there soon." Wang Hua came back from the outside, "Director Zhou, you should first pump the blood in the patient's pericardium. Although the amount of bleeding is not too large, it will be troublesome if the blood coagulates." .”

In fact, without Wang Hua's instructions, Sun Li'en had already figured out the syringe that had been in his pocket and hadn't been used before.However, due to the relationship between the steel bar, the traditional direction of needle insertion seems not feasible.And Zhou Ming was lying on the CT examination bed, so it was better to move less.Therefore, Luo Ge is very discerning to push the mobile B over to guide.

"Yes, yes, at this angle." Luo Ge, who was driving the guide, directed Sun Li'en to pierce the syringe, "Okay, go a little further..."

"Director Zhou, the authorization from the hospital office has arrived." Wearing sneakers, Xu Yourong trotted to the CT monitoring room, and said to Zhou Jun, "Also, the patient's work leader has also arrived."

Zhou Ming is a formworker, an engineering worker with a formal employment contract.When such an unfortunate accident happened on the construction site, the leader of his unit should come forward.

"Oh... good." Zhou Jun nodded, and sent Sun Lien out without any hassle, "Lien, go talk to the leader of the patient."

Sun Li'en soon met Zhou Ming's leader.Two middle-aged men who didn't even take off their hard hats were holding handbags, and one of them was anxiously talking on the phone.

"You are Zhou Ming's leader, aren't you?" Sun Lien knew at a glance that these two people were the right ones, "Hello, I am..." Sun Lien was slightly taken aback when he said this, Zhou Ming should not be regarded as a patient he accepted. "...I am the doctor in charge of Zhou Ming's treatment."

The two middle-aged men looked at each other suspiciously, "That's right..." They seemed to have made a quick decision while looking at each other, "How is Zhou Ming doing now?"

"Temporarily stable, but more organs are injured by the steel bars." Sun Lien roughly relayed the surgical arrangement discussed by Zhou Jun and Zheng Guoyou, "At least two operations are required, the first one is more important. After the second one is done , Let’s see the patient’s condition again.”

The two discussed in low voices and then asked, "Then how much is the treatment fee ...? Has Zhou Ming's family come?"

"The cost of treatment...it's hard to say." Sun Li'en was in a bit of trouble. These two surgeries were types he had never experienced before, and it was really difficult to estimate the price. "At present, only his elder brother is in his family... that's the one." Welder Qian Huaxin."

"Then let's communicate with the family first." The two middle-aged men nodded, "Can you please call him over? We don't know who he is..."

Sun Li'en frowned a little strangely, but still nodded and agreed to the matter.Soon, he brought over Qian Huaxin who had been anxiously rubbing his hands.And took a few steps back, giving up a space that would not disturb their communication.

The two leaders first shook Qian Huaxin's bloody and dusty hand, and then whispered a few words.

Qian Xinhua first nodded gratefully, then his expression gradually became a little stiff, and then he showed a terrified expression.

"That's my brother's life! I...I...how can I let him wait to die with money?" Qian Xinhua shouted, "No, no, no, this is absolutely impossible!"

(End of this chapter)