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Chapter 702 Surgery
The most important key to time-robbing surgery is time.Even the anesthetist, who usually refuses to anesthetize such patients, started his own work in a risky manner.

Patients with high intracranial pressure generally need to wait for the intracranial pressure to be reduced or corrected before anesthesia and surgery.But the current situation is too critical. After seeing that there was already urine in the urine bag, the anesthetist started working directly.

The deep venous catheter plus five venous accesses constitute the main channel for Zhang Junyi's treatment and intervention.In addition to using mannitol, doctors also used condensed sediment and concentrated plasma in order to correct the shock caused by massive bleeding as soon as possible and to prevent DIC.At the same time, a large number of suspended red blood cells and frozen plasma were being squeezed into Zhang Junyi's blood vessels.

Patients with massive internal bleeding are as dangerous as walking a high wire.On the one hand, patients may die due to massive blood loss.On the other hand, he may also develop DIC by depleting the procoagulant substances in the blood.Either outcome is a swift death of the patient.

Not only must be fast, but every response must be correct.The current treatment can't just "do nothing wrong". Even if Zhang Junyi is given some treatment that is not harmful but not quick enough to reverse the situation, his condition may continue to deteriorate.

As for Zhang Junyi, he was probably only "deteriorated" from death.

The surgeons of the neurosurgery and the surgeons of the hepatobiliary surgery quickly occupied the appropriate positions.The price is that emergency and critical care doctors in surgical gowns are pushed aside.The entire operating room was in chaos, and the doctors in the blood transfusion department were blocked outside the door, and it took a lot of effort to walk in under the condition of ensuring sterility.

Sun Li'en and Liu Tangchun were on the second floor of this teacher's operating room, watching the bustle downstairs, feeling a little uneasy.

"Tell me, what's the matter with this man." Liu Tangchun turned around and began to help Bruen, who was sitting on the stool, pick out the glass shards in his knees.While shaking with pain, Lao Bu tried his best to turn his head to look at the operating room downstairs.He didn't quite know what happened, he just said that after he finished eating, he saw Dr. Sun and Nurse Hu kneeling on the ground to rescue the injured, so he went to help.

Hu Jia was helping in the operating room downstairs, while Sun Lien began to recall what he saw.

"He was at the western restaurant on the roof of Sun City." Sun Li'en sighed and talked about what he saw.

Whether Zhang Junyi fell down by himself, jumped off on purpose, or was pushed down by someone, these things have nothing to do with him.It is true that Sun Li'en can't see clearly from that angle.

But falling from the seven-storey commercial center and not dying on the spot, this is really a sign of Zhang Junyi's good luck—or bad luck.

As a commercial center, the storey height of Sun City is much higher than that of ordinary residential areas.The roof of the seventh floor is at least 40 meters above the ground.Falling from such a height... Generally speaking, a whole body is good.

Although Zhang Junyi was seriously injured in many places, he fell to the ground in one piece after all.This is the result of a series of external forces.

About six meters below the seventh floor, there is a glass layer that serves as a decoration and a rain shield.When Zhang Junyi pawed on the wall of the seventh floor for a while and then lost his strength and fell, his body naturally made a protective movement.His left arm naturally stretched out to the back, trying to cushion his body.

The kinetic energy caused by the fall was directly transmitted to Zhang Junyi's shoulder joint through Zhang Junyi's right arm.The violent impact instantly made his humerus protrude from the socket of his shoulder, and at the same time drove Zhang Junyi's body to roll forward.

At the same time, the impact also shattered the piece of glass used as decoration and rain protection.In all fairness, commercial plazas do not necessarily need to use explosion-proof glass as the rain-shielding layer of the facade—this is not the kind of air corridor of the Venerable Master.

The burst glass absorbed a considerable part of the falling energy, but it also brought additional additional damage to Zhang Junyi.There are three layers of such glass layers at a height of more than 40 meters.

After the continuous sound of glass cracking ended, Zhang Junyi, who smashed three layers of glass and landed on his side buttocks, fell to the ground with multiple serious injuries.

"This man is lucky." After listening to Sun Lien's words, Liu Tangchun shook his head, "But our luck is a little bit worse."

"I didn't expect him to survive until the ambulance arrived." Sun Lien said something heartfelt, "I thought he might be gone within a minute or two."

For the hospital, Zhang Junyi was definitely a very troublesome patient.Not to mention whether such patients can bring any benefits to the hospital, they will come back whether they can be saved or not.Just to rescue him, dozens of doctors and dozens of nurses had to be mobilized.Five or more departments collaborate.

Under the green channel mechanism, all treatment expenses are paid in advance by the hospital.It is not yet known how much the patient's own ability to pay will be.If the person is not rescued, or the patient has any other sequelae, it will be a lot of trouble if the family members come to the hospital to argue.

It is human nature to seek advantages and avoid disadvantages.It was only in this environment where they were all colleagues that Liu Tangchun and Sun Li'en would say such things - if they were heard by others, they would have to be labeled as "no medical ethics".

Troubles are real troubles, but in the face of these troubles, they still stand firmly at their posts and perform their duties. This is also the job of doctors.Do you need any reason to save a patient?Doctors, at least, don't feel they need any particular reason to be serious about their work.Instead of resuscitating, a bunch of consent forms are required first. If there is no special reason, doctors are not willing to sign their patients or their family members' consent not to be rescued.

Dr. Brunn's knee was basically cleaned up.Liu Tangchun took half a step back, squinted his eyes to look at the wound, and nodded in satisfaction, "It's not bad, the craftsmanship has not been lost." Then he instructed, "You still have to let other doctors see your debridement. If If necessary, take a CT scan."

X-rays go straight through ordinary glass, while CT is sensitive to high densities.Liu Tangchun is also a doctor who cares about his subordinates, that's why he made this suggestion.

"I believe in Dean Liu's technology. If necessary, a B-ultrasound is enough." Dr. Brunn put on his jeans and moved his knees a little.The pain of the wound was slightly less than when it was inlaid with glass.He walked quickly to the glass window and began to watch the operation, "Where is the progress?"

"The scalp incision has just been completed, should the hole be drilled to remove the bone flap now?" Sun Li'en was also a little uncertain.He hadn't seen a full neurosurgery either.

If Xu Yourong was here, she should be the one doing the surgery now.

Sun Li'en misses his colleagues a little bit, and he doesn't know when Xu Yourong, who has completed a major life goal and has become a married person, will come back.

There are seven days of marriage leave for doctors in the fourth hospital. I don't know that Xu Yourongfu doesn't meet the leave standard.

(End of this chapter)