Chapter 64 Fainted! Body shock!

“What are you going to talk about first?”

Chen Dong asked the thin man on the side as he checked the condition of the wounded.

The thin man wiped the cold sweat on his forehead, his face was unstoppable panic: “I…I drove the car on the road, their truck suddenly jumped out, and then we ran into each other. went.”

The Buick he just bought was knocked over, but fortunately, other people did not have a big deal, which is also a blessing in misfortune.

But the driver of the truck did not know what was going on and was knocked out, and the man with the co-pilot also fainted.

He was terrified at the time. If the two of them had two shortcomings, he would still have to die? This led them to the hospital in a hurry.

Chen Dong nodded: “Don’t worry. I don’t know if there is any internal injury. I will have a brain CT check, and then go for a B-scan.”

The man agreed, even if he had to pay a small amount of medical expenses, it didn’t matter. What he was most afraid of was that he would kill him at that time.

“Bodhisattva bless the Bodhisattva! There must be nothing wrong with these two people!”

At that time, if these two people really have something to do, even if this matter is not his responsibility, he will not be able to explain it clearly, and he will definitely have to lose his fortune by then.

At the thought of this, the man’s calves trembled.

Chen Dong signed the test report, and the man immediately took it to pay the money. Chen Dong, who looked at the speed, was shocked. This man ran so fast when he looked so thin? Sure enough, thin people are still more flexible!

After half an hour, the inspection results came out.

The results showed that the indicators of these two people were all normal, except for some minor concussions and skin injuries. Just hang two bottles of water, then go back and have a good rest, and that’s it!

Chen Dong told the man the result.

“Nothing? That’s great!” The man exhaled, and suddenly felt dizzy in his brain, and he fell to the ground uncontrollably.

Chen Dong quickly supported him, and shouted at Xiao Li on the opposite side: “Come on and help.”

The two worked together to lift the man onto the hospital bed, but at this time the man had completely fallen into a coma.

Chen Dong frowned, with a bad feeling in his heart.

According to this man’s words, it is impossible for him to be nothing! After all, his car turned over in the car accident at that time. That can only explain one problem. He suffered internal injuries, but because of fear and panic in his heart, he kept holding on and did not show it.

This made him mistakenly think that he had nothing to do. Now that he heard that the two people were okay, the breath that he held in his heart dissipated, and he couldn’t hold it anymore.

“Xiao Wu, contact the family of the injured and ask them to come here as soon as possible.”

“Xiao Lin and Director Wang come in and help me!”

Chen Dong said furiously that before they could react, Chen Dong had already put on sterile surgical gowns, sterile latex gloves, and disposable sterile caps.

“Huh?” Xiao Li, Xiao Wu, and Xiao Lin were dumbfounded.

Director Wang was the first to react: “Ah what? Don’t you hurry up?”

“Xiao Lin, untie the wounded man’s clothes and go directly to the heart rate monitor!” Chen Dong said sharply.

The injured person is now in shock! Must be rescued immediately.

“It’s too late to have a CT.” Chen Dong felt that the injured person’s body temperature was getting cold, and he was shocked.

“Director Wang, give me the disposable abdominal puncture kit.”

Director Wang quickly found the disposable abdominal puncture kit and gave it to Chen Dong.

The disposable peritoneal puncture kit includes puncture needle, gauze, sterile hole towel, tray, disposable gloves, syringe, drainage bag, sterile test tube, cover, cotton ball, tweezers, culture bottle, and connectors.

There are syringes, cotton balls, tweezers, drainage bags, sterile test tubes, puncture needles, culture bottles, gauze, sterile hole towels in the tray, and the tray is movably connected with the cover through the connector, and the cover is equipped with disposable gloves.

The disposable peritoneal puncture kit, as the name suggests, is used for abdominal puncture operations.

Abdominal puncture is one of the four major clinical punctures, and is often used to diagnose and treat certain diseases.

If the blood is not coagulated, consider a substantial organ rupture and bleeding. When the patient has abdominal effusion, puncture drainage can also be used to relieve the symptoms of abdominal distension, improve the patient’s food intake and the nutritional status of the body, and help improve the patient’s quality of life.

Now that the situation of the injured is too late for CT, then we can only do a abdominal puncture to see if it is abdominal bleeding. If it is really abdominal bleeding, it will be a little troublesome.

Chen Dong first disinfected with iodophor twice, then spread a sterile towel on the patient’s abdominal cavity, and used lidocaine for local anesthesia at the puncture point.

After that, Chen Dong stopped moving, and Xiao Lin, who had been observing Chen Dong carefully, showed a puzzled expression: “Big Brother Chen, why aren’t you moving?”

Upon hearing this, Director Wang said, “Xiao Lin, do you know why you can’t pass the internship period?”

Xiaolin shook his head very honestly, and looked at Director Wang with a pair of innocent eyes, asking for advice.

Chen Dong said angrily, “Doesn’t it take time for the anesthesia to take effect?”

Xiao Lin suddenly realized that it was so, this was the key point he had to remember.

After the anesthesia took effect, Chen Dong went into the puncture needle under the guidance of B-ultrasound, and looked for it until the predetermined position. He used his left hand to fix the skin of the puncture site, and the right hand held the puncture needle to insert the needle vertically into the tibial anesthesia. Into the abdominal cavity.

It sounds complicated, but in fact, it just finds the position and inserts it quickly and then pulls it out.

Seeing that the blood on the tube was not clotting, Chen Dong frowned. As expected, the nurse who received the operation notice also put on sterile surgical gowns and came in.

This position should be the stomach or the spleen. It should be the spleen. The spleen is next to the stomach, but it can be said to be the most fragile organ in the body. It is easy to be traumatized. Easily cause the spleen to rupture.

Splenic rupture is mainly divided into three types, the first type, the central type rupture, mainly due to the rupture of the substance inside the spleen, and intrasplenic hematoma. Generally, there is no abdominal hemorrhage at this time.

Second, the rupture under the capsule is manifested as a hematoma under the capsule. The hematoma is small and can be absorbed slowly, and the hematoma is larger, and rupture under the capsule may occur, and secondary abdominal hemorrhage may occur.

Third, true rupture is the simultaneous occurrence of subcapsular rupture and central rupture, often accompanied by massive abdominal hemorrhage.

Obviously, today this belongs to the third type, and it is precisely because it is the third type that Chen Dong feels a headache.

“The injured person should have a ruptured spleen.” Chen Dong said his judgment.

Looking at Chen Dong, Xiao Lin carefully wrote down every sentence Chen Dong said: “Rupture of the spleen can only be done by resection, right?”

Xiao Lin still has this common sense, otherwise he won’t be able to graduate smoothly!

Chen Dong nodded: “Xiao Lin, Director Wang, the bleeding of the injured is obviously very serious. We must perform the operation immediately, and the nurse will prepare for anesthesia first!”

“Kobayashi, it’s up to you to record the blood pressure of the wounded. Once you find an abnormality, you must react immediately.”

For splenectomy, it is necessary to closely observe the blood pressure of the injured person. If there is any abnormality, it is likely to cause a failure of the operation or increase the risk of the operation.

The treatment method for rupture of the spleen caused by external injury is emergency splenectomy. If emergency resection is not taken, the patient may cause spleen rupture and excessive bleeding and death.

After entering the abdomen to find out, Chen Dong immediately pinched the splenic pedicle with his fingers to prevent recurrence of hemorrhage, then sucked away the blood in the abdominal cavity and performed a splenectomy.

At this time, you must not be too anxious to move the knife directly, because the position of the spleen is relatively special, and the surrounding organs are all important tissues in the body!

After Chen Dong found the splenic artery, he said to Director Wang, “Clamp me!”

Then Chen Dong cut off the splenic artery with a clamp to reduce the blood flow into the spleen.

Then use forceps to cut the perisplenic ligaments, such as the splenic colon ligament, splenogastric ligament, splenic phrenic ligament, etc., so that the spleen can be fully freed.

Then carefully separate the gap between the splenic pedicle and the pancreatic tail. After the splenic pedicle is fully exposed, the spleen can be cut off accurately and firmly. At this time, the entire spleen can be removed.

After finishing all this, Chen Dong was relieved. At this time, half of the operation was completed, but the remaining half was also crucial.

The next step is to see if there is active bleeding in the injured, especially the blood vessels in the fundus of the stomach, the tail of the pancreas, and the retroperitoneum.

“How is it?” Director Wang asked.

Chen Dong shook his head: “Fortunately, the situation of the injured is all well at present.”



Xiao Lin also said, “The blood pressure is also normal, so I can continue.”

Chen Dong nodded, and placed a drainage tube under the spleen fossa and diaphragm of the wounded. This is to observe whether there is a pancreatic fistula and active bleeding after the operation.

The operation ended here, and the whole process took only half an hour.

Director Wang was shocked when he saw this time! Complete a splenic rupture resection in half an hour?

He can’t achieve this speed now, and the situation of the injured is particularly good. What does this mean? It shows that Chen Dong’s operation was very successful.

Many emergency operations need to test the doctor’s medical skills, because they are saving lives in the hands of Lord Yan.

But once the speed is increased, the risk will greatly increase, so this is why many doctors dare not mess around. After all, the operation is actually changing the life against the sky. The speed increases. Who can guarantee the life of the patient?

This is also the reason why Director Wang was shocked after the operation.

Someone may have told Director Wang that he had just successfully performed a rupture of the spleen. Director Wang would not be shocked, but it would be different if it was completed within half an hour!

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