Surgery, officially started!
The first step is to open the abdomen to stop the bleeding, which is also the most critical.
"Scalpel."
Qin Feng stretched out his hand, and the scalpel fell into his palm.
This step, he is the first to operate.
Because the patient's abdominal injury is serious, it can't be confirmed by CT and line drawing. It can only be confirmed by feeling, which is also the most test of the rich experience of the surgeon.
After making a judgment, he dropped the knife from the side of the patient's right rectus abdominis and made a straight cut.
Cut the superficial fascia, deep fascia, peritoneum layer by layer...
The moment the abdominal cavity was opened, dark red blood gushed out from the wound like a spring.
In an instant, the entire surgical field of view was covered, and nothing could be seen clearly.
"Attractor!"
Zhang Qingquan, as the first assistant, immediately inserted the suction device, sucked blood quickly, and cleared his field of vision.
And when the vision of the abdominal cavity gradually became clear in front of several people, the horrible injury still shocked the eyes present.
"Hiss~~~"
"This injury is really too serious."
Yu Shuang frowned tightly, while Lu Mingming's complexion was even more serious.
The entire abdominal cavity was like a mass of messed up flesh and blood, the damage was extremely severe, and blood was still spilling out from the various wounds.
Qin Feng estimated that since the patient appeared in the emergency room, until now, the blood loss has exceeded at least 4000ml.
If it wasn't for the desperate blood transfusion from the double venous channel, he would have died just now in the emergency room.
Even now it is still in an extremely dangerous state!
Surgery cannot be delayed, the longer the time, the greater the danger to life.
"Explore the abdominal cavity and prepare hemostatic sutures."
Qin Feng said immediately.
Yu Shuang and Lu Mingming didn't hesitate any more, they were competing with the god of death!
"Third-degree damage to the spleen."
"Second-degree rupture of the liver."
"Duodenal rupture."
"Second degree stomach injury."
"Severe retroperitoneal hematoma."
…
In just two minutes, after the three people investigated in different areas, the injury became more and more complicated, and the horrible incision made people feel chills in their hearts.
What kind of resentment and enmity does this have to be so crazy?
At this time, Yu Shuang couldn't help raising her head and glanced at the newly appointed deputy director of the emergency department in front of her.
If such a serious injury was placed in the past, let alone Xiehe, it would be difficult for any hospital in the world to do this.
Even being able to send patients to the operating table is considered a success for the hospital.
As for survival, it is a miracle.
And the miracle is the unknown!
Qin Feng took a rough look. There were 5 damaged organs in the entire abdominal cavity, 19 wounds, and 2 of them were penetrating injuries.
The duodenum and spleen, the duodenum was almost completely severed, and the spleen should have been disturbed by a knife. The wound was seriously damaged, and repairing it may take a lot of time.
Fortunately, part of the spleen can be removed, which saves life and shortens the operation time.
In this case, resection rather than forced suture is an appropriate choice.
Even if the patient needs a long recovery period after the operation, it is better than dying.
"Let us start."
Qin Feng breathed out lightly, he was already mentally prepared for this, and said in a deep voice.
Yu Shuang and Lu Mingming on the opposite side nodded, and a joint operation officially started!
The spleen, liver and other parts were handed over to Yu Shuang, Lu Mingming was in charge of the stomach and rectum, and Qin Feng gave priority to other wounds and cleaned the whole abdomen.
"4/0 surgical thread, round needle."
The splenic hilum is the most vulnerable and important part of the spleen, and serious damage will bring irreversible damage consequences.
So Yu Shuang was extremely careful when handling the spleen.
The wound is too close to the spleen door!
If the person wielding the knife exerted a little more force, the spleen would probably be completely lost.
"Electric knife."
Holding an electric knife in his hand, Qin Feng began to clean the entire abdomen, closed the bleeding point, and kept track of the operation status of the two at the same time, providing support at any time.
After all, there are still many wounds in the patient's abdominal cavity, which need to be dealt with.
…
Rescue outside,
Two policemen sat on the bench next to the operating room, and the young Jiang Yuan was so gloomy that he could drip water.
Soon, the sound of footsteps sounded in the emergency room.
"Jiang Yuan, Lao Du, what about the others?"
The leading capable man, dressed in leather, ran up to the two of them and asked impatiently.
"In the operating room."
With a crying voice, Lao Du pointed to the operating room next to him.
Wow~
The next second, the man grabbed Jiang Yuan's collar and picked it up suddenly, his face full of anger.
"Didn't you say it's okay? Why! Why did he suffer such a serious injury!"
"You know whose son he is, if he dies, how will you explain it?"
"Say it!"
Looking at the other party's angry eyes, Jiang Yuan's condensed eyes couldn't help shrinking.
However, he regained his composure immediately.
"Captain Gao, I will explain this to the higher-ups, but it's not that you don't know our identities."
He said calmly,
"I will give you, Uncle Xiang and his family an explanation for this accident.
But now, I'm still the commander-in-chief of this mission, let go! "
Boom~
Hearing this, the man's face was purple, trembling all over, and his eyes were full of anger.
After a few seconds of silence, he let go of his hand and punched him hard in the face.
Jiang Yuan swayed, stepped out and stabilized his figure.
His face hurts~
"Jiang Yuan, remember what you said, I'll wait!"
The man pointed at him fiercely and shouted, then looked at the old policeman who was stunned aside,
"Du, the special case team will continue to interrogate overnight. I can't stay here any longer. They will stay here to help you. The big leader said, don't say anything about this matter in advance. All necessary bureaus will be responsible."
"I see, Captain Gao."
Du nodded.
Immediately, the man glanced at Jiang Yuan, snorted coldly and strode away.
His eyes are full of fierce sharpness, which can almost kill people!
And tonight, the interrogation room will be filled with blood and blood~~~~
"Du, watch for a while, I'm going to the bathroom."
Jiang Yuan looked at Lao Du and said in a deep voice.
"Okay, Captain Jiang, I'm here."
Du nodded.
Jiang Yuan also strode away from the emergency room, and took out his mobile phone as soon as he walked outside.
"Liao, I'm Jiang Yuan."
"Brother Yuan? Why did you remember to call me?"
There was a surprised voice on the other end of the phone.
"I need your help with something."
"You said, as long as I can help, I will definitely help!"
"Prepare me a fake identity, I'm going over there."
"What?! You're crazy!"
Hearing this, the man on the phone exclaimed in disbelief,
"Where is that place? Eat people without blinking an eye, if you are discovered..."
"Don't worry about the rest. I need to find someone. That's it. I'll contact you in three days."
After speaking, he hung up the phone, and then dialed another number.
"Sister, you can go to Jinling for a while in a few days, I have something to do here."
"Okay, I see, Xiao Yuan, you pay attention to safety."
"Well, don't worry."
Jiang Yuan glanced at the dark sky, without a trace of moonlight, his eyes gradually became cold and bloody.
The moon is dark and the wind is high, and it is time to kill.
This revenge must be avenged~~~
…
In the operating room, Qin Feng has taken Lu Mingming's place and started to suture the rectum.
Because there are many damaged places, it takes a lot of time and energy to sew up, and the speed is relatively slow.
So after dealing with other places, I directly topped the position.
"There was a deep laceration in this part of the liver, and the vein was ruptured."
Yu Shuang glanced at the knife on the liver, and said in a low voice,
"Fortunately, it didn't take long, and it would be troublesome if it developed into a secondary liver abscess.
Give me the scalpel. "
"Physical saline!"
1 hour...
2 hours...
3 hours...
Now the operation has been carried out for more than half, and there have been two stoppages in the middle.
Fortunately, they were all pulled back by Qin Feng!
"Call the blood bank and ask for 4 more units of blood."
He glanced at the monitor. Although ECMO was used, the speed of blood loss correction was still a bit slow.
If blood pressure and blood oxygen cannot be maintained, and other problems occur, even the most basic rescue conditions cannot be met.
Bang!
"Director Yu, we have to speed up."
After repairing the rectum, Qin Feng put down the pliers in his hand and said,
"I'll take care of the last duodenum."
Upon hearing this, Yu Shuang motioned for the nurse to wipe off her sweat, then nodded.
Qin Feng's sewing speed is too fast!
And now, the most difficult thing is in front of us, duodenal injury!
No matter in terms of location, surrounding tissues and injuries, and the importance of organs.
It's all critical!
Cut, or stay?