When the two left the operating room, the head nurse Huang Yamei ran over excitedly and said to Kang Hong: "I have called the 120 dispatch center. A deputy director named Mei answered the phone. He heard from me that all the patients sent were treated in a timely and effective manner. She was very happy and said that in the future, patients with 120 liver trauma were given priority to send to our hospital, which would enable the patients to get the best and most effective treatment."

Kang Hong couldn't help laughing. Just as he was about to speak, he suddenly heard an ambulance ringing. The nurse at the nurse station whispered: "Head nurse, a patient with liver trauma, a car accident, sent by the county hospital. It has been dealt with urgently before, and we will arrive soon!"

Huang Yamei said to Kang Hong: "You two have to work overtime."

Kang Hong and Huang Gaofeng smiled and nodded. It seemed that they couldn't get off the stage today. Their stomachs were roaring, and there was no way, so they had to persevere.

Amid the shrill sirens of 120, the ambulance arrived at the Provincial Hospital No. 3.

The doctor on board gave Kang Hong a brief explanation. A patient in the traffic accident suffered a collision in the liver. The county hospital conducted an ultrasound examination, and blood was accumulated in the right liver, suspected liver rupture, abdominal puncture and no coagulation were drawn, and the abdominal cavity was opened and the abdominal treatment was urgently opened. It was found that the damage was too serious and there was no way to provide effective treatment. Therefore, the omentum was used for filling and suture, and transferred to the Provincial Hospital No. 3.

Since the preliminary treatment has been carried out in the county hospital, there is no need to be too nervous.

Kang Hong and Huang Gaofeng calmly brushed their hands, put on surgical gowns, gloves, and went to the operating table.

Kang Hong opened the abdominal cavity from the original incision, and blood was accumulated in the abdomen. After attraction, blood clots accumulated up and down the right liver. Examination found irregular heat damage on the lateral side of the right anterior lobe and the middle section of the posterior lobe, and bloody bile overflowed.

"The first liver duct, block!" Kang Hong's order was simple and clear.

Huang Gaofeng immediately blocked the first liver vent using a blocking band.

The bleeding was significantly reduced.

For severe hepatic trauma, the key to whether the surgery is successful is whether the bleeding can be quickly controlled and at the same time correcting the fatal hypovolemia and acidosis.

The two of them cooperated quite well and quickly controlled the bleeding and achieved the initial goal.

Kang Hong began a rapid operation, and found the right hepatic artery upward from the hepatic artery and ligated with No. 4 silk thread, debride and ligate the ruptured blood vessels and fine bile duct branches, took the pedicle large omentum to fill the small rupture, and the liver suture needle intermittently penetrated through the suture to a large rupture. Treat the common bile duct, place the T-shaped tube, and clean the abdominal cavity and close the abdomen.

When the operation was about to end, the nurse traveled received a call from the nurse station and said to Kang Hong: "Doctor Kang, another patient with liver trauma. The sports rifle damaged the upper right rib and injured the lungs and liver. Now it is arranged to be sent to the next operating room by the thoracic surgeon doctor to treat the blood pneumothorax first. After you complete it here, the other side may be almost over. Then you can turn to the other side and continue to treat the liver. Do you think it's okay?"

"Of course, as long as the time can be matched, I will arrange it for me."

The tour nurse replied to the nurse station and agreed to the arrangement.

It was really one after another, with no space in the middle.

After the operation was completed, the nurse traveled to the tour told the hemothorax surgery in the operating room next door had just begun, but it shouldn't be delayed for too long.

Kang Hong and Huang Gaofeng changed their surgical gowns and gloves, entered the operating room next door, and first learned about the patient's condition.

The patient's medical records are displayed on the operating room computer screen.

The patient was a sixteen-year-old boy. An hour ago, he was hit on the upper right rib with a sports rifle and was sent to the Third Provincial Hospital for 120 emergency treatment.

The patient's basic condition is still good, he is clear in consciousness, has a blue-gray complexion, and has cyanotic lips. The breathing sound of the lower left lung disappears and the heart rhythm is arrhythmia, but there is no pathological noise, and there is tenderness and rebound pain throughout the abdomen, turbidity in movement, and weak intestinal rumbling sound.

The bullet hole was shot into the eighth rib cartilage, and it was discovered that blood was overflowing in the abdominal cavity. There was an outlet on the middle line of the left axilla, which was locally swollen, and fragments of the ribs were overflowing with blood bubbles along with breathing.

The emergency room performed an x-chest radiograph, which confirmed the comminuted fracture of the eighth rib on the left, the hematophithorax on the left, a small amount of hemorrhage in the abdominal cavity, and the ECG sinus arrhythmia.

Diagnosed with a ballistic injury to the chest and abdomen firearm, damage to the liver and lower left lung, open hematophithroat, hemorrhagic shock, and two venous channels were established.

Hemopneumothorax is currently being processed.

Du Qian, deputy director of the thoracic surgery department, and Kang Hong nodded in love. After seeing him come in, he nodded and continued the operation.

Kang Hong watched the hemopsy-thorax surgery at the operating table.

Kang Hong has never practiced blood pneumothorax treatment. The other party is skillful and he is a veteran at first glance and does not need his help.

Du Qian said to Kang Hong while undergoing surgery: "There are 500 ml of blood accumulation and blood clots, which have been extracted. There is a rupture at the junction of the middle and left anterior lobe of the right posterior lobe and the left anterior lobe, and bloody bile overflows. There is an irregular rupture four centimeters on the left side of the sickle ligament on the left lobe of the liver, about two centimeters below the left diaphragm, and the rupture is connected to the pleural cavity. I have used a yarn pad to press the rupture of the liver."

"The patient's left lower lower lung has a two-centimeter ballistic inlet and exit rupture, with blood bubbles overflowing, the pleural cavity closure is connected to the outside of the chest wall, and blood seeps out. I have used sutures to the damaged lungs, and the pleural cavity closure is also sutured. Now I am cleaning the chest cavity, and then put the thoracic drainage tube, and the rest is left to you."

After saying these words, he skillfully operated it and curiously glanced at the deputy director of the emergency department who cooperated with him and said Xu Cong, "You have to ask Dr. Kang, the general surgeon, to deal with such serious liver damage. I'm not saying that his medical skills are not good, I mean, liver firearm trauma is a fourth-level surgery, can the resident take it down?"

Xu Cong smiled and said, "I was worried about this morning before Dr. Kang's first liver trauma surgery, so I and our director watched the operation live broadcast. I thought about it and went on stage to replace the person immediately. As a result, I found that the operation was so good, and the director and I both felt ashamed. If you don't believe it, wait for a while and you will watch it yourself. Why didn't our hospital find such a powerful surgeon before? Watching his surgery is even better than watching the surgery teaching video."

"Is that so? Then I have to take a look."

Du Qian glanced at Kang Hong standing aside with a little surprise.

The operation was soon over, and Du Qiang stepped aside and said, "Dr. Kang, I'm here to see you."

Kang Hong stepped forward to check the relevant situation and said to the equipment nurse: "Please help me prepare a No. 12 urethra catheter and a condom."

The instrument nurse was stunned and said, "Condom?"

"Yes, condoms! They are the kind used when men and women."

The young nurse was not married yet, and she blushed and said, "Where should I look for this thing?"

Although Lu Annie, the travel nurse next to her, was not married, but she was much more experienced and older. She said casually: "I have one in my bag. I haven't used it, new one. Can it be done?"

As soon as he finished speaking, everyone in the operating room looked at her.

Unexpectedly, Lu Annie was thick-skinned enough. She glanced at everyone: "What's wrong, shouldn't girls protect themselves?"

Several doctors quickly retracted their eyes and continued to be busy.

Kang Hong said, "Okay, please go and get it. By the way, it's sterile."

Annie Lu promised to go out and take it.
Chapter completed!