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Chapter 366 Suspected liver and spleen rupture

 Without saying anything, Chen Qi quickly touched the wounded man's carotid artery and found it was empty.

I checked the hole again and found it was already enlarged.

He had finished thinking, but he still had to try to rescue him, so Chen Qi pulled open the wounded man's clothes and crossed his hands to prepare for chest compressions.

As a result, as soon as I pressed hard, it felt empty, and the chest wall was obviously sunken.

How to describe this feeling? For ordinary people, it is a very scary and numb feeling. Some people will be frightened and confused, thinking that they have made some mistake.

But for professional doctors, they understand that this means that the injured person's ribs have been broken in advance. When the chest wall collapses when pressed, the ribs may be inserted into the lungs or heart, and there is no hope of rescue.

Chen Qi shook his head, took off the middle-aged man's glasses, and gently closed his eyes, feeling very heavy.

He died in a foreign country without even knowing his name. There was no freezer in the mortuary of the Fourth Hospital, which meant that the wounded man could only be cremated as quickly as possible. It is estimated that his family members would not even see him for the last time.

"Border League, Border League~~~"

After hearing this, the border men hurriedly ran over: "Brother Chen, what's wrong?"

"Immediately go get the camera from the operating room and take pictures of each deceased person. Take a comprehensive picture of the whole body, face, clothes and shoes. In addition, the deceased's belongings must be preserved so that their family members can claim them in the future.

."

"Okay, I'll go right away."

Chen Qi looked at the other wounded in the hall and shouted to Director Bian anxiously:

"Old Bian, please identify all the patients immediately. Which ones are in urgent need of surgery and which ones can be treated slowly. We can only rescue the seriously ill patients first."

"Okay, don't worry."

Chen Qi then ordered Zhou Liuxin, the medical section chief beside him:

"Lao Zhou, you immediately mobilize all hospital employees to donate blood. Our blood reserve is far from enough."

"I know, Dean Chen."

At this time, Huang Ying also ran in hurriedly, "Chen Qi, how is the situation now?"

Chen Qi gave a brief report:

"Currently, there are 25 wounded, 5 of them are seriously injured in shock, and 3 of them are initially judged to be dead. I have asked the Border Alliance to take pictures of their faces. If no one comes to claim them tomorrow, they must be cremated as soon as possible."

Huang Ying was startled: "I have already called the rescue call, and the People's Hospital and the Second Hospital are already on their way over. What should we do now?"

"In this way, you and Section Chief Zhou will take command of the scene. Director Bian, Director Ma, I will go into the operating room to rescue the seriously injured. We will divide the work and cooperate."

While he was talking, suddenly a woman with blood on her head not far away screamed:

"Aqin, Aqin, what's wrong with you?"

This wounded man named Aqin is the little girl that Chen Qi picked up from the ditch.

The little girl was already awake at this time, but the severe pain made her cry non-stop. The tragic situation of the mother and daughter holding their heads in pain aroused the intolerance of all medical staff.

At this time, Yu Yaqin, the director of the obstetrics and gynecology department who was involved in the rescue, said regretfully:

"This mother and daughter are so unlucky. They are not passengers in the car, but villagers from Ruansi Village nearby. The conditions at home are very poor. The mother and daughter pick vegetables to sell in the town every day. They don't know why they were hit by a car.

,Sigh."

Chen Qi knew that this was not the time to show mercy, so he quickly shouted to Yang Tihao:

"Why haven't you checked this little girl yet? Send her to the B-ultrasound room immediately. She probably has a ruptured spleen. You have to move quickly, she won't last long."

The People's Hospital moved quickly, and a minibus drove into the Fourth Hospital at a drifting speed.

As the most powerful hospital in the region, we often need to support local hospitals in emergencies, so we have a full set of tools ready. As soon as there is an order, we will get on the bus and rush there.

Zhu Huoyan was the first to jump out of the car. He rushed into the hospital hall by familiar means and took a breath of air when he saw the wounded everywhere.:

"Chen Qi, how is the situation now?"

"Teacher Zhu, you're here. The situation is not optimistic now. We don't have enough operating rooms, we don't have enough surgeons, and we don't have enough blood in stock. The death toll has increased to 4, and there are 8 seriously injured people. Their lives are in danger at any time."

There are only three operating rooms in the Yuezhong Fourth Hospital, and only three operations are allowed to be performed at the same time, but the seriously injured patients simply cannot wait.

Zhu Huoyan has experience in this area:

"I have brought all the orthopedic surgeons, as well as a lot of surgical instruments and medicines. Now you immediately arrange a few wards as temporary operating rooms. Chen Qi, how dare you do it in a rural health center with worse conditions during your internship?

Are you confident about field surgery now?"

Chen Qi quickly puffed up his chest: "No problem, I will try my best."

At this time, Yang Tihao ran over quickly: "Dean Chen, feedback from the B-ultrasound room is that the little girl named Li Qin has a ruptured spleen and is suspected of having a ruptured liver."

At this time, the little nurse Song Jiening who was monitoring was also shouting: "Her blood pressure has dropped and her heartbeat has accelerated, Director Chen."

When Chen Qigang was about to say something, Zhu Huoyan interrupted him.

"A ruptured liver and spleen is a very difficult operation. If we can't race against time to stop the bleeding, the injured may not be able to be rescued. You have been doing hare lip repair and hand surgery, and you haven't touched the liver and spleen. Don't take risks. So this machine

I'll do the surgery, you see."

If another doctor had said this, Chen Qifei would have ridiculed him to death. After all, liver, gallbladder, and spleen were his specialty in his previous life, so how could he not understand?

But when Zhu Huoyan said this, Chen Qi was sincerely convinced, because it was the teacher's love and care.

"Okay, then Mr. Zhu, you will be the surgeon and I will be the assistant."

Chen Qi worked as Zhu Huoyan's assistant when he was an intern at the People's Hospital. It has been so many years since graduation, and this is the first time that the master and apprentice have collaborated.

Because of the special nature of liver and spleen rupture surgery, the operation can only be performed in the operating room. At this time, regardless of whether there is cross-infection, two patients are squeezed into one operating room and two operations are performed at the same time.

The previous patient had just undergone abdominal surgery. Before the fracture could be treated, he was lifted off the operating bed and placed on a temporary bed next to him. Director Ma continued the operation.

The head nurse quickly changed the middle sheet of the mattress, and the little girl Li Qin was lifted up, and then the second operation began.

Chen Qi took out the customized high-end surgical instruments he had collected as a gift from Hanjiang Group.

Zhu Huoyan picked up a few surgical instruments and tried them, his eyes lit up:

"Hey, this feels really good, the weight is just right, and it's perfectly fitted and precise. Just this set of surgical instruments costs tens of thousands of dollars?"

Chen Qi chuckled: "$50,000, no counter-offering. This is specially customized for me. It uses the best special steel. I am usually reluctant to use it. It is really too luxurious."
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