Chapter 474: 466 Penetrating Injury (Silver Alliance 37 Mutual Entertainment Li Yifei Bonus Chapter 17)

Zheng Renhe and Su Yun were like thawed wild dogs, running from the Emergency Department to the Emergency Resuscitation Room in less than two minutes.

On the stretcher lay…… a patient, not lying flat but in a strange posture; a steel bar entered from the lower body and protruded from the left axilla.

Estimated, the steel bar is at least 1.5 cm thick, and the length inside the body is at least 60 cm.

In other words, wherever the steel bar passes through the patient's body, all organs will suffer at least a 1.5 cm penetrating injury.

Zheng Ren's heart tightened, and he immediately looked toward the upper right of his visual field, the system panel.

Ruptured rectum, ruptured colon, ruptured stomach, ruptured diaphragm, ruptured lung, severed intercostal arteries, hemorrhagic shock…… a series of diagnoses that made one's hands and feet go numb.

If it were ordinary intestinal or gastric ruptures, Zheng Ren wouldn't think much of it.

Just suture it up and it's done; even if there's a postoperative abdominal infection, as long as the patient pulls through, they'll recover.

But this kind of penetrating injury……

Zheng Ren immediately shouted: "Patient's family! Eyewitnesses! Who's here!"

A simple-minded middle-aged man stepped forward, his face full of worry, "Doctor, I'm his neighbor."

"How was the steel bar broken?" Zheng Ren asked.

Su Yun understood Zheng Ren's meaning—the patient had been impaled by the steel bar. Judging by the position, it must have been a fall from height; therefore the lower end of the bar must have been fixed, providing enough force to pierce the human body.

Only after breaking the steel bar could they bring the patient to the hospital.

If done too violently, it would cause extensive crush injuries to the abdominal organs.

This involves emergency surgical resuscitation.

After asking a question, Zheng Ren immediately told Su Yun: "Notify the operating room, prepare for emergency resuscitation!"

"Doctor, this kid studies well. Yesterday I heard his father say he ranked second in the grade on the placement test; who would have thought today……"

"I'm asking you, how was the steel bar broken!" Zheng Ren's forehead veins bulged, looking somewhat ferocious.

The middle-aged man jumped in fright, saying: "Firefighters used a cutting machine to saw it off, very carefully……"

"To the operating room!" Zheng Ren felt somewhat relieved, seeing that the gastric tube and urinary catheter had been inserted and the venous line established, he immediately shouted.

Doctors from the Jizhen Wai Ke, together with Su Yun, Zheng Ren, and the patient's family, pushed the stretcher and carried the IV bottles, rushing hurriedly to the operating room.

Because it was daytime, Director Pan was fully in charge here, so Zheng Ren felt at ease.

Upon arriving at the operating room, inside was already bustling with activity.

Preparing surgical instruments, preparing general anesthesia equipment, operating with precision and efficiency.

"Call thoracic surgery, let's start together!" Zheng Ren threw out those words, then hurried off to change clothes.

Just thinking about the patient's condition gave Zheng Ren a headache.

Aside from other concerns, how to remove that steel bar?

Even positioning for the surgery is difficult.

If we tried to pull it out before surgery, the various ruptures in the patient's viscera would definitely cause massive bleeding, and then…… the patient would die outright.

But removing it during surgery is also an insurmountable problem.

While changing clothes, Zheng Ren pondered how to handle this surgery.

A combined thoracoabdominal incision, performed together, is necessary—there's no doubt about that.

However, within one minute of removing the steel bar, we must try to deal with all the affected damaged blood vessels, which is somewhat difficult.

Zheng Ren's changing speed was a bit slow; Su Yun had already finished changing, saw Zheng Ren's expression, understood, and said: "Let's see how it goes; not everyone can be saved."

The two exchanged glances and sighed in unison.

Su Yun didn't wait for Zheng Ren, quickly went to insert a chest tube for the patient.

Having changed clothes, he quickly came to the operating room.

Chu Yanran and Chu Yan zhi had already anesthetized the patient, but the patient's posture was especially awkward; several sandbags were placed under the left side of the body to prop it up at an angle, so as to avoid touching the steel bar entering at the anal position as much as possible.

The surgery, the posture is definitely awkward.

"Call Yang Lei up." Zheng Ren scrubbed in, then said in a low voice: "Prepare blood, hurry up."

The circulating nurse sprang up like a bird, her feet barely touching the ground, while helping Xie Yiren prepare various surgical instruments and preparing equipment such as wall-mounted negative pressure suction needed for the surgery.

Chu Yan zhi said: "I'll go make a call; have the blood samples been sent?"

"The Emergency Department sent them." Zheng Ren began putting on the sterile surgical gown; Chu Yan zhi tied the straps for him, then he jogged over, burning off endless calories, to call Yang Lei onto the stage and rush to the Blood Department to urge blood delivery.

Fortunately it was daytime, Zheng Ren thought.

Su Yun laid out the sheets, then went to disinfect again as quickly as possible and put on his clothes.

But how the two should position themselves became a major problem.

Normally surgery requires personnel on both sides—the operator on one side of the patient, an assistant on the other. But the steel bar was inserted from behind, and this patient lay at a 60° angle on the operating table, so the person on the other side could not see the surgical field.

Zheng Ren hesitated only a second, then said: "Su Yun, come this side."

He reached out, and a large gauze pad soaked in iodine, clamped by a hemostat, was slapped into Zheng Ren's hand.

Familiar formula, familiar taste, but Zheng Ren felt nothing.

His brain raced, plotting how to pull the patient back from the brink of death.

After disinfecting, he slapped the hemostat and gauze onto the patient's leg side, flipped his hand, and the knife handle landed in his palm.

Zheng Ren didn't hold back, making a single cut from bottom to top, penetrating the patient's abdominal cavity.

In emergency resuscitation, every second counts; Zheng Ren truly wished the incision could be as long as the steel bar.

Rapid blunt dissection opened the abdominal cavity.

As the abdominal cavity opened, the intestines flowed out from within.

This is also why general surgery requires a supine position.

After laying down the large gauze pads, he used sterile drapes and his body to block the intestines, and Zheng Ren began searching for the location where the steel bar had caused damage.

Once the abdominal cavity was fully open, a glance revealed a shocking sight.

Rebar stabbed in from the end of the rectum, the left colon ruptured, the stomach ruptured, penetrating the entire stomach, piercing the diaphragm, and thrusting upward.

Why the hell hasn't thoracic surgery come yet! Zheng Ren roared.

Su Yun suddenly felt a powerful aura rising from Zheng Ren's body, like a lion king patrolling his territory, the roar carrying infinite dignity.

When did he grow to this extent? Su Yun felt somewhat dazed.

Yang Lei, come help the Boss, I'll open the chest. Seeing Yang Lei come up, Su Yun immediately said.

Su Yun taking charge of opening the chest would be fine, but there aren't enough hands...

Zheng Ren worried.

Just then, Cao Guozhen rushed over in a hurry, apologetically saying: "Sorry, Chief Zheng, we're doing a bypass surgery over there. Hearing there was an emergency, I came over."

Scrub up, and open the chest with Su Yun." Zheng Ren said while examining the wound in the abdominal cavity.

Full of dignity, beyond doubt.

Cao Guozhen didn't say a word, ran over to scrub up, and almost bumped into Yang Lei, who had just finished scrubbing up.

Chief Zheng, do we need more people?" Cao Guozhen asked.

Call another person." Zheng Ren said.

People, the more the better.

……

……

In 2002, there was a case; the patient couldn't be saved then, which was regrettable. I still Clarity remembers during the surgery, the deceased chief of the General Surgery Department racked his brains over how to stop bleeding after the rebar was removed. The three-hour Shou Bing still couldn't save the patient. Over the years I occasionally think back to this case, imagining what it would be like under ideal circumstances.