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Chapter 614: 605 Go Warm the Blood

~7 min read 1,279 words

The thoracic surgery inpatient chief Cao Guozhen and the blood-drawing ward nurse came together to the emergency operating room.

Upon entering, Cao Guozhen said, "Chief Zheng, we also opened the chest on our side, we arrived a bit late."

"Any later and you don't need to come." Su Yun said coldly.

The surgery was going relatively smoothly; Su Yun had it under control, so she had time and mood to retort Cao Guozhen.

"..." Cao Guozhen was speechless.

He took a close look; in the abdominal cavity, Zheng Ren had already finished suturing the ruptured colon.

He glanced and saw that even after suturing, the liver was still a mangled mess; Cao Guozhen was startled.

"Chief Zheng, can this liver still be used?" Cao Guozhen asked quietly.

"There's nothing we can do; at best we can only do this much, we can't remove it all. The liver's regenerative ability is strong; now it looks like there's a fifty percent chance of recovery." Zheng Renye also felt helpless.

"Then what?"

"In a bit we'll use biological protein glue, then sprinkle hemostatic powder, and cover with hemostatic gauze." Zheng Ren already had a full plan.

Upon hearing that so many things would be used together, Cao Guozhen realized the patient's injuries were worse than he had imagined.

"How's the patient on your side?" Zheng Ren glanced at the other patient via the system panel; that patient had severe chest trauma, so he brought this one onto the table and tossed the other to thoracic surgery.

"Sternal fracture, bilateral multiple rib fractures, both lungs ruptured." Cao Guozhen said, "The patient's lucky; the sternum poked a hole in the pericardium but didn't injure the myocardium."

"Um... that really is fortunate. If it had pierced the heart, the person would likely have died on the highway."

"The director is doing surgery, let me come down to check this side." Cao Guozhen was still rather honest, and their previous cooperation had been pleasant.

The emergency side had previously laid mines for thoracic surgery; Cao Guozhen still remembered that.

"Oh." Zheng Ren glanced at Su Yun's side and said, "Cao Zong, I'm about to finish here; are you preparing to go up on the other side?"

"If needed, I'll go up." Cao Guozhen said.

"Then please help warm the blood bags." Zheng Ren said, then shouted, "Fugui'er, come warm the blood!"

The professor had just taken off the lead clothing, standing by the instrument table, praising Xie Yiren for playing the violin well.

Hearing Zheng Ren say that, the professor felt helpless, "Boss, we should buy a device to warm blood bags in this corner."

"Got it." Zheng Ren said.

The professor was helpless, but since Zheng Ren said so, he could only go get two blood bags and warm them by hand.

Cao Guozhen was even more helpless; being told to come down and warm blood, there was nowhere to reason about it.

But since we're already here, let's just do it.

Zheng Ren raced against time to search for any other bleeding points in the abdominal cavity; after a round, aside from the liver's oozing, everything else was fine.

Biological gel, hemostatic powder, and hemostatic gauze were applied in turn to the patient's shattered liver; he then began closing the abdomen.

Wang Zong only then relaxed his breath.

He didn't dare slack off the whole time; it was really exhausting. Not to mention slacking, even with full concentration it was hard to keep up with Zheng Ren's pace.

Seeing the washing finished, about to close the abdomen, he finally relaxed.

"Chief Zheng, your general surgery is really strong." Wang Zong felt a chill down his back, the lead clothing on him felt weighs a ton, and he sincerely remarked.

"Not bad." Zheng Ren's reply was somewhat indifferent.

On the operating table and off it, they were like two different people. Wang Zong smiled, though relaxed, he hadn't forgotten his duties as an assistant.

One hand tying and cutting sutures, the other carefully observing Zheng Ren's technique.

Previously using interventional means to stop liver bleeding, this idea and surgical method were extraordinarily brilliant, like a heavenly flying immortal.

Wang Zong was immersed in the exquisite coordination between Zheng Ren and Professor Rudolf Wagner in locating the bleeding point, and didn't notice Zheng Ren's technique.

Looking closely now, Zheng Ren's suturing technique was skillful; the needle danced, the needle holder and forceps coordinated to perfection, truly the bearing of an veteran doctor.

But to say how high his level is, you can't tell from just closing the abdomen.

Such a minor task, no matter how skilled, is just that. Recalling using interventional methods to judge the bleeding point, Wang Zong felt his whole body's blood boil.

Interventional surgery and general surgery combined actually have so many uses; this was something Wang Zong had never considered.

It's not that he couldn't think of it; it's just that interventional doctors are few, many hospitals have no presence of them, and many doctors, aside from placing cardiac stents, don't know what interventional does.

Wang Zong instantly thought of many cases; if interventional doctors helped, the surgical difficulty would seem to drop linearly.

Zheng Ren carefully left a drainage tube in the hepatorenal recess.

If bleeding continues, it can be observed from the drainage output.

I hope... hope there isn't any.

Zheng Ren himself wasn't especially confident about the surgery's success. After all, the patient's liver was shattered; without interventional surgery to track the bleeding point, Zheng Ren couldn't suture it.

Whether the patient lives or not really comes down to fate.

With DIC, the patient's oozing bleeding is life-threatening.

For such a critical patient, no one can guarantee a hundred percent rescue success; although Big Pig Trotter gave the surgery a 92% completion rating, Zheng Ren still dared not promise.

After closing the abdomen, Su Yun's side also finished the chest cavity.

The surgery speed was slightly slow, related to the coordination and the difficulty of fixing postoperative rib fractures.

"Use me?" Zheng Ren asked.

"Use you, help turn the patient." Su Yun gave Zheng Ren a sideways glance and said.

Zheng Ren relaxed; as long as Su Yun started talking back, it showed the situation wasn't that urgent.

Chu Yanran held the endotracheal tube; several people cooperated to turn the patient, then began left chest cavity surgery.

Zheng Ren indeed didn't scrub up to go on stage; he picked up a blood bag and began warming it, standing behind Su Yun watching.

"Boss, you staring at me like that puts a lot of pressure on me." Su Yun said.

"What pressure? Hurry up with the surgery, saying it as if you're really scared inside." Zheng Ren said.

Watching the fresh frozen red blood cell bags in the pressure injector go down, Zheng Ren hung the blood bag he had just warmed by hand onto it.

As blood was infused, the patient's blood pressure gradually appeared on the monitor—though still low, with a systolic of 40 mmHg. Still, having some pressure versus none is a meaningful difference.

Shortly after, the surgery on Su Yun's side was also completed.

The patient, intubated, was taken to the ICU. Zheng Ren and Su Yun didn't change out of their gear—they wore isolation gowns under white coats—and hurried to the first‑floor emergency department.

Su Yun didn't accompany the patient to the ICU as she normally would. Zheng Ren understood that it was because… tomorrow… she was leaving today.

Whether they go or not, it doesn't really matter.

At Haishi City First Hospital, the work doesn't stop just because someone leaves.

Here, doing our best and having a clear conscience is all that matters.

◈

End of Chapter

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