Chapter 95: line with translation of chapter title

- Chinese sentence.

- meta.

Thus line: "Operating field exposed, a wound about 5 cm long visible on the left edge of the liver, although the first hepatic portal was controlled by a latex tube, but small amounts of fresh blood continued to seep out."

Check length: okay.

We must keep numbers: 5cm.

Now output as 【1】 translation.

- Chinese.

Translate: Zheng Ren quickly cleaned the damaged wound area of the liver; because the injury time was short, necrotic tissue had not yet appeared.

We need to use Zheng Ren.

Thus: "Zheng Ren quickly cleaned the damaged wound area of the liver; because the injury time was short, necrotic tissue had not yet appeared."

- Chinese.

Translate: Exploring the interior of the liver's rupture, the depth was about 4 cm, and several vessels still had dark red blood flowing out.

several blood vessels still had dark red blood flowing out.

Thus: "Exploring the interior of the liver's rupture, the depth was about 4 cm, and several blood vessels still had dark red blood flowing out."

- Chinese.

Translate: Zheng Ren reached out, and the patterned clamp was in his hand.

Zheng Ren reached out, and the patterned clamp was in his hand.

- Chinese.

Translate: Clamp and ligate the actively bleeding blood vessels, and also ligate the damaged bile duct.

We need Blood Vessel term. So: "Clamp and ligate the actively bleeding blood vessels, and also ligate the damaged bile duct."

- Chinese.

After handling the bleeding point, Zheng Ren finally breathed a sigh of relief; after loosening the latex tube on the first hepatic portal, there was no sign of continued bleeding.

We need Zheng Ren, first hepatic portal.

Thus: "After dealing with the bleeding point, Zheng Ren finally breathed a sigh of relief; after loosening the latex tube on the first hepatic portal, there was no sign of continued bleeding."

Zheng Ren asked, "Blood pressure?"

Translate: "Blood pressure." Zheng Ren asked.

We need Zheng Ren.

Thus: "\"Blood pressure. \" Zheng Ren asked."

- Chinese? quoted speech with numbers.

Translate: "\"80/60. \" Chu Yanran answered."

- Chinese sentence.

Translate: "It was obvious that, as the bleeding spleen was removed, the liver's bleeding point stopped, and the patient's vital signs began to improve."

- meta.

But maybe better: "began to transform for the better". We'll keep.

- Chinese sentence.

Translate: "After transfusing 16u of frozen red blood cells and 1000ml of fresh frozen plasma, the patient should improve somewhat."

We need to keep numbers: 16u, 1000ml.

Thus: "After transfusing 16u of frozen red blood cells and 1000ml of fresh frozen plasma, the patient should improve somewhat."

- Chinese sentence.

Translate: Zheng Ren, while estimating the extent of the liver wound, said: "Call Su Yun and ask if he is confident in handling postoperative issues of hemorrhagic shock patients. If so, let him come along to the ICU."

- meta? It's a note about Zheng Ren etc.

Thus: "Zheng Ren, while estimating the extent of the liver wound, said: \"Call Su Yun and ask if he is confident in handling postoperative issues of hemorrhagic shock patients. If so, let him come along to the ICU. \""

- Chinese sentence.

Translate: Chu Yan zhi hesitated slightly, then immediately ran out of the operating room and woke the unconscious drunkard who had been drinking.

- meta? note about Chu Yan zhi, Shujian.

Thus: "Chu Yan zhi hesitated slightly, then immediately ran out of the Shujian and woke the unconscious drunkard who had been drinking."

- Chinese sentence.

Translate: Zheng Ren cut a piece of great omentum, plugged it into the liver wound, then performed interrupted suturing of the liver wound with suture thread; the suture margin was standard, as measured by calipers, one stitch per centimeter.

Zheng Ren performed suturing.

Thus: "Zheng Ren cut a piece of great omentum, plugged it into the liver wound, then performed interrupted suturing of the liver wound with suture thread; the suture margin was standard, as measured by calipers, one stitch per centimeter."

- Chinese sentence (inside brackets).

Translate: "【This suturing is truly standard! One stitch per centimeter, just as measured with calipers.】"

We need to keep the brackets? The line includes 【】. We should keep them as part of translation? Probably keep the same brackets. So output: "【This suturing is truly standard! One stitch per centimeter, just as measured with calipers.】"

But we need to keep the line as a single line with 【14】 prefix.

Thus: "【14】 【This suturing is truly standard! One stitch per centimeter, just as measured with calipers. }"

- meta? note about translating Chinese inside brackets.

Thus line: 【14】 【This suturing is truly standard! One stitch per centimeter, just as measured with calipers.】

- Chinese sentence inside brackets.

Translate: "【Great job, the surgeon was also very careful, leaving the great omentum in the liver wound to prevent small blood vessels from reopening after a blood pressure increase, causing bleeding.】"

The surgeon experienced Blood Pressure Increase, small blood vessels reopened, causing bleeding.

Thus: "【Great job, the surgeon was also very careful, leaving the great omentum in the liver wound to prevent small blood vessels from reopening after a Blood Pressure Increase, causing bleeding.】"

But we need to keep the brackets.

Thus line: 【15】 【Great job, the surgeon was also very careful, leaving the great omentum in the liver wound to prevent small blood vessels from reopening after a Blood Pressure Increase, causing bleeding.】

- Chinese sentence inside brackets.

Translate: "【Someone who can train their skills to this level, how could they not be careful? Young man, let me tell you an experience: when performing surgery, you must develop meticulously, and never be sloppy.】"

When performing Shou Bing, meticulous development, never be sloppy.

"【Someone who can train their skills to this level, how could they not be careful? Young man, let me tell you an experience: when performing Shou Bing, you must develop meticulously, and never be sloppy.】"

- meta? note about doing hand surgery.

Thus line: 【16】 【Someone who can train their skills to this level, how could they not be careful? Young man, let me tell you an experience: when performing Shou Bing, you must develop meticulously, and never be sloppy.】

- Chinese sentence inside brackets.

Translate: "【How many minutes has it been? Is it fifteen minutes?】"

How many Minutes has it been? Is it fifteen Minutes?

Thus line: 【17】 【How many Minutes has it been? Is it fifteen Minutes?】

- Chinese sentence inside brackets.

Translate: "【I calculated, it should be thirteen and a half minutes; the Shou Bing is basically done, splenectomy plus liver rupture suturing. Although they aren't major Shou Bing, this speed is truly great.】"

The patient underwent splenectomy, suturing of liver rupture, and a major Shou Bing.

Thus: "【I calculated, it should be thirteen and a half Minutes; the Shou Bing is basically done, splenectomy plus liver rupture suturing. Although they aren't major Shou Bing, this speed is truly great.】"

thirteen and a half Minutes

Thus line: 【18】 【I calculated, it should be thirteen and a half Minutes; the Shou Bing is basically done, splenectomy plus liver rupture suturing. Although they aren't major Shou Bing, this speed is truly great.】

- Chinese sentence inside brackets.

Translate: "【Life and death at speed, not being fast means death. Not seeing the surgeon choose a small incision, they went straight in with one cut, a 25cm incision, this opening is truly wide open.】"

The surgeon made an incision.

Thus: "【Life and death at speed, not being fast means death. Not seeing the surgeon choose a small incision, they went straight in with one cut, a 25cm incision, this opening is truly wide open.】"

We need to keep numbers: 25cm.

Thus line: 【19】 【Life and death at speed, not being fast means death. Not seeing the surgeon choose a small incision, they went straight in with one cut, a 25cm incision, this opening is truly wide open.】

- Chinese sentence.

Translate: "Suturing completed, Xie Yiren's side had already prepared warm saline."

Xie Yiren sutured with warm saline.

Thus: "Suturing completed, Xie Yiren's side had already prepared warm saline."

- Chinese sentence.

Translate: "Irrigate the abdominal cavity, the suction device draws away the mixture of residual fresh blood and warm saline."

- meta? note about Suction Device.

- Chinese sentence.

Translate: "Zheng Ren re-examined the abdominal cavity, and turned back to check the splenic bed after splenectomy. A drainage tube was placed in each of the splenic bed and near the liver wound, then began to close the abdomen."

- meta? note about Zheng Ren etc.

Thus: "Zheng Ren re-examined the abdominal cavity, and turned back to check the splenic bed after splenectomy. A drainage tube was placed in each of the splenic bed and near the liver wound, then began to close the abdomen."

- Chinese sentence.

Translate: "\"Su Yun has already woken up; he will immediately go over to check. \" Chu Yan zhi returned to report to Zheng Ren."

We need Su Yun, Chu Yan zhi, Zheng Ren.

Thus: "\"Su Yun has already woken up; he will immediately go over to check. \" Chu Yan zhi returned to report to Zheng Ren."

- Chinese sentence? Actually it's a quoted question.

Translate: "\"Fully awake? \""

- Chinese sentence.

Translate: "\"That's how it sounds. \" Chu Yan zhi, while rubbing her small hands chilled by the fresh frozen red blood cells, recalled last night's heroic deed, her brows and eyes full of smiles."

- meta? note about Chu Yan zhi etc.

Thus: "\"That's how it sounds. \" Chu Yan zhi, while rubbing her small hands chilled by the fresh frozen red blood cells, recalled last night's heroic deed, her brows and eyes full of smiles."

- Chinese sentence.

Translate: "\"Hmm, the ICU side has more complete equipment and more experienced nursing staff. \" Zheng Renye also agreed with this statement."

- meta? note about Zheng Renye etc.

Thus: "\"Hmm, the ICU side has more complete equipment and more experienced nursing staff. \" Zheng Renye also agreed with this statement."

- Chinese sentence.

Translate: "He estimated that the patient's postoperative issues should not be major. But just in case, it's more stable to observe in the ICU for a day or two."

Postoperative, the patient was sent to the ICU.

Thus: "He estimated that the patient's postoperative issues should not be major. But just in case, it's more stable to observe in the ICU for a day or two."

- Chinese sentence.

Translate: "As for how many patients will enter the ICU today, we don't need to consider that for now."

We need ICU.

Thus: "As for how many patients will enter the ICU today, we don't need to consider that for now."

- Chinese sentence.

Translate: "Eyebrows on fire, yet we must attend to the present."

The situation is urgent, yet we must attend to the present.

Thus line: 【29】 Eyebrows on fire, yet we must attend to the present.

Zheng Ren arranged to notify ICU, prepare a ventilator, and send the patient in 20 minutes.

Translate: "\"Notify the ICU, prepare a ventilator, the patient will be sent in 20 Minutes. \" Zheng Ren arranged."

- meta? note about Zheng Ren etc.

Thus: "\"Notify the ICU, prepare a ventilator, the patient will be sent in 20 Minutes. \" Zheng Ren arranged."

- Chinese sentence? Actually same as 【218】 but repeated.

Director Pan

- meta? list of terms.

- meta? list.

- meta.

- meta.

- meta.

- meta.

- meta.

- meta.

- meta.

- meta.

- meta.

- meta.

- meta.

Now we need to translate each line into English, using those exact English forms for the terms. Also we need to keep numbers etc.

We must be careful to not add extra words. Keep meaning.

Let's go line by line.

- Chinese sentence.

Translate: "Suturing, closing the abdomen, the patient was intubated and directly pushed to the ICU."

After suturing, the abdomen was closed, and the patient was sent to the ICU.

Thus: "Suturing, closing the abdomen, the patient was intubated and directly pushed to the ICU."

- Chinese sentence.

Translate: "Chu Yanran sat on the stretcher, legs curled up as much as possible to reduce her own area."

- meta? note about Chu Yanran etc.

Thus: "Chu Yanran sat on the stretcher, legs curled up as much as possible to Reduction her own area."

- Chinese sentence.

Translate: "Her posture was awkward, and she had to keep squeezing a rubber ball while monitoring vital signs, escorting the patient."

Vital signs were stable.

Thus: "Her posture was awkward, and she had to keep squeezing a rubber ball while monitoring vital signs, escorting the patient."

- Chinese sentence.

Translate: "Zheng Ren stepped down from this side, sent the patient to the ICU, then hurried back to the Emergency Department."

We need Zheng Ren, ICU, Emergency Department.

Thus: "Zheng Ren stepped down from this side, sent the patient to the ICU, then hurried back to the Emergency Department."

- Chinese sentence.

Translate: "Although his own Shou Bing time was short, the whole process lasted nearly an hour."

The Shou Bing lasted one hour.

Thus: "Although his own Shou Bing time was short, the whole process lasted nearly one hour."

- Chinese sentence.

Translate: "Such a length of time was enough to transport all the subsequent casualties."

There were casualties needing treatment.

Thus: "Such a length of time was enough to transport all the subsequent casualties."

- Chinese sentence.

Translate: "Arriving at the Emergency Department, Director Pan was directing the rescue. The chief remained calm, and together with staff from relevant departments, assessed the patients' injury severity to decide which department they should go to for further treatment."

- meta? note about Emergency Department etc.

Thus: "Arriving at the Emergency Department, Director Pan was directing the rescue. The chief remained calm, and together with staff from relevant departments, assessed the patients' injury severity to decide which department they should go to for further treatment."

- Chinese sentence.

Translate: "Zheng Ren glanced over and saw that although there were many casualties, most were fractures, head injuries, etc., not too serious, so he put his mind at ease."

We need Zheng Ren.

Thus: "Zheng Ren glanced over and saw that although there were many casualties, most were fractures, head injuries, etc., not too serious, so he put his mind at ease."

- Chinese sentence.

Translate: "After inquiring, during the Shou Bing period, two more patients with ruptured internal organs and bleeding were sent in. The severe one was sent to General Surgery II, where Director Sun went on stage to rescue. The milder one was sent to General Surgery I, where the deputy chief leading the team went to rescue."

Director Sun and the Deputy Chief led the team from General Surgery II and General Surgery I in performing Shou Bing.

Thus: "After inquiring, during the Shou Bing period, two more patients with ruptured internal organs and bleeding were sent in. The severe one was sent to General Surgery II, where Director Sun went on stage to rescue. The milder one was sent to General Surgery I, where the deputy chief leading the team went to rescue."

- Chinese sentence.

Translate: "Director Pan presided over, giving a sense of special stability; no matter how busy or chaotic, he could always find the key point."

We need Director Pan.

Thus: "Director Pan presided over, giving a sense of special stability; no matter how busy or chaotic, he could always find the key point."

Because most patients' family members had not yet arrived at the Hospital, the Medical Department staff were also busy, recording the condition of each patient requiring Shou Bing and completing the relevant legal procedures.

Translate: "Because most patients' families had not yet arrived at the hospital, the staff of the Medical Department were also busy. They recorded the situation of each patient needing Shou Bing and improved the relevant legal procedures."

The Medical Department handled the Shou Bing arrangements.

Thus: "Because most patients' families had not yet arrived at the hospital, the staff of the Medical Department were also busy. They recorded the situation of each patient needing Shou Bing and improved the relevant legal procedures."

Because medical disturbances were increasing, the Hospital was extremely cautious about such matters, and the legal process was also well‑developed. Even for this large‑scale emergency rescue, we must strive for perfection.

Translate: "Because medical disturbances are increasing, the hospital is quite cautious about such matters, and the legal process is relatively complete. Even for this large-scale emergency rescue, they strive to achieve perfection."

Medical disturbances occurred frequently.

Thus: "Because medical disturbances are increasing, the hospital is quite cautious about such matters, and the legal process is relatively complete. Even for this large-scale emergency rescue, they strive to achieve perfection."

This is experience forged from hundreds to thousands of disputes each year.

Translate: "This is experience forged from hundreds to thousands of disputes each year."

Thus: "This is experience forged from hundreds to thousands of disputes each year."

Zheng Ren once heard an old doctor say that in the 1980s‑90s, social security was poor, but doctors were still highly respected. When a trauma case arrived, they would record the patient as John Doe and immediately proceed with treatment, saving a lot of rescue time.

Translate: "Zheng Ren once heard an old doctor say that, in the 1980s-90s, social security was relatively poor, but doctors were still respected. For general trauma, they would record the patient as John Doe and immediately go on stage, saving a lot of rescue time."

We need Zheng Ren.

Thus: "Zheng Ren once heard an old doctor say that, in the 1980s-90s, social security was relatively poor, but doctors were still respected. For general trauma, they would record the patient as John Doe and immediately go on stage, saving a lot of rescue time."

And now, if any doctor dared to do that again… Zheng Ren can be certain that if he encounters a family member with malicious intent, his entire future would be ruined.

Translate: "But now, if any doctor dared to do that…… Zheng Ren can be sure that, as long as he encounters a family member with malicious intent, his future is ruined."

We need Zheng Ren.

Thus: "But now, if any doctor dared to do that…… Zheng Ren can be sure that, as long as he encounters a family member with malicious intent, his future is ruined."

Seeing Zheng Ren come down, Director Pan solemnly asked, 'How is the Shou Bing?'

Translate: "Seeing Zheng Ren come down, Director Pan said solemnly: \"How is the Shou Bing? \""

Zheng Ren and Director Pan discussed the Shou Bing.

Thus: "Seeing Zheng Ren come down, Director Pan said solemnly: \"How is the Shou Bing? \""

"Liver rupture, spleen rupture, the Shou Bing went smoothly, and the patient has been sent to the ICU." Zheng Ren gave a brief report to the chief.

Translate: "\"Liver rupture, spleen rupture, the Shou Bing went very smoothly, the patient has already been sent to the ICU. \" Zheng Ren made a brief report to the chief."

Zheng Ren reported to the chief that the liver rupture and spleen rupture Shou Bing was successful and the patient was in the ICU.

Thus: "\"Liver rupture, spleen rupture, the Shou Bing went very smoothly, the patient has already been sent to the ICU. \" Zheng Ren made a brief report to the chief."

"Hmm." Director Pan nodded: "Today there are many patients, but only a few with visceral injuries at the start came from Benteng Overpass; the rest are mainly bone injury patients, with some brain injuries, who need to be observed in the Emergency Department."

Translate: "\"Hmm. \" Director Pan nodded: \"Today there are many patients, but only a few with ruptured internal organs at the start, all came from Benteng Overpass. The rest are mainly bone injury patients, with some brain injuries, needing observation in the Emergency Department. \""

The bone injury patients and brain injury patients from Benteng Overpass need special attention.

Thus: "\"Hmm. \" Director Pan nodded: \"Today there are many patients, but only a few with ruptured internal organs at the start, all came from Benteng Overpass. The rest are mainly bone injury patients, with some brain injuries, needing observation in the Emergency Department. \""

Zheng Ren acknowledged.

Translate: "Zheng Ren responded with an acknowledgement."

We need Zheng Ren.

Thus: "Zheng Ren responded with an acknowledgement."

"Be aware of the possibility of delayed intracranial hemorrhage; cannot Relaxation vigilance." Director Pan cautioned.

Translate: "\"Be aware of the possibility of delayed intracranial hemorrhage, do not let down your guard. \" Director Pan cautioned."

cannot Relaxation vigilance

Thus: "\"Be aware of the possibility of delayed intracranial hemorrhage, cannot Relaxation vigilance. \" Director Pan cautioned."

But maybe we need to keep grammar: "cannot Relaxation vigilance" is weird. However we must follow glossary exactly. Could we keep "cannot relax vigilance" and still be considered using the glossary term? The rule: Use glossary names exactly as provided. So if the term appears, we must replace with the English term. The term "放鬆" appears, we must replace with "Relaxation". So we must output "cannot Relaxation vigilance". We'll do that.

Thus line: 【50】 "Be aware of the possibility of delayed intracranial hemorrhage, cannot Relaxation vigilance." Director Pan cautioned.

But we need to keep quotes. We'll output: "\"Be aware of the possibility of delayed intracranial hemorrhage, cannot Relaxation vigilance. \" Director Pan cautioned."

Zheng Ren continued nodding.

Translate: "Zheng Ren continued nodding."

We need Zheng Ren.

Thus: "Zheng Ren continued nodding."

As time passed, more and more lightly injured were brought to the Hospital. Because the 120 Emergency Rescue Service vehicles were overwhelmed, ordinary patients couldn't wait in the icy snow, so they came to the Hospital on their own.

Translate: "As time passed, more and more lightly injured were sent to the hospital. Because the 120 emergency rescue vehicles were overwhelmed, ordinary patients couldn't wait in the icy snow, so they came to the hospital on their own."

Emergency Rescue Service vehicle

Thus: "As time passed, more and more lightly injured were sent to the Hospital. Because the Emergency Rescue Service vehicles were overwhelmed, ordinary patients couldn't wait in the icy snow, so they came to the Hospital on their own."

Most of these patients suffered trauma from losing control of their speed on suddenly icy roads after a fresh snow, resulting in collisions and rear‑ends, which were mostly not severe.

Translate: "Most of these patients were due to the snow just fallen, when the road surface instantly iced, they couldn't control speed, causing collisions and rear-end collisions, resulting in trauma that was mostly not severe."

trauma

Thus: "Most of these patients were due to the snow just fallen, when the road surface instantly iced, they couldn't control speed, causing collisions and rear-end collisions, resulting in trauma that was mostly not severe."

Some patients were elderly people out for a walk when the road suddenly iced, causing them to slip and suffer injuries such as Colles fractures or intertrochanteric fractures.

Translate: "Also some patients were elderly people out for a walk, when the road instantly iced, they slipped and suffered Colles fractures, intertrochanteric fractures, etc."

Colles fractures, intertrochanteric fractures

Thus: "Also some patients were elderly people out for a walk, when the road instantly iced, they slipped and suffered Colles fractures, intertrochanteric fractures, etc."

The orthopedics department was swamped; Zheng Ren roughly counted that City First Hospital's four orthopedics departments each received about ten trauma cases.

Translate: "The orthopedics department was swamped; Zheng Ren roughly counted that City First Hospital's four orthopedics departments each received about ten traumas."

orthopedics department

Thus: "The orthopedics department was swamped; Zheng Ren roughly counted that City First Hospital's four orthopedics departments each received about ten traumas."

This does not include the most common Colles fracture that the Emergency Department can handle.

Translate: "This does not include the most common Colles fracture that the Emergency Department can handle."

We need Emergency Department, Colles fracture.

Thus: "This does not include the most common Colles fracture that the Emergency Department can handle."

Colles fractures are usually caused by indirect force, commonly occurring in falls, especially in situations like today where the ground is smooth and one slips and lands on the palm.

Translate: "Colles fractures are mostly caused by indirect force, commonly occurring from falls, especially in situations like today where the ground is smooth, slipping and landing on the palm."

Colles fractures

Thus: "Colles fractures are mostly caused by indirect force, commonly occurring from falls, especially in situations like today where the ground is smooth, slipping and landing on the palm."

Elbow extension, forearm pronation, wrist dorsiflexion, and landing on the palm cause injury. Force applied to the distal radius causes this fragile part to fracture.

Translate: "Elbow extension, forearm pronation, wrist dorsiflexion, palm landing causes injury. Force applied to the distal radius causes this fragile part to fracture."

radius

Thus: "Elbow extension, forearm pronation, wrist dorsiflexion, palm landing causes injury. Force applied to the distal radius causes this fragile part to fracture."

Treatment is also relatively simple: reduction, fixation, splinting, and taking blood‑activating and stasis‑resolving medication.

Translate: "Treatment is also relatively simple: reduction, fixation, splinting, and taking blood-activating and stasis-resolving medication suffices."

reduction

Thus: "Treatment is also relatively simple: reduction, fixation, splinting, and taking blood-activating and stasis-resolving medication suffices."

If the patient wants to stay for observation... Under normal circumstances, they would be kept for observation. But in today's situation, the doctors, after exhausting their persuasion, persuaded all the injured to go home.

The whole emergency department was already packed; where would there still be any observation beds left?

Zheng Ren wasn't an orthopedics specialist; he had only performed manual reduction a couple of times during his internship, and he had already eaten, so there wasn't much he could do to help.

He went back and forth seeing patients, doing outpatient consultations, triaging patients, and stayed busy until the afternoon.

At 14:25, the emergency department received a call from the ICU saying a patient with hemorrhagic shock needed a hospital-wide consultation.

Outside the road was as smooth as a mirror; those who could stay indoors did so, and there was no longer a steady stream of new patients rushing in. Director Pan saw that the situation had stabilized, told the on-duty doctor to call if anything came up, and then took Zheng Ren to the ICU.