This is the last first aid method. If it doesn’t work, it’s really too late to make a comeback!

Zhang Haoyu was in a hurry to install the instrument and immediately pressed the start button.

Honey!

Nothing happens ~

Honey!

No response!

Honey!

Everyone has no temper!

Honey!

Just when Ruan Bin and the others thought there was no chance, suddenly the straight ripple on the heartbeat detector suddenly showed a slight fluctuation!

"Living, alive!" Zhang Haoyu said excitedly.

In the end, they rescued the old man from the god of death.

After saving the patient, Ruan Bin only had the chance to go and have a meal after walking out of the operating room.

After a while, he was taken to the operating room No. 5 by Zhang Haoyu to see Liu Junchi.

At this time, Deputy Director Liu was undergoing a total colectomy in the operating room, which was a fourth-level surgery!

"Doctor Ruan, will you decompression surgery for abdominal space syndrome?" Liu Junchi asked without raising his head while undergoing the operation.

"Ah..." The sudden question made Ruan Bin a little confused. Why?

He really doesn't know this!

"Ruan Bin, are you going to do it? It's very urgent!" Zhang Haoyu next to him was anxious.

"Yes!" Ruan Bin nodded suddenly. Isn't it just a matter of krypton gold!

"Are you sure?" Liu Junchi raised his head and asked seriously.

"Yes." Ruan Bin nodded seriously.

"Okay, there is a patient in the intensive care unit No. 4 who has abdominal cavity syndrome and needs surgery to relieve stress. You and Dr. Zhang go over and deal with it." Liu Junchi breathed a sigh of relief. Because he couldn't leave at all now! Otherwise, he wouldn't have asked Zhang Haoyu to ask Ruan Bin for help. After all, he was Director Jiang's person. He originally wanted Zhang Haoyu to deal with this matter, but this guy was hesitant and saw that he had half a bucket of water. How dare he hand it over to the other party?

As for Ruan Bin, since Ruan Bin showed outstanding cholecystectomy, Liu Junchi still has some agreement with Ruan Bin's surgical skills, at least several times stronger than this incompetent Zhang Haoyu! When Director Qian gave Ruan Bin to Jiang Yurong, why didn't he leave Ruan Bin behind? Ahhh, I regret it!

"Director, then I'll find an intern for you to be your assistant?" Zhang Haoyu asked. He was an assistant for Liu Junchi just now when he did this surgery.

"Intern? No! At least I'll find a resident doctor for me." Liu Junchi shook his head. The total colectomy he had was very complicated. Many surgical procedures required assistants to help and assist. He was really worried about finding an intern. As for why he didn't let Zhang Haoyu stay, because the abdominal cavity syndrome there was not simple, and he was not worried about letting Ruan Bin handle it alone.

"Director, I can't find a hospitalist outside who has time. I'm so busy!" Zhang Haoyu said with a bitter face. All the attending doctors were undergoing surgery. Director Qian was undergoing a radical thyroid cancer surgery. This was a fourth-level surgery. It was probably impossible to get out of it in less than four or five hours. He even took a attending doctor in to help.

Jiang Yurong was undergoing a pancreatic duodenectomy, which was even more difficult because pancreatic duodenectomy is a level 4 surgery in general surgery and is one of the top ten difficult surgeries in the world. If the situation is complicated, it will take six or seven hours to get off! She also took a attending physician in order to help.

The emergency department is now seriously inadequate!

"Damn it! Why did I find that our emergency department is short of staff every day!" Liu Junchi muttered, and could only sigh and said, "Then find an intern to come in."

"good."

After walking out, Ruan Bin hurriedly asked, "What is the situation of that patient with abdominal cavity syndrome?"

"Hey~ You didn't know that you didn't go to work yesterday. That guy was in his thirties and seemed to be a qigong master. He performed abdomen Qigong top steel bars during commercial performances! The effect of the program was to use his abdomen to bend the two-meter-long steel bars. Unfortunately, the steel bars on the other end of the abdomen were directly penetrated into his abdomen. Fortunately, he was sent in time and saved his life after rescue. However, the steel bars penetrated his large intestine and kidneys." Zhang Haoyu explained.

"Damn... this Qigong master is fake, right?" Ruan Bin smiled immediately. He was really using life to interpret true Qigong.

"I know if it's fake. Anyway, his assistant said that the steel bars bought by the merchant were too good to be of good quality..."

"Puff~ OK." Ruan Bin almost laughed out loud. There are all kinds of strange things these days.

When he arrived at the ward, Ruan Bin saw the bald Qigong master lying on the hospital bed, with pipes of various instruments inserted into his body. He had not yet woken up from the dizziness.

Abdominal space syndrome is a clinical critical syndrome with an intraperitoneal pressure that increases non-physiologically, affecting the blood flow of the internal organs and tissues, and further causing a series of pathophysiological changes. It is mainly manifested as an increase in respiratory resistance, decreased lung compliance, and even progressive hypoxia, decreased cardiac output, increased peripheral circulation resistance, oligouria and even anuria.

The abdominal cavity is a closed cavity. Under physiological conditions, the average intra-abdominal pressure is zero (equivalent to atmospheric pressure) or close to zero. Any increase in the content of the abdominal cavity can cause an increase in intra-abdominal pressure. Especially for this patient, when the surgery is closed, the intestine has been edema and the volume is enlarged, and the intestinal curve is obviously eccentric above the incision plane. At this time, forcibly closing the incision incision will inevitably increase in intra-abdominal pressure.

Ruan Bin took the examination report and asked, "When did this abdominal space syndrome appear?"

"When the rounds were checked this morning, the nurse said it started to appear at 2 a.m. last night."

"It seems that the situation is serious now." Ruan Bin nodded. In fact, when the abdominal pressure is at level i, there is no need to be treated. When level ii, strict supervision is required. If oliguria, anuria, hypoxia, and airway pressure has already occurred, conservative or different methods can be used to decompression depending on the specific situation. Level iii generally requires surgical decompression. Level iv requires immediate abdominal decompression.

For example, the patient had this condition last night. It was impossible to undergo surgery from the beginning. Generally, conservative treatment was performed with drugs first, such as correcting the imbalance of water, electrolytes and acid-base, appropriate injection of colloidal solution, using sedatives and muscle relaxants, applying diuretics, external application of skin nitrate, Chinese medicine, and rhubarb are also effective treatments.

But today it seems that conservative treatment is of no use!

"That's right. Conservative treatment doesn't work. His condition is quite serious. It's also a big blame for him to exert too much force. He poked the steel bars too deep and his kidneys were damaged very seriously." Zhang Haoyu said.

"The abdominal pressure is already higher than 25mmhg, so you have to undergo decompression surgery immediately!" Ruan Bin shook his head and said after reading the latest examination information.

Generally, the abdominal pressure is higher than 25mmhg as an indicator to choose to decompress the abdominal pressure, and the other party is 26 upwards!
Chapter completed!