Patient Zheng Weirong, male, 51 years old, chest CT examination results came out immediately. The patient had a penetrating chest injury, tension pneumothorax, and esophageal damage.

Huo Yonglin, who was about to get off work, did not leave when he saw such a serious patient being brought in. He stayed to direct the rescue work.

Please ask for multi-disciplinary consultation. Since there are no family members, you have to contact the medical department to sign.

However, with Wang Chen here, Huo Yonglin felt a lot more relaxed. In about ten minutes, all the pre-operative preparations were completed.

Zhao Lei was about to push the patient to the operating room. At this time, a fat man in his forties in a suit and leather shoes hurried in from the west door of the emergency room.

The worker who came with the patient saw this person and waved quickly, "Boss Yang, here he is!"

The fat man walked over quickly, saw the patient on the flat car, and asked anxiously: "How is Old Zheng?"

Wang Chen replied: "The patient has a penetrating chest injury, combined with tension pneumothorax and severe esophageal damage. In short, the patient's condition is very serious and requires immediate surgery!"

When the fat man heard this, his face was full of worry: "Doctor, you must treat him well. I'm sorry to trouble you. I'll pay the fee first. We won't be in arrears. You must try your best to save him!"

I didn’t expect that I could meet such a conscientious boss now. It’s really not easy.

Soon, the patient was pushed into the emergency operating room.

Emergency surgery is about to begin.

The backbone of the cardiac surgery department, thoracic surgery department, imaging department, and gastrointestinal surgery department were all present.

There are also intensive care unit, anesthesiology department, blood transfusion department, laboratory department and other departments, working together and cooperating in a tacit understanding!

Wang Chen estimated that the next rescue operation might take several hours to complete.

Operating room.

Huo Yonglin, Wang Chen, and Zhao Lei came from the emergency department, Zhang Lijun came from the cardiac surgery department, Zhang Hui came from the gastrointestinal surgery department, Yin Yongqiang, director of the thoracic surgery department, and Zhang Kemin, director of the anesthesiology department, were all waiting for the operation to start.

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This rescue was a matter of life and death.

"Wang Chen, do the surgery!" Huo Yonglin handed over the job of being the surgeon for this rescue to Wang Chen.

In this surgery, the surgeon not only performs the surgery, but also coordinates the entire process of the surgery.

Although Yin Yongqiang, director of the Department of Thoracic Surgery, has not yet performed an operation on the same stage as Wang Chen, he has heard a lot about Wang Chen's deeds, and he also saw the strength of this young doctor during a hospital-wide consultation.

It doesn't make much sense for him to be the surgeon.

Zhang Lijun and Zhang Hui did not have any objections.

Wang Chen nodded, with a sense of responsibility. He walked forward and said seriously: "Prepare for tracheal intubation!"

"Prepare IV access!"

When the nurse heard Wang Chen's words, she quickly got up and started working without any hesitation.

A few minutes later!

"Tracheal intubation was successful and intravenous access was established."

Wang Chen nodded and continued: "Prepare for extracorporeal circulation!"

Wang Chen arranged the rescue work in an orderly manner.

"Prepare the plasma!"

"The plasma is in place!"

…

Wang Chen's orders continued to be issued, and the medical team continued to respond. The cooperation was very tacit, and rescue measures continued to take effect, trying to save the patient from the brink of death.

The rescue team was all waiting for Wang Chen to issue an order. At this time, no one doubted Wang Chen, because his strength was already obvious to everyone.

Next, the surgery begins.

Wang Chen is the chief surgeon, Zhang Lijun is the first assistant, Yin Yongqiang is the second assistant, Huo Yonglin is the third assistant, Zhang Hui is the fourth assistant, and Zhao Lei is not needed.

The first step is to perform a thoracotomy.

So, the question is, how to choose the incision?

Because there are too many factors to consider when choosing the incision this time: it is necessary to ensure the absolute safety of the patient, not increase the amount of bleeding, and not damage the surrounding tissue; it is also necessary to consider whether it can repair all major injuries as much as possible; and it is also necessary to consider whether

It is convenient to remove the steel bar inserted into the chest.

An incision requires so many important issues to be considered at the same time.

So, everyone pondered, how should I choose this incision?

Wang Chen did not rush to perform the operation, but turned around and said to the traveling nurse next to him: "Help turn on the backlight, and I will take a look at the film."

The circulating nurse nodded quickly and ran over to turn on the backlight.

After watching the film, Wang Chen was silent for half a minute. Then, Wang Chen turned his head and glanced at the indicators on the ECG monitor. The patient's vital signs were stable, his breathing was even, his blood pressure had risen, and his blood oxygen saturation had returned to normal levels.

Immediately, he picked up the scalpel and began his own operation.

The knife cut across the skin, and Zhang Lijun quickly took the hemostatic gauze and got ready.

However, when they saw the incision chosen by Wang Chen, several people frowned and started to think!

With Wang Chen's level, he definitely didn't do this casually.

So, this location...

Soon, Zhang Lijun's eyes lit up and he was the first to react. This incision could effectively avoid the aortic trunk and ligate the thoracic blood vessels.

Soon, as the chest was opened, everyone saw the situation inside. It can be said that it was terrible and the damage was very serious.

Because the steel bar fell from a high altitude and penetrated the patient's chest, the sternum and ribs were not fractured.

However, when the steel bars are penetrated, the blood vessels are damaged, which is very tragic.

Subclavian vein injury, right innominate vein disconnection, and aortic root tear.

Among them, the most critical one is naturally the tear at the root of the aorta. The steel bar running through the chest is currently close to the aortic trunk. The wound is still tightly attached to the steel bar at this time, so not much blood is pouring out.

But this must be dealt with in time, and where the right innominate vein enters the superior cavity, close to the heart and aortic root, there were three huge tears, the largest of which was nearly 2 cm.

However, this is not the end yet. Deep down, the damage to the lungs is constantly being exposed.

Right hilum tear, azygos vein rupture, right upper lung injury, right upper bronchus rupture.

Seeing the severely damaged lungs, Yin Yongqiang, director of the Department of Thoracic Surgery, couldn't help but sigh. This level of damage was beyond his level.

The other directors also looked solemn, and Zhang Hui even took a breath of cold air and hissed...

After the thoracotomy was completed, Wang Chen displayed all the surrounding organs and tissues so that everyone could see them, so that he could have an estimate in advance.

After the exploration is completed, the next step is to remove the steel bars.

Wang Chen said to several assistants: "Prepare to ligate the blood vessels and take out the steel bars."

Zhang Lijun and Yin Yongqiang nodded.
Chapter completed!