Chapter 173 Resolute Divorce
The two -cavity pipe was inserted in, the ventilator began to work, and one side of the lungs was stunned under Huang Qianqian's operation.
Now, it is better to see. There is a one -centimeter -sized mouth under the front wall of the heart, and the blood is flowing.
With such a small mouth, bleeding should not be very anxious, and people will not die for a while.
Wang Chen reached out, and the hemostatic clamp was shot in his hand.
Exploring the wound with hemostatic pliers, about 2 cm deep.
Wang Chen explored it for a while, and he could sew directly. And there was nothing here, just sew it directly.
Wang Chen reached out again and said, "Small needle, thin line."
The words were declining, and the needle holder was patted in your hand.
Small needle, thin line, long needle.
There are three stitches on the heart of the heart. It is very delicate.
With the strong heart of the heart, blood is no longer exuding blood in the damage.
Without the oppression of the pericardial plug, the heart beating is completely normal.
Wang Chen began to explore the lungs again to see if there were no wounds that had not been found.
After the knife is stabbed, heart bleeding is caused, because there is a pericardial protection in the outer layer of myocardium, all bleeding, most of which are accumulated in the pericardial bag. If the bleeding is relatively fast, the blood in the pericardium is more and more, and the amount of discharge is less than the amount of bleeding, resulting in stress stress, which causes stress to stress.
Increasing. As the pressure is getting greater, the heartbeat will be limited. The most serious case is the power of pressure greater than myocardial beating, causing the cardiac arrest.
However, the solution to this problem is also very simple. Cut the pericardium, release the blood, reduce the pressure, and the heart will be beating again.
However, it must be fast, in time, after the cardiac arrest, the happy bag is immediately cut for decompression. Others are not important, but it is not important for this step.
It doesn't matter if you open the chest cavity to cause open pneumothorax.
The heart stopped and beating, and the breath was not pneumoniated, is it important? If everyone is dead, who will be in the pneumothorax.
Nympho
After sutured the heart, Wang Chen looked at the inspiration and guarding, and saw that ECG was sinus arrhythmia. He knew that the patient had been rescued.
"Boss, how did you diagnose the patient's pericardium?" Li Mu asked curiously.
"This is simple. Put your fingers in and touch the pericardium. The pressure is very strong.
Speaking, Wang Chen took the warm saline handed by Bai Wei, poured into the chest cavity, returned the sterile pot, and continued to warm salt water.
"Yellow, two -cavity ventilation." Wang Chen asked Huang Qianqian to open the bipolar tube to see if there was any place in the lungs.
Observe the saline in the chest, and there is no bubbles out, indicating that the lungs are not ruptured.
The main steps of the operation have been completed.
Li Mu took the salt water in the chest, and Wang Chen said: "Prepare antibiotics, cephalosporone, Pipana Taman."
There are already exposed operations, and infection is necessary. The use of antibiotics is hoped to reduce the infection.
The warm salt water gauze covers the chest cavity, and the numbers and waveforms on the monitor are very stable, and Wang Chen can rest assured.
In the past, penicillin and cephalosporin had to do leather test. Now, there is no need to do skin test. The antibiotics are used directly.
The nurse opened eight cephalosporone, and poured into the basin. The instrument nurse handed the pot to Wang Chen.
Wang Chen sprinkled antibiotics in his chest, and then began to close his chest.
Remove chest closed drainage, pericardium drainage, suture layer by layer, close the chest cavity.
The anesthesiologist Huang Qianqian began to rise, and the countless gases of the snoring in the chest bottle came out.
After surgery, the patient should be sent to the intensive care unit with the tube to live for 24 hours. If the state is stable, after the next day, the tube is pulled back, and then returned to the emergency ward.
"I went to the family members of the patient and told them the surgery. In addition, there were some procedures that could not be handled." Wang Chen turned and stepped down and took off his gloves.
"Boss, wait a minute!" Li Mu stopped Wang Chen. He came over and whispered, "Do you know how this person hurts?"
Wang Chen remembered that he just cared for surgery just now. As for how the patient was stabbed, I really didn't know.
However, seeing Li Mu's appearance, it seems that this is not easy.
"When I was in the car, I asked the family members. The family members said that they had quarreled with their husband and wife. For a while, the woman was stabbed by the man."
"However, through the abnormal performance of women and her son, I guess that this knife should be stabbed by their son."
Li Mu told Wang Chen in a whisper.
"My son is Laozi? Why?" Wang Chen frowned.
"I guess it should be that this man wants to hit his wife, and he was seen by his son, and then ..."
"Well, we just save people, and the others are different." Wang Chen said.
As doctors, their duties are to save people and save people. As for good or bad people, they are to save them.
Opening the door, Wang Chen asked the woman outside: "Are you the wife of the patient?"
"Yes. Doctor, how is he? Are you dead?" The woman asked nervously.
However, in this woman's eyes, Wang Chen still saw a hint of expectations.
Wang Chen froze. It seems that the family does not want much hope. This man can survive.
"The rescue is successful, you need to go to the guardian for a while. If you go smoothly, you can go out tomorrow and go to the general ward." Wang Chenru said.
However, when he heard the success of rescue, women and young men did not show their joy, but were a little disappointed.
"Oh, troubled doctor." The woman said indifferently.
"Well." Wang Chen shook his head. It seems that this family is not very harmonious.
However, this is not what he should worry about. He said to the two: "You two, one is waiting for the patient to come out, one pays me, sign, make up the procedures."
When I returned to the examination room again, Liu Bo had finished the operation long ago.
Wang Chen explained a few sentences about the patient's stabbing, the pericardium filled the patient, and then changed clothes home.
This day is really ... full.
Two days later, Wang Chen and Li Mu checked the house together, and followed the intern in the back.
After watching the patients who filled the cardiac, they walked out of the ward. Wang Chen explained: "The patient's condition is stable, and today you can extract the tube."
"Yeah, so heavy, it's okay so soon?" The intern was a little surprised.
He only learned after the inspection of the room yesterday. Teacher Wang rescued such a patient the day before. After returning, he deliberately checked a lot of information and learned about the severity of this heart stabbing.
The strength of the teacher Wang Chen.
"Yeah, as long as the rescue is timely, there is no complications of cerebral edema or something, nothing happens." Wang Chen laughed: "But after surgery, lung infection is a tricky thing."
"Boss. I have already inquired, do you know how this man hurts?"
At this time, Li Mu seemed to be the old ladies who liked gossip in the village.
"How hurt?" Wang Chen asked.
"Like what I thought before, it was this man who often violence his wife and children.
Being a man, the man was shameful and angry, and he lost his mind. He picked up the fruit knife on the table and stabbed it towards the mother and son. "
"The young man's eyes were fast, and he grabbed his father's hand. During the dispute between the two, the knife stabbed into the man's chest."
After listening to Li Mu's finish, Wang Chen looked at him in surprise, "How do you know these things?"
"Hey, isn't this a man who has been awake, I heard it from their conversation." Li Mu said with a smile.
"Then how do they plan to solve it?" Wang Chen asked.
"Men have guaranteed it, saying that they would not report the case, and from now on, they will never do the mother and child."
"What does the mother and son's opinion?"
"After the man is discharged, he resolutely divorces!"
When Wang Chen heard this result, he nodded.
Chapter completed!