svetikya Chapter 164
Chapter 164
"Puncture needle."
Anesthesia was injecting anesthetics on the side. Xiao Chenguang stretched out his hand and the steel needle in the puncture bag was handed to him by the instrument nurse.
Because the hematoma cavity was on Xiao Chenguang's side, his eyes were sharp, and pictures of hematoma puncture and drainage quickly emerged in his mind.
Determine the puncture site, two points in a straight line, and insert the needle at the highest point.
Avoiding the thyroid gland, lymph and other neck tissues, Xiao Chenguang used precise and skilled operations to insert the thick needle directly into the center of the hematoma cavity.
Suddenly, the pressure in the hematoma cavity was released, and a stream of dark red blood spurted out of the needle tube.
Seeing this, Anesthesia hurriedly used a sterile bowl on the side to catch it.
In the blink of an eye, about 50 milliliters of drainage volume filled most of the sterile bowl.
Seeing the blood in the bowl quickly solidified into a semi-jelly-like state, Anesthesia was shocked.
"There is so much blood and fluid accumulation. Fortunately, it is drained out now. Otherwise, it will be troublesome when the blood coagulates into a block."
Anesthesia immediately remembered Xiao Chenguang's previous instructions. It seems that he had expected this to happen.
That's why he asked the operating room to prepare the puncture kit in advance.
If Xiao Chenguang hadn't reminded him just now, and he had directly chosen to give oxygen under pressure, the coagulated hematoma cavity might have been enough to kill Dr. Li before the blood oxygen was restored.
When he thought of this, Anesthesia suddenly felt the cold wind and shivered.
"Traumatic coagulation occurred so quickly."
Seeing this scene, Xiao Chenguang naturally knew the reason why Li Cheng suddenly suffocated.
When the human body is traumatized, it will accelerate platelet aggregation, improve the healing ability of the wound, and prevent tissue bleeding.
But Dr. Li was too seriously injured and the body could not stop bleeding. He could only rely on Xiao Chenguang's pressure to stop bleeding to be effective.
However, some of the blood that seeped into the subcutaneous tissue quickly coagulated, squeezing the trachea and causing suffocation.
"Give me the scalpel, prepare to cut and drain."
All the blood must be drained out, otherwise there will be a risk of suffocation.
Xiao Chenguang took the scalpel and quickly made an incision based on the puncture point.
Some deep blood clots were also cleared out by Xiao Chenguang. At this time, a long inhalation sound came from Li Cheng's throat.
The originally struggling and restless body gradually calmed down.
At this moment, the anesthesia has been paying attention to Dr. Li Cheng's breathing and blood oxygen with his peripheral vision.
The blue curve on the monitor that dropped sharply rose vertically, and even Li Cheng's chest resumed regular ups and downs.
"Director Xiao, Dr. Li's blood oxygen saturation has returned to 90%."
The circulating nurse was very excited.
Li Cheng's originally purple face gradually returned to rosy, and as the danger was lifted, the operating room was no longer silent.
"Director Xiao, thanks to you."
Anesthesia was inspired. He was at the head of the bed, closest to Xiao Chenguang.
While helping him, he saw clearly the ability displayed by Xiao Chenguang.
Skilled in technique and accurate in positioning.
Incision, puncture, drainage, every step was smooth, just like what the TV station advertised, it was like a documentary reenactment.
The most important thing was that Xiao Chenguang pressed with one hand to stop bleeding, leaving only one hand to operate.
But even so, his operation was still as steady as a mountain, and the textbook-style incision and drainage was impressive.
As the drainage tube continued to enter the neck incision, the drainage ball was connected to perform negative pressure suction.
The problem of neck hematoma was solved.
At this time, the door of the operating room suddenly opened, and a group of people stood at the door.
Surgery, internal medicine, doctors, nurses, they all ran to the operating room after receiving the news.
Even the old expert who was panting before was among the crowd.
They were anxious, their eyes full of worry, and everyone was angry about the attack on Li Cheng.
"How is Li Cheng? Is his life in danger?"
"Is he okay? If there is anything we can do, just tell me."
"Xiaocheng, you must hold on. Everyone is waiting for you here."
Gathered here were Li Cheng's master, colleagues, friends, and apprentices, but no matter how anxious they were, they did not rush into the operating room.
"Don't gather here, go back to your posts, and I will tell you when there is news."
Li Guoyong appeared in the crowd, panting slightly, and his shirt was mostly wet. It was obvious that he had run all the way from the office building.
Even though his breath was uneven, Li Guoyong's voice was still full of energy. He knew that as the leader of the hospital, he must not panic at this time.
"Director!"
"Director Li, please find a way to save him. Dr. Li should not be treated like this."
"Yes, Director Li..."
Some people were overly sad, some were indignant, and everyone's emotions became sensitive because of Li Cheng.
"Why panic? The whole hospital is organizingRescue, Li Cheng will be fine."
After that, experts in scrubs appeared around Li Guoyong.
Wang Jingang, director of general surgery, Xia Tao, director of thoracic and cardiovascular surgery, and directors of various departments of the hospital almost all appeared in the operating room.
As Li Guoyong said, the whole hospital is now using its strength to treat Dr. Li.
"What's Dr. Li's condition now?"
Wang Jingang strode around the crowd and walked directly into the operating room. When he saw Xiao Chenguang on the stage, he was stunned.
I suddenly remembered that this morning in the waiting room, opposite Xiao Chenguang, was Li Cheng's clinic.
Who on earth is so crazy that he can do such a thing.
Wang Jingang cursed inwardly, his face became uglier.
"Director, three carotid arteries are injured, and the trachea is also damaged. The risk of hematoma suffocation has just been eliminated, but there are probably other problems. "
Xiao Chenguang was relieved when he saw the directors rushing over.
He put almost all his energy into controlling the bleeding in the carotid artery. After all, if the force was too light, the bleeding could not be stopped. If it was too heavy, it would affect the blood flow and cause acute failure of various organs due to low perfusion.
It was difficult, really difficult.
The puncture drainage incision just now was already his limit.
If other emergencies occurred at this time, I am afraid Xiao Chenguang would be too busy to solve them.
When he explained Li Cheng's situation, Wang Jingang had already changed into surgical gowns, put on sterile gloves, and came to Xiao Chenguang.
"Take a rest, leave this to me. "
Wang Jingang's voice was deep and steady. He took over Xiao Chenguang's position, stretched out his hand to the innominate artery in the neck, and pressed gently.
The force was just right, just replacing Xiao Chenguang's hand.
On the other side, Xia Tao, the director of thoracic and cardiovascular surgery, put the stethoscope between Dr. Li's lungs after seeing his trachea rupture, and then changed his clothes and put on sterile gloves.
He took the thoracentesis needle prepared earlier and put a closed chest drainage tube in Li Cheng. Seeing the big bubbles coming out of the water seal bottle, he heard a gurgling sound in his ears. The sound of bubbles gurgling.
Tracheal rupture, leading to pneumothorax, although not serious, but if the intubation is directly used on the ventilator, Dr. Li's lungs will inevitably be damaged.
If the lungs are broken, even gods can't save him.
The two directors cooperated tacitly and acted quickly, giving people a sense of stability and solidity.
Seeing this, Xiao Chenguang's tense expression finally relaxed. At this moment, a panic came from the anesthesia at the bedside.
"Director, Dr. Li's trachea is not simply damaged, but directly broken!"