Provincial Second Hospital, operating room.

Everyone flew up.

The retired old director of orthopedics has been squatting in the operating room for nearly 24 hours. During this period, he only had one meal and stood on the operating table at other times.

There are so many injured people, so many that they will never end.

As the equipment nurse was doing it, her eyes turned red, and one of them couldn't help but cry directly on the stage.

As a person in the operating room, I have never seen anything like that? No matter how miserable or sad things are, they can be treated tangibly as an outsider.

But this time, they didn't do it.

Director Lao Jing kept silent, but he stubbornly refused all requests to let him step down and take a break, even from the medical office.

After amputation, a group of patients were given another group, as if they were brave enough.

Director Jing doesn't want to see what happened before. He is old and has inconvenient legs and feet. If he has to go to the front line, he will at least drag two to three people to take care of him.

He plays the most role in his own way.

only……

There are so many patients with amputation, and the amputation surgery that you have done in your lifetime is not as good as those in these 24 hours.

This is still the premise that most severe cases are sent to West China for treatment.

The Second Provincial Hospital of the Provincial Hospital is not ranked high in the comprehensive strength of medical care in Chengdu, about the top five.

But even so, countless seriously injured people were still sent over.

Director Jing has been in a state of nearly 24 hours and has been overdrawn. He used to joke on the operating table and introduce his boyfriend to the nurses, but he didn't say a word.

The atmosphere in the entire operating room was compressed, and the air pressure was at least 5 Pascals higher.

He carefully devoted all his energy to the patients' limbs. The seriously injured people were injured and crushed by heavy objects. They were not treated in a short period of time. They developed compartment syndrome, and the range of amputation was much larger than expected.

He tried very hard to keep more limbs for the injured, but he couldn't do it.

The trauma fracture of the hematoma and tissue edema often cause the volume of the contents of the room to increase or be tightly wrapped, and local compression reduces the volume of the trauma chamber, which leads to an increase in the pressure of the trauma chamber.

When the pressure reaches a certain level [8.7kpa (65mmhg) for the forearm and 7.3kpa (55mmhg) for the calf], the arteries that supply muscles can be closed, forming a vicious cycle of ischemia-edema-ischemia.

This is a common acute symptom in clinical practice.

It is enough to cut the incision and reduce the pressure at all, and there is no need to amputate the limb at all.

However, in the face of natural disasters, almost all the injured were not treated immediately, which was completely opposite to the usual situation of singing and dancing. Most patients even pressed on their limbs due to heavy objects, and the huge pressure directly led to limb ischemia and necrosis.

The edema surface gradually spreads upward, spreading, and constantly spreading, leading to ischemia necrosis, and compartment syndrome continues to appear above the blackened limbs.

The scope of amputation has expanded, and many limbs that do not need to be amputated were amputated under Director Jing. He believed that he was committing a crime.

But not doing this will inevitably lead to more and more complications, which will cause the injured to fall into more difficult infections and poisoning.

With great pressure and self-blame, Director Jing's silent operation, one after another.

He knew that the three or five operating rooms next door were arranged for orthopedic surgeries; others were mainly neurosurgery.

In general surgery and thoracic patients, there are not many patients. Because of organ bleeding or pneumothorax, it is difficult for serious injuries to persist for more than 48 hours.

A middle-aged male seriously injured person was lifted down and his right thigh was intercepted.

If it is normal, the injured person only needs to undergo fracture fixation, which is great for incision and decompression.

But now, one thigh is going to be cut off...

"Next." Director Jing's voice was completely hoarse. Even he could not hear what he had just said.

Another patient was sent to the operating table. Director Jing sat on a stool in the operating room during the intermittent period, closing his eyes to rest. His little doctor was responsible for carrying patients, preoperative disinfection and other preparations.

There was a tight plastic bag on the patient's chest covered with medical tape. The orthopedic doctor took off the tape without hesitation and threw the plastic bag into the red trash can.

When the tour nurse saw this scene, she had just slept for a few hours and was still energetic.

Yes, I only slept for two or three hours the day before, and I spent all the rest of my time working, which can make people collapse.

But under the current circumstances, she is the most energetic person here.

The traveling nurse realizes that there may be something important in the plastic bag, such as the identity of the patient, so that the patient's family can find it.

She used oval tongs tongs to clip the plastic bag out of the red trash can and opened it to take a look.

"This patient's limb edema is not severe, Director. Sister Su, prepare..." The orthopedic doctor said halfway, and was interrupted by the circuit nurse.

"This is a medical record left by the frontline doctor." The nurse in a deep voice said.

"What?" The orthopedic doctor didn't understand, frontline? Doctor? Medical records?

There is nothing in the front line, and some places even need to airdrop water. The cost of airdropping pure water at one time can reach at least one hundred yuan per bottle.

Even so, due to weather reasons, most of the water and food cannot fall into the hands of the victims. The front-line command center continues to airdrop regardless of costs or costs.

What is missing is so short, and doctors still leave medical records on the front line?

Director Jing's eyes opened suddenly, and he stretched out his hand and said, "Show me."

A piece of facial tissue was handed to Director Jing. The whole piece of paper was wet and held in his hand, very heavy and heavy.

He looked at the messy handwriting on it and his nose felt sore.

Under what difficult conditions is this medical treatment...

Although he had no personal experience, Director Jing could imagine it.

After watching for nearly three minutes, Director Jing was silent and said nothing. His hands, who were carefully holding the tissue, trembling slightly, and the more he shook, the more he became.

"Director?" The nurse of the tour took a look and handed the tissue to Director Jing. Seeing that Director Jing was a little wrong, she asked immediately.

Director Jing didn't say anything, rubbed his face randomly with his big hand, and then said after his mood was a little calmer: "This patient had an thrombectomy surgery on the front line, which was 6 hours ago."

"..." The nurse in the tour was stunned.

"..." The orthopedic doctor who was disinfecting was also stunned.

Which conditions on the front line can you still undergo thrombosis surgery?

For severe trauma, thrombectomy surgery is many times more difficult than for general cardiovascular and cerebrovascular diseases.

Because the original normal physiological anatomical structure was destroyed, the embolets were numerous and dense, and it was difficult to remove them.
Chapter completed!