"The left hepatic injury is severe, the spleen is partially ruptured, and it needs to be removed..."

As the fluid accumulation in the abdominal cavity was eliminated, Fang Han began to investigate the situation in the patient's abdominal cavity. The patient's liver and spleen were damaged to varying degrees, and the hepatic artery ruptured, which is also one of the reasons why the patient's abdominal cavity has so much blood accumulation.

"The amount of bleeding is too large, we must find the bleeding point first." Director Wang frowned.

The patient was sucking all the time, but the blood in the patient's abdominal cavity kept surging.

Fang Han nodded: "Next, I will deal with several large bleeding points first, and then we will start to undergo hepatosplenectomy. Judging from the current judgment, the largest bleeding point should be below the liver, and someone needs to help me hold the liver..."

Fang Han pointed at a hospitalist casually and directed the other party to hold the liver. Sure enough, as soon as the liver was helped up, a large amount of blood flowed out from below.

"Doctor Fang, the patient's bleeding is too large, and our blood bags are not enough." A nurse next to him said.

"It's right." Director Wang also felt it was difficult.

"Doctor Fang, Manager Lin of Jiangping Medical Equipment, brought us a blood recycler and said he would lend us a free trial." A nurse came over and said.

"Well, then take it in and use it as soon as possible." Fang Han nodded.

Director Wang looked up at Fang Han, without saying a word, but was surprised. The medical representative of Jiang Ping Medical Devices seemed to be very flattering.

Medical representatives often send some new devices for doctors to use for free, but the key is that this time the other party’s blood recycler was delivered too timely.

Director Wang speculated that 80% of the medical representative was aware of the situation facing the Jiang Intermediate People's Court, so he specially sent such a device.

There is a saying that it is better to give it to you than to add icing on the cake. Although the other party’s move is not considered a timely help, it will definitely make Fang Han remember it.

......

In the operating room, the operation was carried out in an orderly manner, and at the same time, the third ambulance arrived as scheduled.

The third two ambulances were separated by less than ten minutes. Almost when Fang Han and his men started to open their stomachs, the ambulance had already arrived at the door of the emergency department of Jiang Intermediate People's Hospital.

This is the last ambulance and the last critically ill patient sent to Jiang Intermediate People's Hospital this time. But at the same time, this last patient is also the biggest challenge to the emergency department of Jiang Intermediate People's Hospital.

At this moment, Kuang Mingzhuo has undergone surgery in a hospital in Jiangbei District, Fang Han has already entered the operating room, Li Wenjun is still on the way, Lu Xinwen and Wen Xueyi are also still in the operating room, and the emergency department of Jiang Intermediate People's Hospital can be said to have no doctors to take the lead.

Miao Dalong, Ye Kai and others have sent the first patient to the ICU, and the last patient has fallen on Miao Dalong's head.

"The patient suffered a comminuted fracture of both legs and vomited a lot of blood."

Miao Dalong's head became bigger in an instant, and he had no way to deal with this external trauma.

"First stop serum invasion of the patient and ask Dr. Lu how long will the operation be completed?"

"There has been news from the operating room, and the progress of the operation has also accelerated, but it will take twenty minutes to finish at the earliest." Ye Kai had already understood the situation.

This time, Lu Xinwen did a broken limb replantation. The operation had already begun, so there was no reason to stop. However, after receiving the news, Lu Xinwen tried his best to save the operation time in order to free up the operating room as soon as possible.

Ye Kai followed Fang Han and experienced many scenes. He suggested on the side: "Doctor Miao, let's stop bleeding and debride the patient first to ensure that the patient's vital signs are stable and help the patient get time."

Miao Dalong nodded: "The patient's condition is quite complicated. In addition to trauma, the patient also has symptoms of yang and anti-yin deficiency. This vomiting of blood should be caused by excessive fatigue. Do you know the patient's identity?"

"I've understood it." Ye Kai nodded and said, "Four critically ill patients, one is a teacher, two are white-collar workers in the enterprise, and this one is riding a tricycle, making a living by pulling goods for people."

Miao Dalong said: "That's right, then let's try it with Shengmai San first."

.........

In the operating room, Fang Han was also worried about the situation of the last patient while performing blood vessel sutures, and said to the nurse on the side: "Ask Ye Kai what the situation of the last patient is."

The nurse hurried over and called to inquire, and came back soon to report: "Mr. Ye said that the patient was comminuted fracture of both legs and vomited blood. Now the patient's external trauma bleeding has stopped, but the symptoms of vomiting have not been stopped, and the patient's vomiting volume is very large."

"The phone call is connected, and I will talk to Ye Kai." Fang Han said.

The nurse hurriedly took out her cell phone and called Ye Kai again: "Mr. Ye, Dr. Fang talks to you."

As he said that, the nurse put his cell phone in Fang Han's ear. Fang Han kept moving under his hands, and at the same time he turned on the phone with Ye: "What's the patient's current situation?"

"The trauma bleeding has stopped, but the patient's vomiting symptoms have not been curbed. Dr. Miao has taken Shengmai San and Sanjia Fumai Decoction to the patient, but it doesn't seem to be effective."

"Tell me about the patient's situation in detail."

Ye Kai dared not delay and hurriedly said: "The patient is a hard worker who pedals with tricycles. Dr. Miao judged that the patient's vomiting blood may be caused by excessive fatigue and yang resistance to yin deficiency, Qi reverses blood movement..."

Fang Han didn't say anything. While doing the operation, he listened to Ye Kai's detailed explanation of the situation, and then said: "Since it is judged that it is yang to resist yin deficiency, then it is natural to use drugs such as Shengmai San. Buying an umbrella in life is to replenish qi and strengthen yin and save yin and resist yin. What you need to do now is not only to consolidate yin and relieve yang, but to replenish yin and suppress qi and stop bleeding... I'll tell you a prescription, remember it, 9 grams of Su Zi..."

Director Wang was stunned and almost forgot that he was undergoing surgery.

Is Fang Han still a human?

I am undergoing this difficult operation and I have time to control the remote control. How capable is this?

Through the operation at this time, Director Wang has already seen that Dr. Fang's left and right hepatic resection level is definitely the top in China, and should not be worse than Kuang Mingzhuo, Tian Yitao and others.

Especially Fang Han's ability to remain calm and adapt to changes in the face of danger really makes Director Wang admire him.

As the deputy director of the emergency department of the Affiliated Hospital of Medical Hospital, Director Wang has not had such major surgery himself, but has given many experts. Fang Han's level is definitely the best among the experts he has ever seen.

But no matter how powerful you are, you can't use it with one mind, right?

Miao Dalong was already worried about pulling his hair.

To be precise, the condition of this last patient is more special than the previous two patients.

The two patients sent earlier were just simple trauma, which means that the situation was caused by this accident. The last patient not only had a comminuted fracture of his legs, but also had a symptom of vomiting blood. From the current perspective, this vomiting blood is the most deadly.

The patient's legs have been curbed now, and he can wait until Wen Xueyi, Lu Xinwen and others have completed the operation, but this vomiting of blood...

After so much time, the patient has vomited a lot of blood, and Miao Dalong has also taken several urgent measures to stop bleeding. If the vomiting of blood cannot be stopped, even if Lu Xinwen and others have completed the operation, the patient will not be able to perform the operation.

.........

Twenty minutes, say it’s not long, say it’s not short.

"Trap the patient and then send the patient to the ward."

After Lu Xinwen and Wen Xueyi had the operation, they handed over the final work to Ersuke and Sansuke, and the two hurried out of the operating room.

The two of them entered the operating room at around 3 pm. It was less than 4 pm. It took less than four hours for two fingers. The speed was actually not slow.

Lu Xinwen said while walking: "This operation was quite smooth today."

"If we delay further, Dr. Fang probably should have cursed." Wen Xueyi joked.

"I didn't expect such a big accident to happen." Lu Xinwen couldn't help but shake his head. He was really shocked when he got the news in the operating room.

He knew the situation of Jiang Intermediate People's Court. At present, there is only such a large-scale operating room. It's okay if there is no accident, but if something happens, it will be amazing.

Lu Xinwen thought that the operation was done smoothly today, but the leader who was waiting outside did not think so. If a person is anxious, he would not judge based on common sense.

"Doctor Lu, Dr. Wen, Dr. Miao said that you will go to the rescue room immediately after leaving the operating room." As soon as the two of them left the door, they met the young nurse squatting at the door.

"Let's go." Lu Xinwen looked back at Wen Xueyi, and the two hurriedly walked towards the rescue room.

When the two walked into the rescue room, Ye Kai was calling, as if he was reporting the situation to someone else, while Miao Dalong was standing next to the patient to check the situation.

"Doctor Miao, Dr. Lu and Dr. Wen are here."

When Miao Dalong turned around, he saw Lu Xinwen and Wen Xueyi who had just entered the door.

"Doctor Lu, Dr. Wen, you can check the situation first."

Wen Xueyi and Lu Xinwen were not long-winded and walked forward to check the situation. They first performed a simple examination for the patient, and then checked the examination results and CT films that had been released.

"The patient had multiple fractures on his legs, so it was very difficult to do this." Lu Xinwen made a judgment.

"The right leg is better. If you have surgery, the probability of recovery is quite low." Wen Xueyi also said.

"vomit!"

As the two were talking, the patient opened his mouth and another mouthful of blood gushed out of his throat.

"The patient's internal organs are also damaged?" Lu Xinwen was shocked. He was just an orthopedic surgeon, and he was also a Western doctor, so he really didn't understand this situation.

"The patient is overworked and is already sick." Miao Dalong rubbed his forehead, his head getting bigger.

He has tried several methods, but nothing works. What should he do?

Miao Dalong was worried, and Ye Kaichang called and walked over: "Doctor Miao, Dr. Fang gave a prescription, let's try it."

"Fang Han?" Miao Dalong was stunned: "Isn't he undergoing surgery?"

"Well, Dr. Fang is undergoing hepatosplenectomy. I just talked to Dr. Fang." Ye Kai nodded.

"I..." Miao Dalong opened his mouth and didn't want to say a word.
Chapter completed!