He quickly looked at Dr. Huang and the nurse who had undergone the operation, and was sure that they did not notice what they looked like, and then he breathed a sigh of relief.

None of the three people who were concentrating on the operation of this small episode were discovered.

Dr. Huang was still groping between several small intestines in Fang Wei's belly, and suddenly heard the nurse next to him startled: "No, the patient's blood pressure has dropped!"

Ye Nan was shocked and quickly looked at the monitor. Sure enough, his blood pressure had dropped to 55/35mmhg. After thinking for a while, he thought to himself: "It should be caused by the operation that caused bleeding again!" After hesitating, he explained to the nurse: "Accelerate the blood transfusion and infusion speed, and quickly replenish blood volume! At the same time, he pushed 40mg of batrecapsulation to stop bleeding!"

The nurse looked at Dr. Huang. Dr. Huang had already stopped searching for bullets in Fang Wei's stomach. Seeing that the nurse looked over, he nodded in agreement and said, "Speed ​​up, hurry up!"

After being recognized by Dr. Huang, the nurse quickly adjusted the blood transfusion and infusion speed, and applied medicine to it, and pushed it neatly through the infusion tube.

Seeing that the drug had been pushed in, Dr. Huang nodded and signaled him to continue. At this time, the abdomen had already been opened and he could not waste any more time. Judging from the situation just now, the problem should not be very big. After all, there are still several units of blood backup, which is enough to support the operation.

Fortunately, Dr. Huang started searching again. Fortunately, after a gentle fumble inside, he finally took a breath and slowly took his hand back. He pinched a bullet on the fingers of the latex gloves with a lot of blood, and hooked up a small intestine.

Seeing the bullet being found, Ye Nan breathed a sigh of relief. Looking at the small intestine that Dr. Huang was hooked in his hand, there was also a noticeably yellow bullet hole on the milky white and warm intestine. Now, yellow-white pulp liquid is slowly seeping out of the rupture.

Dr. Huang pointed to the bullet hole and chuckled at Ye Nan: "He is really lucky. The bullet is nailed to this hole and stuck in the back abdominal wall, so there is basically no leakage of digestive fluid in the abdominal cavity. The main reason is that a lot of blood is accumulated inside!" After saying that, he ordered the nurse: "The third arc needle is hung with sheep intestinal thread!"

The nurse neatly found the sheep intestine thread and threaded the needle, clamped it with a needle holder and handed it over. Dr. Huang reached out to take it, and neatly used continuous suture to stitch the inner layer of the intestine tube, and used a knot to bury it in the intestine tube. Then he sutured the outer layer of the intestine tube with an intermittent cushioning style, and smoothly repaired the intestine tube. The sheep intestine thread used for suturing the intestine tube can be absorbed by the human body, so it can be sutured in the abdominal cavity without removing the stitches.

At this time, the two of them glanced at the monitor together, and their blood pressure rose to 75/50mmhg again. Seeing this blood pressure, both of them breathed a sigh of relief.

After Doctor Huang finished sewing, he put down the needle holder, took the hook from Ye Nan's right hand, and smiled and said to Ye Nan: "Mr. Ye has been holding his hand for so long, it's a little numb. Move it and wash the accumulated blood in his stomach."

Ye Nan took the rinser handed over to the nurse opposite and replied with a smile: "Okay, then I'll move a little!" He used to do this abdominal cavity rinser when he was internship. Even after two years, he is now as familiar as he is. He inserted the stainless steel tube of the rinser into Fang Wei's abdominal cavity through the opening in the big peritoneum, and gently pressed the flush button on the handle, and a warm stream of water rushed into the abdominal cavity.

Ye Nan held the rinser in his hand and kept moving up and down. He changed this position and tried to rinse the entire abdominal cavity as much as possible. When the saline rushing into the abdominal cavity obviously turned light red, Ye Nan pressed the water absorption button and extended the tube into one corner at a time, even into the piles of intestinal tubes, absorbing all the residual liquid as much as possible. After repeated this several times, the cleaning was finally completed.

Dr. Huang looked at Ye Nan's skillful movements, nodded with satisfaction, and looked at the monitoring instrument next to him. The blood pressure and heartbeat displayed on it were normal. He began to prepare to suture the abdominal cavity. However, this time he took the hook from Ye Nan's left hand and said to Ye Nan's smile: "There are two places to get the bullet later. I'll take a rest first. Seeing that Mr. Ye is so skillful, there should be no problem with this suture. I'll ask Mr. Ye to take action?"

Ye Nan smiled, not very worried about suture. After all, after the surgery was done by the teacher, he often gave Ye Nan a small opportunity to do it. Ye Nan was a little confident in this, so he nodded and said, "Okay, let me do the finale like this, Dr. Huang will take a break and give him guidance!"

Ye Nan took the needle holder and tooth-shaped tweezers handed over by the nurse, and carefully hooked up the big peritoneum stitches one by one by one by one by one by one. Although the technique was a little unfamiliar at the beginning, gradually after a few stitches, the speed became faster and faster, and the big peritoneum was quickly sutured.

Dr. Huang nodded frequently from the side and asked curiously: "Which department is Mr. Ye doing? Emergency surgery?"

Ye Nan knew what Dr. Huang was thinking, and he was also quite surprised. He hadn't started to do it for two years, and now he still had the skills and speed he was most proficient at the time, and he couldn't figure it out. So he handed the nurse the needle holder with few threads in his hand to change the thread, shook his head and smiled: "I am an internal medicine and pediatrician, but I went to the operating room two years ago!"

"What? Are you an internal medicine doctor? Not from the emergency department?" After hearing Ye Nan's words, Dr. Huang was also surprised. Looking at the speed and effect of Ye Nan's suture just now, he thought it was made by a veteran in the emergency surgery department for more than a few years. He couldn't help but sigh: "It's so terrifying to be young..."

After taking the needle holder for the nurse to change the thread, Ye Nan began to prepare to suture Fang Wei's abdominal wall muscle layer. Dr. Huang took back the hook pulling the cut and used tweezers to sort out the abdominal muscles on both sides of Ye Nan's side, and then took the thread cuts handed over by the nurse to help Ye Nan cut the thread.

This time the speed was significantly slower than when suturing the large peritoneum, because this suture was intermittent suture. You must sew a stitch, tie a knot, and cut it before sewing the next stitch. Moreover, the suture requirement is much higher.

After Ye Nan recalled the way of suture and knotting, he carefully clamped the abdominal muscles with tweezers with his left hand, held the needle holder with an arc needle and hooked up the abdominal muscles on both sides. After connecting it with thread, he loosened the needle holder, put down the tweezers, pinched the arc needle with his left hand and pulled it straightened the thread. The needle holder with his right hand wrapped around the straight line with his left hand. After hooking up two turns of the thread, he clamped the thread head opposite the incision and gently pulled it. The abdominal muscles on both sides of the incision were pulled together.

After the needle holder clamped the thread tip and repeatedly pulled it back and forth twice, the thread was basically tightened. Then he loosened the thread tip and turned it back twice on the thread pulled by his left hand. Then he clamped the thread and pulled it. A standard suture knot was tied. Dr. Huang held the thread and cut it neatly for Ye Nan to cut the suture for the first stitch.

With the familiarity of the first stitch, it was almost the next time. Ye Nan neatly hooked and tied the thread with the thread cut of Dr. Huang, the abdominal muscle layer was sutured in just ten minutes.

Although it doesn't seem difficult to sew these two layers, it requires a high concentration of energy when sewing. Ye Nan's forehead can't help but start to sweat a little. He turned his head slightly to signal. The nurse beside him quickly picked up the clean gauze carefully to wipe Ye Nan's sweat away to prevent the sweat from dripping into the patient's wound and causing infection.
Chapter completed!