Chapter 449 The first operation in aid of Africa(1/2)
This is really an eye-opener.
This was the first time Chen Qi encountered such a trauma patient. He was actually pierced through the stomach by a fish.
Moreover, this fish was so big that Chen Qi couldn't help but look at it a few more times, and almost drooled in surprise. This was Zhenzong's seafood.
After all, Chen Qi is someone who has watched "Animal World". He knew it was a swordfish at a glance, but no other Chinese doctor had seen it.
The specialties of Haidong Province are small yellow croaker and hairtail fish. When have you ever seen such a giant fish? Putting it on a carriage, the visual impact is too great.
If this was the fishing guy from his previous life, he would have gone crazy with joy and dragged the big fish through the house three times without ever getting in.
Not to mention little girls and old women, even middle-aged men like Captain Qi and He Fule were extremely surprised:
"Hey, shit, what is this?"
"You can eat such a big fish in a few days, my dear."
"I don't know if this fish is delicious. Is it better braised or steamed?"
Wherever the Chinese go or see an animal or plant, the first thing they think of is whether it is edible? Is it delicious? It is really a country with big foodies.
Chen Qi had a dark look on his face: "Please, everyone, shouldn't we pay attention to this dying African fellow first?"
"Oh~~~"
Only then did everyone realize and started to rescue people in a hurry.
In addition to a few fishermen who came with Vivian, it is estimated that everyone from the tribal fishing village where Vivian is located came, at least more than a hundred people.
I don’t know if these villagers really care about their compatriots, or if they are just here to watch the fun.
Anyway, Africans don't have much employment rate. Farming fields and herding cattle and sheep are just a joke. They just rely on the weather or eat relief grains, so they probably have a lot of free time.
A group of black family members were crying and shouting nearby. Chen Qi couldn’t understand a word he said for a long time, so he pulled him over for a translator:
"Tell them to stop arguing. They are so stupid that they ask how long it has been since they were bitten by a fish?"
The translator answered after a while: "They said, about more than an hour."
Chen Qi came to Vivian again and measured the carotid artery and found that the person was still alive, but nothing else could be seen.
It is written in the book that hemorrhagic shock will cause a pale face, but this is not visible on Uncle Hei's face. His whole body is so dark that it is impossible to evaluate.
The family members were almost collapsed at this time and already regarded Vivian as a dead person.
In their pitiful understanding, unless God appears again, a sword pierces his stomach, and the backbone of the family will definitely be dead.
There is no subsistence allowance or preferential care in Sierra Leone. If Vivian dies and loses her financial resources, the consequences for Vivian’s family can be imagined.
Either they are forced to dig diamonds in the mountains, or they are forced to work as slaves for others, and they have no hope in this life.
So a young black woman with very big breasts hugged Chen Qi's thigh and burst into tears:
"Doctor, please save my husband. We are willing to be your slaves and serve you like a chief. Please save my husband."
Chen Qi shook the black sister-in-law several times but couldn't get rid of him. He quickly shouted to the translator:
"Tell her to stop howling. Isn't this a delay? If the injured person stabbed by the fish is not rescued, he will bleed to death."
Several women came over with translators and persuaded the crazy black sister-in-law, while Chen Qi quickly gave instructions to his subordinates:
"Xiao Yi, hurry up, cut off the long stinger of this fish. You can't bring the fish into the operating room, right?"
When Yi Zewen heard this, he took a machete from the side for cleaning the yard and chopped for a long time. As a result, the tip of the swordfish's snout was too hard and could not be chopped off.
Seeing that the patient was dying, Chen Qi became anxious:
"Old Wang, hurry up, get the electric saw and cut it, fast!"
Lao Wang from the logistics department quickly moved a huge cutting machine and cut off the tip of the swordfish's snout. Then Chen Qi shouted:
"Send to the operating room immediately, Chen Li monitors vital signs, and Yang Xiuxiu prepares surgical instruments; Lao He, you immediately prepare emergency anesthesia. A dead horse is a living doctor. We must fire the first shot when we open the door. Once cured, we have
If you eat swordfish, you can’t cure it by eating corn mush every day!”
The condition was an order, and everyone acted immediately. Several doctors rolled over the emergency bed and put Vivian on it.
As soon as Vivian moved, blood flowed out from the wound. Chen Qi looked at the guy, and the blood of this black uncle was really strong.
Just as Yi Zewen was about to hold gauze with his bare hands to apply pressure to stop the bleeding, he was stopped by Chen Qi:
"Xiao Yi, wait a minute, go back and put on gloves before rescuing. From now on, when rescuing fellow Africans, everyone must wear gloves. Have you heard this?"
Although the doctors present did not understand it very well, the leader's words were orders. If he did not manage, he would not understand, so he could only obey resolutely.
Chen Qi turned back to look at the crowd of onlookers:
"Whoever, please translate, please notify the villagers immediately and have them all line up. You guys, immediately do their blood types and draw blood. I need a lot of blood for rescue here."
When Chen Qi was at Huangtan Health Center, he rescued a girl who was bleeding heavily, asked everyone to donate blood, and then directly injected it into the patient's body.
He was quite hesitant at the time. After all, this was an illegal operation. Although it could save lives, it also had certain risks.
It's a different story in Africa now. This country probably doesn't even have legal order, let alone restrictive restrictions like the Practicing Physician Law.
With fewer medical restrictions, doctors are more courageous and dare to let go of their hands and feet to rescue patients and risk their lives.
Otherwise, there are too many rules and regulations, and doctors will not risk resuscitation in order to protect themselves.
It is useless to save the patient, but it is troublesome to cure the patient. Almost 99% of the doctors choose not to save the patient, and the patient loses his last hope.
As soon as the translator heard that Vivian's condition was critical, he quickly ran to the fishing village by the sea to call for help.
Chen Qi quickly ran to the operating room to prepare for disinfection and surgery.
This is his first operation in Africa, and he is extremely eager to succeed. Besides, with so many doctors from the Haidong Provincial Medical Team watching, he has to show his skills, otherwise how will he be able to control people in the next two years?
In fact, the operating room has not been completely completed, and even the windows have not been installed. The African monsoon brings dust and the moisture of the sea water into the operating room.
Chen Qi couldn't care less about this. To him, it felt like he was back in the simple operating room of Huangtan Health Center.
Oh no, it's actually better than Huangtan Health Center. In Huangtan, all the equipment used is second-hand, and even the operating beds are made by carpenters themselves.
After all, this is foreign aid now, and all the equipment is brand new and provided by the country, so it will never fool anyone.
Although this is the first time for everyone to work together, everyone is very skilled.
After Chen Qi finished disinfecting and put on surgical clothes with the help of Chen Li, He Fule reported:
"Dean Chen, the anesthesia has been completed and the operation can begin."
Yi Zewen also reported: "Dean Chen, the disinfection is complete."
Yang Xiuxiu acted as the instrument nurse and said softly: "Dean Chen, all surgical instruments and equipment are ready for graduation."
Chen Qi nodded: "Okay, let's start the first operation of our Haidong Aid Africa Provincial Medical Team."
"Chen Li, I leave the blood transfusion to you, you must be quick!"
"Okay, Dean Chen!"
At this time, Captain Qi from the medical team also rushed to the operating room. He was originally discussing follow-up work with local Ministry of Health officials outside, but when he heard that there was an emergency rescue in the camp, he couldn't sit still and rushed back.
"Chen Qi, how are you? Are you sure? This is our first operation. More than a hundred African fellows outside are waiting for the results. Even officials from the Serbian Ministry of Health have come over."
Chen Qi thought to himself, I haven’t had the surgery yet, who knows if I’m sure.
One is that one does not know what is going on inside a penetrating abdominal injury, and the other does not know how much blood loss has occurred. How can this be said well?
But after all, Chen Qi has been a dean for a few years and is not a straight man, so he still needs to give his leaders confidence.
"Qi Chu, don't worry, I will do my best. You see, the fish bone is stuck on the left side of the abdomen. From an anatomical structure, in addition to the intestines, it is the kidneys or spleen at the back. The patient is currently in shock.
I need to open my abdomen immediately for exploration."
When Qi Yunming heard this, he nodded repeatedly:
"Okay, let's start quickly."
Chen Qi didn't say much, walked onto the operating table, picked up the scalpel, and then nodded to Yi Zewen, ignoring the fish bones, and opened the abdominal cavity first.
Blood flowed out, and the operating room was immediately filled with the smell of blood.
To rescue a penetrating abdominal injury, the first step is not to remove the fishbone, but to first know which organs the fishbone has pierced, and then to temporarily block the relevant blood vessels in a targeted manner, so as to avoid major bleeding.
Heavy bleeding is the natural enemy of any surgery, and it often determines whether the surgery will be successful, so it is very important.
After Chen Qi opened his abdominal cavity, he breathed a sigh of relief:
"Okay, okay, my kidneys and spleen are fine. I just punctured the sigmoid colon. I guess the repair operation won't work. I have to cut off a section of the intestines."
This surgery is not difficult for Chen Qi, and even Yi Zewen should be able to perform it easily.
As long as a large amount of blood and fluids are replenished during the operation, vital signs are maintained, and infection and inflammation are treated promptly after the operation, most patients can still survive.
But what Chen Qi didn't know was that the operation, which was not difficult for him, was extremely difficult for this group of black uncles who were basically in a primitive tribal state.
For them, an ordinary, small appendicitis or kidney stone may kill them.
In the camp, a group of black uncles showed their arms and started donating blood.
In the operating room, Chen Qi was as sharp as a knife, trying to remove the fishbone in the shortest possible time, remove part of the sigmoid colon, and perform an intestinal-to-end anastomosis.
After this process, 3 hours have passed.
To be continued...