Chapter 321: Chapter 322: Chen Cang, Your Turn!
Xia Gaofeng’s expression was stern as he asked, “What is the current treatnt? Has a blood transfusion been given?”
Upon seeing Xia Gaofeng enter, Wu Peng imdiately breathed a sigh of relief. This man was their pillar of strength, and he hastily explained, “Director, we’ve already started fluid resuscitation, and a blood transfusion is underway, but the blood pressure just isn’t rising – it either barely climbs before dropping again!”
Wu Peng’s words made everyone’s heart skip a beat.
This was a sign of active bleeding within the thoracic cavity.
In other words, it was the so-called progressive hemothorax!
With Wu Peng’s words, everyone imdiately understood that the patient’s condition had beco even more perilous.
What is progressive bleeding? It ans that there must be a rupture of a major blood vessel in the chest cavity, otherwise, the bleeding would not continue unabated like this.
Moreover, this type of progressive bleeding required imdiate thoracotomy to explore and stop the bleeding.
In such situations, soone must stabilize the morale of the troops.
And the chief director of cardiac surgery, Xia Gaofeng, stepped forward!
Xia Gaofeng remained calm and collected, his face grave, but he showed not a hint of panic. After ticulously assessing the patient’s condition, he systematically made a series of arrangents and said to Wu Peng, “How much thoracic drainage? Show the chest X-ray.”
As Wu Peng was retrieving the chest X-ray from its envelope, he answered Xia Gaofeng, “The thoracic drainage has already exceeded three hundred milliliters!”
“But after extracting blood via thoracentesis, the accumulated blood in the chest cavity is increasing rapidly!”
Xia Gaofeng, looking at the X-ray with a grave expression, noticed the shadow in the pleural cavity continuing to grow!
“It hasn’t clotted, has it?”
Wu Peng nodded: “No.”
Xia Gaofeng knew what to do: “Prepare for surgery imdiately, thoracotomy to explore and stop the bleeding!”
Wu Peng was taken aback, “Director Xia… Shouldn’t we wait for the thoracic surgeons?”
Xia Gaofeng, pointing at the patient in the resuscitation room, retorted, “Who’s waiting for them?”
The phrase “Who’s waiting for them” sent a shiver through Chen Cang’s heart.
…
…
At this critical mont, a thoracotomy to explore and stop the bleeding, tily blood volu replacent, and shock correction were necessary!
The handling of ergency patients truly showcased the capability and level of a hospital.
Shortly after finishing the consultation call, specialists from cardiac surgery, orthopedics, cardiology, pulmonology, and thoracic surgery were all on standby!
“Establish the intravenous access!”
“Fluid resuscitation complete!”
…
All tasks were being carried out in an orderly manner.
At this mont, a sudden piece of news threw everyone into disarray.
“The patient is choking!” a nurse who was monitoring the patient’s condition suddenly exclaid.
Accompanied by that slightly trembling voice, everyone present couldn’t help feeling a chill in their hearts.
Choking…
This was hardly good news.
Choking for an extended period can cause anoxia in the body, and a few minutes of brain hypoxia can lead to irreversible brain damage, or even anoxic manifestation in various organs.
The human body is as if made up of countless living entities, and oxygen is their nourishnt. Their frail bodies can starve to death in just a few minutes without it.
In terms of the body, this manifests as tissue and organ necrosis.
Choking?
Why would this happen?
Could it be an airway obstruction from foreign matter in the mouth?
Such as secretions?
Or phlegm?
A blocked airway?
Or maybe…
A terrifying thought arose in everyone’s minds.
Tracheal rupture?
Accompanied by thoracic cavity bleeding.
Causing blood to obstruct the airway!
If it were the latter, that would be dreadful.
Xia Gaofeng’s face changed suddenly:
“Suction sputum, clear the oral airway obstructions!”
“Open the chest for hemostasis imdiately!”
“Repair the ruptured airway!”
…
A series of orders were issued thodically, and everyone was busy working tensely.
The most critical part of this surgery was the thoracotomy to explore and stop the bleeding!
The thoracotomy must be completed within the set ti to quickly control the bleeding vessel.
And to suture the damaged airway!
At this mont, a wad of phlegm was suctioned out.
The patient’s breathing once again resud, and everyone couldn’t help but breathe a sigh of relief.
However, Xia Gaofeng furrowed his brows.
No, this isn’t right!
There must be another reason, not just the phlegm!
Moreover, the patient’s blood oxygen saturation was continually decreasing.
Xia Gaofeng rapidly issued instructions.
Although it wasn’t blood entering the trachea, but… one can’t rule out this possibility.
Now it’s a wad of phlegm, but what if it’s a large volu of blood next ti?
The thoracic surgeon was cooperating with Xia Gaofeng in performing an open chest surgery, with ng Xi assisting and helping.
The thoracic surgeon was a senior attending physician in his mid-thirties.
Soon, the chest was opened!
Countless pieces of gauze had been used, piling on the side on top of surgical towels, while the blood inside the chest cavity even had to be aspirated with a syringe.
Soon, the source of bleeding was found!
An aortic arch had a contusion fracture wound; blood was continuously spurting out, the jetting blood just able to reach the damaged tracheal opening. It was likely that in conjunction with the phlegm, asphyxiation had occurred.
Next, the main focus was on the damaged aortic arch!
The suturing had to be completed in a very short ti.
Dealing with such ruptured blood vessels was extrely troubleso.
Xia Gaofeng’s eyes and hands were quick; he swiftly used his hands to block the vessel, and imdiately the bleeding was much better.
An open-handed hemostasis thod.
What followed was the suture of the blood vessel.
But… there was too little ti for aortic repair and suturing.
Xia Gaofeng was already having a difficult ti with it now.
It’s true that surgeons get richer in experience with age, but similarly, with age cos an array of problems brought about by aging.
But who to do it?
Who should do the suturing?
This was a difficult question.
Glancing at ng Xi, he saw that she seriously shook her head, saying, “I can’t do it! In such a short ti… I won’t be able to suture well.”
Xia Gaofeng looked at Ge Huai but, seeing Ge Huai’s hesitant gaze, Xia Gaofeng imdiately shook his head in negation before even asking him.
Turning to look at Chen Cang, he solemnly said word by word, “Chen! You do the suturing!”
The mont these words were uttered, the surroundings imdiately went silent.
Chen Cang to suture the aorta!?
Who is this person?
His clothes were clearly those of a dical intern.
Director Xia… actually asking a student to suture, this was too risky!
At this thought, everyone’s expressions changed.
This was no ordinary surgery; this was a dical ergency, where every second was critical.
It was the aortic suturing, where a slight mistake could an life or death.
And you’re actually getting a student to perform such surgery, is this not too hasty!?
But… this was Xia Gaofeng’s order!
As the person responsible for this operation, on the operating table, this was the supre command.
Chen Cang had no hesitation, his eyes already started forming various red nas.
There were multiple bleeding points!
But the largest was on the aorta, which was the main cause.
Chen Cang was extrely calm and, without any hesitation, confidently took over the suture thread, looking at Xia Gaofeng: “Director, I will count 1… 2… 3, and you’ll do the ligation!”
Xia Gaofeng nodded!
At that mont, everyone nervously focused on this surgery!
Nervousness!
Asphyxiation!
Everyone took a deep breath, waiting for the surgery to begin.
They were eager to know what it was that made Director Xia favor a young man so highly.
Trusting a student to suture the aorta defect.
Because… suturing the aorta needs to be done as quickly as possible!
There’s no fastest, only faster!
But at the sa ti, the suturing of the aorta also needs to be as tight as possible.
As the body’s largest hub of blood circulation, one of the most active sites for blood, it must be guarded closely, the suturing has to be secure!
So, the suturing this ti, exceptionally aningful, was full of difficulty!
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