"Intracranial pressure of 270, bone fracture of the left skull on the top of the head..."

Yan Feifan, who rushed to the emergency department of the affiliated hospital, made preoperative preparations quickly and meticulously while listening to the intern doctor report on Tang Qing's injuries.

"The two ribs on the left side were fractured, and a quick CT examination showed that the broken ribs injured the heart..."

"There is a lot of fluid accumulation in the lower abdomen..."

"Open fracture of the left arm, fracture of the left calf..."

After listening to the intern doctor's introduction, Yan Feifan in his heart also made it clear that Tang Qing had three fatal injuries.

Craniocerebral injury!

Heart damage!

Bleeding in the abdominal organs!

When Yan Feifan walked into the operating room, he saw Liu Yongling, the deputy chief physician of the emergency department, and Gao Jin, the attending physician, who was assisting his assistant to perform surgery on Tang Qing.

Tang Qing had three venous channels on her body and was transfusion of blood at the fastest speed.

Yan Feifan made great strides to the operating table and found that Dr. Liu Yongling was opening his chest for Tang Qing and Dr. Gao Jin was opening his abdomen.

He came directly to Tang Qing's head and opened her eyelids.

With the help of a small medical flashlight, Yan Feifan saw that Tang Qing's eyes were red.

This shows that the intracranial pressure has reached a dangerous situation.

"Craniocerebral ct images!"

Yan Feifan shouted, and a nurse came to him with a tablet computer, sliding to show one cranial ct images after another.

This is a craniocerebral image twenty-six minutes ago. Yan Feifan clearly saw the fracture of the skull and a small amount of fluid in the skull.

Nearly half an hour passed, the amount of bleeding in Tang Qing's cranial brain increased a lot, and there should be brain edema.

The most urgent thing now is to reduce intracranial pressure.

"Drill me the skull!"

Yan Feifan shouted, picked up a scalpel from the surgical instrument tray, and after a few strokes, he shaved the hair on the injured part of Tang Qing's head.

Then a nurse got started and quickly applied disinfectant.

Yan Feifan changed the scalpel and cut the skin with one piece, threw the scalpel, reached out to take the bone drill, and pressed the switch...

When Yan Feifan pulled out the bone drill from Tang Qing's head, a blood-colored fountain sprayed out and shot onto Yan Feifan's surgical gown, and a red body came.

Yan Feifan didn't care about this, but just kept an eye on the blood that was spewing out.

After a second or two, the blood flow became weak and turned into a small stream of water slowly emerged from the drilling hole.

This made Yan Feifan breathe a sigh of relief.

Such bleeding flow means that Tang Qing's intracerebral hemorrhage is not serious. Under the pressure of cerebral edema and intracranial pressure, the bleeding site has a certain possibility of self-healing.

You can ignore it for the time being.

Yan Feifan looked up at Tang Qing's chest, and his eyes narrowed.

My chest cavity has been opened, and I can see a bright red heart beating regularly...

However, there was a rib, the broken end, as sharp as a knife, which directly penetrated into the right atrium.

The wound that penetrated was as long as 15 cm long, and blood kept oozing out of the wound.

At this time, Liu Yongling's voice sounded, "Call for the cardiac surgery department, the situation is urgent, call the chief physician on duty outside the heart."

"Prepare extracorporeal circulation equipment..."

"Doctor Liu, let me do it!"

Yan Feifan interrupted: "The five big bosses outside the heart will not be on duty at night unless they are in special circumstances."

"It's better to let others come over."

"There is no need to prepare an extracorporeal circulation device. Even the patient's current injuries cannot withstand the tossing of extracorporeal circulation."

Liu Yongling questioned: "Doctor Yan, do suture surgery on the beating heart, do you confirm that you can?"

Yan Feifan nodded and said, "Right atrium, such a wound, Dr. Liu, I can do it!"

Liu Yongling simply and decisively decided to say, "Since you say yes, I will believe you, because you are extraordinary."

As he spoke, he gave up his surgery position.

Yan Feifan came to Tang Qing's lower abdomen in two steps and said, "The injured person's heart is still beating normally. You can ignore it first. You need to stop the bleeding in the abdominal cavity."

Tang Qing's abdominal cavity was also opened, but under constant aspiration, the abdominal cavity was soon filled with blood.

Obviously, this is a large blood vessel bleeding.

Dr. Gao Jin was still rummaging and had not found the bleeding point.

"Doctor Gao, let me do it!"

Yan Feifan put his hands into his abdomen and felt the direction of blood coming with his heart...

At the same time, based on the various organs in the abdominal cavity seen in front of him and Tang Qing's physical injury, he quickly simulated and calculated possible bleeding parts in the world of consciousness.

Left arm...

Left leg…

Yan Feifan swam quickly to the left side of his abdominal cavity, and felt the surging of liquid...

The renal artery at the root of the left kidney is torn!

The hemostasis clip was used to stop bleeding from the left renal artery. After aspiration, the abdominal cavity finally became refreshed.

Liu Yongling spoke again: "Doctor Yan, leave the abdominal injury to me."

"You're going to deal with your heart injury."

"Dr. Gao, you assist Dr. Yan..."

Under the arrangement of Dr. Liu Yongling, his and Yan Feifan and Gao Jin's surgical position changed again.

Because of the sterile operation regulations, changes in the position of the surgeon on the operating table must be followed strictly regulations.

The three of them raised their hands, almost circled around the operating table, and then changed back to back, which allowed each other to arrive at the suitable operating position.

With the current medical development, surgery on the beating heart is no longer very difficult.

However, it is still very dangerous to perform surgery on a heart with a diameter of 15 cm.

With the ability of the heart to pump out, a wound with a diameter of one centimeter can spray the blood in the body in just one minute.

In fact, as long as the whole body loses blood more than one-third quickly, he will die of blood loss and shock.

Yan Feifan volunteered to take the lead in the heart repair surgery, which was not allowed to make any mistakes...

Yan Feifan, who stood beside Tang Qing's left arm, observed the other section of the rib to judge the length of the rib section inserted into the heart.

With the help of a simulated model of the world of consciousness, Yan Feifan has analyzed that the ribs pierced into the right atrium have pierced the heart wall, but failed to hurt the atrium septum.

Yan Feifan first simulated the surgical process in the world of consciousness, and specially checked the suture before the operation.

The strength of myocardial strength not only has special requirements on suture depth and techniques, but also has extremely high requirements on the strength and toughness of the suture thread.

The sutures are all specially made, and this absorbable suture is worth thousands of dollars.

After confirming that there was no problem with the suture, Yan Feifan began to suture.

He stitched and fixed the wound on both sides of the wound to prevent the wound from expanding, and then stitched the wound around the inserted bone.

At this time, the suture line will not be tightened.

After the suture is completed, Yan Feifan will gradually tighten the suture as the bones are slowly pulled out, and close the heart wound.

In this process, the most critical thing is that Yan Feifan and his assistants need to work closely together...

After Yan Feifan finished suturing, he held a surgical tweezing hand with his left and right hands, firmly clamped the two threads of a suture thread, pulled it up and tightened it.

He and Gao Jin were in line with their eyes, and then focused on the wound of the right atrium.

"Pull...slow...pull...slow..."

Under Yan Feifan's command, Gao Jin directly grabbed the rib with his hand and slowly pulled it outwards with a brighter slight twitch.

It took a full one and a half minutes to insert the broken ribs nearly 2.5 cm deep into the heart before they were completely pulled out.

With the cooperation of the two, less than twenty milliliters of blood flowed out of the wound.

With Gao Jin's assistance, Yan Feifan tied the sutures.

After doing this, Yan Feifan felt a little relieved when he saw that only a small amount of blood was slowly oozing out of the wound on the suture and his heart was still beating tenaciously.

However, there is another key point to confirm, which is whether there are broken bones left in the wound or in the heart.

Yan Feifan's heart suture treatment cannot clean the wound.

If there are broken bones remaining on the wound, it is a big problem.
To be continued...