After cleaning the abdominal cavity, Zhang Yan pulled out the silver needles that were directly applied to the organs, and then closed the abdomen.

"Intramuscular injection of 1 mg of morphine and atropine." After completing the abdominal closure, Zhang Yan said to the visiting nurse.

"1 mg of morphine and atropine for intramuscular injection!" the patrol nurse repeated, and then gave Deputy Director Liu an intramuscular injection of morphine and atropine.

Zhang Yan waited for a few minutes before pulling out all the silver needles from Deputy Director Liu's body.

Morphine-atropine is originally an analgesic used before surgery. When used in combination with anesthetics, it can avoid cardiac arrest caused by the effects of anesthetics.

The reason why Zhang Yan used it again after surgery was to relieve pain and relieve the mental stress of Deputy Director Liu.

Moreover, trouble also has a certain inhibitory effect on gland secretion.

Morphine alone may cause an increase in intestinal smooth muscle tone, leading to constipation, while the addition of atropine counteracts this symptom.

"Director Liu, the operation was successful, have a good rest!

After you pass gas, I will prescribe Chinese medicine to treat your gastrointestinal problems." Zhang Yan comforted you with a smile, turned around and left the operating room.

Deputy Director Liu looked at Zhang Yan's leaving figure with a complicated expression.

He was embarrassed to say just now that he had a duodenal ulcer. Of course he knew about it. He also consulted two doctors, Zhen Jia, and prescribed some Chinese medicine, but the effect was not very good.

Just because he always looked down on Zhang Yan, he didn't go to see Zhang Yan for medical treatment or medicine.

Zhang Yan took a shower, put on clean surgical clothes, and came to the treatment room again.

At this time, there were already five or six orthopedic patients in the treatment room waiting for him to set bones or reset joints.

The patient is not stupid. Although it is painful to wait for several hours, it is even more painful to undergo open internal fixation and osteosynthesis.

In comparison, they are more willing to wait for a while.

In fact, fractures hurt a lot at first, but when it reaches a certain level, you no longer feel the pain.

It's not like a broken finger or other injuries that cause constant pain.

Zhang Yan didn't know that Director Yang and Section Chief Cao were waiting anxiously outside the operating room.

Factory Director Yang, a materialist and proletarian warrior, couldn't help but secretly pray in his heart that nothing would happen to Deputy Factory Director Liu.

It doesn't matter if you get injured a little. The worst thing you can do is rest for a few months. This is not a work-related accident and will not have any negative impact on the factory.

But if Deputy Factory Director Liu just leaves, then this year's work will really be in vain.

This was less than an hour, and Director Yang felt it was so long, as if he had been waiting for a year.

Finally, just as he turned around again, took out a cigarette and lit it, the door of the operating room opened, and Zhao Shengli and the nurse came out pushing an operating cart.

"Xiao Zhao, how is Director Liu?" Director Yang and Section Chief Cao rushed forward immediately.

"The factory director is here!" Deputy Director Liu said weakly: "Ahem...ahem! The factory director is worried! I'm fine!

Dr. Zhang’s surgery was very good!”

"well!

Old Liu, you scare me to death! If something happens to you, how will I explain it to my siblings?" Director Yang excitedly held Deputy Director Liu's hand and said.

"It's okay, it's okay! It's just unlucky that I had a duodenal ulcer in the past few days, and then I was hit like this and my intestines were ruptured.

Dr. Zhang stitched it up for me, so it's no big deal!" Although Deputy Director Liu is weak, he is in good spirits.

Director Yang wanted to say a few more words to Deputy Director Liu, but Zhao Shengli stopped him.

"Director, Director Liu just finished the operation and needs to rest!"

"Yes, yes! Send him to the ward quickly and let Director Liu rest!" Director Yang nodded quickly.

Zhao Shengli pushed the hospital bed trolley, followed by Factory Director Yang and Section Chief Cao, and sent Deputy Factory Director Liu into the senior cadre ward.

Deputy Factory Director Liu is also a deputy department-level cadre, so staying in the senior cadre ward is not considered a violation.

"Old Liu, you rest first. I'm going to tell my sister-in-law to come over and serve you!" Director Yang and Deputy Director Liu said hello and left the ward.

Just now, Director Yang forgot to notify Deputy Director Liu's family because he was nervous.

It’s not that I forgot about it, but I subconsciously avoided the problem and didn’t think about how to face Deputy Factory Director Liu’s family.

Although Deputy Director Liu was injured, it had nothing to do with him.

However, many things cannot be explained logically.

As long as he is the director of this factory, everything in the factory is inseparable from him.

The output cannot increase because he, the factory director, is incompetent.

There was a safety accident or production accident in the factory, and it was because of his poor management as the factory director.

Even if the food is not good, some workers will scold him as the factory director for not caring about the lives of his employees.

It's just so unreasonable.

This is also one of the most important things you must bear if you want to wear the crown.

Now that Deputy Factory Director Liu has been rescued, he can finally inform Deputy Director Liu's family with peace of mind.

After borrowing the hospital's phone number to notify Deputy Director Liu's family, Director Yang did not leave. Instead, he asked the driver to drive to buy a bunch of nutritional supplements.

Although Deputy Factory Manager Liu may not be able to use it for the time being, there is no way to eat it.

However, this is not important.

Factory Director Yang waited until the family members of Deputy Director Liu arrived and offered some words of comfort, apologized, and said something about how he had not taken good care of Deputy Director Liu before he left.

After sitting in the car, Director Yang was a little lucky, thanks to Zhang Yan being there.

While he was waiting for the family members of Deputy Factory Director Liu, he communicated with Chu Yunlong and found out that at that time, Deputy Factory Director Liu's chance of survival was less than 10%.

Especially after being in shock for a long time, Deputy Director Liu was not revived even after using epinephrine three times.

If he cannot be revived a few minutes later, there is no hope of treatment at all.

Even if he wakes up, the chance of successful surgery is only 50%.

The so-called fifty percent means half depends on luck and half depends on God's will.

It was under such a situation that Zhang Yan was stunned to pull Deputy Director Liu back from the brink of death.

The protagonist, Zhang Yan, was currently undergoing consultation for another surgery.

After treating seven or eight patients with bone injuries, he encountered another more troublesome patient.

This is a case of rib fracture combined with hemopneumothorax caused by traumatic impact.

Hemopneumothorax, this has been proven during thoracentesis.

If a pneumothorax occurs, it is only possible that the lungs are ruptured due to external impact, causing a pneumothorax.

If this is the case, there is no need for surgery at all, just thoracentesis or closed drainage.

However, if hemothorax occurs, it means that the rib fracture is displaced and penetrates the lung tissue. It is necessary to judge whether thoracotomy, rib reduction and internal fixation, and closed drainage are needed based on the situation.

"The patient, a 47-year-old male, is a bus driver. At about 3:10 in the afternoon, while driving the bus, the road was slippery, causing the car's brakes to fail and hit a big tree on the road.

My chest hit the steering wheel and I developed severe coughing, chest tightness, difficulty breathing and other symptoms, and was sent to the hospital for treatment.

According to the X-ray, the fourth and fifth ribs were fractured and penetrated into the lungs, causing hemopneumothorax.

At present, the hemopneumothorax has been drained, and the patient's chest tightness, dyspnea and other symptoms have been relieved.

It is recommended to open the chest for exploration, rib reduction and internal fixation, and closed chest drainage..." Zhang Yan, as the first patient, introduced the patient's condition and treatment plan to the doctors attending the consultation.

"Everyone, let's talk!" Chu Yunlong said to everyone.

In the 1950s, cardiothoracic surgery in China was definitely in its infancy.

Even large hospitals like Peking University Hospital and Peking University Hospital have not made many achievements in cardiothoracic surgery technology.

And Xicheng Hospital is just starting out, just making an effort.

No real cardiothoracic surgery has been performed.

That's why today's case of rib fracture combined with hemopneumothorax was so taken seriously. Chu Yunlong and several experts from the Department of Surgery of Xicheng Hospital were all present.

"I think the rib piercing is not very serious. Can I have conservative treatment?

Your traditional Chinese medicine bone setting should be able to reset this situation, right?" the deputy director of cardiothoracic surgery asked.

"No, the ribs have penetrated into the lungs and cannot be restored manually." Zhang Yan shook his head. www.bǐqυgetν.℃ǒm

It's not that it's impossible, but that manual reduction will increase the trauma to the lungs.

"President, our hospital has never performed such a major operation. I suggest transferring the patient to another hospital." A vice president suggested directly.

Chu Yunlong glanced at the other party and said nothing.

If it's so easy to transfer to another hospital, why do we need to hold this consultation?

“In fact, this operation can be divided into three stages.

The first step is to open the chest for exploration to check the damage to the patient's lungs.

This is the most critical point.
To be continued...