Chapter 85 of 100
Chapter 85
7 min read1,773 words
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"Director Liang, the injured person is Comrade Yang Jie’s master. Since Comrade Yang Jie is willing to help, let him go in and do his best! No matter whether he can save the injured person or not, we won’t blame the health center." After Jiang Yi said this, Liang Chao could no longer find any reason to oppose it.
"Alright! You come in first and change into surgical scrubs. Once you enter the operating room, you must not speak loudly to avoid disturbing other medical staff." Liang Chao turned to look at Yang Jie, then pushed the door open and walked into the operating room.
Yang Jie nodded gratefully to Yang Hua and Jiang Yi, then, after ordering Xiao Wu to activate the medical assistance system, quickly followed Liang Chao into the operating room.
The conditions in the township health center’s operating room were quite limited, and it was far from a sterile environment. Inside the operating room, two surgeons and four nurses were under the operating lamp, trying to stop the bleeding for Dai Xiaqiang. Several large blood bags hung beside the operating table, rapidly transfusing blood into Dai Xiaqiang.
Yang Xinhua, very calm and composed, was directing the two surgeons to treat Dai Xiaqiang’s wounds. Seeing the two doctors occasionally wiping the sweat from their foreheads, Yang Jie knew they were not confident in handling Dai Xiaqiang’s wounds, which was why they were under great pressure.
Dai Xiaqiang lay on the operating table, pale as a sheet. The electrocardiogram (ECG) monitor showed his heartbeat and blood pressure. At this moment, Dai Xiaqiang’s heart rate was fluctuating between 48 and 50, and his blood pressure had not risen above 60, indicating a very grim situation.
"Xiaojie, how did you get in here?" Yang Xinhua, who was observant and attentive, noticed Yang Jie entering the operating room despite being busy directing the two doctors.
"Father, I came to help!" Yang Jie, now in surgical scrubs and wearing rubber gloves, replied naturally to Yang Xinhua’s question.
"Director Liang, I want to examine the patient first. Can you arrange for a nurse to prepare the silver needles for me? I need to use the silver needles to seal the acupoints and temporarily stop the bleeding." Yang Jie handed the box of silver needles, which had been sterilized with alcohol, to Yang Xinhua, then moved forward to examine Dai Xiaqiang’s wounds.
Injury to major abdominal blood vessels can change rapidly and is one of the most challenging issues in abdominal surgery. Dai Xiaqiang’s injury was in the abdomen, near the liver. After the medical assistance system was activated, Yang Jie immediately determined that Dai Xiaqiang had injuries to the hepatic vein and the inferior vena cava, a very dangerous condition with a mortality rate of 50% to 80%.
Moreover, Dai Xiaqiang’s abdominal injury was caused by a special dagger, making it very difficult to suture. This was the main reason why the two surgeons were at a loss in treating Dai Xiaqiang’s abdominal wounds. At present, they could only control the bleeding points with hemostatic clamps and could not do anything more.
"The patient has injuries to the hepatic vein and the inferior vena cava, a very dangerous condition that requires immediate surgery!" Yang Jie, after a quick glance, could describe Dai Xiaqiang’s injuries in professional terms, which left Liang Chao and the other two surgeons stunned.
Although Yang Xinhua did not know how Yang Jie understood medical techniques, with a life at stake, he did not have time to ask too many questions. Seeing that Yang Jie’s words had stunned Director Liang and the two surgeons, his eyebrows raised sharply. "Xiaojie, can you treat Xiao Dai’s injuries?"
"No problem! Fortunately, he was brought in on time, and there is a large amount of blood to maintain his life. As long as we handle it promptly, there should be no serious aftereffects!" Yang Jie did not wait for Director Liang’s approval and instructed a nurse to fetch the acupuncture box from Yang Xinhua.
Looking at the surgical drape covering Dai Xiaqiang’s abdomen, Yang Jie frowned slightly. This operating room did not meet sterile conditions, so the drape was not very useful. Additionally, he needed to use the silver needles to seal the acupoints and stop the bleeding, so he carefully lifted the drape covering Dai Xiaqiang’s abdomen.
"Use alcohol to clean the blood around the wound and prepare non-invasive vascular clamps." Standing in front of the operating table, Yang Jie, though wearing a mask, had a determined look in his eyes. His strong presence influenced everyone in the operating room, and the two surgeons and four nurses followed his orders without hesitation.
Liang Chao, standing beside Yang Xinhua, noticed that Yang Jie’s demeanor on the operating table had changed dramatically. His calm and confident demeanor affected everyone in the operating room, making it seem as if the operating table was Yang Jie’s workbench. For a moment, he forgot that Yang Jie was not a doctor.
"Everyone, divide into two groups. I will use the silver needles to seal the acupoints and stop the bleeding. Prepare the scalpel, bypass pump, and 4-0 nylon thread. I will perform the surgery immediately. You will perform hepatic blood flow occlusion, blocking the first portal, hepatic, and inferior vena cava, and even the abdominal aorta. Remember to release the clamps on the first portal and abdominal aorta every 10 minutes to maintain liver blood supply." Yang Jie spoke quickly, but the two surgeons, with some experience, immediately began to clear the blood from the abdominal incision after hearing his instructions.
Yang Jie took nine silver needles from the box held by a nurse, and with lightning-fast hands, inserted them into different acupoints on Dai Xiaqiang’s chest and abdomen in varying depths and sequences. As the nine silver needles entered the body, the flow of blood from Dai Xiaqiang’s wound visibly decreased.
Liang Chao’s eyes widened in disbelief, and the two surgeons standing beside Yang Jie were stunned. They were trained in Western medicine and did not understand traditional Chinese acupuncture. Seeing Yang Jie stop the bleeding with just a few needles, which they had been unable to do, they were amazed.
"Don’t stand there gawking. Once I establish the bypass for the inferior and superior vena cava using the bypass pump, you will perform the hepatic blood flow occlusion." After using the silver needles to stop the bleeding, Yang Jie quickly set up the bypass for the inferior and superior vena cava using the bypass pump.
If the bypass pump was not used to establish the bypass for the inferior and superior vena cava, blocking the inferior vena cava would cause a sudden interruption of 2/3 of the returning blood volume, which could easily lead to cardiac arrest, especially in a patient with already insufficient effective circulating blood volume.
Yang Jie’s experienced demeanor on the operating table made the two surgeons feel as if they were back in their training days, following their mentors. With a leader to rely on, the two surgeons began to perform the hepatic blood flow occlusion according to Yang Jie’s instructions, blocking the first portal, hepatic, and inferior vena cava, and even the abdominal aorta, and releasing the clamps every 10 minutes to maintain liver blood supply.
Yang Xinhua watched as Yang Jie’s lightning-fast hands handled the various injuries around Dai Xiaqiang’s wound, repairing the damaged blood vessels. His skilled hands moved like two butterflies dancing among flowers, both agile and graceful. Not only did this captivate Yang Xinhua, who was not a medical professional, but even Liang Chao, with over 30 years of medical experience, was drawn to Yang Jie’s movements.
The twisted wound caused by the special dagger was very difficult to suture, similar to the wounds caused by the triangular military dagger used by Chinese reconnaissance soldiers. Without special training, a general surgeon would not be able to handle it.
However, under Yang Jie’s treatment, the blood vessels in Dai Xiaqiang’s abdomen were quickly repaired. After the main blood vessels were repaired, Yang Jie finally breathed a sigh of relief, turned to have a nurse wipe the sweat from his forehead, and then began to perform continuous or interrupted sutures in an orderly manner.
In just over an hour, the injury in Dai Xiaqiang’s abdomen, which had left everyone at a loss, was handled by Yang Jie’s skilled hands. When the surgical incision in Dai Xiaqiang’s abdomen was neatly sutured by Yang Jie and the nine silver needles were removed, the heart rate on the ECG monitor began to steadily rise.
"Alright, the patient’s condition is basically under control. Post-surgery, he should not be moved to avoid infection. Antibiotics should be administered, and glucose and vitamins should be given to protect liver function. Once he is out of danger, he should be transferred to a higher-level hospital for further treatment and recovery." Yang Jie’s timely treatment, based on the medical assistance system’s assessment, indicated that as long as Dai Xiaqiang did not develop post-surgical infections, his chances of recovery were over 90%.
"Clap, clap, clap..."
The people in the operating room, especially the four nurses, looked at Yang Jie with admiration, their eyes sparkling with stars. They stared at Yang Jie, who had removed his mask and gloves, and excitedly clapped their hands, forgetting that they were still in the operating room.
Yang Xinhua looked at Yang Jie, who seemed like a different person, with a complex expression. He was certain that this person was Yang Jie, his son, and not possessed by any supernatural being. However, the extraordinary abilities Yang Jie had shown recently made Yang Xinhua see a side of his son that was incredibly outstanding. Yang Jie had grown up in Fuxin Tungsten Mine, and by the time Yang Xinhua returned from military service, Yang Jie was about to enter high school. Therefore, Yang Xinhua’s understanding of Yang Jie was quite limited, and he had many questions in his heart. However, in front of others, he could not ask too many questions and had to keep everything to himself.
"Director Liang, please take good care of the patient over the next two days. Once his condition stabilizes, transfer him to the city hospital. The factory will settle the expenses with the health center!" Yang Jie took the acupuncture box from the nurse and looked at Liang Chao, who was standing beside Yang Xinhua, and said earnestly.
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