Lu Cheng's heart sank at that time.

Arterial embolism, four words entered Lu Cheng's mind.

Zhou Xuanqing, Zang Xun, Wu Wei, and Tu Chaoran performed the operation in full swing. They didn't seem to notice it at all, and they kept praising the excellent incision. Deputy Director Liu Kaihua was squeezed in the competition.

Lu Cheng was in the better corner, standing on tiptoes and peeking in...

At this moment, Lu Cheng's mood suddenly became a little messy.

Before the operation started, he once again checked the patient's lower limb arterial and venous color ultrasound results and coagulation function. Just to be on the safe side, he just did a color ultrasound yesterday. It showed popliteal artery stenosis. After the trauma, the coagulation function results were also negative.

Very reliable.

Now, why is there sudden arterial embolism?

Arterial embolism, although relatively speaking, does not have such a high risk of venous thrombus detachment leading to fatal pulmonary embolism, but once it occurs for too long, what awaits the patient is necrosis of the distal limbs, and then liquefaction and decay, and finally -

Amputation!

No matter how good the surgery is, is it useless?

After Lu Cheng took two deep breaths, he pulled Liu Kaihua's forearm and said softly: "Director Liu, I didn't feel the pulse of the patient's dorsalis pedis artery."

Liu Kaihua was carefully observing Zhou Xuanqing's operation process, and Lu Cheng's voice was too soft, so he thought his hand was blocking Lu Cheng and moved a little.

When Lu Cheng saw it, he quickly poked Liu Kaihua directly, but the force was still a bit strong.

Continue to say softly: "Director Liu, I didn't feel the pulse of the patient's dorsalis pedis artery."

Liu Kaihua's pupils tightened at that time. He looked at the tightly wrapped cloth that had extended to his ankles, and he frowned again. With such a thick cover, how could you feel the fluctuations of the dorsalis pedis artery?

But Liu Kaihua heard Cai Xuan and Director Chen Bing talk about Lu Cheng. He has never been a person who likes to show off his presence or joke. Therefore, at such a critical moment, it is impossible for him to talk to Lu Cheng.

joke.

But this patient is what Liu Kaihua has been following from the beginning, including his medical records and conversation records. Naturally, he is very familiar with his examination results, especially after hearing yesterday that Tang Deye, who was in his team, could not come to the stage.

I deliberately memorized the examination results just to have a clear understanding of the patient.

I was also afraid that something might go wrong when I asked Professor Zhou Xuanqing to do the surgery.

Lu Cheng continued to point to the patient's thigh and said, "No tourniquet!"

Liu Kaihua took two steps back and secretly called to the police to open a 5ml syringe!

The pulse of the dorsalis pedis artery could not be felt, and a tourniquet was not applied. This is a possible alternative to arterial embolism.

As for verifying whether arterial embolism has occurred, in addition to B-ultrasound, there is a simpler way to use a needle to puncture multiple skins at the distal end of the arterial embolism. If there is no blood leakage, there is no need to hesitate.

Have blood vessels explored or prepare for amputation.

This is an invasive operation that is not expensive, at least compared with vascular embolization.

Moreover, he could not rule out that Lu Cheng had a relatively strong touch and could feel the pulse of arteries through two layers of cloth.

Soon, the circulating nurse secretly brought the syringe to the table, and Liu Kaihua immediately poked the patient's skin below the tibia a few times quickly.

This action woke up Zhou Xuanqing and several others who were indulging in surgery.

"What are you doing? Director Liu?" Zhou Xuanqing seemed to see something wrong with Liu Kaihua's expression.

Liu Kaihua pointed to the place where he poked and said, "Professor Zhou, the artery is blocked."

In an instant, several people turned their heads in unison and looked at that place. The skin was smooth and beautiful, extremely white, and bloodless.

Seeing this scene, the faces of several people imitated the color of their skin.

Immediately afterwards, Liu Kaihua saw Zang Xun's unkind gaze and said quickly: "Director, I saw this patient personally. I checked all the test results yesterday, including color ultrasound and blood draw results."

"And after entering the operating room, the anesthetist and I checked again. It definitely didn't happen before the operation. I even felt the pulsation of blood vessels before the anesthesia was given. How could I make such a joke?

"

Yes, Liu Kaihua cannot be joking.

After the patient has been traumatized, the coagulation function will be disordered. After the operation, the skin incision will ooze blood. Our body's natural protection mechanism is to prevent us from bleeding and become partially hypercoagulable. However, the human body itself is not so

Absolutely intelligent, so it led to stress-induced vascular embolism during the operation, which is very normal.

Many trauma patients have their limbs amputated due to arterial embolism.

Zang Xun hurriedly said: "Xiaolan, call Director Qin of the Vascular Surgery Department and the current doctor on duty! Emergency consultation in the operating room!"

The tone was cold and there was no doubt about it.

"What's wrong? What's wrong?" Zang Xun was looking at his mobile phone in front of the patient. When he heard Zang Xun's voice, he quickly threw the mobile phone behind him and dropped it on the ground. He ignored it and walked directly towards the patient, for fear of risking the patient's life.

Something is wrong with the physical signs.

After seeing the patient's condition clearly, he said: "Is blood pressure, breathing, etc. all okay?"

"The artery is blocked." Zang Xun said.

"Ah?" Anesthetist Huang Xueming looked incredulous and said, "Isn't it possible? The color ultrasound and coagulation function were reviewed yesterday? Director Liu and I both checked. We even touched the dorsalis pedis artery before the operation. You guys

How did you find it?"

As long as there was nothing wrong with the vital signs, it would not be the anesthesiologist's turn to worry. However, if this kind of thing happened to a patient that Professor Zhou Xuanqing came to perform surgery on, he would naturally have to help explain it.

Otherwise, it would be bad to leave the impression in Professor Zhou Xuanqing's mind that Changshi First People's Hospital cheated him.

Everyone looked at Liu Kaihua, and Liu Kaihua looked at Lu Cheng. Lu Cheng said: "When I was supporting my legs here, I didn't feel the pulse of the dorsalis pedis artery. And before the operation, I also felt it with Director Liu.

When passing through the dorsalis pedis artery, it was present at that time but not at this time."

"I asked Director Liu and he found out."

Everyone got the answer. Professor Zhou Xuanqing basically said without any hesitation after listening: "Give me the syringe."

Liu Kaihua handed over the syringe.

Professor Zhou Xuanqing made a dozen or so holes in the patient's skin along a line. Then he saw that there was no blood oozing from the hole below the tibial plateau, and he made an immediate decision:

"Come here, change positions and dissect the popliteal fossa!"

"Immediately call the thoracic surgery department or cardiovascular surgery department and ask them for emergency consultation to remove the thrombus."

"Let's expose the popliteal artery, anterior tibial artery, and posterior tibial artery to them first, without any further delay!"

Although he spoke in a hurry, he was not flustered at all, and the most correct arrangements were quickly made.
Chapter completed!