My Medical Skills Give Me Experience Points

Chapter 1149: Chapter 453: 10,000 Experience Points Reward, Finally Seeing Hope

The instruments kept alarming, but there was no way to immediately correct everything. We could only repair the important ruptured blood vessels in the patient’s body bit by bit.

This is exactly why Zhou Can was leading the surgery to save the patient.

If it were another doctor, it would be hard for them to match Zhou Can’s level, whether in surgical experience or speed.

"I think draining first is the wise choice."

Director Xue Yan was always beside him, helping with the rescue, as was Vice Director Hee.

Having both the director and the deputy director of Cardiothoracic Surgery helping with the rescue means a lot.

Each of them had their tasks, one would first ligate the ruptured intestines to prevent continuous leakage. Then, they would try to clean it out, reducing the potential risk of pollution in the abdominal cavity and the wound.

The other would perform electrocoagulation hemostasis and ligation on some small bleeding points.

It was precisely through everyone’s cooperation that the patient’s condition began to improve.

Thoracic drainage is also a technical task, high risk, and quite difficult.

Many trainees barely grasp the technical points of thoracic puncture by the end of their training.

For novice doctors, inserting a catheter and the four punctures are very challenging tasks.

For example, inserting a urinary catheter, especially when dealing with elderly patients, particularly those with diabetes, could easily make a new doctor cry. Even some senior resident doctors feel apprehensive when performing on such special patients.

Elderly male patients generally have enlarged prostates.

This significantly increases the difficulty of catheter insertion.

If the patient also has diseases like syphilis or genital warts, it could drive the doctor mad.

Zhou Can’s injection skill is currently at level five, equivalent to an associate chief physician level.

Performing a thoracic puncture is a piece of cake for him.

He located the right spot, inserted the puncture needle into the patient’s chest cavity, and dark red blood quickly flowed from the catheter.

"The effusion has already flooded half of the lung."

The spot where he punctured was very particular.

Based on the drainage speed, puncture position, and puncture depth, experienced doctors can infer the effusion situation in the lungs.

It should be mentioned that the pulmonary effusion is not always blood.

Sometimes it could be body fluid or even thick pus-like mucous.

For example, patients in the early stages of a COVID-19 infection often have thick, sticky fluid in their lungs, turning the entire lung as hard as a rock. This is the primary cause of their death.

With the lungs becoming as hard as rocks, breathing becomes impossible.

It simply cannot contract or expand.

...

In the endoscopy room of Cardiothoracic Surgery, Zhou Can had already discussed with Vice Director Hee, Director Xue Yan, and others to identify possible damage locations in the pulmonary artery. Then, they opened three small windows to start an intracavitary endoscopy investigation.

"There are two ruptures in the pulmonary artery with one being the most severe."

Zhou Can’s endoscopy surgical ability is also top-notch.

Under his control, they quickly ascertained the bleeding situation in the lungs.

The next step is to complete the hemostasis and blood vessel repairs. Unlike open abdominal surgery, hemostasis and vascular repair in the lungs can only be done through endoscopic operations. Performed inside the narrow chest cavity.

"There’s certainly not enough blood volume again, the blood pressure is dropping, how many bags of plasma do we have left?"

"Only one bag left at the moment."

"Contact the blood bank and see if they can figure something out, we estimate that more blood will be needed to complete the rescue surgery."

The anesthesiologist watched the patient’s worsening vitals, furrowing his brow in worry.

Sweat kept beading on Zhou Can’s forehead, and his clothes beneath were long soaked. He couldn’t care about these; in his heart, there was only one conviction: to do everything possible to save Hee Juan.

Her over one-year-old child is still waiting for Mom to come home.

Her husband, parents, and relatives didn’t know how much pain they’d be in knowing she was injured like this in the hospital.

Nearly half an hour later, Zhou Can finally completed the hemostasis, vascular repair, anastomosis, and wound suturing of the lungs.

Attempt to restore pulmonary circulation.

Perfect.

Blood flow was smooth without any occlusions or thrombosis.

"Her breathing seems to be recovering, and blood oxygen levels are rising bit by bit. Dr. Zhou, you’re amazing!"

The anesthesiologist Qu Zi’s brows relaxed for the first time, her eyes filled with excitement, relief, and a smile.

The patient’s blood pressure was also gradually increasing.

The rescue work wasn’t over yet because there were a total of eight stab wounds, with too many injured areas.

So far, they’ve only tackled the life-threatening major bleeding sites. Intestinal repair, abdominal cavity debridement and cleaning, and bleed control and suturing of other injured areas still entail lots of work.

Zhou Can couldn’t afford to be weary and, alongside Director Xue Yan and others, quickly continued with the rescue work.

Vice Director Hee, aware of his clumsy work and slow pace, stepped aside to make room for Zhou Can.