Chapter 365 Beck’s Triad

Southeast Hospital, operating room.

A cardiac surgery operating table.

Su Jie stood in the chief surgeon's position, stretched out his hand and said: "1-0 Prolene line."

"Dr. Su's 1-0 Prolene line is currently out of stock. Can the 2-0 line be used?" the circulating nurse said.

"Out of stock?" Su Jie paused for a moment and looked up at the traveling nurse in confusion.

At this time, the cardiac surgeon next to him explained: "The manufacturer has cut off supply during this period. We don't have much use of 1-0. It's about the same if we switch to 2-0."

With that said, the circulating nurse had already put the 2-0 suture on the instrument table, and complained at the same time: "Your cardiac surgery department needs to communicate with the manufacturer. There are not many 2-0 sutures left now. You will still have to do the surgery tomorrow."

The row is full, and if this continues you won’t have any sutures to use.”

The cardiac surgeon shrugged: "This matter is not my concern. The head nurse and director are responsible for communicating with the manufacturer. I am only responsible for performing the operation."

Su Jie was in the midst of surgery, so he did not participate in the conversation between the two and just silently took over the 2-0 Prolene line.

This is a non-absorbable sterile suture that is commonly used in cardiac surgery.

The suture is made of isotactic crystalline stereoisomers of polypropylene, which has very high tensile properties, is strong and reliable, and will automatically expand by 30% after suturing, encouraging tissue healing without generating additional stress from suture shrinkage.

The difference between 1-0 and 2-0 corresponds to the thickness of the suture. The larger the number, the thinner the suture.

Su Jie looked at the 2-0 suture in his hand. Although it was difficult to tell the difference between it and 1-0 with the naked eye, as a doctor who has used this suture for a long time, Su Jie could still feel it clearly.

The difference from the 1-0 seam I really wanted.

A little too thin.

But it can be used.

The operation was not difficult. Su Jie quickly solved the key parts, leaving the rest of the finishing work to the cardiac surgeon.

After stepping off the stage and washing his hands, Su Jie had just returned to the lounge to take a rest when the cell phone in the cabinet rang.

"Hello?"

"Come to the emergency room, there's a serious patient here!"

"good!"

Putting away the phone, Su Jie strode towards the emergency department.

With Su Jie's current status in the emergency department, ordinary serious patients will not be asked to return to the department for treatment. Unless the department is too busy and cannot spare manpower, or the patient is so difficult that the doctor on duty is helpless, the department will use it.

Su Jie is the killer.

Therefore, whenever the cell phone rings and the department calls him to go back, Su Jie can't help but feel a little heavy, not knowing what he will face next.

And when Su Jie rushed back to the emergency department and saw the seriously ill patient, even though he had been mentally prepared, Su Jie couldn't help but take a breath of cold air.

This... this is too heavy.

I saw a worker wearing a yellow safety helmet lying motionless on a flatbed truck, with a sawed-off steel bar inserted into his back. The white bandages and gauze randomly wrapped around his body were soaked in black blood.

At first glance, Su Jie's first reaction was... is this person still alive?

"Doctor Su, you are back! He suffered a penetrating injury from a falling object from a height. We suspect that his heart may have also been penetrated."

The doctor on duty walked to Su Jie with a slight panic. Although he was also a veteran emergency department comrade, this was the first time he encountered such a tragic situation.

There were many workers with worried expressions surrounding the flat car, and a man with a slicked back hair stood at the front of the crowd. He seemed to be the foreman.

Seeing Su Jie coming, everyone turned their hopeful eyes to him.

After a brief moment of surprise, Su Jie quickly regained his composure. As long as the patient was still breathing, there would be room for maneuver in everything.

However, it is obvious that the patient's current condition may not last long.

Make decisions quickly!

After a quick physical examination and reading the patient's vital signs, Su Jie's brain quickly formed a preliminary judgment about this patient.

The biggest problem at present is probably the series of symptoms caused by cardiac penetration.

"Contact the operating room. This patient will undergo emergency surgery immediately, with heart suturing, and then prepare me with supplies for pericardiocentesis!"

Su Jie spoke very quickly, and at the same time looked at the workers surrounding the flat car, and said in a deep voice: "Don't have so many people gathered here, leave two people who can speak, and the rest will go out and wait."

!”

When people are in a panic, what they need most is imperative instructions. It is better to tell them clearly what to do than to discuss with them in whispers what to do.

In the end, only the contractor and one worker remained. While waiting for supplies for pericardiocentesis, Su Jie quickly began to explain the patient's condition.

"The patient is in very bad condition now!"

"It seems that the heart has been penetrated, but to the exact extent of the damage, we still have to go to the operating room for a thoracotomy to check."

"He still has the typical symptoms of cardiac tamponade, including decreased arterial pressure, increased venous pressure and distant heart sounds. This is clinically called Beck's triad."

"I'm going to give him pericardiocentesis directly now."

A large amount of information was forcibly stuffed into the brains of the contractor and co-workers. Both of them were a little confused and looked at Su Jie in confusion.

At this time, Su Jie and his colleagues had already begun to carefully move the patient's body to facilitate the pericardiocentesis later, while continuing to explain:

"The pericardium is a membranous sac covering the heart. It is like a cloth bag that contains the heart."

"Now that the heart is injured, the blood keeps flowing. Some of the blood flows out along the gap at the puncture point, but some of it is retained in the pericardium."

"The space that was originally enough for the heart to beat is occupied. As more and more blood is retained, the space in the pericardium will become more and more limited, and the heart will be squeezed. Until finally, there may not even be enough space for the heart to beat.

It beats."

This chapter is not over yet, please click on the next page to continue reading! "It's like an invisible hand, clenching the heart little by little until it stops."

At this time, the contractor and co-workers finally understood, and said urgently: "Doctor, you must save him. His house just built a building this year, and he didn't even have time to live in it for a day. He can't just die like this."

."

Both of them spoke sincerely, and there were even hot tears welling up in their eyes. Su Jie was a little surprised, thinking, do these people have such a good relationship?

"We will try our best."

Su Jie said in a deep voice. At the same time, the doctor who went to get pericardiocentesis finally rushed back.

Without any hesitation, Sujie closed the curtain to exclude irrelevant people. The doctor on duty cut open the patient's clothes and roughly applied a large ball of soaked iodophor cotton balls on the patient's skin to disinfect it.

Su Jie put on sterile gloves and accurately positioned the puncture needle in his hand. Blood was immediately visible with one needle. The black blood flowed out along the syringe, and it was obviously mixed with coagulated blood clots.

The palm that was tightly squeezing the heart slowly loosened, and the symptoms of Beck's triad gradually eased. The on-the-spot rescue seemed to go very smoothly.

Sure enough, with Dr. Su here, all problems will be solved... The medical staff present felt inexplicably at ease, and their tense nerves suddenly relaxed a lot.

But Su Jie couldn't help but frown at this moment, and turned around and asked: "Have you made contact with the operating room?"

"Well, it's ready over there, we can go at any time!"

"good."

Su Jie nodded, but was thinking about another question in his mind.

1-0 Prolene thread is out of stock, and 2-0 Prolene thread is not in stock. This patient's surgery will definitely require a large amount of sutures...

Does this surgery meet what Li Qianghu calls a "dose of strong medicine"?
Chapter completed!