This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 252 After showing off, he still wants to run away!
After Lu Cheng and his nursing team personally escorted the patient into the CT room, the patient was transferred directly to the emergency operating room.

The patient's condition falls under the category of extremely urgent. Since the patient still has vital signs, after Lu Cheng reported to the on-call supervisor, the hospital initiated a hospital-wide joint consultation.

The large-scale consultation, arranged through the on-call duty officer, was announced over the hospital's public address system.

Therefore, as Lu Cheng pushed the patient into the operating room, senior consulting doctors from the ICU, gastrointestinal surgery, hepatobiliary surgery, and cardiology departments all arrived at the emergency operating room one after another.

At the same time, Hu Yaya, the deputy chief physician of the anesthesiology department, rushed in and, after taking over the patient's airway management, began to complain: "This looks like a car or bicycle accident."

"You're such a grown-up, don't you know how to be careful? It's clearly frozen over, but you seem to ignore it."

No one paid attention to Hu Yaya's complaints. The people from the ICU and the cardiology department had gathered around the monitor, chasing the patient's blood test results while observing his monitor data and various vital signs, and began to discuss how to raise his blood pressure and whether the surgery was risky.

The attending physician from the hepatobiliary surgery department was Song Daoneng, whom Lu Cheng had met a few times before. The first thing he did when he entered the room was to see that the patient's abdomen had been opened. He said, "It must be Lu Cheng from the emergency department on duty today. Only he would have such a big guts."

"Day after day, I don't know what they're thinking, they just want to keep pushing us vocational college students along."

Lu Chengdu was about to begin describing the patient's condition when Song Daoneng interrupted him, forcing Lu to cough and continue his report: "Director Song, the patient's current diagnosis is superior mesenteric artery injury and pancreatic uncinate process."

"In the emergency room, I performed the appropriate arterial clamping to stop the bleeding..."

Upon hearing this, Song Daoneng quickly turned around and looked at Lu Cheng.

To be honest, once inside the operating room, everyone was wearing green scrubs and disposable surgical masks, so if you didn't look closely, you couldn't tell who was who.

Little did Song Daoneng know that a young man named Lu Cheng was hiding in the crowd. He immediately said, "Little Lu, wind him up! This will help us improve!"

Talking about someone behind their back can easily offend them.

It's easier to explain if you say it to my face: "Since you transferred us here to work overtime together today, Xiao Lu, you don't mind me complaining a bit, right?"

Lu Cheng shook his head: "Director Song, shall we disinfect and drape together? Let's get the surgery done as soon as possible."

"Are you going up on stage too?" Zhang Zhong, deputy director of the Department of Gastrointestinal Surgery, said furtively.

Clearly, Zhang Zhong, whom Lu Cheng did not recognize, did know Lu Cheng and had a very deep memory of him.

Lu Cheng had previously sent many patients from the emergency room to the operating room, and several patients had not been saved by Zhang Zhong and others.

If someone is forced to work overtime and fails to do so, the surgeons will definitely try to find out why.

Song Daoneng said, "Brother Zhang, you don't know this, but Lu Cheng was personally selected by our Dean Song to apply for the position of working in the operating room and enjoys the rights of an associate senior professional."

"Emergency Room Guardian" specially approved by the State Health Commission.

Zhang Zhong was stunned for a moment, then blurted out, "Wasn't this Emergency Room Guardian award given for the incident in Feng County?"

"Titles can be misappropriated, right?" Song Daoneng worked under Vice Dean Yao Xin, so he knew a lot about the inside workings.

Moreover, Song Daoneng is Yao Xin's confidant, so he knows that Yao Xin is currently very supportive of Lu Cheng. Therefore, he must explain clearly the permissions that Yao Xin has granted to Lu Cheng.

Ruptured pancreas hook, with a massive hematoma after endoscopic flap surgery!
While replenishing blood volume, an emergency abdominal surgery was performed!
These are patients who are virtually impossible to save; the chance of death is nearly 99% or higher. Only a very small number of rare patients have a chance of being saved...

Lu Cheng had already gone out to wash his hands. After quickly washing and disinfecting his hands, he came back inside and began disinfecting.

When they entered, Song Daoneng and Zhang Zhong had already finished gossiping about Lu Cheng and had also made arrangements for the instruments they needed. Now, they stood by the operating table with serious expressions and strange looks in their eyes.

While others couldn't understand Lu Cheng's actions in the emergency room, Song Daoneng, who came from a hepatobiliary surgery background, had observed them closely. Now, his tone was particularly conflicted: "Dr. Lu, how much do you distrust our surgical colleagues?"

"Are you going to dismantle this medical record and feed it to us?"

Song Daoneng is a professional general surgeon. The emergency hemostasis patients that Lu Cheng had previously treated only stopped the bleeding at the critical point, regardless of the minor details.

For example, in this type of patient, Lu Cheng can perform a splenic artery clamping hemostasis, which can prevent most of the blood loss.

But this time, Lu Cheng went too far, not only clamping the splenic artery, but also cutting off the branches of the superior and inferior mesenteric arteries.

While disinfecting, Lu Cheng said, "Director Song, you misunderstood. This patient's condition is quite special. When he came to the hospital, his blood pressure was only 70. If the bleeding had not been stopped more thoroughly, he would have gone into shock and suffered cardiac arrest long ago."

Hu Yaya from the anesthesiology department seemed to feel obligated to respond to anything, as if she couldn't stand not to: "Now, with the alpha-1 renal infusion pump, the blood pressure is only 72, and the blood type hasn't come out yet."

"Call the lab and keep urging them..."

“I just made a phone call,” the circulating nurse said.

"Keep calling and urging, and keep calling the blood bank until the blood arrives." Hu Yaya's voice was clear and strong, without any ambiguity.

Song Daoneng and Zhang Zhong quickly washed their hands and got dressed to prepare for taking over the surgery.

When the two returned after washing their hands, Lu Cheng had already finished laying out the small and medium-sized sheets and was changing into a sterile surgical gown with the scrub nurse to change into a sterile large sheet.

The two then changed into sterile surgical gowns and began checking their instruments...

After placing the abdominal retractor, the three of them went to the surgeon's position and the assistant's position respectively to begin cleaning the remaining hematoma inside the abdomen.

While using a negative pressure suction device, Lu Cheng said, "I didn't deal with the small bleeding point in the superior mesenteric artery in the emergency room. There was simply not enough time to deal with it. I didn't even find the bleeding point at the time, but I estimate it shouldn't be big."

"Okay, sure." Zhang Zhong responded to Lu Cheng and began to check the blood supply to the superior mesenteric artery and the intestines.

In this situation, ischemic necrosis of the intestine is very likely to occur. This patient has already lost a lot of blood. If other surgeries are performed successfully but there are still necrotic intestinal segments remaining, even if surgeries in other locations are successful, the patient may still lose their life due to intestinal necrosis.

"I knew there would be low potassium." Hu Yaya's muttering broke the hard-won silence in the operating room.

Only Lu Cheng, who wasn't used to her rambling, glanced in her direction, while Song Daoneng and Zhang Zhong ignored her.

"The arterial bleeding on the pancreatic side is quite thorough," Song Daoneng said, looking up as he completed the preliminary examination before Zhang Zhong.

Zhang Zhong knew that Song Daoneng meant that if there was still a major source of blood loss, it would definitely be the arteries of the gastrointestinal system, and he needed to put in more effort.

However, after searching around, Zhang Zhong only found two relatively small bleeding points, and these bleeding points were simply not enough to support so many hematomas in the abdominal peritoneum.

"Is your blood pressure still dropping?" Zhang Zhong asked.

Hu Yaya pressed the blood pressure monitor again. After a series of loud beeps, the monitor said, "67 systolic! Still dropping."

"We are currently administering vasopressors via continuous pump infusion."

Zhang Zhong's brows furrowed instantly: "If it's still dropping, that means there are still active bleeding points that haven't been detected."

Upon hearing Hu Yaya's words, Lu Cheng was also filled with doubt. After thinking for a moment, he asked, "Director Song, Director Zhang, have you looked at the patient's CT scan?"

“I’ve seen it; the rupture of the pancreatic hook region is very obvious,” Song Daoneng replied.

"Have you seen any other arterial injuries?" Lu Cheng pressed.

Song Daoneng cleared his throat with an "uh-huh" sound, then looked up at Lu Cheng: "What do you mean by asking that? Don't we know how to look at an abdominal CT scan?"

Hearing Song Daoneng's words, Lu Cheng didn't dare to reply, but he still put down the negative pressure suction device in his hand, clamped it on the sterile sheet with hemostats, and then turned to the operating room's work computer. "Circulating doctor, could you please open the patient's CT scan again and scroll through the page for me?" Lu Cheng instructed in a low voice.

Diagnosing acute abdomen is difficult, and treating it is even more difficult.

Lu Cheng had not seen any imaging examinations, so he couldn't guess where the bleeding was.

Zhang Zhong chuckled twice, without even looking up, and said calmly, "Interesting."

Although Lu Cheng did not answer Song Daoneng's question, he demonstrated his meaning through his actions, indicating that Song Daoneng and Zhang Zhong simply did not know how to read a CT scan!
However, Lu Cheng works in the emergency department. It's a favor for him to go into the operating room to help, but it's his right not to.

Upon seeing this scene, Hu Yaya quickly stopped her muttering. After staring in astonishment for a few moments, she hurriedly began to correct the patient's electrolyte imbalance and called the pharmacy to order medication to be delivered.

Not all medications are kept in reserve in the operating room.

"Circuit nurse, stop for a moment, flip up about five more layers," Lu Cheng called to the circulating nurse.

The circling hand paused, then slowly slid upwards: "Here?"

"Flip up further," Lu Cheng instructed.

The circulating nurse did as instructed.

Lu Cheng called a halt: "Right here. Widen the field of vision..."

The circulating nurse continued to do so.

"Stop on this page." After taking a second look, Lu Cheng went to the operating table.

Lu Cheng said, "Director Yao, would you like to take a look at the patient's left renal artery?"

"What the hell am I looking at? If there's bleeding, get it fixed quickly." Yao Daoneng wasn't trying to prove his abilities were invincible.

If Lu Cheng is mistaken, it's not too late to investigate and then give him a warning.

If Lu Cheng's assessment is correct, then he is giving the patient a chance to be saved.

Arterial bleeding that cannot be identified at present requires emergency treatment.

After receiving Yao Daoneng's words, Lu Cheng immediately took over the operational space that Yao Daoneng had given up.

Lu Cheng's movements remained swift, and his understanding of anatomical structures was profound. Almost immediately after exposing the left kidney area, he saw red blood slowly seeping out.

This proves that the bleeding was not from the main renal artery trunk, but from a branch.

The bleeding wasn't heavy, but it was still dangerous!
Before Yao Daoneng could even utter a surprised "Oh wow," Lu Cheng's hand had already nimbly slipped into the opening, directly pinching shut the patient's left renal artery while simultaneously using a negative pressure suction device to remove any remaining hematoma from the cavity.

When the body's intake is insufficient to cover its expenditure, the hematoma and blood volume gradually decrease.

After the pressure dropped to a certain level, Lu Cheng turned around and said, "Vascular clamp."

The scrub nurse handed over the vascular clamp, which Lu Cheng precisely inserted into the posterior branch of the patient's left renal artery before releasing his grip.

Everything has quieted down!
The operating room was already eerily quiet. Now, the silence was even more unsettling, and Hu Yaya kept her mouth shut while recording data.

What Lu Cheng had previously speculated about was just speculation, but now all those speculations have become facts.

This proves at least one point: Lu Cheng's ability to interpret images is stronger than that of the other two associate chief physicians.

Lu Cheng glanced at it a few more times, and when he didn't see any more fresh blood flowing out, he covered the abdomen and intestines.

He withdrew both hands, giving Song Daoneng back the space to operate.

Because Lu Cheng doesn't know how to perform pancreatic surgery!

Song Daoneng took a deep breath, the sound of the air swirling in his nasal cavity was quite jarring, and his throat felt as if it had been squeezed flat, making his voice slightly distorted: "This technique is really awesome."

Song Daoneng didn't know how good Lu Cheng was at reading films, but Lu Cheng's hemostasis technique was something he, a professional surgeon, envied.

Surgery relies on manual skills and techniques.

Lu Cheng didn't reply, and continued to work as an assistant.

His self-imposed task was to wait until the patient's blood pressure stabilized and blood transfusions began before he could leave.

Before that, perhaps I could have helped stop the bleeding while on the operating table.

Meanwhile, Zhang Zhong finally finished treating the last bleeding point in the superior mesenteric artery.

After putting down the equipment in his hand, he looked at Lu Cheng with a complicated expression, without saying a word, but his eyes were really, really complicated.

Because many people were dissatisfied when hospitals and the state health commission inspected mortality rates before.

Why is it that the mortality rate of patients is lower just because Lu Cheng was on duty?

On what basis can you say that the patient Lu Cheng brought into the operating room died because Lu Cheng didn't go into the operating room?

Everyone has two hands, so why are Lu Cheng's hands so amazing?
Surgeons like to discuss techniques and are not easily convinced unless they see it with their own eyes.

As a surgeon, Zhang Zhong knew how big the gap was between the skill levels of different surgeons; he had seen good procedures.

Therefore, it is known that Lu Cheng's skills are not something that can be improved by simply accumulating time, but rather by pure talent.

Blindly attempting to stop bleeding has nothing to do with experience or effort.

"The blood typing results are in, type O blood," the circulating nurse said.

"Call the blood bank for blood." Hu Yaya finally found a way to vent her frustration, and her voice was rapid, as if she had been holding back her words for just a short while.

"Okay." The circulating nurse immediately started dialing using the phone provided in the operating room.

Lu Cheng then reminded her, "Circuit doctor, call for a urology consultation and have them handle the left renal artery."

"Director Song, Director Zhang, if there's nothing else here, I'll step down now. I need to go out and write the emergency report," Lu Cheng said.

"Okay, sure." Neither Song Daoneng nor Zhang Zhong could refuse Lu Cheng's suggestion.

Emergency records must be written, and surgical procedure records must be written by Lu Cheng.

However, when Lu Cheng suddenly said he was leaving, both of them felt a little uneasy.

They installed it and then ran away?
……

(End of this chapter)