"Okay."

Wang Jingang responded, and at this moment he was almost at his limit.

Blood vessel compression is different from other compressions to stop bleeding. The energy involved is a bit beyond the ability of the experienced Wang Jingang.

In fact, when Xia Tao suddenly ran out of energy, Wang Jingang was the most nervous.

Once the time of thoracotomy is extended, it will be a double test of his mental and physical strength.

Fortunately, Xiao Chenguang called Lin Gaoyang in time to let the thoracotomy go smoothly.

And Xiao Chenguang lived up to everyone's expectations. There was no pause for the three blood vessels. The whole process was as smooth as flowing water.

At this moment, everyone's eyes were focused on Wang Jingang.

He carefully relaxed a little bit and released the pressed innominate artery.

A very obvious blood flow went from the innominate artery to the lower branch.

"Release the internal carotid artery."

Xiao Chenguang's voice sounded again.

The vascular clamp was removed, and the originally whitish internal carotid artery gradually filled up from being shriveled, and the sutures melted into the blood vessel wall suddenly tightened.

Seeing this scene, everyone was a little nervous. They stared at the filled and bulging blood vessels without moving, and dared not speak.

One second, two seconds, three seconds...

As time passed, the blood vessel wall remained strong, and it was still unbreakable under the impact of high-speed blood flow.

Even as the blood expanded and the coagulation function recovered, even the sutures gradually melted into the blood vessel wall and became one.

Seeing this, everyone suppressed their excitement and were still waiting for the other two ruptured blood vessels to be tested.

"Loosen the subclavian artery, loosen..."

As the vascular clamp was removed, the entire circulation function was opened. Looking at the unobstructed blood supply, the blood vessels in Dr. Li's neck did not bleed again.

Not even a trace of bleeding.

The bleeding stopped.

Seeing this scene, Xiao Chenguang knew in his heart that Dr. Li's ruptured blood vessels were no longer a big deal.

"Xiao Xiao, there is no bleeding at the original ruptured parts of the three blood vessels. They are all sutured!"

Wang Jingang took the sterile gauze moistened with warm saline to cover the bleeding points and check the suture situation.

The white gauze was quietly attached to the blood vessel wall without any bright red.

As white as snow.

The blood vessels were sutured beautifully!

It was so neat that Wang Jingang praised it endlessly.

At this moment, the others also breathed a sigh of relief.

They looked excited and very excited.

"It's good that the bleeding has stopped. Otherwise, God knows how many vasoactive drugs will be used in this operation."

The director of the anesthesia department said happily.

You know, in the case of unstable condition, a large amount of vasoactive drugs can temporarily keep the patient, but the great side effects will overdraw the life of the patient, and the prognosis is not very good.

Now that the bleeding has stopped, it means that the blood pressure has increased, the amount of vascular drugs has been reduced, and the patient's condition has improved.

Sure enough.

On the monitor, the vital signs that were originally barely maintained by a large amount of drugs and fluid transfusions have been steadily improved.

"Dr. Li's blood pressure has risen, and his heart rate has also dropped to the normal range."

The circulating nurse looked at the various values ​​on the monitor excitedly and couldn't help shouting.

And her voice was also heard by the medical staff who were anxiously waiting outside.

"Dr. Li's blood pressure has risen?"

"Yes, it must have risen. It seems that the bleeding has stopped, otherwise the monitor that was still emitting red light just now would be normal now."

"That's good, that's good, I was really worried to death just now, the blood all the way was too scary, I was really afraid that Dr. Li would not be able to survive this."

"It's okay, it's okay, as long as the bleeding can be stopped, no matter how difficult the rest is, he can save his life, and he can get better slowly in the later stage."

Outside the operating room, everyone was excited, and some people even had tears in their eyes because they were too excited.

They all had a good relationship with Dr. Li, and everyone hoped that Dr. Li could get through this difficult time.

"Finally, I got through this difficult time."

Li Guoyong, who had been standing in the corner and had not left, relaxed his tense nerves a little after hearing the news.

There was finally a hint of smile on his serious expression, but it was gone in a flash, because he knew that the operation was not over yet.

Although the bleeding had stopped, the ruptured trachea was still a sharp knife hanging over Dr. Li's head.

In the operating room, the circulating nurse who had just been a little excited was now staring at the monitor.

The original smile disappeared, replaced by solemnity and worry.

"Dr. Li's blood oxygen saturation has not been rising, and it seems to be declining."

Originally, with the increase in blood pressure and continuous blood transfusion, Dr. Li, who had stopped bleeding, had an increase in hemoglobin in his body.

This shouldThis should mean that his hemoglobin's oxygen carrying capacity has improved.

Why is it decreasing now instead of increasing?

"Although the hemoglobin has increased, oxygen cannot enter the lungs, the pulmonary ventilation and gas exchange functions are disordered, and the blood oxygen saturation still cannot increase."

The director of the anesthesia department saw the problem at a glance.

He has adjusted the oxygen concentration of the ventilator to 100%

It is a pure oxygen state, which is the limit of the ventilator's oxygen supply.

But even so, Dr. Li's blood oxygen saturation still did not increase.

"Xiao Xiao, tracheal reconstruction is needed immediately, otherwise Dr. Li's oxygen demand will not increase with just a small tracheal tube."

Xia Tao's words also sounded in the operating room at this moment.

This is what he is most worried about.

As the operation time is prolonged, the use of sedatives and muscle relaxants puts the originally normal lung tissue in a state similar to inactivation.

This requires the ventilator to provide higher pressure support and more tidal volume to supply the body with normal operation.

This is just like when some people are woken up by suffocation and gasp for air occasionally during sleep at night.

"Director Xia, according to the degree of tracheal rupture of the patient, the damaged trachea must be removed and anastomosed before tracheal reconstruction."

After completing the vascular suture, Xiao Chenguang was already investigating the damage to Dr. Li's trachea.

As Xia Tao said, tracheal reconstruction needs to be done as quickly as possible.

But Dr. Li's trachea was seriously damaged, and the assailant's knife was chopped obliquely.

The entire tear angle and the surrounding damage require about eight centimeters of tracheal length to be removed before tracheal reconstruction can be performed.

This is tantamount to greatly increasing the difficulty of tracheal reconstruction.

"Do you need to cut so much?"

After hearing this, Xia Tao's face sank, because he got off the operating table after opening the chest, so he could not see the damage to the trachea.

Now hearing what Xiao Chenguang said, he immediately came to the front of the table and checked again.

The result is worrying.

As Xiao Chenguang said, the length of the removal must be eight centimeters.

"Xiao Xiao, this operation is probably going to be difficult to perform."