Xia Xingran and his party followed the steps of the firefighters and carefully entered the flames. Even though she was wearing fire-proof clothing, Xia Xingran could clearly feel a strong burning sensation, which was quickly enveloping her in a full-circle manner. Thinking of the previous cold storage experience, it really echoes the old saying about the world of ice and fire.
Her lungs had just been injured by low temperature frostbite, and before she had time to recover, she was immediately faced with high temperatures, dust, and toxic and harmful gases. For a moment, I couldn't help but bend down and choked violently.
"Doctor Xia, are you okay? Why don't you just come here." The captain immediately turned around and returned to Xia Xingran with concern.
Xia Xingran waved her hands hurriedly, and said forcefully between coughs: "It's okay, I'm okay. You are busy with your work, and don't delay you because of me."
"Captain, don't worry, sister, I'm with you." Han Chenluo knew Xia Xingran and hurriedly urged the captain to put out the fire and search and rescue, and don't worry about them.
The captain nodded, glanced at Xia Xingran again, and disappeared into the gray smoke in a moment.
Xia Xingran took a few breaths, grabbed Han Chenluo's arm and said to Xie Yangnian and others, "Let's go too."
Not long after they entered the core area, Xia Xingran's keen professional instinct immediately heard a faint cry for help. She immediately stopped and stood there with her eyes closed, searching for the source of the sound.
"It's three o'clock!"
After a moment, Xia Xingran opened her eyes with determination, and then rushed away.
Even Xia Xingran, who had been practicing medicine with Xia Qingyi for many years since childhood, still felt something strange in his chest when he saw the fire fighter in front of him.
The surviving firefighter in front of him could no longer be seen as a human being just from his appearance. He was more like a blackened coal.
Xie Yangnian knew that Xia Xingran was not in good health, so he immediately conducted a checkup, and then breathed a sigh of relief: "Fortunately, the blackness on his body is ashes, not burns."
"Not good." Xia Xingran shook his head. With her extraordinary professional ability, she suddenly smelled a strong smell of blood and rotten meat among the burning smell and other pungent smells.
She immediately turned on the emergency lights and followed the smell of blood to illuminate the soldier's right hand. I saw that his right wrist was indeed a bloody mess, already showing the color of severe ischemia. A huge chemical tank fell next to the wrist.
Obviously, this soldier was unfortunately hit on the wrist by a tank while putting out the fire, but perhaps because of this, he escaped and did not go deeper into the core area, thus saving his life.
Xie Yangnian immediately took out his walkie-talkie and called the firefighters who had just come in with them. During this gap, Xia Xingran was concentrating and holding his breath, touching the soldier's injured wrist with his hand.
The captain rushed over quickly. After some questioning and identification, we found out that this injured soldier was the commander of the fifth team who had just entered the first batch, and was also the only survivor of the fifth team.
"Doctor Xia, please save him!" The captain said in a hoarse voice, almost pleading to Xia Xingran. "He is the only one who knows the truth. We can't let our brothers from Team 5 die inexplicably!"
Xia Xingran naturally knows the importance. Even if it is not for the truth, saving people is still her nature.
"The pulse can't be found." Xia Xingran said to Xie Yangnian in a heavy tone after changing positions several times.
Xie Yangnian understood and took out the scalpel and alcohol from the first aid kit.
"Hold him down!" Xia Xingran said to the surrounding firefighters.
The firefighters who didn't know what was going on immediately held down the commander's body obediently.
Xia Xingran first used alcohol to quickly rinse the injured area of the commander. The severe stimulation made him scream in pain. Xia Xingran then disinfected the scalpel with alcohol. Read the book
Then she took a deep breath, her eyes filled with perseverance and determination. She held down the commander's palm with one hand and raised the other hand high. There was only a cracking sound of "click", and the commander's wrist was pressed by Xia Xing. Ran Shengsheng was cut off, and the commander instantly burst out into a tragic wail.
Before Xia Xingran could take the next step, the captain grabbed Xia Xingran's fire-proof suit and lifted her up from the ground. He shouted angrily at her crazy shaking: "Are you crazy?
Do you want to die? "
Xia Xingran felt a pain on her face, and her body flew lightly into the air. A second later, there was an almost breaking pain in her back. After two serious injuries, she almost lost the ability to stand up.
However, this was not over yet. The angry captain immediately took out his pistol and wanted to blow Xia Xingran's head off in the next second. At the critical moment, Han Chenluo knocked the captain away and the bullet missed, grazing Xia Xingran's cheek. .
"Please calm down!" Han Chenluo immediately hugged the frantic captain to prevent him from further harming Xia Xingran.
"How do you tell me to calm down? Let me go, or I will kill you too!" After all, Han Chenluo was only a 19-year-old boy. The captain easily broke away in a few moments.
Seeing that the captain was about to fire a second shot at Xia Xingran, Xie Yangnian immediately stood in front of Xia Xingran, grabbed the captain's gun hand and shouted: "Don't you want to save the commander's hand!"
The captain was stunned for a moment and continued to yell: "If you keep talking nonsense, the commander's hand has been cut off by her, how can you pick it up!"
"This is how we can take him back again!" Xie Yangnian shouted angrily.
"Take it back... again?" The captain gasped, his eyes full of sadness filled with disbelief.
"It has to be cut off before it can be reattached. If the cells are joined in a partially joined state, necrosis will occur due to the lack of blood supply. Once the cells are necrotic, they are hopeless."
As Xie Yangnian explained, he cooperated with the doctors and nurses nearby to quickly wrap the severed limb in a sterile bag and place it in a cryogenic box.
Xia Xingran was also helped up by Han Chenluo at this moment. He walked up to the captain, his eyes were firm and full of power: "Captain, I promise you, if I can cut, I will be able to catch!"
The captain carried the commander out, while Han Chenluo carried Xia Xingran on his back and ran to the ambulance together.
However, due to the explosion just now, the surrounding roads have been completely destroyed. The roads are full of deep pits and debris left by the explosion, as well as the glass of the surrounding buildings. The fire trucks and ambulances that arrived were unable to move forward at all.
It is more than 100 kilometers away from Peking Union Medical College Hospital. Trying to get there without a car is just a dream.
Xia Xingran urgently contacted all the surrounding hospitals, but water could not quench her thirst. Any form of transportation other than walking is useless right now. The severed limb must be reattached within six hours, otherwise there will be no possibility of reattachment.
Xia Xingran looked at the commander lying on the stretcher and wailing in pain and the captain who had high hopes for her, and made an unprecedented decision.
Amputation surgery in an ambulance!
"Teacher, there are many ambulances parked outside. Please help me integrate the existing drugs and equipment. I will do the preparations."
Although Xie Yangnian felt that it was inappropriate to perform such a difficult operation in an ambulance, overall, there was no better way. Besides, Xia Xingran was the surgeon, so he had absolute confidence.
Doctors from other hospitals learned that Xia Xingran had to perform such a difficult anastomosis operation in such a simple environment as an ambulance. In addition to admiration and admiration, they were inevitably a little curious, but also had some secret doubts, and they all wanted to take a look.
Xia Xingran checked all the surgical necessities over and over again. After confirming that they were correct, he asked the nurse to give him an injection of epinephrine to support him with the energy necessary for the operation.
"Teacher, let's begin."
After the nurse put the microscope on Xia Xingran, Xia Xingran took a deep breath and said to Xie Yangnian.
What Xia Xingran didn't know was that a doctor from the hospital secretly put a camera into the ambulance because he wanted to learn, and in a panic, he accidentally turned on the live broadcast mode.
When everyone was paying attention to the port explosion, a live broadcast of a surgery suddenly attracted everyone's attention.
During the live broadcast, Xia Xingran first dealt with the excess soft tissue at the broken end, and then fixed it from the bone.
"Scalpel."
Xie Yangnian handed it to Xia Xingran skillfully.
Xia Xingran took care of the surrounding soft tissue in five minutes and said to Xie Yangnian, "Drill."
Because Xia Xingran's sharp hand raised the knife and brought it down, the commander's severed end
The fracture line is well aligned. After Xia Xingran drilled the hole, Xie Yangnian handed her the steel nail.
"No need for steel nails, use steel wires. This can protect his nerves and blood vessels to the greatest extent, and also eliminate infection and rejection to the greatest extent."
..phenomenon, and will be beneficial to his recovery. Xia Xingran glanced at the steel nails and made new arrangements.
Xie Yangnian suspected that he had heard wrong and asked again. After confirming, he was a little worried and said: "Will the steel wire be too time-consuming? The steel nail will be healed soon."
Xia Xingran skillfully threaded the needle on the bone while shaking his head: "No, I have tried this many times with pig bones, don't worry."
Xie Yangnian watched Xia Xingran holding tweezers and using steel wires to dance on the commander's radius and four wrist bones, as if doing beautiful embroidery on light and paper-like brocade, and couldn't help but marvel again.
After the ulnar and radius bones are connected, the most difficult part of the operation comes - the suturing of blood vessels, tendons, and nerves.
Xia Xingran holds microscopic forceps in her left hand and a needle in her right hand. She inserts the tip of the forceps a little into the lumen, uses the needle tip to push the adventitial tissue of the blood vessel to the appropriate position distal to the broken end, inserts the needle vertically into the blood vessel wall, and then picks it up with the forceps. The adventitia of the contralateral blood vessel causes the wall to evert, and the needle is inserted from inside to outside.
Then use the tip of the tweezers to hold the outer wall of the blood vessel. After the needle penetrates the wall, clamp the tip and pull it out according to the curvature of the needle. Use the needle holder and tweezers to pick up the suture, lift it up slightly and tie it.
Normal blood vessel suturing requires two people. Xia Xingran, on the other hand, sutured three arteries and four veins alone in less than an hour.
"It's time to bleed."
Xie Yangnian let go of the blood vessel clamp, and suddenly the bright red blood was like a child who had been lost for a long time and finally found the direction of home, dancing happily in the newly sutured blood vessels.
The blood circulates normally, which means Xia Xingran's vascular suturing is completely successful.
Next came the suturing of eighteen tendons.
Standing for a long time and doing microsurgery took a huge toll on the body, and Xia Xingran felt a little dizzy. After closing her eyes and taking a few deep breaths, she shook her head and began to suture the tendons.
Xia Xingran used a loop-shaped nylon suture with a needle, inserted the needle transversely about 1c away from the section, removed the needle from the adjacent area, and inserted the needle into the coil cover. Wear out.
Then insert the needle from the center of the opposite side section, remove the needle about 1c away from the broken end, pull the suture thread to make the sections meet, cut one line of the coil, cross it with the thread with the needle and cross it with another needle, and remove the needle Then it is tied with the cut strand of thread, and then the "8" suture method is used to repair the flexor digitorum superficialis tendon and repair the tendon sheath.
"Is this... Tang's stitching?" Xie Yangnian couldn't help but asked in surprise.
Xia Xingran smiled lightly, nodded, and said noncommittally, "It's Tang's suture. The cross-section of the tendon end after Tang's suture is a triangle that is less likely to deform when stressed, and has better stability."
Of course Xie Yangnian knew the benefits of Tang's suturing. He was surprised that Xia Xingran could master such a world-leading tendon suturing technique so skillfully!
Before Xie Yangnian came to his senses, Xia Xingran had already reconnected and repaired the nerves. Finally, she used cosmetic sutures to perfectly connect the skin at both ends.
From the outside, the commander's wrist joint only looks like a thin line, and you can't imagine the rough waves under the skin.
Just when everyone thought the operation was over, Xia Xingran helped Xie Yangnian sit on the ambulance seat and said to the anesthesiologist: "Wake him up."
The anesthesiologist's eyes widened and he said in disbelief: "Wha...what?"
"Wake him up."
Xia Xingran tightened her grip on Xie Yangnian's clothes, gritted her teeth and repeated it with difficulty. Read the book
The anesthesiologist had no choice but to wake up the commander.
Xia Xingran said softly to the commander: "Move your finger."
"What?!" Everyone in the ambulance thought Xia Xingran was crazy.
"How is it possible to be able to move just after the anastomosis surgery? This has never happened in the history of medicine. It would take a day at the earliest."
legitimate ambulance
When all the viewers inside and outside the live broadcast room and outside the live broadcast room thought it was impossible, the conductor's fingers lying on the simple operating table actually flexed and stretched slightly!
Before everyone could react to this medical miracle, Xia Xingran fell straight down with a "bang".
"No, Doctor Xia has suffered a cardiac arrest!" Xie Yangnian was the first to notice the abnormality and immediately started first aid on Xia Xingran.
