Chapter Eighty-One: Exceptional Medical Skills

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  "Director Liang, the injured person is Comrade Yang Jie's teacher. Since Comrade Yang Jie has a kind heart, let him go in and do his best! Whether or not we can save the injured person, we won't blame the health clinic." After Jiang Yi said this, Liang Chao couldn't find any reason to oppose it.

  "Alright! You go in first and change into surgical attire. Once inside the operating room, please refrain from speaking loudly to avoid disturbing other medical staff." Liang Chao turned his head towards Yang Jie, saying this as he pushed open the door and walked into the operating room.

  Yang Jie nodded gratefully at Yang Hua and Jiang Yi, then ordered Xiao Wu to activate the medical auxiliary system before following closely behind Liang Chao into the operating room.

  The operating room conditions in the rural clinic were very limited, and a completely sterile environment was impossible. Under the surgical lights, two surgeons and four nurses were trying to stop Dai Xiaoqiang's bleeding. Several large blood bags hung beside the operating table, rapidly transfusing blood into him.

  Yang Xinhua was calmly directing the two surgeons as they treated Dai Xiaochuan's wound. Looking at the two doctors, who were occasionally wiping sweat from their foreheads with a nurse, Yang Jie knew that they didn't have confidence in treating Dai Xiaochuan's wound and were under great pressure.

  Dai Xiaoqiang lay pale and bloodless on the operating table, with the electrocardiogram displaying his heartbeat and blood pressure. At this time, Dai Xiaoqiang's heart rate was hovering between 48 to 50, and his blood pressure had not exceeded 60, the situation was not optimistic.

  "Xiao Jie, how did you get in?" Yang Xinhua's eyes scanned the surroundings and listened carefully, even though he was guiding two doctors, he still paid attention to anyone entering the operating room.

  "Dad, I'm here to help!" Yang Jie was already wearing a surgical gown and had on rubber gloves at this time, and he naturally replied with a sentence after hearing Yang Xinhua's question.

  "Director Liang, I'd like to take a look at the injured person's condition first. Can you arrange for a nurse to help me prepare the silver needles? I need to use them to seal the acupoints and temporarily stop the bleeding." Yang Jie handed the silver needle box that had been disinfected with alcohol to Yang Xinhua, then went forward to examine Dai Xiaochang's wound.

  Major vascular injury in the abdominal cavity is one of the most challenging problems in abdominal surgery. Dai Xiaoqiang's injury was located in the abdominal cavity, near the liver. After the medical auxiliary system was activated, Yang Jie immediately judged that Dai Xiaoqiang had suffered from hepatic vein and inferior vena cava injury, which was extremely dangerous with a mortality rate of 50% to 80%.

  Moreover, Dai Xiaojun's abdominal injury was a special dagger stab wound, which made suturing extremely difficult. This is also the main reason why the two surgeons were helpless in dealing with Dai Xiaojun's abdominal wound. Currently, they can only use hemostatic forceps to control the bleeding point and cannot treat it at all.

  "The injured person has a hepatic vein and inferior vena cava injury, the situation is extremely dangerous, surgery must be performed immediately!" Yang Jie just took a glance and was able to professionally describe Dai Xiaoqiang's injuries, leaving Liang Chao and two other surgeons stunned.

  Yang Xinhua didn't know how Yang Jie could understand medical skills, but now that it was a matter of life and death, he couldn't ask too many questions. Seeing Yang Jie stun Director Liang and the two doctors with just one sentence, his sword-like eyebrows suddenly rose, "Little Jie, can you cure Little Dai's injury?"

  "No problem! Fortunately, the blood arrived in time and there was a large amount of blood to sustain Master Dai's life. As long as we handle it promptly, there shouldn't be any aftereffects!" Yang Jie said, not waiting for Director Liang's agreement, he asked a nurse beside him to bring over the acupuncture box from Yang Xinhua.

  Looking at the surgical drape covering Dai Xiaoqiang's abdomen, Yang Jie slightly furrowed his brow. This operating room couldn't even achieve a sterile environment, so covering it with this thing wasn't very useful. Moreover, he needed to use silver needles to seal the acupoints to stop Dai Xiaoqiang's bleeding, so he carefully lifted the drape covering Dai Xiaoqiang's abdomen.

  "Wipe the blood around the wound with alcohol and prepare a vascular clamp without damaging the blood vessels." Yang Jie stood in front of the operating table, his face covered with a mask, but his eyes shone brightly, exerting a strong presence that affected everyone in the operating room, causing two surgeons and four nurses to follow his orders involuntarily.

  Standing beside Yang Xinhua, Liang Chao looked at Yang Jie as he stepped onto the operating table, and his entire demeanor seemed to undergo a drastic transformation. The calm confidence had an impact on everyone in the operating room, making it seem as if the operating table was Yang Jie's workstation, causing him to momentarily forget that Yang Jie wasn't even a doctor.

  "Now everyone is divided into two groups, I use silver needles to seal the holes and stop the bleeding of the injured person, prepare surgical knives, perfusion pumps and 4-0 nylon threads. I will perform surgery immediately, you do liver blood flow occlusion, occlude the first anal gate, hepatic superior and inferior vena cava even abdominal aorta, note that every 10 minutes to loosen the first hepatic portal and abdominal aortic clip, maintain liver perfusion." Yang Jie spoke very quickly, fortunately, two surgeons had some experience, after hearing Yang Jie's words, they immediately began to use cotton balls to clear the fresh blood from the abdominal cavity incision.

  Yang Jie took out nine silver needles from the silver needle box held by the nurse beside him, and with lightning-fast hands, he inserted the nine silver needles into different acupoints on Dai Xiaochang's chest and abdomen at varying depths. As the nine silver needles entered his body, the blood flow from Dai Xiaochang's wound decreased at a visible rate.

  Li Chao's eyes widened in disbelief, and the two Western doctors standing beside Yang Jie were even more stunned. As Western medical practitioners, they didn't understand traditional Chinese medicine or acupuncture techniques. Seeing Yang Jie stop the bleeding with just a few needles that they had been unable to control earlier was truly astonishing.

  "Don't be stunned, after I use the perfusion pump to establish the inferior and superior vena cava bypass, you can proceed with the hepatic blood flow occlusion." Yang Jie used a silver needle to seal the bleeding abdominal wound of Dai Xiaoqiang, then quickly utilized the perfusion pump to establish the inferior and superior vena cava bypass.

  If a shunt is not established between the inferior and superior vena cava, then after occlusion of the inferior vena cava, originally insufficient effective circulating blood volume will suddenly lose 2/3 of its venous return, which can easily lead to cardiac arrest.

  Yang Jie's skill on the operating table was like that of a seasoned foreign surgeon who had performed countless similar operations, and the two surgeons seemed to have returned to their days as students following their instructor, with Yang Jie giving orders, they began to perform hepatic blood flow occlusion.

  Clamp the first hepatic portal vein, superior and inferior vena cava, and even abdominal aorta. According to Yang Jie's instructions, release the clamp on the first hepatic portal vein and abdominal aorta every 10 minutes to maintain liver perfusion.

  Yang Xinhua watched as Yang Jie's hands, swift as lightning, held the surgical forceps near Dai Xiaochang's wound, treating various injuries and repairing damaged blood vessels. His agile hands were like two butterflies dancing in a flower cluster, nimble and dynamic, attracting not only Yang Xinhua, who didn't understand medicine, but also Liang Chao, who had been a doctor for over 30 years and had seen many storms.

  The twisted wounds caused by the special dagger are very difficult to suture, just like the wounds caused by the Mitsubishi military stabs of the Huaxia scouts. If not specially trained, general surgeons can't handle it at all.

  Dai Xiaoqiang's abdominal wound, however, was quickly repaired under Yang Jie's treatment, and once the main blood vessels were fixed, Yang Jie finally let out a sigh of relief. He turned to ask the nurse to wipe away the sweat on his forehead before proceeding with the continuous or interrupted sutures in an orderly manner.

  Within an hour, the wound on Dai Xiaoqiang's abdomen that had left everyone helpless was treated by Yang Jie's skilled hands. After Yang Jie neatly sutured the surgical incision on Dai Xiaoqiang's abdomen and retrieved all nine silver needles, the heart rate on the electrocardiogram began to stabilize.

  "Alright, the patient's injury has been basically controlled. Post-operative movement is not advisable to avoid infection, and antibiotic treatment should be administered. Additionally, glucose and vitamins should be given to protect liver function. Once the critical period has passed, we can transfer him to a higher-level hospital for further treatment and recovery." Yang Jie's treatment was very timely, and according to the medical auxiliary system's judgment, as long as Dai Xiaoqiang does not develop post-operative infection, the chances of healing exceed 90%.

  "Bang bang bang......"

  Everyone in the operating room had eager eyes, especially the four nurses, whose eyes sparkled with a string of small stars, staring intently at Yang Jie, who had already removed his mask and gloves, and couldn't help but applaud excitedly despite still being in the operating room.

  Yang Xin Hua looked at Yang Jie with a complex gaze, as if he had changed into another person. He was certain that the person in front of him was indeed Yang Jie, his son, and not possessed by any evil spirits. However, Yang Jie's extraordinary abilities displayed over the past period of time made Yang Xin Hua reevaluate his son, allowing him to see an unbelievably excellent side of him that he had never noticed before.

  Yang Jie grew up in Fuxin Tungsten Mine since he was a child. By the time Yang Xinhua returned after retiring from the army, Yang Jie was about to enter high school. It can be said that Yang Xinhua knew very little about Yang Jie, so he had many questions hidden in his heart. However, in front of outsiders, he didn't dare ask much and could only hide all this in his heart.

  "Director Liang, please pay close attention to the condition of the injured for the next two days. Once their condition stabilizes, we will transfer them to the Municipal People's Hospital. The winery will settle the expenses with the health clinic!" Yang Jie said seriously as he took over the acupuncture box handed to him by the nurse, looking at Liang Chao standing beside Yang Xinhua.