Chapter 404 Have You Ever Raised a Cat?
Ruptured spleen is the most common abdominal injury.
In half of abdominal injuries, a ruptured spleen occurs. At the same time, it is also the most dangerous.
Because the blood supply of the spleen is rich, the rupture of the spleen is always accompanied by massive bleeding. In the environment or age where timely medical treatment is not available, the death rate caused by the rupture of the spleen is extremely high.
Doctor Zhou also breathed a sigh of relief when he saw Ling Ran.
Once in Boss Shao's shop, Ling Ran used his bare hands to stop the bleeding of a patient with a ruptured spleen in front of Dr. Zhou, and persisted until the hospital.
As far as the current environment is concerned, as long as Ling Ran can persist for a while, Dr. Zhou will be able to free up manpower to perform spleen surgery on patients.
Worst of all, if you wait for a while, maybe you can wait until the general surgery doctor is free, and a spleen operation is easy to do.
More than half of the patients in the emergency department are going to be transferred to other departments, and now the time is not suitable. If it is changed to daytime, the allocation of medical staff will not be so stretched.
"Ling Ran, stop the bleeding with bare hands first, and then I'll arrange for someone to do the splenectomy." Doctor Zhou ordered softly, turned around and wanted to leave.
"I can have a splenectomy." Ling Ran seized the time to express.
At this time, Ling Ran was more like an intern.
An intern who has experience in master-level total splenectomy and 100 abdominal dissections, but has never demonstrated it in front of other doctors, naturally needs to strive for performance.
Doctor Zhou hesitated for a while, but still didn't dare to let Ling Ran go into battle directly: "You stop the bleeding with bare hands first, and if you want to have an operation later, you can go to the operating room as an assistant."
At the level of a senior resident doctor, it is generally relatively easy to learn new surgical techniques.
Especially in some hospitals with less strict management, what kind of surgery a doctor is allowed to do is determined according to his professional title and title, not according to his own proficiency. In contrast, it was very prudent for Dr. Zhou to ask Ling Ran to be his assistant first.
Otherwise, when Ling Ran returned to his treatment group, he would just do whatever surgery he wanted.
Ling Ran didn't talk much at this time, he nodded obediently, and first used bare hands to stop the bleeding, stretched his hand through the patient's wound, and pinched the spleen pedicle.
The gurgling blood flow was stopped instantly.
Dr. Zhou couldn't help but tsk-tsk twice: "No matter how many times you see this move, you still think it's powerful. Ordinary people can't stop bleeding with acupressure."
"You have to master the strength well," Ling Ran said.
Doctor Zhou nodded again and again. He also knew that too much force would damage the tissue, and too little force would not be effective. However, it is not easy to talk about internal organs with bare hands.
Ordinary people put their hands into other people's abdominal cavity, and they don't know what they smashed, so let's talk about strength.
Dr. Zhou has always been interested in Ling Ran's hemostasis with bare hands, but unfortunately today's environment is not suitable for talking too much. Following the arrival of another ambulance, Dr. Zhou immediately ran out again.
After the first wave of ambulances arrived, the following ambulances began to patter, neither smoothly nor evenly. One came after a while, another came after a long wait, and then came again suddenly.
It is conceivable that the frequency of rescue of personnel cannot be controlled at the construction site where emergency assistance is in progress.
Five minutes later, Ling Ran saw Dr. Zhou again.
"Go to the operating room to get ready. I'll be there later." Dr. Zhou said.
"Are you here to perform the surgery?" Ling Ran looked suspiciously at Dr. Zhou, who had always been salty.
Doctor Zhou sighed helplessly: "There are really no one left. I didn't do it well, and I managed to do dozens of cases."
Surgery such as splenectomy is relatively common for emergency doctors. If there are only a few dozen cases, Ling Ran suspects that it is a stronger entry-level.
However, arguing at this time will not improve efficiency.
Ling Ran rode on the bicycle, grabbed his spleen, and was led all the way into the operating room, where he began to make preoperative preparations.
After waiting for a while, when everything was almost ready, Dr. Zhou finally appeared in the operating room.
"Director Tao is here.
I can take a break. "Doctor Zhou smiled with relief, and picked up the scalpel.
"Director Tao came so quickly?" Ling Ran was quite surprised.
Doctor Zhou smiled: "Director Tao doesn't need to take care of his grandson or son. His wife dances square dance every day and suffers from insomnia at night. When we call, he might lie on the bed and be scolded by his wife. Who cares if he doesn't come quickly?" quick."
Ling Ran looked at Dr. Zhou who was full of desire, and felt that what he said made sense.
Su Mengxue, an equipment nurse standing by the side, had just been in the hospital for a year or two and hadn't heard of this gossip yet, so she couldn't help asking: "Is Director Tao the kind of person who is afraid of his wife? I can't tell."
"Why can't you see it, Director Tao has dark circles every day."
"I thought..." Su Mengxue stuck out her tongue.
"What are you thinking about? At Director Tao's age, how can he take so long to have dark circles under his eyes?" Dr. Zhou smiled.
Su Mengxue blushed, took a peek at Ling Ran, and hurriedly said, "I mean he plays with his mobile phone at night."
"I'm also talking about mobile phones, what else?" While speaking, Dr. Zhou had already used a scalpel to open the incision, exposing his spleen, and at the same time secretly let out a sigh of relief, thinking, the young and beautiful nurse is really cuter, The atmosphere in the operating room immediately returned, and the techniques were all memorized.
Su Mengxue snorted twice, unwilling to speak.
Dr. Zhou looked down at the spleen, frowned and said, "Grade III injury, the only option is splenectomy."
"Yes, the splenic gate has been partially severed, and the blood vessels in the splenic lobe are also gone." Ling Ran nodded.
Doctor Zhou nodded and said, "The anatomy is fine, no wonder the bleeding is so good with bare hands."
Ling Ran smiled shyly, and following Dr. Zhou's movements, he instantly used the large feeding technique.
The master-level total splenectomy skill, when used as an assistant, is still a powerful and unbelievable existence.
When Dr. Zhou wanted to separate the tissue, Ling Ran fully exposed the separated part. When Dr. Zhou wanted to ligate the blood vessels, Ling Ran stripped the blood vessels clearly. When Dr. Zhou was about to perform autologous transplantation, Ling Ran gave the spleen tissue to sliced...
Dr. Zhou was shocked by his state.
My family knows my own business. In the years of being a salted fish, Dr. Zhou's working hours are shorter, and the operation time is even shorter. Without the corresponding number of operations and operation time, his operation level can only be said to be good.
That is to say, it belongs to the state of having more than the bottom than the top.
But at this moment, Dr. Zhou suddenly felt that his technique was extremely smooth, as if it had been accumulated over the years.
"Let's do it faster and try to finish it sooner." As the operation progressed, Dr. Zhou couldn't help feeling a little swollen.
Ling Ran nodded, and continued to use the medical feeding technique to send it flying.
This is his first total splenectomy. Although he is already at the level of a master, Ling Ran is still willing to gain some perceptual knowledge. There's nothing wrong with being an assistant.
It was Dr. Zhou's skills that gave Ling Ran a new understanding of him.
Although Dr. Zhou only performed dozens of splenectomies, his technical level has clearly reached the level of specialization.
Only a few dozen surgeries have been performed, and he has crossed the level from beginner to professional. Although he has the addition of other surgical skills, it still proves that Dr. Zhou's talent is quite good.
And with the assistance of Ling Ran's master-level total splenectomy, Dr. Zhou's application of specialization-level skills couldn't have been smoother.
It only took more than 30 minutes for both parties to complete the operation, and they were both in a good mood.
Doctor Zhou checked it again, raised his head arrogantly, and said with his head held high: "The operation is over, I'm going back to the emergency room first."
Then, Dr. Zhou rolled his neck like a chicken, dropped his gloves, and left the operating room.
Ling Ran conscientiously performed the work of an assistant. After the re-examination, he sutured the patient's abdominal cavity, performed drainage, and sent him directly to the recovery room.
Going back to the clinic downstairs, it is obvious that the number of medical staff has increased a lot, including Lu Wenbin and Yu Yuan from Ling Ran's group, and the intern Guan Fei, who all ran over.
At the same time, the injuries of the patients who were sent over became more and more complicated.
Ling Ran looked around, trying to find another job that could give full play to his strengths.
Dripping, dripping, dripping...
Another ambulance arrived, delivering a patient with a ruptured intestine.
Yu Yuan took the initiative to run up, asked a few words in a low voice, and beckoned to Guan Fei: "Come and help."
Guan Fei immediately ran over excitedly.
For her who is still an intern, today's scene is a real scene.
Being able to participate in the big scene, Guan Fei couldn't help being unhappy.
"Stay here." After Yu Yuan gave the order, she took another look at Guan Fei and said, "Remember the anatomical positions of the small intestine, colon and rectum."
"I know a little bit." Guan Fei replied in a low voice.
Yu Yuan nodded, her tone became much gentler, and said, "Have you ever raised a cat?"
"I've raised it." Guan Fei said with a smile in a chatty tone, "My Yingduanchao is cute, with blue eyes, and her name is Alisa..."
"That means you have shoveled shit." Yu Yuan nodded, pointed at the patient's abdomen, and said, "Get all the shit out for him."
"ha?"
"Why do you think the general foreigner is called a excrement worker?" Yu Yuan curled her lips.
"I...I..." Guan Fei's tone trembled.
"Hurry up." Yu Yuan's tone became severe.
Guan Fei had no choice but to silently push the patient to the polluted operating room in the emergency room, crying and digging out shit at the same time.
The medical staff not far away looked at Guan Fei, who had just dyed her hair yellow and put on delicate eye makeup, and could even hear her crying to herself:
Alisa is so cute!
Cat feces are buried in cat litter!
I don't want to be a manure picker!