Chapter 420 Opening the Abdomen

Ling Ran brushed his hands seriously.

It takes time to brush your hands, because it takes time for soap to kill bacteria. Although the patients in the operating room were quite urgent, Ling Ran was not in a hurry with assistants in charge.

The doctors in Huo Congjun's group were still wandering around the patients with crush injuries. Lu Wenbin, Yu Yuan, and Zuo Cidian in Ling's treatment group got their chance, but they were a little at a loss in the operating room.

In other treatment groups, under the leading chief physician or deputy chief physician, there will be one or two senior attending physicians or deputy chief physicians. A low-qualification resident doctor like Lu Wenbin, except for removing foreign objects and fish bones, cannot stand as the chief surgeon.

Of course, Lu Wenbin can't be regarded as the chief surgeon right now, he simply took the position of chief surgeon.

"What should I do?" Lu Wenbin asked Yu Yuan next to him.

Yu Yuan didn't stand at the chief surgeon's position, and curled her lips unhappily: "You don't know what to do, why are you running up so fast?"

"Didn't I see you turn around and go to the back?" Lu Wenbin felt wronged.

Yu Yuan's face turned green: "I'm going to get the step stool!"

The corners of Lu Wenbin's mouth twitched twice, he burst out laughing in embarrassment, and reluctantly said: "This kind of thing needs to be prepared in advance, besides, you can't move it by yourself, you have to ask others to help."

Yu Yuan stared at Lu Wenbin, with an expression of "Are you serious?", and then said: "I put two step stools on the main surgeon's seat in advance. How can I use them when Dr. Ling comes? I don't find step stools by myself, how can I?" Hire someone to move it?"

"Yu Yuan is very thoughtful." Zuo Cidian couldn't listen anymore, and if he listened any longer, he was about to laugh out loud.

Lu Wenbin chuckled three times, bowed his head and said, "Let's talk about surgery first..."

Yu Yuan obviously didn't want to continue chatting on this topic, she snorted twice, and said, "It's not our turn to have the surgery, now let's check the surgery preparations first, the complete set of cardiopulmonary resuscitation, defibrillator, ventilator, tracheostomy Open the bag..."

Yu Yuan has been the chief resident physician for more than a month, and her momentum is completely different. The point is that her self-confidence is much stronger.

It's like a student, when the college entrance examination is approaching, he spends more than a dozen hours studying in school every day, and only goes home to take a shower in a week or even two weeks. After two months, there will be amazing changes—— —At the very least, he knows where his limit is, which questions he can challenge, and which questions he cannot challenge...

The same goes for Yu Yuan.

She wasn't good at surgery in the first place, and before that, she always felt that she just didn't get the chance...

After becoming the hospital chief, Yu Yuan gradually realized that she was really not good at surgery!

However, being not good at surgery does not mean that Yu Yuan is not good at surgery, nor does it mean that she will not be able to make progress in medicine - the long period of hospitalization has also allowed Yu Yuan to figure out this problem .

She works as an inpatient in the emergency department, and the most patients she encounters do not actually need surgery. Even if they do need surgery, there are very few patients who need to go to the operating room for surgery.

For these patients, Yu Yuan can always transfer them to doctors who are good at surgery, or call doctors from other departments in time for consultation...

So, Yu Yuan saw her own limit, and also saw her own strength...

She conscientiously completed the preoperative examination, paid attention to the patient's vital signs at all times, and frequently ordered the use of drugs.

Except for not opening her abdominal cavity, Yu Yuan did everything she could...

Ling Ran walked into the operating room.

He also looked at the monitor first, and then asked Su Jiafu next to him: "How is the patient's condition?"

"It's still stable, but the blood loss is very large. You can see that the drainage bag below is almost full." Su Jiafu was a little overwhelmed. For an anesthesiologist, it is very difficult to maintain stability for such a patient.

"It means that there is still active hemostasis in the abdominal cavity." Ling Ran turned his head and asked, "Did the patient's family members sign the informed consent?"

"I'm calling.

"The itinerant nurse immediately went to make a call.

At this moment, Huo Congjun had just waited for the Jetta car of the patient's parents.

Ling Ran nodded silently, and with the help of the itinerant nurse, put on the surgical gown and gloves.

Looking back, Ling Ran looked at the monitor and the patient again, lost in thought.

As far as the work in the emergency department is concerned, Ling Ran can already be said to be more than capable.

It is true that he is not very good at some surgical procedures and treatment plans, but after spending a year in the emergency department, Ling Ran has mastered enough skills. In addition to the gifts from the system, long-term operations Life also taught him a lot.

Even so, the patient in front of him could be said to be terminally ill.

Jingle Bell.

The phone in the operating room rang.

The itinerant nurse quickly picked up the phone from the wall, and after a few seconds, said loudly: "The patient's family members have signed."

"Open the abdomen." Ling Ran stretched out his hand for the instrument without hesitation.

The equipment nurse for this operation is still the nurse he is most familiar with, Wang Jia. Without Ling Ran calling out the specific equipment name, Wang Jia gave it to Ling Ran.

It only took Ling Ran a few seconds to open the patient's abdomen.

The moment the abdominal cavity was opened, the blood of the patient who entered the uterus for the second time was mixed with blood clots and filled the operating table.

"This... too much blood." Lu Wenbin was a little bit down on the spot.

Yu Yuan's total hospitalization experience played a little role: "Suck it? Dr. Ling?"

Ling Ran shook his head slightly, and said again: "Remove the gauze first, and then ask for blood."

"Yes." The itinerant nurse immediately went to make a phone call when she heard what happened to her.

"Tweezers." Ling Ran began to bend down to pick out the gauze.

One piece, two pieces, three pieces...

"The abdominal cavity is full of gauze..." Zuo Cidian acted as a hooker, seeing clearly, he was speechless.

"Stuffing to stop the bleeding, but the liver is ruptured, no matter how much gauze is stuffed into it, it's useless." Ling Ran not only explained the operation situation, but also taught several people on the spot.

All the gauze was taken out, and the patient's blood loss naturally soared.

Su Jiafu was shocked when he saw it, stepped on his foot, rode a chair to the front of the pressurized and warmed blood transfusion set, and quickly adjusted the parameters.

He also stuffed all the blood transfusion bags that came with him into it.

In some small hospitals with insufficient conditions, it is common to see photos of medical staff holding blood transfusion bags in their arms, or squeezing blood transfusion bags with their hands. Blood products are stored at low temperature, and the patient’s body temperature is a major issue related to the survival rate. When it comes to emergency blood transfusion, the medical staff have to use body temperature to heat the blood transfusion bag and pressurize the blood transfusion bag with hands, hoping to be able to Infuse the patient with blood at the correct temperature as quickly as possible.

Similar photos are often tagged with heart-warming names and spread wildly by some people who don't know the truth.

However, the reality is that the heating speed of body temperature is very slow, which can only alleviate the emergency situation, and the blood that is finally injected into the patient's body is mostly hypothermia. Squeezing the blood transfusion bag by hand is not only unsatisfactory in speed, but the blood cells and platelets are also greatly damaged, and the blood quality is greatly reduced.

Top hospitals in the region like Yunyi began to use pressurized and warmed blood transfusion sets as early as more than ten years ago, which can not only ensure blood quality, but also reduce the work intensity of doctors.

Most importantly, different programs will have a great impact on patients.

On the operating table, the surgeon can save energy and focus on more important aspects.

Ling Ran stared at the bleeding point, slowly stretched out his left hand, gently pressed the blood vessels entering the liver, and gently clamped them with the blood vessel forceps.

At about the same time, Huo Congjun hurried to the operating room and shouted through the door: "I'm washing my hands now, how is the situation?"

"I want to cut off the right lobe of the patient's liver." Ling Ran also replied loudly.

Huo Congjun couldn't see what was going on in the operating room, so he could only lower his head and brush his hands desperately.

...

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