Chapter 503: Hemostasis

"Have you used the coagulation medicine?" Ling Ran asked while groping for his liver.

"Tranexamic acid was used. Etamine." Guo Mingcheng said, "I also used medicine before the operation."

Ling Ran said "En", and continued to grope with his fingers.

Guo Mingcheng had already done emergency suture treatment, and most of the wound was coagulated by the ultrasonic knife, but the blood kept oozing out.

It can be said that this is a model of the so-called bad luck and poor strength.

There was no problem with Guo Mingcheng's operation, and the preoperative preparations were not complete, and they were above the standard. However, the patient was bleeding heavily, and he still couldn't do anything about it.

In Ling Ran's mind, he recalled the patient's MRI film and other image data.

As a pure surgeon, Ling Ran paid little attention to internal medicine information such as biochemistry, but he remembered the patient's image data and other information very firmly.

While Ling Ran was thinking, he rubbed his left hand over the liver. He touched it very lightly, almost sliding over the liver. At the same time, Ling Ran's right hand also gently stretched in.

laugh.

The airtight door opens.

Director Lei of the Medical and Political Department hurried in, looked at Huo Congjun, then at Ling Ran, and said, "Doctor Ling, don't do it if you're not sure. For such a case, the death discussion report needs to be written for two months." .”

For doctors, death on the operating table is an accident, but it also depends on the level of the hospital.

If it is a Grade B or Grade II hospital, if there is a death during the operation, it will be very serious, because if you are not sure, you should refer the patient to a higher-level hospital.

But if it is a top-three hospital, especially a strong top-three hospital like Yunyi, people will always die during the operation. As long as it is not an operation error, there is always a limited punishment, and the doctor will not be beaten to death with a stick.

However, in Director Lei's opinion, limited punishment is unnecessary. It's not fun to be canceled and judged first, to write a report with tens of thousands of words, to be reviewed and reviewed, to be fined and reduced in salary.

Director Lei knew that Ling Ran made throwing knives and was not short of money, but the discussion of death was indeed something doctors didn't like, and writing reports was even more annoying...

"can do.

"Ling Ran only answered one sentence, and then said to Guo Mingcheng: "I can stop the bleeding with bare hands, reduce the amount of bleeding by a certain amount, and then seize the time to suck the abdominal cavity clean, and then look at the situation?" "

"Okay." Guo Mingcheng responded, took a deep look at Ling Ran, and ordered: "Increase the intensity of the suction, when shall we start?"

"It's already started, about 2 minutes." Ling Ran was afraid of crushing the patient's liver, and the angle of force was also limited, so he couldn't completely block the blood flow.

In the patient's abdominal cavity, while bleeding, it is sucked and gradually reduced.

He Yuanzheng couldn't figure it out, but he thought of the problem he did when he was a child: a water outlet pipe, a water inlet pipe, open at the same time, it is known...

Who said that the topic of the year was useless?

This thing can be difficult to use fluid mechanics.

He Yuanzheng looked at the thick blood, his mind was full of random thoughts.

It doesn't matter if you don't think about it, he can't see any of Ling Ran's operations now, all the movements are buried under the blood line, only the reduced hemoperitoneum is a variable.

Huo Congjun took out his mobile phone again, this time he called the central blood station.

Then, Huo Congjun called Dean Zhou again.

With such a large amount of bleeding, without the support of the blood station and hospital leaders, the operation would not be possible.

Guo Mingcheng also stared at the blood line, holding the pliers in his hands, and basically did not move.

The liver was exposed little by little.

"Hemangioma. Block it." Ling Ran spoke very fast, and his hands moved even faster. With a flick of his hand, he exposed the location of the hemangioma a little.

Although it was only a little bit, at least the boundary of the hemangioma was revealed, and Guo Mingcheng had been working on it for a long time just now, but he couldn't hold the position.

Of course, it was Guo Mingcheng who didn't dare to move his liver too much.

He didn't have Ling Ran's unarmed skills, if he made a big flip, it might cause unpredictable consequences.

"I want a minute and a half. At least." Guo Mingcheng didn't dare to hide it now.

A little carelessness at this time is the result of the patient's bleeding being uncontrollable and the operation completely failing. If possible, he would not give up hope.

Ling Ran frowned, he held his liver, two minutes is too much, Guo Mingcheng will spend at least one and a half minutes to block it now...

"I'll sew, you help me pull the thread." Ling Ran held the patient's liver with his right hand, stretched out his left hand, and said to the equipment nurse: "Needle holder, thin thread."

At this time, I don't care about the number of threads, and the nurse took the needle holder with the thinnest thread to Ling Ran.

Ling Ran held the needle holder tightly with his left hand, and a needle was passed through the center of the liver.

It was only then that Guo Mingcheng realized what Ling Ran was doing, and quickly helped him manage the wires.

Ling Ran inserted a few stitches quickly, and then did a little more delicate stitching.

In less than a minute, Ling Ran threw away the needle holder and said, "It's done, my right hand is about to be released."

Guo Mingcheng watched Ling Ran's operation with wide eyes. At this time, as long as he is not an idiot doctor, he should understand where Ling Ran's level and level are.

"Continue to suck." Ling Ran said again before gently letting go of the liver.

The liver is still oozing blood one by one, but it is no longer a large area of ​​oozing blood.

"We'll finish the rest of the liver resection." Ling Ran's tone was slightly commanding, which was determined by the nature of the operating table.

On the battlefield, only one person must make decisions. On the operating table, there must be only one person to give orders.

It is no longer possible for Ling Ran to completely hand over the liver resection to Guo Ming.

In fact, even if Ling Ran continued to ask Guo Mingcheng to undergo liver resection, he would have no way to continue.

Guo Mingcheng lowered his head, cooperated with Ling Ran, and silently worked as an assistant.

Professor Feng Zhixiang took two steps back and gave up his seat. While slowly taking off his gloves, he looked at Ling Ran with interest.

Today was a bit of a shame for him.

However, this humiliation is nothing compared to the patient dying on the operating table.

His status was not determined by one or two surgeries, not to mention, today's surgeries were nothing more than throwing knives. It is neither an observation operation in an international conference, nor a demonstration operation shown to academic colleagues.

Professor Feng Zhixiang was even more surprised that Ling Ran was able to save him.

He also got started just now, so Feng Zhixiang knew clearly that there was no way for him to save the person. Even when he was at his peak, Feng Zhixiang didn't have such confidence. However, Feng Zhixiang is confident that if he is in his peak state now, he will not perform the surgery to this extent.

Therefore, Guo Mingcheng's technical strength is still not enough.

On the other hand, it shows that Ling Ran's technical strength is extremely strong.

"Which school did Dr. Ling graduate from?" Feng Zhixiang asked as he watched the surgery enter a stable period.

"Medical College Affiliated to Yunhua University." Ling Ran said.

"Yunda, Yunda, I know Li Binnong." Feng Zhixiang said.

"Professor Li retired last year." Ling Ran said, "He gave us basic courses."

"That's right, he's also reached retirement age." Feng Zhixiang sighed, and asked, "Dr. Ling graduated with a Ph.D?"

"Undergraduate."

"Ben...?" Feng Zhixiang was surprised: "In which year did you enter the hospital?"

Ling Ran thought about it: "Let's count it as this year."

Feng Zhixiang looked at Huo Congjun in surprise.

Huo Congjun said with a smile: "God rewards the meal."

Feng Zhixiang looked at Ling Ran's face speechlessly, and suddenly felt that the world was so unfair. Some people live to be in their 60s, and still touch porcelain to make a living. Liver resection surgery...

laugh.

The door of the operating room opened, and Dean Zhou entered with a heavy face.

"It's all right." Huo Congjun said without waiting for Dean Zhou to ask, "Ling Ran stopped the bleeding with his bare hands, and then sewed up the wound. The patient is now in a stable condition."

"Oh..." The aggressive Dean Zhou relaxed all of a sudden, as if he was three inches shorter, and then asked Ling Ran with a pleasant face, "Doctor Ling, how is the situation now?"

"It should be possible to complete the liver resection according to the original plan." Ling Ran paused, and said, "It's just that the speed can't keep up."

Guo Mingcheng was a little ashamed, and smiled awkwardly: "I think it's easy."

"Bad luck. Ultrasonic knife." Ling Ran didn't find another way, and followed Guo Mingcheng's train of thought to slowly remove the liver.

People have already done half of the operation, and making a mess is a waste of the patient's life.

But it was precisely because Ling Ran was following Guo Mingcheng's thinking, Guo Mingcheng became more and more startled.

Not to mention anything else, just the way Ling Ran operates the ultrasonic knife is several times his level.

I saw Ling Ran holding the ultrasonic knife and slicing it high above the tissue. The cut was completed in one cut. Not only was the cut accurate, but the damage to the surrounding tissue was also minimal...

Most importantly, Ling Ran's proficiency in this technique surpassed that of Guo Mingcheng himself! And he used this technique as his main technique and has been playing it for more than a year.

laugh.

The door of the operating room opened again. This time it was the dean's secretary who came in on behalf of the dean.

The secretary nodded to everyone and asked, "What's the matter?" without introducing himself.

"The hemorrhage is hard to stop. Now the bleeding has finally been stopped." Huo Congjun said.

The secretary asked: "Can the patient be kept?"

"Almost. I can keep it." Huo Congjun still gave an affirmative answer.

The secretary really relaxed.

laugh.

The operating room door reopened.

Several residents looked in with their heads poking around.

Vice President Zhou, Assistant to the President, Director of the Medical Administration Department, Huo Congjun, He Yuanzheng, Feng Zhixiang and others all turned their heads to look at the past.

"We..." The resident doctors seemed to have seen Medusa, their bodies were stiff as if they had just been slaughtered for a few hours, the words were on their lips, but they couldn't get out.