Chapter Five Hundred and Sixty First Cut

After assigning the follow-up two mild patients to the on-duty resident doctor, Ling Ran immediately returned to the operating room and began to prepare for the operation.

The general surgeon who came to consult also washed his hands and came to help.

Yunyi's emergency department has always been relatively strong, and operations such as splenectomy are all performed in the emergency department's own operating room. On the other hand, there are too many surgeries in general surgery, and they can't be finished at elective dates. There is even less demand for splenectomy and other surgeries.

The general surgery department of Yunyi now has to rely on the type of medical insurance to admit patients. If it is not a serious illness, if the patient comes with the municipal medical insurance, the outpatient doctor will not accept it.

This is obviously not very friendly to the little doctors.

Especially the small general surgeons who work in Yunyi Hospital have to go to the emergency department if they want to experience splenectomy.

"The blood loss reported before the hospital was more than 1,000 milliliters. Now the blood pressure is 90, and the heart rate is 110..." The anesthesiologist saw the general surgery resident doctor coming, and did not even pinch his eyelids. He waited for Ling Ran to enter the room before quickly reporting .

"Both the spleen and the liver are ruptured, and the blood loss may be more serious when they are opened." Ling Ran's attitude is still confident.

His judgment of the abdominal cavity can be said to be more accurate now, and coupled with the master-level physical examination just obtained today, Ling Ran's judgment can be said to be 100% sure when facing emergency patients.

After all, what he is mainly facing now is trauma. If the liver, gallbladder, pancreas and spleen are good, they are good, and if they are broken, they are broken...

"It should be the rupture of the left liver." Before opening the abdominal cavity, Ling Ran called out the location of the rupture, which caused the little doctor in the general surgery department to look over involuntarily.

The anesthesiologist looked at the little doctor with disdain, and thought, "It's so rare, it's so strange, what's wrong with it..."

The little nurse in the emergency department looked at the anesthesiologist disdainfully, and thought: What's the point of despising the resident doctor...

"Knife." Ling Ran cut open the wound without asking for a pen.

"Vascular forceps."

"gauze."

"Suck."

Once Ling Ran started the operation, he was very focused.

He likes this feeling,

Don't worry about whether someone is looking at you, whether someone is looking for something to chat with you, or someone suddenly bumps into you and falls in front of you.

Ling Ran likes to concentrate on doing his own things.

"Blood pressure should not be too low, as it is easy to rebleed after surgery."

"Be careful not to damage the tail of the pancreas when supporting the spleen."

While performing the operation, Ling Ran had to remind the assistant and anesthetist. The night shift emergency department is like this. The resident doctors sent by the general foreigner are low-qualified, and the anesthesiologists sent by the anesthesiology department are also low-qualified. Inexperienced, it is easy to miss the details.

If it is an ordinary surgeon, he will be nervous at this time. Whether he can remind him depends on his experience. If the assistant before broke the tail of the pancreas, he will remind him. If not, maybe this time That's the next experience.

For Ling Ran, he has too many details, and not only the details of the main knife position, but also the assistant position. Therefore, if the assistant's movements are standard or not, he will be able to react immediately if he is off the mark.

As an assistant, whether there is someone to remind and guide, the difference is huge.

Ling Ran simply said a few words here, and the resident doctors in general surgery immediately felt comfortable, and when doing things, they were less intimidated and worried, so they couldn't help but compliment: "Doctor Ling cuts the spleen and feels it's very smooth. , kind of like the demo I saw at the Army General Academy last time."

Flattering is an essential skill for surgeons. The low-level resident doctor is not very proficient in shooting, and it is slightly flawed.

Ling Ran just said "En", as if he didn't hear it.

He knows the ranking of his skill level, and he doesn't need a small resident doctor to explain it.

In fact, the master-level total splenectomy must be at the top level in the country - it is probably lower than the ranking of the master-level liver resection. After all, the threshold for splenectomy is low, and those who have the opportunity to contact There are many doctors.

However, it is relatively low, which is also the lowest of the 138th in the country. It is still doubtful whether the demonstration of the General Surgery Department of the Army General Hospital can reach this level.

"The spleen is almost done here, and the liver is going to be removed next..." Ling Ran did it quickly, removing the patient's spleen in two or three strokes.

Unlike many well-prepared elective surgeries, emergency surgeries can be done quickly, which can increase the fault tolerance rate.

If it is done quickly, the blood loss will be less, and the emergency doctor will have more time to think about the problem. Naturally, the probability of survival will be higher.

In about two or three minutes, Ling Ran exposed his liver.

At this time, Zuo Cidian also rushed over, washed his hands, put on his gloves, and came in to help.

Liver resection is a standard major operation, and two or three assistants are not too many.

The resident doctors in general surgery have never been involved in liver resection, so they naturally changed from one assistant to two assistants, and turned into a suction statue, watching Ling Ran and Zuo Cidian operate.

Zuo Cidian helped Ling Ran deliver the thread and needle, feeling the eyes of the junior resident doctor, his whole body was full of strength.

"This is Zuo Cidian's finishing touch." Ling Ran was too proficient at performing liver resection, and completed the main part in less than 10 minutes.

Zuo Cidian's skills are weak, but it's no problem to finish things up.

"General surgery, follow me to the operating room next door." As soon as Ling Ran called out, the general surgery resident followed up with a wheeze.

"Is there another splenectomy?" The resident doctor was excited and incoherent: "I won't touch the tail of the pancreas this time."

"Did you touch the tail of the pancreas just now?"

The resident doctor Yi Lin: "No... no... completely encountered..."

"A light touch is okay."

"Oh, then I tapped..."

"Don't touch it next time." Ling Ran turned to look at the resident doctor.

The resident doctor swallowed, only to feel that his heartbeat missed half a beat: "Yes... no, I will be very careful."

"This patient had a ruptured spleen and a ruptured testicle. The entire spleen was removed to avoid excessive blood loss. If there are two testicles, we can see if we can keep one for him."

The resident doctor nodded repeatedly.

While the two were talking, they rushed into the operating room.

Zheng Pei was busy with blood all over his body.

"I lost blood and went to 1500." Zheng Pei was in a hurry. He had been a resident doctor for four years, and he was really able to do things independently, and it was only this year. He was still unsure about a patient with a ruptured spleen.

Ling Ran stepped forward without saying a word, observed for a few seconds, then reached out to the patient's abdominal cavity, pinched the spleen with his bare hands, and said, "The stomach should get bigger."

"Do you want to make it bigger?" Zheng Pei hesitated.

"Don't worry about postoperative recovery at this time." Ling Ran looked down at the patient again, and said, "Hurry up, I'm sure the patient still prefers that we can save time and help him save a testicle."

"Huh...can you save me?" The nurse in the audience today was Su Mengxue, who looked over curiously.

"It depends on his luck." As Ling Ran spoke, he focused on dealing with his spleen.

"Your Majesty sent me to patrol the mountains..."

Ling Ran's cell phone rang.

"Help me answer the phone."

Naturally, Ling Ran couldn't touch the phone. Su Mengxue was so happy that she almost jumped up, hurriedly went to Ling Ran's pocket, and then turned on the phone and put it next to Ling Ran's ear.

"Hello……"

"En, just take it in, don't need to call someone, I'll just get rid of it." Ling Ran nodded to Su Mengxue, who then took off the phone and hung up.

Ling Ran continued to concentrate on the operation.

After the splenectomy was completed, Ling Ran looked up at the general surgeon and Zheng Pei, and said, "There was another car accident, three people, two serious and one light, it will be delivered in a few minutes."

"No need to call another doctor?" Zheng Pei was a little unsure.

Ling Ran nodded: "This will be done in a few minutes, depending on the condition of the patient's testicles. If one can be kept, the new emergency patient's condition should be stabilized first..."

As Ling Ran said, he handed over the final part of the spleen to Zheng Pei, and then went to see the patient's breast.

A few seconds later, Ling Ran made a judgment: "It's hopeless, cut them all off."