Chapter Five Hundred and Sixty Second Intra-Abdominal Bleeding

"Doctor, help...help..." The second batch of car accident patients were rushed to the Yunyi Emergency Center.

Ling Ran changed his clothes again, and while he was still wearing gloves, the patient's family members who were in the same car jumped down and shouted at Zuo Cidian.

This is a middle-aged woman in her 40s, her hair is already messy, and she looks a little scary at night.

But at this moment, her expression was worried and frightened.

Zuo Cidian, whose skin was as rough as an orange, showed a helpless expression to Ling Ran, and then softly said to the patient: "Don't worry, you've already arrived at the hospital, you stand aside first, don't delay the patient's treatment, let the doctor find a way deal with."

As soon as he said that, the patient's family members immediately stepped aside obediently.

At this time Ling Ran also walked up with his hands tied together.

"Both the left arm and the left leg are broken, and there is not much bleeding...the blood pressure is still stable..." Ling Ran did a quick physical examination, ordered the examination items verbally, and then said in a low voice: "Let the orthopedic doctor come over for consultation , hand it over to them, and the patient will be sent to the operating room first."

Two nurses wheeled the patient to the operating room. Doctor Guipei, who got the checklist, nodded foolishly, turned around and left.

Seeing his appearance, Zuo Cidian couldn't help following him, and whispered: "Orthopedics doesn't necessarily want it, you just say, if you want to pick it up, you can give it to them, if you want to keep it, we can accept it, understand?"

Guipei is a new recruit this year, and he asked sullenly, "Why did you choose them?"

"Because the right to choose is in their hands." Zuo Cidian shook his head helplessly, and said, "If the orthopedics department doesn't accept you, can you throw the patient into the orthopedics department building?"

Large tertiary hospitals such as Yunyi have completely opposite ecological models to ordinary tertiary hospitals or lower-level hospitals.

Ordinary top three or weaker hospital departments are always in a state of robbing patients. If one is not careful, the business of the department will be unsustainable. Large-scale tertiary hospitals often have too many patients, so that professional departments are pushy against emergency patients. Moreover, the shortage of hospital beds is also a real problem.

The current emergency patient is in a state of acceptability or not for the orthopedics department, so Zuo Cidian specially reminded him.

Gui Peiyi was a little at a loss: "If they..."

"okay,

Run fast, mouth dessert will do. " Zuo Cidian urged.

Gui Peiyi was even more embarrassed: "I... I'm not very good at talking."

"Do you want me to teach you this?" Zuo Cidian said, but his heart was inexplicably happy, so he patted Sha Guipei on the shoulder and said, "I really don't know how to say it, so just say, oops, you lost weight recently Right, the waist looks thinner, understand?"

"Oh... I see." Dr. Guipei ran away, took two steps, and then retreated: "Well, if I meet a doctor I have never seen before, let me say this..."

Zuo Cidian shook his head distressedly: "You are Doctor Guipei. To put it nicely, you are called Doctor Guipei, or Guipeisheng. Does it mean that the orthopedic doctor you have met will remember you?"

Doctor Guipei of the first year now understood, and said cheerfully, "That's good, then there's no problem."

He ran a few more steps, then stopped again, as if he had come to his senses and wanted to say something...

Zuo Cidian waved his hand: "Hurry up, the patient can wait for you."

"Oh." The first-year medical doctor Gui Pei ran away.

"One year is not as good as one year." Zheng Pei sighed heavily, and said in the tone of someone who has experienced it: "When we were doing regular training, sharp eyesight and quick hands were the basics. Nowadays, children seem to be stupid after eating something..."

Zuo Cidian turned around and looked at Zheng Pei with silly eyes: "In terms of age, Dr. Ling should be in regular training this year."

Zheng Pei coughed violently.

"Lie down here too, and I'll give you a checkup." Ling Ran looked at the patient's family and frowned.

The woman smiled, and then refused: "I'm fine, I was sitting in the back when the car crashed, you show my brother and sister-in-law first, I just have scratches or something, and it doesn't hurt much..."

Ling Ran stared at the other party, and then said: "Do the inspection first, and then talk about other things."

"I'm fine..." The woman said it again, looked in the direction of the operating room, and asked: "My brother can be cured, don't you be reluctant to take medicine, our family belongs to Yunhua, and we can pay for the doctor's treatment... "

Ling Ran waved to Zuo Cidian and said, "Let her have a B-ultrasound."

Zuo Cidian trotted over quickly, and said with a smile: "Here you are, there is no harm in having a checkup, come here..."

Under Zuo Cidian's persuasion, the middle-aged woman opposite had no choice but to lie down on the examination bed.

Zuo Cidian oiled her stomach, and then pulled B Chao over. In just a few seconds, Zuo Cidian's face changed.

"Bleeding in the abdomen." Zuo Cidian pressed the other person's shoulders to prevent her from getting up, and then reminded: "Your abdomen is bleeding, understand? The stomach is bleeding, don't move now."

As he said that, Zuo Cidian hurriedly called Ling Ran.

"Send it to the operating room." Ling Ran was wrong when he saw the patient's family members just now. In professional terms, the inspection detected a problem, and now it is confirmed by B-ultrasound.

"Should...should I call someone again?" Zheng Pei always felt uneasy.

"It looks like the liver was injured when the car crashed. I'll open it up and see if there are other injuries." Ling Ran's biggest confidence is that he has complete hemostasis skills.

After mastering perfect-level manual hemostasis and perfect-level thermal hemostasis, general traumatic blood loss is within his control. In this way, even if there is any accident, there is still time to use the summoning technique again.

"Dr. Ling and I, you take care of the remaining one." Zuo Cidian quickly said to Zheng Pei, then rushed into the operating room, washed his hands and put on gloves...

After entering the operating room, Ling Ran had already opened the patient's abdominal cavity.

"Well, it hurt the liver... just cut a small piece..." Ling Ran moved the knife while speaking.

"Is the liver segment removed?" Zuo Cidian stood opposite Ling Ran, looking at the patient's blood-filled abdominal cavity, he felt as if he had been injected with chicken blood.

Such a small area of ​​liver resection is also rare in the operations he has seen.

"If you don't do regular excision, just cut the damaged part." Ling Ran lowered his head and began to operate as he said.

Compared with the previous emergency liver resection, the patient's blood loss rate in this operation was much slower, so Ling Ran was not in a hurry to give her a complete cut. He first slowly peeled off the hilum of the liver, and then blocked the blood flow, and then started to slow down. And carefully cut out.

With this method, the blood loss of the patient is much greater than that of the direct incision. After the whole operation, even the blood loss is normal.

However, the prognosis of more blood loss is better than rough emergency liver resection.

"It's quite fulfilling tonight." Ling Ran successfully completed the operation and was in a good mood.

Two liver resections were performed in one night, and the spleen and testicles were removed. I feel that the suffering was not in vain.

"It's fine if you like it, do you want some supper?" Zuo Cidian looked at the most exciting part, and his body swayed a little.

"Check your intestines. If there's nothing wrong with it, you don't need to go to a non-specialist." Ling Ran looked at the two nurses next to him and said, "I'll pay for the supper. What do you want to eat?"

"It will be all right."

"Doctor Ling choose."

Ling Ran then thought for a while, and said to Zuo Cidian, "There is an all-night Beijing-style restaurant in front of the hospital, I'll eat stewed stew, and I'll bring fried liver."

Zuo Cidian lowered his head and rubbed the patient's intestines: "Then I'll cook them in marinade, and I can put more small intestines. The small intestines cooked in their home are quite unique."