Chapter 404： Have a cat

Rupture of the spleen is the most common of abdominal injuries.

Half of the abdomen is injured and the spleen will rupture. At the same time, it is also the most dangerous.

Because the spleen is rich in blood flow, spleen rupture is always accompanied by major bleeding. In an environment or age that cannot be treated in time, the mortality caused by spleen rupture is extremely high.

Seeing Ling Ran, Doctor Zhou was relieved.

Once in Boss Shao's shop, Ling Ran stopped bleeding by hand for a patient with a spleen rupture in front of Dr. Zhou, and persisted in 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 his hands and perform spleen surgery on the patient.

The most unsatisfactory, wait a while, maybe you can wait until the general surgery doctor takes the time to do a spleen operation.

More than half of the patients in the emergency department are transferred to other departments, and now it is not the right time. If it is changed during the day, the assigned medical staff will not be so stretched.

"Ling Ran, you first give the patient a free hand to stop bleeding, and then I will arrange someone to do a spleen resection." Dr. Zhou whispered softly, and turned to leave.

"I can do a spleen resection." Ling Ran hastened time.

At this time, Ling Ran was more like an intern.

An intern with a master-level splenectomy and 100 abdominal anatomy experiences has never been shown in front of other doctors, and naturally needs performance.

Dr. Zhou hesitated for a while, but still didn't dare to let Ling Ran go straight to the battle: "You need to stop the bleeding with your bare hands first. If you want to have surgery, you can go into the operating room as an assistant.

At the level of a senior resident, it is generally easier to learn new techniques.

Especially in some less-regulated hospitals, what surgery doctors are allowed to do is based on his job title and title, not his own proficiency. In contrast, Dr. Zhou has been very cautious about asking Ling Ran to be an assistant first.

Otherwise, Ling Ran returned to her treatment group and did not do what she wanted to do.

Ling Ran didn't say much at this time. He nodded obediently, first using his bare hand to stop bleeding, reaching out from the wound of the patient, pinching the spleen.

His blood flow was stopped instantly.

Dr. Zhou couldn't help but whispered two times: "How many times have you seen this trick and feel terrible. Most people can't do this step by pressing to stop bleeding."

"You have to master it," Ling Ran said.

Dr. Zhou nodded again and again, he also knew that too much strength would damage the tissue, and too little strength would not be effective. However, it was not good to talk to the internal organs with bare hands.

Most people put their hands in the abdominal cavity of other people, and they don't know anything when they smash themselves.

Dr. Zhou has always been interested in Ling Ran's unarmed hemostasis. Unfortunately, today's environment is not suitable for chat. With the arrival of another ambulance, Dr. Zhou ran out again immediately.

After the arrival of the first wave of ambulances, the subsequent ambulances began to bleed up, which was neither smooth nor even. After a while, one came, and after a long time, another came, and then suddenly continued.

It is conceivable that the site of the site where the assistance is being carried out cannot control the frequency of rescue workers.

Five minutes later, Ling Ran saw Dr. Zhou again.

"First go to the operating room to prepare. I will come later." Dr. Zhou said.

"Are you coming for the main surgery?" Ling Ran looked skeptically at Dr. Zhou, who always had salted fish.

Dr. Zhou sighed helplessly: "There is no one. I can't do well. I have done dozens of cases."

Such operations as splenectomy are relatively common for emergency doctors. In just a few dozen cases, Ling Ran suspects that it is a stronger entry-level level.

However, the argument at this time will not improve efficiency.

Ling Ran was riding on the road, grabbing his spleen, and was taken all the way into the operating room to begin preoperative preparations.

After a while, when almost everything was ready to stop, Dr. Zhou finally appeared in the operating room.

"Director Tao is here, and I can rest." Dr. Zhou smiled relievedly and took up the scalpel.

"Director Tao came so fast?" Ling Ran was quite surprised.

Dr. Zhou laughed: "Director Tao does not need to bring his grandson or son, his wife dances square dance every day, and he still suffers from insomnia at night. When we called, he might be lying on the bed and scolded by his wife. fast."

Dr. Ling Ran looked at Dr. Zhou, who expressed his desire, and found that he said something reasonable.

The equipment nurse Su Mengxue, who was standing by the side, had just entered the hospital for a year or two, and had not heard the gossip before. She could not help asking: "Is Director Tao afraid of his wife? He can't see it."

"Why can't you see it, Director Tao has dark circles every day."

"I thought ..." Su Mengxue spat out her tongue.

"What do you want? At this age of Director Tao, where do you still need dark circles for so long?" Dr. Zhou smiled.

Su Mengxue blushed, peeped at Ling Ran, and said busyly: "I mean he plays with a cellphone at night."

"I'm talking about a mobile phone, otherwise?" Dr. Zhou had already opened the incision with a scalpel while exposing his spleen, and at the same time he breathed a sigh of relief, heart, and it turned out that the young and beautiful little nurse was cute The atmosphere of the operating room came back all of a sudden, and the techniques were memorized.

Su Mengxue snorted twice, unwilling to speak.

Dr. Zhou looked down at the spleen and frowned, "Grade III injury, only splenectomy can be done."

"Yes, the spleen hilum has been partially separated, and the blood vessels of the spleen lobe are no longer available." Ling Ran nodded.

Dr. Zhou nodded and said, "Anatomy is okay. No wonder the hemostasis is done so well with bare hands."

Ling Ranxi smiled, and then followed Dr. Zhou's actions, and immediately used the big feeding operation.

Master level splenectomy skills, when used in assistants, are still incredibly powerful.

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 autologously transplant, Ling Ran gave the spleen tissue Cut into thin slices ...

Dr. Zhou was shocked at his condition.

His family knows his own housework. During these years of working with salted fish, Dr. Zhou's working hours were shorter and the operation time was shorter. Without the corresponding number of operations and time, his level of operation can only be said to be okay.

That is, it is in a state where the ratio is more than the ratio is insufficient.

But at this moment, Dr. Zhou suddenly felt that his technique was extremely smooth, as if he had accumulated for many years and accumulated a lot.

"Let's do it faster and try to complete it sooner." As the operation progressed, Dr. Zhou couldn't help but swell.

Ling Ran nodded, and continued to use the medical feeding technique to fly away.

This is his first total splenectomy. Although he is already a master, Ling Ran is still willing to get some perceptual knowledge. There is nothing wrong with being an assistant.

It was Dr. Zhou's technology that gave Ling Ran a new understanding of him.

Don't look at Dr. Zhou who has only done a few dozen splenectomy, but his technical level has clearly reached the level of specialization.

Only a few dozen cases of surgery have crossed the level of entry to specialization. Although it is a bonus of other surgical skills, it still proves that Dr. Zhou's talent is quite good.

With the help of Ling Ran's master-level splenectomy, Dr. Zhou's specialized skills can not be applied more smoothly.

It only took more than 30 minutes for the two sides to end the operation, and each of them was in a good mood.

Dr. Zhou checked it, Xiongxi raised his head, and said with a firm head: "After the operation, I will go back to the rescue room first."

Then, when Dr. Zhou looked like a chicken, he rolled his neck, dropped his gloves, and left the operating room.

Ling Ran seriously performed the assistant's work. After the re-examination, the patient sutured the abdominal cavity, performed drainage, and sent it directly to the recovery room.

Returning to the downstairs clinic, it can be clearly seen that the number of medical staff has increased a lot ~ www.novelhall.com ~ including Lu Ranbin, Yu Yuan of Ling Ran Group, and intern Guan Fei, all came over .

At the same time, the injuries of the patients who have been delivered have become more and more complicated.

Ling Ran looked to both sides, and wanted to find another job that could play her specialty.

Dirty dirt ...

Another ambulance was in place and sent a patient with a ruptured bowel.

Yu Yuan rushed up, asked a few words in a low voice, and beckoned Guan Fei: "Come and help."

Guan Fei immediately ran over in excitement.

For her as an intern, today's scene is the real scene.

Being able to participate in the middle of the big scene can't help but make Guan Fei not excited.

"Come on here." After Yu Yuan ordered, she gave Guan Fei another glance, and said, "Remember the anatomy of the small intestine, colon, and rectum."

"Know a little," Guan Fei whispered.

Yu Yuan nodded, his tone became much milder, and said, "Have you ever had a cat?"

"It's been raised." Guan Fei seemed to have a chatty tone and laughed. "My family's English is super cute, her eyes are blue, and she's called Eliza ..."

"That's shovel." Yu Yuan nodded, pointing to the patient's abdomen, and said, "Give him all the shit."

"what?"

"Why do you think it's called a digger?" Yu Yuan shook his lips.

"I ... I ..." Guan Fei's tone trembled.

"Hurry up." Yu Yuan's tone tightened.

Guan Fei had to silently push the patient to the contaminated operating room in the rescue room, crying and digging.

The medical staff not far away looked at Guan Fei, who had just dyed her hair ends to yellow, painted delicate eye makeup, and even heard her talking to herself:

Alyssa is so cute!

Cat cat's **** is buried in cat litter!

I don't want to be a digger!