Chapter 420： Open belly

Ling Ran took it seriously.

Brushing your hands takes time, 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 the assistants in charge.

The doctors of Huo Congjun's group also walked around the patients with crush injuries. Lu Wenbin, Yu Yuan, and Zuo Cidian of the Ling treatment group got the opportunity, but they were a little helpless in the operating room.

In other treatment groups, there will be one or two senior attending or deputy directors under the chief physician or deputy chief physician. Low-level resident doctors like Lu Wenbin can't stand in the position of the main knife except for tasks such as removing foreign objects and fishbone.

Of course, Lu Wenbin is not the main knife now, he just stood on the position of the main knife.

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

Yu Yuan didn't stand at the main knife position, and unhappyly poked his mouth: "You don't know what to do, what do you run up so fast?"

"Don't I see you turn around and go behind?" Lu Wenbin grieved.

Yu Yuan's face was all green: "I went to take the step stool!"

Lü Wenbin's mouth twitched twice, and he was embarrassed. He reluctantly said, "This is to be prepared in advance. Besides, you can't move it yourself, you must ask someone for help."

Yu Yuan stared at Lu Wenbin, with a "You are serious?" Expression on his face, and then said, "I put two step stools on the main knife position in advance. How did Dr. Ling come? I don't find the step stools myself. Why? Invite someone to move? "

"Yu Yuan is very thoughtful." Zuo Cidian couldn't listen anymore. If he listened any more, he would laugh out loud.

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

Yu Yuan obviously didn't want to continue talking on this topic. She hummed twice and said, "It's not our turn to perform the operation. Now check the preparation of the operation first. Open the bag ... "

Yu Yuan has been a resident physician for more than a month, and her momentum is completely different. The point is that she has a lot of self-confidence.

This is like a student, when the college entrance exam is coming, he is in the school every day, studying for more than ten hours a day, and going home to take a bath in one or even two weeks. After two months, there will be amazing changes— —At the very least, he knows where his limits are, which questions he can challenge, and which questions he cannot challenge ...

Yu Yuan is the same.

She wasn't good at surgery. Before that, she always felt that she just didn't get a chance ...

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

However, not being good at surgery does not mean that Yu Yuan is not good at surgery, and it does not mean that she cannot develop medically-the long total hospitalization life also allowed Yu Yuan to clarify the problem .

She is an inpatient in the emergency department. The most patients she meets do not actually need surgery. Even if surgery is needed, surgery in the operating room is rare.

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

Therefore, Yu Yuan saw her own limits and her own strengths ...

She earnestly completes the pre-operative examination, and pays close attention to the vital signs of the patient, and frequently orders the use of drugs.

With the exception of not opening the 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?"

"It's fairly stable, but the blood loss is very large. You see that the drainage bags below are full." Su Jiafu was a bit anxious. It is very difficult for anesthesiologists to maintain stability for such patients.

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

"I'll call." The itinerant nurse immediately called.

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

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

Looking back, Ling Ran looked at the monitor and the patient again and fell into thought.

As far as the work of the emergency department is concerned, Ling Ran can already be said to be at ease.

Indeed, some of the surgical procedures and treatment schemes he did not do very well, 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 surgery He also learned a lot from his career.

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

Jingle Bell.

The phone in the operating room rang.

The itinerant nurse quickly picked up the phone from the wall, and a few seconds later he exclaimed: "The patient's family has signed."

"Open abdomen." Ling Ran reached out his hand without hesitation.

The instrument nurse for this operation is still his most familiar nurse Wang Jia. Without having to call out the specific equipment name, Wang Jia snapped it to Ling Ran.

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

At the moment when the abdominal cavity was opened, the blood of the second-stage patient was mixed with blood clots, which filled the operating table.

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

Yu Yuan's overall hospitalization experience played a little role: "Do you have a suction? Dr. Ling?"

Ling Ran shook her head slightly, and then said, "Remove the gauze first, then go for blood."

"Yes." The itinerant nurse heard of her and immediately called.

"Tweezers." Ling Ran began to lean over and took out gauze.

One, two, three ...

"It's all gauze in the abdomen ..." Zuo Cidian was a hooker, and he could see it clearly, lingering.

"Stamping to stop bleeding, but the liver is cracked, and it is useless to plug in as much gauze as possible." Ling Ran not only explained the operation, but also gave live teaching to several people.

With all the gauze removed, the patient's blood loss naturally skyrocketed.

Su Jiafu was shocked to see ~ www.novelhall.com ~ stepping on his foot, riding a chair, came to the front of the pressurized warming blood transfusion device, quickly increased the parameters.

The blood transfusion bags that came with him were all stuffed in by him.

In some small hospitals that don't have the conditions, often see pictures 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 survival rate. At the time of emergency blood transfusion, the medical staff had to use the body temperature to heat the blood transfusion bag, and squeezed the blood transfusion bag by hand to hope that it could Give the patient the right temperature of blood as quickly as possible.

Similar photos often bear the name of the heart warmer, and have been wildly spread by some people who do not know the truth.

However, the reality is that the rate of body temperature heating is very slow, which can only alleviate the emergency situation. Most of the blood that is finally input into the patient's body is still too low temperature. Squeezing the blood transfusion bag by hand, not only the speed is not ideal, but also the blood cells and platelets are also destroyed, and the blood quality is greatly reduced.

At the top hospitals in areas such as Yunyi, pressurized blood transfusion devices have been used for more than ten years, which can not only ensure blood quality, but also reduce the work intensity of doctors.

Most importantly, different schemes 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 into the blood vessels of the liver, and clamped them gently with vascular forceps.

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

"I'm going to cut off the right lobe of the patient's liver," Ling Ran replied equally.

Huo Congjun could not see the scene in the operating room, but could only lower his head and brush his hands desperately.

...

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