Chapter 503： Hemostasis

"Has the coagulation medicine been used?" Ling Ran fumbled his liver and asked in his mouth.

"Tranexamic acid was used. Phensulfonamide." Guo Mingcheng said: "Medication was also used before surgery."

Ling Ran said "En", fingers continued to explore.

Guo Mingcheng has already done an urgent suture treatment, and most of the wound has been coagulated with an ultrasonic knife, but the blood is constantly leaking out.

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

There was no problem with Guo Mingcheng's operation. The pre-operative preparation could not be said to be complete and it was above the standard. However, the patient was bleeding a lot and he couldn't help it.

In Ling Ran's mind, she thought about the patient's MRI and other image data.

As a pure surgeon, Ling Ran pays little attention to medical information such as biochemistry, but he has a good memory of information such as patient imaging data.

Ling Ran was thinking, his left hand was rubbing in the liver, he touched it very lightly, almost sliding through the liver, at the same time, Ling Ran's right hand was also gently stretched in.

laugh.

The airtight door opens.

Director Lei of the Medical and Political Department came in hastily, joined Huo Huo, and looked at Ling Ran, and said, "Dr. Ling, don't do it if you are not sure. In such a case, the report of the death discussion must be written for two months . "

For doctors, the dead on the operating table are all accidents, but it depends on the level of the hospital.

If it is a Grade B or Grade A hospital, there will be dead people during the operation, which will be very serious, because if you are not sure, you should refer the patient to a superior hospital.

However, 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 will always be a limited punishment, and the doctor will not be killed with a single stick.

However, limited punishment, in the view of Director Lei, is unnecessary. It was canceled and evaluated first, and a report of tens of thousands of words and tens of thousands of words was written. It was reviewed and reviewed, and fines and bonuses were reduced, but it was not fun.

Director Lei knew that Ling Ran had made flying knives and was not short of money, but death discussions were really disliked by doctors, and writing reports was even more irritating ...

"You can do it." Ling Ran answered only one sentence, and then said to Guo Mingcheng: "I can stop the bleeding with my bare hands, reduce the amount of bleeding, and then take the time to **** up the abdominal cavity and see the situation?"

"Okay." Guo Mingcheng responded, took a deep look at Ling Ran, and ordered: "The intensity of the suction has increased. When should we start?"

"It's already started, 2 minutes." Ling Ran was afraid that the patient's liver would be pinched, and the angle of force was also limited, and he could not completely block the blood flow.

The patient's abdominal cavity, while bleeding, was suctioned and gradually reduced.

He Yuanzheng didn't know what he was looking at, but in his mind, he thought of the questions he did when he was a kid: one water outlet pipe and one water inlet pipe.

Who said that the title of the year was useless?

This thing can be difficult to use hydrodynamics.

He Yuan looked at the thick blood, thinking wildly.

It is not possible to think nonchalantly. He can't see any operation of Ling Ran now. All the movements are buried under the blood line. Only the reduced blood in the abdominal cavity is considered as 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 this amount of bleeding, the operation would not be possible without the support of the blood station and hospital leaders.

Guo Mingcheng was also staring at the blood line, holding the pliers in his hand, basically no movement.

The liver was exposed little by little.

"Hemangioma. Block." Ling Ran spoke quickly, and her hands moved faster. With a shake, she 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 engaged for a long time and did not hold the position.

Of course, Guo Mingcheng did not dare to turn his liver too much.

He does not have Ling Ran's freehand skills. If the turning movement is too large, it may cause unpredictable consequences.

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

At this time, a little carelessness is the result of the patient's uncontrollable bleeding and the operation completely failed. If it were possible, he wouldn't give up hope.

Ling Ran frowned. He held his liver in his hands for two minutes, which was too much. Guo Mingcheng now needs to use at least one and a half minutes to block ...

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

At this time, I will not pay attention to the number of threads, the nurse took the stringer with the finest needle holder Ling Ling.

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

Guo Mingcheng then realized what Ling Ran was doing and quickly helped manage the line.

Ling Ran quickly interspersed a few stitches, and then made a little stitching.

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

Guo Mingcheng stared at 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 progression and level are.

"Continue to pump." Ling Ran said again, and then let go of the liver gently.

The liver is still bleeding, one by one, but it is not a large area of ​​bleeding.

"We finished the rest of the liver resection." Ling Ran's tone took a little command, which was determined by the nature of the operating table.

On the battlefield, only one person needs to make a decision. On the operating table, only one person needs to order.

It is impossible for Ling Ran to completely hand over liver resection to Guo Mingcheng.

In fact, even if Ling Ran continued to have Guo Mingcheng perform a liver resection, he could not continue to do so.

Guo Mingcheng bowed his head, cooperated with Ling Ran, and silently began to work as an assistant.

Professor Feng Zhixiang took two steps back, giving up his position, and slowly taking off his gloves while watching Ling Ran with interest.

To him, it's a shame today.

However, compared to the death of the patient on the operating table, this is no shame.

His status is not determined by one or two surgeries. Besides, today's surgery was originally a flying knife. It is neither an observation operation at an international conference, nor a demonstration operation shown to academic colleagues.

Professor Feng Zhixiang was even more surprised that Ling was able to rescue people.

He got started just now, so Feng Zhixiang knows clearly that he can't save people back. Even at his peak, Feng Zhixiang didn't have such confidence. However, Feng Zhixiang is confident that if he is at his peak, he will not be able to achieve this level of surgery.

Therefore, Guo Mingcheng still has insufficient technical strength.

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 saw the operation entered a plateau.

"Yunhua University Medical College." Ling Ran said.

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

"Professor Li retired last year," Ling Ran said, "give us basic lessons."

"Yes, he is also at the retirement age." Feng Zhixiang sighed and asked, "Dr. Ling graduated from a doctorate?"

"Undergraduate."

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

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

Feng Zhixiang looked surprised at Huo Congjun.

Huo Congjun smiled and said, "God appreciate the meal."

Feng Zhixiang looked at Ling Ran's face speechlessly, and suddenly felt that the world was unfair. Some people lived to be over 60 years old, and they still had to touch porcelain to make a living. Some people were in their 20s, and they could do it for the elderly Hepatectomy ...

laugh.

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

"It's okay." Huo Congjun waited for Dean Zhou to ask, before he said, "Ling Ran stopped bleeding with his bare hands, and then sutured the wound. The patient's condition is now stable."

"Oh ..." The fierce Dean Zhou suddenly relaxed, and everyone seemed to be three inches shorter. Then he asked Ling Ran with Yan Yuesi: "Dr. Ling, how is the situation now?"

"It should be possible to complete the liver resection as originally planned." Ling Ran paused and said, "It just can't keep up."

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

"Unlucky. Ultrasound knife." Ling Ran did not find another way, and according to Guo Mingcheng's thinking, he slowly performed liver resection.

Everyone has done half the operation, and messing up the mess is a waste of the patient's life.

But precisely because Ling Ran was doing according to Guo Mingcheng's thinking, Guo Mingcheng became more and more shocked.

Besides, Ling Ran's technique of operating the ultrasonic knife is just a few times his standard.

I saw Ling Ran holding an ultrasonic knife and swiping high above the tissue, and one cut was completed. Not only was the cutting accurate, but the damage to the surrounding tissue was also minimal ...

The most important thing is that Ling Ran's proficiency in this technique has surpassed Guo Ming's cost! He used this technique as the main technique for more than a year.

laugh.

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

The secretary nodded to everyone ~ www.novelhall.com ~ without introducing himself, he asked, "What happened."

"Heavy bleeding is difficult to stop. Hemostasis is now complete." Huo Congjun.

The secretary asked, "Can the patient keep it?"

"Almost. I can keep it." Huo Congjun still gave a positive answer.

The secretary really relaxed.

laugh.

The operating room door opens again.

Several residents looked into it with a probe.

Vice President Zhou, Assistant Dean, Director of Medical and Political Affairs Lei, Huo Congjun, He Yuanzheng, Feng Zhixiang, and others turned around and looked at Qi Qi.

"We ..." Several resident doctors seemed to see Medusa, stiff as if they had just been slaughtered for a few hours, and they couldn't get out of their mouth.