Chapter 561： cut

After assigning the next two mild patients to the on-call resident, Ling Ran immediately returned to the operating room and began to prepare for surgery.

The general surgeon who came to the consultation also washed his hands and helped.

Yunyi's emergency department has always been relatively strong. Operations such as splenectomy are performed in the emergency department's own operating room. On the other hand, there are many general surgery operations that can't be completed on an elective basis, and there is no need for operations such as splenectomy.

Yunyi's general surgery now accepts medical insurance for patients. It is not a patient with a serious illness. If you come with a city medical insurance, the outpatient doctors will not accept it.

This is obviously not very friendly to little doctors.

Especially the general doctors who work in Yunyi, who want to see the splenectomy, have to run to the emergency department.

"The blood loss reported before the hospital was more than 1,000 ml. Now the blood pressure is 90 and the heartbeat is 110 ..." The anesthesiologist saw that a general resident doctor was coming, and his eyelids were not clipped. When Ling Ran entered, he quickly reported .

"The spleen and liver are broken, and it is estimated that the blood loss is more serious." Ling Ran's attitude remained confident.

His judgment of the abdominal cavity can now be said to be more accurate. In addition to the master-level physical examination just obtained today, Ling Ran's judgment can be said to be absolutely secure.

After all, he is mainly facing trauma, hepatobiliary, pancreatic and spleen are good, but broken is broken ...

"It should be a ruptured left liver." Before Ling Ran opened the abdominal cavity, he called out the location of the rupture, causing the little doctor in general surgery to look involuntarily.

The anesthesiologist looked at the little doctor with disdain, and said, "It's rare and weird, how can this be ..."

The little nurse in the emergency department looked at the anesthesiologist with disdain, and said: What's the point of contempt of the resident ...

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

"Vascular forceps."

"gauze."

"Suction."

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

He likes this feeling, don't worry if anyone looks at himself, does anyone have nothing to chat with, or suddenly someone hits himself and falls in front of himself.

Ling Ran likes to focus on her own business.

"Blood pressure cannot be too low and it is easy to bleed again after surgery."

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

Ling Ran also reminded the assistant and anesthesiologist while performing the operation. This is the case of the emergency work of the night shift. Residents sent by general practitioners are of low seniority, and anaesthetists sent by anesthesiology department are also of low seniority. With insufficient experience, it is easy to miss details.

If an ordinary surgeon doctor is nervous at this time, can you remind me that it is actually a matter of experience-if the previous assistant had damaged the tail of the pancreas, he would remind him, if not, this time maybe This is 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 standard of action is not standard, he can react immediately if there is any deviation.

As an assistant, is there anyone reminding and guiding, the difference is huge.

Ling Ran briefly mentioned the following two words. The general residents immediately felt comfortable, and when they did things, they also had less fear of being intimidated. They couldn't help complimenting: "Dr. Ling feels good at cutting his spleen. It's a bit like the last demonstration I saw at the Army General. "

Slapmaking is an essential skill for surgeons. Low-level resident doctors are not very proficient and have a little flaws.

Ling Ran just said "en", as if he hadn't heard it.

He knows his skill level rankings and does not need to be explained by a small resident at all.

In fact, master-level splenectomy must be at the top level nationwide-it is slightly lower than the ranking of master-level liver resection. After all, the threshold for splenectomy is low and you have the opportunity There are more doctors.

However, it is relatively low, which is also a low of 138 in the country. It is doubtful whether the demonstration of general surgery of the Army General Hospital can reach such a level.

"The spleen is almost here, and he is going to prepare for liver resection ..." Ling Ran did it quickly, and the patient's spleen was removed three or two times later.

Unlike many well-prepared elective surgery, emergency surgery can be done quickly, but it can improve the fault tolerance rate.

The faster you do, the less blood loss, the longer time it takes for the emergency physician to think about the problem, and naturally, the probability of survival is higher.

In about two or three minutes, Ling Ran exposed the 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, with two or three assistants.

The general residents did not touch the liver resection at all, and 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 needle and felt the eyes of a low-level resident doctor, full of energy.

"Here is Zuo Cidian." Ling Ran was too skilled in liver resection. In less than 10 minutes, he completed the main part.

Zuo Cidian's skills are weak, but it's okay to close it or something.

"External, you follow me to the operating room next door." Ling Ran called, and the general's resident snorted and followed.

"Is there another splenectomy?" The inpatient said incoherently. "I will not touch the tail of the pancreas this time."

"You just touched the tail of the pancreas?"

The resident doctor said for a moment: "No ... no ... totally encountered ..."

"It doesn't matter if you touch it."

"Oh, then I touched ..."

"Don't run into it next time." Ling Ran turned to look at the hospital doctor.

The inpatient swallowed his mouth, only felt that his heartbeat was missing for a while. "Yes ... No, I will be very careful."

"This patient had a spleen rupture and a **** 1 rupture. The spleen was completely cut off to avoid excessive blood loss. If the **** 2 is broken, you can see if you can keep one."

The resident nodded again and again.

When they talked, they rushed into the operating room.

Zheng Pei was busy with blood all over his body.

"Blood rushed to 1500." Zheng Pei was a little confused. He had been a hospital doctor for four years, and he really could do things independently, this year only. For patients with a spleen rupture, he was still unstable.

Ling Ran stepped forward without saying a word, observed for a few seconds, and then reached into the patient's abdominal cavity. He grabbed his spleen with his bare hand, and then said, "Trump up."

"Do you want to expand?" Zheng Pei hesitated.

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

"Well ... can you save it?" Today's nurse, Su Mengxue, looked over with curiosity.

"Look at his luck." Ling Ran talked, and then settled his spleen.

"The king sent me to visit the mountains ..."

Ling Ran's cell phone rang.

"Help me answer the phone."

Ling Ran naturally cannot touch the phone. Su Mengxue almost jumped up happily ~ www.novelhall.com ~ Quickly took Ling Ran's pocket, and opened the phone in Ling Ran's ear.

"Hey……"

"Well, come in, don't shout, I'll do it." Ling Ran said and nodded to Su Mengxue, who then took off the phone and hung up.

Ling Ran continued to bury her head for surgery.

After the spleen was excised, Ling Ran looked up at Pu Waiyi and Zheng Pei, saying, "There was another car accident, three people, two heavy and one light, and delivered in a few minutes."

"Don't ... call another doctor again?" Zheng Pei was a little uncertain.

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

Ling Ran said, give the closing part of the spleen to Zheng Pei, and then go to see the patient.

A few seconds later, Ling Ran made a judgment: "It's not saved, cut it all."