Chapter 562： Intra-abdominal bleeding

"Doctor, help ... help ..." The second group of patients in a car accident stepped to the Yunyi Emergency Center.

Ling Ran changed her clothes again, while she was wearing gloves, the family members of the patients had already rushed down and shouted at Zuo Cidian.

This is a 40-year-old middle-aged woman, her hair is already disheveled, and looking at night is a bit scary.

But at this moment, her expression was worried.

Zuo Cidian, whose skin is rough as an orange, showed a helpless expression to Ling Ran, and then whispered to the patient: "Don't worry, you have already arrived at the hospital. You should stand aside first, don't delay the patient's treatment, let the doctor think of a way deal with."

As he said, the patient's family immediately obediently gave way.

Ling Ran walked up at this time.

"Both the left arm and the left leg were broken, and there was not much bleeding ... the blood pressure was still stable ..." Ling Ran was doing a quick examination, and the oral doctor ordered the examination items, and then whispered: "Let the orthopedic doctor come for a consultation , Hand them over, and the patient is sent to the operating room first. "

Two nurses pushed the patient to the operating room. The doctor who received the checklist nodded stupidly and turned away.

Zuo Cidian looked at him and couldn't help keeping up. He said in a small voice, "Orthopedics doesn't necessarily want it. You say, if you want to pick it up, give it to us. If you want to stay, we'll take it. Understand?"

Ji Pei Yi is new this year, and asked with a dull head, "Why should I choose them?"

"Because the choice is in the hands of others." Zuo Cidian shook his head helplessly, and said, "If you don't accept it, can you throw the patient into the orthopaedic building?"

Large-scale tertiary hospitals like Yunyi are completely opposite ecological models to ordinary tertiary-level hospitals or lower-level hospitals.

Ordinary top three or weaker hospital departments are in a state of robbing patients all year round. If one is not careful, the department's business will be unsustainable. Large third-level hospitals often have too many patients, so that professional departments push three patients to four in emergency departments-and the tightness of the beds is also a realistic problem. If you open the patients without restrictions, you will not be able to accept the patients when they are full.

At this moment, the emergency patient is in a state of accepting or not accepting orthopedics, so Zuo Cidian specially reminded him.

Ji Pei Yi was a little overwhelmed: "If they ..."

"Okay, run fast, and mouth dessert is fine." Zuo Cidian urged.

Ji Peiyi was even more embarrassed: "I ... I don't speak much."

"I still want to teach this?" Zuo Cidian said in return, but his heart was inexplicably happy, and he patted the shoulder of the stupid ruler, and said, "I really don't know how to say it, you said, hey, you have lost weight recently Come on, your waist looks thinner, understand? "

"Oh ... I see." Doctor Pei Pei ran, ran two steps, and then stepped back: "Well, if I meet a doctor I have never met, I say so ..."

Zuo Cidian shook his head distressed: "You are a doctor of Pei Pei, it is good to call it Pei Pei, and you are right to call Pei Pei Sheng. Is it true that an orthopedist you have met can remember you?"

In the first year, Ji Peiyi understood this, and he said, "That's good, then there will be no problem."

He ran out a few more steps, stopped again, and seemed to be feeling back, trying to say something ...

Zuo Cidian waved his hand: "Hurry up, the patient can't wait for you."

"Oh, oh." Ji Pei Yi flew away in the first year.

"One year is not as good as one year." Zheng Pei sighed heavily, using the tone of the people: "When we are doing regular training, it is basic to look at the hand quickly, and now the child is like stupid to eat something ..."

Zuo Cidian turned back and looked at Zheng Pei with a stupid look: "In terms of age, Dr. Ling should be a regular training this year."

Zheng Pei coughed violently.

"You lie here too, and I will check you." Ling Ran frowned as he looked at the patient's family.

The woman smiled, and then refused: "I'm fine. I was sitting behind when I crashed. You show my brother and my wife-in-law first. I just scratched something and it doesn't hurt ..."

Ling Ran stared at the other person, and then said, "Check it first, then say something else."

"I'm okay ..." The woman said again, looking in the direction of the operating room again, and asked, "My brother can be cured. Don't be reluctant to take medicine. Our family is from Yunhua. The money for the doctor can be obtained ... "

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

Zuo Cidian hurriedly trot over and laughed, "Here's all, there's no harm in doing a check, come and come ..."

Under the persuasion of Zuo Cidian, the middle-aged woman opposite had to lie down on the examination bed.

Zuo Cidian painted her belly with oil, and then pulled B over for just a few seconds. Zuo Cidian's face changed.

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

Then, Zuo Cidian hurriedly called Ling Ran.

"Sent to the operating room." Ling Ran was just looking at the patient's family member just now. In a more professional sense, he was diagnosed with a problem, and now he is diagnosed by ultrasound.

"Would you like to ... shout someone?" Zheng Pei always felt uneasy.

"It seems that the liver was injured during the collision. I opened it and looked at it if there were other parts of the injury." Ling Ran's greatest strength is that he has complete hemostasis skills.

After mastering the perfect level of free-handed hemostasis and perfect level of thermal hemostasis, the general trauma blood loss is under his control. In this way, even if there is any accident, it is too time to use the summons again.

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

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

"Well, it hurts the liver ... just cut a small piece ..." Ling Ran said as he moved his knife.

"Is the liver segment removed?" Zuo Cidian stood opposite Ling Ran, looking at the patient's **** abdominal cavity, and he seemed to have chicken blood.

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

"If you don't do a regular resection, you will cut the injury." Ling Ran said, and lowered his head to operate.

Compared with the previous emergency liver resection, the blood loss rate of this surgical patient was much slower, and Ling Ran was not in a hurry to give her a one-size-fits-all cut, and then slowly peeled out of the liver hiatus, and then blocked the blood flow before it started slowly And do the resection carefully.

In this way, the blood loss of the patient is much larger than the direct cut. After the entire operation, the blood loss is normal.

However, blood loss is always better than a rough emergency liver resection.

"It's quite fulfilling tonight ~ www.novelhall.com ~ Ling Ran smoothly and smoothly performed the operation, and I'm in a good mood.

One liver resection was performed one night, and the spleen and **** were cut again.

"Just like it. Would you like to have supper?" Zuo Cidian looked at the most excited part, and his body was a little swaying.

"If you check your intestines, if there is nothing wrong, you don't need to find someone outside the ordinary." Ling Ran spoke, and then looked at the two nurses next to him, "I pay for supper, what do you want to eat?"

"Anyway."

"Dr. Ling chooses."

Ling Ran thought for a while, and said to Zuo Cidian: "I have a Beijing-style restaurant all night in front of the hospital. I will cook it with brine and bring another piece of fried liver."

Zuo Cidian bowed his head and held the patient's intestine: "Then I have eaten the brine, too. I can put more small intestines. The small intestines cooked by their family are quite unique."