Chapter 602： Suture

Looking at the blood in the abdominal cavity, Fang Pingzhu asked Ling Ran in surprise: "Where are you sewing?"

"B-Lynch suture." Ling Ran said that it is a suture method dedicated to the 1st house, which is simple and easy to use, and can restrain the fertility of the 2nd house while stopping bleeding.

This technique, Ling Ran, has only taught himself, and has not practiced it, nor has he gained experience and technology from the system.

However, Ling Ran's skills in suturing are enough to cover the strangeness of the operation itself.

This is not a complicated suture method at first, but the idea is quite clever. With Ling Ran's master interrupted suture technique, it is very simple to do the relevant processing.

Fang Pingzhu did not doubt Ling Ran's ability to do b-lynch sutures. The doctor who can call this name is not a problem as long as he is not a newcomer.

The difference between high-end doctors and low-end little doctors is that little doctors can do nothing. Therefore, when they see an unfamiliar operation, they need to learn not only academic methods but also every step of the operation. High-end doctors only have the skills, they can't learn the methods, and the operation is not difficult. Many scholars participated in an international conference, and after being treated by a certain surgery, they can go home and see the effect.

Of course, some complicated things can be done on the dog first, simpler, or just variants, etc. You can do it directly, there is no need to sacrifice a dog.

In fact, such as b-lynch suture, it is pointed out that the pressure on the wall before and after the child's 0th house can not only stop bleeding, but also conserve fertility. There is nothing special about it.

However, Fang Pingzhu did not think that the suture of the third house was appropriate now.

Fang Pingzhu sorted out his mood and said as calmly as possible: "Dr. Ling, if you suspect that the fourth house is bleeding, the safest way is to remove the fifth house. The patient already has a child."

"B-lynch sutures have the same effect as hysterectomy. Moreover, the prognosis of sutures is better." Ling Ran insisted.

The effect of b-lynch stitching is certainly better. Although the most important role of the Zi 5th house is fertility, in addition, it also affects women's endocrine system. In simple terms, after the 6th house is removed, women enter menopause in an instant, and the consequences of this are often difficult to predict.

In terms of prognosis, this is certainly not a good thing.

Speaking of his specialty, Fang Pingzhu still shook his head and said in a proper word: "Should you save your life now? Save your life before you cure the disease."

"B-lynch sutures are not bad, they are also life-saving."

"But you're not sure about the extent of the internal bleeding. Maybe it's outside the suture?"

"The odds are very low." Ling Ran groaned for a few seconds, and then said, "The amount of bleeding is already very large now. If b-lynch suture can't stop the bleeding, there will be another one or two hundred milliliters of blood. The difference. It will not be too late to remove the 6th house. "

Fang Pingzhu had to admit that Ling Ran was right. If you ask the patient, let alone a hundred or two hundred milliliters of blood, that is 1,000 milliliters more. The patient is probably willing to try it in order to retain the 7th house.

It's just not in the habit of doctors.

In places like obstetrics, if the uterus has a problem, the child's 8th house is removed. No one will make one operation for two operations, just to let the patient try it.

On the plus side, doctors are decisive and confident in making good judgments. In terms of not so good, hospitals, like other industries, have less glorious dark sides. When these dark sides involve people, they often feel that the hospital is black and bottomless ...

Fang Pingzhu is not black, but after 30 years of doctor work, the process of how to do things and what to do has long gone deep into the bone marrow.

Fang Pingzhu no longer struggled with sutures or resections, but slowly said, "You can't be sure of blood loss in the womb."

This is back to the question of diagnosis and confirmation.

The reason why she always collects blood for the first time for pregnant women who have lost blood is actually to diagnose amniotic fluid embolism.

The diagnosis is only guesswork, and the diagnosis is medicine.

However, it is not certain, it is just Fang Pingzhu's concept.

Ling Ran said decisively: "There is no bleeding in the abdominal cavity, it must be bleeding in the womb."

Fang Pingzhu sighed with the blood in the abdominal cavity and said, "You just touched it, how can you be sure that there is no bleeding in the abdominal cavity, and there are many bleeding points that are covered."

This is also a natural idea. For most doctors, the exposed bleeding points may not be found, let alone unexposed.

Ling Ran also did not argue with her judgment, and changed her perspective, saying, "The patient's contraction of the uterus is very poor. This should be an indicator."

Blood loss in different organs will be manifested, Fang Pingzhu does not know anything else, Zi-Gong can not be more familiar.

Now I got Ling Ran's reminder, Fang Pingzhu immediately got started and pressed at the bottom of the palace.

"The contraction is relatively weak, but ..." Fang Pingzhu still hesitated.

Honestly, if she was asked to do a sub-uterine resection, she would probably do it, but she would not be willing to do B-Lynch suture. Because the only explanation for B-Lynch suture is intrauterine hemorrhage, and now it is not 100% confirmed functional bleeding, and there is even the possibility of amniotic fluid embolism, so there is a risk of misdiagnosis.

Conversely, if a sub-uterine resection is performed and the patient's bleeding has stopped, she can explain the intrauterine bleeding and be removed. The bleeding did not stop, she could also explain other complications, anyway, the evidence had been cut off.

Ling Ran did not know these doctors' self-protection tips, nor did they pursue the ability to communicate with the other party to reach an agreement.

In Ling Ran's experience, the knowledge gap between people is huge. Between people who are not familiar with it, the efficiency of verbal communication is low enough to kill 300 major bleeding.

"Suction speeds up, exposing the surgical field." Ling Ran ordered himself.

Fang Pingzhu retreated to the side without a word of silence.

Ling Ran didn't wait for the hemorrhage in the abdominal cavity to be completely emptied, he took the needle-holding forceps, cut into the anterior wall of the child, pulled directly to the bottom of the palace, and then wound around the posterior wall ...

Although it is an unfamiliar operation and an unfamiliar organ, Ling Ran is too familiar with the anatomy of the abdomen, so that when he lifts the Zi-Gong, he is as skilled as lifting the gallbladder—the liver is still not comparable, Ganzi has done a few hundred cases and is more familiar.

"Blood in the abdominal cavity is 1800 ml." The female doctor who did second help automatically upgraded to a help, and finally sucked up the accumulated blood in the abdominal cavity.

The large bottle next to the operating table contained more than half a bottle of thick blood, like the secret of an old wizard.

Ling Ran gave an "8" to the front wall and said, "Pay attention to fluid and crystal."

"Yes. 1000 ml of colloidal fluid, 2000 ml of crystal fluid, 400 ml of plasma have been lost ..." The female doctor filed a sentence. For these details, some surgeons like to master it by themselves, while others will delegate power to the lower doctors.

Fang Pingzhu was on the sidelines at this time: "It is possible to inject intrauterine carprost tromethamine, which is conducive to postpartum hemorrhage ..."

"Yes." Ling Ran was reminded and agreed, and then started knotting the sutures.

B-Lynch suture is complete.

Everyone in the operating room set his gaze on the wizard's bottle.

"It seems there is still bleeding," the female doctor whispered.

"Look again." Ling Ran's expression relaxed, and the amount of bleeding at this time was already very small. Even if there was still bleeding, it would be a big deal to cut the child-the palace is all right, it is nothing more than wasting a few stitches. .

A few people were present at the scene, and they soon realized that they had come to www.novelhall.com. It was already a good thing to control the bleeding.

Jingle Bell.

The phone in the operating room rang.

The circuit nurse picked it up, turned her head, and said, "Director Fang. No evidence of amniotic fluid embolism was found."

If amniotic fluid is embolized, the venous blood taken multiple times should show signs such as hairs, which is the most direct pathological evidence.

Fang Pingzhu's expression of "En" didn't change much.

Amniotic fluid embolism is a small-probability event, mainly because the mortality rate is too high. It is also because of the importance that the amniotic fluid embolism has decreased from about 90% to 60% now. The mortality rate of the amniotic fluid embolism before Yunyi Obstetrics was 30%, which is so much better than the average level. It depends on the screening of each case ...

"The bleeding stopped." The anesthesiologist reported again.

Fang Ping took a sigh of relief, and could not help but sigh, but the first thing that came to her mind was: In the future, if something happened to her family, she should find Ling Ran first.