Chapter 1403： Dance with the baton

"Is this the legendary hand-to-hand stop bleeding?" Several young doctors from other departments gathered naturally and stared at Ling Ran's operation.

As Ling Ran's frequency of elective surgeries increased, the new doctors naturally saw less of his bare hands to stop bleeding. Of course, young doctors are so busy day after day that they often fail to take care of them.

However, for any doctor, facing Ling Ran's bare hands to stop bleeding is an extremely sensory scene.

No matter how you look at it, when Ling Ran's half of his arm is buried in the patient's abdominal cavity, the scene of the day by day delicate surgical operations seems to have returned to the barbaric era.

In a short moment, it seemed that he had returned to the pureness of curing diseases and saving people, not talking about responsibilities but about taking responsibility.

The doctors in the operating room breathe lightly.

Ling Ran leaned his body and looked at the screen with his eyes, like a sculpture, frozen on the operating table.

After a long time, Ling Ran made a voice: "Found it."

"call."

Several people at the scene exhaled the turbid air in their lungs, and then looked at each other in unison.

"The incision is elongated." Ling Ran said to Director Tao, still not moving.

Director Tao hesitated for a while before he took the scalpel and half explained: "I was thinking about abdomen exploration. Don't make too big a hole. It's better to look back."

"Isn't this patient going to be amputated?" Ling Ran gave Director Tao a strange look.

Director Tao, who had a somewhat sagging skin, froze for a while, laughed haha, and deliberately stretched his face and said, "You can also love beauty if your limb is amputated."

Yu Yuan glanced at the corner of her mouth and reminded: "Director Tao, this patient is a 55-year-old man."

Director Tao has a dead duck mouth: "I'm still a 59-year-old middle-aged man."

As he said, he cut out a huge opening.

He couldn't find bleeding spots just now. At this moment, he didn't save any space for the patient.

Ling Ran gave up a little space and asked Director Tao to sew up the bleeding small blood vessels.

"Come here again." Ling Ran drew his arm out, let the nurse next to the stage wipe a little, and then dipped his hand in a pool of blood.

Director Tao lifted up the two suction devices in one breath, and when the blood surface dropped slightly, he immediately changed the needle and thread and leaned over to sew them together.

He had been busy for a long time, and he was able to control the patient's bleeding within a certain range. However, pressing with gauze to stop bleeding is not a cure for the symptoms but not the root cause. It is only to free up time for the doctor to rescue and find each bleeding point. In the end, if all bleeding points cannot be found or controlled, the patient will still be unable to get off the operating table.

Without Ling Ran's help, Director Tao estimated that he would have to spend it all here today, and there would be even worse results if it doesn't work. As for doctors in other departments such as general surgery, it is not certain whether they can take over in this case, or whether they are willing to take over.

Director Tao was quite actively doing stitching, or in other words, following Ling Ran's baton, becoming busy.

In the eyes of other doctors, the scene in the operating room is unavoidable.

Ling Ran kept directing Director Tao as if he was performing a guided operation. The 59-year-old Director Tao was instructed without complaint. During busy periods, he would show an elderly smile because he successfully sutured blood vessels...

The general surgeons, orthopedic surgeons and cardiologists who were waiting for the next round of surgery became serious.

This was originally the scene they feared most.

Do things under Ling Ran's baton.

When it comes to teamwork, doctors are all used to it. Especially for surgeons, when facing clinical operations, cooperation is basically a necessary option, and only a few operations can be performed independently. But under Ling Ran's command...

The key question is how to avoid being directed by Ling Ran.

Several doctors from different departments looked at each other, and their eyes showed a win-win cooperation and determination to carry Ling Ran together.

"Hemostasis is here for the time being, and I'll take a ct to see." As the amount of bleeding decreased, Ling Ran quickly made a new decision.

Director Tao was a little surprised, and said: "A few more bleeding spots will be dealt with."

"Don't worry, the amount of bleeding is already very low. Moreover, even if all the bleeding points are processed, there is no guarantee that there will be bleeding points in the later stage. First take a CT to see the status." With Lingran's personality, he explained this. Is very detailed.

Moreover, it is also very well-founded.

Director Tao also had to admit that Ling Ran was justified. Whether or not all the bleeding points have been treated now has no effect on the patient’s life. Anyway, 2000 ml of blood has been transfused, and 200 milliliters of blood has been added, and the transfusion of a few hundred milliliters of fluid is not unacceptable. thing. What's more important is the last sentence of Ling Ran. Even if they have dealt with all the bleeding points now, there is no guarantee that there will be bleeding points in the later stage, because the patient is in a state of multiple injuries, and some bleeding points may be crushed. Under the muscles, bones or internal organs, so that there is no bleeding, after the treatment is intensified, how will it come out?

In this case, pursuing the treatment of all bleeding points is naturally of little significance-except for the smoother transfer of patients to other departments, but in the current situation of hybrid operating rooms, this option obviously does not exist.

"Okay, let's withdraw first." Director Tao gave a simple check, followed by the doctors and nurses in the imaging department and anesthesiology department, sorted out the line tubes around the patient, and followed everyone out of the operating room. Holding the lead glass, looking at the CT machine on the side of the wall, he was slowly spit out.

"Did you take CT when you were admitted to the hospital?" Ling Ran asked again.

The imaging doctor hurriedly retrieved the CT film on admission.

"The film that has been washed is hung here." Ling Ran waved his hand again before he could make it clear.

Several people were immediately commanded to become busy.

Director Kang of the Department of Cardiac Surgery looked hardly at He Yuanzheng, and then at the Deputy Director of Orthopedics Department Li, and silently communicated with his eyes: Look, the boys in the imaging department are all being played as boomerangs. You can have a snack for a while. Ah, don't be commanded like that.

Deputy Director Li, who had studied in Japan, gave affirmative eyes: 俺もそう思う

Yu Yuan put her feet on her feet and helped to hang up the virtual film, UU reading www. uukanshu. com said: "The patient has heart disease, high blood pressure, and the CT film on admission was normal...bp93,55..."

While talking, the screen next to the computer also began to flash the results of the new ct scan.

The people around each frowned and watched, but most of them were waiting for the interpretation by the imaging doctor.

Ling Ran was already on the upper part of the screen for the first time at this time: "This edge, the edge of the thoracic aorta should be broken."

"Huh?" Yu Yuan, who was just about to climb the stool, couldn't lift up in a single breath. She almost fell to death. She jumped hard and couldn't see clearly. She couldn't help but ask: "Aortic dissection?"

"There is a double-cavity shadow at the distal end here, and the intima should be defective...The distal end of the aortic arch, there is also a problem here..." Ling Ran read the CT film quickly, more than two times faster than the doctor next to him.

The dozens of people present were crowded into the small observation room, and they could all hear each other's heartbeats.

The danger of aortic dissection is among the best in various diseases!

"Director Kang, are you going to perform the operation with me?" Ling Ran glanced left and right, and immediately ordered Director Kang from the heart surgery with the best technique.

Director Kang was a little stunned: "The CT who was admitted to the hospital was not found..."

There are too many causes for aortic dissection, and even the cause of its formation is not very clear in the academic circles. Ling Ran did not intend to discuss it with Director Kang on the spot. After a little thought, he said: "Next, open the chest, first call the shots. Arterial dissection surgery, extracorporeal circulation machine preparation, inform the surgery department and anesthesiology department..."

In Ling Ran's command, the scene that had been stagnant became active again.

Director Kang also had to start making preparations, until he re-washed his hands and walked into the operating room, he faced Deputy Director Li's eyes, and also replied with his eyes to explain: I don't understand Japanese. u