Chapter 1404： Dissociate

Ling Ran put on the lead clothes and came to the operating bed.

Intraoperative radiography requires radiation. The hospital’s orthopedics and cardiology department are so rich that they eat radiation in every operation, which has a lot to do with it.

It is also an operation. If the orthopedic surgeon and cardiologists continue to eat radiation and want to increase the amount of surgery, it is pure wishful thinking. Therefore, even if it is a very powerful hospital, under the balance of various aspects, it will always tilt more resources to departments such as orthopedics and cardiology. At the very least, it is to spend less money, or turn a blind eye on certain equipment. Only eye.

For doctors, taking radiation is very uncomfortable and reluctant, but they can only comfort themselves: radiation can only be effective if it accumulates, so if you eat a small amount, it doesn't matter if you control the total amount of radiation you eat each year.

But as far as there is no official statistics, the orthopedics and cardiology department in the hospital, after a few years, there will always be one or two cancer patients, which is quite paradoxical.

In actual operation, doctors still try to avoid radiation as much as possible. Wearing lead clothes is one aspect, and the operations that can be separated are also separated as much as possible-the same is explained by the accumulation theory, as long as ordinary people do not eat the amount, it does not matter.

However, no matter how the doctors split the operation, when they should eat radiation, they still have to eat it.

Ling Ran was also ready to eat radiation.

When he had liver resection or replantation of severed fingers before, he didn't need to make similar preparations. Ordinary cardiac surgery, such as heart bypass surgery, does not need to be the same. However, people with critical heart disease in the emergency department will not be able to do so, at least they must be prepared to take radiation.

From this point of view, the emergency department is indeed the most miserable position in the hospital. It not only faces conflicts, but may also face radiation. However, the income is so small that you have to face life and face your wife directly.

"Multiple rib fractures, pulmonary contusions, fractures of the scapula of the left shoulder, weakened pulsation of the radial artery and bilateral femoral arteries on the left..." Director Kang anxiously reported the detailed examination.

Any fatal disease is fatal in the eyes of doctors. And any urgent and fatal disease is a fatal emergency in the eyes of doctors.

Even if modern medicine is called advanced, in reality, the mortality rate of cardiac surgery is still not as high as that of advanced, and the mortality rate of aortic dissection is still high.

Ling Ran's expression was also serious.

While Director Kang was doing the examination, he was also rapidly turning his brain.

By the time Director Kang's report was over, Ling Ran had completely calmed down.

"Open your chest in the middle." Ling Ran's first command was very simple, and he spoke simple terms that everyone could understand.

However, several cardiac surgeons, including Director Kang, became awe-inspiring.

There are many treatment options for aortic dissection. In fact, if the treatment options for various types of aortic dissection are listed, twenty or thirty items belong to a broad category. Therefore, which plan to adopt is first of all a great problem facing doctors. However, the development of aortic dissection is extremely fast, which does not give doctors enough time to judge.

If it is other types of surgery, even if the wrong surgical plan is selected, it is possible to bypass it during the operation through various routes, or to adopt other repair strategies.

However, patients with aortic dissection often do not have such a good relationship. In other words, patients with aortic dissection often die too quickly and do not have too much time to detour.

No matter from which perspective, it is extremely difficult and risky to make a decision on the direction of surgery. Correspondingly, there is no need to say about the requirements of the chief surgeon.

Those who do heart surgery, even the emergency department, and the anesthesiology department see a lot of surgeons standing in front of the operating table hesitating. Ling Ran can quickly give instructions. For everyone, there is a sudden reduction in pressure. a feeling of.

A few seconds later, Ling Ran unsurprisingly gave further instructions: "Elephant trunk surgery combined with endovascular stent implantation."

In just a few short sentences, the guidelines and steps of the operation are basically the same.

Director Kang could not help but breathed a sigh of relief. As the most professional cardiac surgeon present-Ling Ran is a part-timer-Director Kang is not sure about the operation in front of him, let alone let him direct it, he is very good at following it. The pressure was over, that is, Ling Ran was in front of him.

Director Kang raised his head and couldn't help asking: "Did Dr. Ling ever perform elephant trunk surgery?"

He had seen all the heart surgery operations performed by Ling Ran, obviously he had never seen an elephant trunk operation.

Ling Ran also shook his head unsurprisingly, and said, "I haven't done it."

"Um..." Director Kang was silent. There is nothing wrong with going to the operating table without having undergone this type of surgery in this emergency situation. It is impossible for doctors to master all the techniques, and patients often have extraordinary imagination when they get sick.

Therefore, when faced with an emergency operation, it is normal for a doctor to grind the gun to perform the operation. As for the effect of the operation, the surgical procedures that have not been done are definitely inferior to the ones that have been done. However, the basic skills and theoretical knowledge are there, and high-level doctors can still guarantee a certain success rate.

Nurse Niu, who has been working in Yunyi for many years, said at this time: "Director Kang, have you done this operation?"

"No." Director Kang answered neatly.

Nurse Niu let out a false sigh of regret. Of course she knew that Director Kang had never had this operation. If he had done it, Nurse Niu would not ask.

"Everyone work hard."

In a silent atmosphere, Ling Ran stood up again.

Although he doesn't often do things like boosting morale, his effect has always been excellent.

"pliers."

Ling Ran stretched out his hand and cut off the patient's ribs for the first time after squeezing a large blue pliers.

Mission: Rescue the patient

Task content: The first operation in the hybrid operating room deserves a better performance.

Task progress: (0/1)

Task reward: anti-radiation medicine.

Ling Ran only glanced at the screen of the system from the corner of his eye, then lowered his head to free blood vessels.

Although it is an extremely urgent operation, the necessary steps are still indispensable. Otherwise, before seeing the problematic blood vessels, the blood vessels in the surgical approach will first rebel.

At the same time, Deputy Director Li and Director Tao of General Surgery also returned to the battle, began to examine the abdomen, freed blood vessels, and prepared to remove the injured spleen.

Two groups of people performed operations at two locations at the same time. The place was tight and the operation was even more stressful, so that the tension seemed to be sublimated.

It was also at this time that Deputy Director Li looked over from his position and noticed a trace of Ling Ran's horror.

The innominate artery, the left common carotid artery, and the left subclavian artery were all dangerous arteries that would scorch blood when touched, but Ling Ran quickly removed them like a shrimp. u