Chapter 503: Hemostasis (1/2)
”Has the coagulation medicine been used?” Ling Ran fumbled his liver and asked in his mouth.
”Tranexamic acid was used. Phensulfonamide.” Guo Mingcheng said: ”Medication was also used before surgery.”
Ling Ran said ”En”, fingers continued to explore.
Guo Mingcheng has already done an urgent suture treatment, and most of the wound has been coagulated with an ultrasonic knife, but the blood is constantly leaking out.
It can be said that this is a model of so-called bad luck and poor strength.
There was no problem with Guo Mingcheng's operation. The pre-operative preparation could not be said to be complete and it was above the standard. However, the patient was bleeding a lot and he couldn't help it.
In Ling Ran's mind, she thought about the patient's MRI and other image data.
As a pure surgeon, Ling Ran pays little attention to medical information such as biochemistry, but he has a good memory of information such as patient imaging data.
Ling Ran was thinking, his left hand was rubbing in the liver, he touched it very lightly, almost sliding through the liver, at the same time, Ling Ran's right hand was also gently stretched in.
laugh.
The airtight door opens.
Director Lei of the Medical and Political Department came in hastily, joined Huo Huo, and looked at Ling Ran, and said, ”Dr. Ling, don't do it if you are not sure. In such a case, the report of the death discussion must be written for two months . ”
For doctors, the dead on the operating table are all accidents, but it depends on the level of the hospital.
If it is a Grade B or Grade A hospital, there will be dead people during the operation, which will be very serious, because if you are not sure, you should refer the patient to a superior hospital.
However, if it is a top three hospital, especially a strong top three hospital like Yunyi, people will always die during the operation. As long as it is not an operation error, there will always be a limited punishment, and the doctor will not be killed with a single stick.
However, limited punishment, in the view of Director Lei, is unnecessary. It was canceled and evaluated first, and a report of tens of thousands of words and tens of thousands of words was written. It was reviewed and reviewed, and fines and bonuses were reduced, but it was not fun.
Director Lei knew that Ling Ran had made flying knives and was not short of money, but death discussions were really disliked by doctors, and writing reports was even more irritating ...
”You can do it.” Ling Ran answered only one sentence, and then said to Guo Mingcheng: ”I can stop the bleeding with my bare hands, reduce the amount of bleeding, and then take the time to **** up the abdominal cavity and see the situation?”
”Okay.” Guo Mingcheng responded, took a deep look at Ling Ran, and ordered: ”The intensity of the suction has increased. When should we start?”
”It's already started, 2 minutes.” Ling Ran was afraid that the patient's liver would be pinched, and the angle of force was also limited, and he could not completely block the blood flow.
The patient's abdominal cavity, while bleeding, was suctioned and gradually reduced.
He Yuanzheng didn't know what he was looking at, but in his mind, he thought of the questions he did when he was a kid: one water outlet pipe and one water inlet pipe.
Who said that the title of the year was useless?
This thing can be difficult to use hydrodynamics.
He Yuan looked at the thick blood, thinking wildly.
It is not possible to think nonchalantly. He can't see any operation of Ling Ran now. All the movements are buried under the blood line. Only the reduced blood in the abdominal cavity is considered as a variable.
Huo Congjun took out his mobile phone again, this time he called the central blood station.
Then, Huo Congjun called Dean Zhou again.
With this amount of bleeding, the operation would not be possible without the support of the blood station and hospital leaders.
Guo Mingcheng was also staring at the blood line, holding the pliers in his hand, basically no movement.
The liver was exposed little by little.
”Hemangioma. Block.” Ling Ran spoke quickly, and her hands moved faster. With a shake, she exposed the location of the hemangioma a little.
Although it was only a little bit, at least the boundary of the hemangioma was revealed, and Guo Mingcheng had been engaged for a long time and did not hold the position.
Of course, Guo Mingcheng did not dare to turn his liver too much.
He does not have Ling Ran's freehand skills. If the turning movement is too large, it may cause unpredictable consequences.
”I want one and a half minutes. At least.” Guo Mingcheng didn't dare to hide now.
At this time, a little carelessness is the result of the patient's uncontrollable bleeding and the operation completely failed. If it were possible, he wouldn't give up hope.
Ling Ran frowned. He held his liver in his hands for two minutes, which was too much. Guo Mingcheng now needs to use at least one and a half minutes to block ...
”I sew, you help me pull the thread.” Ling Ran dragged the patient's liver with his right hand, extended his left hand, and said to the equipment nurse: ”Needle holder, thin thread.
At this time, I will not pay attention to the number of threads, the nurse took the stringer with the finest needle holder Ling Ling.
Ling Ran held the needle holder tightly with her left hand, and a needle passed through the center of the liver.
Guo Mingcheng then realized what Ling Ran was doing and quickly helped manage the line.
Ling Ran quickly interspersed a few stitches, and then made a little stitching.
In less than a minute, Ling Ran dropped the needle holder and said in his mouth, ”It's done, my right hand is about to be released.”
Guo Mingcheng stared at Ling Ran's operation with wide eyes. At this time, as long as he is not an idiot doctor, he should understand where Ling Ran's progression and level are.
”Continue to pump.” Ling Ran said again, and then let go of the liver gently.
The liver is still bleeding, one by one, but it is not a large area of bleeding.
”We finished the rest of the liver resection.” Ling Ran's tone took a little command, which was determined by the nature of the operating table.