Chapter 602: Suture (1/2)
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.