Chapter 646: 1 bite (2/2)
”Don't move first.” Ling Ran's voice came again, preventing Zhang Anmin's movement.
Ling Ran, did not immediately start.
So, a main knife, two assistants, an equipment nurse, and an anesthesiologist who had just stood up all looked at the patient's wound in the middle stiffly, and looked at the blood. Cooing out ...
Ling Ran looked down without blinking.
This is a scene that never appeared when using a simulated person.
Ling Ran did not use a simulated person to perform a complete operation, and it was impossible to know that there would be such a moment. In other words, even if he performed a complete operation with a simulated person, because of the different anesthesiologists around him, he might get different results.
I had countless thoughts, which rang in Ling Ran's mind.
Why? Why does blood pressure rise? This was the first thought that came out of Ling Ran's mind.
However, Ling Ran did not follow this line of thinking. There may be many reasons for high blood pressure during the operation. Pain, hypoxemia, hypercapnia, or hypothermia may cause excessive blood volume. Time is not the time to worry about why blood pressure rises. The key to the problem is that the blood must be stopped in time.
As long as there is no conflict between the cause of increased blood pressure and hemostasis, the problem of blood pressure can be thrown to the anesthesiologist.
Immediately afterwards, more problems appeared in Ling Ran's mind.
”Why do blood vessels rupture?”
This problem was stunned by Ling Ran. He stared at the bleeding port below, thinking and thinking before slowly speaking: ”Zhang Anmin, **** first, from the edge. Don't touch any tissue.”
Purr ...
Purr ...
Upstairs and downstairs, the breath sound came almost at the same time.
For the past five or six seconds, it was a torture for everyone present. Many people thought that Ling Ran was frightened or stiffened.
Similar scenes, doctors don't actually see or hear much.
Vascular blood vessels rupture and the pressure of blood surges is not affordable by every surgeon.
In fact, Ling Ran rarely had such experience, and the system did not give him similar skills.
However, in the emergency department for more than a year, Ling Ran has never been under a lot of determination pressure.
Ling Ran pointed his finger at the gushing blood in the familiar ”bitter library ...” and said, ”The blood vessels here may be crisp, and because of the erosion by cancer cells, they were previously oppressed by other tissues. Now that the oppression is lost, the blood spurts out. ”
”The blood vessels are all… crippled?” Xu Wen couldn't help but whisper to himself, this concept is actually a bit shocking to the liver and gallbladder doctor.
The doctor who was present at this time realized that Ling Ran had emphasized ”don't move” twice.
If the blood vessels are really crisp, as soon as the hand is pressed, the blood vessel fragments may break into the blood vessels, which can easily cause blood clots in other parts of the body.
Ling Ran's eyes looked at the rolling blood flow, but did not immediately stop it, but said steadily: ”It doesn't matter if the blood vessels are crippled. It is sutured and can be used, but the suture is more difficult. Attention. Anesthesiologist, how long can it take to lower blood pressure? ”
”Effective right away ... that ... too much blood loss ...” The scalp of the anesthesiologist was all blown up, and the patient's body was too dregs, it was tofu dregs, no wonder other hospital doctors Willing to perform surgery on him.
Ling Ran didn't understand anaesthesia and did not have the command to do it. With a sound of ”En”, he still watched the wound bleeding stably, saying: ”Our first half of the operation went smoothly. It's okay to bleed a little bit now. Okay. It's exposed, tweezers. ”
The instrument nurse quickly handed the tweezers to Ling Ran.
Ling Ran clamped a piece of blood vessel fragments exposed from blood stains with small movements.
”Scissors ~~”. Ling Ran put the cut pieces into a small transparent bowl, dropped the scissors, and asked for needle clamps, and started to sew blood vessels on the spot.
As the blood pressure decreased, the blood flow from Cooing also lost its power, and the blood loss soon stopped.
”880 ml.” The anesthesiologist whispered a number.
Ling Ran smiled: ”Beyond expectations, but it doesn't matter.”
”It's all about Dr. Ling's decision.” Xu Wen relieved and licked by the way.
Zhang Anmin learned the tone of his predecessor and said, ”This kind of accident may be dead when meeting other people.”
After the patrolling nurses expressed their heart licking, they asked, ”Do you want to send the cut tissue for inspection?”
”No,” Ling Ran said.
His voice just came down, and the intercom heard Feng Zhixian's voice in the room: ”Ling Ran, if the cut blood vessel fragments are useless, let us see them?
”Everyone is curious, um, academic curiosity.” Zhu Tongyi also said.
Ling Lingran nodded and said, ”Send another person to come in.”
After finishing talking, Ling Ran continued to do stuffy surgery.
Everyone in the visit room looked at the high-definition screen in front of them, and their hearts were curious and fiery.