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Chapter 562 Cut
After assigning the follow-up two mild patients to the resident doctor on duty, they immediately returned to the operating room and began to prepare for surgery.
The general surgeon who came to the consultation also washed his hands and helped.
The emergency department of Yunyi has always been strong. Surgery such as splenectomy is done in the emergency room of the emergency department. On the other hand, there are many operations in general surgery, and the elective period can not be completed. There is no need for surgery such as splenectomy.
The general surgery of Yunfei, now accepting patients to see the type of medical insurance, is not a serious illness patient, if you take the city medical insurance, the outpatient doctor will not accept.
This is obviously not very friendly to the little doctors.
Especially the general doctors who work in Yunyang, want to see the splenectomy, they have to run the emergency department.
"The blood loss of the pre-hospital report is more than 1000 ml, and now the blood pressure is 90, the heart rate is 110..." The anesthesiologist saw that the general hospitalized doctor came, and the eyelids were not clipped, and when they entered the room, they quickly reported it. .
"The spleen and liver are broken, and it is estimated that blood loss is more serious." Ling Ran's attitude is still confident.
His judgment on the abdominal cavity can be said to be more accurate. Together with the master's physical examination that he just got today, in the face of emergency patients, Ling's judgment can be said to be stable.
After all, he is now mainly facing trauma, hepatobiliary pancreas and spleen are good or good, broken is broken...
"It should be that the left liver has ruptured." Ling Ran has not opened the abdominal cavity, and he screamed the location of the rupture, which led to the inability of the general surgeon to see it.
The anesthesiologist looked at the little doctor in disdain. The heart said: It’s rare to see how strange it is.
The little nurse in the emergency department looked at the anesthesiologist disdainfully, and said: What does it mean to despise the resident doctor...
"Knife." Ling Ran did not want a pen, directly cut the wound.
"Vascular forceps."
"gauze."
"Pumping."
Once Ling Ran began surgery, his energy was very concentrated.
He likes this feeling, don't worry if anyone looks at himself, if anyone has no words to find himself to chat, or suddenly someone hits himself and falls in front of himself.
Ling Ran likes to concentrate on doing his own business.
"Blood pressure can't be too low, it is easy to bleed again after surgery."
"When you spleen, don't damage the tail of the pancreas."
While doing surgery, he also reminded assistants and anesthesiologists. The emergency department of night shifts is like this. The resident doctors from the outside school are low-grade. The anesthesiologists sent by the anesthesiology department are also low-grade. The lack of experience makes it easy to avoid details.
If you are an ordinary surgeon, this time you are mentally tight. Can you remind me that you are actually watching the experience? If the assistant used to break the tail of the pancreas, he will remind him that if there is no, this may not be the case. It is the next experience.For Ling Ran, he has too many details, and not only the details of the main position, but also the assistant position. Therefore, seeing the assistant's action standard is not standard, and where it is biased, he can react immediately.
As an assistant, there is no one to remind and guide, the difference is huge.
Ling Ran simply said the last two sentences, the general resident doctor immediately felt comfortable, when doing things, but also fearless fears, can not help but compliment: "Ling doctor cut the spleen feels good and easy to cut It's a bit like the demo of the Army General Court I saw last time."
It is a must-have skill for surgeons. The low-cost resident doctors are not very skilled, and they are a little embarrassed.
Ling Ran is just a "en", as if it has not been heard.
He knows the ranking of his skill level and does not need to be explained by a small resident doctor.
In fact, the master's total splenectomy, which is placed nationwide, is top-level – roughly lower than the rank of master-level hepatectomy. After all, the threshold for splenectomy is low and there is a chance to contact. There are more doctors.
However, relatively low, it is also a national demonstration of 138 low, general surgery of the Army General Hospital, whether it can reach such a level, is still doubtful.
"The spleen is almost here, and then I am going to have a liver resection..." Lingran quickly, and the patient's spleen was removed three or two times.
Unlike many well-prepared elective surgeries, emergency surgery is faster, but it can increase the rate of fault tolerance.
If you do it quickly, you will lose less blood, and it will take longer for the emergency doctor to think about the problem. Naturally, the probability of surviving is higher.
About two or three minutes, Ling Ran exposed the liver.
At this time, Zuo Cidian also rushed over, washed his hands, put on his gloves, and came in to help.
Liver resection is a standard major operation, and two assistants or three assistants are not too many.
The general resident doctor did not have any contact with the liver resection, and naturally changed from a helper to a helper, and turned into a suction statue, watching Lingran and Zuo Cidian operation.
Zuo Cidian helped Ling Ling deliver the needle, feeling the eyes of a low-cost resident doctor, and all of them were full of strength.
"This is the left end of the Cixi." Ling Ran is too skilled in liver resection, in less than 10 minutes, the main part is completed.
Zuo Cidian's technical weak chicken, but what is the end, still no problem.
"Extraordinary, you go with me to the next-door operating room." Ling Ran called, the general resident doctors snorted and followed.
“Is there a splenectomy?” The resident doctor’s excitement was incoherent: “I won’t touch the tail of the pancreas this time.”
"You just met the tail of the pancreas?"
A doctor at the hospital: "No...no...all met..."
"It doesn't matter if you tap it."
"Oh, then I touched it..."
"Don't touch it next time." Ling Ran turned to look at the resident doctor.
The resident doctor swallowed, only feeling that the heartbeat missed half a beat: "Yes... no, I will be very careful.""This patient's spleen ruptured, and the testicle 1 ruptured. The spleen was completely cut off, so as not to lose too much blood. If you have 2 testicles, you can see if you can help him."
The resident doctor nodded again and again.
When they spoke, they rushed into the operating room.
Zheng Pei was busy with blood at this time.
"The blood has gone 1500." Zheng Pei was in a hurry. He had been a resident doctor for four years. He really can do things independently, that is, this year. For patients with spleen rupture, he still feels unstable.
Lingran without saying a word, first observed for a few seconds, then reached into the patient's abdominal cavity, grabbed the spleen with bare hands, and said: "Tough a little bigger."
"Is it bigger?" Zheng Pei hesitated.
"At this time, I don't want to recover after surgery." Ling Ran then looked at the patient and said: "Hurry up, I am sure the patient is more willing to save time and help him save a testicle 3 pills."
"Hey... can you save it?" Today's under-the-counter nurse is Su Mengxue, and some curiously looked over.
"Look at his luck." Ling Ran talked, and buried his head to deal with the spleen.
"The king sent me to the mountain..."
Lingran’s cell phone rang.
"Help me pick up the phone."
Naturally, you can't touch the phone. Su Mengxue almost jumped up, and quickly went to the pocket of Ling Ran, then opened the phone and placed it in the ear.
"Hey……"
"Well, come in, don't call people, I will do it." Ling Ran nodded to Su Mengxue, who then took off his mobile phone and hanged it.
Ling Ran continued to bury his head for surgery.
When the spleen was removed, Ling Ran looked up at Pu’s doctor and Zheng Pei. “There was another car accident, three people, two light and one light, and sent in a few minutes.”
"Don't... call another doctor again?" Zheng Pei was somewhat unstable.
Lingran dagger: "This is done in a few minutes, depending on the patient's testicular 4 pills. If you can keep one, first stabilize the new emergency patient situation..."
Ling Ran said, hand over the spleen to Zheng Pei, and then go to see the patient's **.
After a few seconds, Ling Ran made a judgment: "Not saved, all cut off."
(End of this chapter)
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