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Great Doctor Ling Ran

By Village Of Ambitious Birds

770. Chapter 760 First Patient

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Chapter 760 First patient

"Patients...should be anesthetized." Sarina, who was doing the translation, whispered, and her inner fears were self-evident.

Ling Ran "en" did not immediately start, but quietly observed the patient, said: "We use the shortest possible time, as few steps as possible, to treat the patient's wounds to maintain life. ”

He explained as much as possible, the manpower in the operating room was insufficient, and the assistants’ experience was even less... In fact, he even owed his assistants, only nurses and a hand-washed translator, but also had to teach and do .

In this case, doing a complete surgery is a challenge.

Ling Ran himself does not mind to challenge the limits, but with gallstones can also make judgments, patients absolutely do not want to accept the ultimate challenge. Moreover, complete surgery takes more time and is also a disadvantage for the rescue of later patients.

Therefore, although Ling Leng instinctively wants to do a complete operation, at this time, his mind will also sound the roar of Huo Congjun: "First save the life and cure the disease!"

After staying in the emergency center of Yunfei for a long time, Ling Ran really agrees with Huo’s philosophy.

Ling Ran gently flipped the patient, then looked at the number on the monitor, judged his depth of anesthesia, and said: "You should pay attention to the amount of urine during surgery. If you can notice, the amount of bleeding and the amount of flushing are also reported. ""

“How much is normal?” Salina wants to accept the job.

Ling Ran shook his head: "According to the patient's weight, the normal urine volume per kilogram per hour should be 1 milliliter, but there are other factors, so you can report the number. The main thing to note is the decrease in urine output. If it increases, it is generally The problem is not big."

"Okay." Salina then whispered a few nurses, and then looked up, and saw that it was like a salted fish, turning the patient.

Salina looked at the patient's still bleeding wound and could not help the doctor's identity. "Dr. Ling, don't you start?"

"Let's wait." Ling Ran said.

"why?"

"As far as possible to ensure the depth of anesthesia." Ling Ran answered.

Salina didn't understand the meaning of it, and repeated it with a bit of doubt: "Deep anesthesia?"

"Well, if the depth of anesthesia is insufficient, there may be intraoperative awareness." Ling Ran said that it is light, but it actually describes the greatest horror in surgery.

The so-called intraoperative know-how is that during general anesthesia, the patient wakes up.

Imagine a group of people cutting your body, and then you wake up. However, this is not the most horrible place. The most horrible thing is that because the current anesthesia is combined with anesthesia, even if the patient has an intraoperative awareness, He may not be able to make any form of expression because of the use of drugs such as muscle relaxants.

In other words, when you know it during surgery, the patient's consciousness is awake, the pain is continuous, but you can't talk, you can't shake your head, you can't even tighten your muscles to resist.

If this is not enough horror, the greater horror that is known during surgery is that most of the patients who know during the waking period do not know that they have had intraoperative knowledge.Because of the use of narcotic drugs, patients who wake up may have forgotten their hellish pains an hour or two ago.

Knowing itself during surgery is very difficult to avoid. Because each person's physique is different, and the anesthetic drugs can not be used indefinitely.

For Ling Ran, the use of narcotics for beginners is even more difficult to control.

Therefore, Lingran needs to observe more. At the same time, it is necessary to reduce the operation time as much as possible. In the current environment, this is beneficial and harmless.

In the operating room, it was a little quiet for a while.

Then, I saw Ling Ran took out the scalpel and quickly cut open the patient's abdominal wound.

“Intestinal damage.” Ling Ran said, then clean and suture the wound, then clean and infuse the antibiotics, place the drainage tube, and start to close the abdomen.

Closing the abdomen is not a complete abdomen, but a simple suture, so that the stomach is not open.

The use of expediency in the land of rights is actually a challenge for Ling Ran.

"Now handle the shoulders." Ling Ran said, began to change the position of the patient.

Intestines and shoulders are not in the range of skills. However, if you simply treat the wound, the difference between the parts will not be too great, especially in the emergency department. It has always been very rough.

Ling Ran is not pursuing any refined operation now, just like an ordinary emergency department resident, and the donkey is doing surgery that is not very good at himself.

The complication is estimated to be no less. The same patients will be put down in a large hospital for emergency treatment, or they will be able to undergo surgery, hospitalization time, etc. will have obvious differences. Not to mention the current conditions.

In fact, as far as the patients are concerned, it is necessary to go to the palace. If you are unlucky, you may need to go to the palace. However, you can survive.

Ling Ran is like a novice, the action is unscrupulously split the shoulders, to reset the patient.

This time, there is no skill to assist, and even without the guidance of the superior doctor, it can only rely on past experience and existing knowledge to give him operations.

Ling Ran is slower, but the action is still skilled.

After all, he is an orthopaedic surgeon, and even if he hasn't touched it, the difficulty of orthopedics is not as complicated as that of the liver and pancreas.

The most important thing is that Ling Ran still has to do this surgery. Otherwise, the patient's shoulders will get more and more painful. If the painkillers are not enough, you have to shout.

Fortunately, Ling Ran knows how to make Chris's fracture, and it is a perfect Chris fracture. The technique of anatomical reduction is not a problem for him.

The anatomical experience of his upper limbs is also huge, the system has given more than 3,000 times, and he has done a lot of surgery.

Compared to ordinary doctors, Ling Ran may have a deeper understanding of the anatomy of the shoulder.

That is, the approach and steps of surgery are not very familiar.

After all, the purpose of the operation is to repair the patient's body, not like a anatomical body, a knife can be pulled down and put together.Whether it is open surgery or endoscopic surgery, in the final analysis, it is the dojo in the lion shell. The doctor must treat the patient with as little trauma as possible. If this is done, it is impossible for the doctor to open the knife. It is necessary to find a position that can avoid important nerve vessels and even muscles and achieve surgery. Goal.

Such a position and path is a surgical approach. Generally speaking, a surgical approach is a multi-generational clinician who has accumulated a year-round, inexperienced doctor, in addition to learning and memory. In addition, there is basically no other choice.

If you want to create a new surgical approach, without the clinical experience of eight years and eight years, it is simply a dream. Of course, more clinicians, for twenty or thirty years, can still only remember the popular approach.

Ling Ran’s memory has always been good. Slowly swallowing the cat and painting the tiger, the fracture of the shoulder is finally dealt with, and the brain is also full of sweat for the second time.

"Salina helps me sweat, South Daman, you come to bandage." Ling Ran gave the nurse a hand and began to bandage the wound.

Salina and the nurse nodded at the same time, and they all looked at it for a while.

"It's so sweaty, it's too tired." Salina wiped the sweat and couldn't help but said: "It's just an arm. Don't be too hard... Oh, I mean, there are still many patients behind." It."

"Well, it makes sense to do one more and do the next one." Ling nodded.

"With Dr. Ling, everyone will feel lucky when they encounter floods." Salina carefully wiped the sweat from Lingran, and she fell in love with her reluctance.

(End of this chapter)

Great Doctor Ling Ran

770. Chapter 760 First Patient

770. Chapter 760 First Patient

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770. Chapter 760 First Patient

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