(Thanks to my friend Zhen Jiazhen, Bai Yun is too light, and Wu Conglu has a monthly ticket for encouragement)

Liu Banxia experienced such a tense moment once, and it was the patient who had a psychological shadow in him. Although he successfully delivered a fetus by caesarean section at that time, it also affected him at that time.

Today's situation is similar to that day, and much more critical than that day. Because this is already mentally prepared, we all know what difficulties we may face after starting the surgery.

And now the operating room is also full of people, not only doctors from general surgery, but doctors from other departments have also come.

We all know that today's operation is of great significance, and the difficulty coefficient is not ordinarily high.

"Okay, let's start the operation, I'll see off the back section first. Zhou Shuwen said and picked up the chainsaw.

As Zhou Shuwen's chainsaw began to work, everyone's eyes were on the monitor. The patient's blood pressure has begun to drop and the heart rate has increased.

Wang Lei also pushed some vasopressors in a timely manner.

"There are about 20 seconds left to see it all off and increase the amount of fluid. Zhou Shuwen said.

This is Zhou Shuwen's estimated time, but this short twenty seconds is enough for the patient to walk back and forth on the edge of life and death.

"Okay, the patient is in a supine position, ready to open the abdomen. After finally sawing that section off, Zhou Shuwen's voice was full of excitement.

Zhou Shuwen picked up the scalpel, this knife did not open the skin first as before, and then opened it in layers with an electric knife, and after cutting it, it directly cut a long hole in the abdomen.

Liu Banxia and Wei Yuan, who were on the side, hurriedly stretched the skin and tissues on both sides of the knife edge.

All you can see is blood, the monitor is ringing, and the patient's blood pressure is plummeting.

"Multiple perforations in the colon, fragmentation of the spleen, fragmentation of the right kidney. Splenic artery hemorrhage may be seen, and mesenteric artery hemorrhage is suspected. While Liu Banxia shouted, he also clamped the splenic artery with a hemostat.

"Suction, Wei Yuan ligated the renal artery, and after I found the mesenteric artery, I removed the spleen. Zhou Shuwen said.

There were really too many bleeding spots, and the branches of the trunk had caused great damage in the patient's abdominal cavity. As the abdominal cavity opened, two small branches emerged from the incision.

The bleeding reported by Liu Banxia just now was only the main bleeding point that he could see, and the rest of the small bleeding points were really much worse than the bleeding of these arteries and blood vessels.

Gritted his teeth, although it was not possible to judge whether the patient could be rescued, Liu Banxia also gave himself 5 points of agility.

Gain 5 agility points, now 70 points, and increase stability, speed, and touch by 29.63%

The movements of the three people were not slow, especially Liu Banxia began to deal with the splenic artery after finishing speaking. However, after Zhou Shuwen really found the bleeding point of the mesentery, after clamping, the patient's blood pressure was still dropping.

Although the suction machine is working non-stop, the blood in the abdominal cavity has not decreased much. Moreover, the branches inserted in the abdominal cavity also blocked a large area of the surgical field.

Liu Banxia had no choice but to put his two hands around the branches and insert them into the patient's abdominal cavity, carefully feeling the direction of the blood flow.

Originally, Zhou Shuwen also planned to continue looking for it, but the operation space in the abdominal cavity was so large, and now there were not only branches, but also Liu Banxia's two hands, all he could do was to deal with the small bleeding spots on the side like Wei Yuan.

In today's situation, even if these small bleeding spots are removed, there is a great benefit for the patient.

Before the abdominal cavity opens, these bleeding spots are suspended due to the pressure of the blood inside. And now that the abdomen is open, these bleeding spots are like floods that have released the floodgates, rushing out frantically.

In fact, Liu Banxia has just reported so many situations in such a short period of time, which is already very rare. But it's not enough, there are bleeding points that are blocked from seeing, and looking at the current amount of bleeding, it should also be arterial blood vessels.

"Found it, external iliac artery. It was pierced by a split branch. Liu Banxia shouted vigorously.

"Almost, the blood pressure finally stopped dropping. Wang Lei said.

Then he sucked and pinched. Zhou Shuwen glanced at him and said in a deep voice.

This is today's unexpected joy, I heard about Liu Banxia grasping blood vessels with his bare hands to stop bleeding, and thought it was just his luck, but I didn't expect to come here today.

The surprise in the hearts of the people watching outside was not much smaller than his, for many doctors in the Second Hospital, Liu Banxia was only at the stage of hearing about the name and deeds.

No matter how much Liu Banxia can toss, it will not attract the attention of the doctors in the hospital, at most, it will be done with one ear. The song he played today to stop bleeding with his bare hands, and it was also the external iliac artery, which really scared people.

The surgical field in the abdominal cavity is so bad, and there are many leaves that block the view, this is really simply touched by hand, how is it possible?

"Director, hurry up, I'm pressing my fingers right now. People are still sighing, Liu Banxia came again.

"Bear with it. Wei Yuan treats the colon. Zhou Shuwen, who had already begun to deal with his spleen, said without raising his head.

Liu Banxia didn't dare to squeak, so he could only hold the branches like this, acting as a human hemostat.

Zhou Shuwen wasn't deliberately making things difficult for him, but although he was starting to smoke now, because of the fact that he had a branch, the impact on Shuye was too great. In the time I was waiting for the clarity of the field, I was already able to do a lot of things.

Looking at Liu Banxia's mouth under the mask, Zhou Shuwen was too urine, how much time did it take, it didn't seem to be half a minute, and the broken spleen had already been removed.

Although it is said that it is an emergency surgery, the requirements are different from ordinary surgery, and it can be a little rougher, but is this speed too fast?

To what extent does Zhou Shuwen understand human anatomy?

It was the first time he felt Zhou Shuwen's horror.

"Look at what my hands are doing, hold down the veins. Zhou Shuwen, who put his spleen away, said.

"Director, you have to hurry, your fingers are a little numb. And I'm worried that if you press for too long, it might cause damage to the patient's tissue. Liu Banxia said.

"Wei Yuan, you continue to deal with the colon, I will go around to him, and I can't see it here. Zhou Shuwen said.

Liu Banxia also knew what the current situation was, so he could only hold on now.

"You hold on for a few more seconds, and I'll strip the upstream out first. Don't worry, there's about six seconds left. Zhou Shuwen, who came around, put his hand into the patient's abdominal cavity from under his armpit and operated.

It didn't take six seconds, and after Zhou Shuwen peeled off a little, he directly stuffed the hemostat into it.

"Alright, let go of your hand and try. After clamping the blood vessels, Zhou Shuwen said.

Liu Banxia slowly released the tightly pressed fingers, and the patient's blood pressure did not drop. It's just that it's still not very high in the transfusion state, which proves that there are other oozing spots.

The task of the first stage was completed, and Wei Yuan's side also amputated the colon that was nearly sixty centimeters long.

"Director, my fingers are numb and need some time to recover. Liu Banxia said after feeling it.

Zhou Shuwen nodded, "There are still some bleeding spots, let's deal with them directly." I'm dealing with the kidneys now, and you two are thinking about how to get the rest of the branches right and pull out the branches. ”

Liu Banxia took a look at the blood drawn, which was not less than 2000ml. I took a closer look at the situation in the abdominal cavity, "Let's prepare some more blood bags, there is a branch inserted into the liver, I don't know if it hurts a large blood vessel." ”

"There were scratches on the stomach wall, but the problem was not serious, only bleeding. Wei Yuan said.

"Is it only that branch is the most dangerous?" Zhou Shuwen asked as he disposed of his right kidney.

"Director, it looks like this at the moment. However, there is bleeding along the branches, and the color is bright red, I am afraid that it really hurts the liver artery. Liu Banxia said.

"Wei Yuan, how well do you master the liver anatomy?" asked Zhou Shuwen.

"Director, you can do it. Wei Yuan said.

"Very good, when Liu Banxia's fingers recover, you deal with it, he assists, and I deal with the rest of the bleeding points. Zhou Shuwen glanced at the two of them.

"Brother Wei, don't worry, my fingers have recovered. Liu Banxia also spoke.

There are not many opportunities for practical operation in the liver, and Liu Banxia has already taken charge of one this morning, so now Zhou Shuwen's decision is completely from the perspective of cultivation.

Compared with Qin Hai at this point, he is also a few streets away from him, and Liu Banxia is his own disciple.

"Director, the patient over there has been sent to the operating room, do you need help here?" At this time, Shi Lei walked in from outside.

"Come and help me. Zhou Shuwen said.

Wei Yuan didn't stop for a moment, and he was very careful to wander a little bit.

Because now it is not clear whether there is any other damage to the liver, it would be better if it was just this branch inserted straight and straight, and now this branch is also elastic, Liu Banxia assisted Wei Yuan with his right hand, and held the branch with his left hand.

The surgeons watching were very envious, because this operation really brought together too much knowledge and operation. ligation of the liver, colon, spleen, right kidney, and some blood vessels in the abdominal cavity, etc.

Such an ultra-difficult operation is really snatching the patient in the hands of death, and to this extent, it can be regarded as snatching out more than half of the patient's body.

Time passed minute by minute, Wei Yuan was still free, Zhou Shuwen took Shi Lei to take care of the kidneys, carefully checked again, disposed of the newly discovered blood oozing points, and by the way, the ruptured external iliac artery could not be repaired.

Now people's eyes are focused on Wei Yuan and Liu Banxia, this small branch that is not very thick may cause great harm to the patient, and whether it can be dealt with well depends on them.

It was only then that someone noticed the duration of the operation, which had lasted nearly two hours until now.

For such a complex operation, the time is not very long. Because for this patient, he has not even been halfway through the operation now.