(Thanks to my friend Rodney 1925 for his encouragement, Yu wo, Devil's Head, su37zd, and Jiang Xin monthly ticket encouragement)

"There was so much bleeding in the lungs that bronchoscopy couldn't even check it out. Moreover, during the examination, the signs of illness fell again, and I had to find a way to stop the bleeding as soon as possible. After a while, Meng Qingfan walked out.

"Especially when the lungs are breathing and agitating, the bleeding becomes more severe. My experience shows that the bleeding is coming from the lower lobe, you have to hurry, the best thing to do is to remove the right lung. ”

"Thank you, Dr. Meng, we'll take care of the rest. Liu Banxia said.

"Cut?" Chen Xuehai asked with a frown.

"I'll talk to their leaders. Liu Banxia said.

When he came outside, the firefighters also surrounded him.

"Because the patient is unconscious now, and there is no way to contact his family, and even if he does, he may not be able to obtain effective treatment permission. Liu Banxia said.

"After our initial examination, the patient had a hemorrhage in the lower lobe of the lung, and the bleeding was very heavy. Our hospital's recommendation was to remove the entire right lung, which would stop the bleeding quickly and save the patient's life. ”

"Doctor, is there no other way? If half of his lung is cut, his work and life will be affected in the future. The leader of the fire department said.

"He also gave oxygen to the children in the building to save them. Doctor, think of a way again, he really loves this business. ”

Liu Banxia frowned, "Don't get your hopes up, let's go back and study it again, but we don't have a lot of time left." ”

Of course, he knew better than these people how much the removal of half of his lung would affect a person's life, but he couldn't fully agree to it, and this was not a medical order that his general surgeon could give.

"How's it going?" asked Liu Banxia after returning to the rescue room.

"It's difficult, I just thought of several options, and there is no suitable way. Chen Xuehai shook his head.

"Hemorrhage in the lower lobes, agitation in the lungs will definitely affect the surgical field and affect the operation of the operation. When we look for bleeding spots, we may also puncture the alveoli, making the patient more dangerous. ”

"It is not possible to use a membrane lung machine, and if you use a membrane lung machine, you have to use anticoagulants, which will inevitably make the bleeding more serious, and if you don't do it, you may die. ”

"So my personal idea is to remove the right lung, so that it can be safer. It is also responsible for the patient, whose vital signs are still somewhat unstable, which can make the patient's chance of survival greater. ”

"What if you move softer during the operation?" asked Liu Banxia.

"He is bleeding in the lower lobe, if we get rid of the lower lobe, will we be able to save the rest of the lung? Even if some of it is cut, it will not have much impact on his life in the future. ”

"It's hard, after all, we have to operate on agitated lungs. I'm afraid that too much time will be wasted in this area and the rescue of the patient will be delayed. Chen Xuehai said.

"Why don't you come on stage with me and try to clamp the bottom of the pulmonary artery as fast as you can." Blind clips may be needed to stop the bleeding for a while, and perhaps the lower lobes of the lungs may be removed. ”

"But if we don't go fast enough, or if his vital signs go down again, we will have to remove the entire right lung in order to save his life. ”

"Can I do it? I've just been reinstated, and I'm still a doctor. Liu Banxia grinned.

This involves the issue of responsibility, and even if he is on a business trip, it has nothing to do with him. Because the main knife is Chen Xuehai, the responsibility is on him.

Chen Xuehai's proposal is also bold enough, after all, he has just experienced the punishment of suspension, and this is the first day of reinstatement.

"What's not to do, if you look for it blindly, you should be the fastest person in the courtyard. This amount of bleeding must be greater than suction, and if you aspirate too quickly, it will definitely bleed more. Chen Xuehai said.

"Okay, I'll go on stage with you. Liu Banxia nodded vigorously.

"Liang Xiaolin, explain the surgical plan to his leader, and then go to the operating room to find us. Chen Xuehai said.

Their leadership did not play a decisive role in the treatment of this patient, and it was only an obligation to give notice. Now that it's already life-threatening, the only way to do it is to exercise the right of first aid.

Not to mention, thinking about going on stage for surgery, even if it was just an assistant, Liu Banxia's mood was very excited. The suspension during this period of time really choked him enough, and he wanted to be on the operating table.

"Ah, Banxia, just returned to work so hard?" Seeing Liu Banxia walk in, anesthesiologist Li Liwei was stunned for a moment.

"Auxiliary, auxiliary, responsible for helping to stop the bleeding, if you don't do it, you have to cut off the right lung. Liu Banxia hurriedly said.

"I see it, it seems to be a bit dangerous. Li Liwei said.

"Who says it's not, saving people has delayed itself. Liu Banxia nodded.

At this time, the guy also pushed in from outside, and Liu Banxia shook his neck and wrists. This is a serious comeback fight, and you have to do your best.

I hope that I didn't feel worse during this time of rest, and the goal this time is very clear, which is to run for pulmonary artery clamping.

"Liang Xiaolin, open your chest directly when you are ready. Chen Xuehai said.

Liang Xiaolin glanced at Liu Banxia with some weakness, so that Liu Banxia, who was originally very serious, didn't know what to say.

"It seems that I have grown during my absence, and I can open my chest independently. Let's show off my craft, although I'm not an outsider, I'll watch it. Liu Banxia said seriously.

Liang Xiaolin was still a little weak-hearted, but as soon as she heard him say this, she immediately came up. can't be underestimated by this thing, he is a serious psychic doctor.

Can Liang Xiaolin's foundation be bad? It's just that she has her own old problems. As soon as she is under pressure, she will become unconfident in herself, and she will not have that burden when she is provoked by Liu Banxia.

The whole thoracotomy process was done very standard and smooth. As his chest opened, Liu Banxia did not hesitate at all, and without waiting for Chen Xuehai to speak, he inserted his hand into it.

The next thing is to rush for time, the amount of bleeding will become greater after the thoracotomy, if the pulmonary artery cannot be clamped quickly, Chen Xuehai has no other choice. Is there a choice between a successful surgery and life-saving?

Now everyone in the operating room except Li Liwei has paid attention to the operating table, and what kind of success this operation can achieve depends on Liu Banxia's operation.

Li Liwei also wanted to see it, but he didn't dare to be distracted.

After the chest cavity opens, the patient's vital signs fall off quickly, and he needs to work hard to maintain them. When the alert standard is reached, he has to shout to stop and save the patient's life.

Don't look at the mission this time is very clear, not as blind as when you found blood spots before. But it's really not that easy, especially in a situation as urgent as it is now.

Liu Banxia also put a lot of pressure on himself, and he knew better what the success and failure of his operation meant to the patient on the operating table.

"How's it going?"

Liu Banxia touched it for a while and then asked coldly.

"The blood pressure has risen, but it is unstable, and it should not be clamped. Li Liwei said in a deep voice.

"Wait a minute. ”

Liu Banxia said a word, and took another hemostat.

This time it was very simple, and when he finished clamping, Li Liwei gave him a thumbs up.

"I'm going to die, let's suck. Liu Banxia let out a sigh of relief.

"Dr. Chen, it's up to you next. Shouldn't the clamping time be too long? The operation of the operation is not small. ”

"I tried my best. Chen Xuehai smiled and nodded.

Ding! The surgery is complete

Gain 400 XP, 100 Diagnostics Skill Proficiency, 200 Dressing Change Skill Proficiency, and 3 Glory Points

Even he admired Liu Banxia's hand, which was not something that could be operated at will. There is also an element of gambling today, and it can be regarded as a successful bet.

The difficulty of the next surgical operation is that the alveoli bulge with the breathing affect the surgical field. However, Chen Xuehai is also an experienced cardiologist, and the choice at this time is trust.

Liu Banxia didn't stay in the operating room for too long, and he didn't have anything to do, and he had to go over to the emergency center.

"Teacher Liu, is it done?" As soon as I walked to the emergency center, the interns surrounded me.

Liu Banxia smiled and nodded, "My work is done, and the next thing is Dr. Chen's work." However, the possibility of preserving the right lung is still very high, so let's wait for the results. ”

"Wow, Mr. Liu is really amazing. Liu Yiqing shouted.

"Haha, that's a must. It's my first fight back and I've got to do a good job. Liu Banxia said with a smile.

Although he said this a little rampantly, everyone didn't think it was anything. We all know that this thing looks simple, but the difficulty factor is still very high.

In other words, if Liu Banxia is not here today, what will happen to this patient? Basically, there is no need to think about it, just cut the lungs.

This is the role of Liu Banxia, and he also has the capital to get it. Just like a small incision appendectomy, it's a minor operation, but not many people can really play around. What about the second house? He is the only one.

"That firefighter is really powerful, it was a gas leak in a residential building that caught fire, he went in twice, and a total of three people were rescued. Shi Lei said.

"Hey...... , I also have a special relationship with the firefighters, otherwise I wouldn't dare to take this risk today and agree to the stage. Liu Banxia said.

"Didn't I also be rescued by the firefighters last time, but fortunately, the result was good and there was no delay. I also watched Liang Xiaolin's operation today, and I have a long ability, it seems that I still underestimate you a little. ”

"That is necessary, even if we can't reach the height of Teacher Liu, we need to get closer as soon as possible. Xu Yinuo answered.

It's just that she regretted it after picking it up, and she always felt that Liu Banxia's purpose was not pure, why did she take this by herself?

Liu Banxia just glanced at her with a smile and didn't speak. It's just that no matter who he looks at, they are also a little evasive.

is afraid of being named by Liu Banxia, the pressure on the first person is really too great.