Chapter 603: Done
"I will first use arterial compression to stop the bleeding to reduce the amount of bleeding, and at the same time I use compression to stop the bleeding, I will speed up the suction and expose the surgical field as soon as possible. ”
At the same time as Fang Han stretched out his hand, his voice also sounded at the same time.
"We understand. Sun Ming was the first to speak.
Bare hand hemostasis can be said to be an emergency means of hemostasis, which can only be used for emergency treatment, and cannot be used for routine hemostasis, and bare hand hemostasis is to use finger pressure or short pressure to slow down or temporarily block the flow rate and circulation of blood.
The current situation is that the patient has multiple bleeding places, and the amount of bleeding is constantly increasing, even if it is constantly suctioning, because of the increase in the amount of bleeding, the surgical field is blocked, and the bleeding point is not clear, in this case, even Jon is at a loss.
For liver surgery, bleeding is a very bad situation, especially when encountering a ruptured blood vessel, many doctors will be caught off guard, not to mention that the patient is still bleeding in multiple places at this time.
Faced with such a situation, it is already rare that Jon was able to remain calm and seek outside help at the same time, without taking measures rashly.
Bare hand hemostasis is simple to say, but in practice the difficulty is quite high, many doctors and medical staff understand some simple bare hand hemostasis, such as traumatic bleeding, doctors and nurses will use the artery to press the way to temporarily stop the bleeding, or use bandages to temporarily block the artery.
However, external trauma bleeding is often easy to judge, once it reaches the internal organs, it is difficult to judge, can not determine the bleeding point, can not determine the direction of pressure, no extreme understanding of the human body, no certain experience, no certain vision and judgment, bare hands to stop bleeding is a joke.
At this time, Fang Han exchanged the grandmaster-level freehand hemostasis method, and it can be said that he has stood at the top of the pyramid in terms of stopping bleeding with his bare hands, and it is not an exaggeration to say that he is the first person in the world.
Fang Han's hand stretched out, and according to the judgment, he quickly found the hemostatic point he had locked, first using the method of intermittent pressing of his fingers, and then the frequency continued to decrease.
"Bleeding has decreased. ”
In about five or six seconds, Sun Ming, Jon and the others could clearly see that the amount of bleeding began to decrease at a speed visible to the naked eye, and the previous bleeding was like a small blood spring constantly surging upward, and with Fang Han's stop bleeding, the upwelling disappeared in an instant.
"Suction. Sun Ming hurriedly gave an order.
"I went and the bleeding started to go down. ”
Everyone in the conference room was a little shocked, this is too godly, it has an effect as soon as it is shot.
"What is the origin of this Doctor Fang?"
"This bare hand to stop the bleeding is simply amazing. ”
Song Xishan was also full of surprise, and turned around and communicated with Tian Yitao in a low voice: "Fang Han's level of hemostasis is so high?"
"It's the first time I've seen Fang Han use the bare hand method to stop bleeding. Tian Yitao said: "But I heard Director Zhu of the emergency department say that Fang Han once used his bare hands to stop bleeding and escorted a patient with heavy bleeding all the way to the operating room of the emergency department. ”
Tian Yitao had seen Fang Han's level of liver resection, but he had not seen Fang Han's level of hemostasis, and this time he was also surprised.
It's just that compared to Song Xishan, Tian Yitao is somewhat mentally prepared, he heard Director Zhu of the emergency department talk about Fang Han's level of hemostasis with bare hands.
"It's multiple blood vessel ruptures. ”
As the amount of bleeding decreased, the bleeding points gradually began to be exposed, three bleeding spots, and three blood vessels ruptured.
"The patient's blood vessels were too brittle, and the blood pressure was abnormal due to the removal of the liver tumor just now and the subsequent hepatic hilar blockade, resulting in the rupture of multiple blood vessels. Sun Ming made a guess.
"Quick stitching. ”
Jon gave the order, and he moved at the same time.
"Doctor Fang, how long can you last?" Sun Ming also hurriedly started to move, and asked Fang Han at the same time.
"Five minutes is the limit. Fang Han maintained a strange posture at this time, and one arm was equivalent to having reached into the patient's abdomen.
Fang Han can persist in this posture for a period of time, but the problem is that this time the hemostatic point taken by Fang Han is not only in the liver area, but also affects other organs, and the time cannot be too long.
"Five minutes, that's enough. Jon said a word, and the translator hurriedly translated it to Fang Han.
The people on the scene were all masters, whether it was Jon or Sun Ming, they were the best among them, and in less than three minutes, the blood vessels were stitched up.
Jon said a few more words to the translator, and the translator hurriedly said to Fang Han: "Doctor Fang, Dr. Jon said that it may be necessary to trouble you, the operation has not been completed yet, and you still need to control the amount of bleeding, otherwise the liver portal will be blocked, and the blood vessel that was sutured just now is in danger of rupturing again." ”
"I understand. Fang Han answered, pulled out his hand, first went to the side to wash his hands, disinfected, and then returned to the operating table again.
"Anesthesiologist, can your blood pressure be controlled?" the interpreter asked Jon the anesthesiologist.
"It can be controlled, but the amount of bleeding is quite large, and it has reached 1500CC. ”
"That's a lot of bleeding. ”
"yes, fortunately, the bleeding stopped in time. ”
Many doctors in the conference room and on the second floor began to whisper again.
"Blood transfusion, blood pressure control, continued surgery, the previous operation went well, this time the bleeding is still under control. The translator conveyed Jon's meaning, and the operation continued.
Stop the bleeding, and the subsequent operation will be much smoother, plus Fang Han is in control, and the operation is orderly.
......
"Dr. Fang's hemostasis is simply breathtaking. ”
On the second floor, Gao Ruilin and Kuang Mingzhuo talked in a low voice, and the surprise and shock in their tones could not be concealed at all.
"Yes, Fang Han can always create miracles. Kuang Mingzhuo nodded.
When I watched Fang Han's surgery video for the first time, Kuang Mingzhuo was amazed at Fang Han's level, Fang Han and Chen Peizhong that time, Kuang Mingzhuo was not very surprised, this time, Kuang Mingzhuo was almost used to it.
Kuang Mingzhuo is also a proud person and a person with pursuits, otherwise he would not have returned to China because he felt that there was no room for promotion at Massachusetts General Hospital in the short term.
But in the face of Fang Han, Kuang Mingzhuo really couldn't afford the slightest pride.
Even if it is Jon, Kuang Mingzhuo does not admire it very much, Jon is forty-five years old this year, seven or eight years earlier than him Kuang Mingzhuo entered the industry, and he is taught by a famous teacher, Kuang Mingzhuo feels that if he has the same conditions, he will not necessarily be worse than Jon when he reaches Jon's age.
Ke Fang Han......
In the face of such a young young doctor as Fang Han, not only Kuang Mingzhuo, but nine out of ten geniuses are estimated to be overshadowed, right?
......
"Send the cut liver tissue for examination and close the abdomen. Jon let out a long breath and slowly stepped off the operating table, removing his gloves.
Today's surgery was thrilling for Jon as well.
Jon was almost desperate for the multiple blood vessels ruptured just now, that kind of situation was definitely not something he could handle, not only him, but there was nothing he could do about it.
It's just that years of surgical experience have kept Jon calm all the time, even in critical moments, Jon's mind is unusually calm.
It was this calmness that made Jon wait for Fang Han to let the operation go smoothly.
At that time, if Jon rashly took measures, even Fang Han might not have a choice.
As mentioned above, in the operation, the surgeon is actually choosing all the way, playing all the way, and every step of the surgeon's operation affects the progress of the operation and the subsequent development of the operation.
Any mistake on the part of the surgeon can sometimes have incalculable consequences.
"Thank you, Dr. Fang. ”
Jon walked up to Fang Han with the translator and thanked Fang Han very politely.
It wasn't without accidents in Jon's surgical career, and not every operation went smoothly, but today's operation was absolutely crucial for Jon.
The first time he came to China for observation surgery, there was an accident, and the operation failed, and Jon's reputation in China will inevitably plummet from then on.
Although many doctors on the scene knew that the multiple bleeding just now was just an accident, and it was not something wrong with Jon's operation, but if it failed, it was a failure.
Since ancient times, heroes have been judged by success or failure, and any explanation and excuse are pale, and unexpected circumstances can only help Jon remove the responsibility in the operation, but not help Jon save his reputation.
"Dr. Jon is gracious, as a doctor this is what I should do. ”
Fang Han also let out a long breath at this moment, the operation just now seemed simple, but Fang Han knew in his heart that in fact, that moment was not so simple, if the bleeding point was misjudged, Fang Han's pressure to stop the bleeding might backfire.
When facing patients, Fang Han has always gone all out and dare not be careless, and at the moment when the patient has an accident, what temporary tasks, what rewards and the like have all been left behind by Fang Han.
Tasks and rewards are only considered by doctors in their leisure time, just like learning, when facing the life and death of patients, they can't always think about learning, and what rewards and gains and losses can be considered?
Therefore, in the face of Jon's gratitude, Fang Han behaved very calmly, he did not act because of Jon, nor did he act because of the task, but for the patient.
After relaxing at this moment, Fang Han had time to check the progress of the mission: 56/100 (80/100).
Although the temporary task has not yet been completed, there is hope that it will be completed.
Looking at the temporary task on the system panel, Fang Han even maliciously guessed that this damn system had already predicted that Jon's operation would not go well, so it released such a temporary task.
Judging from the situation this time, if it weren't for the unexpected situation just now, Fang Han would not have been able to complete the temporary task this time.
The translator translated Fang Han's meaning to Jon, Jon said a few words to the translator again, and the translator hurriedly translated to Fang Han: "Doctor Fang, Dr. Jon said that you are the most amazing doctor he has ever met, and Dr. Jon hopes to have lunch with you." ”
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