Chapter 157: 30 Minutes!
"Prepare a median incision in the abdomen, sterilize, 10cm in diameter!"
"Good!"
As soon as the section was opened, the prepared iodophor cotton ball had already been applied to the patient's abdomen.
After drying, Liu Dongfang holds the pen into the skin, and the tip of the knife opens a hole at the moment it touches the patient.
Because only the epidermis is separated, coupled with Liu Dongfang's exquisite skills, even the tip of the knife does not stick a trace of bright red.
The moment the epidermis and dermis are cut open and the fascia is exposed, bright red begins to gush out, affecting the field!
"Pull the hook, attract!" Liu Dongfang frowned slightly.
"Good!"
Duan Kailiang picked up the suction device, sucked the bright red around it along the catheter, and sucked it into the waste liquid collector.
Seeing this, Liu Dongfang stretched out his hand again.
The medium-sized round knife with the No. 7 handle was handed over by Zhang Xiaoyu.
After holding the knife, Liu Dongfang made a small incision in the fascia, and due to the uneven internal organs, Liu Dongfang directly chose blunt separation.
Liu Dongfang stretched out his index finger and middle finger and slowly stretched them out in the fascial rupture!
Suddenly, the abdominal cavity was exposed to everyone's field of vision.
Liu Dongfang's eyes narrowed slightly, and he reached into it with his hand, groping carefully.
Time is passing minute by minute, and the atmosphere in the operating room is a little solemn.
Although there is a cold air system in the room, the heavy surgical gown still makes Liu Dongfang feel a little stuffy.
Sweat stains also began to appear on his forehead.
"Director Liu, I'll lend you a shoulder!"
Seeing this scene, Zhang Xiaoyu leaned over his shoulder.
"Just call me Dongfang!"
Liu Dongfang was not hypocritical, and directly stretched his head over.
The sweat stain on his forehead drew a deep sweat stain on Zhang Xiaoyu's shoulder.
And the rest of the people are no longer surprised by this scene.
After all, in the operating room, if the surgeon is obstructed due to sweat stains that flow into the eyes, resulting in obstruction of vision, the consequences are unimaginable!
But their surgery can't be stopped, and their hands must be kept sterile, so naturally they can't wipe their sweat in person!
Therefore, this simple job needs the help of others to complete!
"Did the operation go well?" Zhang Xiaoyu said with concern.
At this moment, she asked everyone's thoughts.
After all, laparotomy is fast and fast, but it takes an hour to slow down.
Hearing this, Liu Dongfang said in a deep voice: "I have already examined the patient's abdominal cavity just now, and there is no ascites in it, and the adjacent liver and spleen are also normal. ”
"Next, it is to see if the patient has ulcers and bleeding in the gastroduodenum. ”
After that, Liu Dongfang followed the patient's pylorus, passed through the large and small bends of the stomach, and poked towards the cardia not far away.
The sticky touch made Liu Dongfang frown slightly.
"How?"
Duan Kailiang on the side was obviously also concerned about this operation.
Although he was called here temporarily, he had heard a little about the turmoil in the emergency department before.
Naturally, I also know that if Liu Dongfang can't find the cause this time, the emergency department will suffer the wrath of Dean Chen!
"The duodenum is no problem!"
Liu Dongfang frowned, and he followed the small omentum and began to explore from the back wall of the stomach, and after several explorations, there was no abnormality.
"How can this be? If it's all right, how did the patient's gastrointestinal bleeding come about?"
After that, Liu Dongfang followed the duodenum and explored the gallbladder, but did not find the slightest bleeding and ulceration.
"This doesn't make sense!"
At this moment, not to mention Liu Dongfang, even everyone present discovered the abnormality of the patient.
"Could it be that the diagnosis is really wrong?"
Just when everyone was muttering in their hearts and secretly worried, a deep voice suddenly sounded.
"Prepare for stomach probing!" Liu Dongfang said.
As soon as these words came out, everyone was shocked.
"Director Liu, if the stomach is explored, it is very likely to stimulate the patient's vagus nerve to excite, and then cause cardiac arrest!"
Duan Kailiang was a little anxious, the form at the moment was very unfavorable to them.
If the surgical area is closed now, all the previous efforts will be in vain!
But if you don't give up and continue with appetizer surgery, not only is the risk too great, once the cause cannot be found, there is no room for mitigation in this matter!
This feeling of dilemma and all the unknowns is very uncomfortable!
"I know what you're thinking about!"
"But if the cause can't be found, the patient's condition will only continue to deteriorate!"
"When the time comes, all the work we have done will be useless!"
Liu Dongfang lowered his head, no one could see his expression clearly!
But the firmness in the words is unquestionable!
However, the anesthesiologist, who had been silent, suddenly spoke.
"If I have a stomach probe, I need to increase the anesthetic dose!"
"Considering the patient's elderly male, previous hypertension, diabetes, coronary heart disease, I can only give you another 30 minutes!"
The anesthesiologist's remarks made everyone stunned.
"Thirty minutes?!"
"At this time, let alone closing the abdomen, it's too late to close the stomach wound!"
Although Duan Kailiang is not a doctor of general surgery, as a member of the surgical system, he naturally knows the routine time of appetizer exploration.
Not to mention thirty minutes, even if you add twice as long, you can't finish it!
However, Duan Kailiang's remarks made the anesthesiologist scoff.
"I don't care what the problem is with your surgery! The first thing I need to do now is to perform a reasonable anesthesia according to the patient's condition!"
"If you don't agree, I can't do this surgery!"
Anesthesiologists are an important part of surgery.
Facing the resolute anesthesiologist, Duan Kailiang hurriedly said, "You can't weigh it anymore?"
After all, thirty minutes is too difficult for a sorcerer!
However, the anesthesiologist spread his hands and said that there was nothing he could do!
Just when Duan Kailiang wanted to hold on a little longer, a deep voice sounded.
"Just thirty minutes!
As soon as these words came out, Duan Kailiang's body was stunned, and he looked at Liu Dongfang in disbelief.
"Director, you?!"
"It's okay!" Liu Dongfang smiled: "Thirty minutes is enough for me!"
These words were extremely confident, but they made the corners of the anesthesiologist's mouth twitch.
"It's good to have self-confidence, but you have to think clearly, this operation, because of the special identity of the patient, so the video surveillance is recording the whole process!"
"If your decision leads to the death of the patient, you will bear all the consequences!"
The anesthesiologist wanted to say more, but was interrupted by Liu Dongfang's words.
"Don't worry, you will do it according to the anesthesia process, and I will bear the rest!"
Seeing that Liu Dongfang insisted on this, the anesthesiologist had nothing to say.
"It's exactly the same as what Director Wu said, it's a stubborn donkey!"
The anesthesiologist scolded and left the operating room, presumably to dispense anesthetics!
The atmosphere in the operating room was a little solemn, and even Zhang Xiaoyu, who had always been very arrogant, was silent.
In the silence of the operating room, there was only the sound of the dripping monitor.
Liu Dongfang slowly closed his eyes and stood motionless on the operating table.
Don't look at him standing there like a piece of wood, but in his mind, it is like a movie, and the electric gallop Jiying recalls the details and precautions of the appetizing exploration.
Not much!
The door to the operating room opens again.
The anesthesiologist walks into the operating room with the prepared anesthetic.
Then!
Liu Dongfang's eyes opened suddenly, and the brightness in his eyes made people dare not look directly.
"Prepare for an anterior gastric incision!"
As the anesthetic liquid was slowly pumped into the patient's body, Liu Dongfang's calm voice sounded in the operating room!