Chapter 158: To Cut or Not to Cut?

Due to the particularity of the stomach, the elasticity and thickness of the surface fibers are different from those of other organs, so Liu Dongfang directly inserted a knife into the forearm of the stomach.

Even!

The bare handle of the knife is shaking slightly.

Liu Dongfang's incision this time is very large, and the diameter is nearly most of the stomach!

Suddenly!

A bright red gushes out of the stomach!

"Why is there so much bright red?!"

This scene shocked everyone's hearts.

After all, gastrointestinal decompression has caused a large amount of bright red, and laryngoscopy has been treated with hemostasis.

It stands to reason that the patient's bleeding should be reduced!

But the scene in front of him made everyone's hearts sink.

"Don't be stunned, hurry up and attract!"

As soon as these words came out, everyone woke up like a dream.

Duan Kailiang hurriedly picked up the suction device and sucked all the bright red into the waste liquid collector.

"Retractor!"

Seeing that the bright red in the stomach disappeared, Liu Dongfang gave an order, and Zhang Xiaoyu, the instrument nurse, hurriedly handed the metal hook to them.

As the retractor pulls the incision in the stomach wall, most of the vision inside the stomach is clearly visible!

"Huh?"

re-exposed the field, but Liu Dongfang's eyes narrowed slightly.

"Such a terrible stomach ulcer, why didn't you find it in the first place?!"

At this time, Duan Kailiang, who was on the opposite side of Liu Dongfang, also exclaimed.

I saw that the patient's stomach was close to the cardia and there were some dense white bright spots.

And it is from these highlights that the bright red continues to flow.

After a while, bright red took up most of the stomach again!

"It is estimated that these highlights are the result!" Liu Dongfang said in a deep voice.

Previously, the fundus of the stomach was examined through a laryngoscope, but it was difficult to detect the problem due to the bright red stasis.

At this moment, Liu Dongfang, who should have been relieved, found the bleeding point, but his heart was lifted.

Because he knew in his heart that this was definitely not an ordinary stomach ulcer!

"Tweezers!"

With that, as the items were handed over, Liu Dongfang began to clear the white bright spots on the patient's cardia.

"So many, do you have to clear them?"

Zhang Xiaoyu, who was curious, stretched out his head and glanced at it, and was suddenly frightened.

I saw those bright spots, densely packed, like a spider's web, extending into the stomach.

And the white bright spots embedded in the stomach are blended with flesh and blood, and if you don't look carefully, it's really difficult to clean up.

"Take it to the laboratory department first and see what it is!"

After the words fell, Liu Dongfang pinched out a white particle and put it in the curved plate.

"Good!"

Zhang Xiaoyu hurriedly contacted the roving nurse and carefully packed the white particles into the yellow inspection bag.

The itinerant nurse who rushed to hear the news trotted all the way into the operating room and sent the test bag away.

Just when everyone secretly breathed a sigh of relief, another basin of cold water was splashed.

"You have 25 minutes left. The anesthesiologist said expressionlessly.

"25 minutes?!How is that enough!" Zhang Xiaoyu said anxiously.

If it is simply to explore the bleeding point, it may be possible to complete it before the patient wakes up.

But if you want to clean up the stomach now, not to mention this little time, even if you add another ten hours, you will definitely not be able to complete it.

After all, this tests one's eyesight and skill.

In between, one or the other is indispensable.

"Twenty-five minutes, it's really not enough. Liu Dongfang frowned, his expression a little solemn.

"Then what if the necrotic tissue is removed together?" Duan Kailiang on the side suddenly had an idea and said.

As soon as these words came out, everyone's eyes lit up, but immediately, their eyes dimmed again.

"Removing necrotic tissue is a good option, but it is very likely to cause infection if it is removed before the residue is identified!"

"If hemorrhagic shock is combined with infection, it will be a dead end at that time!"

Liu Dongfang saw the crux of the problem at a glance.

Having said that, Liu Dongfang's kung fu is not slow.

By pressing and stopping the bleeding, he sutured most of the ulcer surface in the stomach with a corner needle.

The remaining small branches can only be applied to the affected area by means of vertical administration, little by little.

After a while, the bright red color was rapidly disappearing at a speed visible to the naked eye.

But this approach can only treat the symptoms, but not the root cause.

In just a moment, the wound that had been sewn up began to seep blood again.

"Director Liu, what the hell is this, it's so corrosive!"

Looking at the scene in front of him, Zhang Xiaoyu looked stunned.

You must know that the gastric juice secreted in the stomach belongs to the category of strong acids and is extremely corrosive.

Therefore, the acid and alkali resistance of the surface layer of stomach fiber is extremely outstanding.

But even so, this small white bright spot can damage the stomach wall and bleed profusely, which is really unacceptable!

At this moment, Zhang Xiaoyu was even a little lucky.

If Liu Dongfang didn't insist on appetizing just now, once this bright spot continues to corrode the stomach wall, the consequences will be unimaginable!

"Otherwise, cut it!" Zhang Xiaoyu muttered quietly.

At this time, even she felt that only by removing part of the stomach could the patient's life be saved.

However!

Faced with her proposal, Liu Dongfang shook his head.

"The patient's function is relatively poor, and if part of the stomach is cut off at this time, even if he is cured and goes home later, he will be hospitalized again due to indigestion, vomiting, and electrolyte imbalance!"

"But!"

Zhang Xiaoyu said hurriedly: "If you don't cut it now, let alone cure and go home, the patient won't even be able to survive the current hurdle!"

Although the hospital has always instilled the "patient-centered" service concept before, in Zhang Xiaoyu's concept, all this is based on the premise of patient safety!

Seeing that there was another dispute in the operating room, the anesthesiologist at the patient's bedside looked at him coldly and said, "Make a decision quickly, there are still 20 minutes left for you!"

The anesthesiologist shone the patient's pupils with the light of a flashlight, and the corners of his mouth couldn't help but twitch.

Both pupils have responded slightly to light, which is a sign that the patient is awake.

"Can't wait any longer!"

Liu Dongfang's heart was horizontal, and he suddenly said to Duan Kailiang on the side: "Prepare me for intramuscular injection of disparse propanol injection!"

"20ml of 50% magnesium sulfate, perfusion of ulcers on the surface of the stomach!"

"What are you?!"

Hearing this, Duan Kailiang was shocked, he didn't know why Liu Dongfang suddenly gave such a medical order.

After all, these two drugs have no effect of stopping bleeding at all!

"I'll explain it to you later, and hurry up the implementation!"

At this time, Liu Dongfang had a serious expression, a majestic face, and the undoubted momentum on his body rose from the ground, making people have to surrender!

Suddenly!

Duan Kailiang, who had just woken up from a dream, suddenly thought of something, and suddenly his expression changed slightly.

"Are you suspicious?!"

Before Duan Kailiang could speak, suddenly, the patient's lips began to turn purple at a speed visible to the naked eye.

This is a symptom of severe hypoxemia!

"Not enough blood!"

Seeing this, Liu Dongfang's heart sank.

Due to the previous delayed condition, the patient's bleeding volume was already as high as thousands of milliliters at this time!

This is equivalent to a bucket of water that has been spilled for most of it, and the rest is simply not enough to maintain the status quo!

"Is there any fresh blood in the blood transfusion department?"

"It's gone!"