"Endotracheal intubation and intravenous combined anesthesia!" Ruan Bin said in a deep voice.

After the anesthesia was effective, Ruan Bin immediately made an incision!

He knows that the most common and simple and effective way to deal with proximal hepatic vein injury is that if the hepatic hilum hemostasis is ineffective during surgery or if bleeding occurs immediately when the liver is pulled up and down, it is suggestive of proximal hepatic vein injury. At this time, the liver should be packed first to stop the bleeding!

After opening the incision, he saw that one-third of Liang Chaoqiang's liver had rupture and damage, and the position of the liver hilum was also damaged, which directly led to damage to the proximal hepatic vein!

Ruan Bin's hand speed is very fast, and he will stop the bleeding with the posterior tamponade of the liver in three or two clicks, and then repair the blood vessels!

Ten minutes later, the patching was complete!

"Has your blood pressure gone up?" asked Ruan Bin as he turned to Nurse Xiaoli.

"It doesn't seem to be rising, it's still slowly declining!" Nurse Xiaoli looked at the opening and said, "By the way, the patient seems to be in deep shock." ”

"Impossible!" Ruan Bin chuckled in his heart.

It stands to reason that he now has an effect on hemostasis in the back liver, and after rehydrating and replenishing blood for a period of time, his blood pressure can at least stabilize and rise, but now it is still declining!

"Suction device!" Ruan Bin already has the answer in his heart, there should be a bleeding point!

And it's still a big bleeding point!

"Old Wei, open the chest in the 5th intercostal space on the left side, temporarily block the blood flow of the aorta on the diaphragm, make the blood pressure rise, and maintain the blood supply to the heart and brain!" Ruan Bin quickly sucked up the pleural effusion, but saw that a lot of blood began to seep out!

"Huh?" Wei Haiyang was stunned.

"Ahh

Obviously, the current situation of Liang Chaoqiang is very critical!

"Okay!" Wei Haiyang nodded and began the operation at the same time.

"We have to use a combined thoracoabdominal incision for surgery immediately!" Ruan Bin said in a deep voice.

"Okay!" Wei Haiyang nodded, he was already almost there!

The incision was made again, and Ruan Bin used his dexterous hands to dissect these very thin-walled large veins little by little, because he knew that once they were broken, it would be endless stitching!

So, you can't go wrong!

At this time, Wei Haiyang, who was watching from the side, also didn't dare to breathe.

He knew that some of them were surrounded by liver tissue, and it was very difficult to operate and repair them, and the anatomical position behind the liver was not easy to reveal.

Since there is an unknown bleeding point, and it is not easy to reveal it, the bleeding point can only be confirmed by a little dissection and investigation!

"Let go of the aortic blood flow, let me judge where the bleeding point is!" Ruan Bin said to Wei Haiyang.

"Okay!" Wei Haiyang immediately released the hemostat that clamped the aorta.

"Probably ...... in this location"

With the rapid dissection, when Ruan Bin cut the diaphragm to reach the inferior vena cava, fully revealing the second hepatic hilum and hepatic luo area, a ruptured large venous vessel was seen under direct vision!

Then he controlled the large vessel cleft, clamped the vena cava cleft with heart ear forceps, and sutured the cleft!

"Whew...... Finally under control!" Ruan Bin sighed.

When he dissected the proximal hepatic vein just now, it was like walking a tightrope! If he was careless, he would really be doomed, and even if he opened it, he was cautious.

Since Liang Chaoqiang was still accompanied by a third of the liver rupture at this time, he had to be removed, and then he quickly removed the corresponding liver lobe......

Little by little, the operation passed.

"How's the situation?" Finally, Director Qian arrived!

When he heard that the patient had a proximal hepatic vein injury, he also had a solemn face, knowing that this operation was not easy to do.

So the fire came in a hurry.

Disinfect, wash your hands, change your equipment and go to the operating room......

"Director Qian, you're here, Ruan Bin is already removing the ruptured liver lobe......" Wei Haiyang smiled.

Looking at Wei Haiyang's smiling face, Director Qian knew that the operation should go smoothly without asking?

He walked over and looked, "The bleeding has stopped?"

"Stop!" Ruan Bin nodded.

"Are the veins repaired?"

"Well, it's all fixed. ”

"Awesome, you!" Director Qian gave Ruan Bin a thumbs up.

In the end, the operation was completed in half an hour.

Get out of the operating room.

I saw that Liang Chaoqiang's family members were here!

At this time, they were spraying at Sun Haifeng, all kinds of abuse.

Even the jingcha on one side felt unpleasant!

"Doctor, how is my son?" looked like Liang Chaoqiang, and walked over anxiously.

"People have been rescued! I believe that after some cultivation, I will be able to recover. Ruan Bin said.

"Oh, that's good, that's good! So, how much is the cost of the operation and the follow-up treatment?" asked a big-faced aunt in a shrieked voice.

"I don't know the specifics of this, I have to let the finance side calculate it to know, and the follow-up medication also has to be calculated. But I think it's about 300,000. Ruan Bin made a rough calculation.

"300,000 is so expensive!"

"Boy, have you heard, 300,000 yuan! Let me tell you, you have to pay for our son's medical expenses! There are also mental damage expenses! A total of 400,000 yuan, not a penny less!" The uncle pointed at Sun Haifeng's nose and scolded.

Sun Haifeng's face turned pale after hearing this: "I, I can't take out so much money!"

"Hmph, if you can't sell your kidney, you have to give it! I don't care! Otherwise, you will be in prison. We'd better settle this kind of thing privately, if the money is enough, we can forgive you and not prosecute, otherwise you will be in prison for a few minutes!" the uncle said sharply.

Yo, this uncle knows a lot!

"Then I'll go to jail!" Sun Haifeng said a little broken.

"You, Lao Tzu beat you to death!"

was soon pulled by the people around him.

"What's the noise, this is a hospital, if you want to make a noise outside, I'll call the security guard!" Ruan Bin said loudly.

"What's wrong with me talking so loudly? That's how loud my voice is!" said the uncle, unconvinced.

"Guards, security guards, blast them out, they can be blown away within three minutes, and I will personally reward 10,000 yuan!"

Moment.

Liang Chaoqiang, these family members dare not speak up!

Sure enough, I can't fight with the rich!

"Sun Haifeng, come with me. ”

Staircase opening.

Ruan Bin patted the other party's shoulder: "Young man, don't be so pessimistic, the world is still so beautiful, why can't you think about it? Come, how much WeChat do you have?"

Soon, Ruan Bin transferred 400,000 yuan!

Just when Sun Haifeng was shocked, Ruan Bin ran away directly, lest the other party dare not ask for it.

The matter passed quickly.

Sun Haifeng lost 400,000 yuan, and Sun Haifeng was also forgiven over there.

......

Later, one day, he suddenly heard Jiang Yurong, who came back from work, say that the two Liang Chaoqiang brothers accidentally fell from the 7th floor because they went to the house to rob, and they choked when they were sent to the First Affiliated Hospital of Modu.

This day happened to be Ruan Bin's rest, so he did not go to the hospital, and when he heard the news, he suddenly felt a kind of emotion, is this the retribution of evil? It is said that Liang Chaoqiang's parents are only two brothers, and there are no other brothers and sisters, and it seems that their parents will not send them to the end in the future!

Of course, that's all for later!

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