Moreover, Qian Haomin is also a person who attaches great importance to practical operation, and if he wants to make a doctor grow up, he must teach them by hand and let them practice in clinical practice, so that they can make progress!

And the patient has now been stopped by him from bleeding through the biggest bleeding opening, and his vital signs are basically stable. Later, when Ruan Bin undergoes surgery, he will be fine.

Even if Ruan Bin makes a mistake during the operation, with his on-site guidance, he can remedy it in time!

This is also the reason why he is so bold to let Ruan Bin prove himself.

"Okay! Thank you, Director, for your trust. Ruan Bin didn't expect that there was another place of bleeding, and of course he wouldn't ask if there was another place of bleeding at the moment. Wouldn't asking it like this instantly expose the horse's feet that he didn't understand at all?

Anyway, since you accidentally got this chance, let's go for it!

"If I succeed in stopping the bleeding in the remaining bleeding area, I should be considered an interventional operation!"

"So, krypton~genius!"

"System!"

[System Points]: 4200

[Uterine artery interventional embolization] - not started.

"This is a level 4 operation, and it is estimated that krypton gold is very expensive, so let's recharge 20,000 points first!" At this time, Ruan Bin had more than 40,000 deposits, so he was not stingy.

At most, go to Lin Yatong's side to earn it back in the future!

"Charge!"

"Level up!"

"Ding Dong - deduct 9000 points, [Uterine Artery Interventional Embolization] - Beginner!"

"Shhh...... It is worthy of a fourth-level operation, and the entry is 9,000. ”

"Keep upgrading!" he felt that the entry was still a bit too big, at least at the proficiency level.

"Ding-dong...... Deduct 18,000 points, [Uterine Artery Interventional Embolization] - Proficiency level!"

[System Points]: 9200

Seeing that there were still nine thousand and two points left, Ruan Bin secretly smacked his tongue in his heart: "Nine thousand for entry, eighteen thousand for proficiency, more than 30,000 for the director level, and expert level...... If a fourth-level surgery is upgraded to a world-class operation, it will cost more than 100,000 in total!"

mmp！

Sure enough, it's a system for rich people to play!

After the upgrade, Ruan Bin instantly had more experience and knowledge about this operation in his mind, as well as dozens of surgical experiences.

I also know how to use these surgical instruments and judge by looking at pictures!

Director Qian quickly withdrew all the instruments, and he planned to let Ruan Bin perform the operation from scratch again!

Otherwise, there is nothing to practice in the operation!

"Let's start, if you don't understand something, you can ask me, and if you encounter an operation that you don't dare to grasp, stop it immediately, let me come!

"Yes!" Ruan Bin also knew that this was not a joke, and he had to be responsible for the patient!

The operation began again.

After Ruan Bin became familiar with the instruments, he began to use the Seldinger technique to catheter through one side of the femoral artery, indwelling the arterial sheath, and using the 5F Cobra tube to first catheter the contralateral common iliac artery, and perform DSA angiography of the contralateral iliac artery.

His speed was very slow, more than three times slower than Director Qian just now.

First, he is currently only proficient, and of course not as fast as other old drivers.

So just take your time! Too fast, he's afraid that Director Qian's heart can't stand it!

"What should I do at this time?" Director Qian suddenly asked.

"The opening of the contralateral internal iliac artery and the uterine artery should be observed for visualization. If the uterine artery is developed, the initiation, morphology, and the presence or absence of fibroid staining are observed. If there is no problem, the catheter can be further inserted into the internal iliac artery and a 0.89 mm (0.035 in) or 0.96 mm (0.038 in) white or black loach guidewire can be used to find the uterine artery!" said Ruan Bin without raising his head.

"Hmm, yes, that's right!" Director Qian was slightly surprised, this kid can! No wonder he is so confident. He said briefly about this step just now, but he didn't expect this kid to really remember it!

The operation continues.

If you're not sure, you can stop, and if you don't understand, you can ask me. Director Qian continued.

"Good. ”

Ruan Bin had already spiraled the tip of the guidewire into the distal blood vessel at the moment, and he was looking for the entrance to the uterine artery.

Although he was only at the proficiency level at this time, it was not a problem to find the entrance to the uterine artery, but it took him some time to find and judge.

A few minutes later.

"Director, this should be the uterine artery, right?" Ruan Bin suddenly raised his head and asked Director Qian.

Director Qian looked at the screen and smiled, "Guess!"

He felt that Ruan Bin would definitely not be sure before he asked him, so he planned to test the other party!

However, Ruan Bin did not answer, but introduced the catheter and used a guidewire to introduce the catheter into the distal uterine artery.

"Hey, hey, you haven't confirmed how you introduced it?" Director Qian frowned.

"Hehe, Director, I was just joking with you just now, I'm 100% sure it's the uterine artery!"

Director Qian: ......

"You kid!"

After entering the uterine artery, Ruan Bin slowly extended the catheter in, at this time you have to be very careful!

Here is very particular about the feel and operation, your two-handed control of the guidewire must be synchronized with the display on the screen, otherwise there will be a big problem!

Ruan Bin was operating very slowly at the moment.

In fact, Director Qian on the side was also a little worried, he was afraid that Ruan Bin would use too much force, after all, it was the first time for the other party to operate.

But when he saw Ruan Bin slowly extending the catheter into the depths step by step, he breathed a sigh of relief.

Next, Ruan Bin performed DSA angiography to see where the second bleeding point was!

"Found it!"

The guidewire leads through, and then the catheter is introduced.

"Director, since the patient is bleeding heavily caused by an abortion, should Fudaxin injection be slowly injected through the catheter before embolization? Director, how much?" asked Ruan Bin with a smile.

"Hey, you kid can do it, you can see the steps I did just now!" Director Qian said in astonishment, he thought that Ruan Bin would skip this step just now, but he didn't expect this kid to remember the steps of his operation after reading it.

"0.75 grams!"

"Okay, then how many specifications of gelatin sponge particles should be used next?" Ruan Bin continued to ask deliberately. In fact, he knows how many specifications should be used for this size of rupture, and if it is a large rupture, he has to use gelatin sponge strips, not granules. Now the cracked place is too fine, so it will be fine to use pellets.

But at this time, he still pretended not to ask. Although he is a genius, he can't show too much against the sky, right?

"Use 1.0X0.1X0.1 specification embolization!" Director Qian said, at this moment he has set off a storm in his heart, this kid is definitely a genius!