Chapter 16 Mandibular hemorrhage
Just finished getting acquainted with the process.
Suddenly, an emergency patient was brought in outside the entrance of the emergency department!
"Doctor, doctor, hurry, she's bleeding from her jaw! she needs immediate surgery!" shouted a fat man and a middle-aged man in a white coat as they pushed the cart. How many people are there, who should be the patient's family members?
Ruan Bin glanced at it from a distance, and the middle-aged man in a white coat had the words 'Transformation and Plastic Surgery Hospital' written on it.
At this time, some of the other chief surgeons were busy, so Jiang Yurong also took the initiative to walk over and ask, "How did it happen?"
"I had jaw angle surgery, and then I injured my artery during the operation and bleed profusely,......" explained the middle-aged man in a white coat.
"You did this surgery?" Jiang Yurong asked with a slight frown.
"Yes, I did it, I ......" The middle-aged man in the white coat was pale and bloodless at the moment, and his voice trembled. Obviously, he was also afraid of an accident, because once the bleeding could not be stopped, it might cause death!
"Hmph! If you dare to perform this kind of surgery on a patient if your skills are not up to par, you are harming people!" Jiang Yurong's tone was full of disgust, as a doctor, she was very repulsive to this kind of plastic surgeon!
Many times, this kind of doctor is not to make people beautiful, but to harm people! Because among this group of plastic surgeons, there are too many quacks. You see, this one in front of you must be.
"Alas~ I have been persuading my wife not to have plastic surgery and not plastic surgery, but she has to listen! I have had my glasses and nose straightened before, and now I have my chin straightened, you see, something is wrong! You 'Transformation Plastic Surgery Hospital' listen to me, if my wife has any three strengths and two weaknesses, I will let your quack doctor go to jail!" The fat man finished angrily, and then turned his head to Jiang Yurong and said, "Doctor, can my wife be saved?"
"Let's send it to the operating room first! You sign it first, and you are ready for surgery immediately. Jiang Yurong motioned to Ruan Bin next to him to take out the surgical consent form and asked the other party to sign it.
"Good, good. The fat man sweated profusely and signed quickly.
At this time, a few people from behind also walked over.
When one of the beauties saw Jiang Yurong, she exclaimed, "Yurong, you, why are you a doctor here?
"Boss, you came just in time, if something happens to my wife, I will sue you to the bottom of the prison to sit through!" The fat man saw this Lin Yatong coming, and immediately surrounded him.
After Jiang Yurong heard this, she originally wanted to say hello, but her face suddenly turned cold, "Ruan Bin, you also go in and be my assistant." ”
"Good. Ruan Bin nodded. He looked at Lin Yatong over there with some surprise, the other party was the owner of the plastic surgery hospital?
After entering the operating room.
Surgery is ready to begin.
"Heartbeat, blood pressure?"
"Heartbeat 74, blood pressure 75. The nurse said.
"Well, the patient has difficulty breathing, it should be the bleeding from the jaw that seeps into the throat, causing difficulty breathing. Jiang Yurong said calmly.
Ruan Bin knew that this sentence was meant for him, because these were clinical experiences. It can be regarded as Jiang Yurong teaching Ruan Bin a lesson!
"Then do you need surgery to open your lungs and breathe?" asked Ruan Bin. If the blood does go down the throat, then it will cause suffocation. So at this time, surgery can be performed to open the lungs and breathe.
"It's a bit hard to breathe at the moment, and it's not the time when you need to have surgery to open your lungs. However, this patient failed to undergo jaw angle plastic surgery, and it seems that the level of the doctor outside is not up to standard at all. Jiang Yurong said with a hint of indignation.
There is no doubt that mandibular angle surgery is permanent, after the bone is cut out, no new bone will grow, and the effect is permanent, but mandibular angle surgery belongs to the fourth-level surgery category, and the qualification requirements for hospital doctors are very high!
If you want to make the mandible on both sides smaller, the only trick is to remove the local bones, and there are still many ways to achieve it, such as bone grinding, osteotomy, etc., the old medical instruments are straight saws, swing saws, hole punches, etc., in addition, the mandibular angle plastic surgery process will also involve facial arteriovenous veins, posterior mandibular veins, vascular nerve channels on the mandibular canal, no matter which blood is touched and injured, it will bleed, and even hemorrhage.
Therefore, the mandibular grinding surgery requires very high operating skills of the doctor, and the doctor who does the mandibular angle grinding surgery must be very familiar with the blood vessels and anatomical tissues in the mandibular angle area, and follow certain rules, it is best to use the endoscopic direct vision imaging skills to expand the surgical field, so that the mandibular angle plastic surgery is relatively safe.
"Okay, you learn. The current patient's condition seems to be dangerous, and it is estimated that many doctors will be in a hurry when they encounter it. But you know enough about the patient's situation to find out the bleeding point and come up with the most suitable, easiest and quickest way, which is actually very easy. ”
"For example, this patient has a major artery hemorrhage in the lower jaw, and I chose to use a large needle to suture it percutaneously, and if nothing else, I will suture the facial artery at once and successfully stop the hemorrhage!" Jiang Yurong said as she began to move.
A few minutes later.
Stitched up!
"That's it?" Ruan Bin was dumbfounded.
"Hey, Director, it doesn't seem like the patient is breathing as hard as it used to be. Nurse Xiaoli exclaimed.
"Well, it seems to have worked. But you have to watch it 24 hours a day. Jiang Yurong said with a smile.
"Awesome!" Ruan Bin saw this, and secretly said in his heart that this Harvard MD senior student is really powerful, and he deserves to be a doctor of clinical emergency medicine!
It's all there in three or two clicks!
Get out of the operating room.
"Doctor, how is my wife?" the fat man hurriedly stepped forward.
"The bleeding in the major arteries has stopped, and there is no problem. As a doctor, I advise you or your wife not to do plastic surgery. Because there are more quacks in plastic surgery hospitals these days. Jiang Yurong said lightly.
"Yes, yes, she will dare to have plastic surgery in the future, and I will break both of her legs!" the fat man swore assimilation.
"I, can I go in and visit?"
"Not yet. ”
After the fat man left, Lin Yadan, who was not far away, walked over on high heels.
"Cousin, I didn't expect you to work in this hospital, you didn't say a word when you came back from abroad, and you didn't say a word to me when you came to the magic capital......! ”
"How often do I see patients from your plastic surgery hospital coming to me for first aid?" Jiang Yurong said sarcastically. When she heard that her cousin had opened a plastic surgery hospital, she was more resistant.
Because there have been many deaths in plastic surgery hospitals in recent years.