"But...... However, there is no merit!" Sun Haifeng feels that people are not related to him, although they are rich, but they can't let others pay off their debts for themselves?

His parents taught him to be honest since he was a child, to do things alone, and to be helpful!

But the older he gets, the more he finds it difficult for him to learn from the things his parents teach.

This cruel society is too complex and too realistic.

He has been Bing, he has blood in his heart, and blood is hard to cool.

But this time, the blood is really extinguished!

After experiencing this incident, he finally understood what the old man often said, it was none of his business, and he hung it high.

This sentence is so profound, so to the point, so reasonable!

People have to go through it to know how reasonable the ancient sayings are, because these ancient sayings are the truths sorted out by the ancients after they have experienced them!

But should a human being, a person of flesh and blood, live indifferently?

At least he didn't want to live like this!

At least, at least the doctor in front of him doesn't look indifferent and enthusiastic!

"I said, I admire you very much! Don't shirk it! Think about your old father and mother, think about your future life, if you don't accept my help, your future life may be very difficult. Ruan Bin smiled.

"......" Sun Haifeng's face was a little sneered after hearing this, obviously, what they said hit the nail on the head!

Wei Haiyang next to him was so envious when he heard it!

The wealthy Ruan Bin is capricious!

No, rich, capricious!

"Lao Ruan, why don't you sponsor me 1 million to let me buy a good car. Wei Haiyang asked with a cheeky smile.

"Roll ......"

"If you can't afford to pay for a Ferrari one day, I will consider sponsoring you 100,000~"

“......”

The car quickly arrived at the emergency department.

Together with Uncle Stretcher, he put Liang Chaoqiang on the flat car and sent him in directly.

"Take a picture of the hospital bed and scan the CT!" Ruan Bin said to Wei Haiyang. In fact, it is best to do a contrast-enhanced CT, but it takes more than an hour to do a contrast-enhanced CT, and a skin test is required to do it, because I am afraid that some patients are allergic to contrast media!

In fact, the difference between contrast-enhanced CT and non-contrast CT is that noncontrast CT refers to a simple scan without the use of an enhancer. CT scans, on the other hand, are done with an intravenous iodinated contrast agent at the same time as the scan. The main difference between noncontrast and contrast-enhanced scanning is that contrast-enhanced scanning is injected with a contrast agent, which can observe the blood flow of the lesion, which can provide more information than noncontrast CT.

In fact, if Liang Chaoqiang's liver is ruptured at present, if the enhanced CT can be used to see the bleeding points most accurately, it will be conducive to the progress of the operation.

But now I can't wait at all!

If the patient cannot be processed within half an hour, it is estimated that the patient will not be able to survive!

Soon, the noncontrast CT came out.

Sure enough, it was a ruptured liver!

"Looks like JHVI surgery is needed!" Ruan Bin said in a deep voice.

JHVI surgery is also called surgery for proximal hepatic vein injury!

This kind of surgery is extremely difficult, due to the special anatomical site of the posthepatic region, it is difficult to deal with, and proximal hepatic vein injury is still one of the most difficult problems in the field of liver surgery.

"Do you want to contact Director Qian to come over?" Wei Haiyang remembered that Ruan Bin seemed to have never had JHVI surgery!

At this moment, Nurse Xiaoli next to her exclaimed: "The patient's shock has passed!"

"Rapid intravenous infusion of lactate Ringer's solution, infusion access is mostly 2 or 3, and the upper limb vein is mainly selected to avoid the loss of fluid due to damage to the inferior vena cava and the root of the hepatic vein!" Ruan Bin spoke faster.

Patient shock in the past, this is a very bad sign!

"What is your blood pressure?" asked Ruan Bin again.

"Five minutes ago 109,68. Now 89,56!" Xiaoli said busily.

"Such low blood pressure?" Ruan Bin frowned. According to his clinical experience, such a low blood pressure is a large amount of active bleeding, and it is necessary to stop the bleeding as soon as possible and continue the resuscitation as soon as possible while making rapid preoperative preparations to shorten the time of shock. More than 90% of patients who are in shock for more than half an hour die!

"Has the plasma arrived?"

"I'm getting it from the blood bank, I'll be here in three minutes!"

"Antibiotics, give a dose, and start in five minutes after the operation!" Ruan Bin said categorically.

Now the first step is to open the chest and probe to stop the bleeding first!

Ruan Bin's series of orders was just over a minute.

"Lao Ruan, do you want to call Director Qian over?" Wei Haiyang was speechless, anxious!

"It doesn't matter if it's called or not, I'm still very sure of this operation, if I'm not too sure, then he's even less sure!" Ruan Bin said in a flat tone.

You're not sure, and he's even less sure?

You're ...... You are trampling Director Qian to death! Don't you mean that Director Qian's skills are not as good as yours?

Well, he Wei Haiyang didn't dare to say this, but the person who said this was Ruan Bin, he thought about it, it seems that there is nothing wrong with this kind of words coming out of Ruan Bin's mouth!

But he also heard it, although he hadn't seen Ruan Bin have had this operation, but if people dare to say so now, they will definitely do this surgery!

Then rest assured!

However, for the sake of insurance, he still called Director Qian to come over!

After all, no one knows if one person can handle this kind of tricky surgery, anyway, he doesn't dare to go to the stage to operate, and it's still okay to be an assistant.

"System!"

[System points]: 51,500

[Repair of proximal hepatic vein injury] - not started+

"Recharge 50,000 to enter!"

"Level up!"

"Ding-dong...... Deduct 6000 points, [Repair of Hepatic Vein Injury] - Beginner+!"

"Ding-dong...... Deduct 9000 points, [Repair of Hepatic Vein Injury] - Proficiency +!"

......

"Ding-dong...... Deduct 21,000 points, [Repair of Hepatic Vein Injury] - Innovative +!"

Upgraded to the innovation level in one go!

In an instant, Ruan Bin's mind suddenly had more experience and skills that he urgently needed now.

At this time, he knew that the biggest danger of liver injury was hemorrhagic shock, especially when severe liver tissue trauma required liver resection, generally with a large amount of bleeding and accompanied by different degrees of shock, anti-shock and resuscitation treatment should be actively carried out, including blood preparation, blood transfusion, infusion, oxygen administration, correction of electrolyte and acid-base balance disorders, protection of kidney function, prevention of renal failure, etc. At the same time, prepare for emergency surgery, ensure sufficient blood source, increase and maintain blood pressure, such as blood transfusion of 500~1000ml in a short period of time, blood pressure is still not good, that is, anti-shock, rescue surgery should be carried out at the same time, and it is not advisable to wait.

Soon, the anesthesiology department arrived.

"Local infiltration or combined endotracheal intubation and intravenous anesthesia?" asked the anesthesiologists sharply. Like this shock model, these two types of anesthesia are the best!