At this time, it is only past nine o'clock in the evening, who knows if there will be a very serious patient in the back!

Just as Jiang Yurong was thinking about this, suddenly there was a chaotic sound of footsteps outside the emergency room door.

"Doctor, doctor, save my son!"

I saw a middle-aged man panting and shouting anxiously. He carried a thirteen or fourteen-year-old boy in his arms. At this time, the boy inhaled weakly and painfully, and the white T-shirt was stained with blood on the entire left side of his abdomen.

Seeing this, Ruan Bin and Zhang Haoyu hurriedly pulled over a flat car and asked the middle-aged man to put his son on it.

"How did you get hurt?" asked Ruan Bin as he quickly lifted his white T-shirt to check the damage.

"My son, he was skateboarding in the square at the entrance of the street, and in the process of playing, he accidentally rushed into the bushes in the green belt of the square, and was inserted into the abdomen by a sharp branch......!

Jiekou Square?

It's the square where he gave first aid to the big star last time, and it's very close to the hospital here, seven or eight minutes by car. The child must have been driven by his father. Hitting 120 so close is actually slower!

At this time, Ruan Bin lifted his clothes and saw that there was a wound 1 cm wide and 2 cm long on the lower edge of the young man's left rib, and blood was flowing out quickly!

"This part is the location of the spleen, pancreas and stomach margins, either spleen hemorrhage or stomach bleeding!" Ruan Bin's face was solemn, according to this amount of bleeding, there is no doubt that it is arterial bleeding!

Not far away, Jiang Yurong glanced at it from a distance, and said very experiencedly: "It should be that the sharp object has injured the spleen and injured the artery, and it has to be operated on immediately to stop the bleeding!"

"Ah, arterial bleeding?" As soon as Luo Heng heard that his son was bleeding from the splenic artery, he immediately panicked. Anyone with a little common sense knows that arterial bleeding is very dangerous, and if you are not careful, you will burp!

"Xiaoli, who is the attending doctor or director of our emergency department who is closest to the hospital?" Jiang Yurong knew very well that this time she had to call someone immediately!

"Director Qian's house is the closest to here, and it takes about fifteen minutes by car!" Xiaoli recalled and said immediately.

"Okay, you immediately call Director Qian and ask him to come over, and tell me about my situation, I am not feeling well at the moment and can't have major surgery!" Jiang Yurong said quickly.

"Good. ”

"Huang Hongwen, immediately give the patient an abdominal CT examination, Zhao Yaxue, give the patient an immediate infusion and blood transfusion!" Then she ordered again.

"Good. ”

Suddenly, the two immediately started preoperative preparations.

Ruan Bin held the hemostatic cotton pad and pressed the wound slightly, and said to Jiang Yurong: "Director, even if Director Qian can arrive in fifteen minutes, I am afraid that the patient's condition will deteriorate, or even ......."

After all, it is a massive arterial hemorrhage, and 15 minutes is a very long time!

You have to have surgery right away to stop the bleeding!

"I also want to operate on him immediately, but I can't enter the operating room now because I have a fever and cold, and no one here will do this tertiary surgery - splenectomy or splenic repair!" Jiang Yurong was a little helpless, but suddenly she still subconsciously asked: "Ruan Bin, will you?"

"Uh...... Yes!" Ruan Bin hesitated, "But...... Not very skilled. ”

To be honest, he really can't do this tertiary operation, but looking at the amount of bleeding of this teenager, he is worried that the child will not be able to wait for Director Qian to come, and even if he can wait, it is estimated that his condition will not know how much it will deteriorate!

But he can be kryptonite!

Although it is a third-level surgery, it definitely requires a lot of money, but krypton gold to the entry level or proficiency level, you can give it a try, right?

Generally speaking, if the greater splenic artery is bleeding, the emergency emergency surgery is to perform splenic artery ligation, spleen resection, and the abdominal cavity can stop the bleeding to save life.

However, it is not as simple as stopping the bleeding, it depends on the degree of damage to the spleen, whether it is a total or partial resection, or repair, and splenectomy or splenic repair is used here.

If the patient's spleen damage is generally severe, there is no need for a total resection, only a partial resection, and you need to surgically remove a part of the blood to stop the bleeding!

The spleen is a very fragile organ, and a little carelessness during the operation will cause secondary damage!

In fact, Jiang Yurong just asked casually, she didn't expect him to have this tertiary surgery, but she didn't expect Ruan Bin to do this tertiary surgery, which made her a little surprised!

Just looking at the other party's answer, it is estimated that he is very skilled, and he should not be able to do this operation alone!

If the surgical proficiency is not enough, she still doesn't worry about Ruan Bin doing it! But now the patient can't wait!

"In this way, you go to the laparotomy to check the extent of the patient's injury, and then make a decision, if you really can't do it, just wait for Director Qian to come, and you can save time at that time." By the way, turn on the video recording of the operating room and connect it directly to the big screen outside, and I will connect with your mobile phone Bluetooth voice. When the time comes, listen to my guidance for surgery!" Jiang Yurong thought for a while.

Even if Ruan Bin is not skilled enough in this operation, she believes that having her outside to provide on-site guidance should be of great help, and even the operation may not be completed.

As for Director Qian, he must come, even if this operation is completed, what about the second half of the night?

"Okay!" Ruan Bin nodded.

Soon, the CT results came out, and it was indeed splenic artery hemorrhage, but fortunately, there was no trauma to other organs.

In the operating room, the anesthesiologist had already anesthetized the teenager, and Huang Hongwen and the two nurses were also busy preparing the instruments before the operation.

"System!"

[System Points]: 200

[Splenectomy or splenic repair]: not introductory+ (traditional laparotomy, laparoscopy. ）

Ruan Bin knew that he still had more than 19,000 deposits left in his bank card at this moment. This kind of tertiary surgery will definitely not be upgraded to the director level.

"Let's charge 10,000 first. ”

"Level up!"

"Ding-dong...... Deduct 6000 points, [Splenectomy or Splenic Repair] - Beginner+!"

"Shhh...... Just getting started and deducted me 6,000?" Ruan Bin's distressed toothache is really expensive.

"Don't recharge first, wait until the abdomen is open to see how the patient is doing. Ruan Bin didn't continue to kryptonite, planning to see how the patient's injuries were first.

In fact, there are two surgical methods for spleen injury and massive bleeding, the first is traditional laparotomy and the second is laparoscopy.

However, Ruan Bin, who has entry-level knowledge, knows that if the spleen injury is not serious and the bleeding is small, a laparoscope can be used, and the trauma is small.

However, if the spleen is damaged and the arteries are bleeding, the amount of bleeding is large, and the hemostasis treatment must be performed with traditional laparotomy. Because traditional laparotomy has a wide field of view, the operation is done quickly.

Generally, experienced surgeons can stop bleeding or completely remove the splenic artery, and it can be done in a few minutes!

Because everything is done to save lives first! Completely ignoring the preservation of the spleen.

Total resection is a one-size-fits-all cut of the entire spleen, and the arterial end ligation is directly performed to stop bleeding, so it can be done in a few minutes.

However, if the spleen is partially removed or repaired, it will take longer.