0275 Inadvertent Revelation (4/5 for the alliance leader helplessly added 10)
Xinglin Garden, the live broadcast room, started the live broadcast of the operation again.
[What more difficult surgery is the surgeon going to do?Is the buddy who beeped yesterday still alive?]
[Same question, same question.] γ
[It's all said, the level of the surgeon is very high, and you have to question it. This kind of person, in the TV series, will definitely not survive three episodes. Anyway, yesterday I will ponder, the level of intervention of the surgeon seems to be higher again, and the level of general surgery is also higher than before, is it that the professor who is more awesome starts the live broadcast?
[I am more and more convinced that this is a team doing a live broadcast of the operation, and it can't be alone.] Do you have anyone who is studying at the Montreal Medical Center in Canada? γ
After a few words, everyone began to look for the patient's medical records and understand the basic situation of the patient.
The medical record is not very complicated, and it requires thinking and making a differential diagnosis. The medical records in the live broadcast room have always been simple and rude. And no matter how suspicious you may be, these diagnoses will always be proven right after the fact.
Zheng Ren finished disinfection, and as soon as he raised his hand, the handle of the scalpel was slapped into his hand.
At this time, most people looked at the medical records and returned to the live broadcast room.
[Such a serious trauma, it should be a fall from a height. γ
[Young woman, is it a martyrdom by jumping off a building?]
[Please pay attention to the surgeon's operation, your gossip barrage is blocking my view.] γ
There is nothing to say about this operation, open the abdomen, repair the liver and cut the spleen. The rest ...... After the patient's condition is stable, he will be handed over to the orthopedic department for the fixation of the second-stage fracture.
In terms of the criticality of the patient, there is a comparison with yesterday's live broadcast. But from the operator's point of view, the difficulty is not at all comparable to yesterday's surgery.
Many of the doctors who were watching the live broadcast in Xinglin Garden had done this kind of patient who was injured by a fall from a height.
Zheng Ren cut it with a knife and took the middle incision, which was 15cm long.
The incision is relatively long because it is an emergency surgery, and it requires a wide and bright field of vision, rather than considering the patient's postoperative beauty.
The skin and subcutaneous tissues are miserable white due to ischemia, especially under the illumination of shadowless lamps, which makes people feel a sense of sadness about the loss of life.
But Zheng Ren did not have this feeling of sadness.
There was no blood oozing out under the patient's skin margin, and Zheng Ren immediately said in a deep voice: "Let the emergency department speed up the blood promotion, it is estimated that the amount of blood used will be larger, and if the storage capacity of the blood transfusion department is not enough, hurry to the blood bank in the city center to collect blood." β
"Good. Chu Yanzhi jumped up and down to contact this matter.
Blunt separation, the effort of speaking has already reached the peritoneum. To do peritoneal protection, as soon as you reach out, the suction device with a sleeve is discharged to the hand.
With his backhand, he took the scalpel and made a small incision in the patient's peritoneum, in which the suction device was inserted.
Gurgling dark red blood was sucked out.
Waiting for the process of blood sucking, Zheng Ren raised his eyes and glanced at the patient's blood pressure, 50/30 mm Hg.
"Hasn't Su Yun come up yet?" asked Zheng Ren.
"I just called, saying that the signing has ended, and I will hand it over to Director Pan, who is changing his clothes. Chu Yanzhi replied loudly in the corridor.
Zheng Ren looked down at the surgical field, and the blood in the patient's abdominal cavity began to decrease.
Without waiting for the complete suction, Zheng Ren looked up at Shay, and Xiaoyiren immediately understood, and reached out to hold the suction device.
Zheng Ren began to open his peritoneum, and Shay handed Zheng Ren the instrument with one hand.
After opening it, Zheng Ren's hand reached into the liver area and touched the surface of the liver.
There was a rupture of about 5 cm, and he then touched the hilar area with his hand, crossed his left hand, and slapped a hemostatic forceps with rubber fastening on his hand.
This kind of unconventional operation, the Shay people have prepared in advance, and Zheng Ren is very pleased.
The hemostatic forceps are covered with rubber and are used to control hepatic hilar bleeding with hemostatic forceps. There is a buffer of the hose to avoid secondary damage to the hilar area.
This is not a routine operation, it is done by the Shay people themselves after judging the patient's condition, during the interval after taking the stage.
It feels so good to have Shay people on the stage, Zheng Ren is full of sweetness, and the blood pressure and heart rate that are boosted by dopamine and adrenaline have also dropped.
Clamp the arteries and veins at the hilum of the patient's liver with moderate strength.
Jung in began to probe his spleen.
The spleen is brittle and has a larger rupture. Zheng Ren blindly exercised, felt the spleen and stomach ligament, began blunt free, and found the short gastric artery and prepared to cut the spleen and stomach ligament.
At this time, the non-coagulated blood in the abdominal cavity had just been sucked clean, and Zheng Ren took out two large pieces of coagulated blood with his hands and threw them into the basin handed over by Shay.
Then Zheng Ren began to cut the spleen and stomach ligaments, find the splenic artery, and deal with it.
"Guess why the patient jumped off the building?" said Su Yun as he trotted all the way to the operating room, brushing his hands.
Silence, endless silence awaited him.
"Hey, you're so boring. Su Yun nagged.
"Put on a lead suit first, then brush your hands, hurry up, and you will check if the intestines have ruptured and if there are any unnoticed bleeding spots in the abdominal cavity. Zheng Rendao.
"What about you?"
"I'm going to have an interventional embolization and the patient has a retroperitoneal hematoma and a broken artery in the pelvis to deal with. β
"......" Su Yun was speechless, and hurried to brush his hands.
By the time he came to the stage, Zheng Ren had already cut off his spleen and threw it into the pathology specimen basin, waiting for the postoperative pathology to be done.
Su Yun was not surprised that Zheng Ren's surgery was done so quickly, he did the operation quickly and steadily, isn't it normal? If you really slow down, there will be a problem.
Take, for example, last night's surgery.
asked for a large curved hook to expose Zheng Ren's vision, and Zheng Ren began mattress sutures to rupture the liver.
The flying needle walked the line, and Su Yun was a little in a trance. But then he forced himself not to wander and said, "Boss, the patient has adenomyosis. β
"Hmm. Zheng Ren squeezed out a voice through his nose.
She also particularly wanted to have children, and resolutely disagreed with the removal of the uterus, saying that it was better to die if she did not have children. Su Yun said: "Today, adenomyosis attacked, she really doesn't want to live because of the pain." At home, I jumped directly from the sixth floor in front of my parents and fiancΓ©. β
Adenomyosis is a diffuse or localized lesion in which endometrial glands and interstitium invade the myometrium to form diffuse or localized lesions.
In the past, adenomyosis occurred in multiparous women over 40 years old, but in recent years, it has gradually become younger.
Once this disease hurts, it's really deadly.
Jumping off buildings and cutting wrists are not uncommon.
"Can it be cured?" asked Su Yun in a low voice.
Zheng Ren smiled, looking at Su Yun who seemed to be indifferent to everything, Zhang Luo wanted to open a pet hospital every day, and also dragged himself to operate on cats and dogs.
In fact, when he came back from the imperial capital, he did not leave the medical industry directly, but worked as a doctor in the ICU of the first hospital in the city, which has long proved something.
The softness in his heart may not even have paid attention to himself.
Or perhaps, he deliberately ignored it.
It's just that
Inadvertently,
Revealed.