Chapter 8 Stopping the bleeding with bare hands
"The liver is in good shape. Wu Aimin said after opening his abdomen, exposing the vision of his liver.
"Xiao Yi's technique is really good. Lin Guangqing was cleaning the intestines and omentum on the side, and as an internal medicine doctor, Lin Guangqing could only be responsible for cleaning the "insignificant" places such as the intestinal tube and omentum.
On the side, Principal Li came up, observed for a moment and said: "The director's right hepatic artery is sutured perfectly, and the reticular structure has not been destroyed, and the patient's prognosis should be good." ”
If it weren't for Yi Sheng's identity as a medical student, this level of bare hand hemostasis would have been praised by everyone present, but now there are only the amazing and complicated eyes of the instrument nurse on the side.
Wu Aimin lowered his head and said while suturing: "Generally speaking, holding down the liver with bare hands will cause damage to the liver, and there are five or six complications after surgery. Now it seems that the patient's liver blood circulation is not bad, and the fingertips are used?"
"No," Yi Sheng shook his head, "the patient's loss is a bit deep, and because of the ribs, I can't use my fingers, so I have to use my index and middle fingers to pinch the wound, and then use my ring finger and little finger to drag the liver." ”
"I see.... Not bad, not bad. Wu Aimin praised it and lowered his head to continue the operation.
Li Zhuzhi on the side wanted to learn, but he built a model in his mind for a long time and used his hands to follow the analogy that Yi Sheng just said for a long time, and finally chose to give up.
The operation took 4 hours and 23 minutes, and everyone breathed a sigh of relief after confirming that the patient's vital signs were stable after the abdomen was closed.
Yi Sheng's right hand trembled slightly, the blood stains on the latex gloves had not dried, and the blood droplets on his fingertips shook from side to side with the trembling fingers, and finally dripped down.
Yi Sheng stretched out his arm and persisted for more than 3 hours, and after the blood vessel was sutured, Yi Sheng couldn't even hold the needle holder, so he had to miss the suture of the abdomen and hand it over to Principal Li.
But fortunately, now in the position of the second assistant, Yi Sheng can also observe the operation process of Wu Aimin and Lin Guangqing at close range, which is definitely a very valuable experience for Yi Sheng.
Due to excessive blood loss, the patient was personally sent to the ICU monitoring unit by Wu Aimin after surgery to spend a three-day dangerous period, Lin Guangqing leaned at the gate of the operating room, looked at the exhausted Yi Sheng, took off his mask and asked, "How did you find the bleeding point?"
Yi Sheng rubbed his sore arm and said softly: "The patient is lying flat with his abdomen exposed, and there is no hemothorax. The degree of displacement of the ribs and the amount of bleeding. ”
The temporary knowledge transmitted by Xiao Yixian is not only a method to stop bleeding with bare hands, but also the best choice for the transmission of a huge knowledge reserve, so when Lin Guangqing asked, Yi Sheng could make an accurate judgment simply and clearly.
It can be said that in addition to the lack of a lot of practical experience, the freehand hemostasis method that Yi Sheng just used has reached a very high level, and even the chief physician like Wu Aimin, who has been on the front line of the emergency department all year round, may not be able to be as accurate and fast as Yi Sheng.
"Even so, are you so sure that the patient's bleeding point must be on the right hepatic artery?" Lin Guangqing was full of curiosity about Yi Sheng, and in just two days since he met Yi Sheng, Yi Sheng has brought him two surprises.
Yi Sheng shook his head and said, "I'm not sure." ”
"Then you dare to reach out directly to probe the abdominal cavity? Are you not afraid that this operation will cause the patient's blood vessels to completely rupture?" Lin Guangqing asked.
Yi Sheng thought for a few seconds and said: "According to the patient's bleeding volume, although we have an autologous blood recovery machine, although we can open a second venous channel, but we have to transfuse much less than the patient's bleeding volume, even if we save the person, the patient's brain will be permanently damaged due to the ischemia time for too long, and it is very likely to be brain death." I was 50% sure that I could identify the bleeding point, so I went on my own. ”
"If you are fifty percent sure, you will dare to put your own future on the line, fooling around!" Lin Guangqing scolded.
"I didn't think about it that much, I just felt that the profession of a doctor was not a profession for me," Yi Sheng stared at Lin Guangqing word by word and said, "Doctor, it's a responsibility." ”
As soon as these words came out, Lin Guangqing's words that he was about to reprimand choked in his mouth, and he suddenly remembered that when he first stepped into the gate of medical school when he was young, he now solemnly swore an oath to the medical students in the square.
"When I am absorbed into the cause of medicine, I solemnly pledge my devotion to the service of humanity, I give my teachers the respect and gratitude they deserve, and I will exercise my profession with my conscience and dignity.
The health of my patients will be my first priority, I will respect the secrets entrusted to me by my patients, and I will do everything in my power to maintain the honor and valuable traditions of the medical profession.
My colleagues are my brothers, and I do not allow religion, nationality, affiliation, or social status to interfere with my duties and my relationship with my patients.
I have maintained the highest respect for human life, from the moment of its conception, and I will never take mine even under threat
Medical knowledge is used in things that violate humanitarian norms.
I solemnly pledge this from my heart and with my honor!"
That solemn and solemn voice echoed in Lin Guangqing's mind, and he suddenly felt that in the hospital work over the years, he had become more and more cautious, and he was more and more aware of the impact of things on himself in dealing with things, and he was getting farther and farther away from his original oath.
"The ideal is good, but the reality is cruel. Lin Guangqing said earnestly: "I won't say anything about this matter, but you have to remember that you are just an intern, an intern without a medical qualification certificate." If something goes wrong, your life will be ruined, you know?"
Lin Guangqing's words are very realistic, a regular doctor with a medical qualification certificate will be revoked because of a medical accident, and he can only return to school to care for the elderly like Wang Hai'an or simply go home, and he can never enter the hospital in a white coat, which is such a reality.
Everything Yi Sheng did today will be recorded in the operation record, and what awaits Yi Sheng will be the investigation and treatment results of the medical department.
This is a doctor, a doctor who can only be done once in a lifetime.
Back in the department, Lin Guangqing returned to his office, took out a box of cigarettes and a lighter from the cabinet in the office, stood quietly in front of the bed, took a deep breath, and coughed violently.
A few years ago, Lin Guangqing had a physical examination and found out that he had chronic bronchitis, so he tried not to smoke all these years, but he would put a box of cigarettes in his cabinet, and whenever he was upset, he would quietly light a cigarette. Smoke doesn't solve anything, but it can calm Lin Guangqing.
Looking at the bright inpatient building in the distance, Lin Guangqing didn't know what he was thinking.