The patient who underwent the rectal cancer surgery that Guo Lao Er did in the morning was a 72-year-old lady.

The old lady was kind and kind-eyed, and at a glance, she knew that she was a cultured person with a high level of cultivation. The old lady's blood vessels are naturally thinner than ordinary people, which is a challenge for nurses, even if the head nurse Tao Lijuan, who has the best professional level, it is difficult to ensure that she hits the nail on the head.

But the old lady never blamed and complained, and always said to the nurse: "Don't panic, child, take your time." ”

The old lady respects the doctors even more, every time Zhu Xiaojun passes by the forty-eight beds, the old lady will always greet Zhu Xiaojun warmly, and if there is some fruit at the head of the bed, she will beckon Zhu Xiaojun to take a few and taste it.

Such patients were originally the favorite of doctors and nurses. However, for the doctors and nurses of general surgery, the old lady was extremely difficult to serve.

Because the old lady's background is really complex and deep.

It is said that the old lady has two sons and two daughters, the eldest son is in politics and is the secretary of the No. 1 chief of the province, the second son has taken the academic route and is the head of a university in Pengzhou City, the eldest daughter and the eldest son-in-law are both businessmen, and the two run a technology company with annual sales of about 100 million, and the younger daughter is married to the grandson of an old Red Army, who inherited his grandfather's career and holds the rank of colonel in the Pengzhou Garrison Military Region.

After the old lady was diagnosed with rectal cancer, the eldest son originally wanted to take the old lady to the provincial capital for treatment, but the old lady only recognized Ma Zongtai and insisted on asking Ma Zongtai to operate on her.

For this reason, the eldest son also went to the provincial people's doctor and visited Director Wei of the provincial people's doctor, and Director Wei praised Ma Zongtai's level, which dispelled the eldest son's concerns.

Patients at this level have an invisible pressure on doctors and nurses.

This morning, the long-prepared operation was finally carried out, Ma Zongtai personally took charge of the operation, Guo Lao Er and Yi assisted in the operation, and the operation for nearly three hours was carried out very smoothly.

The old lady was admitted to the ICU (intensive care) for anesthesia and resuscitation, and was transferred back to the Department of General Surgery after more than an hour, during which everything was normal.

However, when she first went to work in the afternoon, the itinerant nurse suddenly noticed that bright red fluid was leaking from the old lady's abdominal drain. The itinerant nurse didn't dare to slack off, and hurriedly reported to Nurse Tao, who didn't dare to assert it, and immediately reported Ma Zongtai and Guo Laoer.

Ma Zongtai and Guo Lao Er rushed back to Corey less than a minute after each other, and at this time, the old lady's abdominal drainage bag already had nearly 200 milliliters of bright red liquid.

"It's a second hemorrhage, don't hesitate, send it to the operating room!"

Ma Zongtai shook his head regretfully and made a decision.

In the case of rectal cancer, the vast majority of patients will have hyperplasia of the presacral venous plexus, which will have many small veins shuttled between the sacral bone suture, which cannot be completely exposed during surgery. Therefore, in rectal cancer surgery, the surgeon will pay special attention to the presacral venous plexus, for fear that one of them will accidentally touch it and break it.

Ma Zongtai is experienced in this kind of operation, and the whole operation protects the presacral venous plexus very well, and after the operation, he also deliberately observed for a while to determine that there was no problem with the presacral vein, and then closed the abdomen.

However, the age of the old lady is placed there, and people of this age will inevitably have loose bones, which provides space for the hyperplasia of the presacral venous plexus, so the presacral venous plexus hyperplasia complicated by the old lady is relatively stricter.

Although the protection of the presacral venous plexus is in place during surgery, this does not mean that the presacral venous plexus is not damaged during the operation. It may be that after two postoperative movements from the operating room to the ICU, and then from the ICU to the ward ward, the patient is pulled to the surgical area due to a change in position, causing the small branch of the presacral venous plexus, which was inadvertently damaged during the operation, but was not noticed, ruptured and bleed.

If you are a younger patient, you can be given some coagulation drugs first, and the ruptured small veins may close on their own. But the old lady's age is too old, the blood clotting function is already poor, and coupled with the old lady's background, Ma Zongtai does not dare to take risks, preferring to lose some face and ask for the ultimate safety.

After going on stage, the abdominal cavity was opened again along the morning surgical incision, and after exposing the surgical area, it was confirmed that Ma Zongtai's conclusion in the ward was indeed that the presacral venous plexus ruptured and led to a second hemorrhage.

However, the rupture is a small branch of the presacral venous plexus, and the bleeding point is hidden between the sacral sutures, and the bleeding point cannot be determined by the normally exposed surgical access, and if you want to find the bleeding point intuitively, then the only way to find the bleeding point is to enlarge the surgical incision and look for the bleeding point from the side of the sacrum.

This option will be rejected by a slightly experienced surgeon, because it will cause more harm to the patient, and the probability of finding a bleeding point is still very low.

The only way to stop the bleeding is compression.

Ma Zongtai, Guo Lao Er, and the two doctors who came to the stage in the morning took turns to compress the old lady to stop the bleeding.

All kinds of hemostatic materials were used, but the bleeding point did not stop.

In the blink of an eye, it's three hours.

The operating room fell into deathly silence.

In this issue, Guo Lao Er once used hemostatic glue to cooperate with pressure to stop bleeding, but after trying, he found that it was useless. Because the bleeding point is too deep and should be on the side of the sacrum, it is difficult for the hemostatic glue to work ideally.

This is really a special case, Rao is Ma Zongtai's decades of surgical experience, and he can only use the most primitive compression method to stop bleeding, and as for the result, it can only be left to fate.

At this time, Zhu Xiaojun came, holding the pair of glasses with a strange shape and missing lenses in his left hand, and a bag of Red Bull in his right hand.

"You're all tired, drink some Red Bull to relieve your fatigue." Zhu Xiaojun handed the bag of Red Bull in his hand to Guo Lao Er, and then said to a doctor who was insisting on the stage: "Dude, if you hold on for a while, I will go wash my hands and come back to replace you." ”

Zhu Xiaojun put the glasses in the cabinet and went to wash his hands.

Fifteen minutes later, Zhu Xiaojun washed his hands, changed into a surgical gown, and went on stage to replace the buddy who was studying.

The oppressive atmosphere in the operating room eased slightly.

After about twenty minutes, Ma Zongtai rested enough and went to the operating table again.

"Let go of your hands and see how it goes?"

Zhu Xiaojun took away his hand and observed carefully with Ma Zongtai, and it seemed that the bleeding had stopped.

"Second child, come to power, the bleeding seems to have stopped!" Ma Zongtai's voice was full of joy.

Guo Lao Er changed into a surgical gown and sterile gloves again and went on stage. When Zhu Xiaojun gave him a seat, Guo Lao Er gave Zhu Xiaojun a thumbs up: "Lucky general!" Zhu Xiaojun, as soon as you show up, good things will come. ”

At this time, the safest strategy is to make sure that there is no more bleeding, keep the Vaseline gauze for compression, and wait for a day later, when the bleeding point is completely closed, and then go to the operating room again to take out the Vaseline gauze.

If he did this, then Ma Zongtai's face would be completely broken, so he decided to take a risk and take out the Vaseline gauze on the stage.

Be careful, be careful.

Ma Zongtai and Guo Lao Er took out the gauze very carefully, and then saw blood gurgling out again.

Ma Zongtai let out a long sigh and ordered Guo Lao Er to refill the gauze and continue to press to stop the bleeding.

At this time, Zhu Xiaojun called the fellow behind him and asked him to help him put on the pair of glasses.

Zhu Xiaojun, who was wearing glasses, stood on the seat of Ma Zongtai just now, and after only a glance, he clearly saw the bleeding point - in the bone slit on the back wall of the tail end of the sacrum, a tiny vein broke and retracted into the bone slit.

"Bring the electrocoagulation knife, I see bleeding spots!"

The instrument nurse subconsciously prepared an electrocoagulation knife and was about to hand it to Zhu Xiaojun, but was stopped by Guo Laoer: "Zhu Xiaojun, what are you kidding?" Electrocoagulation? I don't know if it will increase the rate of bleeding! ”

"I'm not kidding, I know very well what I'm going to do, you know what kind of person I, Zhu Xiaojun, is." Zhu Xiaojun knew that he wouldn't be able to wear these glasses for long, so he asked the doctor next to him: "Dude help me take off my glasses and wipe my sweat!" ”

The buddy helped Zhu Xiaojun take off his glasses, but he didn't see sweat on Zhu Xiaojun's face.

Ma Zongtai asked sternly on the side, "Zhu Xiaojun, are you sure you can see clearly?" ”

Zhu Xiaojun turned his head and said to Ma Zongtai: "Director Ma, I'm sure I can see it clearly just now, the bleeding point is in a bone slit on the back wall of the tail end of the sacrum, but now there is too much blood to see clearly." ”

Ma Zongtai nodded, he also saw that the bleeding point was on the posterior wall of the tail end of the sacrum, but compared to the bleeding point of less than half a millimeter, the area of the posterior wall of the tail end of the sacrum was also larger.

"Give him the electrocoagulation knife!" Ma Zongtai gave an order, then stood behind Zhu Xiaojun and patted Zhu Xiaojun on the back.

"Director Guo, please help me clean up the blood, the time for me to see the bleeding spot is very short, we must cooperate well!" After Zhu Xiaojun finished speaking, he began to take deep breaths.

He could only have thirty seconds at most, beyond which he could have vertigo, and if he did, it would be beautiful.

With Ma Zongtai's order, although Guo Lao Er was very reluctant, he could only helplessly follow Zhu Xiaojun's instructions and honestly use gauze to clean up the blood.

Zhu Xiaojun saw that Guo Lao Er had almost cleaned up, let out a long breath, and said to the fellow: "Help me put on my glasses, I can only feel at ease when I wear this pair of lucky glasses." ”

In order to save time, Zhu Xiaojun closed his eyes and put on his glasses, then reached out to take the electrocoagulation knife that the instrument nurse put in his hand, then took a deep breath and opened his eyes.

In the entire operating room, there is only the sound of the electrocoagulation knife.