One more is sent, two more are writing, one will be sent, and in the end I still ask for collections, recommended tickets, and rewards, and the results of this book are a mess, making Lao Bai more and more unconfident, annoying!

Seeing Li Xiujie nodding, Yu Wen smiled: "It's a good thing that the young man wants to save people, but you have to do what you can, let's not say that you are not qualified to do surgery at all in an internship, let's just say how you do it?" Laparotomy is not good, once the abdominal pressure of the abdomen is suddenly reduced, there will be large bleeding, and the patient will die within a few seconds. ”

Song Huawen sneered on the side, his quality is not very good, but he still has the skills, and he doesn't use it to say that he also knows that the patient in front of him can't be saved at all, but Li Xiujie said that there is a way, and he bets with himself, I really don't know how to write the word "death".

Even if he really has a way to save the patient by taking 10,000 steps back, just because he is an intern is not qualified to do surgery, he can kick him out of the hospital and fight with me, it's too tender.

Li Xiujie suddenly laughed, laughing so much that Yu Wen, Chen Yan, Song Huawen and others all had a feeling that this kid was crazy.

"You don't need to open your abdomen, there is a laparoscope in the operating room, right?" Li Xiujie uncovered a corner of the mystery.

Yu Wenyi frowned and said, "Laparoscopy? Do you want to go down to the endoscope to suture the blood vessels? Speaking of this, Yu Wen stretched out his hand and patted Li Xiujie's shoulder with a wry smile: "Young man, you are too naïve, the abdominal cavity is full of blood, and the cold light source of the laparoscope can't be seen clearly at all, how do you stitch it?" ”

Li Xiujie stretched out his hand and pointed to the bedside next to him, and said, "I still need it." ”

Yu Wen's brows furrowed even tighter, and he looked at B-ultrasound and said: "It's not good to have bedside B-ultrasound, the problem is still that you can't see the field clearly, even if you can see it clearly, how can you stitch it up?" Now the rebar can't be pulled out. ”

Li Xiujie exhaled a breath and directly pointed out the crux of the problem: "Director Yu didn't do less for appendicitis, right?" You will definitely sew the purse during appendectomy, right? ”

Yu Wen is an old doctor in the end, Li Xiujie let him understand how Li Xiujie is going to do the operation, the inferior vena cava is penetrated by steel bars, the upper and lower wounds, the abdomen is not possible, once the abdomen is opened, the abdominal pressure will be greatly reduced and the patient's life will be killed, but if the lower laparoscopy solves the problem of the sudden decrease in abdominal pressure, use the laparoscope to make a purse in the upper and lower wounds, and then slowly pull out the steel bar, when the lowest end of the steel bar enters the inferior vena cava, the purse is immediately tightened, so that the wound below is quickly sutured, The amount of bleeding can be controlled in a small range.

The same is true for the upper wound, as soon as the steel bar is pulled out of the blood vessel, the purse is immediately tightened, and the two wounds of the inferior vena cava are quickly sutured, and then the other steel bars are disposed of in the open abdomen to the tissues and organs.

Li Xiujie's idea is really wonderful, Yu Wenzhi, who has figured it out, slapped him directly, and Chen Yan and others also had joy on their faces, this method is feasible, and it has found a glimmer of life for the patients in front of them.

Song Huawen snorted coldly next to him, and a basin of cold water splashed down: "It's too much to take for granted, right?" This method is feasible, but don't forget that there is no surgical field at all, the abdominal cavity is full of blood, and the laparoscope can only see blood, and the image displayed by the bedside B ultrasound is abstract, but not three-dimensional. ”

A basin of cold water poured Yu Wen to the cold, yes, how can I sew a purse without Shuye? This......

Song Huawen sneered again: "Sewing a purse on the inferior vena cava? Two more, what's the matter? The purse will cause the blood vessel to constrict inward, resulting in excessive tension in the blood vessel wall, the blood vessel is not the intestinal tube has such good toughness, this is the vein, how much tension will appear in the upper and lower purses, you should know it, right? If the tension is too high, the patient will still die if the blood vessel ruptures.

The patient's injury is not saved at all, and the decision to do surgery to save people is up to the patient's family, if you rush into surgery, the operation fee will definitely be charged, once the patient's family dies, it will be the end of both people and money, what if the family makes trouble? Which of you bears this responsibility? No one has ever heard of such a surgical method, and if it is really done, it is an illegal operation, and once the patient dies, it is a medical accident, can you afford to bear this responsibility? ”

Song Huawen's few words made Yu Wen hesitate, and he was embarrassed: "Otherwise, or forget it, this method is too risky." ”

Chen Yan exhaled helplessly, patted Li Xiujie's shoulder and said: "Xiao Li, your starting point is good, but this method is really too risky, forget it, give a critical illness notice, and let the family be prepared." ”

Li Xiujie burned a wave of anger in his heart, he looked directly at Chen Yan and Yu Wen, and said in a low voice: "We are doctors, it is our obligation and responsibility to save lives and help the wounded, if this patient really has no way to treat us, it will be okay to give up treatment, but he still has it, why don't we give it a try?" If we don't save him, we will definitely die, but if we save him and there is still hope of living, is it fair to him that we are afraid of taking responsibility and cut off the patient's hope of living? Is it worthy of our profession? Are you worthy of the white coat you wear?

Everybody is human, there is a wife, children, parents, he has too, he is only in his twenties, he may not be married, he has a girlfriend waiting for him, he may be married, his wife is waiting for him, and his elderly parents are also waiting for him, we tell them, their husband, their son is not saved, wait for death, is this too cruel? ”

Li Xiujie's words made Chen Yan and Yu Wen have a fever on their faces, in order to evade responsibility, cut off the hope of the patient's life, is this what doctors should do?

Yu Wen has a feeling of self-embarrassment, but he really can't make the decision to operate immediately, it is too risky, in a current doctor-patient relationship is already tense, if the operation fails, the family will definitely not be better, this is a new way of surgery, he doesn't want to see it, even if he has never heard of it, the family pinched the operation plan and said that the responsibility for medical accidents will never run, and at that time he will be smashed out of his job, or he will be imprisoned.

Yu Wen didn't dare to look at Li Xiujie's hot eyes, he had been a doctor for almost his life, but in the end, he couldn't see through as well as an intern, and now he is afraid of doing anything, he is afraid of taking responsibility, and the mentality of being fearless and bent on saving patients has long disappeared without a trace, is he still a doctor?

The more Yu Wen thought about it, the more embarrassed he became, and the more he thought about it, the more he felt the urge to run away, he really couldn't stand it, and said in an embarrassed tone: "Lao Chen, let's go out and discuss." Still saying this, Yu Wentou escaped without looking back.

Chen Yan also didn't dare to look at Li Xiujie's eyes, so he hurriedly followed Yu Wen out.

Dezhi's villain Song Huawen walked up to Li Xiujie and patted him on the shoulder, lowered his voice and sneered: "Pack up your things and get out of the hospital, little cub, fight with me?" What are you. ”

When Lin Runqing heard this, he was about to cry out for Li Xiujie, but Li Xiujie grabbed her and whispered: "Now is not the time to be angry with him, you immediately go to the operating room to borrow a laparoscope, just say that Director Yu wants to use it, and let them send it immediately." ”

When Lin Runqing heard this, he immediately exclaimed, "You don't want to do this operation yourself, do you?" You ......"

Li Xiujie hurriedly interrupted her and said: "Be quiet, what are you yelling, saving people is like fighting a fire, listen to me, believe me." ”

Lin Runqing looked at Li Xiujie and gritted his teeth and said, "Okay, I'll go now." ”

As soon as Lin Runqing left, Li Xiujie said to Zhao Nannan: "Find me a consent letter for surgery, quickly." ”

Zhao Nannan said worriedly: "Do you really want to do it?" This...... This ......"

Li Xiujie interrupted him a little irritably: "Don't delay time, hurry." ”

Zhao Nannan stomped his feet and turned around and ran out.

There are still two nurses left in the emergency room, and the head nurse He Yingjun has already gone out, she still has a lot of things to do, so she can't stay here all the time, and it just so happens that one of the nurses is Lu Wenli who is more familiar with Li Xiujie.

Li Xiujie walked over and pulled Lu Wenli aside, lowered his voice and said bluntly: "Sister Lu, I will operate on the patient in a while, can you believe that I won't tell the director about them?" ”

Lu Wenli exclaimed, "What? Do you? Xiao Li, you're crazy, no, absolutely not. ”

Li Xiujie said with a resolute face: "Sister Lu, you believe me, I can save him, really." ”

Looking at Li Xiujie's confident and firm gaze, Lu Wenli inexplicably felt a sense of trust in him, gritted her teeth and said: "Okay, but if the operation doesn't go well, I will go to the director immediately, Xiao Li, you are too risky, you are an intern, I advise you not to cause trouble." ”

Li Xiujie turned his head to look at the patient and said loudly: "There is some trouble that must be caused, I can't watch him die in front of me, but I am indifferent, Sister Lu helps me to spend that nurse, you are here to help me." ”

Lu Wenli clenched her fists and said, "Alas, I'm really crazy, okay, you have to be careful." ”

Lu Wenli found a reason to take the nurse out, Zhao Nannan also brought the surgical consent form at this time, Li Xiujie took out a pen and began to write, Zhao Nannan saw Li Xiujie write on the table - laparoscopic pocket suture, and couldn't help but say: "Is there such a surgical method?" ”

Li Xiujie said while writing: "Of course there are, but there are not many people in China, and this kind of sewing is common in ten years." ”

Pocket suture is a very ingenious suture method invented by Li Xiujie, in order to deal with the large arteriovenous penetrating injury, this suture method was conceived by Li Xiujie when he went to the United States to be the head of trauma surgery, not to mention China, even abroad does not have this suture method.

Li Xiujie quickly finished writing the consent to the operation, and at this time, a woman's cry came from outside, no need to think that the family must have arrived, Li Xiujie said to Zhao Nannan: "The people in the operating room will send laparoscopes in a while, you are here to help you get well, but don't miss it." ”

Still saying this, Li Xiujie walked out, and as soon as she got outside, she saw a gray-haired peasant woman sitting on the ground crying, and several people dressed as peasants next to her were persuading her.

When the woman saw the doctor coming out, she immediately got up and ran over, grabbed Li Xiujie's hand, and said hurriedly: "Doctor, please save my son, I will kneel down for you." ”