Chapter 109: Three Blood Vessels Broken
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Compared with Dr. Li's nervousness, Jiang Yuan was much calmer, seeing that Dr. Li had finished disinfection, and then he also helped lay out the surgical sterile towel. (The fastest update speed is on the Aishang Novel Network biquge.info)
"Alright, Dr. Lee, let's get started."
Jiang Yuan nodded towards Doctor Li on the other side and said, "You come to pull out the glass, and I will come to the back of the palace!" ”
"Good!" Dr. Li nodded, he naturally knew that it was not difficult to pull out the glass, as long as he grasped the vertical direction and maintained a relatively sufficient force when pulling out.
And the most important thing is after the glass is pulled out, if there is any heavy bleeding and other treatments.
When such a situation really comes, it is time to test Jiang Yuan's strength;
Of course, it is possible that this will not happen, but Dr. Li believes that in this position, the glass is a few centimeters wide, and if it does not touch a blood vessel, it can only mean that the child's luck is too good, and it is very, very good, so good that there is almost no possibility.
So Dr. Li took the pliers handed over by Sister Liu, and saw that Jiang Yuan was already holding a thick stack of gauze in one hand and a pair of hemostatic tongs in the other, so he took a light breath and reached out to clamp the piece of glass with the pliers.
After feeling that it had been clamped, Dr. Li looked up at Jiang Yuan.
Jiang Yuan nodded lightly towards Doctor Li, and there was no need to say much at this time, seeing Jiang Yuan nodding, Doctor Li took a deep breath, and then pulled it gently.
With Dr. Li's movements, Jiang Yuan's eyes had already narrowed slightly, and he could see the glass pull out. Sure enough, a stream of blood came out.
In the exclamation of Sister Liu on the side, Jiang Yuan, who had already been waiting for him, pressed down the gauze in his left hand suddenly, and then picked it up, taking advantage of the fact that the blood there was sucked away by the gauze, and when the new blood had just emerged from the blood vessels, he looked carefully towards the wound.
In this old blood goes. And when the new blood just came out, it was only half a second, and Jiang Yuan looked at it at a glance. His face changed.
Because in that wound, he saw at least five or six blood spots at the same time, that is. At least three blood vessels were cut off by the glass piece, and of course, Jiang Yuan was not sure that he could see them all at a glance.
And Dr. Li also puffed out his eyes at this time and glanced at it, looking at at least three broken blood vessels, this would also be dumbfounded, this one is okay, two are big trouble, these three
In just two seconds, the wound was filled with blood again, and it began to emerge again.
Jiang Yuan didn't dare to slack off, he knew it very well. His skills were not too good, and he didn't dare to put too heavy hands, so he just made the child faint and fell asleep, and although the four silver needles on the thighs played a certain role, they reduced the flow rate of bleeding by half at most.
I didn't expect three blood vessels to break. So this time I really ran into some trouble.
Doctor Li and Sister Liu on the side both looked at Jiang Yuan with nervous faces at this time, this depends on whether Jiang Yuan can stop the bleeding, if he can't stop it, then it will be a big trouble.
At this time, Dr. Li also quickly took the two small hooks handed over by Sister Liu, reached into the wound, and pulled the wound open. Let Jiang Yuan find and ligate the broken blood vessels in them.
Jiang Yuan didn't have any nervous expression at this time, he had seen too many situations like this, and he had seen it a hundred times more dangerous and bloody than this;
It's just that now the wound is very deep, and the sight is not good, it is not easy to find the proximal end of three of the blood vessels for hemostatic ligation, especially in such a wound full of blood, to distinguish six fractures, which three are the bleeding at the proximal end;
Then try your best to tie these three to control the bleeding, otherwise if you prick it wrong, it will not only be a waste of time, but also a lot of blood will be lost because of this delay.
Jiang Yuan took a light breath, what he had to do now was to find the proximal ends of the three blood vessels in the shortest possible time, and then ligate them, and then press the gauze in his hand towards the wound again, and then quickly lift it, and after the blood in the wound was sucked away by the gauze, the hemostat in his hand quickly reached into the wound.
"Click" With the sound of the hemostat closing the teeth, Jiang Yuan put the hemostat in his hand and stretched out his hand.
Sister Liu on the side was prepared, and immediately handed the second hemostat to Jiang Yuan.
Jiang Yuan gently pressed the wound with gauze again, and at the moment of lifting, his eyes swept through the wound again, and then the hemostat in his right hand quickly reached in again.
"Click" The crisp sound of hemostats closing teeth seemed to ring in the hearts of Dr. Li and Sister Liu, both of them just looked at Jiang Yuan's movements in a daze, looking at Jiang Yuan's unhesitating movements, and the drums in their hearts bursted.
Is this accurate? Are these three proximal fractures clamping?
The two of them looked at Jiang Yuan's movements, but they didn't have a little bottom in their hearts, they couldn't see it clearly, Jiang Yuan just clamped one at a time, and one at a time, which was really unbelievable.
Either way, it's the job of both of them to help.
Jiang Yuan stretched out his hand again, and Sister Liu hurriedly sent the third hemostat to Jiang Yuan's hand, and Jiang Yuan also threw away the gauze in his left hand that was already soaked in blood, and then stretched out his hand.
Seeing that Jiang Yuan stretched out her hand again, Sister Liu automatically reacted and reached out and took a stack of gauze and stuffed it, this reaction was very agile.
Jiang Yuan didn't look at it, he stretched out his hand and pressed the gauze in his hand towards the wound, for the nurse's reaction and Su zhì, at this time, there was no doubt at all, anyway, the other party took it and used it, and he couldn't delay time because of this.
As Jiang Yuan pressed down the gauze in hand again, Sister Liu and Dr. Li became nervous, if Jiang Yuan had always succeeded, then this third time would be the last.
Jiang Yuan also took a deep breath at this time, he had just used a hemostat to clamp two proximal blood vessel fractures, this was the last time.
But this time, it was a bit troublesome, because the only way to tell which of the six vascular ports was the proximal fracture was to distinguish it from the speed and size of the bleeding.
Because the three blood vessels are large and small, the size and speed of the bleeding will naturally be different, and these six fractures will be easily confused.
And first of all, Jiang Yuan quickly found the two ones with the most bleeding from them, which naturally shouldn't be wrong, but this last one is a little difficult.
Because of the remaining four vascular fractures, the size and flow of the bleeding seem to be about the same, and it is extremely difficult to distinguish the last proximal fracture from them.
Jiang Yuan looked up at the ceiling, took a deep breath again, and said, "Okay, Doctor Li, you release the hook."
Hearing Jiang Yuan's words, Dr. Li was stunned suddenly, if the hook is loosened and the wound is squeezed together, how can you find it?
But looking at Jiang Yuan's determined expression, Dr. Li gritted his teeth and had to nod, "Okay, I'm ready to take the hook!" ”
Jiang Yuan took away the gauze, watched Dr. Li quickly take out the two retractors from the wound, and saw the blood gushing out again, without hesitation, he pressed the gauze down again, sucked the blood out, and then narrowed his eyes and raised his hand suddenly
As Jiang Yuan lifted the gauze, the wound suddenly became clean, and when the blood had not yet gushed out of these fractures, Jiang Yuan's pupils shrank slightly, and he could see the situation in the wound clearly.
And Jiang Yuan waited for this opportunity, as the wound closed, the six fractures of the three blood vessels began to approach, and Jiang Yuan wanted to judge through guò to see which two fractures were the last unrooted blood vessels at the bottom.
An instant later, Jiang Yuan saw that among the six fractures that were approaching, two of the unligated fractures were gradually approaching.
"Yes!" The hemostat in Jiang Yuan's hand slammed into it, and then reached out and clamped one of the two that was bleeding rapidly.
After clamping the fracture, Jiang Yuan exhaled softly, then released the hemostat in his hand and gently pressed the wound again with the gauze in his hand.
Sister Liu on the side saw Jiang Yuan's sudden relaxation, and knew that Jiang Yuan should have succeeded, so she secretly breathed a sigh of relief, took two pieces of gauze, and reached out to gently help Jiang Yuan wipe his forehead.
Looking at Sister Liu's movements, Jiang Yuan realized that his forehead was already covered with fine sweat at some point.
"Have you stopped?" Doctor Li looked at Jiang Yuan a little nervously and asked.
Jiang Yuan nodded, then picked up the gauze again, and the three of them all stretched out their heads to take a look, and sure enough, in the wound, the speed of oozing blood had slowed down by more than half at this time, and among the remaining three blood vessel fractures, the speed and quantity of blood flowing out were rapidly decreasing.
It is believed that after another ten or twenty seconds, after the remaining blood in these three blood vessels is exhausted, there will be no more bleeding.
Seeing these conditions in the wound, the three of them were relieved, as long as the three proximal vascular fractures were clamped, then the subsequent ligation and suturing work would naturally no longer be a difficult thing.
Jiang Yuan carefully took the needle holder handed over by Sister Liu, and neatly litifies the broken ends of the three blood vessels that were caught by the hemostat one by one with the assistance of Dr. Li.
After the ligation was completed, Jiang Yuan carefully loosened the three pliers one by one, and carefully observed for a while, and there was no blood at the three ligation points, and Jiang Yuan was completely relieved.
The next sutures were naturally not a difficult task, but Jiang Yuan still carefully sutured the most problematic layer of muscles in the inner layer before handing over the final finishing touch to Dr. Li, because he had been delayed for half an hour now, and there were still many patients in the internal medicine department, and it was estimated that if he had to finish reading these patients, he might not be able to finish until half past twelve.
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