Su Hongwen has done a lot of surgeries, and at the beginning, he would also panic because of the mistakes caused by his lack of experience, but fortunately, those mistakes appeared in the surgery simulated by the system, and they would not really die, as Su Hongwen grew up, the panic in the operation became less and less, and now Su Hongwen almost never panicked during the operation.

But today this situation made him panic, cold sweat appeared on his forehead, and the surgical gown on his body was also wet with sweat, what should he do now? It's too late to find the blood spot with see-through glasses, but it takes more time to find the blood spot without see-through glasses, which is a dead knot.

Just when Su Hongwen didn't know how to be good, Liu Xiaoli smoked adrenaline and wanted to inject Shen Lei, Su Hongwen hurriedly shouted: "Don't give adrenaline first." ”

Liu Xiaoli said hurriedly: "If you don't give the adrenaline patient's blood pressure, he won't be able to go up, and if the blood pressure is too low, he will die." ”

Su Hongwen shook his head, and suddenly gritted his teeth and said, "Don't give it first." With that, he put his hand into his abdomen.

Adrenaline does have a pressor-boosting effect, but at this time, Shen Lei is spleen rupture, the lower the blood pressure, the less bleeding, the higher the blood pressure means that the bleeding will be more, he has lost a lot of blood, and Shen Lei will die soon if he loses blood.

But if the blood pressure can't go up, it means that Shen Lei's brain and other major organs can't get enough blood supply, and without blood supply, the brain will die soon.

If the brain dies, then everything will be over, so Liu Xiaoli wants to give adrenaline, first save the brain and other major organs, as for the blood, there is still a vein supplement. This blood can also allow Shen Lei to live for a while longer.

Whether to give epinephrine to patients with ruptured spleen after blood pressure is lowered is a dilemma for all doctors, most doctors will choose to give epinephrine like Liu Xiaoli, but Su Hongwen chose the latter, because he wants to fight and stop the bleeding before Shen Lei dies of the brain and other major organs because of low blood pressure.

But he still chose to do it, he had to try, otherwise he gave adrenaline blood pressure a certain increase, but Shen Lei would lose more blood. It was fatal for him. He can't lose blood anymore.

Su Hongwen first came up with the treatment plan of directly ligating the bleeding point in the spleen, which is very advanced and is not recognized by today's medical community, because there are too many blood vessels and blood in the spleen. Once ruptured, it is simply not possible to stop the bleeding by ligation completely. In this case, only the spleen pedicle can be pinched. There are arteries and veins that supply blood to the spleen, and if you pinch the spleen pedicle, you can delay bleeding.

But there are risks associated with doing so, as it is well known that every organ and every cell in the human body needs blood to be sustened. If the spleen pedicle is pinched, it is equivalent to blocking the blood supply to the spleen, and the spleen will die if there is no blood oxygen supply for too long.

Conventional splenic rupture surgery is generally spleen removal, because few doctors can stop the bleeding in a very short time, they need to pinch the spleen pedicle for a short time to control the bleeding, during this time the spleen may be necrosis, so the best choice is to remove the spleen, rather than suturing the spleen, because the spleen may die because there is no blood oxygen supply, even if it is sutured, this necrosis is irreversible.

If the stiff sutures are really applied and the spleen is really necrosis, then the patient is likely to lose his life due to severe infection of spleen necrosis after surgery.

The doctor can't see whether the spleen is necrotic, so he can only estimate the time to pinch the spleen pedicle according to his own experience, and once it is too long, the best choice is to remove the spleen to prevent severe infection caused by postoperative spleen necrosis.

The spleen is one of the peripheral immune organs of the human body, there is hematopoietic function in childhood, and the spleen is not hematopoietic in adulthood, as an organ of immunity and blood storage, and the spleen is still a filter, when germs, antigens, foreign bodies, protozoa appear in the blood, macrophages and lymphocytes in the spleen will "eat" it, it is precisely because of this function that people with a spleen will have much higher resistance than people without a spleen, and are not prone to disease.

Shen Lei is just seventeen years old, although the loss of his spleen will not have much impact on his future life, but his resistance will be greatly reduced, and he is easy to get sick. His body was already aging at that time, and without the protection of his spleen, he would get sick more frequently, so his life would definitely not be too long.

For Shen Lei's future consideration, Su Hongwen wants to save his spleen, others can't stop bleeding without pinching the spleen, but Su Hongwen can, but now Shen Lei's condition has further deteriorated, Su Hongwen still wants to fight to see if he can save his spleen, if it really doesn't work, Su Hongwen can only pinch the spleen pedicle according to the conventional surgical steps, and then remove the spleen.

Now Shen Lei's blood pressure is still dropping, there is not much time left for Su Hongwen to fight, less than half a minute, if he can't stop the bleeding in half a minute, he has to choose to pinch his temper, delay the bleeding, and save Shen Lei's life.

After Su Hongwen put his right hand in, the operating room quieted down, only the "dripping" sound from the ECG monitor, everyone held their breath, for fear that their breathing would be too loud to affect Su Hongwen's operation, at this time Liu Xiaoli anxiously stared at the blood pressure displayed on the monitor, Dai Hongcheng also stopped what he was doing, now it is no longer meaningful to do carotid arteriotomy, it is really too late, if the bleeding cannot be stopped as soon as possible, even if the carotid artery incision is completed, but at that time Shen Lei would have died early.

Outside the operating room, Shen Song and Li Yaqin were also anxiously waiting for this, and at the same time, they kept praying to God in their hearts, hoping that he could open his eyes and not let Shen Lei go.

The crazy depression is still spreading in the operating room, and no one dares to speak, so everyone is watching Su Hongwen's movements, hoping that he will create a miracle to stop the bleeding quickly, but no one has much confidence, in this case, can Su Hongwen really find the spleen quickly? If he couldn't find his spleen in a minute, Shen Lei would have to die, his blood pressure was too low, and he would definitely not survive for a minute.

Dai Hongcheng and others thought that Su Hongwen was looking for the spleen, but in fact, Su Hongwen didn't look for the spleen pedicle at all, and with see-through glasses, he could easily find the spleen pedicle and pinch it to death to delay bleeding, but this would make Su Hongwen find the blood spot, and he was so stubborn that he wanted to save Shen Lei's spleen.

If Dai Hongcheng and others were to know Su Hongwen's true thoughts, I am afraid that they would think that Su Hongwen was crazy, when did they still want to save their spleen? The best way now is to find the spleen pedicle and pinch it to delay bleeding, the spleen is no longer important, the important thing is to save Shen Lei's life.

One second passed, two seconds passed, Su Hongwen put his hand in the abdominal cavity without any movement, and he still didn't move after ten seconds, which made everyone's heart in the operating room raise their throats, time passed little by little, and death was also stripping Shen Lei's soul from his body little by little.

Everyone hopes that the operation will be successful, and no one wants the operation to fail, but whether the operation can be successful or not depends on Su Hongwen, but whether he can't move now makes everyone feel tormented, and now a second is longer than a year for Dai Hongcheng and these people.

Liu Xiaoli saw that her blood pressure was still dropping, and finally couldn't help but say: "Director Su, I'll give adrenaline first, otherwise, it's okay, but ......" She couldn't go on anymore with the words in the back.

Su Hongwen closed his eyes at this time, shook his head and said, "Give me a little time." ”

Su Hongwen is still finding blood spots, his stubbornness is sometimes very incomprehensible, but Su Hongwen has his own reasons, he is a doctor, and doctors should choose the best surgery when doing surgery, what is the best surgery? In fact, it is very simple, the most powerful surgery for patients is the best.

What is the best surgery for Shen Lei? Of course, it is to save the spleen, so that he will not be easy to get sick in the future and live like a normal person, but Shen Lei's current situation will definitely not be thought of saving the spleen by other doctors, the first thing they think of is to stop the bleeding, even if the spleen is removed.

Su Hongwen also wants to stop the bleeding, and now he is also doing the most difficult efforts, but his way to stop the bleeding is not to pinch the spleen, but to find the blood spot in the crack of the spleen, Su Hongwen wants to give Shen Lei the best surgical method, he wants to save his spleen.

If Shen Song knew Su Hongwen's thoughts at this time, he would probably be so angry that he would beat him up, because now Su Hongwen was joking with his son's life, and the father would be so anxious to fight with Su Hongwen, but unfortunately Shen Song didn't know about it.

Su Hongwen's insistence on keeping his spleen will not last long, there are still more than ten seconds, if he still can't find the bleeding point and stop the bleeding after more than ten seconds, Su Hongwen can only reluctantly give up his insistence and choose to pinch the spleen pedicle to stop the bleeding.

From this point of view, Su Hongwen is not too stubborn, he just wants to try his best to give Shen Lei the best technique, but if it doesn't work, he can only give up.

Li Yaqin, who was outside the operating room, suddenly had a very bad premonition in her heart, she hurried to the door of the operating room and began to knock on the door, she wanted to go in to see her son, she felt that her son was dying, she wanted to see her son at the last glance.

At this time, Shen Lei is indeed going to die, death is only a line away from him, death has already stripped most of his soul from his body, and Shen Lei will completely leave this world in dozens of seconds.

Li Yaqin's sixth sense helped her feel that her son was dying, but unfortunately Shen Song didn't feel this way, he was afraid that Li Yaqin would affect the operation, which would pull her aside.

At the same time, Su Hongwen in the operating room finally moved. (To be continued......)

PS: The second watch is sent, and I continue to ask for a monthly pass