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Su Hongwen entered the locker room and saw that Jin Junyu and Cheng Dongdong were already changing clothes, he took out the two envelopes from the pocket of his white coat, walked over, handed the thick ones to Jin Junyu and said, "Professor Jin, this is for you." ”

Jin Junyu has received this kind of money countless times, and he is already familiar with it, and he doesn't count the money in the cabinet and puts it directly in the cupboard, and then says to Su Hongwen for the sake of the money: "Xiao Su, it's a good thing that you think about it thoroughly, but it's still that sentence, we must be bold and careful as doctors, and we can't be afraid of the head and tail, otherwise we are also afraid of accidents, and we are also afraid of accidents, so how can we treat diseases and save people?" ”

Jin Junyu is right in what he said, being a doctor, especially a surgeon, is like this, but Zhang Cuiping's illness is really special, so Su Hongwen told him again and again.

"I know all this, Professor Jin can ......" Before Su Hongwen finished speaking, the envelope in his hand was snatched away by Cheng Dongdong, he directly took out the money inside, opened his mouth and said, "How is this?" Should I take 5,000? ”

Su Hongwen sneered and said, "Then you go to the patient's family and ask for the remaining two thousand." ”

Cheng Dongdong frowned and said unhappily: "Why are the people in this broken place so stingy, and they don't understand the rules, I used to give me at least 5,000 when I went out with the teacher for surgery, and some people gave me 8,000." ”

Cheng Dongdong is definitely blowing nonsense, he will offend people if he goes out with his broken mouth, Jin Junyu is willing to take him there, but for the sake of his father's face, he occasionally takes him out of Lu twice, even if he goes. At most, the patient's family gave him 4,000, not even 5,000.

Jin Junyu saw that Cheng Dongdong's broken mouth was talking nonsense again, and hurriedly said: "Shut up, you, if you don't speak, no one will treat you as a dumb person, if you don't come out with me in the future." After speaking, Jin Junyu went directly into the operating room.

Su Hongwen saw that there was really no way to stop this operation, so he could only sigh and hope that God would open his eyes, and never let the common iliac artery rupture and bleed, otherwise Zhang Cuizhen would definitely die, and he was too lazy to take care of Cheng Dongdong and go in after changing his clothes.

When Su Hongwen entered the operating room, anesthesiologist Guan Jingli had already been anesthetized. Jin Junyu was sitting with Yang Jiayi chatting. The instrument nurse Wu Juan was already setting up the instruments, and Yang Jiayi saw Su Hongwen coming in and said, "Xiao Su, you go to brush your hands first, then disinfect and lay out the list." ”

This kind of surgical disinfection done by experts is done by the doctors of this hospital, and the assistants brought by the experts do not need to be counted on, they do not care. As for the director of this hospital, don't think about it. It can only be Su Hongwen, the little doctor, who is responsible for these chores.

Su Hongwen was depressed and went to brush his hands. He just finished brushing his hands, Jin Junyu and the three of them also came out to brush their hands, Jin Junyu seemed to be in a good mood when he got the money, and said a few more words to Su Hongwen.

Su Hongwen went to the operating room to disinfect and lay a sterile sheet. At this time, Jin Junyu and others had already brought the surgical gown and gloves, Jin Junyu walked directly to the position of the chief surgeon, Cheng Dongdong was in the position of the first assistant, Yang Jiayi, the director, was in the position of the second assistant, and Su Hongwen could only go to the position of the third assistant, that is, the right side of Jin Junyu.

The first assistant still has a little chance to do it, and he can see the process of the operation clearly, but the second assistant and the third assistant don't think about it, the whole process of the basic operation is to pull the hook, not to mention the tiredness, and you can't see anything.

Don't look at Yang Jiayi as a second assistant today, but she can ask the nurse to help when she pulls the hook for a while, so that she can see how the operation is done, this is also a good opportunity to learn, as for Su Hongwen, just stand there and pull the hook.

Jin Junyu looked up at the anesthesiologist and said, "Can you start?" ”

Guan Jingli looked up at the ECG monitor and nodded, "Let's start, the patient's condition is normal." ”

As soon as Jin Junyu stretched out his hand, the nurse handed over the scalpel, which is so much that Jin Junyu doesn't need to say, but when the operation is carried out to a certain extent, Jin Junyu has to talk to the nurse about what instruments he needs, this nurse is not a nurse in their hospital, and he can't see what instruments are needed to achieve the operation.

Don't underestimate the time for the surgeon to talk to the nurse for the instrument, for the patient, every second in the operation is extremely precious, maybe the operation can be successful one second faster, but one second slower will fail, so the surgeon is very fond of doing surgery with experienced instrument nurses, they know what instruments are needed to do the surgery, and they don't need to speak to the surgeon at all, so as to save time for the operation, and the experienced instrument nurse can also act as a surgical assistant in the case of insufficient manpower.

But it's a pity that this kind of instrument nurse needs many years of surgical experience to accumulate to reach that level, and now experienced instrument nurses are not common in the operating room, because the instrument nurse is different from the chief surgeon, the chief surgeon can rest after the operation is done in four hours, but the instrument nurse may have to carry out the next operation, and it is really tiring to stand down for a day, so many experienced nurses can't do it when they are old, so they have to change to a relaxed department, so that the operating room is full of young nurses, Their experience is much worse.

Jin Junyu is an expert in the end, and the steps of opening the abdomen are generally very smooth, Cheng Dongdong, this guy doesn't have a brain to look at the bad mouth, but his skills are also good, and he cooperates with Jin Junyu quite tacitly.

After opening the abdominal cavity, Jin Junyu found that the patient's abdominal cavity had a certain degree of adhesions, which was caused by the exudate produced by cancer cells invading the uterus, but Zhang Cuizhen's uterine cancer was detected relatively early, and there was no sign of spread, so the adhesions were not too serious.

Jin Junyu began to free these adhesions, don't look at his age, but his hands were extremely flexible, and he quickly separated these adhesions with hemostats and leaked out of the uterus.

At this time, Jin Junyu should lift the uterus to facilitate the treatment of the round ligament and appendages, but it should be known that the cancer in Zhang Cuizhen's uterus is attached to the common iliac artery, and once the uterus is lifted, it is likely to cause bleeding in the common iliac artery.

Seeing that Jin Junyu was about to lift the uterus, Su Hongwen couldn't help but say: "Professor Jin's uterus is likely to be attached to the common iliac artery, and if you pull it suddenly, once it causes the common iliac artery to rupture and bleed, it will be troublesome." ”

Cheng Dongdong said impatiently on the side: "Why do you talk so much nonsense?" I've told you countless times that the uterus can't be adhered to the common iliac artery, and you're talking nonsense, get out of here, don't delay the operation. ”

Jin Junyu frowned and said, "The uterus will not be attached to the common iliac artery, and I don't see it on the CT scan at all." "I really didn't see this situation from the CT scan, and that was because the cancer in the uterus raised a corner to the upper spine, which was attached to the common iliac artery below, and the CT was not precise enough to see this situation.

But Su Hongwen has see-through glasses, he can see it, he saw that Jin Junyu didn't believe him, so he hurriedly said: "For the sake of safety, I think it's better to perform reverse resection." ”

The so-called reverse resection is not to lift the uterus first, but to cut the anterior wall of the vagina, suture the broken end of the vagina, deal with the main ligament, and deal with the uterus at the end, that is, the surgical steps are done from back to front.

"It's too time-consuming, although the patient's physical condition is okay, but after all, she is older, and the longer the operation, the more unfavorable it will be for her, don't say it, continue the operation." After Jin Junyu finished speaking, he used his hand to lift the uterus.

Seeing this scene, Su Hongwen's heart instantly mentioned his throat, his brain was blank, and there was only one thought in his heart, don't bleed, don't bleed.

But God didn't seem to open his eyes, Jin Junyu just lifted the uterus, and a layer of red appeared down the ground, and this red was like a surging flood that instantly flooded all the organs in the abdominal cavity.

Seeing this scene, everyone was dumbfounded, Jin Junyu only felt like falling into an ice cellar, a layer of cold sweat instantly broke out all over his body, his hands were trembling, his legs were weak, and his heart was beating violently.

Cheng Dongdong's face was frighteningly white when he saw this scene, he could see that the blood was coming out so quickly, it must be the common iliac artery that was ruptured, and the probability of death of patients in this case was as high as 90%, and it was too difficult to stop the bleeding.

Jin Junyu felt that his eyes were dark, he shook his head and said urgently: "Plasma, quickly transfuse plasma, give me a dressing, stop bleeding, stop bleeding." "Zhang Cuizhen's surgery was not an emergency operation, so in order to deal with the sudden situation of bleeding before the operation, the hospital had already transferred 3,000 milliliters of plasma from the blood station in the city.

The itinerant nurse hurriedly replaced the transfused glucose with plasma, and Jin Junyu took the dressing handed by Wu Juan and stuffed it into the abdominal cavity, and shouted in his mouth: "All four groups of venous channels have been replaced with plasma." Speaking of this, he scolded Cheng Dongdong angrily: "What are you doing in a daze? Also not sucking blood. ”

The operating room was in a mess in an instant, and Yang Jiayi's face was also quite ugly, she never thought that the situation Su Hongwen said really appeared, according to this bleeding rate, the patient would not be able to come to the stage nine times out of ten, which was troublesome.

No matter how Jin Junyu stuffed a dressing into his abdomen to suck blood, and no matter how Cheng Dongdong sucked it with a suction device, the blood in his abdomen still rose like a surging flood.

Jin Junyu saw that this method didn't work, so he quickly put the dressing aside and put his hands into the abdominal cavity, he had to gently pull the uterus a little apart without seeing it, and then find the bleeding point to stop the bleeding.

Jin Junyu is an expert in the end, and he has a lot of experience in surgery, he quickly found the place where the common iliac artery ruptured, and first pressed it with his hand, although it could not stop the bleeding immediately, but it also slowed down the blood overflow, and at this time he shouted: "Hemostat." ”

Wu Juan handed him a hemostat, Jin Junyu took it with one hand and groped to clamp the ruptured blood vessel, but instead of stopping the bleeding, he clamped it more, that is, a big blood hole, the more it was clamped, the bigger it became, at this time Jin Junyu believed Su Hongwen's words, the blood vessel wall of the common iliac artery was really invaded by cancer cells, and now the blood vessel wall is brittle like paper and leaks when touched. (To be continued......)