PS: A more send, ask for a monthly pass, ask for a monthly pass

The surgery for splenic rupture is too big compared with appendicitis, first of all, the saphenous vein or carotid artery incision should be made before the operation, and the latter is generally chosen, because carotid artery incision can not only express infusion to blood, but also measure central venous pressure, so as to accurately monitor the patient's blood pressure, and when the blood pressure drops greatly, it can respond faster to the patient for treatment.

This step could have been completed before the operation, but because of Li Yaqin's obstruction, Shen Lei could only do carotid arteriotomy in the operating room, and this step alone would take about ten minutes at Su Hongwen's speed.

If the spleen is rupture severely, you have to do spleen removal, if the spleen is not seriously damaged, you have to do spleen repair, but no matter what kind of surgery is used, you have to stop the bleeding first, which is the most important point in the operation, but now Shen Lei's abdominal cavity is full of blood, and there is no bleeding point at all, in this case, it will definitely take a longer time to stop the bleeding.

After hemostasis, it is selected to remove or repair according to the degree of rupture of the spleen, and the arteries and veins that are removed from the spleen and then ligated to supply blood to the spleen are ligated, this step is simple, but the actual operation of 20 minutes is definitely not enough, and if the spleen is repaired, the spleen must be sutured with silk threads, and this step can not be completed in 20 minutes.

After these are done, the abdominal cavity must be cleaned as much as possible to extract the blood in the abdominal cavity, and then the drainage tube is lowered, and the last thing is to close the abdomen, if these steps are counted together, it will take two hours to say the least, but now the system will give Su Hongwen twenty minutes. This gave him a headache.

However, looking at the task reward, Su Hongwen was thrilled, as long as he completed this task and obtained points to raise the authority to level seven, Su Hongwen could ask the spaceship to make a very useful device for him, which made Su Hongwen very greedy.

However, if he wants to get this instrument, Su Hongwen has to complete this operation within twenty minutes, the time is too short, Su Hongwen has no confidence in himself, but he can only fight at this point.

Thinking of this, Su Hongwen said directly to Dai Hongcheng: "Teacher Dai, you do a carotid artery tomy, and I will start the operation." ”

According to the conventional surgical procedure, the carotid artery should be opened to establish a channel that can quickly rehydrate and give blood, and then the laparotomy is not established, which is quite dangerous for the patient if this channel is not established. Because there is a certain pressure in the abdomen, this pressure can slow down the bleeding in the spleen. It's like a wooden bucket with a lid, no matter how much you fill it with a lid, the bucket won't fit when it's full, but if you open the lid, the water will overflow, and if you don't turn off the valve, the water will flow out along the edge of the bucket.

It doesn't matter how much water flows. But if it's blood, it's troublesome. There is so much blood in the human body, and if too much is lost, people will soon die due to excessive blood loss.

But if there is a channel that can quickly replenish the blood. Although it does not slow down blood loss, it can be supplemented to buy time for the patient.

But now Su Hongwen actually wants the carotid artery incision and laparotomy to be performed at the same time. This is really a very risky thing, unless Su Hongwen can stop the bleeding quickly, but now as long as he opens his abdomen, all he sees is blood, and he can't see the situation in the abdominal cavity clearly, and it is obviously impossible to stop the bleeding quickly in this case.

Dai Hongcheng is an old doctor, he naturally understands these things, so he frowned and said: "Director Su, it is too risky for you to do this, I suggest that you do carotid artery incision first, establish a channel for fluid and blood replenishment, and then open the abdomen." ”

Su Hongwen shook his head and said: "It's too late, Teacher Dai, I also know that it is too risky to do this, but there is a risk, as long as I can stop the bleeding as soon as possible, I can increase the chances of Shen Lei living, please believe me." ”

What Su Hongwen said is indeed right, if you want to save Shen Lei, you have to stop the bleeding as soon as possible, the sooner the better, at this time stopping the bleeding is more important than any step, but the risk of him doing so is indeed too great, once he can't find the bleeding point quickly, Shen Lei will soon die of excessive blood loss, relying on intravenous blood replenishment alone is not enough in terms of speed or quantity, it is too slow.

Dai Hongcheng still wanted to insist on his opinion, but Su Hongwen had already started to act, and when Dai Hongcheng was about to stop it, Su Hongwen had already stabbed it in.

This scene scared Dai Hongcheng, anesthesiologist Liu Xiaoli and instrument nurse Sun Jiarui into a cold sweat, what is Su Hongwen going to do? Is he killing or saving?

Standing in the position of one helper, Shang Zhongjin was so frightened that he almost didn't sit on the ground, but Su Hongwen's movements were too rough.

Su Hongwen still uses a knife into the abdomen, now every second is very important for him and Shen Lei, saving one second Su Hongwen may complete the task, saving one second Shen Lei has a greater chance of survival, so Su Hongwen has no time to open the cortex first according to the conventional steps, and then fat, muscle, and peritoneum, these steps are too time-consuming, and a knife into the abdomen is the best choice for Shen Lei and Su Hongwen.

Today, Dong Zhirui is on the tour class, that is, when the itinerant nurse is responsible for taking medicines and some equipment, she is the only one who is not frightened at this time, because he played this last time when he did an appendix with Su Hongwen.

As soon as the knife went down, Su Hongwen directly opened a seven-centimeter incision in Shen Lei's abdomen like a butcher, and it was seen that the surgical gowns on Dai Hongcheng and the others were wet with cold sweat.

As soon as the abdomen opened, a large stream of blood spurted out like a fountain, and the scene was extremely bloody and shocking, and even doctors would feel frightened and weak in their legs and stomachs when they saw this scene.

Su Hongwen put the scalpel to the side, and then pulled the incision open with his hand, and he didn't look up and said directly: "Automatic retraction, suction device sucks blood, and all four groups of venous channels are replaced with plasma to open the drip speed to the maximum, fast." ”

Shang Jinzhong swallowed a mouthful of foam with difficulty, and then he looked at the incision! The blood almost spurted out just now, this was because the pressure in the abdominal cavity suddenly disappeared, and an opening appeared, and the blood gathered in the abdominal cavity had a vent, which squirted out, but then the blood was not so turbulent and spurted out, which made Shang Jinzhong see the appearance on both sides of the incision.

As soon as he saw the incision, Shang Jinzhong couldn't believe his eyes, Su Hongwen just opened Shen Lei's stomach with a rough knife like a butcher, and the incision should be crooked for him, but now it looks like this incision is not only not crooked, but also very straight, like a straight line, this scene made Shang Jinzhong stunned.

Not only him, Dai Hongcheng, but these people were also stunned, the first to react was Dai Hongcheng, and he said in a somewhat disbelieving tone: "A knife into the abdomen? Is this a knife in the abdomen? ”

A knife into the abdomen is very simple to say, but it is too difficult to do, a knife into the abdominal cavity must also ensure that the incision is not crooked, and can not hurt the organs in the abdominal cavity, to do this, you have to accurately control the strength of the hand, the larger one hurts the lower organs, and the smaller one cannot enter the abdominal cavity.

Dai Hongcheng has never seen anyone in the abdomen with a knife in his decades, but the young Su Hongwen in front of him has done it, and he has done it quite perfectly, Dai Hongcheng was not convinced that Su Hongwen could be the deputy director at such a young age, after all, the hospital is the place where the most seniority is important, Su Hongwen is a new Ding actually climbed on Dai Hongcheng's head, how can this convince him? To be honest, Dai Hongcheng even had resentment in his heart, in his opinion, Su Hongwen's skills were just like that, and being able to be the deputy director was the back door.

But today Dai Hongcheng is convinced, completely convinced, just rush into the abdomen, don't say that he can't do it, even if he invites those well-known surgical experts in the capital, they can't do it, Dai Hongcheng is convinced of Su Hongwen, at this time, in Dai Hongcheng's opinion, Su Hongwen is not a human being at all, he is a monster, not a monster, how can he be a monster at his age?

Su Hongwen quickly put the automatic hook into the incision and stretched the incision on both sides, at this time he found that Dai Hongcheng was still standing there, Su Hongwen couldn't help but be a little anxious, and urged: "Teacher Dai, hurry up and make a carotid incision!" ”

Dai Hongcheng came back to his senses and said "oh" in his mouth, and then went to work, he also knew that this would not be the time to marvel at Su Hongwen's knife into the abdomen, now he has to hurry up and establish a carotid artery channel, the abdominal cavity has been opened, and the bleeding will continue to increase, and now Shen Lei needs blood supplementation, only by establishing a carotid artery channel can he replenish more blood and keep up with the speed of blood loss.

Dai Hongcheng was busy, Su Hongwen was not idle, he brought the fluoroscopic glasses before the operation, and the task did not say that the existing instruments could not be used, and it was precisely because of the fluoroscopy glasses that Su Hongwen dared to open the abdominal cavity before the carotid artery channel was established.

Su Hongwen had already seen the place where Shen Lei's spleen was ruptured, and now what he had to do was to put his hand in and hold a few places where the bleeding rate was relatively fast, only in this way could the bleeding speed be greatly slowed down, but just when Su Hongwen was about to make a move, the blood flowing out of the spleen suddenly appeared a violent eruption.

Before the abdomen was opened, the speed of bleeding was limited by the pressure in the abdominal cavity, but now that the abdominal cavity is opened, the pressure is gone, and without pressure, a broken main artery in the spleen is no longer bound, and under the effect of blood pressure, it suddenly spurts out more blood, instantly expanding the crack in the spleen, and at the same time, it also disturbs the location of the bleeding points that Gang Su Hongwen saw with fluoroscopic glasses, it takes time to find these bleeding points, not much, one minute is enough, but at this time, anesthesiologist Liu Xiaoli suddenly shouted: " The patient's blood pressure dropped by 50/41mmHg and was still dropping. Speaking of which, she panicked and wanted to give adrenaline.

When Su Hongwen heard this, a layer of cold sweat instantly broke out on his back, such a low blood pressure means that Shen Lei will die soon, and if he wants to save him, he has to stop the bleeding as soon as possible, so that the time left for Su Hongwen is not even a minute. (To be continued......)