Chapter 252: A solution that no one thought of
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The information from the light brain made Su Hongwen even more anxious, a layer of fine sweat oozed from his forehead, at this time Su Hongwen seemed to smell the smell of death, the god of death seemed to be standing next to him and looked at him coldly, there was a disdainful smile on the face of the god of death, he was laughing at Su Hongwen's incompetence, next to the god of death was Zhang Cuizhen, who was crying, she was grabbed by the neck by the god of death, crying and struggling weakly, she looked at Su Hongwen's eyes full of pleading, she prayed that Su Hongwen could save herself.
"Xiao Su, Xiao Su, what do you want? Shut your belly. Yang Jiayi's voice suddenly came.
Su Hongwen turned back to his body, red, scarlet red immediately occupied all his field of vision, seeing this blood Su Hongwen suddenly felt very powerless, he couldn't think of a way to save Zhang Cuizhen, this blood quickly ......, blood, blood, blood!
Su Hongwen suddenly thought that he had also seen blood and gelatin sponges in the game yesterday, thinking of this, Su Hongwen's eyes lit up and he hurriedly said: "Bring me gelatin sponges, fast, more and more, how much plasma is there?" ”
The nurse didn't know what Su Hongwen was going to do, so she subconsciously looked at the plasma hanging there and said, "There are less than a thousand milliliters." ”
"Find 706 generations of plasma, replace it when the plasma runs out, go get me a gelatin sponge." Su Hongwen raised his head and said to Yang Jiayi when he said this: "Director Yang, I have a solution, but I don't know if it will work, but I want to try." ”
Yang Jiayi's eyes lit up, and then dimmed, Jin Junyu, a nationally renowned gynecology expert, couldn't do anything about the situation in front of him. What can Su Hongwen, a young man who has just joined the work, do anything, thinking of this, she sighed and said: "Xiao Su, I understand the feelings of wanting to save the patient, but what can you do in this situation?" It's better to close the abdomen, closing the abdominal cavity can also allow the patient to live longer. ”
Indeed, as Yang Jiayi said, once the abdominal cavity is closed, the pressure in the abdominal cavity will slow down the bleeding and prolong the patient's life for a while.
Su Hongwen saw that the itinerant nurse was still standing there and couldn't help but hurriedly say, "Go get it, hurry, I really have a way." ”
Su Hongwen's words were almost shouted, and the momentum was very amazing. Frightened, the itinerant nurse staggered and ran away.
Su Hongwen saw her leave and said to the instrument nurse: "Prepare a No. 0 vascular suture for me." I'm going to use it in a moment. ”
"Xiao Su, what are you going to do?" Yang Jiayi felt that Su Hongwen was a little nonsense, the gelatin sponge can indeed stop the bleeding, but it is useless in the face of this level of bleeding, he still needs vascular sutures. Now you can't even see the bleeding spots. How to stitch it up? Moreover, the walls of the common iliac artery are quite fragile when invaded by cancer cells. Even if you can see the bleeding point, as long as you use a little force to suture the silk thread, you have to open the blood vessel wall, and there is no way to suture it to stop the bleeding.
"Director Yang, you believe me. I really have a way. Speaking of this, Su Hongwen reached in with one hand, used the fluoroscopic glasses to find the bleeding point and pressed it with his fingers, he also used this method Jin Junyu just now, but the common iliac artery is the largest artery in the abdominal cavity, and the blood pressure in the blood vessels is quite large, and it is not possible to stop the bleeding with his hands at all, but it has a certain effect of delaying bleeding.
Yang Jiayi saw that the bleeding in the abdominal cavity began to decrease, she couldn't believe her eyes, this is to find the bleeding point without a surgical field, that is, without seeing, Jin Junyu can do her belief, because he is a well-known gynecology expert in the country, but how old is Su Hongwengang? He is also in his twenties, how can he find the bleeding point without seeing it? How is this possible?
The itinerant nurse ran back, she opened the gelatin sponge and handed it to Wu Juan, and then came over to see how Su Hongwen was going to stop the bleeding.
"Cut the gelatin sponge into a long strip of 4 cm long and 2 cm wide, more and faster." Su Hongwen is also very anxious, there is not much time left for him, he must stop the bleeding as soon as possible, according to the patient's current bleeding rate, he will last for five minutes at most, or he may not last for five minutes.
Wu Juan didn't dare to delay, and hurriedly cut the gelatin sponge according to Su Hongwen's request, handed it over, and said, "Is this okay?" ”
Su Hongwen glanced at it, nodded, took it and put it on the left side of the common iliac artery bleeding point, and said, "Go ahead, make one and give me one, quickly." ”
Wu Juan cut long strips of gelatin sponge and handed them to Su Hongwen one by one, and he didn't know how much Su Hongwen put into his abdomen, he finally said: "Okay, give me sutures." ”
Yang Jiayi really couldn't figure out what Su Hongwen was going to do, so she couldn't help but say, "Xiao Su, what are you stuffing gelatin sponge for?" There is no way to stop bleeding with a gelatin sponge at this level. ”
Su Hongwen didn't answer her, but took the vascular sutures handed by Wu Juan, and then put the needle holder into the abdominal cavity, which was still full of blood at this time, and couldn't see the situation below at all.
Yang Jiayi saw Su Hongwen holding the needle holder and making a suturing action, then took out the needle holder and still put it aside, grabbed both ends of the silk thread with both hands and tied it in pieces.
In Yang Jiayi's opinion, Su Hongwen is crazy, and now he can't see the bleeding point at all, how can he accurately use a needle to penetrate the blood vessel walls on both sides of the bleeding point in this case? Even if these are okay, the walls of the blood vessels are as brittle as paper, and they have to be opened as soon as they are knotted, and there is no way to suture them to stop bleeding, which is simply nonsense.
Su Hongwen didn't care what others thought, he was thinking about stitching up the blood vessels as soon as possible, Su Hongwen's movements were very fast, and he had already had seven stitches in Yang Jiayi's stunned kung fu.
At this time, Wu Juan suddenly exclaimed: "The bleeding has decreased, it has decreased." ”
Guan Jingli and the nurse all poked their heads over when they heard her shout, and saw that as Wu Juan said, the blood in the abdominal cavity was indeed not spilling out.
Seeing this scene, Yang Jiayi was stunned again, she couldn't understand what Su Hongwen did.
Su Hongwen continued to stitch quickly, and when he had twenty-one stitches, he suddenly held the needle to the side and began to suck blood with the suction device.
Cheng Dongdong also sucked blood with a suction device just now, but the blood in the abdominal cavity is like an endless suck, no matter how you suck the blood, it still surges, but this will Su Hongwen suck blood, but the blood in the abdominal cavity is rapidly decreasing, and the organs inside are exposed after a while.
However, because the bleeding point is above the back of the uterus and is blocked by the uterus, no one can see the situation around the bleeding point clearly.
Su Hongwen let out a sigh of relief when he didn't bleed, he leaned his head in front of Wu Juan and rubbed the sweat on her shoulder, this is an operation, but it is not something that can be wiped by reaching out outside, so the doctor either asked the itinerant nurse to wipe the sweat with a dressing when sweating during the operation, or rubbed the sweat on other people's shoulders like Su Hongwen.
"Hemostats." After Su Hongwen finished speaking, he stretched out his hand and held the hemostat, he didn't continue the next steps, but said: "Let the laboratory department ask for 3,000 milliliters of plasma, and let the blood station send it quickly." ”
After speaking, Su Hongwen began to gently pull up a little uterus with one hand, and then probed the hemostat in, and the protruding part of the uterus was still a little adherent to the common iliac artery, but it was not much, Su Hongwen had to swim this piece away.
After a while, the uterus was lifted up by Su Hongwen, and he pulled it back slightly, and immediately let Yang Jiayi, Guan Jingli, Wu Juan and others see the stitching of the bleeding point.
I saw that the common iliac artery was damaged and protruded on both sides, although the raised part and the surrounding places were red, but Yang Jiayi and others could still see that the place was pasted with gelatin sponge.
At this time, they finally knew how Su Hongwen stopped bleeding, he used a gelatin sponge to stick to the blood vessel walls at both ends of the bleeding point, and then used the gelatin sponge to become sticky when it encounters blood.
The method that Su Hongwen came up with is very simple, which is to use the gelatin sponge to increase the toughness of the blood vessel wall by using the characteristics of gelatin sponge to become sticky and dissolve in blood, and finally make the blood vessel wall reach the toughness that can withstand suturing.
This method is not complicated, but neither Jin Junyu nor Yang Jiayi expected that their way of thinking was like other doctors, and they all thought that gelatin sponge could only be used in hemostasis of otolaryngology nasal surgery, and they did not expect that the characteristics of gelatin sponge could increase the toughness of blood vessel walls.
But Su Hongwen thought of it, because the medical education he received was different from theirs, he learned the medical skills in the medical lifeboat of Zhiyuanxing, Zhiyuanxing's technology is far beyond the earth for thousands of years, such a developed civilization will naturally not teach Su Hongwen to be a doctor with rigid thinking, on the contrary, his thinking is quite lively, so he can come up with this method, which also has to thank him for the operation he did yesterday, in which gelatin sponge was used.
If there was no operation, Su Hongwen would not have thought of using a gelatin sponge to stop the bleeding, this step is not difficult, the most difficult thing is to say that Su Hongwen sutures without a surgical field, not to mention Yang Jiayi, even Jin Junyu can't do it, it's too difficult, I can't see the bleeding point, and there are uterus on the bleeding point as an obstacle, and ordinary people can't suture it at all.
But Su Hongwen did it, because he has see-through glasses, which others can't see, it doesn't mean that he can't see, and the flexibility of his hands is not comparable to ordinary people like Jin Junyu, so he can stop the bleeding in the shortest possible time.
Yang Jiayi and the others were still in shock, they never thought that what Jin Junyu, a well-known national expert, could not do, Su Hongwen did, this is simply too hard to believe.
Su Hongwen didn't have the heart to think about what they thought, he was continuing the operation, the bleeding stopped, then the next step was to remove the uterus, so that the operation could be considered completely completed.
Li Yong outside was still roaring, and suddenly a nurse in the operating room ran out and said, "The patient's bleeding has stopped, Dr. Su is undergoing the next operation, and the family can rest assured." (To be continued......)