Chapter 137: Complex Surgery

Everything is ready to go.

Director Liu's deputy stepped forward, moving slowly and gently, but pulling it out forcefully.

Every time the steel bar is pulled out, blood flows out, and when it is half pulled, Jiang Yu suddenly speaks: "Wait a minute." ”

Director Liu frowned, there is no room for mistakes in this kind of operation. However, Jiang Yu opened his mouth to interrupt at this time, which was an extremely serious matter.

Even if something goes wrong with the patient, he can blame Jiang Yu for the reason.

"Dean Jiang?" Director Liu asked eagerly.

Jiang Yu frowned and said: "The patient's bleeding is too large, and if the steel bar is completely pulled out, it may cause more danger, so I recommend suturing surgery from the back first to avoid the appearance of pneumothorax." ”

Director Liu's brows furrowed into a mountain, and after thinking for seven or eight seconds, he spoke: "Can Dean Jiang stabilize the patient's physical condition?" If it can be stable, then I can give it a try. If it doesn't work, you have to do it by conventional means. ”

"No problem." Jiang Yu nodded.

In fact, according to Jiang Yu's method, not only can the risk be reduced, but also the patient will suffer less guilt in the future recovery process and shorten the recovery time.

Director Liu took a deep breath and looked at Jiang Yu in disbelief: "Okay! ”

After that, with the help of the assistant, I began to prepare for deep sutures.

The sutures went smoothly, and the amount of bleeding was not a problem under the control of Jiang Yu's silver needle.

Intense surgery is underway, and the wound on the patient's back and the internal tissue muscles have been sutured.

Jiang Yu reached out and grabbed the patient's wrist for a brief reconnaissance.

The patient's condition is quite stable, and the next step may be troublesome.

Jiang Yu wants to say that he has no worries, but that is false. He was afraid that the patient had some other congenital history that they had not had time to investigate. And when the patient is unconscious and injured, and in the process of surgery, it is impossible for him to completely see what is wrong with the patient by looking, smelling, and asking.

The rebar is slowly being pulled outward, and with each shot, a small amount of blood gushes out of the patient's body.

But fortunately, there are plasma supplements and other auxiliary means, which are all prepared properly under Jiang Yu's instructions

However, when the steel bar left the patient's chest, there was a pop.

Jiang Yu secretly said that it was broken, and Director Liu's face also changed, and he glared at the assistant viciously and said, "What are you doing so quickly, don't you have a brain?" ”

After speaking, Director Liu pushed the assistant away, and a series of orders were issued.

Jiang Yu's face was ugly, but he didn't expect that the patient had formed an occlusive pneumothorax.

If not properly managed, the patient's lung function will be lost in a very short period of time, and this is not important, the important thing is that the patient is likely to suffocate to death!

Jiang Yu calmed his face and found that the patient's condition was quite stable and there was no hypoxia, so he hurriedly said: "Occlusive pneumothorax is a bit troublesome. ”

Director Liu nodded and said, "Dean Jiang, I suggest that you invite a thoracic expert immediately. ”

Jiang Yu shook his head and said, "It's too late, I'm afraid the patient's body won't last that long." And the patient has other questions. ”

"Other questions?" Director Liu was surprised.

Jiang Yu looked at the wound on his chest and confirmed, "The patient has cancer." ”

Director Liu was momentarily confused, and the others were equally confused.

They never expected that Jiang Yu would say this.

How did he find out that the patient had cancer?

How is this determined?

"Dean Jiang, are you sure? In what location? Director Liu hurriedly asked, if the patient really has cancer, then the operation may be self-defeating, and they must be fully prepared. Otherwise, the cancer cells will travel down the bloodstream throughout the body.

At that time, the patient's life will be over in a very short time, and even if they succeed in this operation, the patient will not have much to live, and will suffer more.

Jiang Yu took a deep breath and said, "Lung cancer happens to be the piece of lung penetrated by steel bars. I recommend immediate lobectomy on the right side of the lung and cautery of other blood vessels to prevent the blood from spreading the cancer cells. ”

Director Liu frowned slightly, and then nodded vigorously, agreeing with Jiang Yu's opinion.

Because many patients have been infected with cancer cells during surgery, and they could have lived for ten or eight years, but their lives ended in only three months to six months.

"Okay, do you need a family member's signature?" Director Liu asked again, after all, this is not the same operation, and the removal of part of the patient's lung will have a great impact on the patient's future physical state and life, and if the patient's family is not informed, it will be a big trouble.

Jiang Yu said directly: "No, just send someone out and tell them." ”

"By the way, find someone to take a video camera or mobile phone to record the entire follow-up surgical process."

"Director Liu, please excuse me, I will make a brief introduction to the current surgery that requires lung cutting, and I will prepare other things."

Director Liu's eyes lit up, and he couldn't help but extend his thumbs up: "It's still Dean Jiang who is thoughtful." ”

Jiang Yu answered and went to work.

In order to treat the patient and avoid future troubles, this video may become an important evidence to resolve the doctor-patient crisis.

Otherwise, if the patient has a little legal awareness, they will find trouble, and the hospital will remove the patient's lung without informing the patient's family, and if there is not enough evidence, the hospital will face a large amount of compensation!

Soon, a video rack was in front of the operating table, facing Director Liu.

Director Liu quickly explained the patient's situation, and after explaining the problems and the necessary surgeries, he directly began to perform the lung resection operation.

The patient's wound is enlarged and all preparations are made for lung cutting.

At this time, Director Liu's admiration for Jiang Yu in his heart can almost be described as a five-body throw. If Jiang Yu hadn't proposed to suture the wound on his back first, they wouldn't have had enough time to suture the lungs when they found that the cancer cells had spread.

During this time, cancer cells may pass through the damage in the lungs and blood flow, and then enter the blood circulation and spread throughout the body.

For a while, Director Liu also felt that if Jiang Yu could continue to stay in the provincial hospital, he didn't know how many seriously ill patients would be saved.

The right lung incision was performed very quickly, and there were no other problems during the operation, except for the increase in the amount of plasma transfusion and blood replenishment.

During the operation, they found that two-thirds of the patient's right lung had been infected, and there was only one outbreak period left, and the consequences of the cancer outbreak were unimaginable.

At that time, it will not be possible to leave even the remaining 1/3 of the lungs.

Everyone looked at the lung fragments that were placed on the medical tray, and the pitch-black lungs and the obviously strange lumps on them were not direct manifestations of cancer.

However, in order to further confirm, Jiang Yu still spoke: "Save part of the lung fragments and keep them for later use." In addition, it was sent to the laboratory to test the content of cancer cells in the lung fragment. ”

The others nodded one after another, Jiang Yu is indeed powerful, not to mention the high level of medical care, and even more rigorous in doing things.

To become the vice president of the Jingkai District Hospital at this age, it seems that it is not only the Chang family, but also himself!

"The surgical removal of the lung with the cancer cells is complete." After Director Liu said a word to the video recorder, he said to Jiang Yu, "Dean Jiang, there should be no problem with anything else, right?" ”

Jiang Yu stepped forward to check the pulse, and after probing and confirming it, he said, "Okay, you can suture it." Only, I recommend making sure again that the cancer cells are clear and clean. ”

Director Liu answered, and the assistant began to check again.

Taking advantage of this effort, Jiang Yu wrote a prescription for people to grab medicine. It is used to promote the patient's body recovery and strengthen the body's immunity to prevent any residual cancer cells from surviving.

When the examination is over, the sutures begin immediately, and the operation is completed without a hitch.

"At the end of the operation, everything went well, and the patient was transferred to the intensive care unit and followed closely 24 hours a day." Director Liu said this and walked off the operating table.

The operation took six hours, so it can be said that it was not one operation, but two.

A penetrating chest injury, a lung resection.

Either operation is difficult, and putting the two together is even more difficult.

The operation was over, and Jiang Yu and Director Liu chatted while taking off their gloves and clothes.

"Director Liu, I've really worked hard for you. I didn't expect this surgery to be so troublesome. ”

Director Liu said with a smile: "Dean Jiang is really polite, if it weren't for you, a patient, he might have died." I really admire Dean Jiang's level. ”

"Director Liu has won the award, everyone is to treat the disease and save people."

Who would have thought, but Director Liu waved his hand and said in a firm tone: "Dean Jiang, I want to thank you for the patient, if you hadn't let me see this operation, many people might die in the future." When I go back, I will share this method so that more people can benefit. ”

Jiang Yu's eyes lit up, not to mention Director Liu's superb surgical skills, and his character was also good.

"Dean Jiang, let me give you advice. I think you can write a paper about this type of surgery, and even a lot of TCM can be published as a paper. This will be of great benefit to President Jiang. And it can help more people. Director Liu smiled slightly, Jiang Yu was the most talented young man he had ever seen. He is very willing to share his experience with Jiang Yu.

Jiang Yu nodded and said, "Director Liu, you should come to this operation, I don't need to sign or anything." In terms of Chinese medicine, I will think of a way. ”

"Huh? Dean Jiang, are you telling the truth? Can I really? Director Liu's face was full of surprise, Jiang Yu obviously gave him a great favor. You must know that this is a video operation, which can almost be said to be the credit of picking it up for nothing.

Jiang Yu smiled: "Of course it's true, and I also ask Director Liu to contribute more to the patients." ”