At this time, it is only past nine o'clock in the evening, who knows if there will be a very serious patient in the back!

Just as Jiang Yan was thinking about this problem, suddenly there was a chaotic sound of footsteps outside the emergency room door.

"Doctor, doctor, save my son!"

I saw a middle-aged man panting and shouting anxiously. He carried a thirteen or fourteen-year-old boy in his arms. At this time, the boy inhaled weakly and painfully, and the white T-shirt was stained with blood on the entire left side of his abdomen.

Seeing this situation, Hou Quanhai and Cheng Kai hurriedly pulled over a flat car and asked the middle-aged man to put his son on it.

"How did it hurt?" Hou Quanhai asked while quickly lifting the white T-shirt to check the injury.

"My son was skateboarding in the square at the entrance of the street, and in the process of playing, he accidentally rushed into the bushes in the green belt of the square, and was inserted into the abdomen by a sharp branch! Shed a lot of blood......" Gou Yao said with a crying voice.

Jiekou Square?

It's the square where he gave first aid to the big star last time, and it's very close to the hospital here, seven or eight minutes by car. The child must have been driven by his father. Hitting 120 so close is actually slower!

At this time, Hou Quanhai lifted his clothes and saw that there was a wound 1 cm wide and 2 cm long on the lower edge of the young man's left ribs, and blood was flowing out rapidly!

"This site is where the spleen, pancreas, and stomach edge are located, and it's either splenic hemorrhage or gastric hemorrhage!" Hou Quanhai's face was solemn, according to this amount of bleeding, there is no doubt that it is arterial bleeding!

Not far away, Jiang Jiangyan glanced at it from a distance, and said very experiencedly: "It should be that the sharp object has injured the spleen and injured the artery, and it has to be operated on immediately to stop the bleeding!" ”

"Huh? Arterial bleeding? As soon as Gou Yao heard that his son was bleeding from the splenic artery, he immediately panicked. Anyone with a little common sense knows that arterial bleeding is very dangerous, and if you are not careful, you will burp!

"Xiaojing, who is the attending doctor or director of our emergency department who is closest to the hospital?" Jiang Yan knew very well that this time he had to call someone immediately!

"The doorman's house is the closest to here, and it takes about fifteen minutes by car!" Xiao Jing recalled for a moment and immediately said.

"Okay, you immediately call the door director and ask him to come over, and tell me about my situation, I am not feeling well at the moment and cannot have major surgery!" Jiang Yan said quickly.

"Okay."

"Fan Yu, immediately give the patient an abdominal CT examination, Bai Ruoxi, give the patient an immediate infusion and blood transfusion!" Then she commanded.

"Okay."

Suddenly, the two immediately started preoperative preparations.

Hou Quanhai held the hemostatic cotton pad and pressed the wound slightly, and said to Jiang Yan: "Director, even if the door director can arrive in fifteen minutes, I am afraid that the patient's condition will deteriorate, or even ......."

After all, it is a massive arterial hemorrhage, and 15 minutes is a very long time!

You have to have surgery right away to stop the bleeding!

"I also want to operate on him immediately, but I can't enter the operating room now because I have a fever and cold, and no one here will do this tertiary surgery - spleen repair!" Jiang Yan was a little helpless, but suddenly she still subconsciously asked: "Hou Quanhai, will you?" ”

"Uh...... Yes! Hou Quanhai hesitated, "But...... Not very skilled. ”

To be honest, he really won't be able to perform this tertiary operation, but looking at the amount of bleeding from this teenager, he is worried that the child will not be able to wait for the director of the door to come, and even if he can wait, it is estimated that his condition will not know how much it will deteriorate!

But he can be kryptonite!

Although it is a third-level surgery, it definitely requires a lot of money, but krypton gold to the entry level or proficiency level, you can give it a try, right?

Generally speaking, if the greater splenic artery is bleeding, the emergency emergency surgery is to perform splenic artery ligation, spleen resection, and the abdominal cavity can stop the bleeding to save life.

However, it is not as simple as stopping the bleeding, it depends on the degree of damage to the spleen, whether it is a total or partial resection, or repair, and splenectomy or splenic repair is used here.

If the patient's spleen damage is generally severe, there is no need for a total resection, only a partial resection, and you need to surgically remove a part of the blood to stop the bleeding!

The spleen is a very fragile organ, and a little carelessness during the operation will cause secondary damage!

In fact, Jiang Yan just asked casually, she didn't expect him to have this tertiary surgery, but she didn't expect Hou Quanhai to do this tertiary surgery, which made her a little surprised!

Just looking at the other party's answer, it is estimated that he is very skilled, and he should not be able to do this operation alone!

If the surgical proficiency is not enough, she still doesn't worry about Hou Quanhai doing it! But now patients can't wait!

"In this way, you go to the abdomen first to check the extent of the patient's injury, and then make a decision, if you really can't do it, just wait for the director to come, and you can save time at that time." By the way, turn on the video recording of the operating room and connect it directly to the big screen outside, and I will connect with your mobile phone Bluetooth voice. When the time comes, listen to my instructions for surgery! Jiang Yan thought for a while.

Even if Hou Quanhai is not skilled enough in this operation, she believes that having her outside to provide on-site guidance should be of great help, and it is not necessary that the operation can be completed.

As for the director of the door, he must come, even if this operation is completed, what about the second half of the night? There's got to be a master!

"Okay!" Hou Quanhai nodded.

Soon, the CT results came out, and it was indeed splenic artery hemorrhage, but fortunately, there was no trauma to other organs.

In the operating room, the anesthesiologist had already anesthetized the teenager, and Fan Yu and the two nurses were also busy preparing the instruments before the operation.

"System!"

[System Points]: 200

[Splenectomy or splenic repair]: not introductory+ (traditional laparotomy, laparoscopy. ）

Hou Quanhai knew that he still had more than 19,000 deposits left in his bank card at this moment. This kind of tertiary surgery will definitely not be upgraded to the director level.

"Let's charge 10,000 first."

"Level up!"

"Ding-dong...... Deduct 6000 points, [Splenectomy or Splenic Repair] - Beginner+! ”

"Shhh...... Deduction of 6,000 for me just for getting started? "Hou Quanhai's distressed toothache is really expensive.

"Don't recharge first, wait until you open your stomach to see how the patient is doing." Hou Quanhai did not continue to kryptonite, and planned to see how the patient's injuries were first.

In fact, there are two surgical methods for spleen injury and massive bleeding, the first is the traditional laparotomy! The second is laparoscopy.

However, Hou Quanhai, who has entry-level knowledge, knows that if the spleen injury is not serious and the bleeding is small, a laparoscope can be used, and the trauma is small.

However, if the spleen is damaged and the arteries are bleeding, the amount of bleeding is large, and the hemostasis treatment must be performed with traditional laparotomy. Because traditional laparotomy has a wide field of view, the operation is done quickly.

Generally, experienced surgeons can stop bleeding or completely remove the splenic artery, and it can be done in a few minutes!

Because it's all about saving lives first! Preservation is not considered at all, and the spleen is not preserved.

Total resection is a one-size-fits-all cut of the entire spleen, and the arterial end ligation is directly performed to stop bleeding, so it can be done in a few minutes.

However, if the spleen is partially removed or repaired, it will take longer.