Chapter 72 Race against time Brothers, you can vote for a free recommendation

"Hou Quanhai, if it is really mesenteric torsion after a while, then the problem is very serious, you must hurry up and immediately open your stomach to check whether this is the case!" Jiang Yan admonished.

"Good!" He also knows that in a situation like a patient, every second counts!

Hou Quanhai walked into the operating room while looking at the patient's latest examination report.

Body temperature 37.9°C, heart rate 109 beats/min, serum potassium 2.0 mmol/L, albumin 22.10 g/L, blood lactate 7.6 mmol/L......

"Potassium supplementation, albumin infusion, hydration!" As soon as he came to the operating room, Hou Quanhai said to the nurse Bai Ruoxi.

"Okay." Bai Ruoxi is doing everything neatly.

The anesthesiologist is also very quick and directly administers general anesthesia to the patient.

Hurry, hurry, hurry!

Hou Quanhai's hand speed was still very fast, and he went in by caesarean section.

He saw about 500ml of bright red bloody fluid in the abdominal cavity, and a large section of purple and black small intestine in the right lower abdomen was piled up and twisted together!

Of course, Hou Quanhai and Fan Yu couldn't help but take a deep breath when they saw a large area of intestinal necrosis, this condition is too serious!

To be honest, Hou Quanhai has never encountered this situation, and he doesn't know how to deal with it. After all, he hasn't lit up his surgical skills yet!

"Fan Yu, you go out and report this situation to Director Jiang." Hou Quanhai said to Fan Yu.

"Okay." Fan Yu hurriedly went to find Jiang Yan.

At this time, Jiang Yan was receiving an infusion outside, and when she heard the news, her face was also solemn: "Tell Hou Quanhai that the twisted intestine and its mesangium are reset." Cover the bowel with semi-wet gauze and observe for 30 min! If the bowel does not come back to life after 30 minutes, it has to be removed and the ends of the normal small bowel are anastomosed. You ask Hou Quanhai, will he have a partial resection of the small intestine? ”

"Okay." Fan Yu hurriedly ran back again.

Narrate Jiang Yan's words!

"Hou Quanhai, will you have this operation?" Fan Yu asked.

"Well, of course!" Hou Quanhai lied seriously. It's all at this time, Jiang Yan can't have surgery in this situation, the difficulty depends on you Fan Yu?

Lao Tzu can only bear to lose money!

"Forget it, whether the patient wants to have a small bowel resection or not, let's order this surgical skill, anyway, it will be used in the future." Hou Quanhai said secretly in his heart.

Partial resection of the small intestine is a second-class surgery. "System!"

[System Points]: 3000!

These points were earned from the last mission he had completed.

[Partial resection of the small intestine]: Not started+

"Level up!"

"Ding-dong...... Deduct 400 points, partial small bowel resection – get started! ”

"Ding-dong...... Deduct 800 points, partial small bowel resection - proficient level! ”

"Ding-dong...... Deduct 1600 points, partial resection of the small intestine - director level! ”

Points Remaining: 200!

There is no speed in surgery like this, so the director level is completely sufficient, and he is too lazy to continue to upgrade.

"Hou Quanhai, what are we going to do now?" Fan Yu asked eagerly.

At this time, Hou Quanhai had so much surgical experience in partial resection of the small intestine in his mind, and he knew very well that he should follow what Jiang Yan said, and first reset the patient's intestine and mesangium!

"Just take a look at things carefully, the first step in repositioning the intestinal tube and mesangium is to find the culprit first - the fiber strip belt!" Hou Quanhai played the role of mentor.

"Generally speaking, this thing should be in this position, of course, there are special circumstances that arise, that is, it will appear in this position!"

"Well, or this location has been found, see? Loosen him first! Hou Quanhai explained as he did it.

"After the release is removed, the fibrous ribbon is removed and the torsion of the intestine and its mesangium are reduced to ......"

A few minutes later, Hou Quanhai skillfully reset the intestinal tube and mesangium.

However, at this time, the patient's intestinal tube is still purple and black, which looks very terrifying!

After Hou Quanhai covered the intestinal tube with semi-wet gauze, he looked at the time, sighed and said: "Just wait for thirty minutes, after thirty minutes, the intestinal tube will not be able to recover its vitality, and it can only be removed!" ”

Time in the operating room seems to pass very slowly!

The two of them stood here and waited quietly.

To be honest, Hou Quanhai wanted to live faster, but he was afraid that the result would not be good. If you go slowly, you are afraid that the patient will be in danger.

"Hou Quanhai, why do you have so many secondary surgeries?" At this time, Fan Yu, who had nothing to do, began to gossip.

He has been here for the past few days, and he has barely passed two appendicitis surgeries, which he has learned a lot from Hou Quanhai.

But look at Hou Quanhai, laparoscopic cholecystectomy can be played 6!

Even the big director of the door director is not as fast as Hou Quanhai.

There is also laparoscopic appendicitis surgery.

He has also seen Hou Quanhai have gastric perforation surgery, except for appendicitis, the others are second-level surgeries, and now partial resection of the small intestine will also be ......

He was envious!

"Could it be that you used to have a high finger?" Fan Yu gossiped and asked.

"Ahem...... Actually, I'm very genius, I can see a simple surgery like this almost a few times! "Hou Quanhai lied seriously.

"How many times will you watch it? I believe you, this surgery is very simple? Fan Yu rolled his eyes! You're fooling me, aren't you?

"I really don't think it's very difficult, I think at least the surgery above the third level is difficult." Hou Quanhai said with a smile.

"Don't pretend!" Fan Yu suddenly said with some lack of confidence.

Genius, is there really such a thing as a genius?

Just when the two were boasting, time passed little by little.

Finally, half an hour has arrived!

The original purple-black intestine still has not recovered, and the purple-black has become heavier!

"It's a pity that the completion is necrotic, so it can only be removed!" Hou Quanhai shook his head.

He saw that the intestinal tube, which was about 90 cm long, had not recovered its vitality, so he had to remove it and anastomose the two normal ends of the small intestine.

The process of surgery was very smooth, Hou Quanhai successfully removed the small intestine, and then closed the abdomen.

There were no problems during the procedure.

In this case, it depends on what happens after the surgery!

After the operation, Hou Quanhai came out.

Seeing that Jiang Yan was still infusion.

"The operation is done?" Jiang Yan asked.

"Well, it's going well, it depends on how the postoperative situation is, but I don't think it's a big problem." Hou Quanhai replied truthfully.

"Well, it's okay, this time thanks to you, otherwise I really don't know if I should call the door director to take over. Because now we really don't have a good surgeon! Jiang Yan said with emotion.

She was more worried about this, after all, no one knew if she would encounter a third-level or fourth-level operation next, and if she did, she knew that Hou Quanhai would definitely not be able to do it!

So I should consider whether to call Director Men or Deputy Director Liu now and ask either of them to come, or send an attending physician from their group to come.