Chapter 367: How to stop the bleeding is stumpable

"Teacher Zhu, don't worry, this time the two major societies of FSSH and ICPF have sent us 5 sets of advanced surgical instruments, and I will give you a set at that time, so that you are satisfied."

Zhu Huoyan smiled, still the same sentence, no surgeon can refuse this temptation, a good set of surgical tools can make the doctor more handy and happy during the operation.

Even Zhu Huoyan, who has a plain personality and a bit cold, is not exempt from vulgarity.

Of course, there is another important reason, because Chen Qi is his little apprentice, and the apprentice's filial piety to his master has been natural since ancient times, and if he changes someone else, Zhu Huoyan may not accept this kindness.

Of course, some people will say that Chen Qi is taking public things as his own personal favor.

But don't forget, when Chen Qi first set up an operating room in Huangtan Health Center, Zhu Huoyan also helped him with a lot of public surgical instruments, which was a carbon in the snow.

To be a human being, you still have to have a conscience.

The operation was carried out quickly, and as the staff of the four hospitals outside lined up to donate blood, bags of blood products were sent in the operating room and infused into the wounded, providing valuable time and blood supply for the rescue.

Zhu Huoyan didn't hesitate, picked up the scalpel, and made an L-shaped incision directly through the white line of the abdomen, and began to enter the abdomen.

Chen Qi also hurriedly picked up the hemostat and suction device to suck the blood in the abdominal cavity, and began to do his assistant work.

I saw Zhu Huoyan quickly free of the greater curvature of the stomach, open the small omentum sac, ligate the splenic artery, and then free the spleen pedicle, and then clamp it with a vascular forceps:

"Chen Qi, you will perform the spleen removal operation next, I will explore the liver, the action must be fast, and the blood pressure has been dropping."

"Okay."

Zhu Huoyan is really heartbreaking for the students, Chen Qi can now remove the spleen by simply cutting off the spleen.

This is equivalent to cooking the rice well, serving it to you, and then feeding it to your mouth, you just need to open your mouth, and there is no difficulty at all.

Thinking of this, Chen Qi chuckled lightly and buried his head in his own surgery.

During the subsequent operation, Chen Qi's handling was very fast, but Zhu Huoyan was in trouble here.

Seeing Zhu Huoyan stunned there, Chen Qi was a little strange:

"Teacher Zhu, what's wrong?"

"It's troublesome, sure enough, there is liver damage, you see here, there is a rupture in the middle lobe of the liver, and the middle hepatic vein is seriously damaged, it seems that there is no way to repair it, and the liver has to be cut."

Chen Qi blinked: "Then let's cut it." ”

Zhu Huoyan glanced at Chen Qi angrily: "How can liver resection be so simple, hurry up and ask someone to call Dean Guo and Director Lu of the Second Hospital, everyone think of a way, be fast!" ”

When the little doctor in the operating room heard this, he agreed and ran out quickly, time waits for no one, and every minute and second is very precious.

Dean Guo and Director Lu soon appeared in the operating room, both wearing surgical gowns, and a lot of blood stains could be seen on their clothes, apparently also undergoing surgery.

"Lao Zhu, what's wrong? So anxious to call us. ”

"Yes, Director Zhu, we are still having surgery."

"Dean Guo, Lao Lu, look at the liver of this wounded, here, it has been bleeding."

Dean Guo stretched out his head and looked at it, and his face was not good-looking: "It's over, it's over, it's going to be partially removed, and it can't be made up." ”

Lu Yue also had a headache: "Such a young child, what can I do with this operation, I'm afraid I won't be able to get off the stage!" ”

Everyone in the operating room was making it difficult, and it was really too difficult to operate on the liver.

The liver is a very metabolically active, very delicate organ, fragile and easy to bleed, as long as ischemia for 10~20 minutes, it will cause hepatocyte necrosis.

The most critical issue in liver surgery is hemostasis.

However, in order to stop bleeding, it is necessary to know the branches of blood vessels in various parts of the liver, as well as the distribution of blood flow.

Liver removal is very simple, you can cut as big as you want, and you can cut whatever shape you want.

But this is not a vegetable market to buy pork liver, it is a dead thing, you can cut it. What is in front of you is a living person, and you can't cut it if you want to.

Before cutting the liver, you have to be cautious and cautious.

So the question is, how to stop the bleeding quickly and avoid irreversible damage to liver cells caused by too much ischemic time?

You can't blindly cut the liver until the bleeding stops, because the whole surgical incision will bleed loudly, and you can't stop it if you want to.

This is also the reason why Zhu Huoyan hesitated and Dean Guo said that it was troublesome.

With the help of high technology, county-level hospitals in later generations performed a laparoscopic operation to remove part of the liver, or a liver cancer operation, which was a major event that could be in the news.

In 1985, in the grassroots hospitals that did not even have CT, liver resection was a huge medical challenge for President Guo, Director Zhu, and Director Lu.

Even a great god like Wu Mengchao, when he first started hepatectomy, the mortality rate reached 20%, and finally after 16,000 surgeries by this great god, this mortality rate dropped to 1.3%.

Professor Wu is a professional liver cutter, he has countless opportunities to practice his hands, surgery is this thing, practice makes perfect, do more will be natural.

Grassroots doctors are just the opposite, the grassroots rarely perform liver surgery, lack of training skills, and the estimated success rate can only reach 10%.

No one is sure.

Director Lu swallowed his saliva and suggested, "Why don't you tell your family, let's do our best." ”

"No way!"

"No way!"

Zhu Huoyan and Chen Qi shouted out at the same time, startling everyone.

Dean Guo frowned: "Why don't I try it, to be honest, I'm not sure, but I've done a few similar surgeries, with successes and failures." ”

Everyone in the operating room fell silent, but there was not much time left for everyone to think and hesitate, and the little nurse shouted anxiously beside her:

"The blood pressure of the injured has been dropping."

Chen Qi couldn't hold back any longer, he knew that if he asked for the opportunity to be the chief knife, Dean Guo and Director Zhu would definitely not let him come to the stage for the purpose of protecting him.

But he couldn't watch the little girl die in front of his eyes, if he was able.

"Dean Guo, Mr. Zhu, to make a long story short, the last time I went abroad to attend the surgical conference, I was in the same room with Professor Wu Mengchao from Shanghai, and in the course of the one-week conference, he taught a lot of skills in hepatobiliary and pancreatic surgery.

Although he only taught me some theories, I still understand the technique of hand-pinching liver incision, don't forget, the liver vascular model of the health school is made by me, and I have experience. ”

Chen Qi originally melted the ping pong ball and poured it into the liver to make a blood vessel model, which has now become a way for the school to generate income.

When Dean Guo heard this, out of trust in Chen Qi for many years, he suddenly felt that this kid might have a play.