This step is one of the difficulties of this surgery.

The usual procedure is to pull the distal gastric end, pancreatic head, duodenum, and upper jejunum to the right side, and the third assistant to direct the superior mesenteric vein to the left, thus revealing three to four venules that are injected from the pancreas into the supramembranous vein.

The first assistant cooperates with the main knife to ligate these small veins one by one and cut them off, and then perform the next step of uncinate process resection.

But something went wrong in the process.

As the general inpatient of gastrointestinal surgery, it was the first time for Guo Xiaolin, the third assistant, to participate in pancreatic head duodenectomy.

Even if you have done a lot of homework before the operation and are familiar with the work you have to do, if you want to know it, you have to practice it with real knives and guns.

At this moment, when he used the retractor to pull the superior mesenteric vein, his hand was a little stronger.

The blood vessels of the human body are delicate, and for middle-aged and elderly women in their fifties, there is a brittle word to be added.

The vein ruptured, and the lower end of the hook suddenly gushed blood, quickly flooding the entire field.

Dave's reaction was extremely fast, and he immediately removed the retractor, took a large gauze and pressed it down, and Director Shen also hurriedly used a suction device to absorb the blood.

At this time, the first thing is to find the bleeding point and stop the bleeding.

However, the blood flow was so strong that it was impossible to see the location of the bleeding point. Dave tried several times to clamp and suture to stop the bleeding, but he could only press it with gauze again, and motioned to Director Shen to help him press to stop the bleeding.

At this time, Tao Le moved. Three milli needles are pierced near the bleeding site, forming a zigzag shape.

She didn't use her golden finger to repair it, because in that case, after stopping the bleeding, she would find that there was no wound at all, and a good operation would turn a suspenseful event.

It's okay once, but if you have more times in the future, you will definitely be suspicious.

It can't be treated with a gold finger in the space, but the mask man taught her a new stitch.

Acupuncture pulse control and hemostasis. Although it is not as quick as a direct repair, the effect is immediate.

The rate of bleeding visibly slowed down, turning from a spring to a stream.

This change naturally fell in everyone's eyes, and they were more convinced of Taole's acupuncture skills.

Director Shen sucked out the blood, and Dave also saw the location of the bleeding point.

The fracture is clamped with an injury-free vascular forceps, and then repaired and sutured with an injury-free thread.

After that, everyone relieved themselves and focused their eyes on Tao Le.

Tao Le doesn't want to be the center of attention, and now is not the time to relax.

She pointed to the monitoring machine, which showed that the patient's heart rate had risen to 120 and his blood pressure had dropped to 80/50.

The people present were all experienced clinicians, and they immediately understood what she meant.

Just now, when I was bleeding heavily, the amount of blood sucked by the suction device was too large, and the blood sucked out alone reached 1000ML, and the actual blood loss of the patient was even more.

If the blood is not replenished as soon as possible, not to mention that the operation cannot be carried out, and the patient's life will be in danger.

"Using a blood recovery machine, the blood sucked out is purified and then given back to the patient." Dave said.

"Well, we've been applying for this kind of equipment all the time, but we haven't yet." Director Shen explained.

There should be one in every operating room, but for some reason, the applications are always sent back, citing lack of funding.

"Transfuse 5 U of red blood cells first." Dave didn't expect that the first hospital didn't even have this common equipment, so he had to settle for the next best.

The nurse of the first circuit took the doctor's order and trotted all the way to the blood transfusion department to take red blood cells.

As soon as she left, Tao Le asked, "Do you want to make up some more fluid?" ”

She has learned a hard lesson. THE PATIENT HAS HIGH BLOOD SUGAR, POOR COAGULATION FUNCTION, AND WILL CONTINUE TO LOSE BLOOD FOR A WHILE, IT IS NOT ENOUGH TO REPLENISH THESE RED BLOOD CELLS, AND AT LEAST 3000ML OF FLUID MUST BE SUPPLEMENTED TO ENSURE THAT THE PATIENT CAN GET OFF NORMALLY.

Tao Le spoke, and Dave didn't think much about it at all, and immediately agreed.

"PREPARE ANOTHER 2000ML OF CRYSTALS AND 1000ML OF COLLOIDS." He said.

The first circuit nurse is not there, and Yang Ruixue, as a field worker, naturally has to make up for it.

Song Mei handed the doctor's order to her: "Go and come back quickly." ”

"Where are you going to get this?" Yang Ruixue hesitated, but still asked.

She'd never picked up anything herself, wasn't it all nurse's?

Even if she wears a nurse's uniform, she is still a doctor in her bones!

Although her voice was not loud, it also reached the ears of everyone on the stage.

Most of the people present knew Yang Ruixue and knew the reason why she appeared here, so that's all.

The most shocking person is Dave. It was the first time he had seen such a nurse, both at home and abroad.

As a itinerant nurse, she didn't know where to pick up the medicine, and such a person could mix in the operating room and squeeze into her own team?

He was warm and affectionate to Tao Le, but not to others.

Meticulous, conscientious, and strict to the point of being almost harsh, this is what he really asks of his team assistants.

"Please get out. Don't be in my surgery again. Dave's voice was not high, but his words were heavy.

"Why? I am here to experience your surgery, please give me a chance. Yang Ruixue was about to cry.

She didn't expect that she would be kicked out by Professor Dave just by asking a question.

"I've already told the hospital leaders that you only need the highest level of medical staff." Dave's brow furrowed.

"Now, I don't think you can afford your responsibilities and be ineligible to be part of my surgical team. So, please get out and don't let me say it a third time. ”

He said it here, even if Yang Ruixue is not thin-skinned, she can't hold it anymore.

But if she just leaves, where will her face go?

"She, Tao Le is also a regular doctor, if I can't stay in the operating room, why can she?"

Tao Le didn't expect that if he didn't say a word, he would be able to set himself on fire.

She was about to say something when Dave spoke first.

"You can't compare with her, and you don't deserve to compare with her."

As soon as these words came out, not only Yang Ruixue, but also everyone else was stunned.

Why is Tao Le so highly rated in the hearts of this foreign expert?

Unworthy? I don't deserve to be with Tolebi? Yang Ruixue couldn't understand Dave's words at all.

She and Tao Le are indeed incomparable anywhere, whether it is family or academics, the other party is not qualified to compare with herself.

"I'm not worthy? What is better about her than me? Is it just your mouth? It's not fair! Yang Ruixue couldn't hold back anymore and shouted directly.

Dave spread his hands, not at all continuing to explain to her.

He asked the head nurse Sun Mei directly: "In your hospital, are the nurses so rude and don't understand the rules?" ”