"Director, I'd like to give it a try with a stem-stem cavernosa knife shunt." Ji Xiang stood in the sorcerer's position and whispered.

"Try it, I'm going to cut it anyway. It's definitely not going to be bad, and there's no worse ending than this. Director Liu said.

Ji Xiang was grateful, he knew that what Director Liu said before was true.

"Here comes the knife!" Ji Xiang stretched out his hand.

Tang Yan has been cooperating with Ji Xiang for a period of time, and understands that this product usually looks very low-key and gentle, but once he stands in the position of the surgeon, he will say "come to the knife".

A "knife coming" always makes people feel that he is too rampant, which is different from Ji Xiang's usual gentle appearance.

The scalpel slapped into Ji Xiang's hand, reflecting the light of the shadowless lamp, slightly chilling.

Ji Xiang picked up the back side of the stem head with his hand and aimed at the sponge body of the stem on one side, and the scalpel in his hand pulled a knife flower, and stabbed vertically with a "poof".

"Ahh The itinerant nurse, who was seeing the operation, was startled and exclaimed.

"Xiao Ji, slow down." Director Liu was also taken aback and said in a low voice.

In his opinion, Ji Xiang's surgery and surgery for partial nephrectomy and huge hydronephrosis were cautious and delicate, and he had a southern style.

It is no wonder that I studied in Yangcheng in college, and the surgery should be delicate, which is Director Liu's understanding.

But just now, Ji Xiang's "reckless" knife fell, poking and cutting the tough white film, and the depth of the poke and cutting was 4~5cm!

Just this knife made Director Liu's eyelids jump.

Although the patient's little brother can't be saved, he can't kill the corpse.

The most basic morality still needs to be had.

Even if you dissect the general teacher, you don't have such a "brutal" thing.

He was just thinking about how to persuade Ji Xiang, but then he saw dark red blood flowing out.

There is blood!

Seeing blood in the emergency department gives people a headache.

But the patient in front of him is necrotic, as long as there is blood, it proves that there is still salvation!

Infinite hope rose in Director Liu's heart.

Ji Xiang didn't explain, he was holding a knife in his hand and had already entered a state of concentration.

Here, the sorcerer is the only king.

After Ji Xiang waited for the resistance to suddenly decrease and the dark red blood flowed out, he rotated the blade of the knife 90 degrees and cut the white film again, forming a "ten" shape with the previous knife edge.

“……”

“……”

“……”

Director Liu and a few others who watched Ji Xiang's operation made a creaking sound in their throats.

Ji Xiang cut the knife very deeply, and it was two knives, cutting a cross.

If it weren't for the dark red blood flowing out, Director Liu would definitely stop it and not let Ji Xiang continue.

But the blood proved that the patient's little brother still had a breath of air and could still be saved.

The incision cross plays a role in full drainage, and Ji Xiang is most afraid to squeeze the surgical area and drain the congestion.

"Syringe ...... 18 gauge syringe needle. Ji Xiang stretched out his hand, his hand was empty, and he realized that this was the real world, and Tang Yan, as an instrument nurse, was countless times worse than the nurses in the system operating room, and the cooperation was not tacit.

"Sister, make an 18-gauge syringe." Tang Yan and the itinerant nurse said.

A minute later, the syringe needle was handed to Ji Xiang.

Ji Xiang inserted an 18-gauge thick needle into the stem cavernous body at the root of the stem, and injected heparin isotonic saline for perfusion and irrigation.

"Doctor Xiaoji, is there blood, and there is breath?" Tang Yan asked.

"Hmm." Ji Xiang nodded.

"Should the concentration of heparin be increased?" Director Liu asked.

"No, it's normal, and I'll have to stitch it up later." Ji Xiang smiled, he looked at the incision intently, and didn't raise his head.

After waiting for nearly 3 minutes, the blood flowing out of the poke turned bright red!

Bright red!

It means that it is fresh blood, which means that the little brother who has been swollen for 6 days really still has such a breath.

The bright red color swept away the oppressive atmosphere in the operating room.

"Really! It's really hard to keep it! Director Liu said happily, and even burst into foul language.

He didn't have any shame at all, although he was the one who just said that he couldn't do the excision on the patient.

The anesthesiologist was dumbfounded.

Why didn't Ji Xiang poke the cross flower with a knife just now? There is only one question on the mind of the anesthesiologist.

After seeing the bright red blood flowing out, Ji Xiang did not pause, and cut off the black necrotic tissue bit by bit along the incised skin.

"Doctor Xiaoji, after cutting so many cavernous bodies, will it be okay in the future?" The anesthesiologist knew that he could only infect if he kept it, but it was a cavernous body after all, so he asked regretfully.

"According to the study of the ultrastructure of the abnormally congested cavernous body, epithelial tissue necrosis and the formation of clots in the cavernous body can be seen after more than 48 hours of hyperemia. I can't keep it, 144 hours, it's too long. If only it had been earlier, there would have been a chance. Ji Xiang also felt a little regretful.

"But the excised cavernous body is just right, and theoretically it will not affect the patient's life later in life."

“！

！ ”

"Director Liu, your department ...... The technical force is getting stronger and stronger. The anesthesiologist didn't know what to say, so he held back a sentence for a long time.

"That's, do you know what it's called in Chinese medicine?" Director Liu didn't know the bottom of his heart, but after Ji Xiang said this, he was in a good mood and began to gossip.

"Does Chinese medicine have an explanation for this?" The anesthesiologist was surprised.

"You think! Our ancestors have summed up a lot of experience. Director Liu said, "This is called yang strength is easy to move, and yang strength is mostly caused by yin deficiency and fire, liver depression and fire or blood stasis and semen obstruction." ”

"Awesome!" The anesthesiologist praised.

"It's a pity, now it's said that no matter what it is, kidney deficiency, tsk."

"Director Liu, this patient was injected with papaverine, and there were also in ancient times?" The anesthesiologist asked rhetorically.

"It's easy to have primary yang, but I don't know the specific principle, and I don't see it much." Director Liu said, "I guess it's the ancient people who ate the pills, such as this and that." ”

After speaking, Director Liu asked, "Xiaoji, what should I do after I go down?" ”

"Broad-spectrum antibiotics, compound salvia injection, low molecular weight dextran, sodium bicarbonate, oral dipyridine." Ji Xiang replied immediately.

Ji Xiang left several decompression incisions, and the cross flower mouth poked out with a knife was sutured with 4-0 sheep intestines, and the operation ended after bandaging.

This is an open surgery, and stepping down does not mean that the operation is over, and the incisions left behind will be sutured again in about 1 week.

Although the delay is relatively long, Director Liu has become accustomed to it.

In the early years, patients who encountered deep fat layers during laparotomy generally did not suture directly, otherwise the fat liquefaction would be very serious, so they reserved threads and waited for 3-4 days after observation before suturing.

Director Liu was a little worried, and reached out to squeeze it, squeezing out the bright red bloody liquid.

He nodded with satisfaction and watched Ji Xiang finish the final finishing touches.