I saw that Dr. Lu took the scalpel with a very skillful demeanor and enlarged the wound.

"That Xiao Zhou, hurry up and help pull the hook!"

Doctor Lu exclaimed.

Zhou Can had to put down the piece, take the flat hook, and pull the wound open.

It is worth mentioning that the flat hook used to pull the wound or tissue at different parts will be different. For example, for breast surgery, L-shaped flat hooks are often used. Abdominal wall, using a large belly hook. Appendix surgery, using a double-ended hook.

When Zhou Can was an intern, he hooked Director Liu or other doctors, and he was really scolded.

Later, I pulled the hook more times, knew what part to use what hook, how to pull, and rarely got scolded.

Famous teachers produce high apprentices.

Director Liu's surgical level is very high, and Zhou Can's hook pulling skills can be regarded as practiced.

At least above the level.

After Dr. Lu's scalpel enlarged the wound, the blood gushed even more.

However, he has a lot of experience in surgery and does not panic.

Instead, let Zhou Can suck the blood out, and then calmly continue to expand the wound and cut it down.

Here it is mainly the muscles and dermis.

There are only two large blood vessels.

As long as you are careful, you will not break it.

At this moment, the black grinding wheel fragments have appeared.

It's actually a metal grinding wheel.

The fragments are embedded in the dermis and muscle layers, and they are quite deep.

"Xiao Zhou, learn a little. Judging by the footage taken by the patient, the fragment is triangular in shape. What is exposed on the outside is the big head, and there must be only a sharp corner left underneath. Just clamp the tail of the fragment and pull it out. Be fast and handsome. ”

Dr. Lu suppressed Zhou Can to death, and with the fact that the operation went well, he was already unable to float.

I saw that after he clamped the fragment with pliers, he pulled it out with force.

The posture is handsome.

"Snort!"

Tiny columns of blood spurted out directly.

This sudden change scared Dr. Lu stupid.

"Is the blood vessel broken?"

Dr. Fu's face changed slightly, and he hurriedly walked closer to check.

"It shouldn't be a big problem. It may be that the fragments originally injured the blood vessels, and after they were pulled out, the blood vessels broke a small hole. A simple fix should do the trick. ”

Dr. Lu pretended to be calm.

At this point, he didn't realize the seriousness of the problem.

Zhou Can's face had become very solemn.

He never found out what was wrong with the patient.

When cleaning the wound, I just had a little idea, and was rudely interrupted by Dr. Lu.

It was only at this moment that it was understood that the patient most likely had a blood clotting disorder.

No wonder the blood has not clotted, and after a period of time outside the body, it still retains its bright red color.

[Pathological diagnosis experience value +1.] 】

The experience points were successfully received, and sure enough, it was a blood clotting disorder.

It's a pity that the diagnosis was a little too late. Tragedy has happened.

Dr. Lu widened the wound, which already aggravated the amount of bleeding.

Now after pulling out the fragments, the broken blood vessels lost their suppression and directly began to spurt blood.

This time it's a big problem.

Ironically, Dr. Lu also thought it was just ordinary bleeding and not a big deal.

I'm afraid it's too late to cry for a while.

Of course, the first person to cry must be Dr. Fu.

When something happens, the first person to be held accountable is the doctor with the highest status.

This is somewhat similar to the fact that the army has suffered a defeat, and it is the generals, not the minions, who are punished.

"Stop the bleeding!"

Dr. Fu regretted that his intestines were blue.

I knew that Dr. Lu was so capable of doing things, and he shouldn't have let Dr. Lu preside over this operation.

"I'm afraid this bleeding is hard to stop."

Zhou Can had already walked to the cabinet where the first-aid supplies were stored, looking for a binding ribbon to stop bleeding.

The patient has a coagulation disorder, and it is difficult for electrocoagulation to stop the bleeding.

Tie the proximal end of the thigh first, which is the only effective way to stop bleeding quickly.

Zhou Can's idea is very simple, first control the bleeding, and then find a way to stop the bleeding.

Otherwise, at this rate of bleeding, it will not be long before the patient becomes life-threatening due to excessive blood loss.

"Xiao Zhou, close your crow's mouth to Lao Tzu!"

Dr. Lu's expression was somewhat hideous.

If something happens, no one is in a bad mood.

I saw him take the electrocoagulation knife and point it at the source of the bleeding.

Zizi!

The blood was immediately stopped.

However, it was not long before it stopped, and it soon began to bleed out.

That's when Dr. Lu realized how bad the situation was.

Zhou Can doesn't care about this second goods, just do his own thing.

Tie the patient's thigh proximal to the heart with a gauze band.

The bleeding finally stopped for a while.

"Doctor Lu, if you continue to use electricity, it will be scorched. Debridement is a hassle at that time. ”

Zhou Can really couldn't stand it.

Dr. Lu's level of hemostasis is not good, and he is still blindly working there.

This is not to stop the bleeding, but to cause more harm to the patient.

When the time comes, whoever will clean up this mess will have a headache.

"Shut up!"

Dr. Lu's eyes were red and his expression was hideous.

You can feel a terrible aura emanating from it.

"Dr. Chow is right! You stand on the stage first. ”

Dr. Fu had a cold face and directly drove Dr. Lu off the operating table.

The most panicked people are probably the patients.

"Doctor, is my leg okay? What the hell is going on? ”

Although the patient is only a young man in his early twenties, he has little experience. But the danger was also felt from the conversations of these doctors.

Fear spread rapidly in his heart.

"Don't worry, that piece of shard may have broken the walls of your veins a little bit. We're figuring it out. ”

After Dr. Fu comforted the patient, he looked at Zhou Can.

After the crisis just now, Zhou Can reacted quickly, and the disposal plan was also very good.

The judgment is accurate, and the hemostasis strategy is scientific and reasonable.

At first glance, he has real skills.

"Doctor Zhou, why did you think that the patient's bleeding would be difficult to stop?" Dr. Fu thought that before the operation, Zhou Can had suggested that the operation be postponed.

As a result, he listened to the nonsense of Dr. Lu's pig, and criticized Zhou Can.

Now that something has happened, it's too late to regret it.

"The patient is likely to have coagulation dysfunction, and it is difficult for ordinary hemostasis methods to be effective."

Zhou Can said his diagnosis again.

If only Dr. Fu had listened to him earlier.

It is too late to cause a catastrophe.

"Tell me about the basis of your diagnosis!"

Dr. Fu's face turned as pale as that of a patient, and layers of sweat broke out on his forehead.

He also had this bad feeling.

Now Zhou Can suspects that the patient has a blood clotting disorder, and his last trace of luck is gone.

"When the patient came in, I thought his face was paler than normal. There is also the blood around the patient's wound, which is very fresh in color. It stands to reason that after the blood flows out of the body, it will soon clot into lumps, and the color will be dark red and black. However, at that time, there were only these two findings, and I was not too sure that the patient had a blood clotting disorder. ”

Zhou Can paused and glanced at Dr. Lu, who was full of panic.

"It wasn't until Dr. Lu enlarged the surgical wound for the patient that I realized that the patient probably had a blood clotting disorder. Just now, he used electrocoagulation to stop the bleeding, which was almost ineffective, and he was almost certain that this diagnosis was correct. ”

When doctors perform surgery, the most feared thing is that the patient has blood clotting dysfunction.

Because this patient was an emergency surgery, coupled with a traumatic injury, and a minor operation, the attending doctor may not have done a routine blood test for him.

After a brief inquiry and CT scan, the surgery was sent directly.

The doctor was well-intentioned and wanted to operate on the patient as soon as possible to relieve the pain.

Unexpectedly, something happened.