When Ichisuke heard this, he immediately became angry.

What do you mean by that?

Isn't it just turning around and laughing at him for being incompetent and unable to help?

"You're as simple as stopping bleeding? Just take a hemostat and clamp the blood vessels? Young man, let me tell you, reading books and actually doing things are two different concepts at all. ”

Ichisuke sneered and taught Zhou Can, a novice, in an old-fashioned tone.

I'm afraid I'm scolding in my heart, these young people always want to show their faces every day.

I don't weigh how many pounds and taels I have.

"Doctor Ou, can you let me try it with a hemostat? It's best if it can help you. In case it can't be helped, the destructive power of the hemostat is controllable. Zhou Can's eyes looked at Doctor Ou.

At this moment, Dr. Ou was very distressed.

The patient's blood vessels were spurting blood, and he tried to press directly on the blood vessels in multiple parts with his hands, but unfortunately with little success.

The current situation is extremely unfavorable.

It's basically like being stuck in an endless loop.

He couldn't stop the bleeding, and the blood that kept spurting out would obscure his vision, making it impossible for him to find out the real reason why he couldn't stop the bleeding by electrocoagulation.

When doctors perform surgery, what they are most afraid of is getting important nerves, unexplained bleeding, and complications.

All three have the potential to have extremely bad consequences.

If you get the nerves, you will be paralyzed at least or directly apnea, cardiac arrest, and death.

Unexplained bleeding will also result in death, unable to stop bleeding, and the patient will be more than lucky. Especially this internal bleeding.

Complications, which may be both intraoperative and postoperative.

Before surgery, why should doctors ask about allergies, high blood pressure, heart disease, diabetes, etc. It is to fully consider whether there will be other complications during the implementation of the operation.

In some people with heart disease, the degree of tolerance at the time of surgery is very low.

He may not have had surgery yet, but as soon as he was lifted onto the operating table, he was scared of a heart attack. The next thing for the doctors to do is not surgery, but to rush to save the patient.

As for postoperative complications, they were previously not taken seriously.

Nowadays, more and more surgeons list postoperative complications as the number one killer.

In the case of spinal epidural hematoma, it may be caused by the patient himself. It is also possible that during the operation, anesthesia is administered and lumbar puncture is not done well.

I couldn't find it at the time.

It was not until the postoperative operation that the patient was found to be paralyzed, and after a check, a spinal epidural hematoma was found.

The hematoma is located exactly where the spinal anesthesia is.

This is the simplest complication after surgery.

Not to mention lung infections after surgery, kidney failure, heart and lung failure, and so on.

Doctor Ou was at a loss and was about to ask the senior doctor for help when he heard Zhou Can take the initiative to ask for help. For the first time, he looked at this bold trainee.

Zhou Cangang was able to tell that the patient was bleeding nonstop, and it was possible that he injured the subdural blood vessels when he removed the malformed blood vessels, or it was possible that he had cut the bifurcation point of the blood vessels.

Neither of these ideas can be proposed by ordinary people.

Doctor Ou also looked at Zhou Can's ability twice.

"Chen Yue, let him try!"

Dr. Ou said to Ichisuke.

Basically, it is the mentality of a dead horse as a live horse doctor.

As Zhou Can said, the destructive power of hemostats is extremely small. At most, it will pinch the blood vessels. But if you can help him stop the bleeding, you don't have to call for help from a senior doctor.

Face is saved, and the problem can be solved.

Asking a senior doctor to come and put out the fire is not just asking for it, it has a price.

As a result, points are lost in the minds of senior doctors, the weight of surgery is reduced, and the ability to operate is questioned.

All of this can have a very bad effect.

It is often seen on the news that there is a medical accident in a hospital, and the doctor involved conceals the report, avoids the serious, and fails to report the problem to the senior doctor in a timely manner according to the regulations, which leads to the accident.

Such a low-level mistake can be made.

Do you think the doctor involved is stupid?

Actually, people are very smart.

He just took a fluke and thought he could handle it. This was not reported to the senior doctor.

Eventually, there was an accident.

Doctor Ou spoke, and Ichisuke could only honestly give up his seat regardless of whether he wanted it or not.

Zhou Can took the hemostat handed by the nurse, and first carefully looked for the blood vessels and veins of the bleeding point.

However, he also encountered the same problem as Dr. Ou.

The constant spurting of blood caused the view of the spinal dura to be severely disturbed. Even if you keep sucking up the accumulated blood, it's useless.

The bleeding was too fast.

And to find the blood vessels, you must start with the location of the bleeding point.

Zhou Can has already developed a skill.

You can find out where the bleeding point is by the ripples of the blood. Now, the bleeding point is very clear, and all he has to do is to go through the ripples of blood and 'find the dragon and break the pulse'.

All laws in the world are connected, and this is similar to the Kanyu in feng shui.

"The bleeding blood vessel should be located at the proximal end."

As the words fell, he clamped a nondescript submembranous vessel with a hemostat.

A magical scene occurred.

Bleeding should stop immediately.

"God, God!"

Doctor Ou shouted happily.

Yizhu looked at Zhou Can, who was in the limelight, with a face full of shame.

In the operating room, they are all real skills, and they can't be played with nothing.

Zhou Can successfully stopped the bleeding, indicating that the ability to stop bleeding was indeed above him.

Even stronger than Dr. O.

"The blood vessels should not be clamped for too long, otherwise it is easy to injure the blood vessels and spinal dura. Electrocoagulation hemostasis has been tried several times, all of which have failed. Do you see if you can ligate to stop the bleeding? ”

Anyway, it should be a better way to cut off a blood vessel with the end choroid capillary network cut off and ligate to stop bleeding.

"Wait a minute, I'll check!"

Doctor Ou spoke much more politely to Zhou Can.

Suck up the blood first so as not to obstruct the vision.

Without distractions, he quickly found the problem.

"When I removed the malformed blood vessel, it ruptured the blood vessel, no wonder the electrocoagulation and hemostasis could not be stopped. This vascular aberration is quite severe, and it has affected the subdural part of the vessel. ”

The reason was found.

Dr. Au was delighted.

Sometimes that's the case, anything can happen before the problem is found. Only when the fog clears and the real cause is found will it dawn on you. Oh, it turns out that the reason why the bleeding does not stop is so simple.

"We have to continue to explore downwards to remove all the problematic blood vessels of the lesion and then ligate them. Otherwise, sooner or later it will be a ticking time bomb. ”

Dr. Ou said.

"In this case, it is already necessary to cut open the dura mater and get to the bottom. Solve the hidden dangers thoroughly. ”

According to the regulations, some necessary records need to be made during the surgical process.

Originally, it was just spinal epidural hematoma removal, but now the dura is cut open, which is equivalent to an escalation of surgery.

A reasonable explanation must be given.

In general, the procedure is recorded by the first assistant. After the chief knife saw it, he signed.

It can also be written by the chief knife himself within 24 hours.

Dr. Ou cut open the dura, and after some investigation, he found that although the blood vessel was not very thick, the lesion was quite serious.

IT HAS BEEN EXTENDED FOR NEARLY 3 CM, AND IT IS DISTORTED AND HARDENED.

After it was removed, the end of the blood vessel segment was ligated according to Zhou Can's suggestion.

"Alright, let's release the hemostat."

Doctor Ou said to Zhou Can.

Zhou Can tried to slowly release the hemostat, and sure enough, it stopped bleeding.

Everyone had happy expressions.

"By the way, what's your name? The ability to stop bleeding is quite outstanding. ”

Dr. Ou sutured the spinal dura and asked Zhou Can's name.

If it weren't for Zhou Can's outstanding performance, it is estimated that after two months of training, Dr. Ou may not be able to remember his name.

Probably won't ask.

Now, he felt that Zhou Can was qualified to let him remember the name.

"My name is Zhou Can! I have just separated from the external training, and in the next two months, I would like to ask all the senior doctors to take care of me. ”

Zhou Can had a bit of an unpleasant quarrel with Ichisuke not long ago.

He succeeded in stopping the patient's bleeding, which was equivalent to slapping Ichisuke in the face.

Lowering your posture now can be regarded as easing the relationship between the two sides.

Then again, he will still fight for the opportunity he should have. Let him do it again, and he will also find ways to show his face.

Only by showing strength can you get the other treatment of senior doctors.

to have a chance to get started.

Take Jiang Xiaohua as an example, he and Zhou Can are both regular trainees.

Now that Zhou Can wants to get a chance to sew the skin, Dr. Ou is likely to agree. But Jiang Xiaohua is not necessarily.

That's the difference between showing your face and not showing your face.

"Well, you did well just now, do a good job."

Dr. Ou had obviously not heard of Zhou Can's name.

After a few praises, he began to concentrate on the operation.

"Xiao Zhou, haven't you practiced suturing surgical incisions for patients yet? After a while, you stand by and watch how Chen Yue sutures the incision on the patient. When you learn it, I'll consider giving you some opportunities to get started. ”

Doctor Ou said to Zhou Can in a gentle tone.

Senior doctors are basically the same, and if a regular trainee performs particularly well, they will train as many regular trainees as possible.

"Thank you!"

Zhou Can hurriedly thanked him.

The ability to sew skin, he has now reached the excellent level of the main director, and he is only more than a thousand experience points away from being promoted to the level of deputy director.

However, he still followed Dr. Ou's words very low-key.

"Look, suture has strict requirements for the size of threads and needles. The grip of the needle holder and the cooperation of the sharp tweezers also have extremely advanced skills. I've been practicing for many years before I have a little achievement. ”

Dr. Chen Yue lost face when he stopped the bleeding just now, and now he finally has a chance to get back on the field.

I saw that he explained the basic method of skin suturing with great confidence, and at the same time began to calmly suture the incision cortex to the patient.

His level of suturing is not weak, it is at the average level of a resident.

There is still a big gap between the excellent level of resident doctors.

Zhou Can watched silently beside him.

Jiang Xiaohua just glanced at it casually and looked away. He seemed to be familiar with the sewing skin.

For Gui Peisheng, sewing skin is still a rare opportunity to exercise.

There are even a lot of residents rushing to do it.

After Zhou Can watched carefully, he found that different departments seemed to have different suturing techniques.

Just like the martial arts sect, even if it is the same sword, the style is very different.

Zhou Can's suturing technique should be inherited from the vein of general surgery, and later incorporated some of Dr. Xu's style. After three months of orthopaedic surgery, he incorporated some of the suturing advantages of an orthopedic surgeon.

In general, he is more like integrating the strengths of a hundred schools, constantly absorbing the advantages of others and improving the suture technique.

He found that whether it was Dr. Ou or Dr. Chen, the suture style tended to be delicate.

The movement is unhurried, the force is relatively gentle, and the pursuit of neatness when suturing is pursued.

It may have a lot to do with the direction of the surgery in the department.

The surgeries performed by Shenwai are all highly sophisticated, not as rough as orthopedic surgery. When suturing, a little force can cause vascular or nerve anastomosis to fail.

The operation of these areas of the skull and spine is even more dancing on the tip of the knife, and you must be careful and careful.

The pinnacle scalpel of the gods, Director Wu Baihe is known for his precise and meticulous surgical style.

More than 20 minutes later, Chen Yue finished sewing.

Zhou Can watched and studied the whole process, absorbed the advantages of the other party, and then thought, how to operate if he was used to stitch up?

I feel that the harvest is quite big.

Chen Yue originally had a lot of opinions about Zhou Can.

But during the stitching process, Zhou Can has been watching and studying carefully by the side, which makes him very useful.

"See that, right? This is how the sewing skin is operated, it is easy to say that it is simple, and it is difficult to say that it is difficult. The higher the level of sutures, the faster the patient's wound heals, and there are fewer unsightly scars. I heard that there are even director-level surgeons who can do seamless suturing. Study hard, you are still young, and you still have a long way to go! ”

When Chen Yue said these words, although he was still in the tone of an old-timer, his gaze at Zhou Can was obviously not so cold.

"Okay, thanks for the advice!"

The corners of Zhou Can's mouth are slightly raised, is the traceless suturing very powerful?

He seems to have learned and used it many times on his patients.

Although it is not up to the level of Dr. Xu, it is also decent and decently sewn.

"The patient's vital signs are okay, right?"

Dr. Ou looked at the anesthesiologist.

This operation, which seems to be quite risky, is actually a second-level operation.

Medium difficulty.

"The signs are stable, can I wake up for anesthesia?"

The anesthesiologist asked.

"Push it to the awakening room for observation, there is no problem, you can transfer it back to the general ward."

Doctor Ou took off his gloves and looked at Zhou Can and Jiang Xiaohua.

"The two of you will push the patient back. Observe in the recovery room for about half an hour, paying special attention to the patient's breathing and whether he is conscious. Within 24 hours after surgery, the patient's condition should be closely observed, as this surgery is sometimes prone to secondary hematoma and must be vigilant. ”

After explaining the precautions, he and the two resident doctors left one after another.

The amount of surgery performed outside the gods is relatively small.

It's not as busy as the general and ossual outside.

There are 3,000 surgeries a year, and on average, the total number of surgeries per day in the entire department is only about eight.

……

More than 40 minutes later, Zhou Can and Jiang Xiaohua worked together to push the patient back to bed No. 24.

After all, the nanny was a hired person who paid for it.

Instead of waiting outside the operating room, he lay down on the patient's bed to rest.

To put it mildly, even if the patient hangs up, it's none of her business.

If you are a family member, you will definitely wait anxiously outside the operating room. As soon as the patient is released from the operating room, family members will immediately gather around to inquire about the results of the operation.

The babysitter was sleeping soundly.

Zhou Can had no choice but to pat her on the shoulder and wake her up.

"Auntie, Mr. Hao has completed the operation now, and everything is going well."

"Oh! The surgery went well, didn't it? I called to talk to his son. ”

The nanny took her mobile phone and went to the distance to make a call.

Zhou Can and Jiang Xiaohua worked together to carry the patient to the bed, and waited for the nanny to come back after the phone call and explain some precautions before leaving.

You have to tell the nurse to go over and hang up the drip.

It was still the nurse in charge named Hu Shuiling who sat behind the nurse's desk.

Nurses in charge generally do less work when they have someone to call on.

Unless some patients with serious conditions are worried that the ordinary nurse will mess up, they will go to the operation in person.

"The patient in bed 24 has been transferred back to the original bed after surgery. The doctor's order has come down, right? ”

Zhou Can asked.

"Well, I'll go over and put a drip on him right away, measure his blood pressure and heartbeat."

As soon as the arrogant female nurse looked up, she saw that it was Zhou Can.

The originally cold face had a hint of warmth.

It seems that she still knows a lot.

Earlier, she had an argument with the female nanny. If Zhou Can hadn't helped her in time, she would have been 100% complained.

There will be even worse outcomes.

Therefore, her heart should be grateful to Zhou Can.

"The two of you, one of you went to bed 31 to have a look, and the nurse responded that the patient had just vomited a lot. One with me to 22 beds. ”

Dr. Cheng hurried out of the office.

"I'll go to bed 22 with Dr. Cheng!"

When Jiang Xiaohua heard that the patient was vomiting, her brows furrowed slightly, and she immediately pushed the job to Zhou Can.

(End of chapter)