Chen Minghao is an associate professor, that is, he is familiar with the students in the group, and the corresponding theory of Fang Ziye's vascular surgery is a bit too dick, and his thinking is out-of-the-box, but the theoretical ideas are extremely meticulous.

Therefore, Chen Minghao really didn't think about the possibility that Fang Ziye was not a practitioner of cardiovascular surgery.

Naturally, the oolong will be unraveled, and the operation will continue.

Vascular bridging, which is not difficult to operate, is nothing more than crossing the presacral venous plexus and completing a single-valve bridging from the vertebral venous system and the inferior vena cava system.

This bridge is only temporary and useful, and after the bridge, it will be dismantled later. It is equivalent to establishing a bridge channel.

Chen Minghao and Liu Faming cooperated, and it didn't take long for the operation to be completed, and said: "This bridge is a one-way valve, and the channel is established, but it is unknown whether it can have the effect you said in the end." ”

"After I opened the valve here, if nothing worked, we still cut it as honestly as we wanted."

He didn't really figure it out.

Han Yuanxiao: "......"

TM's retroperitoneal active hematoma has always been a relatively dangerous content, why does Fang Ziye engage in a bridging to stop bleeding, why can it work wonders?

"Huh? Done? "Zeng Quanming must know Deng Yong.

The division of labor is meticulous and clear, this is to improve the quality of diagnosis and treatment of patients, although it is said that it is necessary to engage in knowledge, but there is no need to take such risks.

There are also fractures of the ilium, but the fracture of the ilium is just a bite, strictly speaking, it should be just a bone crack, and naturally there is no need to deal with it, just lie flat for a period of time.

After doing this, Fang Ziye stood up straight and said to Deng Yong: "Master, the patient's pelvic fracture belongs to the stable type, and the fracture of the tail vertebrae does not seem to be within the scope of our trauma surgery, so the teacher of spine surgery has to fix it, right?" ”

Chen Minghao: "......"

"The split artery is clamped again, and the blood supply should be blocked, which is the best time to stop the bleeding."

In this way, the extremely dangerous active hemorrhage in the pelvis and the active hematoma in the retroperitoneal pelvic position were easily resolved.

Deng Yong has now let go of his state of mind, he is not the director of the department, so what kind of pressure, mature and steady, he can stand aside, and he is the best happy at present.

Because the balance of knowledge points is 0, Fang Ziye panicked and dubbed himself illusory: "Knowledge points +0.5!" ”

It's equivalent to, I found a girlfriend, finished the prelude and knocked the medicine, and she left!

This TM isn't really Gil uncomfortable?

But Fang Ziye has now arrived at the operating table, and is seriously completing hematoma removal and hemostasis.

The operation is still continuing, and Fang Ziye is working hard to do what he can, striving to find more knowledge points in his hands, which can be called a model worker.

During the whole process, Fang Ziye started the whole process, in fact, the physical consumption was not small, Deng Yong also saw it in his eyes, nodded and said: "It is indeed the business of spine surgery, tour, remember to let the spine surgery department come over to deal with tail fractures." ”

By connecting the large veins in the vertebral venous system and then connecting them into the inferior vena cava, Fang Ziye has indeed changed the original venous return path, and the effect is excellent!

The hematoma, which was still expanding before, not only stopped expanding, but also shrunk!

Seeing this, Fang Ziye, who had discussed with Chen Minghao before, hurriedly asked: "Professor Chen, if there is a blood clot in the hematoma into the blood, it will not flow back into the heart, right?" ”

You know, you are used to having a balance of knowledge points, and you can add points to your skills at any time to complete the unexpected Fang Ziye, but now that the knowledge points are emptied, it really feels uncomfortable......

"I have an aortic dissection over there, and I came over quickly after I had anesthesia......" Zeng Quanming's voice was very loud and anxious.

However, Fang Ziye's non-answer made Liu Faming and Chen Minghao very uncomfortable.

"I'll see."

There are also two professor-level people sitting next to him, how dare he open his mouth to disturb.

Then I nodded and agreed to give it a try, anyway, if you do it than if you don't do it, the risk will not be worse.

"We're going to eat here, don't you know, my family has been doing all the way from the emergency room to rescue people, and has been involved until now."

Deng Yong wanted to leave with Fang Ziye, and Chen Minghao felt extremely uncomfortable: "Teacher Deng, can you ask Doctor Fang to help me?" ”

"That's all for the time being......

Deng Yong joked: "Director Zeng, you can come in time, just right, you can help the patient out in a while." ”

At this time, isn't it a live target?

Fang Ziye operated a vascular suture technique and killed him so that no piece of armor remained.

"The pelvic fracture in our trauma surgery is treated conservatively, and it is enough to lie down strictly."

Chen Minghao nodded: "Don't worry, this one is professional, venous strainer, specializing in the treatment of all kinds of embolic disobedience, huh... This? ”

Chen Minghao said that it was heavenly, and it cannot be said that this is a specialized disease in vascular surgery.

"Our trauma surgery will step down, and the operation of our trauma surgery is that multi-active hematoma removal in the pelvis + multi-branched arterial hemostasis, and you can write a few hemostasis at will."

After cleaning most of the hematoma, scattered bleeding spots were seen, but these venous ruptures had a slight vortex at the moment, as if they had been drained and wanted to draw something from the hematoma to fill the empty blood vessel lumen.

However, Fang Ziye was not polite to Chen Minghao, and every bleeding point TM was a knowledge point.

Fang Ziye's knowledge points have just been emptied!

And vascular suture, which is also included in the list of secondary surgeries in trauma surgery, is the bleeding point of the anterior sacral venous network caused by pelvic fracture.

Because the opportunity is rare, Fang Ziye and a few people operate quickly.

There was no expected blood eruption, no so-called bleeding, and there was extravasation of the hematoma, and there was no other abnormality.

To be honest, Fang Ziye's previous beep, Chen Minghao didn't particularly understand the underlying logic, he just thought, well, it makes sense.

Fighting for life with Hades is rushing for life, snatching back life, and the labor remuneration that should be taken is still to be taken!

Two Zhenggao, one Fang Ziye, accompanied by yelling for hours, and they couldn't work for day, otherwise the doctor would starve to death. It's technology money that is earned.

"People are iron, rice is steel, and if you don't eat a meal, you will be hungry."

Chen Minghao's face darkened when he heard this, and he labeled Deng Yong as stingy, shook his head and smiled: "Don't sew, Mr. Deng, Dr. Fang has stitched quite well." ”

Then, Chen Minghao opened the one-way valve that bridged the blood vessels. The distal end of unilateral common iliac is clamped, and blood from the contralateral common iliac vein remains drained into the inferior vena cava, which carries venous blood to the right atrium.

Finally, twenty minutes later, Fang Ziye couldn't remember how many times he had stopped the bleeding, and dozens of breaches were sutured, and the hemostasis in the pelvic area of the retroperitoneum came to an end.

Is it just a simple siphon?

What are its indications?

Can you do this between many veins?

If it is other arterial bleeding, can it be used?

Chen Minghao has a lot of questions in his head.

Looking at Fang Ziye's rapid stitching, Deng Yong began to jump up: "Professor Chen, do you still have a few stitches?" If you don't sew, you won't have to sew it later. ”

Seeing this, Fang Ziye had a once-in-a-lifetime opportunity, how could he waste answering Chen Minghao's question: "Master, Teacher Han, open a hematoma!" ~”

The blood flow in the inferior vena cava is extremely strong, so the siphon force that can be generated is also very large, and when the check valve that bridges the blood vessels is opened, the blood inside begins to flow.

Fang Ziye said, and cooperated with Deng Yong and Han Yuanxiao to open the retroperitoneal hematoma.

Because the hematoma was cleared, the pressure in the blood vessels finally increased, and a small amount of blood reluctantly came out of the breach.

"+0.6 Knowledge! ~”

"Then there is, retroperitoneal active hematoma removal + presacral venous network hemostasis."

Deng Yong confessed.

At this moment, Deng Yong and Professor Han Yuanxiao took Fang Ziye and Yan Zhiming out of the operating room door.

You haven't used this thing before, so I don't know how it works.

This shameless one asks for money at various meetings every day, and he is also an old friend.

Huh!

If Fang Ziye's operation is awesome, it is a problem of Fang Ziye's clinical operation talent, but Fang Ziye's innovation is so awesome, what does Chen Minghao, who has been immersed in vascular surgery for more than ten years, think?

In fact, Chen Minghao wants to think about it again, what is going on, if this set is understood, it may be a big topic for himself, and even change his fate.

The dimensionality reduction blow from theory can be far stronger than the comparative blow brought by the operation! ~

The hematoma has been changed from expansion to retraction, which means that this siphon force not only changes the flow of blood, but also causes part of the blood in the hematoma to be recovered by the veins.

"How is this done?" Chen Minghao looked at the retroperitoneal hematoma, which turned out to be a little less, and asked Fang Ziye.

Fang Ziye was a little greedy, but he didn't dare to operate.

"The active hematoma has also been treated, and the follow-up vascular sutures and femoral vein openings have been closed, and there are professors from vascular surgery."

Chen Minghao has 10,000 questions to ask in his heart, is the 'beauty' who gave the medicine really going to leave?

"Aren't you guys in vascular surgery?"

Fang Ziye nodded: "Okay." It is mainly an attempt, and the time is not long, even if there is no particularly good effect, it can reduce the amount of bleeding after we open the hematoma to a certain extent, this is for sure. ”

"Our family is going to eat." Deng Yong was naughty, and put the words of our family's business on his lips, full of showing off, full of pride, and full of satisfaction.

At this point, the operation has been carried out for more than an hour.

Then he looked at the associate professor in the anesthesiology department, his right eye was crooked, and his tone was mentioned: "Didn't you say that it was particularly dangerous?" Is this what you call a sinister? ”

When he was going out, outside the door, Zeng Quanming from the anesthesiology department finally hurried over, stepped on the foot-operated automatic induction lead plate door, and asked loudly: "How is it?" Has the retroperitoneal hematoma opened? ”

But now, it has worked, and Fang Ziye doesn't explain.

Although it is not a system, there is no so-called status dignity and humility, but if you are an associate professor to disturb the professor of surgery to do surgery, you can only bear the dick of others.

As we all know, the veins are the blood return system, and the blood in the presacral venous plexus belongs to the terminal venous blood, and they should go from the higher veins back to the heart.

The little associate professor of anesthesia suffered tons of injuries at the time! ~ I feel like I can't explain it even if my mouth is full.

In the operating room, everyone's mood was messy......

(End of chapter)