Half an hour ago.

"Cousin, what should I do?"

Jiang Wenming was also a little panicked, and when he heard his relatives ask him, he suppressed the irritability in his heart, "Go to the pharmacy opposite the hospital and buy an abdominal band." ”

"Belly band?"

"Hurry up, so much. Then call 120 and hurry up to the hospital. ”

Jiang Wenming scratched his head.

The patient was a distant relative of his, and some time ago a physical examination found that it was pancreatic head cancer, and the family panicked and found Jiang Wenming.

At that time, Jiang Wenming suggested finding an expert from the magic capital to operate, and the one he could contact was the expert from the magic capital.

As for Luo Hao and Chen Yong, Jiang Wenming didn't want to trouble them if they had nothing to do.

The fact was similar to what Jiang Wenming expected, the experts from the magic capital flew in, and the operation started at half past eight in the morning and ended at more than ten o'clock.

In the past, the most difficult operation in general surgery, pancreaticoduodenectomy, was countless times simpler in the hands of experts, as if it were just a simple cholecystectomy.

Not to mention the high housing prices in the imperial capital and the magic capital, not counting other factors, medical treatment alone also has extremely high added value.

After the operation, Jiang Wenming's distant relatives recovered well, and they were discharged from the hospital in 5 days, and they endured it until 7 days and were discharged from the hospital.

After he was discharged from the hospital, Jiang Wenming forgot about it, and all that was left was regular reexamination.

But I didn't expect to be discharged from the hospital for nearly 10 days, and suddenly suffered from hemorrhagic shock!

Jiang Wenming didn't know what the problem was, so he could only judge it by relying on his own clinical experience.

Soon, the girdle was bought.

Jiang Wenming tied the patient's abdominal band.

"Does this thing work?" Relatives asked.

Jiang Wenming didn't speak, twisted his mobile phone in his hand, and thought of many solutions.

But he found that there was only one way left to open his stomach.

Abdomen opening and hemostasis.

It's fucking weird, almost 3 weeks after the surgery, suddenly hemorrhage.

If you have to find a reason, Jiang Wenming can also explain it - after all, it was the pancreas that was cut, and a small amount of pancreatic juice leaked out, corroding the pancreaticoduodenal artery.

Although looking at the operation records, the experts of Modu have done a lot of work here in the pancreaticoduodenal artery, sutures, titanium clips, etc., to ensure safety.

But in the end, something happened.

Jiang Wenming sighed, fortunately, Wang Guohua was hired back, if Wen Youren was returned...... Wen Youren really couldn't take this kind of surgery.

Maybe I'm going to the provincial capital.

Jiang Wenming hesitated and hesitated, but still didn't call Chen Yong.

Although it is a master-apprentice relationship, the child can spread his wings and fly high, and Jiang Wenming is very satisfied. If you can solve the problem by yourself, you can't talk about it.

120 ambulances arrived, and the patient was taken to the mine.

Because of the compression of the abdominal band, the patient's blood pressure is temporarily stabilized.

"Find me to wipe the butt of the experts at the higher-level hospital?" Wang Guohua's voice came from the corridor, and the sound of the urn was so angry that it seemed that the walls were trembling.

"Director Lin, let's do it the other way around." Wang Guohua continued.

"Shouldn't it be that I can't get off the stage because of the operation, so I call the experts of the higher-level hospital?"

Wang Guohua's sentence is like a sentence, pressing step by step.

But his steps were not slow, and he had already reached the door of the emergency ward as he spoke.

Jiang Wenming took half a step back and hid behind the patient's family.

Soon, Wang Guohua and Lin Yuming walked in together.

asked about the situation, Wang Guohua didn't talk nonsense, he looked at the ECG monitoring intently.

"B ultrasound returns ascites effusion, with a maximum depth diameter of 11.2 cm." Wang Guohua muttered in a low voice, and then his eyes fell on the abdominal belt.

"Little ginger, did you tie it?"

"Hmm." Jiang Wenming nodded.

"The abdominal belt is pressurized, and now the bleeding blood vessels are temporarily out of order. Blood pressure is temporarily stable and can last for about 24 hours, but it definitely can't grow. Wang Guohua said firmly, "Director Lin, what should I do next?" ”

Seeing that the patient's condition was okay and he could hold on for the time being, Wang Guohua looked back at Lin Yuming.

Wang Guohua's attitude is very clear.

"Director Guohua, I am from the medical department, and I want to ask you for the specific situation." Lin Yuming replied very calmly.

"!" Wang Guohua scolded in a low voice and turned to leave.

Lin Yuming glanced at Wang Guohua's back and followed him out of the emergency room.

Jiang Wenming thought about it, and finally went out with Wang Guohua.

This is something to say behind the patient's back.

But even if the patient's family members go with them, they can't understand anything, and they can only add to the chaos.

Come to a secluded place.

Wang Guohua raised his head slightly, and glanced at Lin Yuming out of the corner of his eye.

"Director Lin, it's hard to do."

"Director Guohua, let's go under the knife." Lin Yuming said helplessly, "No matter what the contradictions, let's solve the patient's problem first." ”

"You think I don't want to fucking anything!" Wang Guohua scolded angrily, "Xiao Jiang is good, tie the patient's abdomen." Little ginger, what is the blood pressure before the upper abdominal band? ”

"75/34 mm Hg, the patient's family measured it at home, the blood pressure monitor I have passed, and it is not a big problem." Jiang Wenming replied truthfully.

"Now it's 122/76 mm Hg, and the reason why the blood pressure looks okay is because the patient has blood in his stomach, and the intra-abdominal pressure rises after being compressed with the abdominal belt, which temporarily blocks the broken end of the pancreaticoduodenal artery."

"That'...... Can you grow it on your own? Lin Yuming's eyes lit up.

If you can solve the problem with a belly belt, you will be lucky.

"It's all impossible, don't dream." Wang Guohua said categorically, "The current situation is that after surgery, after opening the abdominal cavity on stage, the blood pressure is gone all of a sudden, and the operation time left for me is only about 30 seconds." ”

"Director Lin, Xiao Jiang, 30 seconds, the patient has blood in his stomach, there is no surgical field at all, and the possibility of finding the stump of the pancreaticoduodenal artery is too low."

"If you don't do it, the best thing you can do is that you can last a few days, but in the end, you can't."

"To do it, not to do it, it's all a problem." Wang Guohua looked at Lin Yuming with disdain, "Director Lin, this is what you call the top level in China?!" ”

Wang Guohua's words were full of sarcasm.

Lin Yuming sighed and took out his phone.

"Who are you going to call? An expert in the magic capital? People come to do surgery is a one-time thing, and can they fly to deal with these things? Why didn't I recommend bringing in an expert at the time, well, now I can see clearly. ”

"I'll ask the little snail." Lin Yuming sighed, he knew very well what Wang Guohua said.

In fact, it has nothing to do with the magic capital experts.

I still remember that many years ago, Wang Guohua successfully performed the 4th or 5th pancreaticoduodenectomy on the day he was discharged from the hospital.

After going through the settlement procedures, the patient feels that there is nothing wrong and goes to the window to settle the settlement by himself.

One second he looked like a normal person, and the next second the patient fell to the ground, convulsed a few times, and passed out.

The time left for the doctors and nurses to treat the patient was extremely short, and the patient eventually died.

It was an operation done by Wang Guohua himself, or an operation done at the peak age of less than 50 years old, and this kind of problem would also occur.

Lin Yuming didn't know what to do now.

With his understanding of Wang Guohua, Lin Yuming knew in his heart that what Wang Guohua said should be true.

Laparotomy, the patient's blood pressure is reset to zero very quickly, and the rescue time is very short.

It is almost impossible to find the stump of the pancreaticoduodenal artery in a very short time in a pool of blood.

"Luo Hao? He could possibly be. Wang Guohua gave a pertinent answer, "I see that he used the technique of titanium clipping under gastroscopy very quickly, almost pinching the gastric fundus vein with blood and no vision." ”

"But the gastric veins are still different from the pancreaticoduodenal artery stumps, so let's ask." Wang Guohua sighed, "If Xiao Luo can't help it, I want to give it a try...... Director Lin, I'll call Youren and ask him to come back and give me a station. This is the best combination that our mine can handle. ”

Lin Yuming nodded.

Luo Hao doesn't know if he has time, he really can't do it, so let Wen Youren come back.

In everything, just do your best.

As for Wen Youren, who grows potatoes in Siberia......

Lin Yuming shook his head and dialed Luo Hao's phone.

"Little Snail, busy?" Lin Yuming asked.

"Uncle, I'm eating, what do you say?"

"There's such a patient."

Lin Yuming described the causes and consequences of the patient in the most concise language.

More than a minute later, Lin Yuming finished speaking.

"Oh, that's right, little problem, I'll go back right away." Luo Hao said, "Our family should hurry up and make preoperative preparations." ”

"How much blood? Is 2000 enough? Lin Yuming's eyes lit up.

"It's okay to have a 200 or 400 meaning, and it won't produce much blood." Luo Hao said with a smile.

“！！！” Wang Guohua was stunned.

He suddenly snatched Lin Yuming's mobile phone, "Luo Hao, I'm Wang Guohua." ”

"Hello, Director Guohua."

"Don't you want Wen Youren to come back, you have to be strong?!" Wang Guohua asked.

"Huh? What does it have to do with Director Wen, Director Wen was sent out by the hospital to support poor counties and alleviate poverty. Didn't we just talk about postoperative bleeding? ”

Luo Hao was a little surprised.

Wang Guohua's heart sank into the pelvis, and every time he beat, he would touch his bladder, and a burst of urine would emerge.

He was sure that Luo Hao would try his luck when he came back, but Luo Hao didn't want Wen Youren to come back even if he tossed his luck and tried his luck.

This man's heart is small!

Even!

He's joking with the lives of his patients.

"Luo Hao, how sure are you!" Wang Guohua asked sharply.

"I don't see the situation, I don't know, but if we talk nonsense behind closed doors, we are probably 100% sure. Well, just prepare 2u red blood cells, if the patient's condition is not urgent. ”

"......" Wang Guohua was completely speechless.

"Hurry up and eat!" Luo Hao had already urged, "There is an emergency patient on the other side of the house, we have to go back to save the table." ”

"What patient?"

Chen Yong's faint but familiar voice came, and Jiang Wenming's nose soured.

"Hurry up and eat, said on the way. Dani ......" Luo Hao's voice gradually became softer, and he should have covered his mobile phone.

Lin Yuming had a smile on his face.

"Little Snail, then you hurry up." Lin Yuming took back the mobile phone from Wang Guohua's hand and kindly instructed.

"Okay uncle, maintain your blood pressure at home, and I'll solve the problem in half an hour when I go back." Luo Hao comforted, "Don't worry, these are all common complications after pancreaticoduodenectomy, we don't know how to deal with it, but the surgery is less." ”

Wang Guohua felt that Luo Hao's mouth was pumped on his face, and with a snap, the five finger prints were clearly visible.

"Okay, come back soon."

As he spoke, Lin Yuming hung up the phone.

He glanced at Wang Guohua and then at Jiang Wenming.

"Little Jiang, do you know the patient?" Lin Yuming asked.

"I know, a distant relative." Jiang Wenming replied, "I went to explain to the patient's family, and the person must not be able to do it, but we are looking for a top expert in China, whether we are dead or alive." Does Director Lin have anything else to explain? ”

Lin Yuming nodded, the old ruler is empathetic, and he knows what he means.

No matter how sure Xiaoluo said, he must be prepared that the patient cannot be saved.

"The hospital paid for it, and invited Xiehe experts to come to the emergency department for first aid, and give it a try, but no one can do anything if it doesn't work." Lin Yuming added.

"Okay."

"Director Lin, I told you all the pros and cons just now." Wang Guohua was a little angry, "I haven't seen anyone who can save 100% of similar patients!" Luo Hao, a little cub bragging, you take it seriously! ”

Lin Yuming narrowed his eyes and folded his hands in front of him, as if holding a ceramic jar.

"Director Guohua, Professor Luo Haoluo is an expert of Xiehe and is now working in the First Hospital of Medical University. Invite experts to save Taiwan, there is nothing wrong with it. Little cub, who are you talking about? ”

"I ......" Wang Guohua was speechless for a while.

Originally, as the old director of the mine, he dissed that a little doctor at Luo Hao's age was a little cub, and it was nothing, but now it is different.

Luo Hao is already a professor at Xiehe and is now leading the group in the First Hospital of Medical University.

Wang Guohua was in a trance.

Luo Hao has soared into the sky in a few months.

"I can't do surgery! I'm going to keep my eyes open and see how to prepare 400 ml of blood, how can this broken surgery be done! Wang Guohua was not convinced.

"Director Wang, patients are admitted to your ward." Lin Yuming's name for Wang Guohua has also changed.

Wang Guohua sighed, although he was not happy, the patient still had to accept it.

Jiang Wenming went to explain to the patient's family, and Lin Yuming returned to his office while thinking about things.

He didn't call Luo Hao.

I don't know if there is a car on that side, if Luo Hao drives to answer his call, it will still be dangerous.

Lin Yuming thought about the rescue from beginning to end, picked up his mobile phone and made a call.

"Stationmaster Zhao, there is an emergency patient on my side who needs to be rescued, how much blood do we have in stock for type A Rh+?"

"How many you want, we still have it, just to say hello to you in advance."

"Yes, yes, at least 3000,15u of red blood cells. Plasma, platelets, and condensation are as much as they are available. ”

After brushing his face and getting ready, Lin Yuming brushed it again from the beginning.

He couldn't sit still and came to the ward.

Jiang Wenming was explaining to the patient's family, Lin Yuming stood next to him and listened for a while, and the patient's family was almost fainting.

Explain the condition, Jiang Wenming's old treatment is really ruthless, 100% dead, there is no possibility of survival.

Even if he explained to his relatives, Jiang Wenming did not restrain himself, but said it even more ruthlessly.

Jiang Wenming crossed his fingers to reason, the top domestic experts performed the operation, and the top domestic experts rescued them overnight, and explained to the patients, their families, and everyone.

As for death, there is no one who does not die.

The condition is just such a condition, it has been done to the extreme, and it is time to close your eyes when you die.

Jiang Wenming's explanation was even better than he imagined, and Lin Yuming nodded in his heart.

The patient's family hugged their heads and cried, and Jiang Wenming was forced to sign.

They found Jiang Wenming to be hospitalized and contact experts, but Jiang Wenming did not hide from it at this time, but took all the responsibilities.

After dealing with this side, Jiang Wenming seemed to be a few years older, and his eyes were dark.

"Director Lin, I'm fine. Wait a minute, I'll contact Mr. Yin and Yang. Jiang Wenming then took out his mobile phone and began to contact Mr. Yin and Yang.

A cool breath rose from Lin Yuming's heels and rushed straight to the back of his head.

It seems that not only Wang Guohua doesn't believe in Luo Hao, but even Jiang Wenming, an old doctor who is close to Luo Hao, doesn't believe that the patient can get it back.

After Jiang Wenming finished contacting, he pulled Jiang Wenming to the office.

"Xiao Jiang, is it really not good?" Lin Yuming asked.

"I asked the specialist, and he said that he had completed more than 300 combined pancreaticoduodenectomy in the past 5 years, and there were 3 patients who had problems and 2 who died." Jiang Wenming sighed, "That's the top comprehensive tertiary hospital in the magic capital, and our mine can't compare." ”

"The mortality rate on that side is 66.7%, and the total mortality rate in our mine is not 100%? Looking for Xiao Luo to come back, that is, to give an explanation to the family, I ...... I don't hold out much hope. Jiang Wenming explained very bluntly.

Lin Yuming understands Jiang Wenming.

Jiang Wenming is the old chief of general surgery, and the surgery below the gastric resection is the highest level in the department.

To use the Internet buzzword - invincible in the same territory, at least in the mine.

And Jiang Wenming was only half a step away from crossing the border, but he went to the outpatient clinic halfway, which is a pity.

All this was achieved as a result of Wen Youren's suppression.

Lin Yuming knew that although Jiang Wenming couldn't do related surgeries, he still had the most basic eyesight.

He said no, which is more credible than Wang Guohua's saying no.

But the little snail said it very easily!

Lin Yuming fell into a cloud of fog, confused to the extreme.

"Director Lin, I have seen some similar situations, but I can't say many, and the probability of death is indeed very high." Jiang Wenming explained, "But don't worry, Xiao Luo can come back to help rescue, and the patient can close his eyes even if he dies." ”

“……”

That's right.

"People, they are looking for me, if something happens, I will try my best to suppress it, so as not to cause trouble to the hospital and Professor Luo." Jiang Wenming said affirmatively.

"Do your best, let it be the fate of heaven. I also checked the information, and the statement of the magic capital expert was right, and I also went to the operating room on the day of the operation to see the whole process, and there was no problem with what they did. If something happens, it's a bad fate, no problem. ”

Jiang Wenming spread his hands and said helplessly.

Lin Yuming sighed.

The preparations that should be made have been made, Jiang Wenming is even more ruthless, and even Mr. Yin and Yang have been found, I am afraid that the family members are now buying all the old clothes and waiting for the rescue failure to be put on and buried.

As for Luo Hao......

Lin Yuming frowned, "Xiao Jiang, you tell me the truth, what Xiao Luo said on the other side is very sure, it's okay, you can take it down 100%, what do you think of this sentence." ”

Jiang Wenming shook his head.

"Director Lin, I don't understand." Jiang Wenming said after a few seconds, "Bleeding 3 weeks after surgery, his condition is critical, in this case, if he can be rescued from a second operation, it is a good life." ”

As he spoke, Jiang Wenming sighed deeply.

He doesn't understand either.

Lin Yuming didn't bother Luo Hao, but just left a message for Luo Hao and asked him to drive carefully.

……

"Luo Hao, can you stay for a day?" Chen Yong asked happily.

"Catch tomorrow weekend and stay for the day." Luo Hao said, "I'll go home and see my mother." ”

Saying that, Luo Hao was a little angry.

"By the way, Luo Hao, why didn't you see your mother usually calling you?"

"My mother goes to play Baduanjin every morning, comes back to eat and work, goes to square dance after dinner in the evening, and then has to make videos, how can she have time to care about me! Every time I call, she is impatient, you say, how can you be so damned! Luo Hao complained.

Chen Yong laughed.

It is rare for him to see Luo Hao lose his temper and complain, this should be one of the few cases.

"Your mother is relieved of you? Aren't they all worries about their mothers? ”

"Maybe I got into too much trouble when I was a child, and my mother thought I was a troublemaker everywhere I went." Luo Hao said helplessly.

"Luo Hao, what trouble did you cause when you were a child?" Wang Jiani asked curiously.

Luo Hao began to tell some things when he was a child, especially things like monopoly operations, which made Chen Yong and Wang Jiani look sideways.

"You were so greedy for money when you were a child, so why aren't you greedy now?"

"I've got enough money to spend, and I have bigger goals, so it's nothing, so forget it." Luo Hao smiled, "My annual scientific research funding should be at the level of tens of millions soon, and that little money in clinical practice is really nothing." ”

While talking and laughing, he drove back to Donglian City.

On the highway, the windmill switched, Luo Hao stabilized the speed of 120 miles, and returned to Donglian City in one and a half hours.

Out of the toll booth, Luo Hao rolled down the window.

"Luo Hao, your broken car is actually very good, right?"

"It should be good."

"Why don't you change the power windows, you have to hand crank them?" Chen Yong asked

"Retro style, the bosses like it." Luo Hao said, "When Santana was the earliest in China, it was a hand-cranked car window, and although the bosses couldn't sit down, they were very envious." So I have an obsession with rolling the car window in my mind, and I deliberately kept it. ”

"You're also shooting flowers!" Chen Yong exclaimed.

Luo Hao ignored him and took out his mobile phone to call Lin Yuming.

"Uncle, I'm off the highway, the patient ......"

As he spoke, a cry came from the other end of the phone.

Luo Hao's heart was cold, "Uncle, the patient is dead?!" ”

"Not dead, high pressure 115."

“？？？” Luo Hao was puzzled, "Uncle, who is crying?" ”

"Patient's family."

“……”

This was said, the preface did not match the afterword, and after the explanation, Luo Hao was even more confused.

But it's better to see it with your own eyes, and now I call and say I don't understand.

After asking about the patient's condition, Luo Hao knew that the patient was clear, his blood pressure was maintained quite well, and his blood was transfused, and everything was in order.

Hang up the phone and drive to the mine.

Upstairs, several family members of patients at the entrance of the ward sat on the ground and cried, and there was a gentleman in Chinese clothes next to him, holding a prepared banner in his hand.

"After a while, the people are gone, the immediate family members go in first, and the children wipe the old man's body. By the way, prepare some cotton, but don't ask the doctor for cotton balls, and plug your throat, eyes, and anus. Dress as soon as possible, otherwise you won't be able to wear your clothes if they are stiff. ”

"You think, you don't even have clothes when you go down, and big ghosts and little ghosts can't bully people to death. The Buddha relies on gold, and after death, people also have to rely on clothes, put on some clothes, carry some money in their pockets, and make some points up and down, so as not to be wronged. ”

"......" Luo Hao was speechless.

(End of chapter)