After raising a cat, the goddess doctor became popular in the interstellar

Chapter 178 Please go out
This step was originally one of the difficulties of this operation.

The routine operation is: the second aid pulls the distal end of the stomach, pancreatic head, duodenum, and upper jejunum to the right, and the third aid draws the superior mesenteric vein to the left, thereby revealing the three-dimensional vein that injects into the superior mesenteric vein from the pancreas. to four small veins.

Yisuke cooperated with the chief surgeon to ligate and cut off these small veins one by one, and then performed the next step of uncinate process resection.

But there was a small problem in this process.

Sansuke Guo Xiaolin, as the chief resident of gastrointestinal surgery, participated in pancreatoduodenectomy for the first time.

Even if you have done a lot of homework before the operation and are familiar with the work you are going to do, if you want to know what you are doing, you must practice it with real knives and guns.

At this moment, when he pulled the superior mesenteric vein with the retractor, he used a little more strength in his hand.

The blood vessels of the human body are delicate, and for middle-aged and elderly women in their 50s, the word fragile should be added.

The vein ruptured, and blood suddenly gushed from the lower end of the retractor, quickly flooding the entire surgical field.

Dave's reaction was extremely fast, he immediately removed the retractor, took a large gauze and pressed it down, Director Shen also quickly used the suction device to absorb the accumulated blood.

The most important thing at this time is to find the bleeding point and stop the bleeding.

But the blood flow was so violent that it was impossible to see where the bleeding point was.Dave tried clamping and suturing to stop the bleeding several times but failed, so he could only press it with gauze again, and signaled Director Shen to help him press to stop the bleeding.

At this time Tao Le moved.The three filiform needles were stuck near the bleeding site, presenting a character shape.

She didn't use the golden finger to repair it, because in that case, after the bleeding stopped, it would be found that there was no wound at all, which would turn a good operation into a suspenseful incident.

It's okay once, but if there are more times in the future, people will definitely be suspicious.

Goldfinger cannot be used for treatment in the space, but the man in the mask taught her a new acupuncture method.

Acupuncture control pulse to stop bleeding.Although not as fast as a direct repair, the effect is immediate.

The speed of the bleeding slowed down visibly, from a spring to a stream.

This kind of change naturally caught everyone's eyes, and they were more convinced of Tao Le's acupuncture skills.

Director Shen sucked up the accumulated blood, and Dave also saw the location of the bleeding point.

First clamp the breach with non-injury vascular forceps, and then repair and suture with non-injury thread.

Afterwards, everyone regained their composure, and all focused their attention on Tao Le.

Tao Le doesn't want to be the center of attention, and now is not the time to relax.

She pointed to the monitoring device, which showed that the patient's heart rate had risen to 120 and blood pressure had dropped to 80/50.

Those present were all experienced clinicians, and they immediately understood what she meant.

During the hemorrhage just now, the amount of blood sucked by the aspirator was too much, and the blood sucked out reached 1000ML, and the actual blood loss of the patient was even more.

If the blood is not replenished as soon as possible, not to mention that the operation will not be able to proceed further, and the patient's life will be in danger.

"Use a blood salvage machine to purify the aspirated blood and return it to the patient," Dave said.

"Well, we have been applying for the introduction of this kind of equipment, but we haven't had it yet." Director Shen explained.

This equipment should really be available, and every operating room should be equipped with one, but for some reason, the submitted applications are always returned, the reason being insufficient funds.

"Infuse 5U of red blood cells first." Dave didn't expect that the first hospital didn't even have this kind of common equipment, so he had to settle for the next best thing.

The first itinerant nurse took the doctor's order and trotted all the way to get the red blood cells from the blood transfusion department.

As soon as she left, Tao Le asked, "Do you want some more fluid?"

She has learned the hard way.The patient has high blood sugar, poor coagulation function, and will continue to lose blood for a while. It is not enough to replenish this red blood cell. At least 3000ML of fluid must be replenished to ensure that the patient can leave the stage normally.

When Tao Le spoke, Dave agreed immediately without thinking too much about it.

"Prepare 2000ML of crystals and 1000ML of colloid." He said.

The first itinerant nurse was absent, so Yang Ruixue, as a field worker, naturally had to make up for it.

Song Mei handed the doctor's order to her: "Go and come back quickly."

"Where are you going to get this?" Yang Ruixue hesitated for a moment, but still asked.

She has never fetched anything by herself before. Aren't these things all nurses?
Even though she was wearing a nurse's uniform, she was still a doctor at heart!

Although her voice was not loud, it reached the ears of everyone on the stage.

Most of the people present recognized Yang Ruixue and knew the reason why she was here, that's all.

The most startling person was Dave.Whether at home or abroad, this was the first time he had seen this kind of nurse.

As a itinerant nurse, she didn't know where to get the medicine. How could such a person mix in the operating room and squeeze into her team?
He is warm and affectionate towards Tao Le, which is not the case with other people.

Meticulous, serious, and strict to the point of harshness, these are his real requirements for team assistants.

"Please get out. Don't appear in my surgery again." Dave's voice was not high, but his words were heavy.

"Why? I came here to experience your operation, please give me a chance." Yang Ruixue was about to cry.

She didn't expect that she would be kicked out by Professor Dave just by asking a question.

"I've already told the leaders of the hospital that we only need the highest level of medical care team." Dave frowned.

"Right now, I don't think you're up to your responsibilities and aren't qualified to be part of my surgical team. So, please get out and don't make me say it a third time."

He said so far, even if Yang Ruixue had a thick skin, she couldn't hold on now.

But if she just left like this, where would she put her face?

"She, Tao Le is also a trained doctor. If I can't stay in the operating room, why can she?"

Tao Le didn't expect that if he didn't say a word, he would get burned.

She was about to say something when Dave spoke first.

"You can't compare with her, and you don't deserve to compare with her."

As soon as these words were said, not only Yang Ruixue, but everyone else was also stunned.

Why does this foreign expert think so highly of Tao Le?
Not worthy?I'm not worthy to compete with Tao Le?Yang Ruixue couldn't understand Dave's words at all.

She and Tao Le are indeed incomparable in any place, whether it is family or studies, the other party is not qualified to be compared with herself.

"I don't deserve it? Is there anything better about her than me? Just rely on your mouth? It's not fair!" Yang Ruixue couldn't hold back any longer and yelled out directly.

Dave spread his hands, not intending to continue explaining to her.

He directly asked Sun Mei, the head nurse: "Are all the nurses in your hospital so rude and ignorant of the rules?"

(End of this chapter)