medical road high rise

Chapter 5 Hemostasis Surgery ([-])

Chapter 5 Hemostatic surgery ([-])

"Okay, then I'll do the surgery according to the hepatosplenectomy." Dr. Lu hung up the phone after finishing speaking, and turned to look at Qin Feng and Zhao Peng, "Zhao Peng, you are in charge of opening the surgical field for me, who are you?" Help me stop the bleeding during the operation."

Dr. Lu realized that he didn't know the name of this little doctor, but he still recognized the little doctor's ability to stop bleeding.

Qin Feng and Zhao Peng changed positions. Qin Feng stood in the position of the first assistant, and Zhao Peng stood in the position of the second assistant, ready to pull the hook.

At the beginning of the operation, the equipment nurse handed the equipment to Dr. Lu, and Dr. Lu performed a preliminary debridement operation on the wound to prevent external necrotic tissue from affecting the resection operation.

When Dr. Lu paused, Qin Feng would go up to stop the bleeding at fixed points, ligate those bleeding points, and then use the suction device to suck out the accumulated blood, rinse with normal saline and suck again.

Dr. Lu's operation is very comfortable. He is only used to perform the operation and the operation, and he doesn't care about other things. This is the assistant that all surgeons dream of.

Looking at Qin Feng, Dr. Lu became a little eager, and he kept getting close to Qin Feng during the operation.

"Xiao Qin, it looks like you're still an intern on your badge?"

"Well, the internship expires this year."

"Have you considered which department to stay in?" Dr. Lu asked while performing the operation unhurriedly.

"I don't know if I can stay or not." Qin Feng thought that he would be held accountable for his act of stealing the stage today. I'm afraid it would be difficult to get through the internship period, let alone staying in the hospital.

Dr. Lu's eyes lit up when he heard Qin Feng's words. Just as he was about to continue speaking, a stream of blood spurted out from the patient's abdominal cavity, staining Dr. Lu's surgical gown.

"It's over!"

Doctor Lu's hands holding the curved forceps trembled slightly. When he was chatting with Qin Feng just now, he clipped an artery under the blind field. The blood just now was spurted out from the ruptured artery.

Although it is only a small artery, it is also fatal to this patient. It is often said that the rupture of a large artery will undoubtedly cause death. This sentence makes sense, because the organs involved in the artery and its own transportation function are necessary indispensable.

When the artery ruptured at this time, Dr. Lu was a little confused. The most important thing was that he didn't know where the artery was, and he couldn't stop the bleeding immediately.

Seeing that the patient's intra-abdominal operation field was gradually covered by blood red, Dr. Lu anxiously stretched his index and middle fingers in, trying to see if he could find the damaged artery in the blind field by hand.

"Doctor Lu, this operation..." Zhao Peng hesitated to speak, but his words were very clear. It was obvious that the patient's condition could not be saved.

Dr. Lu also came to his senses when he heard Zhao Peng's words. Looking at the blood-red abdomen, he withdrew his hand helplessly and stepped aside.

"Xiao Qin, shut down the abdomen." Doctor Lu sighed and gave the order helplessly.

After saying this, Dr. Lu turned around and was about to leave.

"Doctor Lu, the patient is still saved, so don't leave." Qin Feng said.

"Xiao Qin, don't comfort me. I can't even find the damaged artery in the patient. It's only a matter of time before he loses blood and goes into shock." Dr. Lu said.

"That's right, the accumulated blood has completely covered the surgical field. Even if the surgical wound is enlarged, the artery cannot be located accurately. The amount of bleeding from the artery cannot be completely sucked out by the suction device." Zhao Peng explained.

"No, there is still a chance."

Qin Feng used a suction device to suck out the accumulated blood on the left side of the abdominal cavity, dripped normal saline, temporarily isolated the accumulated blood, and created a small surgical field space.

In this small space, Qin Feng picked up the curved forceps and hemostatic forceps that Dr. Lu put aside, and accurately clamped an artery forceps to ligate and stop bleeding.

"This... this is impossible!" Zhao Peng showed a surprised expression. You must know that accurately finding a bleeding artery in a blind exercise is no easier than finding a small wooden thorn in the abdominal cavity. This is a perfect example of finding a needle in a haystack of blood.

But Zhao Peng never expected that Qin Feng would accurately fish out the artery and ligate it.

Dr. Lu turned his head to see this scene, and was equally surprised and speechless. Even those professors could not have done better than Qin Feng in this method.

Looking at Qin Feng became more eager. Dr. Lu, as the attending doctor of the emergency department, understands what Qin Feng's hemostasis level means to the emergency department.

"Xiao Qin, how did you find this artery?" Dr. Lu temporarily suppressed his solicitation, and asked like a student seeking advice.

Qin Feng put down the hemostatic forceps and curved forceps, and said slowly: "It's very simple, I first use the suction device to suck the accumulated blood in the operation field, and then observe the direction of the blood flow, and then I can preliminarily judge the location of the bleeding point. Then, according to the position of the bleeding point and the anatomical structure of the abdominal cavity, it can be judged how many arteries are nearby, and the correct artery can be found after eliminating one by one by the method of elimination."

After listening to Qin Feng's words, Dr. Lu looked at Qin Feng in shock. He didn't expect Qin Feng to use such a "stupid" method. This method is not only about hemostasis, but also about human anatomy. If you If you don't even know how many arteries there are in the abdominal cavity, Qin Feng's method is not suitable for you.

In addition, the structure of the human body is similar, as long as it is not a hyperplastic artery of the tumor, the method proposed by Qin Feng will basically not make too many mistakes.

Qin Feng's method also reminded Dr. Lu. As a medical student who graduated from a medical school, when he first came out, everyone knew the structure of the human body by heart. Let alone arteries, you can tell how many capillaries there are. Give an approximate.

But these years, due to the busy and monotonous repetitive work of the emergency department, Dr. Lu himself forgot the initial knowledge. This method of exploration and elimination, Dr. Lu decided to ask the director of the emergency department to apply for the doctors in the emergency department to study hard.

Most of the work in the emergency department is hemostasis. If the level of hemostasis can be improved through this method, it will be a good thing for emergency doctors.

The operation continued. Since the arterial problem was resolved, the subsequent operations were carried out step by step. The patient's damaged spleen was found, the damaged and dead part was removed, and the bleeding point was checked. The operation was considered complete.

The patient recovered a life from the death line, and the rest of the monitoring was handed over to the ICU. This kind of patient is not suitable for monitoring in the emergency department.

Dr. Lu who finished the operation was very happy. After all, he had completed a difficult operation, but Qin Feng was not happy at all. He looked up at the time and saw that an hour and a half had passed.

That is to say, Qin Feng was delayed for an entire hour and a half in sending the examination results, and had no time to say hello to Dr. Lu. After changing his clothes, Qin Feng rushed towards the general surgery ward.

(End of this chapter)