Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 505
Seeing this scene, everyone breathed a sigh of relief.
"vital signs."
"Blood pressure 95/70, heart rate 105, blood oxygen 85, normal."
Zhao Wenfeng's hanging heart finally calmed down a little. As long as the bleeding is controlled, the security of this operation will be greater.
"Okay, let's continue."
The next step is to clean and remove the damaged spleen, and the remaining blood vessels can be ignored for the time being, and sufficient plasma can cope with these small amounts of bleeding.
"Knife."
The patient's spleen has been damaged and fragmented, and there is no need or opportunity for suture repair.
Not to mention Zhao Wenfeng, even if top experts are invited to throw knives, it may be impossible to recover.
So directly removing the entire spleen is the only way!
The spleen is the largest lymphatic organ in the human body and the most powerful immune organ.
Unlike other lymphatic organs, the spleen does not have lymphatic sinuses, but has many blood sinuses.
It is equivalent to the 'blood bank' in the body. When the human body is resting, the spleen can store a large amount of blood.
And when the human body is in a state of stress such as exercise, blood loss, and hypoxia, it will quickly transport blood to the human body's circulation to increase blood volume.
This is why once the spleen is injured, the amount of bleeding will be so exaggerated!
The most dangerous thing about a ruptured spleen is bleeding. If it is not discovered in time, the patient will go into shock or even die within three to five minutes due to massive bleeding.
5 minutes......
10 minute.......
"gauze."
After cleaning up the broken remaining organs of the spleen, Zhao Wenfeng began to free the upper part of the gastrosplenic ligament and the spleen-phrenic ligament with a dignified expression, and his movements were cautious and slow.
swoosh swish~
Jiang Principle has been holding the suction device to clean the surgical field of view to ensure his operation.
Because there are still many internal splenic veins, coupled with lack of experience, it is inevitable that two blood vessels will be encountered during the stripping and blocking process.
Soon, Zhao Wenfeng's speed became slower and more cautious.
Dang bang~
"Whoo~"
The scalpel in his hand fell into the tray, and the remaining spleen finally freed from between the organs. After ligation of all the vascular ligaments, the next step was to cut and suture the splenic pedicle.
At this point, the amount of bleeding has become very small, and most blood vessels have been blocked with hemostats.
Jiang Yuan glanced at the time, 25 minutes.
Director Gu hasn't arrived yet...
"vital signs."
"Blood pressure 108/80, heart rate 110, normal."
"Jiang Yuan, I'm going to cut off the spleen and repair the intestinal membrane, please help me stop the bleeding point."
The nurse wiped the fine sweat from his forehead, Zhao Wenfeng raised his head and said.
"Doctor Zhao, can you leave the bleeding point to me?"
Jiang Yuan took a look, then looked at him.
Because after the spleen is removed, there are often torn varicose veins oozing blood at the retroperitoneum and splenic diaphragmatic ligament.
If the bleeding point is not sutured and repaired, it is easy to cause postoperative subdiaphragmatic hemorrhage, secondary infection and subdiaphragmatic abscess.
Once complications occur, there is a risk of secondary surgery.
"You come?"
Zhao Wenfeng frowned slightly when he heard the words, and his tone was full of surprise, but he nodded slightly after thinking for two seconds,
"Okay, then try to sew it up, if it doesn't work, don't be brave, understand?"
"Do not worry."
Hearing this, Jiang Yuan was overjoyed,
"Needle with thread."
Chapter 375
slap~
The moment the equipment nurse patted the long-handled needle-holding forceps into his palm, a strong sense of familiarity suddenly invaded his heart.
It's like a lover who hasn't seen for many years, the impulse and joy after a sudden reunion, as if the two will become one at any time.
The corner of Jiang Yuan's mouth could not help but raise a smile, his eyes burst out with unprecedented confidence.
Next, it's his performance!
"Blood."
swoosh swish~
The nurse next to him sucked away the oozing blood and opened his field of vision, revealing the bleeding point.
I saw Jiang Yuan holding forceps in one hand and a needle in the other, lifting the wound, and the curved needle passed through accurately and quickly.
1 stitch, 2 stitches, 3 stitches.
"Trimming."
Jiang Yuan spoke in a low voice.
Then turn to the next bleeding point and continue to start suturing.
What the hell!
(⊙o⊙)!
At this time, Zhao Wenfeng who was beside him also turned his head when he heard the voice, his eyes widened suddenly, and he was shocked when he saw the bleeding point that had just been stitched up.
Seeing Jiang Yuan's stitching operation again, he was completely confused.
How did this kid sew so fast?
Moreover, the position of the needle and the stitching technique are extremely skillful and exquisite. It is impossible to reach this level without a few years of hard work, and even he can't sew so fast.
Less than 2 minutes, Danglang~
"Doctor Zhao, the bleeding spots are all stitched up."
Jiang Yuan raised his head, looked at the shocked half face, and smiled lightly.
"You... where did you learn to stitch?"
Zhao Wenfeng's speech was a little stuck, and his tone was full of strangeness.
"The more you practice and the more you watch, the better you will be."
∑(O_O;)
Hearing this, Zhao Wenfeng was speechless...
The suture was indeed practiced, but no one would believe that such a superb technique appeared in a regular training doctor.
Unless this guy is from a medical family, start practicing from a young age!
"What else do you want?"
Looking into those innocent eyes, he asked calmly.
"What will happen?" Jiang Yuan thought for a while after hearing this, "Except for some tiny nerve blood vessels, I know a lot about suturing blood vessels in the whole body."
puff~
At this moment, a familiar figure appeared in the observation room at some point.
When Gu Hai heard the conversation between the two, he almost spit out a mouthful of water.
The first thing he did when he arrived at the emergency department was to enter the operating room. After changing his clothes, he planned to check the progress of the operation.
It turned out that Jiang Yuan was accidentally found to be an assistant knife and was about to start suturing the blood vessels, so he stopped for 2 minutes.
Then, the same astonishment burst out in Gu Hai's eyes, and turned into ecstasy!
With such superb blood vessel suturing skills, the general foreigner group is simply a bunch of brain-dead.
If it wasn't for the rescue that drew his attention, he would have almost driven a living person out of the hospital.
The corners of his mouth raised uncontrollably, staring at the young and handsome figure, and murmured.
"MD, I found a treasure! There is someone to follow up in the emergency department~"
"Xiao Jiang, let me tell you, medicine is no joke."
In the operating room, Zhao Wenfeng said in a serious tone while suturing the intestinal membrane,
"You know how many blood vessels, structure, function and distribution the human body has. The length of blood vessels in an adult's body is 96000 kilometers, which together can circle the earth twice.
You are still a doctor of regular training now. Even I can't believe that you have such solid suturing skills.
But medicine cannot tolerate exaggeration and sloppy, because we hold the patient's life in our hands.
Not to mention the top three in a small place like ours, there are not many doctors in the whole country who dare to say such a thing.
do you know? "
"Of course I know."
Jiang Yuan smiled and nodded.
He also guessed that Zhao Wenfeng would definitely not believe it, as long as he understood it.
From the moment he decided to apply for a medical university as a doctor, he had a heart to save lives and heal the wounded.
Of course, at first I also heard that the salaries of doctors are relatively high and their jobs are stable.
For an ordinary family, it is honorable enough to have a doctor.
At least his parents thought so!
But since Zhao Wenfeng said so, it is not good for him to continue asking himself to suture the blood vessels.
click~
Just then, the door of the operating room opened.
"director."
"Ah."
Gu Hai had finished cleaning and disinfecting, and walked in.
The itinerant nurse on the side picked up a surgical gown and helped him dress neatly.
"Wenfeng, how is it?"
Gu Hai walked to the opposite side of the operating table and asked in a low voice.
"Director, the broken spleen has been removed, and the patient's condition has stabilized. There is no problem."
Zhao Wenfeng did not look up, and explained briefly while sewing.
Gu Hai nodded slightly, watching his sewing movements with satisfied eyes.
But then he turned his gaze to Jiang Yuan and laughed immediately.
"Xiaojiang, how about you deal with the arteries and veins of the splenic pedicle?"
Jiang Yuan: (⊙o⊙)...
Zhao Wenfeng: (⊙o⊙)...
"I'll handle it?"
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