Siheyuan: Rebirth in a prosperous era, great doctors are sincere

After discussing with Dr. Wang, the surgeon, Li Ping'an decided to perform vascular anastomosis surgery on Qin's mother.

The two ends of the artery need to be properly separated first, and the adjacent joints should be kept in a semi-flexed position to reduce tension.

When the injured part is cut out according to the predetermined range of vascular resection during debridement, there should be active blood spurting from the proximal end of the artery.

If the blood spurt is not vigorous, it is considered that there is still obstruction in the proximal segment, and a plastic tube is inserted into the artery to aspirate and flush it.

Temporarily open the distal vascular clamp and check whether the arterial backflow is good.

If there is a thrombus in the distal segment, it must be aspirated and anastomosis can be performed only after it is unobstructed.

The vascular forceps are used to clamp the adventitia at the severed end of the blood vessel, pull it outward and then cut it off to avoid bringing the adventitia into the lumen during suturing and causing thrombosis;

After trimming the stumps on both sides, flush the lumen of both stumps with 0.1% heparin saline to flush out the clots to prevent thrombosis at the anastomosis.

Depending on the size of the blood vessels, the interrupted suture method is selected for anastomosis.

Use 4-0 to 8-0 fine silk thread for suturing;

小血管用8-0～11-0卡普隆线，以两端均连有无损伤性缝针者较合适；也可用头发，但须打3个结结扎。

The anastomosis was performed using an end-to-end anastomosis method.

At that time, with Li Ping'an's physique, donating 300 milliliters of blood was already the maximum amount.

At this moment, Li Pingan's face was a little pale, and he even had some symptoms of anemia.

Xiaolu's condition was not good either, her face was even a little pale.

I was already sick. After the blood transfusion, I had a vascular anastomosis surgery with Li Ping'an, and I was a little exhausted.

The two of them did not care about the other parts of the surgery.

Surgery such as suturing liver lobules and cleaning wounds were all completed by Dr. Wang.

Dr. Wang was a little puzzled when he performed the operation. Li Ping'an's surgical skills were too skilled.

Vascular anastomosis surgery is rarely performed even in their hospital.

Li Ping'an actually completed the operation smoothly.

even.

I heard that both Li Ping'an and Li Ping'an donated a lot of blood. How did they do it under such circumstances? The vascular anastomosis took about two hours, and they actually persisted!

Dr. Wang performed the rest of the surgery.

The orthopedic surgeon fixed Qin's mother's damaged bones and the entire operation was completed.

Anesthesia ends.

End of extracorporeal circulation.

Surgery completed.

Doctors from the Department of Internal Medicine and Orthopedics who came for consultation left one after another, and finally Dr. Wang also left. In the operating room, only Li Ping'an, Xiao Lu and a few nurses were waiting for Qin's mother to wake up.

Li Ping'an wanted to go out and explain the situation to Qin Huairu and comfort her, but he thought that the operation would not be considered a success until Qin's mother woke up.

Going out by himself might make Qin Huairu even more worried.

Li Ping'an did not leave the operating room, and Xiao Lu did not move.

While several auxiliary nurses from Union Hospital were watching over the patients, their attention was focused on Li Ping'an.

Dr. Wang originally wanted to remove the damaged part of the liver, but he did not expect that Li Ping'an sutured the blood vessels instead.

Not to mention blood vessel anastomosis, even resection of damaged liver lobules is a relatively complex and difficult operation in China.

Unexpectedly, Li Ping'an actually completed the operation, and there were no accidents during the operation.

If there are no problems with the anesthesia and the patient can wake up, the operation will be a complete success.

By the time.

This operation performed by Dr. Wang will become a model for hospital surgery. Not to mention Dr. Wang, even they will be praised.

Time passed slowly.

Li Ping'an said nothing else except asking Xiaolu about her physical condition.

More than an hour later, Qin's mother regained consciousness. The first thing she saw when she opened her eyes was Li Ping'an. She opened her mouth but didn't say what she wanted to say.

Li Ping'an said: "Mom, you have just finished the operation. Don't say anything and have a good rest. Huairu is outside the operating room. I will go over and tell her that you are awake!"

Qin's mother blinked, but still didn't say anything.

When Li Ping'an and Xiao Lu came out of the operating room, Qin Huairu cried anxiously, choking and asked: "Ping'an, my mother."

Li Ping'an said: "Don't worry too much. The operation was successfully completed. My mother-in-law has woken up. If she gets through the dangerous period in another day or two, she should be fine!"

The operation went smoothly, but Li Pingan did not dare to boast. After all, it was a vascular anastomosis operation. It was not enough after the operation. It was necessary to confirm that the blood vessels after the anastomosis could function normally and that there was no blood coagulation.

While they were talking, a nurse went out and found Dr. Wang. Under Dr. Wang's guidance, the nurses carefully sent Mother Qin to the ward.

Dr. Wang took the initiative to discuss with Li Ping'an the issue of Qin's mother's postoperative medication.

Heparin and other anticoagulant drugs, antibiotics and other drugs must be used, and Li Ping'an had no objection. Qin Huairu had been crying quietly. She didn't understand the medication, and she believed that her husband would handle the matter well and did not interrupt.

After discussing with Dr. Wang, Li Pingan took Qin Huairu and Xiaolu out of the ward and went to the hospital for a meal.

Qin Huairu stayed at the Union Hospital and did not leave. Li Ping'an gave her all the money and food stamps he had and said, "You should watch our mother here, Xiaolu and I will go back first!"

Qin Huairu glanced at Li Ping'an and Xiao Lu, who were both a little pale, and said, "I understand. If anything happens, I'll call our hospital!"

Li Ping'an agreed and took Xiaolu away on a bicycle.

When I arrived at the Sixth Hospital, I inquired and found out that the bicycle Xiao Lu was riding actually belonged to Wang Qin.

Since Wang Fengnian went to Baoding to go to school, Wang Xia has been riding this bicycle in the Wang family. However, Aunt Mei gave the bicycle to Wang Qin when she did not come to work overtime on weekends.

Wang Qin didn't say anything after knowing that Li Ping'an and others rode the bicycle away.

Li Ping'an went to the Siheyuan to talk to Mrs. Xu about Qin's mother, and then said, "I'll go to the Union Hospital later to take a look. These two days are critical moments. I guess Huairu will be there to guard her. Maybe I’ll go there often too!”

Mrs. Xu said: "Your father and I won't go there, please take care of me more!"

Li Ping'an went to the hospital's family home to get some money, and then went to the Union Medical College Hospital.

When I arrived at the ward, I found Qin Huaijiang and his wife and Qin Fen and his wife were there.

Qin Fen told Li Ping'an that Qin Jingru had been sent home. They knew that Qin's mother was seriously ill and had been sent to Union Hospital. They came here.

Mother Qin was completely conscious and could barely speak a few words.

Qin Huairu came out of the ward with her husband. She whispered to Li Pingan that Qin's mother had completely regained consciousness and asked about Qin Jingru's situation, worried that the little girl was lost.

"Is there nothing unusual about mother-in-law?" Li Ping'an asked.

"No!" Qin Huairu said: "The surgeon, Dr. Wang, said the situation is very favorable!"

Two or three hours later, Li Pingan and others had a meal in the hospital cafeteria. It was after dark that Li Pingan, Qin Huaijiang and others left.