Chapter 92： Just faster, but already
Zheng Ren did not hesitate, the scalpel reflected a trace of cold, and cut straight.
Instead of choosing a conventional incision, he chose a large incision next to the left rectus abdominis, and the upper end was also offset to the right. The entire incision was about 25 cm long.
This is quite different from his usual style of surgery. The Xie Yi people stunned, then placed the automatic hook at hand and stared at Zheng Ren’s movement.
Chu Xiaoran sat next to the ventilator, staring at the value of the ventilator and the value on the monitor. He held a pen in his right hand and continually swam between his fingers.
Chu Yuzhi stood opposite Zheng Ren and asked: "Zheng Zong, I brushed my hand as an assistant?"
"No, when you finish your hand, the surgery is done." Zheng Ren was cold and answered. The eyelids didn't lift, and I didn't look at one of Chu's eyes. I reached for the middle-bend pliers, and reached for the suction device. I immediately opened the abdominal cavity and inserted the suction device.
The dark red blood was quickly sucked out. After a few seconds, Zheng Ren Shen said: "Chu Xizhi, go to the blood."
Chu Yu’s response ran out, almost like a rabbit.
In the Xinglin Park, there are not many people in the live broadcast room.
It’s just the time to go to work, to check the house, report the illness, and surgery. The morning is always the busiest.
Only "寥寥" more than a thousand people online.
[Bleeding is fierce, at least diagnose a spleen rupture. 】
[Blood pressure is already 60...]
[The most annoying to do emergency surgery, especially this kind of rescue, every time the body is sore, it has to be slow for two days. 】
Looking at the raging dark red blood sucked out in the transparent pipe of the suction device, the doctors in the live room naturally feel the same.
The tension and suffocation of the rescue moment has unknowingly entered everyone's emotions.
There are not many bullets, and most of them are people like you.
The more nervous the doctor is, the more he is willing to talk and relieve stress by speaking.
After pumping for about ten seconds, the amount of dark red blood was reduced. Zheng Ren did not wait to completely clean the blood, directly open the peritoneum and put his left hand in.
The Shei people immediately put the pollution basin on the hands of Zheng Ren.
Several large blood clots were taken out by Zheng Ren and thrown into the pollution basin.
"Latex tube." Zheng Ren rarely saw the Xie Yi people.
The Shei people responded, then handed the prepared latex tube to Zheng Ren, and then took the contaminated pot away.
With tacit understanding, almost perfect.
Zheng Ren put his hand in, I don't know what to touch.
[Wow, is this to block the liver? Is the liver ruptured? 】
[Look like the image, the surgeon is also anxious, want to hurry and stop bleeding. However, I think it is better to expose the surgical field first, so the risk is too great. 】
[Sit downstairs and be beaten up, this is my experience from this day. 】
In the live room, I just exchanged a few words, and Zheng Zheng put the latex tube down.
If the field is good, then you should be able to see the latex tube through the retina hole through the hepatoduodenal ligament to control the first hepatic hilum. But at this time, Zheng Ren had no vision at all, and everything was blind.
Subsequently, Zheng Renfei quickly made peritoneal protection, and then opened the abdominal cavity with a large hook.
Under the naked eye, it can be seen that the spleen has a 4cm wound, the edge is irregular, and it is serrated, and the blood flows out like a river flowing over the dam.
Because the patient's blood pressure is already low, the flow rate is not very fast.
But both the people in the operating room and the doctors in the live room know that if they bleed, the patient will die in about ten minutes.
Zheng Ren Shen said: "Iris hook."
He pulled the edge of the incision near the side of the Shea with a hook-up hook, placed it in position and handed it to the Shei people to help them extend their horizons to the limit.
Then he reached out and took a separate pliers into his hand.
The spleen and stomach ligaments were severed by ligating the spleen and stomach ligaments with a first separation clamp to avoid damage to the stomach wall.
[Speed is really fast...]
[The surgeon's understanding of the anatomy is really high. How do I feel that he doesn't even look at it and knows where the short gastric artery is? 】
[Doing more, you also know that young people, more surgery and more thinking is the key to growth. 】
After several barrage flies, the spleen artery has been released and exposed in the field. Zheng Ren used the 3# silk thread to lend and saw the spleen shrink.
Subsequently, the spleen was taken out of the spleen fossa, the spleen and sac ligament was treated, the spleen colon ligament was dissected, the spleen pedicle was cut and ligated by the separation of the jaws, and the spleen was closed.
All of this took less than five minutes.
[Really, I seem to know why the surgeon blocked the first hepatic gate first. 】
[People are sure to block the hilar and try to reduce bleeding. The first liver can block for up to 10 minutes. 】
[15 minutes, but we usually release it in 10 minutes to avoid hepatic ischemic necrosis. 】
The doctor in the live room saw the doorway. For a minute to cut off a spleen, although it was a surprise, it was not a difficult operation, but it showed that the surgeon had a deep understanding of the anatomy.
Well, that's really it.
Surgery until now, except for blind operation to block the first hepatic portal blood supply, it is the simplest and most level operation. But can you do so fast, how many people can you?
Everyone knows this truth, so there are only a few bullets flying around. Everyone is waiting to see the surgeon's treatment of the liver.
Treating the liver can be more than ten times more difficult than cutting the spleen.
2# silk thread simple sutured face and rough surface of spleen pedicle to stop bleeding, Zheng Ren began to follow the mouth, the surgical incision extended to the reserved right corner.
There is no blood in the subcutaneous tissue of the patient, which is a manifestation of hemorrhagic shock. Because the blood volume is insufficient, the peripheral small blood vessels are almost completely closed, and the limited blood volume first ensures the blood supply to the large blood vessels of the body.
However, Zheng Ren did not relax his vigilance because he did not bleed. He quickly and bluntly separated and tried to avoid causing excessive damage.
Open the peritoneum, protect it with a large piece of sterile gauze pad, and reposition the position of the appendix hook so that the Shei people can help themselves.
At this moment, Chu Yuzhi and the visiting nurse ran back quickly.
"Blood transfusion!" Zheng Ren probed and ordered.
At this time, there is no need for false guest sets, and everything is based on rescue.
The visiting nurse and Chu Yuzhi took out a bag of fresh frozen red blood cells from their arms and hung them on the infusion stand.
Because the fresh frozen red blood cells are cold, the temperature should be increased as much as possible when entering, so the two of them are on the way back, using body temperature to raise the temperature of the blood.
After checking the blood type and code on the red blood cells, the tour nurse put the fresh frozen red blood cells into the pressurized blood transfusion device, and then picked up a bag of red blood cells and put them in their arms.
"Give me a bag." Zhu Yuran, who is looking at the value of the ventilator and monitor, is talking.
Several people divided the blood bag, constantly changing positions, and taking time to make the temperature of frozen red blood cells higher.
The red blood cell bag in the pressurized blood transfusion device quickly smashed down and then replaced with another bag.
At this moment, I saw the dark red red blood cells slid into the patient's blood vessels along the deep vein, which made the anxious heart calm.
Instead of choosing a conventional incision, he chose a large incision next to the left rectus abdominis, and the upper end was also offset to the right. The entire incision was about 25 cm long.
This is quite different from his usual style of surgery. The Xie Yi people stunned, then placed the automatic hook at hand and stared at Zheng Ren’s movement.
Chu Xiaoran sat next to the ventilator, staring at the value of the ventilator and the value on the monitor. He held a pen in his right hand and continually swam between his fingers.
Chu Yuzhi stood opposite Zheng Ren and asked: "Zheng Zong, I brushed my hand as an assistant?"
"No, when you finish your hand, the surgery is done." Zheng Ren was cold and answered. The eyelids didn't lift, and I didn't look at one of Chu's eyes. I reached for the middle-bend pliers, and reached for the suction device. I immediately opened the abdominal cavity and inserted the suction device.
The dark red blood was quickly sucked out. After a few seconds, Zheng Ren Shen said: "Chu Xizhi, go to the blood."
Chu Yu’s response ran out, almost like a rabbit.
In the Xinglin Park, there are not many people in the live broadcast room.
It’s just the time to go to work, to check the house, report the illness, and surgery. The morning is always the busiest.
Only "寥寥" more than a thousand people online.
[Bleeding is fierce, at least diagnose a spleen rupture. 】
[Blood pressure is already 60...]
[The most annoying to do emergency surgery, especially this kind of rescue, every time the body is sore, it has to be slow for two days. 】
Looking at the raging dark red blood sucked out in the transparent pipe of the suction device, the doctors in the live room naturally feel the same.
The tension and suffocation of the rescue moment has unknowingly entered everyone's emotions.
There are not many bullets, and most of them are people like you.
The more nervous the doctor is, the more he is willing to talk and relieve stress by speaking.
After pumping for about ten seconds, the amount of dark red blood was reduced. Zheng Ren did not wait to completely clean the blood, directly open the peritoneum and put his left hand in.
The Shei people immediately put the pollution basin on the hands of Zheng Ren.
Several large blood clots were taken out by Zheng Ren and thrown into the pollution basin.
"Latex tube." Zheng Ren rarely saw the Xie Yi people.
The Shei people responded, then handed the prepared latex tube to Zheng Ren, and then took the contaminated pot away.
With tacit understanding, almost perfect.
Zheng Ren put his hand in, I don't know what to touch.
[Wow, is this to block the liver? Is the liver ruptured? 】
[Look like the image, the surgeon is also anxious, want to hurry and stop bleeding. However, I think it is better to expose the surgical field first, so the risk is too great. 】
[Sit downstairs and be beaten up, this is my experience from this day. 】
In the live room, I just exchanged a few words, and Zheng Zheng put the latex tube down.
If the field is good, then you should be able to see the latex tube through the retina hole through the hepatoduodenal ligament to control the first hepatic hilum. But at this time, Zheng Ren had no vision at all, and everything was blind.
Subsequently, Zheng Renfei quickly made peritoneal protection, and then opened the abdominal cavity with a large hook.
Under the naked eye, it can be seen that the spleen has a 4cm wound, the edge is irregular, and it is serrated, and the blood flows out like a river flowing over the dam.
Because the patient's blood pressure is already low, the flow rate is not very fast.
But both the people in the operating room and the doctors in the live room know that if they bleed, the patient will die in about ten minutes.
Zheng Ren Shen said: "Iris hook."
He pulled the edge of the incision near the side of the Shea with a hook-up hook, placed it in position and handed it to the Shei people to help them extend their horizons to the limit.
Then he reached out and took a separate pliers into his hand.
The spleen and stomach ligaments were severed by ligating the spleen and stomach ligaments with a first separation clamp to avoid damage to the stomach wall.
[Speed is really fast...]
[The surgeon's understanding of the anatomy is really high. How do I feel that he doesn't even look at it and knows where the short gastric artery is? 】
[Doing more, you also know that young people, more surgery and more thinking is the key to growth. 】
After several barrage flies, the spleen artery has been released and exposed in the field. Zheng Ren used the 3# silk thread to lend and saw the spleen shrink.
Subsequently, the spleen was taken out of the spleen fossa, the spleen and sac ligament was treated, the spleen colon ligament was dissected, the spleen pedicle was cut and ligated by the separation of the jaws, and the spleen was closed.
All of this took less than five minutes.
[Really, I seem to know why the surgeon blocked the first hepatic gate first. 】
[People are sure to block the hilar and try to reduce bleeding. The first liver can block for up to 10 minutes. 】
[15 minutes, but we usually release it in 10 minutes to avoid hepatic ischemic necrosis. 】
The doctor in the live room saw the doorway. For a minute to cut off a spleen, although it was a surprise, it was not a difficult operation, but it showed that the surgeon had a deep understanding of the anatomy.
Well, that's really it.
Surgery until now, except for blind operation to block the first hepatic portal blood supply, it is the simplest and most level operation. But can you do so fast, how many people can you?
Everyone knows this truth, so there are only a few bullets flying around. Everyone is waiting to see the surgeon's treatment of the liver.
Treating the liver can be more than ten times more difficult than cutting the spleen.
2# silk thread simple sutured face and rough surface of spleen pedicle to stop bleeding, Zheng Ren began to follow the mouth, the surgical incision extended to the reserved right corner.
There is no blood in the subcutaneous tissue of the patient, which is a manifestation of hemorrhagic shock. Because the blood volume is insufficient, the peripheral small blood vessels are almost completely closed, and the limited blood volume first ensures the blood supply to the large blood vessels of the body.
However, Zheng Ren did not relax his vigilance because he did not bleed. He quickly and bluntly separated and tried to avoid causing excessive damage.
Open the peritoneum, protect it with a large piece of sterile gauze pad, and reposition the position of the appendix hook so that the Shei people can help themselves.
At this moment, Chu Yuzhi and the visiting nurse ran back quickly.
"Blood transfusion!" Zheng Ren probed and ordered.
At this time, there is no need for false guest sets, and everything is based on rescue.
The visiting nurse and Chu Yuzhi took out a bag of fresh frozen red blood cells from their arms and hung them on the infusion stand.
Because the fresh frozen red blood cells are cold, the temperature should be increased as much as possible when entering, so the two of them are on the way back, using body temperature to raise the temperature of the blood.
After checking the blood type and code on the red blood cells, the tour nurse put the fresh frozen red blood cells into the pressurized blood transfusion device, and then picked up a bag of red blood cells and put them in their arms.
"Give me a bag." Zhu Yuran, who is looking at the value of the ventilator and monitor, is talking.
Several people divided the blood bag, constantly changing positions, and taking time to make the temperature of frozen red blood cells higher.
The red blood cell bag in the pressurized blood transfusion device quickly smashed down and then replaced with another bag.
At this moment, I saw the dark red red blood cells slid into the patient's blood vessels along the deep vein, which made the anxious heart calm.
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