This doctor is very stable

Chapter 215 Abdominal hemostasis and ligation

Why did Hua Tuo die!

Hua Tuo wanted to stab Cao Cao in the head, so he was killed.

This is exactly what Boss Gu is worried about.

"I will stop the bleeding with bare hands without vision, if there is no other way, let me try!"

And Lin Ran put his hands in sterile gloves on his chest, and didn't think too much. If he was asked to stop the bleeding with his bare hands, there should be a chance for the patient to be rescued, but if it continues to drag on, it probably won't last long.

As for the question of whether he should be held responsible if the person cannot be rescued, Lin Ran didn't think much about it.

Gu Tianyi's bull's eyes widened at the side, what is Lin Ran talking about!

Stop bleeding with bare hands without vision!There is a theoretical approach to clinical medicine.

How can there be manual hemostasis without visual field in the abdominal cavity in clinical surgery?
If you want to stop bleeding with bare hands without vision, you need to be able to probe and feel the blood flow in the patient's body with your fingers.

Through the glove, the bleeding point in the patient's abdomen isn't a high-pressure water gun. What kind of induction?
Qin Yang looked at Lin Ran and hesitated, but at this moment Boss Chen said, "Lin Ran, have you ever successfully stopped bleeding with bare hands in the abdominal cavity without vision?"

It doesn't matter whether there is no visual field in the abdominal cavity and manual hemostasis exists, the important thing is that Lin Ran has never succeeded.

If it was Lin Ran's idea to stop the bleeding with bare hands in the abdominal cavity, then he would definitely not allow Lin Ran to do it. Whether it was because of the issue of accountability or the issue of protecting Lin Ran, he would not agree.

But if Lin Ran already had a successful case, it would be completely different.

An old servant, not to mention how much credit he has, must have had a certain amount of hard work!

There must be some social contributions, and such people are worthy of their efforts to rescue them.

Lin Ran nodded after hearing Boss Chen's words, "In Hengshan City Hospital, I successfully rescued two patients with massive abdominal bleeding with bare hands without vision."

Lin Ran told the truth, and he had already carefully observed the condition of the patient's abdominal cavity, and with the assistance of the system's diagnostic assistant function, he should be able to stop the bleeding with his hands without vision.

"Then let's get started!"

Chen Jihua is very calm now, he knows that the bleeding cannot be stopped and all rescue measures will be futile in the end.

Since Lin Ran had experience in rescuing massive intra-abdominal hemorrhage with his bare hands without vision, he could not save the patient if he was timid.

He is a dean at the scene, and the command power rests with him, so there is no need to talk about the issue of responsibility.

Lin Ran nodded and looked at the attending doctor in the emergency department who was pulling the hook, "Steady."

[broken hepatic vein]

Following the arrow marked by the system on the bloody stool, Lin Ran slowly inserted the middle finger and index finger of his right hand into it.

Boss Gu's scalp felt numb when he saw it. He has never seen such a situation after working as a clinical surgeon for so many years!
Qin Yang also gritted his teeth nervously, hemostasis with bare hands without vision in the abdominal cavity is a field they have never been involved in, and no medical teacher has taught this technique!There is no technique even in the textbook, which makes people a little flustered.

Chen Huahua's expression is equally solemn and serious. He has practiced medicine for half his life, and he has seen many big scenes, but it is also the first time for him to have an intern on the field to stop bleeding and treat patients with bare hands without vision.

Lin Ran probed into the patient's abdominal cavity and began to touch the liver.

Large right lobe of liver, round and smooth...

Go from right to left, the upper end of the liver and gallbladder triangle.

The finger-sized main artery... the instinctive pulse should be heavy and powerful.

But now it is obvious that due to the injection of the balance solution and excessive blood loss, it has begun to become thinner and weaker.

Fumbling from the top right to the bottom, just in the middle, Lin Ran found something different.

A completely severed blood vessel.

Gently pinch the two fingers, and slightly bend to remove the occupying arm.

The location of the system prompt is here, that's right.

Broken hepatic vein!

Gu Tianyi, who was at the side, swallowed hard, stared at his big eyes, through the thick lenses, "Found it?"

"Hmm..." Lin Ran nodded.

The others all stared wide-eyed as if they had seen a ghost.

Boss Chen even said directly: "Tell me about the situation!"

"The blood vessel of the hepatic vein is completely broken, and it is estimated that the hepatobiliary triangle area has been scratched."

"Okay, pinch it carefully and see if it can stop the bleeding and stop part of the bleeding. As long as the accumulated blood goes down, it will help."

If there is only one bleeding point, Boss Chen's assumption must be correct.

Stopping a broken blood vessel at one end may stop half of the blood volume, and if luck hits a blood vessel near the heart, it is more likely to stop most of the blood.

But Lin Ran knew that besides the damaged liver vein, there was also a damaged spleen!
The liver stopped, and the blood flow only rushed to the bleeding point of the damaged spleen. It was completely impossible to reduce the accumulated blood.

Lin Ran's vascular medicine is not for nothing!
The blood vessels in the human body build a large circulation and communicate with each other. There is no doubt that the amount of bleeding will increase while it is stopped.

So Lin Ran immediately shook his head and said, "There must be more than one bleeding point in the patient's body. Temporarily stopping a broken vein at one end won't do much."

When Lin Ran said this, Gu Tianyi was dumbfounded, he was going against the sky!
Clinically, even the proposal of the dean and the tutor dared to deny it.

Is this something normal people dare to do?

"Hmm..." Chen Jihua was slightly taken aback when he heard the words, his brows were furrowed.

Zhou Jianjun on the side asked, "Lin Ran, what can you do to solve the bleeding problem at the end of the damaged blood vessel?"

"Ligation..." Lin Ran blurted out, hemostasis with bare hands without vision is already difficult, and ligation of blood vessels without vision is even more difficult.

But as soon as Lin Ran said this, the eyes of everyone in the rescue room lit up!They are all old people who have practiced medicine for many years!For the human body structure, all kinds of ligatures and sutures have a deep understanding.

It is completely feasible to make a knot in the abdominal cavity, and then let Lin Ran guide the precise ligation by hand.

Do it when you think of it.

Qin Yang is worthy of being the department director of the emergency department. He immediately said deeply: "The suture is the thickest nylon suture."

The most important thing at the moment is to quickly stop the bleeding. As for other problems, I will find a way to deal with them after the bleeding stops.

At this moment, Li Yulong opened the curtain of the emergency room and broke in.

He jumped when he saw Lin Ran put one hand into the patient's abdomen.

But seeing Boss Chen present and Zhou Jianjun, who was usually the most rigid in the emergency department, did not stop Lin Ran.

Then he looked at Gu Tianyi and asked carefully: "What's the situation?"

As soon as Gu Tian watched Qin Yang and Lin Ran cooperate with each other, he gritted his teeth without turning his head, and said, "There is no vision in the abdominal cavity to stop bleeding and ligate with bare hands."

Li Yulong was also a little dazed when he heard two strange tricks all of a sudden, "This..."

He wants to ask what's going on!
Are there so many young people who know how to play?

Who will be responsible if the patient has an accident?
The identity of the person lying on the bed is not easy!
If the patient's family members make a fuss, one of them is present, and everything will be unlucky.

Although it is not a system, some things are just one sentence.

In the end, Li Yulong still couldn't help but moved to Boss Chen's side and asked in a low voice: "Dean Chen, are you sure about using abnormal means to rescue the patient?"

Just as Boss Chen opened his mouth, Lin Ran who was on the operating table suddenly said, "The thread can be retracted."

"Okay..." Pulling the suture, the sweat on Qin Yang's forehead didn't stop.

Boss Chen also showed a little smile, "If you don't stop the bleeding with bare hands without vision, the bleeding point will not be stopped. Lao Li, you should know the result of the patient with abdominal hemorrhage who can't stop the bleeding! Time to save people, take some responsibility What! I was on the scene directing me to take full responsibility."

"This……"

Li Yulong is now seeing it in his eyes and anxious in his heart, how can such a thing be explained clearly by saying that I am responsible!
No matter what other people think, anyway, the little doctors in the emergency department in the emergency room have already shown Mobike's eyes to Lin Ran.

In the presence of a group of big shots, Lin Ran was absolutely unprecedented and unprecedented in being able to insert his hand into the patient's abdominal cavity and lead the rescue!
Regardless of whether the rescue is successful or not, Lin Ran's operation will be recorded in the history of the Third Hospital.

"It became..."

The loops on the suture tightly lock the end of the hepatic vein.

When Lin Ran said this, Li Yulong turned his head immediately, what happened? !
So scary?
"Hurry up and find the other end, Xiao Qin, prepare the ligation of the other end immediately, and check the bleeding part of the spleen immediately after finishing..."

Boss Chen ordered calmly. He chose to believe in Lin Ran's judgment. He has no right to speak if he has not practiced clinically. He is still a dean.

Blind command is bad.

Both Lin Ran and Qin Yang nodded.

When a blood vessel is broken, naturally there is more than one broken end.

Not even daring to cut the ligature, Lin Ran began to fumble again.

Qin Yang is in a strange mood now, both excited and worried!

Outside the operating room, Zhou Qiming faced more and more family members of patients.

I was secretly crying in my heart!
This old Li went in to understand the situation, and refused to come out alive or dead. How could he, a person in charge of administration, deal with the family members of patients?
Moreover, these family members are not ordinary family members of patients.

"It hurts me too..."

"Vice President Zhou, can you inform me about my father's specific situation?" Feng Shaoyan's second son asked sharply, his eyes reddened, and he almost grabbed Lao Zhou's collar.

It is estimated that the family members of ordinary patients who have such an accident have lost their normal judgment ability.

But family members of patients with status can vent their anger on medical staff.

No one can stop this matter.

If the person cannot be rescued, the consequences will be unimaginable.

……

In the operating room, Lin Ran moved two fingers, and soon felt two disconnected blood vessels. It was two not one, which meant that more than one vein was broken!

When this happens, the difficulty of trying to stop the bleeding is more than doubled.

"Director Qin, Teacher Chen, I have touched two severed blood vessels again."

There is no way but to tell the truth.

"A few of them have to be ligated." After finishing speaking, Boss Chen glanced at the life monitor with red eyes, then looked at Gu Tianyi and said in a deep voice: "You go up too, prepare to be ligated. After Xiao Qin is done, you connect it. Take turns to gain speed."

(End of this chapter)