This doctor is very stable

Chapter 27 Paying Responsibility, Gaining Gratitude

The difficulty of arterial embolization lies in the puncture, and it is relatively difficult to accurately penetrate the puncture needle into the blood vessel.

Novices tend to be unable to grasp the scale, resulting in problems such as puncture deviation, puncture, and failure to puncture blood vessels.

But it is not too difficult for an old doctor like Xu Hong. He accurately inserted the puncture needle into the root of the femoral artery.

Then the vascular sheath is sent into the blood vessel through the puncture needle, the puncture needle is slowly withdrawn, the balloon is sent into the femoral artery through the vascular sheath, and the balloon is inflated to form a ball-shaped plug to block the blood flow of the femoral artery.

After the blockage of the right leg artery was completed, Xu Hong breathed a sigh of relief, checked the artery detector and immediately said: "Scalpel, Zhao Jie cut the bandage, and immediately took the broken glass."

In fact, he did not need to order, Zhao Jie was always ready with the scissors.

With a "click" the bandage was cut off, Lin Ran pinched the tweezers with his right hand to hold the alcohol cotton, took the whole bottle of normal saline from the nurse with his left hand and poured it on the wound on the patient's right leg, quickly doing a simple disinfection and cleaning.

Just after Lin Ran finished, Xu Hong held the knife and cut along the wound.

As soon as the knife was cut, the blood-stained glass block was pushed out, and blood gushed out.

Although the femoral artery has been embolized, there is still blood in the arteries of the lower extremities.

"Remove the glass slide and wipe it with sterile gauze."

It was said that Lin Ran picked up the broken glass with tweezers, and Fatty Qian wiped the bleeding wound with sterile gauze.

Zhao Jie looked at the amount of bleeding, and said with a smile: "Visual bleeding is 200 milliliters, not much."

Xu Hong ignored him and continued to incision. The child lost [-] milliliters of blood, which is considered too much.

A 4cm incision was made along both sides of the wound before Xu Hong put down the scalpel.

Lin Ran hurriedly put on the retractor, he is now one of the second assistants.

After the incision was expanded, Xu Hong quickly searched for the broken femoral artery with non-injured forceps.

"Needle Holder, No. 2 Absorbable Suture."

The arteries are relatively thick, and it is not very difficult to suture repair.

But be quick, long-term blocking of the femoral artery is not dangerous for patients, and it is easy to cause dangerous conditions such as arrhythmia and thrombotic shock.

Xu Hong used the interrupted suture method, inserting the needle, drawing out the thread, and tying the knot in one go.

The movement is extremely sophisticated, and the stitching is smooth and flawless.

It took 2 minutes for Xu Hong to repair the completely ruptured femoral artery.

"Clean the wound immediately, and don't leave foreign matter."

Lin Ran poured down a bottle of normal saline again, and quickly cleaned the surgery port with sterile gauze.

At this time, Zhao Jie, who was pressing on the puncture site, suddenly smiled and said, "Mr. Xu is really strong, and his suturing skills have not dropped at all."

Xu Hong rolled his eyes at him and sneered, "Are you talking nonsense? You think I'm your teacher! I'm on the front line every day! And I'm only 47 years old this year, and I'm still far away from retirement!"

Zhao Jie didn't want to be flattering, so he took a picture of the horse's egg, which caused a run on him. He laughed awkwardly, and immediately remedied: "Yes, you will never grow old."

Xu Hong looked at Lin Ran's clearing movements and squeezed Zhao Jie, "You think I'm an old fairy? I'll never grow old."

Zhao Jie "..."

Zhao Jie shut up, and the operating room fell silent, except for the sound of "dididi" from the instruments.

After Lin Ran finished cleaning the wound, Xu Hong took over the wound with the prepared suture needle.

The tendon is sutured inside and the skin surface is sutured outside.

Xu Hong sewed very quickly and urgently. When it came time to sew the leather surface, he directly used the continuous suture method, and the leather was sutured within half a minute between threading and drawing, and the quality was acceptable at the same time.

After watching it, Lin Ran exclaimed in his heart, Jiang is still old and spicy! !

After cutting the suture, Xu Hong shouted: "Decompress the embolism balloon immediately."

Qian Xuan opened the inflation port of the balloon, and Xu Hong's eyes were fixed on the electrocardiograph and arterial blood pressure detector.

It seems very important.

After waiting for a few minutes, Xu Hong finally breathed a sigh of relief, and said with a smile, "Fortunately, there was no blood clot. How much damage would such a small child suffer from a single rescue?"

Lin Ran and the others also nodded one after another. Whether it's a defibrillator or a defibrillator, it's best not to use it on children.

Not to mention drugs such as epinephrine.

Lin Ran took the case secretly. He felt that this operation was the most meaningful operation since he entered the hospital.

Xu Hong taught Lin Ran a lesson with his rich clinical experience!
From the cautiousness in embolization intervention, to the rigor of suturing blood vessels, to the final nervous skin suturing, you can teach by words and deeds, and the benefits are huge!

"bandage!"

Seeing that Lin Ran treacherously snatched the job of writing the medical records, Qian Xuan immediately wanted to rush to do the final dressing.

It's a pity that Xu Hong shook his head lightly when he saw this, and said, "I'll do it! The first dressing of the arterial vessel repair surgery wound is also learned. If the dressing is not tight enough, the wound will heal slowly, and if it is too tight, it will be easy." Interfering with blood circulation can lead to hematomas and even the formation of blood clots."

Letting Qian Xuan come to Xu Hong is not at ease, it may affect the postoperative healing!It is better for children to suffer less pain!
"This... alright! Teacher, come here."

Nodding his head, Xu Hongkai took the sterile bandage and began to bandage it. Finally, he tightened the bandage and tied a bow.

It looks a little childlike!
After the operation, Xu Hong looked at Liu Chengdong, who was sleeping peacefully, and said with a smile: "My eldest grandson was born a few months ago, and I can also hope that he will grow up healthy and healthy."

After speaking, Xu Hong looked at Lin Ran and smiled and said, "It's also thanks to Xiao Lin who discovered the patient's condition in time. If the patient did not bleed profusely and had no thrombus, the lower limbs might not be safe!"

When the arteries are blocked, the blood vessels and nerves of the lower limbs will be necrotic and cause thrombus after a long time. Amputation is not a joke.

A six-year-old child had his limb amputated. What should he do in his later life?
…………

…………

After Lin Ran finished writing the medical records, it was time for observation.

Under the leadership of Xu Hong, the nurse pushed open the door of the operating room.

"Crack...knock..."

Blasts of blinding camera lights flashed by.

Away from the reporters, the family members of the patient greeted him and asked eagerly, "How is our Xiaodong?"

The one-and-a-half-hour operation, the family members waited desperately!

Zhao Jie stepped aside and asked the nurse and Lin Ran to push out the hospital bed, "The operation was a success."

"That's great." Liu Chengdong's mother couldn't help it anymore, weeping with joy!

Liu Chengdong's father and grandfather also said: "Thank you so much, thank you Director Xu!"

Xu Hong took another small step back gently, "You're welcome, it's where your career is."

Seeing that the reporters had come, Lin Ran held onto the bed tightly and pushed the bed to the ward area together with the nurses.

The glory and so on should be reserved for the chief surgeon Xu and the first assistant in charge of the chief. If you are not high enough, it is better to make a fortune silently!
Walking on the road, Lin Ran heard a system notification sound.

[Ding: Congratulations to the host for participating in the arterial repair surgery of a patient with ruptured V3 femoral artery, and received a reward of RMB: 120 yuan, 400 experience points for blood vessel suture, and interventional embolization (primary)]

【叮:三星级任务血液的管道、血管缝合1/10。任务奖励，1、人民币:500元，2、血管缝合经验值1000。】

Big hit!RMB 120, also received interventional embolization, although it is elementary, but interventional embolization also includes puncture techniques and knowledge.

Embolization may not be used in the emergency department, but puncture is commonly used!

I still have a closed drainage task that has not been completed. If the closed drainage is also completed, then his puncture should be able to reach the attending level.

Sure enough, there will be rewards only if you pay, the ancients did not deceive me.

Seeing Lin Ran smile, Qian Xuan asked, "Doctor Lin... what are you thinking?"

Lin Ran pushed the hospital bed hard, and shook his head lightly, "No, I was thinking about what to eat after get off work!"

Liu Chengdong's parents followed behind the hospital bed, and when they heard Lin Ran talking about food, they hurriedly said, "Doctor Lin, we haven't thanked you yet! Thanks to you for discovering the situation of our Xiaodong in time, why don't we treat you to dinner at noon Bar!"

Lin Ran turned around and said with a smile: "No, you should take good care of the child! My little friend has just had an operation, and the blood vessel sheath on his leg will have to wait for several hours to be removed, so you should keep someone to watch over the child, and don't wait for him to wake up." The posterior mobilization port and vascular sheath will bleed..."

Lin Ran explained all the precautions after repairing the arteries, and Liu Chengdong's parents forgot to invite Lin Ran to dinner!

(End of this chapter)