This doctor is very stable

Chapter 65 Cholecystectomy
"Lin Ran, you are very good, very good, you are indeed the person that Lao Chen has his eyes on. Back then..."

While talking, Li Min's work did not stop. Even if the blood vessel was blocked and the bleeding speed was controlled, the operation still needs to be accelerated.

Otherwise, it is prone to thrombosis, myocardial infarction, acute shock and other problems.

Every rescue is a trip to hell for the patient.

Lin Ran didn't understand the meaning of Li Min's words, but the affirmation of himself in it was unmistakable.

"Ah."

After answering, Lin Ran didn't say anything more when he saw Li Min was engaged in work.

Seeing that the topic ended here, Li Canghai didn't feel like picking up the magazine prepared next to him.

He thought that Li Min could speak his mind when he saw Lin Ran!Unexpectedly, Li Min still didn't let go completely.

And Lin Ran is also a boring gourd.

"Non-injury tweezers, fine scissors."

To repair a damaged liver, it is natural to remove the necrotic part.

The surrounding extrahepatic lymphatic membrane must also be cleaned up to reserve a place for the electric knife to enter.

As soon as Li Min started to clean the lymph, Lin Ran was a little surprised, the technique is very sophisticated, and the hand speed is so fast!Faintly stronger than Xu Hong!Visible to the naked eye is strong and powerful.

Lin Ran couldn't help sighing, "Ms. Li, your skills in sweeping the lymphatic membrane are really good!"

Li Min didn't look up, just smiled lightly and said, "It's all trivial."

"By the way, how did you judge the right liver hemorrhage and spleen hemorrhage just now?"

Hearing Li Min's question, Lin Ran paused, and then said: "I judged based on the principle of kinematics and the amount of bleeding. The patient's abdominal trauma is concentrated on the left abdomen, and the trajectory is from the middle to the top. So the most likely thing is The spleen must be damaged, and the glass must be sharper, judging from the bleeding speed of the patient, that is, the liver and spleen bleeding at the same time can reach this bleeding speed."

What Lin Ran said naturally has some truth.

The patient is in his early 20s, and hypertension is rare at such an age.

The amount of bleeding was large and within the scope of rescue, that is, the two organs, the liver and spleen, were ruptured.

If the glass punctures an artery, the patient will definitely die before being sent to the hospital, and injuries to other organs in the abdomen such as the stomach, kidney, pancreas, and intestines will not cause such a large amount of bleeding.

There is also a certain basis for judging the damaged organs in the patient's body from the location and amount of bleeding.

But it can only be judged with a good understanding of the abdominal anatomy.

After listening to Lin Ran's analysis, Li Min smiled and said, "That's right, you've done a lot of homework! I didn't help the teacher move the general teacher when I was a senior."

"No, when I was in college, there were only a handful of times I could actually get in touch with general teachers in anatomy classes. The real knowledge is still obtained from video documents. Combining the few anatomical experience plus three years of clinical experience, I can judge at a glance Where are the patient's organs located?"

The "general teacher" is too rare to come by, usually they are dissected very cleanly and thoroughly, a one-time teacher, a scarce resource!

In China, people pay attention to burial, and there are too few family members and patients who are willing to donate their remains.

As for other ways, that is also a drop in the bucket.

Fortunately, medicine has always been advancing with the times. For example, 3D video teaching can allow you to understand the mysteries of the human body as if you were on the scene like watching a blockbuster movie.

As for whether the shooting of the 3D video was in the hands of a famous director, Lin Ran is not sure.

After a while, Fan Jianye changed his operation and went to Lin's operating room.

He saw that Lin Ran, who was currently in the position of first aid, felt a little threatened, and he was afraid that his position as first aid would not be guaranteed!

Lin Ran, Guipei doctor, a rising star in the emergency department, is said to be very talented, and is appreciated by Directors Chen and Xu.

Such a person would not want to grab his position, would he?

In the emergency department, Li Min is a representative figure of the technical stream. Could it be that Director Chen is planning to send Lin Ran to learn from Li Min?

But isn't Lin Ran already capable of leading the knife?
Thinking of this, Fan Jianye said cautiously, "Teacher, I'm here."

"Ah."

Li Mingang just finished scanning the membranes, raised his head and responded, and then said: "Sterile gauze, Xiao Fan, you can pull the hook, Lin Ran, you can help me fix the liver, next step we will remove the necrotic tissue .”

"what!"

Fan Jianye's face turned bitter, his position as the first assistant was really about to disappear!
The goddamn Lin Ran didn't do a good job as the main knife, so what kind of help?
But he didn't dare to hesitate. If Li Min caught a mistake and lost his mind on the operating table, the consequences would be even more disastrous.

Lin Ran stretched out his hand, "Non-invasive tweezers."

Since ancient times, the second assistant pulls the hook, and the first assists the main knife, which is a matter of course.

However, Lin Ran still noticed Fan Jianye's expression, and at the same time lamented the sadness of the little doctor!

If he didn't have a system, he would probably be like Fan Jianye!

Grabbing a first aid position is like winning a $500 million lottery.

…………

…………

The operation went relatively smoothly, but it took two hours.

Just as he walked out of the operating room, Lin Ran received a notification from the system.

[Ding: Congratulations to the host for participating in the rescue of a V4 patient with hemorrhagic shock, and received a reward of RMB: 500, CPR experience value of 1000, and primary cholecystectomy. 】

[Ding: Two-star bounty mission (beating heart), participate in and complete cardiac arrest rescue 2/10.Task rewards, 1. RMB 20000, 2. Chest dissection 200 times, 3. Chest wall wound debridement and suture (primary)]

Gaining the skill again is still a level 2 surgical skill, amazing!

V4 critically ill patients really deserve their reputation!
But it seems that skills are only given if you need to rescue V4 patients!
It seems that I still participate in emergency rescue work a lot, and the system's diagnosis assistance function is also very helpful for rescue!

You can see the problem at a glance, which greatly saves the exploration time of rescuing the golden age!
In the rescue process, a millisecond is a difference, and a thousand miles is a difference.

Withdraw your thoughts and return to reality.

The patient had just been pushed out by the doctors and nurses, and the patient's family immediately ran up, crying and shouting: "Doctor, how is my Xiaohao?"

At this time, Lin Ran saw a young girl who was also injured and her head was still being bandaged, so she stood quietly by the side and looked towards the hospital bed.

He wanted to come over but was a little scared, and the tears still flowed in his eyes, which seemed very tangled.

Lin Ran saw that this girl was probably the girlfriend of the young man lying on the hospital bed!

"The patient has completed the operation and is temporarily out of danger, but needs to be sent to the intensive care unit for continued observation. The family members of the patient calm down."

At this time, the girl finally couldn't bear it and came over, "Auntie, uncle, calm down, we will listen to the doctor."

The patient's mother obviously didn't like her son as his girlfriend, so it was fine if she didn't speak.

As soon as she spoke, the middle-aged aunt in her 40s suddenly went mad, turned around and slapped the girl, and then roared hysterically, "It's all your fault, if it weren't for you, how could my son be like this?"

When the patient's father saw that his wife was making a move, he ran over and grabbed her.

"Let me go, isn't this vixen seducing your son just because Xiaohao is a local and has money and a house?"

The girl clutched her left face and sat on the ground slumped, "Auntie, hit me! It was Li Hao who saved me, and you should hit me to vent your anger."

The two of them passed by the door of a small restaurant, who would have thought that there would be an explosion in the store!
The incident happened suddenly, and before the girl could react, she was pulled behind her by her boyfriend.

They happened to be standing outside the electric window at that time!

Glass flew out like bullets.

She didn't know if this was the most sincere love, but she knew that Li Hao could protect her with his life!
So what can she be wronged now!

…………

Lin Ran didn't expect that after the operation was finished, he would come out like that,
I really don't know what it would be like for the patient to wake up and find that the girl he had protected with his life was scolded by his mother as a vixen!
It is estimated that they can faint from anger, and the relationship between mother-in-law and daughter-in-law is the most difficult.

Before he had time to think about it, he hurried forward and pulled the excited family members aside, "Auntie, don't get excited, your son will wake up."

The nurses at the nurse's station also rushed over when they heard the sound, and when they saw the girl slumped on the ground, they quickly helped her up and dragged her away.

Seeing the person being dragged away, the patient's mother firmly grabbed Lin Ran's hand and asked, "My son won't have any sequelae, right? Ever since I was a child, I couldn't bear to let him suffer a little bit! For such a vixen worth?"

It's really hard to answer this question, Lin Ran looked at Li Min who was at the side.

Li Min quickly explained, "The patient is still young, and the foreign body has been completely removed. If the operation returns to normal, there will be no sequelae."

Hearing what Li Min said, the patient's mother burst into tears.

Lin Ran withdrew his hand.

…………

Walking into the dressing room, Li Min asked while washing his hands, "Lin Ran, do you have a girlfriend?"

"No, single."

"It's good to be single! No worries."

Walking into the bathroom, Lin Ran took off his clothes and turned on the hot water switch.

[Single is such a fart!In the winter, there is not even a person who warms the bed, and a full man does not know a hungry man. 】

[I don't have a girlfriend, so what's the use of these five taels of meat. 】

…………

(End of this chapter)