Doctor's Life Simulator
Chapter 248 Shocking!Hemostasis with bare hands, the magical effect of nylon cloth
Chapter 248 Shocking!Hemostasis with bare hands, the magical effect of nylon cloth
"Director Zu, let me help you suture the blood vessels together."
Seeing Director Zu's predicament, Qin Lang immediately greeted him.
"Qin Lang, don't come up until the bleeding has stopped."
Chen Feng was a little anxious to deal with the bleeding point, but Director Zu just clamped the blood vessel, stopped the bleeding in one place, and bleeds in the other. It was too late to clean the surgical field, and there was no good exposure. In turn, it was even more difficult to find the specific bleeding point, tear.
Chen Feng was a little anxious. He didn't trust Qin Lang very much. He instinctively felt that at this time, Qin Lang's presence was just adding to the chaos.
"Not good, the patient's bleeding volume is a bit heavy, and the blood pressure has begun to drop. Director Zu, do you want to use booster drugs immediately?"
Although Chen Feng was a senior attending physician, it was rare to encounter this kind of massive bleeding during chest tumor surgery. It is impossible to be without pressure at the moment of life and death.
Moreover, at such a critical juncture, with his seniority, he did not dare to operate alone, and he still had to seek Director Zu's opinion.
Zu Liang was also in a hurry to stop the bleeding, and he didn't react to Chen Feng's opinion immediately.
Chen Feng frowned, but wanted to ask again.
At this time, Qin Lang on the side explained calmly:
"Dr. Chen, although the patient's bleeding volume is a bit heavy now, in this case, the lowering of blood pressure caused by bleeding can help reduce the severity of bleeding and facilitate us to find the bleeding point. Press the medicine, pay attention to replenish the capacity."
Hearing Qin Lang's words, Chen Feng turned his head in surprise, feeling a little unbelievable.
"Chen Feng, follow what Qin Lang said, his analysis is right."
After all, Zu Liang is the chief physician, and his knowledge is still very profound. Qin Lang's words hit the mark. Sure enough, it is very important to have a top-level assistant at such a time.
"Doctor Chen, I will assist Director Zu to stop the bleeding, and you will be responsible for cooling the patient's head to prevent brain damage. This will make the bleeding easier to control, and secondly, the suture will be more reliable."
Qin Lang's aura was fully open, Zu Liang nodded acquiescingly, Chen Feng could only do what Qin Lang said, after all, Zu Liang also recognized Qin Lang's opinion.
Successfully taking over Chen Feng's position, Qin Lang was the first to start. With ten times the super operation field and +1 vision, Qin Lang saw much more than Zu Liang, and he couldn't let Director Zu do it again. In this way, clamp blindly based on experience, otherwise it will only further damage the blood vessel.
"Director Zu, leave it to me to stop the bleeding. My suture and basic surgical skills are far superior to ordinary people. One important reason is that my eyesight is much better than ordinary people."
At this time, Qin Lang didn't dare to hide his clumsiness, and directly grabbed the class and seized power. Hearing Qin Lang's words, Zu Liang recalled it. It is true that Qin Lang, a little doctor, is much better than him in suture and basic skills up.
"Okay, then leave it to you."
Zu Liang was still very decisive. Qin Lang's command of Chen Feng just right before showed that he had experience and knowledge in dealing with massive bleeding in chest tumor surgery.
The two quickly exchanged positions. Zu Liang was about to hand the hemostat to Qin Lang when he saw him and stretched out his fingers.
Seeing Qin Lang's operation, Zu Liang still didn't understand.
"This kid, is he trying to stop the bleeding with his bare hands? This"
In the operating room, when Qin Lang began to show off his ability to stop bleeding, Zhou Ming also rushed to the thoracic surgery operating room.
Under the joint operation of several major directors, this operation has also come to an end.
After Zhou Ming entered the operating room, he immediately turned to Zhou Heng:
"Director Zhou, Director Zu's esophageal cancer tumor resection patient encountered a little trouble. The patient's proper esophageal artery was torn and hemorrhage occurred. Director Zu, let me call you over to have a look together."
Zhou Heng, Zhuang Tong, Chu Tianxiong, and Wei Guoqiang beside him all looked solemn when they heard that it was bleeding during the tumor operation.
This situation is very critical. If it is not handled properly, the patient's life may be in danger.
"Okay, the operation on our side has been basically completed, and the next step is to leave it to the assistant to finish it. We will follow you to assist Director Zu now."
Zhou Heng made a judgment immediately, and immediately led everyone to Zu Liang's operating room.
"Then now, come to me, who else is in the operating room?"
Zhou Heng naturally understood the danger of this situation. Without the assistance of an experienced assistant, it would be difficult to deal with Zu Liang alone.
"In the operating room now, Dr. Chen Feng is assisting Director Zu, oh, and Qin Lang is helping to suture the spare blood vessels."
Zhou Ming was panting heavily as he walked, reporting to several directors.
"Chen Feng, Qin Lang?"
Director Zhou frowned slightly, he knew well about Chen Feng's level.He can still play a role in conventional surgery, and the overall level is quite satisfactory, but this sudden situation, heavy bleeding, is somewhat beyond his ability.
As for Qin Lang, Zhou Heng was even more worried.
"Director Wei, Qin Lang is your resident doctor in the burn department, right?"
Zhou Heng asked Wei Guoqiang next to him.
Wei Guoqiang's face was also a little ugly. Although he was very confident in Qin Lang's operations in the burn department and trusted in his basic skills, Qin Lang had no ability or experience in this kind of chest tumor resection surgery.
"Let's hurry over there. Doctor Chen may be able to help a little bit. For Qin Lang, this kind of surgery is a bit difficult for others."
Wei Guoqiang's understanding of Qin Lang is still limited to the previous topics. The recent rotation in the emergency department has only been exposed to some appendicitis and gallbladder operations. Of course, he does not think that Qin Lang can play a big role at this time. role.
Zhuang Tong also nodded. Although Qin Lang is very talented in surgery, he is still too young for this kind of extreme bleeding.
Several major directors quickly went to the operating room.
After they entered the operating room, they saw a young man manipulating on the operating table.
And beside him was Zu Liang who was full of emotion. As for Chen Feng, now only the second assistant role like an equipment nurse was left, his face was full of shock and admiration.
After Zhou Heng came in, he didn't know why, but when he looked at the person who was performing the knife, he immediately said:
"Director Zu, what's the situation, I'll assist you, stop bleeding and suture the patient together."
However, before Zhou Heng's voice fell, Zu Liang, who was in the first assistant's position, turned slightly and stretched out his hand to signal not to come and cause trouble.
"Ok?"
Director Zhou obviously doesn't understand the current situation. This assistant is Zu Liang, so who is performing the surgery?
Who else could it be!
"Director Zhou, Dr. Qin has already stopped the bleeding with his bare hands, and now he is starting to suture again."
Zu Liang explained in admiration, while Chen Feng on the side cooperated with Qin Lang at any time and handed over the surgical instruments.
"Qin corridor?"
The other directors behind him, Zhuang Tong, Chu Tianxiong, and Wei Guoqiang were shocked when they heard this.
"You mean, it's Qin Lang who is the main knife?"
"Well, Dr. Qin has already stopped the bleeding by pressing with his fingers, and started suturing at the same time."
Zu Liang briefly described it, but under such a thrilling situation, this kind of bare-handed hemostasis is even more shocking and daydreaming.
"The operation has been videotaped, and I will share it with you all later."
Zu Liang also said something with some aftertaste.
On the operating table, Qin Lang had already pressed and sewed up a section, but due to Zu Liang's clamp before, the blood vessel was slightly damaged.
Qin Lang lightly knotted the thread after threading the needle, and it shattered again.
"Oops!"
Zu Liang and Zhou Heng's expression changed slightly, and the situation became critical again.
How to do?
When several directors were frightened.
On the contrary, Qin Lang didn't panic, and pressed his fingers again to control the blood flow. He didn't know how he found the bleeding point under such a random vision.
After a little thought, Qin Lang gave the order.
"Because I let go of my fingers many times, the bleeding volume is estimated to be more than 1000ml. It is necessary to free a section of the descending aorta and surround it with nylon cloth to stop the bleeding."
With Qin Lang's perfect level of chest tumor bleeding treatment skills, he proposed a shocking plan, and explained it in detail to two assistants, Zu Liang and Chen Feng:
"Next, I will free the aorta and ligate an intercostal blood vessel. At the same time, I will surround the artery with sterile nylon cloth and fix the nylon cloth to the sutured arterial sheath. After hemostasis, observe for half an hour and wait for it to stabilize, Director Zu , you continue to complete the esophagectomy!"
(End of this chapter)
"Director Zu, let me help you suture the blood vessels together."
Seeing Director Zu's predicament, Qin Lang immediately greeted him.
"Qin Lang, don't come up until the bleeding has stopped."
Chen Feng was a little anxious to deal with the bleeding point, but Director Zu just clamped the blood vessel, stopped the bleeding in one place, and bleeds in the other. It was too late to clean the surgical field, and there was no good exposure. In turn, it was even more difficult to find the specific bleeding point, tear.
Chen Feng was a little anxious. He didn't trust Qin Lang very much. He instinctively felt that at this time, Qin Lang's presence was just adding to the chaos.
"Not good, the patient's bleeding volume is a bit heavy, and the blood pressure has begun to drop. Director Zu, do you want to use booster drugs immediately?"
Although Chen Feng was a senior attending physician, it was rare to encounter this kind of massive bleeding during chest tumor surgery. It is impossible to be without pressure at the moment of life and death.
Moreover, at such a critical juncture, with his seniority, he did not dare to operate alone, and he still had to seek Director Zu's opinion.
Zu Liang was also in a hurry to stop the bleeding, and he didn't react to Chen Feng's opinion immediately.
Chen Feng frowned, but wanted to ask again.
At this time, Qin Lang on the side explained calmly:
"Dr. Chen, although the patient's bleeding volume is a bit heavy now, in this case, the lowering of blood pressure caused by bleeding can help reduce the severity of bleeding and facilitate us to find the bleeding point. Press the medicine, pay attention to replenish the capacity."
Hearing Qin Lang's words, Chen Feng turned his head in surprise, feeling a little unbelievable.
"Chen Feng, follow what Qin Lang said, his analysis is right."
After all, Zu Liang is the chief physician, and his knowledge is still very profound. Qin Lang's words hit the mark. Sure enough, it is very important to have a top-level assistant at such a time.
"Doctor Chen, I will assist Director Zu to stop the bleeding, and you will be responsible for cooling the patient's head to prevent brain damage. This will make the bleeding easier to control, and secondly, the suture will be more reliable."
Qin Lang's aura was fully open, Zu Liang nodded acquiescingly, Chen Feng could only do what Qin Lang said, after all, Zu Liang also recognized Qin Lang's opinion.
Successfully taking over Chen Feng's position, Qin Lang was the first to start. With ten times the super operation field and +1 vision, Qin Lang saw much more than Zu Liang, and he couldn't let Director Zu do it again. In this way, clamp blindly based on experience, otherwise it will only further damage the blood vessel.
"Director Zu, leave it to me to stop the bleeding. My suture and basic surgical skills are far superior to ordinary people. One important reason is that my eyesight is much better than ordinary people."
At this time, Qin Lang didn't dare to hide his clumsiness, and directly grabbed the class and seized power. Hearing Qin Lang's words, Zu Liang recalled it. It is true that Qin Lang, a little doctor, is much better than him in suture and basic skills up.
"Okay, then leave it to you."
Zu Liang was still very decisive. Qin Lang's command of Chen Feng just right before showed that he had experience and knowledge in dealing with massive bleeding in chest tumor surgery.
The two quickly exchanged positions. Zu Liang was about to hand the hemostat to Qin Lang when he saw him and stretched out his fingers.
Seeing Qin Lang's operation, Zu Liang still didn't understand.
"This kid, is he trying to stop the bleeding with his bare hands? This"
In the operating room, when Qin Lang began to show off his ability to stop bleeding, Zhou Ming also rushed to the thoracic surgery operating room.
Under the joint operation of several major directors, this operation has also come to an end.
After Zhou Ming entered the operating room, he immediately turned to Zhou Heng:
"Director Zhou, Director Zu's esophageal cancer tumor resection patient encountered a little trouble. The patient's proper esophageal artery was torn and hemorrhage occurred. Director Zu, let me call you over to have a look together."
Zhou Heng, Zhuang Tong, Chu Tianxiong, and Wei Guoqiang beside him all looked solemn when they heard that it was bleeding during the tumor operation.
This situation is very critical. If it is not handled properly, the patient's life may be in danger.
"Okay, the operation on our side has been basically completed, and the next step is to leave it to the assistant to finish it. We will follow you to assist Director Zu now."
Zhou Heng made a judgment immediately, and immediately led everyone to Zu Liang's operating room.
"Then now, come to me, who else is in the operating room?"
Zhou Heng naturally understood the danger of this situation. Without the assistance of an experienced assistant, it would be difficult to deal with Zu Liang alone.
"In the operating room now, Dr. Chen Feng is assisting Director Zu, oh, and Qin Lang is helping to suture the spare blood vessels."
Zhou Ming was panting heavily as he walked, reporting to several directors.
"Chen Feng, Qin Lang?"
Director Zhou frowned slightly, he knew well about Chen Feng's level.He can still play a role in conventional surgery, and the overall level is quite satisfactory, but this sudden situation, heavy bleeding, is somewhat beyond his ability.
As for Qin Lang, Zhou Heng was even more worried.
"Director Wei, Qin Lang is your resident doctor in the burn department, right?"
Zhou Heng asked Wei Guoqiang next to him.
Wei Guoqiang's face was also a little ugly. Although he was very confident in Qin Lang's operations in the burn department and trusted in his basic skills, Qin Lang had no ability or experience in this kind of chest tumor resection surgery.
"Let's hurry over there. Doctor Chen may be able to help a little bit. For Qin Lang, this kind of surgery is a bit difficult for others."
Wei Guoqiang's understanding of Qin Lang is still limited to the previous topics. The recent rotation in the emergency department has only been exposed to some appendicitis and gallbladder operations. Of course, he does not think that Qin Lang can play a big role at this time. role.
Zhuang Tong also nodded. Although Qin Lang is very talented in surgery, he is still too young for this kind of extreme bleeding.
Several major directors quickly went to the operating room.
After they entered the operating room, they saw a young man manipulating on the operating table.
And beside him was Zu Liang who was full of emotion. As for Chen Feng, now only the second assistant role like an equipment nurse was left, his face was full of shock and admiration.
After Zhou Heng came in, he didn't know why, but when he looked at the person who was performing the knife, he immediately said:
"Director Zu, what's the situation, I'll assist you, stop bleeding and suture the patient together."
However, before Zhou Heng's voice fell, Zu Liang, who was in the first assistant's position, turned slightly and stretched out his hand to signal not to come and cause trouble.
"Ok?"
Director Zhou obviously doesn't understand the current situation. This assistant is Zu Liang, so who is performing the surgery?
Who else could it be!
"Director Zhou, Dr. Qin has already stopped the bleeding with his bare hands, and now he is starting to suture again."
Zu Liang explained in admiration, while Chen Feng on the side cooperated with Qin Lang at any time and handed over the surgical instruments.
"Qin corridor?"
The other directors behind him, Zhuang Tong, Chu Tianxiong, and Wei Guoqiang were shocked when they heard this.
"You mean, it's Qin Lang who is the main knife?"
"Well, Dr. Qin has already stopped the bleeding by pressing with his fingers, and started suturing at the same time."
Zu Liang briefly described it, but under such a thrilling situation, this kind of bare-handed hemostasis is even more shocking and daydreaming.
"The operation has been videotaped, and I will share it with you all later."
Zu Liang also said something with some aftertaste.
On the operating table, Qin Lang had already pressed and sewed up a section, but due to Zu Liang's clamp before, the blood vessel was slightly damaged.
Qin Lang lightly knotted the thread after threading the needle, and it shattered again.
"Oops!"
Zu Liang and Zhou Heng's expression changed slightly, and the situation became critical again.
How to do?
When several directors were frightened.
On the contrary, Qin Lang didn't panic, and pressed his fingers again to control the blood flow. He didn't know how he found the bleeding point under such a random vision.
After a little thought, Qin Lang gave the order.
"Because I let go of my fingers many times, the bleeding volume is estimated to be more than 1000ml. It is necessary to free a section of the descending aorta and surround it with nylon cloth to stop the bleeding."
With Qin Lang's perfect level of chest tumor bleeding treatment skills, he proposed a shocking plan, and explained it in detail to two assistants, Zu Liang and Chen Feng:
"Next, I will free the aorta and ligate an intercostal blood vessel. At the same time, I will surround the artery with sterile nylon cloth and fix the nylon cloth to the sutured arterial sheath. After hemostasis, observe for half an hour and wait for it to stabilize, Director Zu , you continue to complete the esophagectomy!"
(End of this chapter)
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