Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 166 The Injured Must Be Rescued! (Please subscribe!)
Yu Hua returned to Lin Yi and his group and listened to their discussion.

But Director Zeng had no choice at this time. The Jiangnan Provincial People's Hospital refused to accept He Ying, and even killed the last chance!
"Why is this Jiangnan Provincial People's Hospital like this? He said that if there is an arrangement, you can't push away less important things. This is a matter of human life!"

Yu Hua couldn't help complaining angrily.

"Manager Yu, you can't say that. They should have made arrangements."

"Maybe this is Yingying's life..."

Seeing Yu Hua's agitation, He Cheng comforted him instead.

"But it's true, the Department of Hepatobiliary Surgery at Jiangnan Provincial People's Hospital is really good!"

Yu Hua nodded again, and began to talk eloquently,

"A few years ago, Mr. Zhao had a car accident with liver bleeding, so he went there for surgery."

"Wait, you mean, Mr. Zhao of your company had liver surgery at the Jiangnan Provincial People's Hospital?"

Lin Yi's eyes widened suddenly, staring closely at Yu Hua and asked.

It seems that Mr. Zhao who called just now is the boss of their company!

And he actually had surgery in the Jiangnan Provincial People's Hospital.

This series of events made Lin Yi vaguely feel that it was not that simple!
Being stared at by Lin Yi like this, Yu Hua couldn't help feeling a little uncomfortable.

Then he also felt that he had spoken too much, so he nodded perfunctorily, then quickly shifted his gaze, turned to Director Zeng and asked:

"Director, let's see if we can operate on her. It's better than a group of us waiting here!"

Director Zeng shook his head and said:

"We really don't have this ability, and we are really powerless."

"Oh, then this is troublesome..."

"They don't accept the wounded, so I'll come!"

Before Yu Hua finished speaking, Lin Yi who was on the side suddenly spoke.

As soon as this sentence came out, the people around were taken aback!
"Doctor Lin, you have seen the condition of the injured man's wound just now, so don't act on your will."

Director Zeng was the first to react, staring at Lin Yi with a serious expression and said.

Lin Yi shook his head and said directly:
"Director Zeng, I'm not acting on a whim."

"I also have some experience in hepatobiliary surgery, I think I can try it."

Afterwards, Lin Yi turned his head to look at He Cheng and the others, and said to them with a serious expression:
"Families of the injured, if you are willing to let me try, you can sign the document in a short while, and I can arrange for the operation on the injured right away."

"Her vital signs have been declining, the situation is very critical, and time is very urgent!"

The reason why Lin Yi insisted on taking the risk to perform surgery on He Ying was because he felt that if he waited like this, the girl would be completely finished!
On the other hand, he felt that the matter of falling from the building was not that simple, and there must be hidden secrets in it!
Even if there is a glimmer of hope, he will save the girl and let her tell the truth of the matter, so that she can't die without knowing why!
When He Cheng and his wife heard Lin Yi's words, they immediately nodded as if they had grasped a life-saving straw, and said:
"Okay, okay, doctor, we trust you, we sign!"

"As long as you are willing to save Yingying, even if there is a chance, we are willing!"

"Yes, after all, it's already like this, and there is no way to wait!"

"Even if there are any problems that are not rescued, we will not blame you!"

Because they knew in their hearts that if they were deadlocked here, in another hour or two, their daughter would completely leave them!

This kind of feeling that there is nowhere to seek medical treatment, and there is no one to seek medical treatment, makes them feel like a knife is piercing their hearts, and there is nothing they can do!

This feeling of despair made them collapse!
But now a doctor suddenly popped up and said he was willing to try it, and they seemed to have caught a life-saving straw!
At least try, there is a chance!

"Okay, I'll try my best, but you have to prepare for the worst."

Lin Yi nodded solemnly.

At a time like this, he dared not promise anything to the families of the injured easily.

Because he didn't want to give them too much hope. If it turned into despair, the pain would suffocate them!

"Okay, we understand, hurry up and sign!"

He Cheng and the others shook their heads and nodded.

Later, Lin Yi arranged for Song Borui to sign the documents for them.

Lin Yi turned around and walked into the operating room.

Director Zeng followed in and said to Lin Yi:
"Doctor Lin, you promised to operate on them, but you have to think about it clearly, and you must not be arrogant."

"Although the family members of the injured have agreed, if there is any problem, it may still affect you."

"Actually...you spend less time working in the hospital, and you see fewer situations."

"Patients like this hovering on the verge of life and death... It can be said that there are many patients every day, including those we can't recover from. This is something we can't help."

"Of course, we will definitely treat them as much as possible within our capabilities, but beyond our capabilities, you still have to think about whether it is worthwhile to take advantage of your own future..."

Lin Yi nodded, looked at Director Zeng and said:
"Director Zeng, I understand what you said, but I think saving her life is worth the risk."

After speaking, Lin Yi resolutely walked into the operating room.

Director Zeng turned his head to look at Lin Yi's back, and couldn't help shaking his head.

…………

operating room.

Lin Yi stared closely at He Ying on the operating table while making preoperative preparations with his hands.

Director Zeng said to Lin Yi with a heavy expression beside him:

"The reason why the near-hepatic vein injury is too difficult is that the venous plexus here is too complicated, which is really too difficult."

"Doctor Lin, you have to think clearly..."

"But if you insist on doing it, I will assist you by the side."

Lin Yi continued to prepare quietly, and then said:
"Then trouble Director Zeng."

This child is too stubborn!
Director Zeng couldn't help but sigh in his heart.

After a while, Song Borui came in after having dealt with the consent form and other matters.

Immediately afterwards, other medical staff also took their positions.

"let's start……"

At this moment, Lin Yi was ready, and now he was staring at the wounded in front of the operating table.

Relevant knowledge quickly surged in his mind.

Not bad, there are indeed many techniques related to this type of surgery!
After a while, Lin Yi couldn't help feeling a little excited.

Afterwards, he adjusted his state and stared intently at the abdominal cavity of the wounded on the operating table.

Immediately afterwards, Lin Yi began to operate.

He directly adopted the combined thoracoabdominal incision!

This operation instantly stunned Song Borui who was standing beside him.

"How did you make such a big hole?"

Then, he couldn't help but exclaim in a low voice.

Lin Yi nodded and said:
"The position close to the hepatic vein is not easy to observe, so the only way to make an incision is this."

While speaking, Lin Yi had already cut the diaphragm to the inferior vena cava with scissors.

At this time, the second porta hepatis and the naked area of ​​the liver have been fully exposed!
Director Zeng's eyes lit up beside him.

This kid seems to have some strength!
After fully exposing some areas, Lin Yi said directly to Song Borui without stopping:
"Heart ear clamp!"

Song Borui nodded and got ready immediately.

Lin Yi said to him:

"Borui, you cooperate with me and stop the bleeding here!"

"it is good!"

Song Borui nodded cautiously, feeling a little nervous in his heart.

There is no turning back when you open the bow. Once the bleeding is stopped, you must continue to operate!

Afterwards, Song Borui took a deep breath, and immediately clamped the wounded's vena cava opening with auricle forceps.

Lin Yi, on the other hand, started to sew up the gap.

Director Zeng on the side was even more aware of how tricky this angle was.

Because of the location, there is no way to open the liver, which will only cause secondary damage.

Now Lin Yi can only repair the large blood vessels as much as possible, and then take the trunk out.

And this process can't be too fast!
"Director Zeng, come and help support the liver."

Afterwards, Lin Yi said to Director Zeng beside him while sewing.

"it is good."

Director Zeng nodded, and then began to work.

"Borui, pull out this branch slowly, be careful!"

"Understood, Brother Yi!"

Song Borui quickly agreed, and then carefully stretched out his hand to the branch stuck on the liver.

This operation is by no means a simple operation!

Instead, it combines liver damage repair surgery, near-hepatic vein injury repair surgery, liver debridement surgery, etc...

With the joint efforts of Lin Yi and the three of them, the branch inserted into the liver is being taken out bit by bit!
Every time the branch moves outward, it needs the cooperation of three people!

The operation is like this, it seems to be a contest with death!
They compete with each other, but also to compete who is more patient.

Finally, nearly half an hour passed, and the branch was successfully taken out!

Immediately, all the medical staff present couldn't help feeling a little excited!
Lin Yi also let out a sigh of relief, but he knew very well that the real difficulties had just begun!
At this moment, a doctor on the side suddenly said anxiously:

"It's not good, the patient's bleeding volume has increased!"

"Her blood pressure is very unstable with active bleeding points!"

"where?!"

Director Zeng was the first to ask, and then looked away immediately.

Suddenly, his face changed drastically!
"This...several blood spots appeared, indicating that the repair of liver blood vessels just now failed!"

"The situation is even worse now..."

Afterwards, Director Zeng frowned and said in a deep voice.

After hearing his words, everyone couldn't help but feel a chill in their hearts.

"After the branch was pulled out just now, the proximal hepatic vein group seems to have been injured a second time!"

Song Borui also found some problems and couldn't help but say.

Lin Yi didn't show too much reaction, but said lightly:

"It's normal, it's inevitable."

"Then...then what should we do? It's definitely not going to work like this!"

Song Borui looked at Lin Yi anxiously and asked.

Director Zeng also couldn't help frowning and looked at Lin Yi, wanting to see what he had to say.

Lin Yi stared at the wound closely, and said directly:
"The only way now is to block the blood flow of the whole liver, and then repair it!"

After listening to Director Zeng, the expression on his face suddenly became ugly. He shook his head slightly and said to Lin Yi:

"Doctor Lin, you have to be clear that the total hepatic vein occlusion only takes 30 minutes. If the time is too long, even if the repair is successful, it will be meaningless!"

"What's more, it's near the hepatic vein. It can't be done in 30 minutes!"

"How do you know if you don't try?"

Lin Yi looked straight at him and said something from his mouth.

"This………"

Director Zeng couldn't laugh or cry after hearing this.

This is the so-called newborn calf is not afraid of tigers!
Things have come to this point, how can he still be so calm!
At this moment, the doctor on the side said again:

"The patient's blood pressure is now 90/60mmHg! And it is still falling, and her breathing is also a little disordered!"

Lin Yi listened to his report, thinking solemnly.

With the increase of bleeding points, what must be done now is to completely block the blood flow of the whole liver and perform vena cava shunt at the same time!
And the blocking time is only 30 minutes!

In these 30 minutes, there are many operations that need to be completed.

There is not much time for Lin Yi to think, Lin Yi must act immediately!

Just when everyone was feeling heavy, Lin Yi suddenly moved!
He first blocked the abdominal aorta under the diaphragm, followed by blocking the liver pedicle with a blocking tape, and then blocked the inferior vena cava at the level of the renal vein!

In the end, he went straight down the chest, cut the pericardium, and blocked the superior and inferior vena cava!

Seeing this operation, Song Borui finally understood!
Why did Lin Yi have to perform a thoracoabdominal incision in the first place!
It turned out that at the very beginning of the operation, he was ready to block all blood vessels in the liver!
Director Zeng couldn't help but be taken aback!
Is it all under his control? !

At this moment, Lin Yi immediately said to the nurse:

"Three 10 minute countdown!"

"Yes!"

Afterwards, Lin Yi raised his head slightly and looked at the halogen shadowless lamp above his head.

Everyone couldn't help frowning slightly. The countdown to such a critical moment has already entered, why is he still in the mood to look at the lights above?

Isn't this a waste of time!

But Lin Yi's next action directly shocked everyone present!

I saw Lin Yi carefully controlling the central sterilization control handle of the shadowless lamp to adjust the light source!
Then, Lin Yi suddenly said to the nurse next to him:
"Help me move the operating table 25 degrees to the right!"

The nurse couldn't help being taken aback, then nodded, and immediately followed Lin Yi's instructions.

"The altitude is tilted another 7 degrees!"

Immediately afterwards, Lin Yi arranged again.

The nurse operated immediately again.

The people on the side couldn't help being dumbfounded!

What is he doing?
The time is so tight, he is not in a hurry to perform the operation, but instead is manipulating the lights and tossing the operating table, what is he doing!

Just when Director Zeng couldn't help but was about to ask Lin Yi, he lowered his head and glanced casually, and couldn't help being shocked!
I saw that in the injured area near the damaged hepatic vein, the rupture of those damaged large blood vessels was clearly seen!
This... can still have this kind of operation? !
Director Zeng felt a storm in his heart!
He has had surgery for decades and has never used this method!

By manipulating the light and the operating table, the light can be shot into the area of ​​the fundus of the liver, so that the light can be more perfectly irradiated near the hepatic vein!
(End of this chapter)