Great doctor starts with adding points

Learn to spend less time to hate, easy to cure diseases and difficult to save lives!

For the first time, Wu Xie felt that what he had learned was so limited.

But in fact, Wu Xie's current abilities, when combined, are much more powerful than ordinary cures, and even his senior brother Long Yuan may not be his opponent when combined.

but?

When encountering a really dangerous disease, Wu Xie still felt that his knowledge was too little and his ability was too shallow——

The veins of the pelvic organs!

Most of them first gather into plexuses, and then form several trunks, which flow into the internal iliac vein.

Puncture the roots of the internal iliac veins to allow the venous blood in these veins to flow back into the hematoma!

Isn't this worse?

This is the reason why Agronomy Quan is puzzled.

It is also the factor that Fu Jinjin and Director Xiong are more suspicious and uncertain at the moment——

"Director Nong, I think we can tie it off first!"

"It's better to let the blood in the main branch of the internal iliac vein reflux than to reflux the veins of the common iliac artery and the external iliac artery!" Wu Xieduo explained a few sentences.

It's purposeful. Wu Xie has actually obtained the operation permission at present, and has the routine operation permission of trauma surgery and hand surgery.

But Wu Xie knows that his current maximum surgical authority is the three types of operations and surgeries.

At present, the disease of this patient belongs to the high-difficulty surgical procedure, and the high-difficulty-level surgical procedure is not only based on the classification of the surgery, but at least a person at the level of a chief physician is required to perform the operation, otherwise it is a leapfrog operation.

And even if the director-level physicians are not capable enough, they have done their best in the local area...

Therefore, whether it is to speak out, or to explain to the right of agronomy.

The current surgery is still the home field of Nong Xuequan and others, and Wu Xie can only use his basic knowledge to fiddle with it!

The difference between every disease type is a thousand miles.

The difference between arterial injury and venous plexus injury is only a few centimeters, and the danger has increased by more than a little. The current danger and mortality rate of this patient are no longer just 60% of the statistics of hematoma.

At least over seventy-five percent, maybe even higher.

It could explode anytime!

Agricultural Science Quan is also one that can be afforded and let go, and he told Tan Tongwei: "Tie it!"

Wu Xie gave advice!

The one who made the order was Agronomy Quan.

Because the person lying here is your brother, the hospital is your home field, and the chief surgeon in the operating room is your authority, so the order must be issued by you.

This is Wu Xie's self-protection method, and it is also the responsibility that Agricultural Xuequan must do.

Otherwise, why would Wu Xie risk his life to gain the reputation of a leapfrog operation?

Wu Xie had found the internal iliac vein before——

So it doesn't take much trouble to tie it up, it's quick.

Wu Xie took the agricultural student Quan Jin and the three of them tied up the veins very decisively.

Although Director Xiong of Minda Hospital is the chief director of the orthopedic department of Minda Hospital, he is the director of the spine surgery department. The reason why he was called here is because he thought it was an injury near the vertebrae. Get better at it.

After tying it off.

Wu Xie was a little nervous.

Because the operation just now has no technical basis, only an anatomical theoretical basis, without any other effective and responsible support.

The venous blood flowing back from the distal end of the internal iliac vein gradually fills the lumen, after all, it is the root that has been pierced!

The venous blood in the veins returns to the heart!

Blood goes in the opposite direction to the arteries!

The arteries pump blood from the heart to the various units...

However, the connection of the presacral venous plexus is not limited to the internal iliac vein. There is also the middle sacral vein connected to the left common iliac artery, but fortunately, the middle sacral vein in the presacral venous plexus can also be stripped out separately!

Therefore, after several people from Agricultural Science Quan gave up their positions, Wu Xie quickly took out the middle sacral vein.

This is a very dangerous disease. If something happens, Wu Xie cannot take responsibility, so he only completes a part of the operation, and it is not a waste of time to let Nong Xuequan and others pierce the blood vessels.

And the operations can be sequential.

And it was only a few seconds after Wu Xie made such a decision!

Then I saw that the hematoma first enlarged a small circle at a speed visible to the naked eye.

Then it slowly got smaller!

And this miraculous scene made Nong Xuequan and others dumbfounded, and turned to look at Wu Xie.

Wu Xie clenched his fists with both hands.

He had just been exposed to detect the middle sacral vein, just for pre-rescue in case of an extreme situation, it was a kind of early warning.

The operation at this moment seems particularly redundant.

He exhaled slowly: "Sure enough, it is balanced by pressure and hemostasis!"

"Director Nong, Director Fu, Director Tan, it's almost settled."

"What do you mean?" Agricultural Xuequan doesn't like things that pretend to be ghosts.

but? The tone of greeting was polite.

Because he saw it, Wu Xie's eyes were bloodshot, and his temples were covered with fine sweat, and his fingers were trembling slightly.

This is definitely a sign of extreme sympathetic tension.

After a little relaxation now, it cannot be relieved immediately.

Wu Xie gradually cleared his mind: "Director Nong, there are at least three ways to form this hematoma just now. One is the internal iliac vein, the other is the common iliac vein, and the other is the meridian reflux in the spinal canal venous system."

"After we ligated the internal iliac vein and the median sacral vein, the blood in the common iliac vein, the branch of the largest vein, could not flow back."

"Although there are a small number of venous branches in the internal iliac vein, more blood will be injected, but the hematoma itself will definitely return part of it through the venous plexus in the spinal canal. If a balance can be achieved, then the maximum capacity and pressure of this localized hematoma It will be relatively small..."

"This is similar to the principle of a connecting device. After closing the largest inlet and venous blood valve, dynamic bleeding and hemostasis can be achieved."

"This is a localized hematoma, the internal blood is not contaminated, even if it flows back into the body, it will not help!"

Wu Xie explained slowly.

Agricultural Xuequan was a little confused, but he also saw the hematoma shrink a little with his own eyes, and I am afraid that he will really have a good battle with Wu Xie.

Can you speak human language?

To be honest, the theory of agronomy is not bad, after all, it can reach the director level.

However, even so, these voices that Wu Xie connects together can be distinguished into words, but they can only become words.

Looking at Wu Xie, he asked, "Then can we leave it alone? That's it, send the patient back to the ward?"

"Of course not. If such a hematoma is brought into the body, the patient will experience great discomfort. Dynamic balance hemostasis can prolong the operation time to a certain extent. Next, we can slowly and gradually tie off the part of the internal iliac vein." branches, reducing venous blood connectivity."

"Then think of a way to pierce the venous branches of the venous plexus in the spinal canal, which is equivalent to gradually closing the hematoma access and retaining the hematoma outlet. The internal blood pressure is higher than the venous pressure. If the hematoma pressure is small When it reaches a certain level, we can cut open the hematoma and see the damage inside!"

It is only now that Wu Xie understands that during the previous operation, the arteries and veins that Professor Xue suggested to cut off did not really achieve the so-called non-bleeding state, but had another meaning.

I don't know how Professor Xue would deal with this patient if he was here, and what is the recommended way to deal with it?

Wu Xie had no way of knowing that his film reading ability was not enough, and his hemostasis ability was not up to that point, but he also passed the outbreak, using expert-level film-reading skills and expert-level hemostasis.

It is also clever to find a treatment plan and idea, which is effective!

It may not be the best, but it is definitely suitable, and it can save lives.

The sense of gain and pride gained from saving a life is completely different from curing the patient's pain. Wu Xie has a very different feeling before the operation.

"The blood pressure has risen a little bit, but I don't know if it's because of the blood transfusion or the blood loss is under control. Director, how is your side?" The anesthesiologist also brought good news.

"I'm trying to figure out a way to control the bleeding!"

"Thank you, Director Gui." Nong Xuequan replied.

"Okay, the blood oxygen level has also risen to a certain extent, as long as the vital signs are stable, stable, don't fluctuate anymore." The anesthesiologist had time to touch the fine sweat on his forehead.

This one emergency operation is much more tiring than doing four or five routine surgeries, although in such a short while, at least one or two hundred possibilities appeared in his head, and the students went to draw blood to check electrolytes. I ran three or four times...

"This is another branch of the internal iliac vein, let's cut it off temporarily."

"The venous plexus of the caudal vertebrae, peel it off slowly..."

"Bone wax, prepare the gel sponge." Wu Xie asked for something while ordering.

Agricultural Xuequan heard that Wu Xie was cooperating with Director Fu Jinjin and others.

Then he silently stepped off the stage halfway to talk with his family members outside. The patient is his relative, so all the changes and explanations must be done by himself, and even the doctor in charge of the bed is impossible.

Talking about things, before my brother entered the operating room, the consequences I told my relatives were not optimistic.

Now that it's getting better, he has to give it a go.

Otherwise, there will be more worries outside.

As a doctor, as a surgeon, and as a family member at the same time, this is the only convenience that Agricultural Science Quan can get.

After a while, Nongxuequan returned to the operating room and said, "The family members have signed, and we will do our best to treat it!"

"On tour, grab some more packets of bone wax and some gelatin sponges!"

"Prepare some more good consumables."

"It's better to be steady."

In medicine, when life safety is guaranteed, safe quality comes first!

Agricultural Xuequan probably told him before the operation that he should save lives first and not use the best things first.

But after the life is guaranteed, then it is not afraid of spending money.

"Director Nong, thank you for your hard work. You should be in the audience. You won't be on the stage. With Director Fu, Director Xiong and Xiao Wu here, we should be able to handle it." Tan Tongwei, Chief Physician Fu and Agricultural Xuequan explained.

Agronomy Quan looks open to Fu Qianjin and Xiong.

Xiong Kaikai said: "Doctors try to avoid relatives as much as possible, Director Farmer, you should take a rest first."

"Okay, thank you Director Xiong." The patient's condition gradually stabilized, and Wu Xie and others are also in order now!

"Thank you, Director Fu, and more importantly, Dr. Wu." After the patient's condition was relatively stable, Agricultural Xuequan began to have time to manage some basic human relations.

It's getting late, this is the People's Hospital of the State, not the Minda Hospital, and it's not the responsibility.

Fu Jinjin, Xiong Kaikai and others are willing to come to help late at night. This is a favor and must be kept in mind.

Because Nongxuequan knew that if he didn't mention that the patient was his brother, the two of them might not be willing to come over in person.

Which hospital has not died due to similar diseases?

...

Time passed slowly, more than two hours passed.

The hematoma was incised, and after the hematoma was incised, there was no scene of a pool of blood running around. The blood in the hematoma had already solidified, and after a little scratching, it became a gel-like state that could be served directly in hot pot!

Of course this is a joke, the blood clot must be completely removed.

Then, going deeper, Wu Xie, Fu Qianjin and the others found the culprit. In the presacral venous plexus, the angle between the two venous branches was two openings that were only about 4mm in size!

But it was this small opening that almost killed this big man!

It also tossed Wu Xie Nong Xuequan and others for several hours.

"This should be a progressive hematoma? I'm afraid this patient didn't come to the hospital until he fainted?" Wu Xie asked jokingly.

If it came earlier, it might be resolved by taking some medicine.

Nong Xuequan said: "Some time ago I said I had a stomachache, but I didn't ask for leave. I went to the pharmacy to buy some Changyanning and then returned to the team! I didn't tell us about it."

"It was because my siblings found Chang Yanning in his unit, and only found out about it after asking his colleagues!"

Agronomy rights are unimaginable.

In the case of pelvic hematoma, how did he insist on continuing to work for several days, and finally came to the hospital for life-saving.

If you don't give medical treatment, you can only save lives!

Make yourself look like a hero.

One evil pen.

"Thanks to Xiao Wu today, otherwise this life would definitely be gone."

"Director Nong, you brother is really selfless!"

"Maybe it's the responsibility, I don't know, anyway, the bureau he is in has been quite busy recently." Agricultural Xuequan knew the yin and yang of Wu Xie and others.

Even he himself felt that his brother's behavior was particularly hateful.

You are just one person, why are you pretending to be noble, there is a brother who asks you to use you in the hospital, and you don't even come.

The hematoma was treated like a normal stomachache.

Parents haven't left yet, you are so anxious to wait for him, right?

After thinking about it, Agricultural Xuequan lifted a corner of the sterile cloth, and pinched his arm fiercely a few times.

This is the relief.

Carefully cover the sterile cloth and observe the fluctuation of vital signs on the anesthesia machine.

After seeing that there was not much fluctuation, he breathed a sigh of relief.

In fact, he was also afraid that his behavior of venting his anger would affect the patient's condition.

Although as a director and a doctor, he knew that such a theory basically did not exist, but he was still nervous.

Before becoming the director of agriculture, he was called Nong Xuequan first, a person, and then a doctor.

As long as he is a human being, he is Nong Xueyi's elder brother.

"Let's go, let's go to have a late-night snack. I have to thank you all and give you a toast..." The operation lasted for another hour, and it was coming to an end!

After confinement, Tan Tongwei was in charge of follow-up matters, and Nong Xuequan took Xiong Kaikai and others to drink.

Wu Xie said: "Director Nong, I won't drink anymore, there may be something else in the department."

...