Back to 1988: I became the world's number one surgeon
Chapter 258: The liver is penetrated
"Academician Zheng, you wouldn't be unwilling, would you?"
Li Qian said with a smile.
"Academician Zheng came back from abroad, so it's normal that he doesn't want to be an assistant!"
Qin Ming said sarcastically.
"All right!"
Su Wanqiu's voice rang out.
"Academician Zheng, if you are sure that the amount of blood loss in this operation can be controlled within 10 units, then you can perform the surgery!"
Su Wanqiu looked at Zheng Quguo and said.
Bleeding within ten units?
Zheng Quguo took a deep breath. Bleeding from internal organs was dangerous. Zheng Quguo had also seen the results of the examination just now. The situation was very dangerous.
Although the bleeding in the left lung has stopped.
However, the left lung area is ruptured, and heavy bleeding may occur again. The same is true for the right lung. The penetrating wound to the liver has not been checked for specific details yet, and the patient has already started to bleed a lot.
10 units of blood.
It's not enough!
"Doctor Su will be the surgeon!"
Academician Zheng said in a deep voice.
"cut!"
Qin Ming's eyes flashed with disdain. What if he was an academician who came back from abroad? He still didn't dare to perform surgery. With this level of ability, he wanted to open an organ transplant center in China?
"disinfect!"
Su Wanqiu's voice sounded, and Li Qian began to disinfect.
Multiple injuries.
What needs to be done now is to clean and stop the bleeding of both lungs and liver. In addition, it is to clean and suture the wounds on both legs, and fix the broken ribs.
"The operation can begin!"
When Li Qian finished the disinfection, the voice of the anesthesiologist in the operating room rang out.
"Tissue forceps!"
Su Wanqiu's voice rang out.
Qin Ming handed the tools to Su Wanqiu.
Left chest.
It was opened again by Su Wanqiu.
After opening.
It was a bloody mess inside.
"The damage may be even more serious than what the CT scan showed!"
Li Qian said solemnly.
"Suction device, suck out the pleural effusion first!"
Su Wanqiu said.
"Uh-huh!"
Qin Ming arrived opposite Su Wanqiu.
Attractor on.
The blood was drained out.
"Big gauze!"
Su Wanqiu spoke.
"it is good!"
Although Academician Zheng was not satisfied, as an assistant, he quickly handed the gauze to Su Wanqiu. Su Wanqiu grabbed the gauze and put it directly into the patient's chest cavity.
Wipe the blood clean!
"Hook!"
Su Wanqiu's voice sounded, and Li Qian quickly picked up the retractor and pulled open the chest cavity. All the tissues inside the chest cavity appeared in front of Su Wanqiu.
"The middle and lower lungs are ruptured!"
Li Qian said.
"Fortunately, the hilum of the lung was not injured, otherwise, it would be troublesome!"
Su Wanqiu said.
"Tissue forceps!"
"Stitches!"
Su Wanqiu's voice rang out, and Academician Zheng quickly handed the instrument to Su Wanqiu. Su Wanqiu pulled open the lung lobe, and blood gushed out. After separating the tissues, Su Wanqiu quickly found the location of the blood vessels.
Stitched.
Stop the bleeding!
"What a quick operation!"
Academician Zheng took a deep breath. He believed that if he took action, he would be at least one beat slower than Su Wanqiu in stopping the bleeding completely!
Less than three minutes.
The bleeding in the left lung has completely stopped!
"Continue to search for bleeding points!"
Su Wanqiu said.
"it is good!"
Li Qian stood opposite Su Wanqiu and began to explore whether there were other ruptures and bleeding points on the left lung, while Su Wanqiu directly began to flush the chest cavity and fix the ribs.
five minutes later.
"Count the equipment!"
Su Wanqiu's voice rang out.
gauze.
Hemostats.
Su Wanqiu took them out of the chest cavity one by one. The left lung had been cleaned and the bleeding had been stopped, and even the ribs had been fixed. Academician Zheng, who was standing next to him, was stunned.
He had never seen it.
Such a neat and clean operation!
Even some top professors and experts in Cambridge Medical School cannot reach such a level. Academician Zheng even feels that even his own teacher is performing this operation.
I'm afraid no one can reach this level.
"Great!"
Academician Zheng was convinced for the first time. The caesarean section performed by Su Wanqiu last time did not prove anything, but the debridement of multiple injuries this time was certain that Su Wanqiu's operation was absolutely top-notch in the field of surgery.
wrong.
Internationally, they are among the best.
"Close the chest!"
Su Wanqiu's voice rang out, and Academician Zheng came back to his senses. He then quickly handed the needle holder to Su Wanqiu. Su Wanqiu began to close the chest cavity, and a few minutes later.
The chest is closed!
“How’s your blood pressure?”
Su Wanqiu asked after closing the chest cavity.
"Systolic blood pressure 88, diastolic blood pressure 49!"
The anesthesiologist's voice sounded.
"Continue the blood transfusion!"
Su Wanqiu said.
"Doctor Su, three units of blood have been transfused, and there are still seven units left!"
The anesthesiologist said.
“Speed up!”
Su Wanqiu said.
The patient's blood pressure is too low and he urgently needs to replenish his blood volume.
"Row!"
The anesthesiologist immediately agreed.
"Teacher Su, the left lung has been cleaned, and now we will start cleaning the right lung!"
Taoist Li.
"You clean the right lung, and I'll check for penetrating injuries to the liver!"
Su Wanqiu said.
"Row!"
Mr. Li nodded.
"Scalpel!"
When Mr. Li's voice sounded, Academician Zheng quickly handed the scalpel with a good blade to Li Qian, and Li Qian began to clean the right lung. In terms of operation, Mr. Li was much worse than Su Wanqiu.
But in China.
A top surgeon as well!
Even if you go abroad.
He is not much behind the world's top surgeons. The only difference is that China's medical conditions are backward. In many major operations, such as craniotomy, Mr. Li is a little bit worse than Hansjie and others.
In the field of trauma
Not bad!
"Qin Ming, please help me!"
Su Wanqiu said.
"Uh-huh!"
Qin Ming nodded and helped. After the chest cavity was opened, the situation inside was revealed. The bleeding spots on the right lung were not as large as those on the left lung, and the situation was much better.
See this situation.
Su Wanqiu went to check the condition of her liver with peace of mind.
"Scalpel!"
Su Wanqiu's voice rang out.
"Doctor Su!"
Academician Zheng handed the scalpel to Su Wanqiu. Su Wanqiu gently cut open the skin and used tissue forceps to separate the subcutaneous tissue. After a moment, the abdominal cavity was opened.
"There's bleeding in the abdominal cavity!"
Academician Zheng said quickly.
“It wasn’t there when we started checking!”
Qin Ming said quickly.
"That's right. When we started the examination, Dr. Qin Ming and I personally checked it. Apart from the liver penetrating wound, no major bleeding points were found in the abdominal cavity!"
Academician Zheng also spoke.
"Bleeding from a penetrating wound is normal!"
Su Wanqiu said calmly.
But for a moment.
Su Wanqiu's expression became solemn.
"Brother Wanqiu, what's wrong?"
Qin Ming asked quickly.
"look!"
Su Wanqiu pointed to the rib that was inserted into the liver. One end of the rib was connected to the cartilage, and the other end penetrated the entire liver. It can be seen that the insertion area just passed through the liver portal area.
blood.
Flowing from the porta hepatis area.
"The portal vein is damaged!"
Qin Ming's expression changed.
Hilar region.
This is the most dangerous area of the liver. The three major vascular systems are located here. If a blood vessel is injured, it will be difficult to stop the bleeding!
"There is a lot of blood in the abdominal cavity, and the liver gate must have injured a large blood vessel!"
Academician Zheng said.
now.
He also became nervous.
Multiple injuries are dangerous in themselves, and the debridement of both lungs had been basically completed. I thought the operation would be successful, but unexpectedly something went wrong again.
Liver debridement.
Harder than the lungs!
"Filter and reinfuse the peritoneal bleeding!"
Su Wanqiu said to Qin Mingdao.
"it is good!"
Qin Ming nodded.
Fresh blood in the body that is not contaminated can be filtered and directly transfused. There is a lot of bleeding in the abdominal cavity, almost two or three units of bleeding. If it is transfused, a lot less blood can be used.
"Teacher Su!"
"Right lung debridement completed!"
At this moment, Dr. Li's voice was heard. There were few bleeding points in the right lung. Dr. Li operated quickly and had completed the operation. He began to count the instruments and close the chest cavity.
"Qin Ming, pinky promise!"
Su Wanqiu said to Qin Mingdao.
"it is good!"
Qin Ming used a retractor to open the abdominal incision, exposing the surgical field and revealing the condition of the liver. Looking at the ribs inserted through the liver portal, Su Wanqiu took a deep breath!
"Tissue forceps!"
Su Wanqiu said.
"Doctor Su!"
Academician Zheng handed the tissue forceps to Su Wanqiu, who bluntly separated the hilar tissue along the direction of the rib insertion, going deeper step by step.
can be seen.
Blood gushed out!
getting bigger.
"Brother Wanqiu..."
Qin Ming's expression changed.
"found it!"
Right now.
Su Wanqiu's voice sounded, and the hemostat was inserted directly along the ribs. Then with a click, the hemostat closed directly, and the gushing blood stopped!
Bleeding points.
Found it!
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