Great Doctor Ling Ran

Chapter 30: Operating room

Ling Ran's first operating room experience was in the form of a medical appendix.

In order to ensure the hemostatic effect, Ling Ran stretched his arm and persisted for nearly an hour. When he was liberated, the entire arm was numb.

However, this also allowed him to observe a close operation from another angle.

It is also a very valuable experience for medical students.

"How do you know that the bleeding point is in the liver capsule?" After the patient's vital signs calmed down, Huo Congjun was much easier, and he did it without even notifying general surgery.

He is of ordinary origin. Although he has been transferred to the emergency department for many years, he still has the most business.

Ling Ran rubbed his arm, and also remembered the feeling of Shicai, and said: "Because of the large amount of bleeding, the patient's abdomen was basically exposed, and there was no hemothorax and other conditions, so pay attention to observe the blood surge ..."

Ling Ran obtained the perfect free-hand hemostatic method, which not only increased muscle memory, but also the corresponding knowledge reserve.

I can say that in addition to the lack of on-site experience and the lack of three-dimensional feelings of getting started, Ling Ran's free-hand hemostatic method has reached the level of top doctors.

In contrast, although Huo Congjun is the director of the emergency department, the level of hemostasis with bare hands is a little higher than the entry level, far less than the level of specialization, and farther away from the master and perfect level-he is fine Nor will it take time to study the unarmed hemostatic method.

This time, Huo Congjun suddenly recalled the pain that was dominated by his teacher and gifted classmates when he was just transferred to training.

"Where did you learn this ..." Huo Congjun could only ask from here.

Ling Ran thought for two seconds, and decisively introduced the "Terminator of the Question", and replied, "I learned it in my own clinic."

"Home clinic?"

"Xiagou Clinic."

"It's not far from our hospital, the community clinic in the alley of Xiagou?" Huo Congjun thought for a few seconds, but actually knew the place, and said, "Xiagou often sends patients to our emergency department, but no such thing is found. Technical ... "

Xiagou Clinic, like other community hospitals, basically takes patients with a cold and fever as the main source of income. However, it occasionally encounters more complicated cases, such as patients with acute appendicitis when they have a stomach ache, and ectopic pregnancy when they have a stomach ache. Of patients, patients with acute pancreatitis when their stomach hurts ... or, like Boss Yang in the last noodle shop, if he did not encounter Ling Ran, he would simply handle it at Xiagou Clinic and refer him to Yunhua Hospital. .

Wu Lingran did not expect that Huo Congjun knew the Xiagou Clinic and simply pushed the question to time, saying, "I learned it with the doctor in the hall."

"Do you have such a powerful doctor in the clinic?" Zhao Leyi, who was a helper, said something, feeling a bit disguised to support Ling Ran, inexplicably uncomfortable.

"It's not great, I don't know." Ling Ran said: "I only studied for one month."

Zhao willingly disbelieved: "I can learn in a month?"

"Study of skills to stop bleeding with bare hands relies mainly on talent." Ling Ran's answers were very serious, and did not match the atmosphere in the operating room at all.

乐 Zhao Leyi was even more embarrassed and wanted to put his neck on the beam of the shadowless lamp, turning his thoughts—I am the attending doctor, why should my attending physician give a trainee a favor.

His eyes were indifferent to the little nurse next to him, and they noticed that they looked at Ling Ran, the gentleness, the admiration, and the inexplicable feeling that he had never got before ...

Zhao was willing to feel very annoyed. He looked at Ling Ran again. It was like the morning when he did n’t do his homework in elementary school, looking at the class leader with three bars to close his homework.

"The liver is in a good state." After Huo Congjun stopped bleeding, he dealt with the exposed intestines and the greater omentum. He became easier and his voice was better.

Zhao Lei, who was in charge of accompany the conversation, looked back and looked up, agreeing: "The patient's luck is very good. The director's suture is perfect, and it should not affect the function."

"It's not only good luck, it's good." Endangered patients have been rescued, making Huo Congjun's achievements and feelings a lot better. However, he immediately thought of Ling Ran's self-asserted actions, and the compliment paused. He said, "However, no matter how good the technique is, you must operate in accordance with the regulations. Even if you are sure that you will succeed, you cannot do it like this ,Understand?"

"Yes." Ling Ran is a person who is willing to follow the operational process, but he is willing to follow the technical process, not the administrative process.

If you are not an intern, and you change to an attending or deputy chief physician, you will probably get the praise of the general department when you do first-aid treatment with bare hands.

Ling Ran is also reflecting on a series of operations at the same time, learning from time to time, it is appropriate to put it in the medical field.

Puppetry is improved through constant review.

Huo Congjun intentionally allowed the atmosphere to cool for a while, but he couldn't help himself for a while, and said, "Generally, pinching the liver with your hands can easily pinch the liver. Hepatobiliary complications, five out of ten They are similar. "

Xiu Huo's army lowered his head and spoke while doing things: "Ling Ran's technique was still very particular, blood flow was very smooth, using the abdomen?"

After a while, he simply asked Ling Ran.

Seeing Li Xinxi can be used to describe the doctor's mood when he sees a special case, just like Huo Congjun at this moment.

其实 In fact, he really wanted to criticize Ling Ran, but he couldn't help but satisfy his curiosity first.

I criticize what is important and what is important.

Ling Ran gestured with his hand, UU reading www.uukanshu.com said: "When I reached in, my position was not good. I used the inside of the second part of the little finger of the little finger.

"Then hold the liver with all hands?" Huo Congjun thought about it, and then simulated his appearance in his mind.

Ling Ran should be, said: "Use the knuckles to control falsely, so as not to break free."

"This way ..." Huo Congjun sighed, but didn't ask any more. He's all in his fifties, and it's hard to learn how to do it again.

The main thing is that he has no time to learn such a partial knowledge.

I do not know how Ling Ran learned.

"Come on in a while," Huo Congjun said with his head down.

Opening the abdomen is the responsibility of the main knife, and closing the abdomen is often the opportunity for the assistants to compete. It is even more rare for interns.

Some resident doctors have to practice for more than half a year before they can get the chance to close their abdomen.

Although Ling Ran has done a lot of debridement and sutures, they are all minor operations, and they can not even be considered by ordinary people. The operation of closing the abdomen still attracted him, and he was shocked.

Wu Huo's army is still turning his intestines.

He now wants to understand. After the patient ’s liver on the operating table was wounded, he was squeezed into the corner. Ling Ran wanted to reach in and press the wound. He could only use the softest and shortest thumb.

虚 Using a virtual grip method, the problem of organ displacement is solved, and the secondary damage is minimized ...

However, the inflexibility of the little finger hasn't known how many surgeons have troubled for the past century. Huo Congjun feels that even a doctor who has spent a lifetime in the operating room may not be able to do this.

Yun Ke is just such a doctor. It turned out that he was in the operating room for the first time.

Speaking of talent, it is regrettable.

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