I Spent Those Years In the Operating Room Fighting Monsters

Although I heard Lu Cheng directly calling the visiting nurses to take thrombus equipment, although Cao Mengda is a specialist in orthopedics, he is not a little white who knows nothing about vascular surgery. On the contrary, his previous foundation was very solid. I chose orthopedics among vascular surgery, urology and orthopedics.

"How is the current vascular condition? The patient has been injured for more than three hours now. Is the remaining time enough?" This is also a question Cao Mengda worried, so he asked Lu Cheng again.

Although arterial thrombosis is only a diagnosis, the treatment is different.

The removal of thrombus with arterial rupture is different from ordinary arterial thrombus removal of lower extremities.

If an ordinary normal person develops an arterial thrombosis, the proximal blood vessel integrity must be good. Then, before the operation starts, the structure of the proximal end of the thrombus and the collateral circulation without thrombus will have blood supply.

Even if you don't care about the thrombus, it will only cause necrosis of the limbs distal to the thrombus.

In this way, the time for the body itself to cut off the blood supply in the non-thrombus part should be counted from the moment the blood vessel is pressurized to stop bleeding from the beginning of the operation.

But for patients with arterial injury, the time of the body ischemia should be counted from the moment of injury, because since then, there has been insufficient blood supply beyond the injury.

The objective conditions of nature will not spare you just because you are injured, and then give your muscles or other soft tissues a longer survival time.

So if you want to keep your legs, what you need to do is to restore the blood supply as soon as possible.

That is to say, Lu Cheng or any doctor of vascular surgery must complete the thrombus removal and arterial suture as quickly as possible. Then, the body that has suffered a large area of ​​ischemia at this moment will be given the fastest way to restore blood supply.

Blood flow is the source of life for all organisms. Without blood supply, all functions are illusions. This is an absolute truth.

It seems that no one is allowed to eat, no matter how strong the warrior is, there is only one ending-withered bones.

This will increase the difficulty of the operation to a certain extent. The faster the operation, the greater the possibility of accidents, and the stronger and more precise control required.

"You can try your best, do it first and then watch it." Lu Cheng was not sure at all. He had never performed a fast blood vessel thrombus removal. The reason why he was able to accurately remove the thrombus was when there was a hang.

However, if you have orthopedic glasses, and you have experience in removing blood clots, you can give it a try.

"Okay, let's do vascular surgery first. I really can't do it, and I will talk to the patient and family members. When the manpower is poor, the hospital is not a shelter for life, and all diseases can be saved." Cao Mengda also let Lu Cheng relax and don't put pressure on himself.

Even if he can't get the blood clot, he still has to communicate with the patient's family.

Even if the blood vessel operation is to be performed first, Cao Mengda still ordered Chen Xiaobo to sterilize the entire affected limb for the convenience of subsequent operations.

Then, after routine disinfection of the towels were all right, Lu Cheng immediately took the stage and inserted the arterial tracheal tube into the proximal end of the femoral artery. After extending it for a while, he inflated and pulled it back without any hesitation. A large number of long strips of dark red flocculent blood coagulation were pulled out by Lu Chengji.

Very simple and neat, without any hesitation.

Seeing this, the itinerant nurse immediately said to Chen Xiaobo: "Doctor, please take a few more saline pads on the stage, put the thrombus in the saline pad, and count it later."

Obviously, this itinerant nurse may still be a specialist nurse in vascular surgery, who usually has more desks in vascular surgery, so he is very professional.

Chen Xiaobo is a person in orthopedics, and he only knows a little about vascular surgery, but although he only knows a little bit, when doing emergency surgery, he will still meet people from vascular surgery to perform arterial embolization vascular thrombectomy.

Chen Xiaobo felt that compared to those he knew, Lu Cheng's way of getting the bolt was a bit wild, but it was also a bit quicker.

Very decisive, but the criterion for assessing the quality of the operation is not the speed of the operation, but the quality of the operation.

However, just showing such a hand by Lu Cheng was enough to make Chen Xiaobo more respectful to Lu Cheng, and said, "Mr. Lu, let me deal with these thrombus strips."

Although this operation is an open fracture, it has a natural advantage for vascular thrombus removal. The blood vessel itself is exposed, and Chen Xiaobo does not need to deliberately expose the hook.

After the vascular clip clamped the femoral artery, Cao Mengda could also be freed to help Lu Cheng hold the catheter.

Otherwise, the manpower for this operation may be insufficient, and Lu Cheng needs to perform the operation with one hand.

The arteries are all ruptured. Naturally, there is no way to do a radiography to show where the thrombus is. Everything can only be done blindly by the touch.

He is very familiar with the anatomy and shape of blood vessels. This is the first treasure ability that Cao Mengda has discovered in Lu Cheng. He originally thought that he would have the opportunity to be used in a big way in the future, but he didn't expect this to be just now In the magic city, Lu Cheng will be caught on the table.

Cao Mengda doesn't know if anyone else has this skill, but it is estimated that even if someone does, the number of people will not be too large.

After Lu Cheng heard Chen Xiaobo say that he was going to deal with these thrombus strips, he put the thrombus strips aside, and then continued to dig deeper.

Article 2, Article 3, Article 4.

Until Lu Cheng's seventh and eighth operations, he was still able to pull out the thrombus strip so accurately, the visiting nurse became shocked.

She blinked, looked at the countertop, hesitated for a while, then took a photo of the thrombus strips on the countertop, and sent it to the vascular surgery general hospital she is familiar with, saying: "Brother Zong, is this right? It’s a little bit awkward. The airbag enters nine times and the thrombus comes out nine times. The success rate is 100%."

However, no response was received. The general hospitalization of vascular surgery has been busy running in various departments for a long time. How could it be possible to reply to her news?

But even so, as a nurse in the operating room who has been working in vascular surgery for a long time, she has seen it before. Without mentioning the 100% success rate, the number of thrombus removal operations she has seen here is not the same. many.

Just kidding, who has had so many blood clots without amputation?

If there is no amputation, the grave head grass has started to leave.

It is estimated that this is the emergency situation now.

...

"Ms. Lu, how many blood clots are there in this patient?" Chen Xiaobo saw his scalp numb. There are already about 20 blood clot strips.

The blood vessels of the lower limbs of this patient must have been blocked all the way, right?

But this is not the most important thing. The most important thing is that the thrombus strip that Lu Cheng took out is getting smaller and smaller. The shape of the thrombus strip is based on the diameter of the blood vessel. The diameter of the thrombus strip is getting smaller and smaller, which proves that the blood vessels that Lu Cheng reaches are also getting smaller and smaller, and they must all reach the branch blood vessels.

Although Chen Xiaobo doesn't know what kind of operation to take thrombus in this kind of arterioles in vascular surgery, it is definitely the more popular kind.

Lu Cheng turned his head and glanced at Chen Xiaobo, and said, "There should be about twenty more!"

Chen Xiaobo's feet suddenly became soft.

Good guy, it's enough for a hot pot.

Hey, why should I TM want to cook hot pot?

...

After taking out a relatively large thrombus in the posterior tibial artery, Lu Cheng paused for a while, and then began to gasp. This kind of blind manipulation of branch artery embolization without the aid of any imaging data requires too much experience for precise manipulation.

From the femoral artery to the posterior tibial artery, there are at least four bifurcations, which cannot be skewed, and when the embolus is taken back, the emboli must not fall into other bifurcations.

This requires keeping both hands tense at all times and a high concentration of energy, otherwise it will make the already very difficult operation more difficult.

And for such a long time, it is very energy-consuming and physically demanding to control the hands with a high concentration of energy.

You know, a vascular surgery unit usually takes less than ten thrombi, which is enough. Rapid surgery will not reduce the workload of the operation, but shorten the working time for the same workload, which will not save energy.

There was also a lot of fine sweat on his forehead. When the visiting nurse passed by, she carefully wiped Lu Cheng with paper.

Because as early as when Lu Cheng took out the twelfth thrombus, she realized that Lu Cheng was challenging the'impossible'. Because she walked around in the operating room without seeing any hanging CTA or MRA.

Moreover, Lu Cheng and Cao Mengda did not go to the computer to see any imaging materials during the operation. Now everything Lu Cheng does is relying on blind exercises.

This kind of thing that she hadn't seen anyone do in the operating room for so long, didn't dare to ask her friends.

Just staring at Lu Cheng, the eyes that emerged from the gap between the mask and hat were very energetic and seemed to have an indescribable charm.

But at this moment, suddenly the door of the operating room was opened, and then someone walked in. After walking in, he went straight to Cao Mengda's ear and whispered a few words.

"Are you Professor Cao Mengda Cao? I am Ding Yuanyi from Thoracic Surgery. I came here mainly under the trust of Mr. Mi's family. I hope I can discuss with you that their family has contacted two foreign vascular surgery and orthopedic surgeons. Experts, I hope you can stop operating the patient first, as long as you make sure that the patient does not die. Just save the legs."

Ding Yuanyi seemed to be about the same age as Cao Mengda, and he was very fast when he said this.

Cao Mengda was so stupid at the time. After listening to it, he turned around and asked, "Why don't you come on stage without doing any operation, just to ensure that the patient will not die and the leg will not be broken?"

What kind of **** words are this, Cao Mengda couldn't believe that these words should be said from Ding Yuanyi's mouth.

Hearing that Cao Mengda became yin and yang strange in an instant, Ding Yuan said: "This is the original words of the family, calling me to relay it intact and discuss it with you, but it is not what I said. What am I going to do on stage?"

"Why are you angry at me? I'm not doing you anything."

Cao Mengda did not continue to fight with Ding Yuan: "Once the operation starts, it is impossible to stop. I am the chief surgeon, and I am responsible for this operation."

"You didn't come to help with the operation, so leave this operating room right away. Thank you."

Cao Mengda finished speaking and said to the tour: "He said half a word, or if he didn't leave the operating room within half a minute, he directly called the security guard. I had an operation and deliberately killed someone."

Ding Yuanyi knew that Cao Mengda was really on fire, but it seemed that the things he was going to do were not done well, which made him immediately start the fire.

Continue to speak: "Professor Cao. This is ok."

The itinerant nurse heard that Ding Yuanyi was still talking, and immediately came forward and made a polite gesture, asking Ding Yuanyi to go out.

Ding Yuanyi is still a member of the hospital after all, so he didn't really hire a security guard.

Ding Yuanyi also wanted face. Seeing the visiting nurse, regardless of his identity, he had to chase himself away. It was too troublesome to call the security guard, but I really didn’t know where Cao Mengda got so angry and gave it to the hospital staff. The face is not given at all.

Cao Mengda really felt very funny in his heart. When he went out to explain his condition to his family, the other party sincerely asked him to help the patient keep his legs, saying that he is an athlete, so a pair of legs is very important.

Cao Mengda invited Lu Chengcheng, who had just arrived in the magic capital, to the operating room, and then began to perform various difficult thrombectomy operations little by little~www.wuxiaspot.com~ When we were about to see the light, I was not affected. His condition collapsed, and a fire broke out in the rear. The patient’s family did not trust Cao Mengda, so they invited foreign aid.

Speaking of it, Cao Mengda also thinks that the family of this patient is really ruthless. Now is a special period. There is such a big accident in itself. There are many patients in each hospital, and the lack of medical resources can even be said to be very inadequate. Case.

They were all able to pick and choose, and they invited two experts from abroad to come and replace Cao Mengda.

But it seems that they don’t want to go through formal channels. I hope that Cao Mengda can get along and let two foreign professors come into the hospital, because through normal means, there are a lot of places to go, but now in this special period, where does anyone know? Give them this process?

There are not enough manpower in most places now, and it is certainly not easy to deploy manpower in the hospital.

Chen Xiaobo's mood is a little uncomfortable at the moment. It is not the first time that he has heard of such outrageous things, but in the magic city, there are too many powerful people, and similar things have happened a lot. .

He asked: "Professor Cao, I guess the family members of this patient will not stop. What are we going to do? Shall we continue the operation?"

If the operation continues, it may be stopped at any time.

But Cao Mengda still wanted to ask Lu Cheng's opinion. Lu Cheng didn't pay much attention to what Ding Yuanyi said when he came in, and said, "Professor Cao, let's continue the operation."

"You can do as much as you can help the patient. The person lying here is innocent. He is also a dominated person. We can help as much as we can."

I like the years when I was in the operating room to fight against monsters, please collect them: () I searched for novels and updated the fastest in those years when I used to fight against monsters in the operating room.