Since 1981 Health School

  Chapter 365 How to stop the bleeding stumps people

   "Mr. Zhu, don't worry, the two major societies of FSSH and ICPF gave us 5 sets of advanced surgical instruments this time, and I will give you one set at that time, and you will be satisfied."

  Zhu Huoyan chuckled, the same sentence, no surgeon can refuse this kind of temptation, a good set of surgical tools can make the doctor more handy and happy during the operation.

  Even Zhu Huoyan, who is usually a little cold, is not immune.

  Of course there is another important reason, because Chen Qi is his young apprentice, and it is only natural for apprentices to respect their master since ancient times. If it were someone else, Zhu Huoyan might not accept this kindness.

  Of course some people will say that Chen Qi is taking something from the public house as his personal favor.

   But everyone, don't forget that when Chen Qi first set up an operating room in Huangtan Health Center, Zhu Huoyan also helped him with many public surgical instruments, which was a timely gift.

  One still has to rely on one’s conscience.

  The operation was carried out very quickly. As the staff of the fourth hospital outside lined up to donate blood, bags of blood products were brought in from the operating room and injected into the wounded, providing precious time and blood supply for the rescue.

  Zhu Huoyan did not hesitate anymore, picked up the scalpel, made an L-shaped incision directly through the abdominal linea alba, and began to enter the abdomen.

  Chen Qi also quickly picked up the hemostat and suction device to **** the blood in the abdominal cavity, and began to do his assistant work well.

   I saw Zhu Huoyan quickly dissociate the greater curvature of the stomach, open the lesser omental sac, ligate the splenic artery, then dissociate the splenic pedicle, and then clamp it with vascular forceps:

   "Chen Qi, you will perform the splenectomy next. I need to detect the liver. The action must be fast. The blood pressure has been dropping."

   "Okay."

  Zhu Huoyan really broke his heart for the students. Now Chen Qi can remove his spleen by simply cutting off the spleen pedicle.

   This is equivalent to cooking the rice, serving it to you, and then feeding it to your mouth. You only need to open your mouth, and there is no difficulty at all.

  Thinking of this, Chen Qi chuckled and buried himself in his operation.

  During the subsequent operation, Chen Qi handled it quickly, but Zhu Huoyan had trouble here.

   Seeing Zhu Huoyan standing there in a daze, Chen Qi was a little surprised:

   "Mr. Zhu, what's wrong?"

   "I'm sorry, there is indeed liver damage. Look here, there is a rupture in the middle lobe of the liver, and the middle liver vein is seriously damaged. It seems that there is no way to repair it at present. The liver has to be cut."

  Chen Qi blinked: "Then let's cut it."

  Zhu Huoyan glanced at Chen Qi angrily: "The liver resection is not so simple. Hurry up and ask someone to call Dean Guo and Director Lu from the Second Hospital. Everyone find a way, and hurry up!"

  After the little doctor in the operating room heard it, he agreed and ran out quickly. Time waits for no one, and every minute and every second is very precious.

  Dean Guo and Director Lu soon appeared in the operating room, both wearing surgical gowns, with a lot of blood stains on the clothes, obviously also undergoing surgery.

   "Old Zhu, what's the matter? Call us in such a hurry."

   "Yes, Director Zhu, we are still undergoing surgery."

   "President Guo, Lao Lu, look at the liver of this wounded man, it's bleeding all the time."

  President Guo stretched out his head to take a look, and his face was not good-looking: "It's over, it's over, it's going to be partially removed, and it can't be repaired."

  Lu Yue also had a headache: "Such a small child, how can this operation be done, I'm afraid I will not be able to step down!"

  Everyone in the operating room had a hard time, the liver surgery was really too difficult.

  The liver is a very delicate organ with active metabolism. It is fragile and easy to bleed. As long as 10-20 minutes of ischemia, it will cause liver cell necrosis.

  The most critical issue in liver surgery is hemostasis.

  But to stop bleeding, it is necessary to know the branches of blood vessels in various parts of the liver and the distribution of blood flow.

  Liver resection is very simple, you can cut it as big as you want, and you can cut it in any shape you want.

   But this is not pork liver bought in the vegetable market, it is a dead thing, you can cut it up as you like. The one in front of you is a living person, not something you can cut if you want.

  Before cutting the liver, you have to be more cautious.

  Then the question is, how to stop bleeding quickly and avoid irreversible damage to liver cells caused by too much ischemia time?

  You can’t cut the liver blindly before the bleeding is stopped, because the entire surgical incision will bleed, and you can’t stop it even if you want to.

  This is why Zhu Huoyan hesitated, and Dean Guo said it was troublesome.

  With the help of high technology, the county-level hospitals in later generations performed a laparoscopic surgery to remove part of the liver, or a liver cancer operation, which is a major event that can be reported on the news.

  In 1985, liver resection was a huge medical challenge for Director Guo, Director Zhu, and Director Lu in a grassroots hospital that did not even have a Taiwan CT.

  Even a master like Wu Mengchao had a mortality rate of 20% when he first performed liver resections. Finally, after 16,000 operations by this master, the mortality rate dropped to 1.3%.

  Professor Wu is a professional liver cutter. He has countless opportunities to practice his skills. As for surgery, practice makes perfect.

  Grassroots doctors are just the opposite. They seldom perform liver surgery and lack the opportunity to practice their hands. It is estimated that the success rate can only reach 10%.

  No one is sure.

  Director Lu swallowed his saliva, and suggested: "Why don't you tell the family members clearly, we will try our best."

"no!"

"no!"

  Zhu Huoyan and Chen Qi shouted out at the same time, which shocked everyone.

  President Guo frowned: "Why don't I try it. To be honest, I'm not sure, but I've done several similar operations, with some successes and some failures."

  Everyone in the operating room fell silent, but there was not much time left for everyone to think and hesitate. The little nurse shouted anxiously from the side:

   "The blood pressure of the injured has been dropping."

  Chen Qi couldn't bear it anymore, he knew that if he asked for the opportunity to be the chief surgeon, Dean Guo and Director Zhu would definitely not let him take the stage for the purpose of protecting him.

   But he couldn't just watch the little girl die in front of his eyes, provided he was capable.

   "Dean Guo, Teacher Zhu, let me make a long story short. The last time I went abroad to attend a surgical conference, I was in the same room with Professor Wu Mengchao from Shanghai. During the one-week conference, he taught a lot of skills in hepatobiliary and pancreatic surgery.

One of them performed intermittent hepatic porta blocking and liver cutting at room temperature. Although he only taught me some theories, I still understood the liver cutting technique he said. Don’t forget, the liver blood vessel model in the medical school But I did it myself, I have experience. "

  Chen Qi melted ping-pong **** and poured them into the liver to make a blood vessel model. Now it has become a way for the health school to generate income.

  When Dean Guo heard this, out of his trust in Chen Qi for many years, he suddenly felt that this kid might have something to do.

  (end of this chapter)