Chapter 953 Bleeding a Lot (Leader ROMATOTTI Plus 2)

Professor Yang was the first to come, and he had the best position.

When he saw that the peritoneum was opened, his spleen was full, and his head buzzed.

Although there are expectations, the visual impact I saw with my own eyes is completely different from watching movies and imagining myself.

He regretted it a little.

If I knew this earlier, I shouldn't have let Boss Zheng do the live broadcast of the surgery.

He had good intentions, but in the end he caused a lot of trouble for Boss Zheng, so why bother.

A lot of thoughts came to his mind, he was stunned for a moment, and he saw Zheng Ren starting to block the splenic artery.

"Old He, please check the patient's arterial pressure." Zheng Ren said in a low voice.

This was requested by Zheng Ren before, and what Lao He did was radial artery puncture and invasive arterial pressure testing.

The advantage of invasive arterial pressure detection is that the arterial pressure can be directly monitored as a continuous dynamic change process, not affected by artificial pressure, cuff width and tightness, accurate and reliable, and the value can be taken at any time.

Moreover, the contractility of the myocardium can be judged and analyzed according to the changes in the arterial waveform, so as to avoid the increase of blood returning to the heart, which may lead to acute heart failure in patients.

As for other benefits, this operation is not very obvious.

However, invasive arterial pressure detection has obvious disadvantages. Zheng Ren didn't care much about puncture failure, local infection, etc.

Lao He's level is still excellent, but he talks too much. Like Su Yun, he is a bit chatty. If the invasive arterial pressure is not good enough, Lao He can retire.

"Blood pressure 90/70mmhg." Lao He knew the severity and kept staring at the arterial pressure.

Zheng Ren knew that the young patient's blood pressure was low. Training in the operating room of the system, clamping the splenic artery, allowing the blood in the spleen to flow back along the vein, what is the limit, Zheng Ren also did nearly a hundred experiments, and finally got a standard data.

He put down his hands and waited quietly.

The color of the patient's lumps of spleen has changed slightly. Zheng Ren watched the color change with his eyes, and counted the time in his heart.

"100/70mmhg."

"110/75mmhg."

"115/80mmhg."

Lao He strictly followed Zheng Ren's request to observe the patient's arterial pressure.

After the arterial hypertension of the young patient reached 115mmhg, Zheng Ren began to cut the spleen and stomach ligament and other related ligaments.

It is very difficult to find the stomach in a lump of spleen and feel the abnormal tissue structure. But under Zheng Ren's command, all of this went smoothly, just like an ordinary splenectomy.

"120/75mmhg."

"125/85mmhg."

Lao He was still meticulously reporting the patient's arterial pressure.

May the kind people have good luck every day~~~

Lao He's voice was mixed with the singing, and he suddenly felt that playing this song during the operation was also very touching.

Professor Yang felt that his vision was limited, so he moved his head to the side to see clearly the movements in Zheng Ren's hands.

"Old Yang, leave me a place, it's already occupied a good place, and I have to eat more and occupy more, I don't take you like this." A professor beside him said unhappily.

"Did you see the spleen and stomach ligament cut?"

"I can't see it, Boss Zheng is blind."

Standing behind the operator can not see, there is no good way.

However, the assistant standing on the opposite side had expected this for a long time. A large retractor was placed directly on the spleen with just enough strength to pull the spleen apart, and then another retractor was used to place the other retractor at a 55° angle in the third quadrant of the surgeon. The liver and spleen on the side were also pulled apart.

This time, the field of vision has broadened a lot.

The assistant's left hand hook moved slightly, and a delicate little hand wearing No. 5 semi-sterile gloves took the hook, and then patted a hemostatic forceps into his hand.

"Boss, it's still comfortable for Yiren to perform surgery here." Su Yun felt sincerely.

Zheng Ren, as if he didn't hear what he said, lowered his head and performed the operation. As long as he stretched out his hand, the equipment he wanted would be patted into his hand as if by magic.

The more I looked at it, the more frightened I became, and Professor Yang gradually became dull.

Originally thought that Boss Zheng would remove the spleens one by one, but he did not expect that when the arterial pressure reached a certain level, he began to cut directly from the top.

He started to regret it again.

It's okay to go on stage by yourself, and I can remind Boss Zheng at this time.

When it comes to surgery, there must be quality. If the operator does not ask a question, it is best not to speak.

In that way, it will disturb the trainer's train of thought, so that a surgery is performed stumblingly.

But is it too risky to do so?

If they are removed one by one, if there is a problem, it will be regarded as a tumor reduction surgery. But if you cut it directly...

In Professor Yang's mind, heaven and man were at war, but he saw that Zheng Ren didn't hesitate at all, and directly cut off the lower pole of the spleen.

While cutting, hemostasis.

For slightly larger blood vessels, the hemostatic forceps in his hand seemed to have eyes, and they could always reach in and clamp them in a pool of blood at the first time.

The assistant's reaction was also quick, but a little slower than Boss Zheng's. Every time, after clamping the blood vessel, the assistant's aspirator will suck up the blood, and then clamp the line and tie the instrument knot.

The knotting of the equipment is also very particular, and it is over after one coil and one coil. The blunt scissors contained in the palm of the operator cut the knots and cut them to a suitable length.

As for bleeding in a large area, electric burns were used to stop the bleeding.

A smell of barbecue spread, and the assistant's vision was limited, so he simply used the aspirator to absorb the smoke from the electric burner.

"Boss, you are bleeding a lot today." Su Yun said.

"I can't help it. If my spleen is broken, I will definitely bleed." Zheng Ren said.

Professor Yang, the director and professors of Guantai were all stunned.

bleeding? Visually, the amount of bleeding is less than 100ml. Is this called excessive bleeding?

What a joke!

Under normal circumstances, when the spleen ruptures and the opening is relatively small, surgeons are willing to suture it. But the vast majority of people would rather have their spleen cut out than sew it up.

Not for anything else, just because the spleen is rich in blood supply, and its texture is very crisp, even more crisp than the kidney.

The stitches are closed, and no one can guarantee that there will be no bleeding after the operation. Once bleeding occurs, such a rich blood supply will lead to more bleeding.

If the observation is not timely, there is a risk of hemorrhagic shock in the patient, which will lead to the death of the patient.

Care must be taken when suturing a small tear, not to mention the partial resection of the spleen in this cross-section.

Only one small artery bleeds from the incision, so look for it in a pool of blood, even a suction device can't suck up so much blood.

In this case, it is difficult for the surgeon to find the bleeding point.

If the device is not suitable for the hand, and it is the kind of device produced by a small domestic manufacturer, even if the blood vessel is clamped by the forceps, it cannot guarantee that it will be directly sealed to death.

It is possible that the operation has just begun, and it will directly declare a failure.

In Boss Zheng's surgery, the blood loss was appallingly small, and the operative field was clean. It is estimated that the doctors who watched the live broadcast of the surgery with their mobile phones could see it clearly.

But even so, the assistant was still complaining about bleeding.

Does he understand it?