Chapter 257 Success
Ling Ran used the interrupted suture method to suture the bleeding point, cut off the end of the thread gently with scissors, and then threw away the instrument in his hand, silently experiencing the sense of accomplishment brought by the legendary level of bare-handed hemostasis.
Of course, the other doctors wouldn't really know what just happened. Whether it was Zhao Leyi, Dr. Zhou, or Deputy Director Du and Director Huo, their understanding of hemostasis with bare hands was very limited.
They didn't realize the power of the perfect-level bare-handed hemostasis, and they didn't realize that they had just seen the legendary-level hemostasis.
In Ling Ran's heart, he was celebrating his achievements alone, and he didn't intend to say anything.
For Ling Ran, it was easy to get applause. When he was studying, even if he just hummed a random tune, he could still get applause. In his opinion, the intensive collective life was extremely burdensome.
Ling Ran enjoyed this kind of secret poking achievement very much.
He doesn't need others to cheer for what he has done, let alone others to cheer for what he has done.
However, Ling Ran was very happy that the patient came back to life because of his work.
There is nothing more comfortable for Ling Ran than saving a person.
Of course, the feeling of the legendary unarmed hemostasis is also very good.
His eyes roamed the patient's body, checking for omissions.
This was originally a matter of Ling Ran's habits. It was like buying a model of Transformers. If it was a bit rough, Ling Ran would have to polish it carefully before installing it.
The same is true for patients, with a circle of seven or eight medical staff surrounding Jiang Li, it is very difficult to make omissions.
Ling Ran just glanced around when he heard Huo Congjun say "shut up if there is no problem".
Sweeping and sweeping, Ling Ran's eyes suddenly froze.
"Wait." Ling Ran spoke through a mask, and said in a dull voice: "The liver door is a bit big."
"Huh?" Huo Congjun looked over, where could he find out whether it was big or small. Some people's organs are bigger, and some people's organs are smaller, so how to tell the difference here.
"It's bigger than just now." Ling Ran made it a little clearer.
Hemostasis with bare hands is a skill that can be seen in subtleties. The legendary level of hemostasis with bare hands made him concentrate for a long time. During the re-examination process, he inevitably noticed this problem.
If it is in liver surgery, or liver and kidney surgery and other professional surgeries, one liver portal can make a doctor play for a lifetime.
For the legendary level of hemostasis with bare hands, the hepatic portal vein is also a part that needs special attention, and the arteries that are separated from it by the wall don’t need to be paid too much attention—whether it is the proper hepatic artery or the left and right hepatic arteries, if it bursts, it will immediately cause people to die. If you find it, you won't hide it vaguely.
The hepatic portal vein is not so upright, and sclerosis and rupture are common.
Ling Ran pointed across the air, and said, "Did the blood clot in the abdominal cavity just squeezed to the portal of the liver?"
Huo Congjun's face turned serious, and he asked Deputy Director Du, who was most conveniently located, to check.
During the period from the accident site to the laparotomy, more than 4,000 milliliters of blood accumulated in the patient's abdominal cavity. It is impossible to say how much blood clots were clotted. It is possible to move and squeeze any place.
Deputy Director Du hesitated for a moment, and directly reached out to touch the position of the liver door, and a shallow bloodstain slid out.
All the doctors present were clever.
"Really cracked?" Dr. Zhou had nothing to do, so he called 666 with his eyes wide open.
Huo Congjun said "En", and said, "Sew it up."
If you close your stomach with this hidden danger, you may not be able to get through tonight.
"It's really dangerous." Huo Congjun shouted in his heart, but he didn't say it out.
First aid is the process of stepping on thunder. If you step on a thunder, you are blamed for your inexperienced skills.
Deputy Director Du lowered his head and got busy.
The family members in the distance can't help but feel a little commotion.
They had already heard about the closure of the abdomen, but now that Deputy Director Du picked up the sutures, they didn't know that something went wrong. The family members were tired of crying, and the reporter kept gesturing to Huo Congjun for the sake of filming effect.
Allowing the filming is not only the request of the leader, but also the needs of Dr. Yun itself, and also what Huo Congjun needs. Otherwise, it is a normal decision for him to force the reporter to leave the operation.
"You keep doing it." Huo Congjun said something first, then raised his head and asked the reporter: "What's the matter?"
"Director Huo, can you tell us about the changes on the operating table? Everyone is a little nervous." The reporter pulled up the tiger skin.
"Well..." Huo Congjun pondered for a moment, and said: "We are looking for the bleeding point in the patient's body. Now, the bleeding point has completed the hemostasis work, but there is a problem with the patient's hepatic portal vein, and we are urgently repairing it..."
The reporter didn't comment, and asked the photographer, "Is the photo taken well?", then gave Director Huo a thumbs up, and then asked: "If the hepatic portal vein is repaired, can the rescue be declared successful."
"If there are no other accidents, you can say that." Huo Congjun looked back at the monitor. It was somewhat imprecise to say success now, but he still said it.
The emotions of family members sometimes need to be taken care of.
Sure enough, as soon as Huo Congjun finished speaking, the policeman's fiancée, Wang Yi, was the first to cry.
She didn't dare to cry loudly, for fear of disturbing the doctors, she stood up and said, "Mom...I, I can't stand it anymore, I'll go out first."
Chen Fang also nodded with red eyes.
Looking at the infusion bottles and even blood plasma that were being fed in continuously, and watching a group of doctors working on her son, Chen Fang's legs and feet were already weak, and she was mentally exhausted.
Now she also regrets going in to see, what's so interesting about the emergency room of the hospital.
A primary school student, listening to the words of several adults, carefully looked at the teacher and asked, "Is Uncle Police all right?"
"It will get better." The teacher touched his head and asked softly, "Does it hurt?"
"It doesn't hurt anymore." The elementary school student raised his voice and said, "I will be a policeman when I grow up."
"Then the teacher will wait for you to protect him from now on."
"good."
"I want to be a policeman too."
"good."
"I want to be a doctor."
"good."
The teacher raised his fingers again and said "shh", "Let's wait quietly for the police uncle to wake up, shall we?"
The primary school students nodded one after another.
Tian Qi, who had been hiding in the corner, was somewhat affected by everyone's emotions, and couldn't help but look at Ling Ran, who was the tallest and most conspicuous among the doctors.
very handsome.
Ling Ran lowered his head, still tirelessly checking the bleeding point.
Now, the rescue has basically been successful, but after the abdomen is closed, if there are still small bleeding spots or cracked hepatic portal veins, the prognosis will be very poor, and if it fails, another rescue will be required.
The multiple stab wounds Jiang Li suffered almost completely messed up his abdomen. The big problems have been dealt with, but the small wounds are not so easy to find.
Ling Ran learned the lesson that he had almost neglected just now, and checked it over and over again.
"Ling Ran?" Huo Congjun decided to close his stomach again, still asking Ling Ran.
Ling Ran nodded slightly: "That's fine."
"Close the abdomen." Huo Congjun gave the order, and Zhao Leyi and Zuo Liangcai, the two attending doctors, cooperated with each other, doing the abdominal closure operation layer by layer.
"I'll sew a small wound." Ling Ran moved to his leg, found a small wound that had already been compressed to stop bleeding, and sewed it up with ease.
a wound.
Two wounds.
Seven or eight wounds.
Ling Ran basically scratched out a wound, which could be stitched up in a blink of an eye.
Jiang Li was scratched in twenty or thirty places all over his body. It can be said that his skin was torn apart. Everyone was busy treating the seriously injured parts just now, but they could only do simple hemostasis, and even a small amount of blood oozes out, which is too late to manage.
Ling Ran stood over at this moment, and with two bare-handed pulls, he could find the depth of the wound and sew it up inside. If possible, he would do tension-reducing sutures on the outside, and cooperate with the inner sutures. If the conditions were not met, he would use butt seams. Legally sewn up.
Long wounds are interrupted multiple times, and short wounds are sutured continuously.
Ling Ran's potion is still effective, so that all kinds of sutures are perfect, not to mention the fast sewing, the effect is surprisingly good.
From the eyes of an ordinary doctor, Ling Ran seemed to be on the hook at this moment. Every detail they could think of, Ling Ran seemed to have thought of it.
This can't help but be a little frustrating. Although the suture method is the most basic basic skill of a surgeon, everyone who is a technician knows that the basic skill has always been the most difficult to practice, especially when it is compared with others. If you want to have a clear advantage, which requires a lot of energy and talent.
The photographer also found it interesting, so he took a video with the video camera.
Tian Qi took out his phone without hesitation and recorded Ling Ran alone.
The emergency room gradually became orderly.
The nurses who no longer needed to run around for blood bags freed up their hands, treated all the wounds of the elementary school students, and then sent them out the door.
The leaders finally came to the scene and solemnly announced: special allocation for medical expenses.
The dean and vice-presidents of the hospital all stood up, thanked the governments at all levels for their trust, and issued military orders patted on their chests.
"Send it to the intensive care unit." Huo Congjun directed the operation from the beginning to the end, and finally completed the task, and he didn't dare to send the person to the ordinary ward.
"Let's go back."
"gone."
The little doctors naturally gathered together, stepped on the blood stains on the ground, and went back with slumped shoulders.
The glory belongs to Dr. Yun, up to the first floor of Huo Congjun, and below the deputy chief physician, there is no chance to show his face. Everyone knows this well and is powerless to fight against it.
"Good job." Doctor Zhou patted Ling Ran on the shoulder from behind, giving him encouragement.
Young people are the most likely to get lost, and all young and old have experienced it.
Ling Ran nodded silently.
"Good job." Zuo Liangcai also patted Ling Ran on the shoulder.
"come on."
"Do it well."
"sharp."
The attending physicians who came to power today encouraged Ling Ran and encouraged each other, like a group of Chinese pastoral dogs who encouraged little tigers and licked each other's wounds, rustic and hard-working.