I can see the status bar

Chapter 243 Good Means (Second Update)
"Skin incision, blunt separation." The fat man who performed the surgery seemed to be a surgeon with a teaching background.His technique is extremely skillful, but because he doesn't have a mask, he has to turn his head sideways every time he explains the situation. "When the internal oblique fascia is cut, the incision will be relatively large."

Standing in the distance, Sun Li'en came back to his senses after being shocked by this scene, and performed his duties seriously.He stared closely at Li Fengmin's status bar, for fear that the long list of statuses would suddenly become the words "dead".

"Cut the internal oblique muscle, pay attention to the separation." The other veteran experts who helped with the operation tacitly sterilized with alcohol, and the deliberately bent meat fork grabbed the separated muscle and fascia tissue.

"Satisfactory incision, cut the transversus abdominis muscle." The fat man's technique is very sophisticated, he cuts the transversus abdominis muscle with a counter-pick knife, and the blade cuts the transversus abdominis muscle tissue from the inside out to prevent any damage deep organ tissue.

"Continue to separate." The old man turned his head to the side and asked in a low voice, "Wipe the sweat."

The shriveled old man who was acting as the second assistant took out a cut white bath towel from the bag, and wiped the sweat off the fat white man's head. "Lose weight, old Chen, look at this bath towel, it's covered with oil."

Dr. Chen ignored the second assistant and continued cutting.After the transversus abdominis tissue is separated, the peritoneum and the thoracoabdominal veins and arteries attached to it are exposed.Dr. Chen chose a good incision, just avoiding the C4 subcostal spinal nerve and the abdominal branch of the T4 spinal nerve.After separating the thoracoabdominal and carotid arteries with a scalpel handle, Dr. Chen incised Li Fengmin's peritoneum again with a reverse pick.

A large amount of blood gushed out of the bulging abdominal cavity quickly.

"A large amount of blood in the abdominal cavity, estimated to be at least 1500 milliliters." There was no surgical suction device, and the large amount of blood immediately blocked Dr. Chen's entire surgical field.In desperation, he had no choice but to use a sterilized curved plate to draw blood directly from the wound.Plate after plate of blood was poured into the trash can beside him.

"To prepare the patch, use Takeda's TachoSil." While pouring out the blood, Dr. Chen instructed Hu Jia, "Just prepare the patch, and we'll talk about trimming the size later... Tighten the tourniquet a bit more! "

The two security guards, who were originally planning to hold Li Fengmin down to prevent him from struggling during the operation, looked at each other, resisted the discomfort, and pulled the two ties tied around the base of Li Fengmin's thighs a little tighter.

"The amount of bleeding has decreased. It should be from the femoral vein or the external iliac vein." Dr. Chen, who was observing the intra-abdominal bleeding, continued to mutter, and then began to put down the scalpel, and directly put his hand into Li Fengmin's stomach to feel for it.

The other doctors on the operating table all looked familiar, and even Hu Jia showed nothing special.On the contrary, Sun Lien in the audience was even more shocked.

The "internal bleeding" on Li Fengmin's head faded.

According to Sun Lien's experience, if a certain state fades, it means that this state has been controlled.Dr. Chen's seemingly rough actions actually had an effect.

"The left external iliac vein is torn longitudinally, and the tear is about one centimeter." Dr. Chen inserted half of his arm into Li Fengmin's stomach, but he was still muttering, "Cut me a patch, the size is one by three." of."

Hu Jia lowered his head and began to cut the patch.It is often necessary to trim some consumables during the operation, and there will certainly not be a ruler for the medical staff to compare and cut during the operation.It all depends on the doctor's estimate.But every emergency doctor and every instrument nurse in the operating room is a god with its own measuring tools.Saying that three centimeters is three centimeters, and cutting them up to a size of 3.2 centimeters, the deviation will never be too large.To put it bluntly, I usually do a lot of work, and I have developed my skills.

The skinny second assistant opened his mouth again, "Old Chen, hold down his iliac artery first, it will be dangerous if he bleeds again."

"I use your teaching?" Dr. Chen retorted unceremoniously, "You Wu Qihua had surgery ten years ago, right?" He paused and continued, "I've already blocked the tear. I hope that this is the only place where Lao Li's blood vessel is broken. If there are other places broken...it will be troublesome."

Sun Lien watched the performance on stage, and fell into deep thought.Li Fengmin's longitudinal tear of the external iliac vein is actually a very rare situation.You know, most patients with this symptom have suffered severe trauma.A penetrating abdominal injury, or simply an open injury, results in injury to the external iliac vein, which lies deep behind the sigmoid colon and inguinal ligament.But Li Fengmin, who was soaking in the swimming pool, could not have been hit by such a strong external force-there were no nuclear submarines in the swimming pool!
After everything has been ruled out, no matter how absurd the remaining explanation may be, it is the answer.Sun Li'en opened his eyes, but this speculation was a little too absurd, and he still didn't dare to confirm it - he needed some medical technical support.

"Hello, Dr. Yuan?" Sun Lien took out the phone from the waterproof bag tied to his arm, and directly called Yuan Pingan who was far away in Ningyuan. "I have an urgent case here. Have you ever heard of a spontaneous rupture of the external iliac vein?"

Yuan Pingan on the other end of the phone was eating a completely cold dinner. Hearing Sun Lien's words, he realized that his treatment team leader had encountered a very difficult matter.

"I have read related reports, but this kind of situation is very rare, and the number of reported cases is probably less than 50. The last time there was a record in China was in 09." Yuan Pingan was very impressed by the information he had read, and he even reported it immediately. time of recording. "Army General Hospital of Jincheng Military Region recorded a case of spontaneous rupture of the left external iliac vein and hematoma. But it should have been misdiagnosed as deep vein thrombosis first."

"How many breaches are there?"

"It is very rare to be able to rupture spontaneously, and there is no record of breaking several places in one breath."

"That's fine." Sun Li'en gained confidence, and he didn't continue to talk to Yuan Ping'an. He shouted directly to Dr. Chen who was talking on the stage, "Dr. Chen, the patient should have a spontaneous rupture of the external iliac vein. The patient in the case report had only one venous tear!"

Dr. Chen asked the second assistant to wipe the oily sweat on his head again, "Spontaneous rupture? Have you never heard of it?" He shouted at Sun Li'en, "How many statistics are there?"

"No more than 50 cases. The last time there were reports in China was in 09!" Sun Lien replied.

Dr. Chen tilted his mouth, "There are too few statistical data, and the confidence level is too low." He sighed, stood up straight, and slightly rotated the arm that had been inserted into Li Fengmin's stomach, showing himself as much as possible. much space.Then he inserted the other hand into his stomach.

After several minutes, he withdrew the hand that was inserted later, "At least there is only one opening in the iliac vein."

The means by which surgeons discover and solve problems is so direct—of course, it can also be said to be simple and crude.

As long as it can save lives, no matter how rough the method is, it is a good method.

　nailed it!At least before Saturday, I can go and play with my girlfriend with peace of mind~ By the way, for the sake of my hard work, asking for a monthly ticket is not too much, right?Not too much, right?

　　
　
(End of this chapter)