Surgical artist
Chapter 38 Is it going to cause an accident?
Chapter 38 Is it going to cause an accident?
In the operating room, deputy director Wu Shan was in torment and anxiety!
Don't worry about thinking so much, first rescue!Consider the formula again.
But as time goes by, the patient's condition is getting worse!
Not to mention the massive bleeding and blood flow, the symptoms also emerged one after another, and the severity was even worse than when he was admitted for the first time!
In Wu Shan's heart, there was no bottom at once.
I even panicked!The reason for the panic was not only the massive bleeding in front of him, but also because he failed to do it. His technique was proved to be ineffective, and he was at a loss what to do!
Wu Shan quickly asked the roving nurse to call Director Ma and Director Xiang to come and support them!
This is the scene where Ma Lin suddenly received a call in front of Zhao Peiru and hurried over.
After Xiang Tan Malin arrived, without further ado, he went into battle together to stop the bleeding.
After the bleeding vessel was ligated, the massive bleeding was considered to be fine for the time being.
Xiang Tan said solemnly: "Xiao Wu, this hemorrhage must never happen again!"
Wu Shan's face turned pale, and he nodded, not to mention the thrilling rescue, the key point is that the patient couldn't bear the repeated tossing.
But at this time, more serious problems also emerged.
The previous technique proved to be ineffective, what should I do now?
Ma Lin stared at Wu Shan: "Wu Shan, do you have any other treatment options in mind?"
Wu Shan turned pale and shook his head: "I've been researching for the past two days, and before I could think of a new surgical plan, the patient had a sudden hemorrhage."
Marin's face became ugly.
If he had known that the situation would be like this, he should have been tougher at the time, telling Wu Shan not to force him to admit him, and letting the patient choose to go to a big hospital.
Now that it has reached this point, it is necessary to come up with another plan to treat it, otherwise, it will lead to a medical accident!
Problems occur again and again, and the more the patient is treated, the bigger the problem will be. Can the family members rely on it?
Xiang Tan also became serious. He has only dabbled in the field of portal hypertension, and is not particularly good at it, and his level is only slightly higher than Wu Shan.
At this moment, he racked his brains, but also couldn't think of a better operation plan.
If Xiang Tan is given enough time, allowed to look through the materials and contact experts for consultation, he will always be able to find a suitable surgical method, and if it is not good enough, just refer the patient to a higher-level hospital.
But at this moment, the patient was already lying on the operating bed due to heavy bleeding, waiting for the operation.
There is no time to delay!
It was too late when Xiang Tan received the news!
Seeing that Ma Lin and Xiang Tan's faces were both ugly, Wu Shan was also in a daze, feeling a deep sense of powerlessness in his heart.
It's all because he was soft-hearted for a moment and hurt the fellow!
"Marin!"
Xiang Tan said solemnly: "Help me contact Professor Jiang at the Affiliated Hospital of the Provincial Medical University immediately, and guide us remotely!"
Xiang Tan decided to perform the surgery himself under remote guidance!
At this moment, someone has to stand up.
The Fourth Hospital cannot be allowed to cause more medical accidents.
He decided to take up this responsibility himself!
Xiang Tan had just finished speaking.
Zhao Peiru came to the operating room.
He first glanced at the patient on the operating table, and the values displayed by various instruments...
The problem is not big.
Zhao Peiru suddenly felt confident, and the situation was still completely under control, so there was no need to worry.
"Where is it all here?"
Zhao Peiru looked up and saw the three main forces of Xiang Tan, Ma Lin, and Wu Shan, plus Dr. Xing Wenyan as his deputy, Dr. Bao Jie as his little follower, two equipment nurses, and an itinerant nurse...
There are so many people.
It's just that although there are many people, the atmosphere is tense and serious, and a group of people dare not show their anger, keeping silent like a chilling cicada!
"Doctor Zhao?"
Everyone also saw Zhao Peiru, wondering why he came in suddenly.
Zhao Peiru smiled and said, "Director Xiang, Director Ma, I like this patient, please let me?"
He turned his head and looked at Wu Shan with a smile: "Xiao Wu, can you?"
Wu Shan is a little dazed at the moment, this patient is a hot potato right now, why do you take the initiative to ask for it?
Xiang Tan said solemnly: "Brother Zhao, when you are not joking, what do you mean, do you have an idea?"
Although his face was expressionless, there was a slight movement in his heart.When Zhao Peiru said such things in the past, it often meant that the old doctor was confident.
Marin also looked up, and the movement in his heart was even bigger.Because before he left just now, Zhao Peiru was studying this case, and now he came here specially, could it be that there is really a way?
This is Zhao Peiru's performance in recent times, which is really too eye-catching.So when he opened his mouth, the two directors, one big and one small, actually had a little sense of expectation for him.
Zhao Peiru asked the little nurse to put on the surgical gown for him, and said:
"The core problem of Wu Shan's pericardial vascular detachment is that the superficial vascular layer and superficial venous plexus have not been treated."
"There was no complete devascularization, which led to the patient's rebleeding and varicose recurrence."
In one sentence, Zhao Peiru saw Wu Shan's problem thoroughly and explained it clearly.
Directly pointed out the core problem.
Wu Shan, who was at a loss and fell into self-blame, came back to his senses at once when he heard this, and he was suddenly enlightened.
That's it!
He had worked so hard to study the surgical plan before, but he ignored this problem, so negligent!
Xiang Tan and Marin also looked at each other thoughtfully.
At this moment, Zhao Peiru had put on the surgical gown and came to the operating table.
"I have a surgical plan."
"I'm going to remove the pressure from the portal vein by de-draining the spleen from the portal vein."
"Then a transection anastomosis is performed in the lower esophagus to simultaneously reduce the pressure of the pericardial varices and the submucosal varices of the esophagus."
This is a two-step improved operation based on Wushan's cardiac avulsion operation.
Not only has Wu Shan's surgery been returned to its original nature, the operation has been simplified and the operation efficiency has been improved.
More importantly, it also solved the fundamental problem, so that there will be no recurrence of bleeding in the future!
Xiang Tan pondered for a while, and quickly figured out the key point!
"This is a good two-step move!"
"In this way, the direct benefit is that it can prevent upper gastrointestinal bleeding and reduce hepatic encephalopathy. The indirect benefit can also help the normal reflux of esophageal venous blood!"
He looked at Zhao Peiru in disbelief: "How did you think of it?"
He racked his brains just now, but he couldn't think of a more suitable technique!
But as soon as Zhao Peiru came in, he explained the key to the whole operation in a few simple words!The solution is also out!
It is equivalent to breaking this dilemma lightly!
Brother Zhao's mind is spinning too fast!
Ma Lin was also overjoyed when he heard it. Based on his knowledge, he could also perceive that Zhao Peiru's technique was more advanced, and it also pointed to the crux of the disease!
He subconsciously looked aside to Tan.
"Director Xiang, then... shall we still contact Professor Jiang from the Affiliated Hospital of the Provincial University of Medical Sciences remotely?"
(End of this chapter)
In the operating room, deputy director Wu Shan was in torment and anxiety!
Don't worry about thinking so much, first rescue!Consider the formula again.
But as time goes by, the patient's condition is getting worse!
Not to mention the massive bleeding and blood flow, the symptoms also emerged one after another, and the severity was even worse than when he was admitted for the first time!
In Wu Shan's heart, there was no bottom at once.
I even panicked!The reason for the panic was not only the massive bleeding in front of him, but also because he failed to do it. His technique was proved to be ineffective, and he was at a loss what to do!
Wu Shan quickly asked the roving nurse to call Director Ma and Director Xiang to come and support them!
This is the scene where Ma Lin suddenly received a call in front of Zhao Peiru and hurried over.
After Xiang Tan Malin arrived, without further ado, he went into battle together to stop the bleeding.
After the bleeding vessel was ligated, the massive bleeding was considered to be fine for the time being.
Xiang Tan said solemnly: "Xiao Wu, this hemorrhage must never happen again!"
Wu Shan's face turned pale, and he nodded, not to mention the thrilling rescue, the key point is that the patient couldn't bear the repeated tossing.
But at this time, more serious problems also emerged.
The previous technique proved to be ineffective, what should I do now?
Ma Lin stared at Wu Shan: "Wu Shan, do you have any other treatment options in mind?"
Wu Shan turned pale and shook his head: "I've been researching for the past two days, and before I could think of a new surgical plan, the patient had a sudden hemorrhage."
Marin's face became ugly.
If he had known that the situation would be like this, he should have been tougher at the time, telling Wu Shan not to force him to admit him, and letting the patient choose to go to a big hospital.
Now that it has reached this point, it is necessary to come up with another plan to treat it, otherwise, it will lead to a medical accident!
Problems occur again and again, and the more the patient is treated, the bigger the problem will be. Can the family members rely on it?
Xiang Tan also became serious. He has only dabbled in the field of portal hypertension, and is not particularly good at it, and his level is only slightly higher than Wu Shan.
At this moment, he racked his brains, but also couldn't think of a better operation plan.
If Xiang Tan is given enough time, allowed to look through the materials and contact experts for consultation, he will always be able to find a suitable surgical method, and if it is not good enough, just refer the patient to a higher-level hospital.
But at this moment, the patient was already lying on the operating bed due to heavy bleeding, waiting for the operation.
There is no time to delay!
It was too late when Xiang Tan received the news!
Seeing that Ma Lin and Xiang Tan's faces were both ugly, Wu Shan was also in a daze, feeling a deep sense of powerlessness in his heart.
It's all because he was soft-hearted for a moment and hurt the fellow!
"Marin!"
Xiang Tan said solemnly: "Help me contact Professor Jiang at the Affiliated Hospital of the Provincial Medical University immediately, and guide us remotely!"
Xiang Tan decided to perform the surgery himself under remote guidance!
At this moment, someone has to stand up.
The Fourth Hospital cannot be allowed to cause more medical accidents.
He decided to take up this responsibility himself!
Xiang Tan had just finished speaking.
Zhao Peiru came to the operating room.
He first glanced at the patient on the operating table, and the values displayed by various instruments...
The problem is not big.
Zhao Peiru suddenly felt confident, and the situation was still completely under control, so there was no need to worry.
"Where is it all here?"
Zhao Peiru looked up and saw the three main forces of Xiang Tan, Ma Lin, and Wu Shan, plus Dr. Xing Wenyan as his deputy, Dr. Bao Jie as his little follower, two equipment nurses, and an itinerant nurse...
There are so many people.
It's just that although there are many people, the atmosphere is tense and serious, and a group of people dare not show their anger, keeping silent like a chilling cicada!
"Doctor Zhao?"
Everyone also saw Zhao Peiru, wondering why he came in suddenly.
Zhao Peiru smiled and said, "Director Xiang, Director Ma, I like this patient, please let me?"
He turned his head and looked at Wu Shan with a smile: "Xiao Wu, can you?"
Wu Shan is a little dazed at the moment, this patient is a hot potato right now, why do you take the initiative to ask for it?
Xiang Tan said solemnly: "Brother Zhao, when you are not joking, what do you mean, do you have an idea?"
Although his face was expressionless, there was a slight movement in his heart.When Zhao Peiru said such things in the past, it often meant that the old doctor was confident.
Marin also looked up, and the movement in his heart was even bigger.Because before he left just now, Zhao Peiru was studying this case, and now he came here specially, could it be that there is really a way?
This is Zhao Peiru's performance in recent times, which is really too eye-catching.So when he opened his mouth, the two directors, one big and one small, actually had a little sense of expectation for him.
Zhao Peiru asked the little nurse to put on the surgical gown for him, and said:
"The core problem of Wu Shan's pericardial vascular detachment is that the superficial vascular layer and superficial venous plexus have not been treated."
"There was no complete devascularization, which led to the patient's rebleeding and varicose recurrence."
In one sentence, Zhao Peiru saw Wu Shan's problem thoroughly and explained it clearly.
Directly pointed out the core problem.
Wu Shan, who was at a loss and fell into self-blame, came back to his senses at once when he heard this, and he was suddenly enlightened.
That's it!
He had worked so hard to study the surgical plan before, but he ignored this problem, so negligent!
Xiang Tan and Marin also looked at each other thoughtfully.
At this moment, Zhao Peiru had put on the surgical gown and came to the operating table.
"I have a surgical plan."
"I'm going to remove the pressure from the portal vein by de-draining the spleen from the portal vein."
"Then a transection anastomosis is performed in the lower esophagus to simultaneously reduce the pressure of the pericardial varices and the submucosal varices of the esophagus."
This is a two-step improved operation based on Wushan's cardiac avulsion operation.
Not only has Wu Shan's surgery been returned to its original nature, the operation has been simplified and the operation efficiency has been improved.
More importantly, it also solved the fundamental problem, so that there will be no recurrence of bleeding in the future!
Xiang Tan pondered for a while, and quickly figured out the key point!
"This is a good two-step move!"
"In this way, the direct benefit is that it can prevent upper gastrointestinal bleeding and reduce hepatic encephalopathy. The indirect benefit can also help the normal reflux of esophageal venous blood!"
He looked at Zhao Peiru in disbelief: "How did you think of it?"
He racked his brains just now, but he couldn't think of a more suitable technique!
But as soon as Zhao Peiru came in, he explained the key to the whole operation in a few simple words!The solution is also out!
It is equivalent to breaking this dilemma lightly!
Brother Zhao's mind is spinning too fast!
Ma Lin was also overjoyed when he heard it. Based on his knowledge, he could also perceive that Zhao Peiru's technique was more advanced, and it also pointed to the crux of the disease!
He subconsciously looked aside to Tan.
"Director Xiang, then... shall we still contact Professor Jiang from the Affiliated Hospital of the Provincial University of Medical Sciences remotely?"
(End of this chapter)
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