Doctor's Life Simulator

Chapter 293 "Mobile ICU" Emergency Surgery on the Ambulance (Leader Gagen 08)

"Qin Lang, let's start. We will cooperate with you."

Shen Xi was completely convinced by Qin Lang. Although the conditions in the hospital's operating room were incomparable, but this time, due to Qin Lang's advance arrangement, Director Mo asked the emergency center to send the most advanced "mobile ICU" ambulance.

Compared with common ambulances, this "mobile ICU" is an emergency and critical ambulance medical vehicle integrating intelligent mobile monitoring, rapid chest pain diagnosis, first aid rescue, trauma surgery, disaster emergency rescue, etc. It is used in a mobile operating room and ICU ward.

For this brand new ambulance, Qin Lang was also a little surprised. I have to say that Zijingang No. [-] Hospital is much better than City No. [-] Hospital in all aspects.

This kind of ambulance is now equipped with only a few hospitals in Hangzhou.

Qin Lang glanced at it. In addition to the conventional first aid equipment, this ambulance is also equipped with a vehicle-mounted surgical shadowless lamp, EOMO equipment, cardiopulmonary resuscitation equipment, transfer ventilator, and defibrillation monitor.Transfer monitor, vehicle-mounted electric suction device, visual laryngoscope, infusion pump, injection pump, resuscitation first aid kit and other equipment.

With the support of these devices and the top radical nephrectomy in Zhejiang Province, Qin Lang certainly has the confidence.

Doctor Follow Che cooperated with Qin Lang to give the patient intravenous compound anesthesia with endotracheal intubation, and put the patient in lateral position.

Generally speaking, a nephrectomy would use a dorsal incision. However, this patient was a bit special because he had a huge tumor on his kidney, so Qin Lang still used a more appropriate combined thoracoabdominal incision.

".Scalpel"

Qin Lang raced against time to start the operation. The first step was to make an incision in the 11th intercostal space, extending forward along the 11th intercostal space to the outer edge of the rectus abdominis.

For the routine resection of the 12th rib, the 11th rib was partially resected according to the patient's condition.

Soon a dorso-lumbar-abdominal route outside the thoracic peritoneum was formed.

Seeing Qin Lang's smooth operation, the two physicians who followed Che were slightly startled.

"It's amazing, it feels even better than our Director Mo."

While the two physicians following the car were feeling emotional, Qin Lang had already entered the next step of operation, and began to separate the retroperitoneal reflex and the perirenal fascia.

".gauze"

Shen Xi, who was first aided, was slightly taken aback by Qin Lang's instruction, not quite understanding.

"I'm going to bluntly dissect the peritoneum with gauze, mobilize it medially, and expose the aorta and inferior vena cava."

After the explanation, Qin Lang once again devoted himself to emergency rescue. Due to the rupture of the huge tumor on the patient's kidney, a lot of bleeding occurred.

The most important thing now is to stop the bleeding of the patient as soon as possible, and after further exposure, Qin Lang has already made a judgment.

"During the operation, the patient's renal tumor spontaneously ruptured and hemorrhaged, and renal artery embolization was required"

Qin Lang calmly began to designate the next operation plan.

In fact, through several simulations, Qin Lang already knew the patient's situation well, but he understood the necessary procedures, especially the steps of judgment and analysis. After all, he was surrounded by professional doctors.

Under Qin Lang's analysis, Shen Xi and the two doctors who followed the car kept nodding their heads in admiration. This doctor Qin is too powerful.

Under such circumstances, in such a crisis state, they admired such clear thinking and calm handling.

This skilled operation is like predicting the patient's situation in advance.

With the perfect hemostasis technique for massive tumor bleeding, Qin Lang quickly completed the preliminary hemostasis. In order to hurry up, Qin Lang performed the operation at full speed this time.

Therefore, the progress of the whole operation process is very frightening.

"What is this for? Why do you need to cut the peritoneum?"

A doctor following the car was a little confused, and Qin Lang's calm voice came next:

"Because the patient's condition is relatively serious, I need to cut the peritoneum to facilitate dissociation and abdominal exploration to expose the renal pedicle."

Qin Lang was in the simulated world, but he had led many research groups, and he had experienced thousands of radical nephrectomy himself. In his tone, he seemed to be a master.

Even Shen Xi admired such a sense of seniority and professionalism, let alone the two physicians who followed the car.

".glass strands."

After bluntly separating the renal vein, the upper adrenal vein and the lower gonadal vein, Qin Lang began to free the renal vein with glass filaments, pulled it downward, and then freed the upper and rear renal artery.

".surgical scissors."

Qin Lang quickly entered the next step, which was to dissociate the ureter together with the accompanying gonadal vein and surrounding fat, cut off and ligate.

Seeing Qin Lang's operation, the two doctors who followed the car became more shocked and admired.

"This is simply a textbook-level radical nephrectomy. No wonder he dared to preside over this operation in front of Professor Shen."

The two doctors who followed the car quietly admired and learned. This operation is really a classic emergency operation that is hard to come by.

They are honored to be a part of it.

After a while, Qin Lang had completed most of the operation, but suddenly, the situation on the operating table changed suddenly.

Since the patient was bleeding heavily before, after the initial stop, another renal pedicle was torn.

"Oops!"

The three people on the sidelines were all very nervous. Among such major operations, the most feared thing was bleeding during the operation.

Shen Xi immediately handed over the vascular clamp.

But Qin Lang shook his head and didn't take it.

The two physicians who followed the car both had the same reaction as Shen Xi. At this time, shouldn't they use vascular clamps to stop the bleeding?
"Hey, Doctor Qin, what are you doing?"

A physician following the car exclaimed, and Shen Xi, who was closest to Qin Lang, also changed his expression:
"Qin Lang, what are you?"

Amidst the thrill of the three people, Qin Lang concentrated his fingers into the bleeding place, and directly used his fingers to apply blessings, oppressing the proximal end of the kidney pedicle.

Through the subtle control of the strength of his fingertips, he really allowed him to control the bleeding.

".Salt water gauze mat"

Qin Lang and others pressed the saline gauze pad to the bleeding site, and after hemostasis, they took the hemostatic forceps from Shen Xi's hand, and explained to the three people who had already stared dumbfounded:
"When bleeding, do not use vascular forceps to clamp randomly, let alone try to clamp large pieces of tissue to stop the bleeding. Otherwise, it is easy to accidentally injure adjacent organs, or expand the rupture of contused blood vessels."

"Teacher, you cooperate with me to transfuse the patient's blood and fluid. Two doctors, you control the patient's blood pressure and pulse."

After Qin Lang gave the order, and after the patient's blood pressure and pulse stabilized, he exposed his field of vision again, and then slowly released the hand controlling the bleeding point, allowing the injured part to bleed in a controlled manner.

After everything stabilized, the bleeding point was accurately clamped with the vascular clamp without haste.

".needle holder, silk thread"

After the bleeding stopped, Qin Lang stitched up the bleeding site at the textbook level, and then continued the operation.

"See if you understand it. This is the correct step to deal with massive bleeding during tumor surgery."

All three of them have benefited a lot from Qin Lang's words and deeds, especially the car doctor in the emergency department.

"This Doctor Qin is too powerful."

PS: Counting the 2 updates of the dangerous boss of the tunnel machine, the leader of Nangong Yi has 12 updates, the author continues to make up the code words.

(End of this chapter)