My medical skills add experience

Chapter 66 The accident happened only in a flash
I saw that Dr. Lu took the scalpel with a masterly demeanor and enlarged the wound.

"That little Zhou, hurry up and help pull the hook!"

Doctor Lu shouted.

Zhou Can had no choice but to put down the film, took the flat hook, and opened the wound.

It is worth mentioning that different flat hooks are used to pull wounds or tissues in different parts.For example, in breast surgery, L-shaped flat hooks are often used.For the abdominal wall, use a large abdominal hook.For appendix surgery, use double-ended hooks.

When Zhou Can was an intern, he was often scolded for pulling hooks with Director Liu or other doctors.

Later, I pulled the hook more often. I knew what hook to use for which part and how to pull it. I rarely got scolded.

Famous teachers make high apprentices.

Director Liu's surgical skills are very high, and Zhou Can's ability to pull hooks can be regarded as practiced.

At least on par.

After Dr. Lu's scalpel enlarged the wound, the blood gushed out even more violently.

However, he has quite a lot of experience in surgery, so he didn't panic.

Instead, let Zhou Can suck the blood away, then calmly continue to expand the wound and cut down.

This is mainly the muscle and dermis.

There are only two large blood vessels.

As long as you are careful, it usually won't break.

At this moment, the black grinding wheel fragments have appeared.

It's actually a metal grinding wheel.

The fragments are embedded in the dermis and muscle layers, quite deep.

"Xiao Zhou, learn a little bit. Judging from the pictures taken by the patient, this piece of debris is triangular in shape. The big head is exposed outside, and there must be only a sharp corner left under it. Just clamp the tail of the piece and pull it out. Speed Be fast and act handsomely."

Dr. Lu suppressed Zhou Can to death, and the operation went smoothly, he was already drifting.

I saw him grab the fragment with pliers and pull it out forcefully.

The posture is very handsome.

"Chichi!"

Tiny blood columns are sprayed out directly.

This sudden change frightened Dr. Lu into a fool.

"Is the blood vessel broken?"

Doctor Fu's face changed slightly, and he hurried over to check.

"It shouldn't be a big problem. It may be that the fragments have injured the blood vessel. After pulling out, the blood vessel has a small opening. Simple repair should be enough."

Doctor Lu pretended to be calm.

At this moment, he has not realized the seriousness of the problem.

Zhou Can's face has become very serious.

He never found out what was abnormal about the patient.

When cleaning the wound, I just had a little idea, and was interrupted roughly by Dr. Lu.

It was not understood until this moment that the patient likely had a coagulation disorder.

No wonder the blood has not coagulated, and after a period of time outside the body, it still maintains a bright red color.

[Pathological diagnosis experience value +1. 】

The experience value was successfully credited to the account, and it really was a coagulation disorder.

Too bad it was diagnosed a little too late.Tragedy has happened.

Dr. Lu enlarged the wound, which already increased the amount of bleeding.

Now after pulling out the fragments, the broken blood vessels lost their suppression and started to spurt blood directly.

This time it's in big trouble.

It's ridiculous that Dr. Lu thought it was just normal bleeding, not a big deal.

I was afraid that it would be too late to cry.

Of course, the first person to cry must be Doctor Fu.

When something goes wrong, the first person to be held accountable is the doctor with the highest status.

This is a bit like the army having lost a battle, the general is punished, not the soldier.

"Stop the bleeding quickly!"

Doctor Fu was so regretful that his intestines were green.

If I had known that Dr. Lu was so good at handling things, I should never have asked Dr. Lu to preside over this operation.

"It's hard to stop the blood."

Zhou Can has already walked to the cabinet where the first aid items are stored, looking for the binding gauze tape for hemostasis.

The patient has a coagulation disorder, and electrocoagulation may be difficult to hemostasis.

Tighten the proximal end of the thigh first, which is the only effective way to stop bleeding quickly.

Zhou Can's idea is very simple, control the bleeding first, and then find a way to stop the bleeding.

Otherwise, according to this bleeding rate, it won't be long before the patient will be life-threatening due to excessive blood loss.

"Xiao Zhou, shut your crow's mouth for me!"

Doctor Lu's expression was somewhat ferocious.

When something goes wrong, no one is in a good mood.

I saw him take the electric coagulation knife and point it at the sources of bleeding.

Zizi!

The blood was stopped immediately.

But not long after it stopped, it soon began to bleed out again.

Only then did Dr. Lu realize how bad the situation was.

Zhou Can doesn't care about this bastard, just do his own thing well.

Tighten the patient's proximal thigh with gauze tape.

The bleeding finally stopped temporarily.

"Doctor Lu, if you continue to charge it, it will be burnt. Debridement will be a troublesome thing at that time."

Zhou Can couldn't stand it.

Dr. Lu's hemostasis is not good at all, and he is still acting recklessly there.

This is not to stop the bleeding, but to cause more harm to the patient.

At that time, whoever will clean up this mess will have a headache.

"To shut up!"

Dr. Lu's eyes were red, and his expression was ferocious.

I could feel a terrible hostility emanating from it.

"Doctor Zhou is right! You should stand on stage first."

With a cold face, Dr. Fu drove Dr. Lu off the operating table.

The most panicked ones are probably the patients.

"Doctor, is my leg okay? What's going on?"

Although the patient is only a young man in his early 20s, his experience is still relatively inexperienced.But I also felt the danger from the conversations of these doctors.

Fear spread rapidly in his heart.

"Don't worry, the fragment may have broken the wall of your blood vessel a little bit. We're trying to figure it out."

After comforting the patient, Doctor Fu looked at Zhou Can.

After the crisis just happened, Zhou Can reacted quickly, and the solution plan was also very good.

The judgment is accurate, and the hemostatic strategy is scientific and reasonable.

It's true at first glance.

"Doctor Zhou, why did you think the patient's bleeding was difficult to stop?" Doctor Fu thought that before the operation, Zhou Can suggested to postpone the operation.

In the end, he believed Dr. Lu's nonsense, and instead criticized Zhou Can.

Now that something happened, it is too late to regret.

"The patient is likely to have coagulation dysfunction, and ordinary hemostasis methods may not be effective."

Zhou Can stated his diagnosis opinion again.

Doctor Fu wished he had listened to him sooner.

Now it's too late for catastrophe.

"Tell me about your diagnosis!"

Doctor Fu's face became as pale as a patient's, and layers of oily sweat appeared on his forehead.

He also had this bad premonition.

Now Zhou Can suspects that the patient has a coagulation disorder, and his last trace of luck is gone.

"When the patient was sent in, I felt that his face was paler than normal. Also, the blood around the patient's wound was very fresh. It stands to reason that after the blood flows out of the body, it will coagulate soon. The color is dark red and black. But at that time, only these two points were found, and I am not too sure that the patient has a coagulation disorder."

Zhou Can paused, and glanced at the flustered Doctor Lu.

"It wasn't until Dr. Lu enlarged the surgical wound on the patient that I realized that the patient probably had a coagulation disorder. Just now he used electrocoagulation to stop the bleeding, but it was almost ineffective. I can basically confirm that the diagnosis is correct."

When doctors perform surgery, what they are most afraid of is that the patient has coagulation dysfunction.

Because this patient was undergoing emergency surgery, trauma, and minor surgery, the attending doctor may not have done a routine blood test for him.

After simple inquiry and CT examination, he was sent directly for surgery.

The doctor who was attending the consultation had good intentions, thinking of operating on the patient as soon as possible to relieve the pain.

Unexpectedly, something went wrong.

(End of this chapter)