Entering the operating room, the patient was in shock and was undergoing anti-shock treatment. Plasma had been transfused and blood was being combined. 10 blood units were applied for at one time.
Applying for 10 blood at a time will alert the blood station manager.
Massive bleeding!
Extremely dangerous patient.
Deputy Chief Doctor Tan Yi is already laying out drapes.
Hu Bolong is washing his hands.
There are two more doctors helping.
The nurse is busy.
Jiang Weiwei and Liu Miqiao came in a little later and also put on their wash clothes.
"How is your blood pressure?"
Hu Bolong asked urgently.
"40/20mmHg."
"Open another intravenous channel!"
"I'm fighting, but I can't score."
"Then consider a phlebotomy!"
Hu Bolong is talking to the nurse.
Liu Muqiao walked over in a few steps and said, "Let me come!"
As he spoke, he stretched out his hand and asked the nurse to let him do venipuncture.
The nurse almost scolded Liu Muqiao, "My nurse can't get the injection, will it be your turn to be the doctor?" But then she thought, oh, by the way, who is he? He is Liu Muqiao!
Liu Muqiao first became famous for his venipuncture.
Liu Miqiao took the needle and established an intravenous channel in the blink of an eye.
"Well, that's good! It was done in less than a minute. It took two strokes."
Hu Bolong saw Liu Miqiao's venipuncture for the first time. Although this is only a small technique, it is also an authentic technique. It's okay not to admire him!
"Try to stop bleeding with bare hands?" Tan Yi asked Hu Bolong.
"Okay, my blood pressure is too low now to use the knife. You can try using your bare hands."
There was an open wound on the patient's abdomen. Tan Yi was able to put his hand in and fumbled inside for a while, but to no avail.
"Let me try."
Hu Bolong then started to stop the bleeding with his bare hands.
He searched for the most likely damaged blood vessels, but couldn't find any bleeding points.
You can only try to stop bleeding with bare hands. It has been said in theory, but in practice, few people can stop bleeding with bare hands - this kind of intra-abdominal bleeding with bare hands, where there is no vision, sometimes new bleeding points appear.
.
Of course, sometimes it can be done, usually when you see a bleeding point, and pinch it to stop the bleeding at the bleeding point, or upstream of the bleeding blood vessel.
In this situation, if you have to stop bleeding with your bare hands, most of the time it is just a try, and no one can expect to achieve the goal.
Hu Bolong is also working in vain.
Liu Muqiao and Jiang Weiwei both washed their hands and waited until their blood pressure stabilized a little before they immediately opened their abdomen.
However, it can be seen from Hu Bolong's expression that he may take the risk of having an abdominal cavity opened. Even if the blood pressure does not rise, he will forcefully open the abdominal cavity.
Maybe this is the only chance.
"Anesthesiologist, I'm going to open my abdomen."
The anesthesiologist was hesitant.
In this case, it is difficult for the anesthesiologist to make a decision.
How to administer anesthesia in case of shock?
Of course, it is not necessary to anesthetize. However, once the anti-shock is successful, how to anesthetize in the middle?
"Let me try." A voice came from behind Hu Bolong.
"You?"
Hu Bolong looked at Liu Miqiao.
"Yes, give me a try."
Last time, he successfully stopped bleeding with his bare hands. Give him a try?
"Don't worry, I only need 3 minutes." Liu Maqiao added.
Last time, Sun Tao only gave him 3 minutes.
"Okay, you try, but there are many blood vessels in the abdominal cavity, so be gentle."
Liu Miqiao didn't say much, walked to the right front of the patient and put his hand into the abdominal cavity.
A minute later, Liu Muqiao said: "I grabbed the damaged part of the blood vessel and the bleeding stopped, but I didn't let go."
Well, sure enough, the blood did not continue to increase.
"Okay, hold on, we're fighting shock and preparing for laparotomy at the same time. Just don't let go. The patient is saved." Hu Bolong's face showed joy.
When it comes to abdominal injuries, the biggest fear is that the bleeding cannot be stopped. If the bleeding is stopped, half of the life will be saved.
"Speed up the infusion speed, and rush the laboratory to send blood as soon as possible!"
After 10 minutes, blood was transfused.
"Blood pressure 60/30mmHg." the anesthesiologist said.
"Can we do anesthesia?" Hu Bolong was anxious to open his abdomen.
As long as the bleeding is stopped by abdominal opening and the blood vessels and internal organs are repaired, the patient will be considered through the dangerous period.
"I'm going to use compound anesthesia, are you ready?" The anesthesiologist understood Hu Bolong's character and he was more willing to take risks.
In medicine, sometimes taking risks is the key to success. For many critically ill patients, it is a blessing for the patients to meet doctors who dare to take risks and take responsibility.
In recent years, due to the tense doctor-patient relationship, many doctors are unwilling or afraid to take risks, and many patients have lost their opportunities.
Hu Bolong performed the disembowelment himself.
Liu Muqiao looked at it carefully.
Last time, when he had appendicitis, Liu Miqiao cut the wound crookedly, frizzy, and inconsistent in depth.
Now I am watching Hu Bolong slash his sword, and I have to marvel.
What a craft!
The knife is straight from top to bottom, the depth is consistent, neat, and comfortable to look at.
When will I develop such a good skill?
With the second knife, Hu Bolong incised the fat fascia layer.
The third knife cut through the rectus abdominis sheath.
The incision made today was not in the midline of the abdomen, but to the left. It is considered that the spleen, pancreas, left kidney and left intestine are likely to be injured.
When the rectus abdominis sheath was incised, a line was lightly drawn on it, without any damage to the muscle and not even blood.
Good craftsmanship!
Liu Muqiao couldn't help but praise again.
Then stretch the muscles.
Finally, the peritoneum was incised.
This process took Hu Bolong just over 3 minutes.
Four swords!
The last time he had appendicitis, it took Liu Muqiao a full 30 minutes to get to this point. The difference was not a little bit different.
Tan Yi took the suction device head and sucked up the blood in the abdominal cavity.
Suddenly, the view of the abdominal cavity was clear.
Liu Miqiao's thumb and index finger firmly pinched the middle mesenteric artery.
"Brilliant! You are really brilliant at stopping bleeding with your bare hands!"
Hu Bolong only reacted at this time.
If it weren't for Liu Muqiao's skill, it would be hard to say whether this patient would have lived or died.
"Can you really stop bleeding with your bare hands?"
This is his second reaction.
"I will."
"Awesome!"
Hu Bolong admired deeply in his heart.
"Ding! Gain deep admiration from the experts and be rewarded with an intermediate treasure box."
A shining silver treasure box stood in front of Liu Miqiao.
Oops!
Liu Muqiao almost screamed.
How could he bear it?
He pointed in the air with his left hand, and the treasure chest opened. There was a big book, "Encyclopedia of Abdominal Surgery - Cases of Abdominal Surgery with Additional Procedures, Master Level".
Liu Muqiao was overjoyed.
Good guy!
case!
I have just had a abdominal cavity opened! In the future, who else will have a more beautiful abdominal cavity than me? A master!
How many abdomens did Hu Bolong have?
Example? Definitely not.
Maybe he has done an operation, but he must not have done an abdominal opening, because it is not his director's job.
In the past ten or twenty years, Hu Bolong only performed key steps during surgery. He had to leave the rest to his assistants. Otherwise, who would be willing to be his assistant?
Hahaha!
Liu Muqiao laughed.
From now on, I became a master of abdominal dissection.
But when I thought about it, I couldn't help but take a breath.
Opening the abdomen is a master level, closing the abdomen is really a novice level, especially surgery. When it comes to a specific operation, I am still illiterate!
The technology is so lame!
This is a bit dumbfounding.
Just as he was thinking about it, Hu Bolong regained his composure, and left the next steps to Tan Yi. Intestinal rupture and small blood vessel ligation were not a big problem.
"Liu Muqiao, you have done a great job in stopping the bleeding twice with your bare hands. But I don't understand. Du Xiaoping said that your surgical skills are very solid, but you really did a terrible job in the last appendix surgery. Surgery, tell the truth, what are you doing?"
, or not?"
This chapter has been completed!