Liu Muqiao did not go to "collect money" because he received an emergency call from the hospital. A patient with massive bleeding came to the general surgery department. The bleeding site was in the abdominal cavity. After a laparotomy, the bleeding site could not be found.
This is a very urgent matter and every second counts.
Sima Lin Yi was responsible for arranging the car delivery. Just a few minutes while waiting for the car, Liu Maqiao asked: "You didn't do anything to Song Zhongchun, right?"
Sima Linyi chuckled, "Look what you said! We will never let the patient be harmed. Doctors, no matter what, will not do anything to the patient. Although, this patient has a bad record and has been living in society all his life.
He is still doing a lot of evil now, but once he becomes a patient, we will protect him. So, you can rest assured that he will not be harmed."
"Then how did you deal with it?"
"We only asked the patient whether the person who beat him was his son. The doctor has a way to prevent the patient from lying in front of the doctor - which means that we can prevent him from lying. He said that it was his son who robbed him.
”
"Oh? My son robbed me and used a stick?"
"Haha, that's right, they, you just need to expand your imagination. Weird things will go away. There are many things that you don't even need to think about with your brain. As for his son, he is not a patient, so we don't have to think about it.
I don't know the specifics about medical ethics and medical style, so don't worry about it. Anyway, if he offends you, he won't dare not slap you as many times as you want him to."
"Can I change my approach?" Liu Maqiao had a smile on his face.
"Okay."
"Is it okay to let him carry out feces and urine for patients and take care of several patients paralyzed in bed for three days?"
"Okay! Let's do it like this. Do you want to keep the video as evidence?"
"It's not necessary. I still can't trust you, Professor Sima Linyi? Besides, there are still many places for us to cooperate in the future. Cooperation is, first of all, a matter of trust. Are you right?"
The weight of this sentence was very important, and Sima Lin Yi nodded immediately, "Yes, yes, yes, don't worry, I won't be careless at all."
Now, Sima Linyi has realized that the era of Liu Muchiao in neurology has come. Jiangdong Province is no longer dominated by Professor Hao and Sima Linyi. Professor Hao will help Liu Muchiao carry his shoes, and Sima Linyi may even carry his shoes.
The chance is gone.
For those who dare to undergo brainstem puncture and have a high survival rate, Sima Linyi certainly knows his importance.
"I will definitely make Song Zhongchun's son a different person from now on." Sima Lin Yi vowed.
The car came and Liu Maqiao got in.
"Drive faster."
He arrived at Antai Hospital in ten minutes. After getting off the car, Liu Miqiao went directly to the operating room and washed his hands with disinfectant. The nurse quickly put on a surgical gown and gloves on him and went on stage.
The man was in shock and his intestines were outside. Hu Bolong and Du Xiaoping were sweating profusely and looking for the bleeding point.
"I'll do it."
"Only the back of the liver has not been explored." Hu Bolong said, giving up position C.
Liu Miqiao put his hand into his abdominal cavity and groped for a long time, but could not find the bleeding point.
"Stop sucking, let me be quiet."
Du Xiaoping stopped attracting.
I explored for another 3 minutes.
Liu Muqiao's face lit up.
"Okay! Extraperitoneal organ damage, no wonder it's so hard to find, the renal pedicle vein of the right kidney is ruptured."
"Oh, it's really rare. If it weren't for you, this patient would have died." Hu Bolong made no secret of his incompetence.
Most of the abdominal organs are intraperitoneal, and only the kidneys are extraperitoneal. Among cases of abdominal organ damage and bleeding, kidney damage and bleeding are relatively rare, and major bleeding is even rarer.
The most common cause of abdominal bleeding is the spleen, followed by the liver, and then the mesentery. When it is the turn of the kidneys to bleed, it is not an ordinary injury.
Now that the bleeding site has been found, the next step is to repair the vein, which is another difficult problem.
The renal pedicle is very short and deep, making it very difficult to operate.
"Can you do it?" Hu Bolong asked Liu Miqiao.
"No."
Liu Miqiao searched the knowledge in his mind and found that major pancreatic surgery could be performed, but kidneys were part of the urology department, so he had no idea at all.
"Then we can only ask a doctor from the urology department to come." Hu Bolong said, "Inform the urology department, Xiao Li."
As doctors of general surgery, although the kidneys are in the retroperitoneum, they are still in the abdominal cavity. They never dare to go out of their way to touch the kidneys. That is the exclusive domain of urology.
Soon, a deputy chief doctor from the Department of Urology came up and asked about the situation. His expression suddenly changed, "Well, I may need a kidney transplant. The blood vessels in this place are difficult to repair."
"Kidney transplant?"
"Yes, move the kidney to the iliac fossa."
"Can the patient tolerate it?"
"Are you in shock now?"
"I've been in shock for half an hour."
"What should we do?"
"Let me ask you!"
The urologist discussed urgently with Hu Bolong.
However, it was too difficult. Although Liu Miqiao temporarily stopped the bleeding, the kidneys could not stop supplying blood endlessly.
Every few minutes, Liu Muqiao had to loosen his pinched kidney pedicle to allow the kidneys to supply blood for a minute or two.
"Can we try a vascular repair?"
"The key is that the surgical field of view is too small and there is no room for operation."
"Isn't it okay to use a blood vessel clamp to stop the bleeding?"
"But, the opening is in the abdomen now, it would be better if it was in the back."
"Is the abdomen not working?"
"We have very few urological surgeries, or almost never enter the abdominal cavity. We are not used to it and cannot do it."
"Liu Muqiao, give it a try."
Liu Miqiao searched the knowledge in his mind again. This time, he searched for the knowledge about repairing hollow organs. Suddenly, a piece of knowledge shone brightly.
In "Cavity Organ Anastomosis", there is a sub-discipline of vascular anastomosis
"Okay, let me try." Liu Maqiao said.
The urological surgeon had met Liu Miqiao and heard of Liu Miqiao's legend. He stepped aside and was thinking, can you do this?
From the abdomen to the extraperitoneal organs, repairing the short renal pedicle is required. Even senior neurosurgeons do not have the courage. It can be said that there is almost no field of vision. It is like a person standing 100 meters away.
On the deep well platform, use a long pole to reach the bottom of the well to catch the moon.
"There need to be more hook pullers," Liu Miqiao said.
"Director, please help me pull a hook here."
Hu Bolong also became the one who pulled hooks for Liu Maqiao.
Liu Muqiao was finally able to have a small field of vision. He clamped the blood vessel with a blood vessel clamp, and with the help of Professor Du, washed away the blood inside.
Saw it.
The renal vein was damaged by one centimeter, accounting for almost half of the distance.
It is very difficult to repair.
"How long can kidney ischemia last?"
"Try not to exceed 10 minutes. If it is really difficult, just don't exceed 30 minutes. However, if it takes a long time, heparin should be used for anticoagulation."
"Oh! 30 minutes, can it be that long? I can do it slowly."
Liu Muqiao didn't ask for heparin and just started the operation.
In less than two minutes, Liu Miqiao loosened the vascular clamp.
Hu Bolong asked urgently: "No, right? Add some heparin? Don't worry, don't worry, it's more difficult."
The doctor from the urology department also comforted him: "Don't worry, hold on tight. The operation is more difficult. If it doesn't work, I think it's safer to do a kidney transplant."
Liu Muqiao smiled and said: "It's done."
What?
Did you hear that correctly?
"What's over?"
"It's done."
This chapter has been completed!