This is the difference.
As a general surgeon, Hu Bolong realized that the patient's current symptoms were caused by the brain stem, which was already a very remarkable doctor.
However, Liu Muqiao went a step further. He predicted that the patient would soon be in danger of liver rupture and bleeding.
Liu Muqiao's CT reading level has now reached the master level, and he can clearly see the damage to the liver.
It was already half an hour ago when the patient underwent CT. Half an hour ago, the liver was already bleeding, but the amount was still very small, so the CT doctor did not notice it.
Liu Muqiao's judgment was correct. Not long after he finished speaking, the nurse measured policewoman Joey's blood pressure once and a second time.
She couldn't believe how her blood pressure, which was very high just now, suddenly disappeared?
"Quickly, get on the operating table!" Hu Bolong no longer hesitated. You, Liu Maqiao, are such a master, you are so clever.
The patient is being transported.
Policewoman sister Qiao Ya grabbed Liu Miqiao's arm eagerly, "Liu Miqiao, please, my sister's life is in your hands, you must save her!"
Liu Muqiao nodded and comforted, "Don't worry, I will try my best."
"No, you have to go all out!"
"Well, it means the same thing."
"No, you have to go all out!"
"Okay, I'll do my best, don't worry."
The last sentence is that as a doctor, you shouldn’t say that any clinical accidents will not happen? You can’t say anything to your family members. You must have a little flexibility, otherwise, you may be in big trouble.
Liu Muqiao strode to the operating room.
Washing hands, disinfecting, and dressing, Liu Maqiao quickly completed this set of standard actions. Just in time, the patient's preparations were ready, without a moment's delay.
"Laparotomy to explore the incision?" Hu Bolong asked casually.
When performing an exploratory laparotomy, of course the incision is to be explored through laparotomy.
The incision for laparotomy is relatively large, from the xiphoid process to the lower abdomen. Like radical resection of colorectal cancer, the entire abdomen is opened without leaving any dead space.
This kind of surgical incision will leave a long scar in the future, and the needle holes on both sides of the scar look like centipede legs.
As an unmarried and beautiful policewoman, it is indeed a pity.
"Make an L incision." Liu Maqiao said firmly.
"L incision?" Hu Bolong asked in surprise.
L incision is only suitable for liver surgery.
This is a laparotomy, and this gap is obviously wrong. It can only examine the liver and gallbladder, but not other organs.
This is tantamount to a gamble.
Liu Muqiao said: "Take the risk, but I guess there will be no problem. We just need to repair the damage to the liver."
"But..."
"There is no time to discuss, let's race against time."
The patient's blood pressure is now zero. Although a large amount of plasma is being transfused, the red blood cells are still being cross-mixed, and the patient's blood pressure has not increased at all.
Now to raise the blood pressure, the only hope is to stop the bleeding.
Without any hesitation, Liu Miqiao cut the abdomen with one knife, reducing the length of the abdominal opening as much as possible, and entered the abdominal cavity three times.
The blade is half the normal length.
He also didn’t ask for Hu Bolong’s opinion. He would have to ask Hu Bolong to repair his liver later.
Liu Miqiao has no problem stopping bleeding with his bare hands, but he is not good at liver surgery.
He put his hand into his abdominal cavity.
After a while, he said "hmm".
I found the bleeding site and stopped the bleeding with my fingers.
"Needle and thread."
He took the needle holder from the instrument technician.
This blood vessel ligation is a bit difficult.
The key is that the opening of the abdominal cavity is relatively small and very difficult to operate.
After changing positions several times, he finally put the needle and thread in.
It took 3 minutes and the ligation was finally successful.
"It's your turn now. Lao Hu."
Hu Bolong looked at Liu Miqiao in confusion.
Why is it always like this?
Every time you come here, you leave it to me.
Today's patient is so critical, wouldn't it be better if you finish it?
However, he didn't ask, he walked to the surgeon's position silently.
Next, he looked at the knife edge and became worried.
Too small.
It is a test to perform surgery with such a small incision.
However, Hu Bolong, who was once the first surgeon of Antai, did not back down and decided to complete the operation under this incision.
He observed the wound on the liver for a while.
Blunt force trauma.
The wound is relatively diffuse and must be repaired with the omentum, otherwise there will be bleeding.
At this time, the blood was delivered and blood transfusion began.
"Pressure blood transfusion." Liu Maqiao ordered.
Hu Bolong devoted himself to repairing his liver.
It took a long time.
It took him 20 minutes to repair the wound, and then he used his hands to explore the nearby organs.
Don’t rush to close the abdominal cavity.
He has concerns, he is worried that there will be damage in other places.
As a general surgeon, his concern is right. Experience tells him that all organs of this kind of patient should be checked.
As a profession, doctors are most afraid of “what if”, and this “what if” often determines the success or failure of diagnosis and treatment.
"Murphy's Law" is most common in the medical field.
Most doctors have no problem with the most common diagnosis and treatment technical solutions. Experts, usually ordinary doctors, make firm judgments on things that ordinary doctors think are "impossible".
This is why people are masters.
Patients are prone to complications with a probability of one in a thousand or one in ten thousand.
A great doctor can catch this one-in-a-thousandth chance.
Hu Bolong is known as the first knife in Antai Hospital.
Later, Sun Tao came, and later, Liu Miqiao appeared. He was not the first knife in Antai Hospital.
However, this cannot deny that he is still a good hand at Antai Hospital.
He is worried that the patient still has internal bleeding.
He did not dare to close his abdomen immediately. He waited for his blood pressure to come up and observed whether there was any new blood in his abdominal cavity.
"Lao Hu, shut up your belly." Liu Maqiao said.
His ability to read pictures is now not as strong as usual. In CT pictures, he has ruled out the possibility of other internal organ injuries.
"Wait, there's nothing wrong with being cautious."
"It's not necessary, I've already looked at the CT scan carefully."
"No, wait a minute."
Hu Bolong insisted.
There is a reason for his insistence.
As a common sense, CT is very difficult, or in other words, CT cannot distinguish the damage of abdominal organs at all. It can only detect whether there is fluid accumulation. As for the damage and rupture, it cannot be seen on CT.
He didn't believe what Liu Muqiao said.
Liu Muqiao had no dispute.
He respects his old comrades. He cannot subvert other people's understanding of common sense, let alone arbitrarily order others what to do.
Hu Bolong repeatedly observed whether there was bleeding at the bottom of the abdominal cavity.
"How is your blood pressure?"
"40, diastolic blood pressure is still 0.."
"Well, systolic blood pressure is rising, which is a good sign."
"Can the abdomen be closed?"
"No rush, just wait."
"Okay."
Liu Muqiao did not pursue the question. He waited patiently. This was not only respect for the old comrades, but also respect for medical common sense.
All the regulations in medicine are obtained at a cost, even the cost of life. These regulations and rules must be regarded as inviolable rules of heaven.
This chapter has been completed!