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250 In ancient times, this was called Yang Qiang Yi Ju

"Director, I want to try the diversion technique with the stem head-stem cavernosaur knife." Ji Xiang said softly in the position of the surgeon.

"Try it, I have to cut it anyway. I will definitely not do it badly, and there will be no worse ending than this." Director Liu said.

Ji Xiang was grateful. He knew that what Director Liu said before was true.

"Come on the knife!" Ji Xiang stretched out his hand.

Tang Yan has cooperated with Ji Xiang for a while and knows that this guy usually looks low-key and gentle, but once he stands in the position of the surgeon, he will say "a knife comes".

A "knife" always makes people feel that he is too rampant, which is different from Ji Xiang's gentle and elegant appearance on weekdays.

The scalpel slapped Ji Xiang's hand, reflecting the light of the shadowless lamp, with a slight chill.

Ji Xiang picked up the back of the stem head with his hand and aimed at the cavernosaur on one side. The scalpel in his hand pulled a knife flower and stabbed it vertically with a "pop".

"Ah!" The nurse who was watching the operation was startled and exclaimed.

"Xiao Ji, wait a little bit." Director Liu was also startled and whispered.

In his opinion, Ji Xiang's surgery and partial nephrectomy were cautious and had a delicate movement during the surgery for huge hydronephrosis, and had a southern style.

No wonder, I studied in Yangcheng in college, so it should be more delicate in the surgery. This is Director Liu’s understanding.

But just now, Ji Xiang fell down with a "reckless" knife and poked the tough white film, with a depth of 4 to 5cm!

Just this knife made Director Liu's eyelids twitch.

Although the patient's little brother can't be saved, he can't kill the corpse.

The most basic morality still needs to be.

Even if you do an anatomy for the teacher, you won’t be so “brutal”.

He had just figured out how to persuade Ji Xiang, but then he saw dark red blood flowing out.

There is blood!

Emergency emergency treatment makes people feel headache.

But the patient in front of him is necrotic. As long as there is blood, it proves that there is still help!

Director Liu's heart was filled with infinite hope.

Ji Xiang did not explain. He held the knife in his hand and had already entered a state of concentration.

Here, the craftsman is the only king.

After Ji Xiang suddenly decreases and the dark red blood flows out, he rotates the blade 90° and cuts the white film again, forming a "cross" shape with the previous blade.

“…”

“…”

“…”

Director Liu and several others who watched Ji Xiang's surgery made a creaking sound in their throats.

Ji Xiang cut a very deep knife, and he cut a cross with two knifes.

If it weren't for dark red blood flowing out, Director Liu would definitely stop him and prevent Ji Xiang from continuing.

But the blood proves that the patient's little brother is still breathing and can still be rescued.

The incision cross plays a role in full drainage, and Jixiang is most afraid of squeezing the surgery area to discharge blood stasis.

"Syringe... syringe needle No. 18." Ji Xiang stretched out his hand and realized that this was the real world. Tang Yan, as an instrument nurse, was countless times worse than the nurse in the system operating room, and she did not cooperate tacitly.

"Sister, get a No. 18 syringe." Tang Yan and the tour nurse said.

One minute later, the syringe needle was handed to Ji Xiang's hand.

Ji Xiang stabbed a No. 18-number thick needle into the stem cavernosa at the root of the stem, and injected heparin isotonic saline for perfusion and rinsing.

"Doctor Xiaoji, is there blood, and still breath?" Tang Yan asked.

"Yes." Ji Xiang nodded.

"Does the concentration of heparin be increased?" Director Liu asked.

"No, it's fine, it's fine, it'll be stitched in a while." Ji Xiang smiled, and he looked at the incision intently without raising his head.

After waiting for nearly 3 minutes, the blood flowing out of the poke mouth turned bright red!

Bright red!

It means fresh blood, which means that the little brother who has swelled for 6 days is really breathing a sigh of relief.

The bright red color sweeps away the depressing breath in the operating room.

"It's really OK! I'm really stupid!" Director Liu said happily, even swearing.

He had no idea of ​​shame at all, although he was the person who just said that it was not possible to do the patient's resection.

The anesthesiologist was stunned.

Why didn't the cross flower that Ji Xiang had just poked out with a knife? The anesthesiologist had only one question in his mind.

After seeing the bright red blood flowing out, Ji Xiang did not pause and removed the black necrotic tissue little by little along the incised skin.

"Doctor Xiaoji, after cutting so many sponges, is it okay in the future?" The anesthesiologist knew that it would only be infected if he kept it, but it was a sponge after all, so he asked regretfully.

"According to the study of the ultrastructure of abnormally congested cavernosum, epithelial tissue necrosis can be seen after more than 48 hours of congestion, and blood clots in the cavernosum body can be formed. If you keep it, you can't stay. It takes 144 hours, it's too long. If it's better earlier, there's still a chance." Ji Xiang was also a little regretful.

"But the resection of the cavernous body is just right, and in theory it will not affect the patient's future life."

“!

!”

"Director Liu, your department...the technical strength is getting stronger and stronger." The anesthesiologist didn't know what to say, so he held it in for a long time and said something.

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"That's right, do you know what this is called in traditional Chinese medicine?" Director Liu was not sure, but after Ji Xiang said this, he was in a good mood and started gossiping.

"Which Chinese medicine has any explanation for this?" The anesthesiologist was surprised.

"You think! Our ancestors have summarized more experiences." Director Liu said, "This is called yang strength and easy-to-fight. Yang strength is mostly caused by yin deficiency and excessive fire, liver depression and turn into fire, or blood stasis and sperm blocking the collaterals."

"Awesome!" praised the anesthesiologist.

"It's a pity that no matter what it is, it's called kidney deficiency, tsk."

"Director Liu, this patient was injected with papaverine, which was also found in ancient times?" the anesthesiologist asked.

"Yang Qiang Yiju is a primary one, I don't know the specific principle. I have seen it very little." Director Liu said, "I guess it was taken by those people in ancient times, such as this one and that one."

After saying that, Director Liu asked, "Xiao Ji, what should I do after I go down?"

"Broad spectrum antibiotics, compound Salvia miltiorrhiza injection, low molecular weight dextran, sodium bicarbonate, oral Panshengding." Ji Xiang replied immediately.

Ji Xiang left several decompression incisions, and the cross-flowered mouth poked with a knife was sutured with 4-0 sheep intestinal thread, and the operation was completed after bandaging.

This is an open operation. Getting off the operation does not mean that the operation is over. The remaining incision must be sutured again in about 1 week.

Although the delay was relatively long, Director Liu was used to it.

In early years, patients with deep fat layer during open surgery generally do not suture directly, otherwise the fat liquefaction will be severe, and thread will be reserved. After observation 3-4 days after the operation, the condition will be stable before suturing.

Director Liu was a little worried, so he reached out and squeezed out the bright red bloody liquid.
Chapter completed!
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