Chapter 505 : Advanced Edition of Hemostasis with Hands!
It is different in a hospital than in other places. It is much more difficult to say the three words "I can" than to say "I can't"!
Because from medical students to medical experts and professors.
No one will say "yes" to something that they are not sure about!
This sentence "I can" is really heavy.
This means that others will trust you, support you, and assist you in doing the next rescue work.
Saying "I can" to the patient means that the patient will trust you unconditionally.
All this is just because your profession is a "doctor"!
So, when Chen Cang said "I can", both Fan Tai from the emergency department and Yue Wenqing from the hepatobiliary surgery department were surprised!
This is like when the patient is in danger and is powerless, someone suddenly lends a helping hand.
Of course, this is inseparable from Wang Xiangjun's recognition of Chen Cang!
The patient was rushed to the operating room.
Although mild subcapsular liver rupture can be cured after rigorous observation and non-surgical treatment.
However, if this combination has severe bleeding and suspected infection caused by abdominal bile leakage, surgery is the only chance of rescue!
At this moment, no one can relax their vigilance.
The doctor from the blood transfusion department rushed over and prepared blood merging, equipment nurses, anesthesiologists... Everyone was on guard, and it was best to deploy the work before rescue.
Before the operation, the patient had been rescued in the operating room!
Wang Xiangjun had no time to change clothes and wash his hands, so he ran into the operating room in a white coat, carrying out various pre-operative preparations before rescue!
Prepare blood, transfusion!
Rehydration!
Give oxygen!
Correct electrolyte disorders!
Maintain acid-base balance!
Protect renal function and prevent renal failure...
A series of preoperative preparations are like making preparations for the next battle.
Just as Chen Cang and others walked into the operating room, the patient's blood pressure finally stabilized, which made everyone in the operating room breathe a sigh of relief.
If the patient's condition cannot be stable and his blood pressure cannot rise, then the following surgery will be very risky!
Preoperative preparation is particularly important!
After anesthesia, Chen Cang decisively took the scalpel from the nurse's hand!
At this moment, the three people, including Wang Xiangjun, and every medical staff around him, all looked at Chen Cang!
Although Wang Xiangjun was willing to believe Chen Cang's words, how could he say this?
Very complicated!
Even Yue Wenqing, a doctor in hepatobiliary surgery, dared not say that he could undergo liver rupture repair surgery, but Chen Cang dared!
Is this confidence?
A bold component exists.
But Wang Xiangjun hopes that Chen Cang really can.
I hope he can bring surprises to himself as before.
Chen Cang did not hesitate or feel uneasy. Instead, he picked up the scalpel and gently stroked the predecessor according to the established route. A diagonal opening directly extended from under the xiphoid process to the front line of the right axilla.
A "j"-shaped cut appears!
At this time, the abdominal cavity was covered with blood, and some had already clotted into blood clots.
Chen Cang turned around and looked at Yue Wenqing: "Is that OK?"
Yue Wenqing understood what Chen Cang meant, looked at Chen Cang's firm gaze, and nodded seriously: "No problem!"
"Absorb!"
"gauze!"
Yue Wenqing skillfully started preparing for the washing solution. Although he could not do liver rupture repair, he assisted Director Qian, so it was still possible to assist in the work.
Now we need to decisively control bleeding and detect damage.
Cleaning up blood clots requires caution.
Soon, the abdominal cavity became much cleaner!
But at this time, there is still rapid bleeding in the place where the liver tissue ruptures!
This should be the reason why blood pressure has not been able to rise!
Chen Cang had quick eyes and quick hands, and directly held a yarn pad in his hand to stop bleeding. He controlled the liver with both hands and immediately started stopping bleeding.
His hands carefully held the liver, the yarn pad pressed it firmly, and his fingers cleverly blocked the blood vessels!
Suddenly!
The blood actually stopped suddenly!
Chen Cang's seemingly simple operation directly made everyone around him dumbfounded and speechless!
Even Wang Xiangjun stared at this amazing scene incredibly.
Stop bleeding with bare hands?
Liver stops bleeding with bare hands!
However... it always stops bleeding from a blood vessel or a single injury.
And Chen Cang's operation...
How did he do it?
It seems casual and free-hand operation requires accurate judgment and accurate positioning, and quick emergency measures.
At this time, Qian Liang had already hurriedly walked into the operating room and woke up from his dream. He suddenly learned that there was a liver rupture operation. He didn't care about anything else and hurriedly ran over.
Even so, it took a lot of time.
After washing hands hastily, I came into the operating room before I could change into my surgical gown, and saw this amazing scene!
Who is this?
How come it is so awesome!
Qian Liang was shocked and was surprised. When did their department produce such a talent?
However, when Qian Liang looked up, he suddenly felt very unfamiliar and took a closer look!
Isn’t this Chen Cang!
At this moment, Qian Liang was even more stunned.
Chen Cang...when will he have a liver rupture repair surgery? There are only four people in the Hepatobiliary Surgery Department of Dongda First Hospital who can perform such surgery, all at the director level.
And Chen Cang was still playing with the appendix gallbladder some time ago, right?
This... I have done all liver rupture surgery?!
And it also stops bleeding accurately with bare hands.
This shocked Qian Liang and was a little confused.
This is not sleepwalking!
After Chen Cang stopped the bleeding, he breathed a sigh of relief, but this kind of bleeding stopped with bare hands was only a short control. I wanted to have surgery next, but I couldn’t do this!
Chen Cang hurriedly said to Yue Wenqing, "What are you doing when you stand there?"
"Block the blood flow in the liver!"
Yue Wenqing's face turned red and he quickly took the hemostatic forceps, but at this time, Qian Liang hurriedly said: "Wait a moment!"
Everyone looked up and found that Director Qian was here!
At this moment, everyone couldn't help but breathe a sigh of relief.
Wang Xiangjun also glanced at Qian Liang and nodded: "Here you come!"
Qian Liang: "Yes!"
After putting on the surgical gown, Qian Liang walked to the opposite side of Chen Cang, and Fan Tai quickly gave up his seat.
Qian Liang looked at Chen Cang and said, "Are you ready?"
Chen Cang nodded!
Qian Liang took the hemostatic forceps and stopped the bleeding immediately, and was straightforward.
Chen Cang let go of his hands and immediately started to investigate the work.
This method of intermittently blocking liver blood flow to control the hepatic artery and hepatic veins can indeed stop bleeding immediately!
However, the limitations are also great. The time for blocking blood flow should not be too long, usually only fifteen or twenty minutes.
But it is obviously unrealistic to complete such tedious work during this period.
Only blood supply can be restored for 5 minutes, and the second block will be blocked!
However, modern medical research shows that repeated blockade is not conducive to liver recovery.
In this way, the operation must be accelerated!
Chapter completed!