This doctor is very stable

Chapter 100 Splenectomy 】

As the hemoperitoneum was drawn out, the patient's view of the spleen was gradually exposed.

The patient's broken left rib directly pierced the splenic capsule and the left lower border of the spleen. .

Blood was flowing out along the broken rib wound, Xu Hong immediately said after seeing the situation: "Tweezers, blocking forceps."

The main blood vessel that supplies blood to the spleen is the splenic vein!
As long as the static movement of the spleen is blocked, even if the bleeding cannot be completely stopped, the amount of bleeding can be effectively controlled.

When the amount of blood transfused is greater than the amount of bleeding, the patient's blood pressure will rise and the heart rate will gradually recover.

After the basic vital signs are stabilized, you can then switch to the operating room for follow-up surgery.

As expected of an old doctor, Xu Hong quickly accurately located the splenic vein in the complex abdominal cavity and completely blocked it.

After 5 minutes, the patient's blood pressure rose, and the probability returned to a relatively stable state.

After the vital signs stabilized, Xu Hong looked at Lin Ran and said in admiration, "That's right, you are very keen in observation."

Lin Ran smiled and looked at the girl lying on the bed without speaking.

The danger to the girl's life was temporarily lifted.

But the follow-up treatment is still a headache!

Even if the subsequent surgery is successfully completed.

It is estimated that the girl's legs will also be disabled.

A beautiful girl in her twenties, because she couldn't think about it on the spur of the moment, she had to pay the price of a leg for just this one jump.

It really makes people feel emotional, the price of jumping off a building is a bit high!
After the patient's vital signs stabilized completely, Xu Hong looked at Lin Ran and said with a smile, "Lin Ran will change the surgical gown with us, and you will be my first aid."

After speaking, Xu Hong looked at the attending physician at the side and ordered: "Xiao Hu, you will be responsible for pushing the patient to do the preoperative examination later, and by the way, check the CT to see if there are any fractures. After the examination, call the orthopedic department. Doctors come down for consultation, if possible we will do joint surgery.”

Attending doctor Hu Zhibin nodded, "Okay, Director Xu."

Lin Ran nodded without thinking and followed Xu Hong out of the emergency room.

Just after walking out of the emergency room, Lin Ran saw several police officers questioning the patient's family and Zhang San.

When the patient's family saw the doctor coming out, they nodded towards the policeman and said, "Comrade policeman, can I ask my daughter what's going on first?"

The policeman in uniform was also reasonable, "Well, yes."

The family member of the patient turned and walked over and hurriedly asked: "Doctor, how is my daughter's condition?"

Xu Hong explained, "The patient's life is not in danger for the time being, but surgery is still needed in the future. Please go and pay the fee..."

When it comes to cost, many people may think it is too vulgar.

But the hospital also has its rules and regulations, and there is no such thing as a circle without rules!

When the patient's family members heard that they had to pay the fee, they were so worried that they trembled a little.

Just today, their family's savings of more than [-] yuan were all taken away by online loans.

Now he has nothing but a few hundred dollars on his body!

A penny beats a hero Khan! The middle-aged uncle in his early 50s was about to cry, "Doctors, can you operate on my daughter first?"

"Sorry, we can do emergency rescue first, but if you want to have an operation, you must pay first."

Xu Hong shook his head and refused. It wasn't because he was hard-hearted. There were too many patients in the hospital every day. If everyone asked the doctor to perform the operation first and then pay the fee, wouldn't the hospital be in chaos?

Hospitals are not welfare institutions, and even emergency services can only save the emergency but not the poor.

Zhang San on the side has been paying attention to the situation here. As soon as he heard that he needs to pay for the surgery, he immediately walked over and said, "Uncle, I have money, so I can lend it to you first."

The middle-aged uncle looked vigilantly at Zhang San, who looked relatively rough, "Young man, I can easily borrow your money, but you also know that all the money in my family has been taken away by the money, and I may..."

Zhang San smiled, "Don't talk about it, uncle, first take the money to save your daughter, and you can just write me an IOU."

Hearing what Zhang San said, the middle-aged uncle instantly burst into tears.

They have nothing to do with Zhang San!

Zhang San not only sent them all the way to the hospital, but now he also borrowed money to operate on them.

"Thank you, young man. Even if I sell my kidney in the future, I will pay back the money."

…………

In the end, Zhang San lent 5 yuan to the middle-aged uncle for the hospitalization operation fee.

The policewoman who watched it was stunned, Zhang San really didn't look like a good person!
But three days in a row saved three lives.

Sure enough, people can't be seen!
Now that he has saved people, he can still pay for it, and the image of this good person has been erected in one fell swoop!

Maybe many people can do this kind of thing like saving people, but after saving people, how many people can lend money to unrelated people?
Not to mention that Zhang San is just a melon-eating crowd, even if the middle-aged uncle asks the police to borrow it, they will not borrow it casually!
As soon as he walked into the locker room, Lin Ran heard the system beep.

[Ding: Congratulations to the host for participating in the rescue of a V4 patient, and received RMB 200, splenectomy (primary)]

【叮:二星赏金任务(跳动的心脏)参与并完成紧急抢救5/10。任务奖励，1、人民币20000，2、胸部解剖200次，3、胸壁伤口清创缝合术(初级)】

Daily emergency rescue skills, primary splenectomy.

Lin Ran was pleasantly surprised.

There are too many patients with ruptured spleen that can be encountered in the emergency department.

The spleen is located in the upper left abdomen of the human body. The texture of the spleen is soft and brittle. It is easy to rupture and bleed when it is hit by violence locally. When a person is severely injured, the chance of damage to the spleen is far greater than that of other organs. chance of loss.

Of course, the application of splenectomy is not limited to resection of traumatic rupture, but also some common multiple diseases of the spleen, such as splenic cyst, splenomegaly, splenic abscess, splenic tumor, splenic wandering, etc., can be used for splenectomy.

The highly practical skills are comparable to the liver resection skills.

Of course, there is no distinction between good and bad medical skills. The more skills you have, the better!

Seeing that Lin Ran was in good spirits while washing his hands, Xu Hong asked, "Lin Ran, what is there to be happy about?"

Hearing Xu Hong's question, Lin Ran quickly shook his head, "No, the department assigned me a desk today, and I just moved today, and there are several liver resection patients who have been arranged for examination, waiting for the examination results Come out and have surgery."

Xu Hong chuckled, "So it's still three blessings! Why don't you treat me today?"

…………

Ten minutes later, Lin Ran and the others walked into the operating room, and Xu Hong stood at the chief surgeon's position without hesitation.

Lin Ran stood in the first assistant's position.

Just now in the emergency room, saving the lives of patients was the first priority, but now in the operating room, treatment is the main priority, so routine disinfection work is essential.

After Xu Hong finished the disinfection work, the door of the operating room was opened, followed by Hu Zhibin, and Huang Xiangyang, chief surgeon of orthopedic surgery, and his two assistants.

When Hu Zhibin came in, he saw that Lin Ran was helping, and couldn't help frowning.

Lin Ran is in the limelight recently!
He had heard it too, and seeing that Xu Hong called Lin Ran to help him in his last operation, he couldn't help but feel a little sour!
He had never seen Xu Hong take such good care of the little doctor before!

But recalling Lin Ran's performance in the emergency room just now, he had to say that Lin Ran was really talented.

Combined major surgery of emergency department and orthopedic surgery.

After the operation started, Xu Hong faintly noticed something different about Lin Ran who was helping him!
Does this guy have research on spleen and splenectomy?

After the operation began, Xu Hong felt that the operating table was going well. The fracture was removed, the lymph membrane around the spleen was removed, the necrotic spleen tissue was removed,...

With the help of Lin Ran, Xu Hong did everything very smoothly. At the beginning, Xu Hong suspected that he felt good today!

Xu Hong couldn't help but looked at Lin Ran and asked, "Your performance today is very proficient! You can't even study the spleen!"

There are three main organs in the upper abdomen of the human body, the liver, gallbladder, and spleen.

Lin Ran can remove the liver and gallbladder, so it makes sense for him to study splenectomy.

"I read literature, and I read books."

Since Xu Hong asked, of course Lin Ran had to go along with the flow. With his splenectomy skills, he would always find a chance to get started.

Lin Ran said the same thing when he had a cholecystectomy last time, and it was no problem at all to get the gallbladder removed in the end!
Thinking of this, Xu Hong couldn't help but be happy, "Hey, it means that the splenectomy is possible."

Lin Ran nodded, "Almost."

Xu Hong was also very decisive, and said, "Okay."

Hearing the conversation between the two, Hu Zhibin was a little dumbfounded.

How bold to be young now!
Just watch the video materials and literature and dare to do surgery!
Even the chief physician of the orthopedics department couldn't help but glance at Lin Ran.

Who is this little doctor?

Xu Hong actually believed him so much.

Xu Hong was the chief surgeon, he dared to attack Lin Ran, Xu Hong would be held responsible for any accident.

If he didn't trust Lin Ran, how dare Xu Hong do this?

It was Xu Hong who had seen Lin Ran undergo a splenectomy before.

But Lin Ran was able to cut his spleen at this age, so he couldn't help but make people look at him more.

And the few resident doctors on the side felt very sour.

Lin Ran's chance to get started is too easy to mess with!

But if you think about it carefully, if Xu Hong asked them to do it, they probably wouldn't dare to do it!

No diamonds, no porcelain work!
If the surgical skills are not enough, giving you a chance will harm others and yourself.

Xu Hong has already removed the necrotic tissue of the spleen, so the next step is to process the section of the spleen and search for possible bleeding points.

Lin Ran stretched out her hand, "Needle holder, No. 2 triangular curved suture needle, No. 2 absorbable suture."

With high-grade blood vessel suturing in hand, suturing cut blood vessels is naturally a no-brainer for Lin Ran.

Seeing that Lin Ran's operation is proficient and delicate, the quality of the stitching is still beyond words.

Hu Zhibin finally understood why Xu Hong believed in Lin Ran so much.

This young man is a monster at all!
How do you look at it with ordinary eyes?

After Lin Ran made a move, other people's eyes could not help being drawn to it.

Even the two little doctors in the orthopedics department frequently cast envious glances.

PS: December 12st is really a good day!The day when the bosses pay their salaries, and the day when the book is on the shelves, don't forget to join us!
Say important things three times, first order, first order, first order!
The first order is related to whether this book can continue to enjoy the recommendation, please book friends.

Ten more chapters are on the shelves!The big guys paid two yuan to support the show, it's not too much.

(End of this chapter)