Doctor of Healing

Chapter 251 In ancient times, this was called Yang Qiang Yiju
"Director, I would like to try the stem head-stem cavernous body knife poking shunt." Ji Xiang said softly standing on the operator's seat.

"Give it a try, I'm going to cut it anyway. I'm sure it won't be bad, and there won't be a worse ending than this." Director Liu said.

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

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

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

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

The scalpel hit Ji Xiang's hand, reflecting the light of the shadowless lamp, giving him a slight chill.

Jixiang picked up the back of the stem head with his hand and pointed it at the spongy body on one side of the stem, and the scalpel in his hand twisted a blade, and pierced vertically with a "poof".

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

"Xiaoji, slow down." Director Liu was also taken aback, and said in a low voice.

In his opinion, Jixiang's surgery, partial nephrectomy, and giant hydronephrosis were performed with caution and delicate movements, quite in the style of the southern school.

No wonder, the university was studied in Yangcheng, the operation should be more delicate, this is Director Liu's understanding.

But just now Jixiang's "reckless" knife fell, and cut the tough albuginea, with a depth of 4-5cm!

Just this knife made Director Liu's eyelids twitch.

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

The most basic morality is still there.

Even if it is an autopsy for the general teacher, it is not so "cruel".

He was just thinking about how to persuade Ji Xiang, but then he saw dark red blood flowing out.

There is blood!

Seeing blood in the emergency department is a headache.

But the patient in front of him is necrotic, as long as there is blood, it proves that he can still be saved!
Director Liu had boundless hope in his heart.

Ji Xiang didn't explain, he had a knife in his hand and had already entered a state of concentration.

Here, the sorcerer is the only king.

Ji Xiang waited for the sudden decrease in resistance to flow out dark red blood, then rotated the blade 90°, and cut the buffy membrane again, forming a "cross" shape with the previous blade.

"..."

"..."

"..."

Director Liu and several other people who watched Ji Xiang's operation made creaking sounds in their throats.

Ji Xiang's knife was very deep, and he cut it twice, making a cross.

If it wasn't for the dark red blood flowing out, Director Liu would definitely stop Ji Xiang from continuing.

But the blood proved that the patient's little brother was still alive and could be rescued.

The incision cross plays the role of sufficient drainage, and Ji Xiang should avoid squeezing the operation area to discharge the congestion.

"Syringe... No. 18 syringe needle." Ji Xiang stretched out his hand, and when his hand was empty, he realized that this was the real world. As an equipment nurse, Tang Yan was countless times worse than the nurses in the operating room of the system, and his cooperation was not tacit.

"Sister, get an 18-gauge syringe." Tang Yan and the itinerant nurse said.

One minute later, the syringe needle was handed over to Ji Xiang.

Ji Xiang inserted a 18-gauge thick needle into the spongy body of the stem at the root of the stem, and injected heparin isotonic saline for perfusion and flushing.

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

"Yeah." Ji Xiang nodded.

"Do you want to increase the concentration of heparin?" Director Liu asked.

"No, it's fine, it's fine, and it will be stitched up later." Ji Xiang smiled, and he focused on the incision without raising his head.

After waiting for nearly 3 minutes, the blood that came out of the poking mouth turned bright red!

Red!
It means that it is fresh blood, which means that the little brother who has been swollen for 6 days is really still breathing.

The bright red color swept away the oppressive atmosphere in the operating room.

"It's really good! It's really saved!" Director Liu said beamingly, and even burst into foul language.

He didn't feel ashamed at all, although he was the one who just said no and wanted to have the patient resected.

The anesthesiologist was dumbfounded.

Why didn't the cross flowers that Jixiang poked out just now with a knife penetrate?There is only one question on the anesthesiologist's mind.

After seeing the bright red blood flowing out, Ji Xiang did not stop, and cut off the black necrotic tissue bit by bit along the incision.

"Doctor Xiaoji, after cutting so many spongy bodies, will it be okay in the future?" The anesthesiologist knew that keeping them would only cause infection, but they were spongy bodies after all, so he asked regretfully.

"According to the research on the ultrastructure of abnormally congested cavernous bodies, epithelial tissue necrosis can be seen after hyperemia exceeds 48 hours, and blood clots form in the cavernous body. It is impossible to keep it, 144 hours, too long. It would be better if it was earlier Yes, there is still a chance." Ji Xiang also felt a little regretful.

"But the excised cavernous body is just right, and theoretically it will not affect the patient's future life."

"!!!"

"Director Liu, your department's...technical strength is getting stronger and stronger." The anesthesiologist didn't know what to say, so he choked out a sentence for a long time.

"That's right, do you know what it's called in Chinese medicine?" Director Liu didn't know what to do, but after Ji Xiang said that, he was in a good mood and began to gossip.

"Does Chinese medicine have an explanation for this?" The anesthesiologist was surprised.

"You think! Our ancestors have summed up a lot of experience." Director Liu said, "This is called yang strength, which is mostly caused by yin deficiency and fire, liver stagnation turning into fire, or blood stasis and sperm blocking collaterals."

"Awesome!" The anesthesiologist praised.

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

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

"Primary yang is strong and easy to lift. I don't know the specific principle. I rarely see it." Director Liu said, "I guess it was made by those people in ancient times who took pills, such as this loose powder. That scattered."

After finishing speaking, Director Liu asked, "Xiaoji, what should we do after we go down?"

"Broad-spectrum antibiotics, compound Danshen injection, low-molecular dextran, sodium bicarbonate, and oral dipyridamole." Ji Xiang replied immediately.

Jixiang made several decompression incisions, and the cross-stitched openings poked out with a knife were sutured with 4-0 catgut, and the operation ended after bandaging.

This is an open operation, and stepping off the stage does not mean the end of the operation, and the remaining incision will be sutured again in about a week.

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

In the early years of laparotomy, patients with deep fat layers were generally not sutured directly, otherwise the fat liquefaction would be serious, and sutures were reserved, and sutured after 3-4 days of observation and stable condition.

Director Liu was a little worried, so he stretched out his hand and squeezed out a bright red bloody liquid.

He nodded in satisfaction and watched Ji Xiang complete the finishing touches.

(End of this chapter)