Super Doctor: Become Stronger From Signing In

Chapter 378 Blind Hemostasis Under Laparoscopy

[System, open the diagnosis and treatment optimization system]

Su Yang said in his mind.

In the current situation, if he only relies on his own experience, he may not be 100% sure, he still has to rely on the system.

【Ding! The current patient has been scanned, and the optimized surgical plan has been established]

The speed of the system has always been very fast, especially when it only scans a single patient.

If you want to optimize the production process of a drug, it will take some time relatively.

“The abdominal puncture and laparoscopic catheters are all ready, but Su Dashen, are you really sure?”

After a while, Lu Chenxi pushed over a trolley with simple laparoscopic equipment and a peritoneal puncture bag on it.

This kind of mobile laparoscopic equipment belongs to the precision of the bedside operation and the sharpness of the camera, which is completely inferior to the operating room.

Generally, it is only used for exploration. If it is directly used for surgery, this field of view is completely insufficient for ordinary doctors.

“There is no other way now, is there?”

Su Yang said with a solemn expression, in the current situation, especially in outdoor conditions, it is completely impossible to have an open surgery, even if he had an open surgery, he found the place of bleeding.

However, the severe infection of the abdominal cavity caused by the operation outdoors is very likely to endanger the life of the patient.

Especially if the patient has injured the abdomen, in this case, the infected bacteria will directly enter the blood and cause very severe sepsis.

“How did the patient get injured? Are his family members?”

Su Yang must understand the situation before undergoing surgery, he asked Lu Chenxi.

“No, when the ambulance arrived, the person was already like this, and there was nothing on his body to contact others, and he didn’t bring his mobile phone.”

Lu Chenxi said with a headache, and now he doesn’t understand almost anything.

“Who called the ambulance?”

Su Yang asked again.

“According to the staff of the ambulance, a passing uncle called the ambulance. When he arrived, the young man was lying on the ground in a coma.”

Lu Chenxi replied that, as the patient she received, she must still know about these conditions with the medical staff in the ambulance.

Su Yang felt even more troublesome when he heard what Lu Chenxi said.

Because on the surface, this young man has no scars at all, so it is certainly not due to intra-abdominal bleeding caused by trauma.

So if it is not a trauma, there is only one possibility, this young man has a primary disease, because this disease has caused the blood vessels in the abdominal cavity to rupture and hemorrhage.

In response to this situation, the only thing Su Yang can think of is portal vein rupture and bleeding caused by advanced liver cirrhosis.

And seeing this young man thin and pale, he affirmed his inference even more.

“Disinfection is ready, do you want to start?”

Lu Chenxi said to Su Yang.

The surrounding medical staff had heard of the patient’s condition, and they also wanted to see what Su Yang’s blind exercise hemostasis had been circulating in the hospital for a long time.

“let’s start.”

Su Yang nodded.

Although they were outdoors, Su Yang and Lu Chenxi put on a full set of surgical gowns and rubber gloves.

In fact, like this patient’s problem, as long as a laparotomy is done, the average surgeon can also solve it.

But the biggest problem now is to do an open abdominal exploration in an environment like outdoor. If the infection enters the bloodstream, it will cause very serious sepsis and life-threatening.

“You can open the puncture kit.”

Su Yang stretched out his hand and fumbled on the patient’s abdomen, confirming the situation in the abdominal cavity, and said to Lu Chenxi.

Through the surgical plan optimized by the system just now, Su Yang has determined that the blood pressure of this patient is indeed increased because of something that has caused the bleeding caused by the rupture of the liver and portal vein in the abdominal cavity.

This shows that this patient has very severe cirrhosis, but why does such a young person have such severe cirrhosis? Su Yang guessed that it was probably due to excessive drinking.

Lu Chenxi nodded, opened the abdominal puncture bag, and handed the puncture needle to Su Yang.

Su Yang took the puncture needle and quickly performed a puncture at the lower right corner of the patient’s abdomen at an angle of 45 degrees.

This puncture needle is connected to the catheter and directly connected to the aspirator, so when Su Yang punctures the abdominal cavity, dark red blood flows out of the abdominal cavity puncture needle, passes through the catheter, and flows into the blood storage tank.

All the medical staff around saw this scene, their hearts were tight, because they saw this large-capacity piggy bank, and soon filled a small part, you can imagine how severe the bleeding in this patient’s body is. .

As far as I can see now, the amount of bleeding that is drained is at least 1500 ml. Can you imagine how much blood is not drained out of the patient’s abdominal cavity?

“Doctor Lu, you come to fix the puncture needle.”

Seeing that the puncture was successful, the accumulated blood was also drained, Su Yang turned his head and said to Lu Chenxi.

At this moment, a rapid “dididi” alarm sounded at the scene.

“Doctor Su, the patient’s blood pressure is only 8050.”

Standing next to the life monitor, Dong Xin said to Su Yang very anxiously.

“Push a unit of adrenaline for large-volume rehydration, fast!”

Su Yang also said to Dong Xin very eagerly.

“good.”

Dong Xin nodded, and immediately found the adrenaline from the tray under the life monitor, and took a piece of adrenaline, which was immediately injected into the patient’s body.

As adrenaline is injected into the patient’s body, blood pressure and heart rate slowly rise.

However, everyone is still tight in their hearts, because they all know that the epinephrine injection is almost the last resort.

If Su Yang can’t achieve precise hemostasis for the patient in the next operation, then the patient’s estimate is too short of surgery.

Seeing the patient’s vital signs slowly coming back, Su Yang did not dare to delay. He took the scalpel from the puncture kit and made a small incision on the right side of the patient’s abdomen. This incision was mainly for the convenience of laparoscopic catheters. Entry.

With the completion of the laparoscopic incision, although Lu Chenxi on the side had already fixed the drainage tube, she said to her, “You come to cooperate with me.”

“Um.”

Lu Chenxi nodded. At this moment, her heart was also very nervous. She had never cooperated with others to perform operations under such circumstances.

Everyone around is very nervous at this moment, because the next is the most critical time.

Whether this patient can survive or not depends on Su Yang’s next operation.