This doctor is very stable
Chapter 437 Urgent urination at a critical moment! [Please subscribe, ask for a monthly pass. 】
Chapter 437 Urgent urination at a critical moment! [Please subscribe, ask for a monthly pass. 】
When it came to Lin Ran's mouth about the fourth-level surgery, it was an understatement!
I have to say that Lin Ran is an understatement and pretends to be aggressive.
That's level four surgery.
There are only a few doctors in a department who can perform level [-] surgery, and all of them are the top names.
The fourth-level surgical director has to be more polite when talking to you, lest you run away one day if you can't think about it!
If these little doctors know a level [-] surgery, why don't they stand up and sing the song immediately!
Whether it is at home or in the hospital, the status will definitely rise in a straight line.
Even Director Qin was taken aback when he heard that Lin Ran had undergone a kidney transplant operation last night, and then fell into deep thought as he watched Lin Ran's operation.
However, Lin Ran didn't care about them, and now they are in the emergency room!
Renal artery, renal capsule, spleen capsule three bleeding points.
Among them, the bleeding point with the largest amount of bleeding is the rupture of the renal artery.
In order to stabilize the patient's vital signs, the bleeding point at the renal artery must be resolved first.
Lin Ran soon touched the patient's right kidney.
Soft and creamy!
This kidney can be seen to be a young kidney if it is not damaged. It must be healthy, and the kind that soaks wolfberry is not usually used.
Grope down to the left along the upper end of the renal capsule.
Renal pelvis, ureter, renal pedicle tissue.
Soft blood vessels, veins and blood vessels!
Healthy arteries are relatively vigorous, and when pinched, they have that kind of Q-bomb feeling, and even when pinched gently, there is a sense of fluctuating blood flow.
A broken blood vessel!
Lin Ran gently pinched the blood vessel he felt.
This severed blood vessel is the renal artery!
However, after Lin Ran pinched this limp blood vessel, it didn't swell quickly.
This shows that this section of blood vessel is not the proximal arterial end, but the arterial end near the renal end.
Lin Ran first solved the broken end of the proximal artery.
The groping continues.
Director Qin at the side looked at the life monitor next to the patient and saw the declining vital signs on it, and he was very anxious to get angry!
After blood volume expansion, if the patient suffers from hemorrhagic shock again, it will be difficult to rescue him.
"Speed up the blood transfusion, epinephrine 0.4ml, intravenous push..."
The two little nurses who were holding the blood bag were completely on par with the blood transfusion bag in front of her.
She doesn't have to do anything now.
With a blushing face and holding back the blood bag, it was over.
Don't think it's easy!
It can also save lives.
The patient's current bleeding volume is estimated to have reached four or less cc, that is, four thousand milliliters.
Four thousand milliliters is the entire blood in an adult's body.
In other words, all the remaining blood in the patient's body was squeezed in bit by bit.
If she didn't give her strength, the patient would have died long ago.
And pinching the blood bag is also delicate work!
Too much force, and the blood transfusion vein is likely to burst.
Without force, the amount of blood transfusion is simply not enough.
Therefore, use proper force...
If you want to practice pinching the blood bag proficiently with one hand, it is also the accumulation of experience.
Especially in the rescue room.
It is impossible for the new nurses to touch the blood bag.
After the adrenaline was given, Lin Ran became anxious too!
Unable to feel the proximal end of the renal artery, Lin Ran had no choice but to grope along the inferior vena cava aorta.
The renal artery is branched from the inferior superior artery, and it can always be felt all the way down the membrane.
Sure enough, the renal artery at the rupture point near the heart was quickly explored.
Lin Ran was overjoyed, Director Qin hurriedly asked, "I got it!"
Lin Ran gently pinched the end of the renal artery, "The blood at the ruptured end of the renal artery has stopped."
"it is good……"
Director Qin was overjoyed, and then took a deep look at the little nurse holding the blood bag.
The little nurse nodded slightly, the blood in the renal artery had stopped, and the speed of blood transfusion was about to slow down gradually.
"Gauge 6 non-absorbable suture, atraumatic forceps..."
It was not the first time Director Qin cooperated with Lin Ran. He took a thicker suture from the equipment nurse and stitched the No. 6 suture, and he quickly tied the knot.
With the cooperation of Lin Ran and Director Qin, the ruptured end of the renal artery near the heart was completely ligated.
The patient's life monitor is still beeping, but the rhythm has slowed down a lot.
On the rescue platform, as long as the doctor's rescue method is effective, the patient's body will give an extremely honest feedback. This kind of honest feedback is undoubtedly a kind of silent encouragement and affirmation to the doctor in charge of rescue!In the end, it turned into an unspeakable sense of accomplishment.
It's like the players who went to the field to play football went through all kinds of hardships and finally scored the ball into the goal.
But thinking about football, Lin Ran couldn't help but think of the national football team.
Fortunately, the national football team plays football. If they come to work in the hospital, tsk tsk...
After the ligation of the ruptured end of the renal artery was completed, half of the bleeding in the patient's body was stopped!
The ligation near the end of the renal artery was also removed!
The last step is to stop the bleeding at the damaged spleen capsule and kidney capsule.
Lin Ran groped to the point where the splenic capsule ruptured, and pressed it down.
The amount of bleeding in the patient's abdominal cavity can be balanced with the normal blood transfusion rate.
Lin Ran only had one right hand, and the patient's abdominal cavity was full of various organs, allowing the second hand to go in!Naturally, it is impossible to completely stop the bleeding.
Seeing that the amount of bleeding had dropped to a controllable range, Director Qin made a decisive decision and said, "Steady Lin Ran, we'll go to the operating room immediately!"
Lin Ran nodded, "I'd better go to bed!"
Changing the operating room would definitely require moving, and it would be more convenient for Lin Ran to go to the hospital bed to stop the patient's bleeding.
With the help of the nurse, Lin Ran rode onto the hospital bed, kneeling on the patient's body.
Of course, Lin Ran couldn't sit on the patient's body, otherwise, what if something happened to him?
The patient now has to keep the blood flowing in the body!
After Director Qin finished speaking, he began to arrange the surgery.
Director Qin and the others are all going to prepare for the operation.
A few minutes later, Lin Ran was pushed out of the emergency room together with the patient.
The family members of the patients were quite puzzled to see Lin Ran kneeling on the hospital bed, that is, kneeling on top of their son, but what could they do!I can only follow behind helplessly!
Being pushed into the operating room, waiting for the operation to start is a kind of torture for Lin Ran!
He didn't feel it when he first rescued him, but now he stopped, because he didn't get a rest for a long time, Lin Ran felt a sense of emptiness and deep tiredness in his body, as well as an indescribable uncomfortable feeling of holding his urine!
That's right, the urgency to urinate!
Urgent urgency at the critical moment!
Lin Ran drank too much porridge just now, after digesting it for a while, all the porridge went into his bladder!
Another look at the electronic clock on the wall of the operating room.
Before I knew it, it was already eleven o'clock.
The nurse in the operating room saw that Lin Ran's brows were tightly furrowed, his face was flushed, and he seemed to be suffering, so he asked, "Lin Ran, what's wrong with you?"
(End of this chapter)
When it came to Lin Ran's mouth about the fourth-level surgery, it was an understatement!
I have to say that Lin Ran is an understatement and pretends to be aggressive.
That's level four surgery.
There are only a few doctors in a department who can perform level [-] surgery, and all of them are the top names.
The fourth-level surgical director has to be more polite when talking to you, lest you run away one day if you can't think about it!
If these little doctors know a level [-] surgery, why don't they stand up and sing the song immediately!
Whether it is at home or in the hospital, the status will definitely rise in a straight line.
Even Director Qin was taken aback when he heard that Lin Ran had undergone a kidney transplant operation last night, and then fell into deep thought as he watched Lin Ran's operation.
However, Lin Ran didn't care about them, and now they are in the emergency room!
Renal artery, renal capsule, spleen capsule three bleeding points.
Among them, the bleeding point with the largest amount of bleeding is the rupture of the renal artery.
In order to stabilize the patient's vital signs, the bleeding point at the renal artery must be resolved first.
Lin Ran soon touched the patient's right kidney.
Soft and creamy!
This kidney can be seen to be a young kidney if it is not damaged. It must be healthy, and the kind that soaks wolfberry is not usually used.
Grope down to the left along the upper end of the renal capsule.
Renal pelvis, ureter, renal pedicle tissue.
Soft blood vessels, veins and blood vessels!
Healthy arteries are relatively vigorous, and when pinched, they have that kind of Q-bomb feeling, and even when pinched gently, there is a sense of fluctuating blood flow.
A broken blood vessel!
Lin Ran gently pinched the blood vessel he felt.
This severed blood vessel is the renal artery!
However, after Lin Ran pinched this limp blood vessel, it didn't swell quickly.
This shows that this section of blood vessel is not the proximal arterial end, but the arterial end near the renal end.
Lin Ran first solved the broken end of the proximal artery.
The groping continues.
Director Qin at the side looked at the life monitor next to the patient and saw the declining vital signs on it, and he was very anxious to get angry!
After blood volume expansion, if the patient suffers from hemorrhagic shock again, it will be difficult to rescue him.
"Speed up the blood transfusion, epinephrine 0.4ml, intravenous push..."
The two little nurses who were holding the blood bag were completely on par with the blood transfusion bag in front of her.
She doesn't have to do anything now.
With a blushing face and holding back the blood bag, it was over.
Don't think it's easy!
It can also save lives.
The patient's current bleeding volume is estimated to have reached four or less cc, that is, four thousand milliliters.
Four thousand milliliters is the entire blood in an adult's body.
In other words, all the remaining blood in the patient's body was squeezed in bit by bit.
If she didn't give her strength, the patient would have died long ago.
And pinching the blood bag is also delicate work!
Too much force, and the blood transfusion vein is likely to burst.
Without force, the amount of blood transfusion is simply not enough.
Therefore, use proper force...
If you want to practice pinching the blood bag proficiently with one hand, it is also the accumulation of experience.
Especially in the rescue room.
It is impossible for the new nurses to touch the blood bag.
After the adrenaline was given, Lin Ran became anxious too!
Unable to feel the proximal end of the renal artery, Lin Ran had no choice but to grope along the inferior vena cava aorta.
The renal artery is branched from the inferior superior artery, and it can always be felt all the way down the membrane.
Sure enough, the renal artery at the rupture point near the heart was quickly explored.
Lin Ran was overjoyed, Director Qin hurriedly asked, "I got it!"
Lin Ran gently pinched the end of the renal artery, "The blood at the ruptured end of the renal artery has stopped."
"it is good……"
Director Qin was overjoyed, and then took a deep look at the little nurse holding the blood bag.
The little nurse nodded slightly, the blood in the renal artery had stopped, and the speed of blood transfusion was about to slow down gradually.
"Gauge 6 non-absorbable suture, atraumatic forceps..."
It was not the first time Director Qin cooperated with Lin Ran. He took a thicker suture from the equipment nurse and stitched the No. 6 suture, and he quickly tied the knot.
With the cooperation of Lin Ran and Director Qin, the ruptured end of the renal artery near the heart was completely ligated.
The patient's life monitor is still beeping, but the rhythm has slowed down a lot.
On the rescue platform, as long as the doctor's rescue method is effective, the patient's body will give an extremely honest feedback. This kind of honest feedback is undoubtedly a kind of silent encouragement and affirmation to the doctor in charge of rescue!In the end, it turned into an unspeakable sense of accomplishment.
It's like the players who went to the field to play football went through all kinds of hardships and finally scored the ball into the goal.
But thinking about football, Lin Ran couldn't help but think of the national football team.
Fortunately, the national football team plays football. If they come to work in the hospital, tsk tsk...
After the ligation of the ruptured end of the renal artery was completed, half of the bleeding in the patient's body was stopped!
The ligation near the end of the renal artery was also removed!
The last step is to stop the bleeding at the damaged spleen capsule and kidney capsule.
Lin Ran groped to the point where the splenic capsule ruptured, and pressed it down.
The amount of bleeding in the patient's abdominal cavity can be balanced with the normal blood transfusion rate.
Lin Ran only had one right hand, and the patient's abdominal cavity was full of various organs, allowing the second hand to go in!Naturally, it is impossible to completely stop the bleeding.
Seeing that the amount of bleeding had dropped to a controllable range, Director Qin made a decisive decision and said, "Steady Lin Ran, we'll go to the operating room immediately!"
Lin Ran nodded, "I'd better go to bed!"
Changing the operating room would definitely require moving, and it would be more convenient for Lin Ran to go to the hospital bed to stop the patient's bleeding.
With the help of the nurse, Lin Ran rode onto the hospital bed, kneeling on the patient's body.
Of course, Lin Ran couldn't sit on the patient's body, otherwise, what if something happened to him?
The patient now has to keep the blood flowing in the body!
After Director Qin finished speaking, he began to arrange the surgery.
Director Qin and the others are all going to prepare for the operation.
A few minutes later, Lin Ran was pushed out of the emergency room together with the patient.
The family members of the patients were quite puzzled to see Lin Ran kneeling on the hospital bed, that is, kneeling on top of their son, but what could they do!I can only follow behind helplessly!
Being pushed into the operating room, waiting for the operation to start is a kind of torture for Lin Ran!
He didn't feel it when he first rescued him, but now he stopped, because he didn't get a rest for a long time, Lin Ran felt a sense of emptiness and deep tiredness in his body, as well as an indescribable uncomfortable feeling of holding his urine!
That's right, the urgency to urinate!
Urgent urgency at the critical moment!
Lin Ran drank too much porridge just now, after digesting it for a while, all the porridge went into his bladder!
Another look at the electronic clock on the wall of the operating room.
Before I knew it, it was already eleven o'clock.
The nurse in the operating room saw that Lin Ran's brows were tightly furrowed, his face was flushed, and he seemed to be suffering, so he asked, "Lin Ran, what's wrong with you?"
(End of this chapter)
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