This doctor is very stable

Chapter 472 Cut more than one knife [Please ask for a monthly pass, please subscribe. 】

From the careful pre-operative disinfection work, Lin Ran could see that Mr. Li's surgical style should also be conservative. .

After finishing the disinfection work, Li Yulong looked at the sturdy assistant next to Director Qin, and said, "Your name is Xiao Zhang, right?"

The middle-aged attending physician in the emergency room quickly responded, "Yes, Dean Li."

Li Yulong, "Okay, Xiao Zhang, you can hold the steel bar, so as not to shake during the operation and affect the operation."

Zhang Yi from the emergency room, "Okay, Dean Li."

After speaking, he and the nurse took a lot of towels and wrapped them on the steel bars, and lay down gently without daring to exert too much force.

Seeing this, Li Yulong added, "Don't pull, don't mention, just hold it and don't move."

After she finished speaking, she looked at the nurse who was pinching and pumping, "Speed ​​up the suction speed, and draw out the accumulated blood in the patient's chest cavity, exposing the view of the chest cavity."

The left lobe of the patient's lung was penetrated by a steel rod, which must have caused necrosis of the partially resected lung lobe.

Based on this situation, it is a good policy to perform partial left pulmonary lobectomy.

If you pull the steel bar without removing part of the lung lobe first, it will definitely affect the left lung lobe!It may even cause secondary hemorrhage.

After 10 minutes of accumulation, there was a lot of blood in the patient's chest cavity. Fortunately, Lin Ran stopped part of the blood flow, so he had a chance to drain the blood!

The little nurse hummed and pressed the aspirator, and the blood in the patient's chest was also quickly sucked away.

Soon, the view of the patient's abdominal cavity was gradually exposed to everyone's eyes.

I saw that the steel rod was obliquely inserted into the lower lobe of the left lobe of the patient's lung from the chest wall, the inner part.

It can be seen with the naked eye that the left lung lobe of the patient has been severely congested.

This insertion position is extremely dangerous!

If it goes up half a centimeter, and then half a centimeter inward, it will be directly inserted into the heart.

If the heart is pierced by a steel rod, the patient cannot be saved even if the gods come.

"Very lucky, but this operation still has a high risk!"

After Li Yulong said something, Director Qin nodded in agreement!
For emergency emergency surgery, there is no surgical plan at all before the operation. Everything depends on the surgeon and assistants to make decisions on the operating table. A little carelessness may cause the failure of the operation.

"Director Qin, look at the place where the steel bar pierces into the lower lung lobe, it's very close to the heart, almost brushing the edge of the heart, now the pericardium has touched the steel bar when the heart beats, so let's remove it You need to be extra careful when removing the steel bars, and you have to be extremely careful when removing the lung lobes."

Director Qin also frowned! "Indeed!
"It's not easy to use! Lin Ran, can you lower your hand a little bit? This way the vision will be clearer and wider, and our manipulation space will be larger."

Li Yulong also noticed that Lin Ran's current posture and the position where his right hand was inserted into the patient's chest were almost the same as they were in the emergency room just now!
Lin Ran's right hand was difficult to pass under the patient's left lung lobe to reach the bronchi of the left lung lobe.

Under the squeezed lung lobes of the steel bars, it can be said that there is not much room for him to move.

"Ms. Li, I have no room to move, it's very tight inside!"

"Well...then it can only be cut once."

As he spoke, he stretched out the operation, "Scalpel."

Seeing his appearance of doing what he said, Lin Ran couldn't bear to be scared!
Say cut a knife, cut a knife!

The rib cage can be cut here.

An extra cut will undoubtedly cause huge damage to the patient's body.

It should be known that the intercostal nerve injury will be completed after the thoracic intercostal incision.

After large internal thoracic incision surgery, the vast majority of patients will suffer from permanent thoracic sequelae.

"Why don't I try?"

Although life-saving is important, postoperative sequelae should still be considered.

It is always good to reduce a little side damage and reduce the sequelae of patients after surgery.

"Um……"

Hearing Lin Ran's words, Li Yulong, who had already undergone the operation, groaned.

If it was suggested by other little doctors, he probably wouldn't consider giving it a try.

After all, the patient is still in danger now!
Where do you get so many to try?
Whether the chest pain is more important or human life is more important, Li Yulong knows very well in his heart.

If you have chest pain, you can take painkillers, and if you are gone, you can only send it to the cremation site.

But it was Lin Ran who said he wanted to try it, so he couldn't say anything.

After all, without Lin Ran, the patient would have died long ago.

"Well, Lin Ran, you have to be careful. The patient's heart is now resting on the steel bars. If you are not careful, the pericardium may rupture. You should understand the consequences!"

Now the patient's condition is so bad, if the pericardium ruptures and hemorrhages, is there still hope?

Jieshi guessed that they could only put all their eggs in one basket. First, they roughly took out the steel rod, thinking of a way to stop the bleeding!

But in that case, it is estimated that 90.00% of the patients will not be saved.

"I'll be careful, but I need to release the compression on the pulmonary artery for a while."

As soon as he finished speaking, Director Qin stopped him directly, "Lin Ran, don't move, I know you may consider the aftermath of patients after an extra incision, but we are now performing life-saving surgery. The final question should be considered surgically! If you loosen the pulmonary artery now, what should you do if you can’t touch it later? The gain outweighs the loss! The risk is too great.”

"This..." Lin Ran was also dumbfounded.

Under various conditions, his thoughts just now were indeed somewhat immature.

In the end, Li Yulong said, "Let's cut it! It's safer, both for the patients and for us, and the postoperative problems will be solved after the operation."

In the end, Lin Ran also nodded helplessly.

Chest pain really does not mean that it can be solved after surgery.

Don't you see, after large incision thoracic surgery, many patients suffer from depression due to permanent chest pain, and even commit suicide by jumping off the building?

There are many such examples, even if the situation is slightly better.

The patient will also live under the haze of chest pain in this life.

But Lin Ran still compromised, and he couldn't guarantee that there would be no accidents if he stopped the bleeding again.

Save your life first, and think about other things.

Perhaps soon after medical advances, the problem of chest pain behind the hand will be solved.
With unanimous opinions, Li Yulong resolutely cut the patient's upper ribcage and intercostal space.

Starting from the top, the left lung lobe penetrated by the steel rod was removed.

Soon the bloody steel bar was taken out steadily.

Then Li Yulong started the intensive work of hemostasis, suturing and ligation.

After an hour of surgery, Lin Ran's right hand was freed.

Standing up straight, Lin Ran moved his aching body, looked at the patient on the stage and shook his head, looking helpless.

Some things are just that, and there are perfect things out there!
Some necessary renunciation is sometimes required on the operating table.

(End of this chapter)