Surgical artist

Chapter 140 You can't touch anything, it will explode if you touch it

When Wei Xiaobin arrived, Luan Jie, the deputy director, had already arranged for the patient to be hospitalized.

Obviously, the situation is a little serious.

"Director Wei, the patient's acute abdomen is accompanied by symptoms of peritoneal irritation. It should be abdominal bleeding."

Wei Xiaobin frowned upon hearing this.

There are so many possibilities for this condition!

Ruptured spleen, cholecystitis, pancreatitis, appendicitis, intestinal obstruction...

All kinds of causes may cause acute abdomen!

"What examinations did you do? Show me the films. The patient's medical history and physical examination sheet are also brought over."

All the medical records were brought over, and Wei Xiaobin looked at them carefully.

But the more he looked, the higher his frown became.

No wonder Luan Jie, the deputy director, couldn't make a diagnosis.

The situation was so complicated that even Wei Xiaobin was a little confused after seeing it.

These diseases are too complicated, like a mess, all diseases are a little bit involved.

After thinking for a while, he called Chai Baorong: "Director Chai, I have a patient here, can you come over and take a look and give me some advice?"

Soon, Chai Baorong came over.

After seeing the patient's condition and examination results, he also frowned.

For a while, Chai Baorong couldn't make up his mind: "This intra-abdominal hemorrhage, the cause is uncertain, anything is possible. We need to combine the patient's medical history and ponder over it."

At this moment, Zhao Peiru passed by the building outside.

"what happened?"

Seeing these new colleagues gathered here, Zhao Peiru thought something happened.

Wei Xiaobin and Chai Baorong talked about the patient's condition.

Zhao Peiru's expression suddenly became serious!

"Immediately arrange for the patient to undergo a paracentesis to see if there is any coagulation, and then do a B-ultrasound, focusing on checking whether there is any tumor rupture!"

Tumor burst?

When the two heard it, their scalps went numb!

Is this a tumor rupture?The more the two looked at it, the more they felt it was possible!

Tumor rupture often means that the tumor in the patient's body has reached the middle and advanced stages before spontaneous rupture and bleeding!

This situation is urgent!
If not rescued in time...

The patient could die in these four hospitals at any time.

The two looked at each other. Just now, they were planning to ponder over there.

If you really "think about it", it is likely to delay the rescue time!In case something serious happens and something happens to the patient...

The consequence is that the two of them "came into trouble" as soon as they joined the Fourth Hospital!

"Okay, I'll arrange it immediately!"

Wei Xiaobin and the two of them dared not trust each other!
Soon, the patient's examination results came out.

The paracentesis did not coagulate, and the examination showed that there was indeed a tumor with signs of rupture!
What a tumor rupture!

Wei Xiaobin, Chai Baorong and other new colleagues were afraid after a while!My back is sweating!
Fortunately, Director Zhao could tell at a glance, and he was diagnosed in time!
The two also sighed in their hearts. Originally, they had just joined the Fourth Academy and wanted to perform well.

As a result, the diagnosis of the cause had to rely on Director Zhao.

Why didn't I think of it myself?

After all.

Or his own medical skills are not good, and he doesn't have such a brilliant vision as Director Zhao.

Fortunately, now that I have joined the Fourth Academy, I can learn more from Zhao Peiru, so I can always improve!
The two straightened their minds.

Zhao Peiru said: "Arrange an operation for the patient immediately. The most important thing is to stop the bleeding first to prevent further deterioration."

"This operation, you two will do it together? Is it okay?"

The two nodded quickly.

"Director Zhao, we assure you that this surgery will be fine!"

Director Zhao has already confirmed the diagnosis for them. If they can't get this emergency operation, it will be unreasonable.

……

The patient's family members soon learned the news that "the tumor ruptured and emergency surgery was needed".

Upon hearing the bad news, the family members were shocked!
Not only did he have a tumor, but it also unexpectedly ruptured spontaneously in the middle and late stages!
These three bad news in a row almost exceeded their heart's tolerance.

Afterwards, the patient's son quietly pulled Wei Xiaobin aside.

"Doctor, my father's illness, please help us cure it!"

"We all recognize how much money is spent. You can use good medicine, but we are not afraid to spend money!"

The son of the family looked at the old father on the hospital bed: "My dad has been a dock worker all his life. It is not easy to bring up our children. I beg you to give him the best treatment conditions!"

"I'm in the ship business now and I've made money, and I'm planning to repay him well. He can't have an accident at this time..."

Wei Xiaobin comforted the family's son.

Then he came back and met with Chai Baorong to discuss the operation plan.

"We have to do a good job of this operation, and we can't make any mistakes."

In their hearts, both wanted to make up for the "mistake" that they hadn't diagnosed in time.

Can you gain a firm foothold in the Liver Surgery Department of the Fourth Hospital...

It's all about the surgery.

Deputy director Luan Jie suggested: "Since the main purpose of this operation is to stop the bleeding of the ruptured tumor."

"Then why don't we directly remove the tumor and cut off the bleeding from the source?"

Wei Xiaobin immediately shook his head.

"No, since the tumor ruptured spontaneously, it means that it is at least in the middle and advanced stages. The patient's liver function is extremely poor, and he is also accompanied by severe cirrhosis... It can be said that the patient is now a paper."

"Doing tumor resection at this time is tantamount to tearing the paper."

A ruptured tumor is now an unstable bomb.

Can't move easily.

Once the "resection operation" is performed, the double blow of surgery and anesthesia continues, and fragile patients may die directly on the operating table.

Chai Baorong also nodded.

"I think it's better to use foreign objects to stop the bleeding, first use gelatin sponge to stop the bleeding!"

Now, fragile patients have to use some "gentle" methods first.

Soon, the patient was pushed into the operating room.

Chai Baorong and Wei Xiaobin are fully armed.

"Just stop the bleeding and the rest will be easy."

The two clarified the general direction of their work and immediately started the operation.

Incision first, enter the way!

Explore, dissociate, dissect!
In the end, a bloody tumor appeared in everyone's surgical field.

Seeing the amount of bleeding, everyone's heart skipped a beat!
The amount of bleeding is already huge!No wonder the patient was in so much pain.

Although Chai Baorong and Wei Xiaobin looked solemn, they were also experienced veterans, and they dealt with it quite disciplinedly.

Aspirate blood to detect the extent of tumor involvement.

Some small blood vessels were ligated, and gelatin sponge omentum was packed to stop bleeding!

This whole set of operations is done in an orderly manner!

Can……

I have done everything that should be done, but the effect of hemostasis is still unsatisfactory!
The remaining blood was almost completely sucked out, the key point was that the ruptured tumor was still oozing blood.

Wei Xiaobin frowned: "How about we just ligate the hepatic artery?"

After thinking about it, Chai Baorong shook his head.

"For other patients, hepatic artery ligation can be considered."

"But in this patient, the liver cirrhosis is too severe! The liver function is very poor. If the hepatic artery is ligated, hepatic coma and liver failure will easily occur after the operation!"

This patient is really difficult!

Because there has been no physical examination, the illness has been delayed for too long, and the whole body has become a minefield.

It can't be touched anywhere, and it will explode as soon as it is touched.

(End of this chapter)