Chapter 59
“good!”
Song Ming took the initiative to retreat, and the two put on sterile gowns and began to operate.
“general anesthesia.”
The anesthesiologist nodded lightly and started the injection.
Liu Xin stretched out his hand to take the scalpel, judged the position of the shrapnel based on the X-ray pictures, and carefully cut a McDonald’s incision.
“Mc’s incision? This is only used for appendix surgery. The shrapnel you have to take out now is much larger than the wound.”
“Well, I know, so I plan to perform a double-opening operation.”
The McDonald’s incision is no more than a grain of rice, and the equipment in the field hospital is quite advanced, which is slowly penetrated through a minimally invasive lens.
“It looks like you made the wrong cut. Do you want to continue?”
The old military doctor saw no trace of shrapnel in the minimally invasive lens, but Liu Xin said, “I have found it.”
“what?”
The old military doctor was puzzled, and Liu Xin continued to take the scalpel and make a second surgical incision. This time the incision was larger, with a full 15 cm. The hesitant piece of shrapnel was in a special condition, so Liu Xin was not good. Easy to cut.
“Microscopic scalpel.”
The old military doctor handed it over, but saw Liu Xin cut directly from the wound again, forming a partial incision with a two-way incision.
“Two-way inner knife edge!”
Only then did the old military doctor realize how capable this kid is, and why he was selected to come here for training. This skill alone is enough for other doctors to learn.
“Microscopic tweezers.”
Liu Xin continued to go deeper. The mouth of the forceps had touched the shrapnel from the inner knife, but the distance to the heart could only be estimated by Liu Xin.
“What are you going to do?”
“Two-way incision, use forceps to clamp the shrapnel from McGee’s incision, and use a magnetic scalpel to take the shrapnel out of the incision. However, the shrapnel is inconveniently placed horizontally, and it is very likely to cause sepsis and rupture of the artery.”
The old military doctor nodded: “That’s right, I’m afraid that the width of the two-way incision is not enough. Do you need to make up the cut?”
“It’s not necessary. I had already planned it when I made the cutting edge. It’s not so much the width is not enough, it’s better to say that we need to stabilize the shrapnel to ensure that it can be taken out.”
In the view of the old military doctor, if he found the location of the shrapnel, all he had to do was to make a longitudinal incision and figure out a way to take out the shrapnel as quickly as possible.
“Are you sure?”
The old military doctor still said that?
“Now we have no choice.”
After Liu Xin finished speaking, he operated the knife directly, and directly clamped the shrapnel hidden in the meat along the Mai’s incision of the micro tweezers. Suddenly, the patient’s heart rate was abnormal.
“Heart rate rises outside the normal range.”
The nurse in charge of monitoring said.
“Continue monitoring.”
Liu Xin did not do anything, but continued to press deeply, causing the patient’s heart rate to become faster and faster.
“What are you doing?!”
The old military doctor looked nervously from the side. Suddenly, Liu Xin raised his hand, and Fang used a scalpel to penetrate into the incision, and once again used his own two-sword flow to pinch the flesh and blood with shrapnel from the depths of the inner incision, instead of using it. Tweezers, but two scalpels.
“Stop the bleeding and stitch up the wound.”
Liu Xin said that he put down the shrapnel in his hand, started to stop the bleeding, plus suturing, the whole process, the internal and external incision were sutured together by the method of internal twisting suture, and the Mai’s incision was also sutured homeopathically.
“Why are you so courageous? If something goes wrong, how can he hold it?”
Liu Xin sighed: “Teacher, if this piece of shrapnel was just injected into the chest cavity, it would be difficult to take it out with my surgical method, but when I saw that I had done more than a few operations, I was basically sure of this piece. The shrapnel has been connected to the meat, because the formation of healing on it causes new skin tissue to fall off, and the shrapnel will go deeper into the patient’s heart, so I can only take a gamble when I see the shrapnel cut across the meat in the lens. When I was here, the safety of this technique was confirmed.”
The old military doctor was speechless by Liu Xin. It is true that his approach is very bold, but it is also the fastest and safest way to deal with it. From the judgment of the patient’s condition to the bold attempt of the incision, if you change to a general doctor, he will probably choose conservative treatment. This person is from the emergency room, and the emergency room has never been delayed.
“Oh, forget it, you passed the test. The technique is indeed very sharp, but the risk factor and the difficulty factor are very high. I can give you a high evaluation, but it is not the most perfect solution. It belongs to the sword walk. Slant forward.”
Liu Xin is still very modest. Although he can indeed make a more secure method, in fact, if he takes another knife, he cannot guarantee that the shrapnel attached to the meat will cause it to slip into the heart, and then it will be another way to pierce the heart. Something up.
“Okay, let’s end the get out of class today. Tomorrow we have other operations that you need to deal with. Dr. Song Ming, your practice theory is Chinese medicine. If you have not had an operation, I can arrange for you to enter the anesthesia department to study.”
Song Ming shook his head: “That’s not necessary. I have done a few operations before. Although I am better at anesthesia, I want to learn how to deal with the preparations for various measures.”
This is the first time Liu Xin has heard such a serious conversation since he met Song Ming.
“Well, I will report your matter to the superior, and you can dismiss the get out of class.”
Having said that, the two had to leave the operation without looking back. They were hungry long ago. They couldn’t even get the energy from the operation without breakfast. Fortunately, Wu Ren was not there and it was lunch again, and the two had a drink. Sit in the cafeteria and talk about the mountains.
“I’m so hungry, this operation is too troublesome, how are your results today?”
Several doctors appeared one after another, all of whom participated in the training. It can be seen that they are quite difficult to perform operations. It cannot be said that it is difficult to perform, but they will have to digest it for a while.
“Why are you two here?”
One person was surprised when he saw Liu Xin Song Ming.
“We’ve already finished the procedure, and the surgery in the emergency department may not be as difficult as yours.”
Liu Xin is very humble, but Song Ming is not: “Hey, my brothers said that they are humble. Our first operation today was performed by my brother himself. The danger, the cow, the teacher was all looking at it. ”
Who knows that this has attracted the ridicule of the surrounding trainees: “Are you bragging? The emergency department surgery is at most ordinary emergency rescue surgery, and it is not a proficient level. What can be difficult? I knew I had an emergency department at that time. Enough.”
Liu Xin smiled and did not speak. For him, the size of the operation does not depend on whether the entire operation is complicated, but whether his life is in danger. If it is a purely major operation, he is more patient to handle it, but it is not prone to emergencies. Condition.
In the conference room of the field hospital, the operation process that was performed that day was playing on the big screen.
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