Doctor Started a Plug-in

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At this time in the Operation Theatre, the atmosphere was once suppressed!

Ji Qu, the director of the emergency department, and Yang Zhiming, the director of hepatobiliary surgery, and Qi Xiao, the director of General Surgery, gathered in the Operation Theatre, and their eyes were carefully focused on the condition in the abdominal cavity. They dare not carelessly!

At this moment, Shen Xiuyuan realized how sloppy his behavior was…

Looking back carefully, I had my own caesarean section. After a while, I was afraid that the cold sweat had oozed out, and the clothes inside had been wet.

If you move a little more, you may not be able to control the situation now…

However, the abdomen was already opened, and although a sharp wooden fork could be seen piercing into the abdominal cavity, everyone did not dare to move.

Even the breathing sounds in the Operation Theatre started to become noisy.

The director of the emergency department Ji Qu frowned, and through the projection of the shadowless lamp, he could clearly see that the sharp wood pierced the intestine. Although the fecal-like secretions did not spread out at this time, it was entirely because of the sharp wood pierced into it. Dao wound blocked!

Intra-abdominal exploration should be continued, and the pace of surgery cannot be stopped.

Ji Qu said solemnly: “No bile-like fluid was found in the abdomen!”

“No damage to large blood vessels was found.”

“The liver clearly penetrates the wound, and the bleeding is not obvious.”

……

Explore step by step and cautiously, and at this time, Yang Ziming, director of Hepatobiliary Surgery, suddenly said, “Don’t move, old plan!”

In a word, Ji Qu was stunned, and even Qi Xiao, the director of General Surgery on the side, looked towards Yang Ziming.

Yang Ziming swallowed: “There are broken tree branches in the common hepatic artery, and there is a clear puncture near the hepatic vein. Now you are prone to hemorrhage because of disturbances!”

In a word, Ji Qu couldn’t help but stop the operation in his hand.

After a moment, Ji Qu unable to bear asked, “Is it okay to stop bleeding? Now do not deal with it. When the intestine is completely ruptured and the feces spread out, there is no way to control the infection in the entire abdominal cavity.”

Indeed, this is the reason. After all, feces have a strong infectivity. At this time, the abdominal cavity has entered because of foreign bodies. If the contents of the intestine are leaked, abdominal infection is very troublesome!

Generally speaking, visceral injuries are not going to be saved, and it is only necessary to proceed slowly according to the principle of “stop bleeding first, repair later”.

Yang Ziming said sharply: “Infected, it can fight infection, but the vein near the liver is about to break. No one can save him here!”

The sound is not loud, but it sounds like thunder in everyone’s ears!

The near hepatic vein injury is not a vein, but refers to the injury that occurs in the main hepatic vein and the posterior inferior vena cava.

Due to the special anatomical location of the posterior hepatic area and difficult handling, the recent hepatic vein injury is still one of the most difficult problems in the field of liver surgery.

Yang Ziming is not terrible, but to take a deep breath, said with a solemn expression: “So, the mortality rate of near hepatic vein injury is as high as 83% on average, and it is the Operation Theatre mortality rate, do you understand?”

Ji Qu was stunned. The 80% mortality rate was very high. He could understand it, but… this Operation Theatre mortality rate made him a little stunned!

After all, it is a highly professional case, and even Ji Qu, even the director of emergency surgery, does not know very well.

“You… can’t do it?”

Yang Ziming blushed and laughed at herself: “Don’t talk about me, the whole Dongyang can do no more than 3 people, and… this is just what can be done, not necessarily.”

“I’m not kidding. Injury to the hepatic veins can cause fatal hemorrhage. These large veins are thin and some are surrounded by liver tissue, so… surgery and repair are very difficult!

And the most important thing is that its anatomical position is not easy to reveal after the liver. If the operation under direct vision will cause more severe bleeding and the risk of air embolism;

And…if you stop bleeding blindly, you can increase the damage! “

Yang Ziming finished in one breath, sighed, slowly said: “Did you say danger is not dangerous?”

A word silenced everyone!

Never dare to probe down anymore.

Yang Ziming glanced at Shen Xiuyuan and asked, “Has the notice of critical illness been bookmarked?”

Shen Xiuyuan nodded: “Signed!”

Yang Ziming un’ed: “The condition has changed, go to sign another one, and, the condition notice, tell the patient the risk…”

“Right, you go in person.”

The critical illness notice is not signed only once, but if you find other new and more dangerous diseases, you have to sign and inform!

Shen Xiuyuan quickly took off the gloves, picked up the medical record, and tore out two signatures. After writing a few sentences, she moved quickly towards the outside!

At this time, Chen Cang entire group was sitting at the entrance of the Operation Theatre, comforting Old He’s wife, and a woman’s critical notice just scared the woman.

Chen Cang reassured: “Auntie, any hospital operation that is risky will let you sign a consent form. You need to know that the operation itself is risky. This is the process, don’t worry, it’s okay!”

But no matter how Chen Cang comforted her, she was still terrified by the unable to bear.

At this time, the door of the Operation Theatre opened again, and Shen Xiuyuan hurriedly came out and said to the wife of Old He: “Hello, Patient’s condition has changed, and a wood bifurcation was found near the hepatic vein. Now Patient is very dangerous and requires your signature.”

In a word, she was so terrified that she was trembling, and she was very dangerous, and she broke the psychological defense of this woman.

Only a few days after the good day, my son daughter just got married, and finally, when the good day started, something like this happened.

The woman is momentarily not knowing what to do.

But Shen Xiuyuan had no choice but to look at the woman, he was persuaded.

Chen Cang froze for a moment and asked, “Can Hospital perform this operation?”

Shen Xiuyuan thought of Chen Cang, the suspected doctor, who took the head: “We may not be able to guarantee, but…if you are not at ease…”

At this time, Yang Ziming walked out personally and said to Old He’s wife: “It’s like this. Patient’s situation is dangerous now. Although it’s still safe, there may be accidents at any time. Our Hospital does not have this. The ability to perform surgery.”

“When I transfer to the hospital, I worry that the patient’s situation may not be tolerable, and there may be accidents in the car, so it is best to be able to invite outside experts.”

Old He’s wife took a deep breath and made herself want to calm down: “Doctor, you must save our old Old, ah, I…Where do I know what an expert is.”

Yang Ziming sighed: “We Hospital has been in contact with the Hepatobiliary Surgery of Eastern University Second Hospital of Anyang. We can ask the other party to perform the operation, but… you may need to pay the expert fee because of this situation…”