Chapter 439

"Stop bleeding first!"

Li Baoshan issued orders decisively.

Tao Mi turned around, took the hemostatic forceps and directly ligated the active bleeding vessels.

Then Chen Cang did not hesitate!

Sew!

Chen Cang's vascular suture is obvious to all and is highly trusted. Li Baoshan and Tao Mi won't say much.

Hemostasis has become the vanguard of this operation.

Li Baoshan carefully explores his abdomen. Tao MI is ready to position and ligate it. Chen Cang quickly and tightly sutures it!

Soon, the hemostasis was carried out in an orderly manner.

However, when Li Baoshan moved his spleen, a stream of blood from the splenic artery gushed out directly.

Tao Mi reacted quickly and squeezed it!

At this time, a choice appeared in front of everyone.

How should the spleen be treated?

Li Baoshan hesitated: "cut it all?"

Tao MI was a little uneasy: "can you keep it... She's still young..."

Li Baoshan was silent too!

But at this time, we must make a choice.

Chen Cang said at this time: "suture the splenic artery first!"

They looked at Chen Cang and nodded if they had deep meaning.

The spleen is the final immune and hematopoietic organ of the human body. In the fetal period, the hematopoietic function of the spleen is very active. Even in adulthood, the spleen retires smoothly and the hematopoietic work is transferred to the bone marrow.

However, the spleen is still responsible for the production of lymphocytes and monocytes!

Moreover, most importantly, modern research shows that when a large amount of blood loss or bone marrow dysfunction occurs, the spleen can still produce red blood cells!

This can be said to be one of the most important organs of the human body.

Lymphocytes and monocytes may not be clear.

For example, lymphocytes and monocytes are like human policemen and soldiers, resisting foreign enemies, killing internal bad guys and participating in the defense function of the whole body.

Therefore, once the spleen is cut, the human body... Will fall into what state, you can imagine!

Therefore, when the spleen ruptures, it is advocated to preserve the spleen as much as possible.

However, no matter how preserved, necrotic tissue must be removed.

Now the splenic artery is also damaged. The suture must be completed as soon as possible.

However, the position of the splenic artery is very special. The needle holder wants to suture. The angle is tricky. The suture is easy to damage the surrounding tissues and organs.

Chen Cang took a deep breath, held his breath and looked at Tao MI. Without saying a word, they began the work of ligation and suture.

Every second saved may reduce the necrosis of the spleen?

Chen Cang's suture once again amazed the two old directors!

Chen Cang's mastery of needles is as good and understanding as his own hands.

The splenic artery is not thick, but it is very difficult to suture. Keep the suture distance of several filaments, be stable, and do not damage the vascular intima, resulting in later vascular wall damage.

Time passed minute by minute.

In a minute, the suture is finished!

Next, we have to face the operation of the spleen.

How to choose!

Spleen repair or splenectomy has become the most important problem.

Spleen suture is not difficult!

But splenectomy is of great significance.

The lower pole of the spleen had a transverse rupture, the small blood vessels had been torn, the suture was impossible, and the distal spleen had a blood supply disorder.

Li Baoshan hesitated: "cut it!"

Tao Mi nods!

At this time, Chen Cang hurriedly said: "can we anastomose the small blood vessels? After all... His injury time is still very short. In this part, because the collateral circulation and the function of small blood vessels are still in use, we... May be able to try to preserve the spleen."

you bet!

As Tao Mi said, she is still young.

If the spleen is cut, it's only half a person.

For a time, there is no choice.

Chen Cang looked at the two: "I can sew the small blood vessels! Give it to me!"

Li Baoshan was stunned: "isn't it necrotic yet?"

Chen Cang nodded: "no!"

He can see clearly in his eyes. If the spleen is necrotic, he can see it.

But at this time, the spleen is still yellow, less than red.

This means that it can be saved!

However, the small blood vessels are too locked, and it is too difficult to suture.

The violent impact wound has fragmented the already fragile spleen.

What is the significance of such a high workload repair!

The key is, can Chen Cang succeed?

This requires a deep understanding of the blood vessels of the spleen to do well!

What a delicate vascular suture!

not a single one can be omitted!

Li Baoshan observed carefully and carefully considered the time of the injured. After making a comprehensive judgment, he looked at Chen Cang: "Xiao Chen... Can you?"

Chen Cang nodded!

"I can!"

He didn't say I could try. He said I could.

Tao Mi glanced at Chen Cang and said to Li Baoshan, "try it!"

Li Baoshan also looked up at Chen Cang. His eyes were full of hope: "OK! Come on!"

Why doesn't he want to give the patient a healthy body?

But... At this time, he didn't know what to say except encouragement.

Because if you want to do this job well, there is a large amount of work, a greater workload and a great degree of precision.

First, you must know enough about the vascular distribution of the spleen.

Unfortunately, Chen Cang can understand very well!

Immediately click the special training [human blood circulation], and Chen Cang carefully studied the blood vessels in the spleen... I don't know how long it took.

When he looked at the spleen again, the distribution and shape of blood vessels in the skin had emerged in Chen Cang's mind.

In Chen Cang's eyes, the blood vessels like branches and branches are classified and neat.

Maybe!

It's really possible.

At this time, the director of the anesthesiology department also began to closely observe the vital signs of patients during the period.

Everyone is trying to create a powerful condition for Chen Cang!

They are all waiting for Chen Cang to carry out a seemingly "impossible" task.

They never thought of doing such a job.

After all, cutting the spleen was also a successful rescue for their medical staff.

Even if it may have a great impact on the patient's later recovery and there are many inconveniences in life, but... Medical technology is limited.

But this time, Chen Cang decided to do his best to give women a healthy body and a relatively healthy spleen!

Thinking of the little boy's expectant eyes, Chen Cang felt that he needed to do his best to save the family.

Chen Cang put on the microscope, constantly adjusted the multiple, and constantly replaced the suture and suture needle in his hand.

Every minute of time is passing.

This is the patient's life!

Chen Cang's mobile phone was thrown in the storage room and rang again and again!

The patient's small blood vessels in Chencang's serious efforts, needle after needle!

There are a lot of blood vessels. Chen Cang doesn't care. Try to repair those that can be repaired, provide good nutrition for the spleen as much as possible, and get ready for later recovery!

Looking at Chen Cang's fine operation, Li Baoshan and Tao Mi look at each other!

I couldn't help sighing.

After not knowing how long, Chen Cang felt numb in his back and had no intuition. He finally breathed a sigh of relief!

Stitched up!

He had forgotten how many small blood vessels he had sutured.

But he succeeded.

Everyone looked at Chen Cang with shock in their eyes.

Chen Cang really did it

Li Baoshan has cut his spleen all his life. How many such operations have he done? Today, he witnessed a miracle of rescuing the spleen.

The inner complexity is beyond words!

……

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