Chapter 259

Chapter 259 advance with the times

It may be a really difficult choice, or even a wrong choice to choose any one.

However, when Chen Qun saw the familiar rupture of the liver and pancreas, he thought of the first open surgery of the system. Now there is a more serious patient with multiple blunt injuries all over the body. It is not clear how many organs have been damaged. But Chen Qun is no longer the rookie half a year ago.

Although the patient's condition is more dangerous, he still has time for emergency treatment.

"Ten milliliters of adrenaline, followed by intravenous heparin. Scalpel 13, prepare for abdominal cavity. Prepare two units of red blood cells and plasma, immediately give the patient blood transfusion, prepare hemostatic gauze and straw

I don't know whether it's because of the improvement of the doctor's level or the system's instant reward of more than 20 IQ points. Even if he doesn't practice in the system's operating room, he can give the best judgment of the situation in front of him in an orderly way. In a few words, he has constructed a more complex three-dimensional image in his mind, Have a general understanding of the disease.

When the scalpel was scratched in the hand, a cut was made in the patient's right waist, and blood gushed up. The nurse and the second assistant immediately put the hemostatic gauze and the straw together. Chen Qun just took a look and decided that there was still a hemorrhage in the abdominal cavity, not only the hepatopancreatic fragmentation.

"Titanium clip, upper left hook!"

Chen Qun stretched out his left hand and slowly drifted towards the mesentery in the abdominal cavity. In less than 20 seconds, he used five fingers to passively separate the grease like mesentery, and quickly clipped the titanium clips handed over by the nurse to several blood vessels. Two bleeding spots in the mesentery were stopped immediately.

Without using other instruments, the finger tip and palm are like an invisible scalpel to separate the outer mucosa of the stomach, exposing the liver and pancreas.

This operation is too familiar, even the wound has seven or eight points similar. Looking at the wound in front of Chen Qun's eyes, it seems that he didn't use his brain, and the palm of his hand "involuntarily" automatically started to work. With the most simple technique, he completed the suture of liver and pancreas in more than ten minutes.

In particular, the fragmented liver lobe was also sutured by his ingenious suture method, and the damaged part was almost negligible.

The forceps and needle holding forceps were carried away like wind, just like suturing a rice dumpling, suturing the broken liver, and several capillaries were also sutured with the quickest vascular anastomosis.

The reason why he didn't use the manual suture which he was very good at and proud of, but directly used the capillary stapler for anastomosis was that he was in a hurry. What's more, it seems that his mentality has changed a lot in this operation.

It is all kinds of advanced instruments and equipment that promote the progress of modern medicine. If he continues to show his time-consuming and laborious manual operation, he will be eliminated by the times. It is the development direction of any surgical operation to make all operations simple and safe.

Maybe one day in the future, surgeons will lose their jobs completely, and the six basic skills of surgery will become a kind of "dragon slaying skill" without any use.

From today on, he needs to improve or even abandon the operation methods in poor conditions. Even if all kinds of skills can't be upgraded to a great master, he doesn't like it.

It has always been the biggest obstacle to the progress and development of any art to stick to the past and stick to things. Keeping pace with the times is the main road of medical development.

After solving the most dangerous rupture of liver and pancreas, Chen Qun immediately sutured the two bleeding points on the mesentery. Although Chen Qun, who was his assistant, could not see his face clearly, from his skillful and clean movements, he knew that his level was not inferior to Huang Haitao at least.

Maybe it was Yang Xiaoquan, the expert from the cardiovascular department, who was just outside the gate. But when he took over the rescue operation in advance, he put down his airs and came to act as an assistant.

Maybe it's to see all kinds of luxury equipment in this operating room and take the opportunity to practice. Otherwise, it is almost impossible for others, at least at the level of senior directors and leading professors, to come and fight for themselves.

Chen Qun guessed the origin of the doctors around him, but his palms were not idle. He sutured the blood vessels at the fastest speed, instead of using a more efficient electric knife to stop bleeding.

Probably because of the influence of the old-fashioned surgical concept, Chen Qun didn't like the destructive way of burning to stop bleeding. Of course, if he had to, he would use it faster than others.

The doctor is to save people and treat disease, save people first and treat disease later. That is to say, to better ensure the quality of life of patients after operation is what the real doctors need to consider, rather than simply carrying out the operation rudely.

He learned more from Feng Qiuyun's operation, and the cornerstone is here."Prepare 10 ℃ saline, wash the abdominal cavity, and the second assistant is responsible for closing the abdominal cavity. Prepare for vascular imaging to see what's wrong with the patient's heart? Let the whole body's blood pressure has not picked up! "

As soon as Chen Qun finished the arrangement, he heard the buzzer beep.

The nurse's voice sounded in his ear, "the patient's ST segment is too high, it may be a heart attack!"

"It's not a heart attack!"

Two voices immediately rang out in the operating room. Chen Qun recognized the clear voice next to him, which should be Yangling kitajo from Japan. His unique voice gave him a deep impression.

Is it necessary to be an exchange student for such a good operation?

Chen Qun sighed a little, but he didn't have more ideas. Instead, he focused on the operation of the patient's heart.

"The third assistant immediately prepared the C-arm, and the nurse gave me the puncture bag, guide wire and contrast agent."

Chen Qun looked at Sanzhu's petite body and recognized that it was another girl named Xiangchuan Xiu. No wonder the female nurse wanted to drive out the big man who came to join in the fun. It turned out that she had opened a small back door.

In other words, except for a big man, all the others in the operating room are girls... Of course, there are also two big nurses. At this age, they should be at least at the level of head nurse and deputy head nurse. In other words, it should be some old nurses from the emergency center who came to visit this operating room for personal gain.

It's not easy to go out and boast in an operating room with a cost of tens of millions if you don't experience it. This is also the appearance of Xiangyun hospital

With his voice, the patient's ECG trembled, "injection of diazepam! Get ready to place the stent now! "

Chen Qun got out of his position and turned to the other side to deliver the puncture needle into the patient's body with the fastest operation. In the CT imaging picture, with the spraying of photographic agent, a clear cardiovascular map became clearer and clearer.

"Damn it, the wound can't avoid the left anterior descending coronary artery. Dr. Chen, if the stent is built, it will definitely hurt the left aorta. We need a revascularization operation, nurse, start the bypass machine right now, we need at least three more doctors to do the operation. Get ready first, we need to hang up the curtain

Xiangchuanxiu's voice came out of her mouth.

Chen Qun shook his head and knew that the girl had made her last mistake again. He thought too carefully and delayed the treatment.

But now he's the master, so there's no need for a little girl to give advice in front of him.

At that moment, his voice was flat and calm.

"No, it's too late. I'll put in the stent and anastomose the artificial blood vessel right away!"