Chapter 1398

Chen Qun picked up the scalpel and made a big incision in the patient's abdominal cavity, almost to the lower abdomen. As soon as the abdominal cavity was opened, a stream of blood arrow came out. Fortunately, Chen Qun had been prepared for a long time and directly blocked it with plastic paper. Several assistants on his side picked up the hemostatic cotton and blocked the blood around his mouth.

At this time, Qi Hongcai next to him saw the form clearly. The bleeding in the patient's stomach was not very much, but there was also a small stream of blood gushing around.

Female Xueba understand the reason Chen Qun said, is the patient's neck bleeding, leading to a large number of patients with thrombocytopenia. Thrombocytopenia makes the liver function of patients with liver cirrhosis almost lost, and the blood no longer has the function of coagulation, so there is a chain reaction, which directly leads to the damage of several blood vessels connecting with liver cirrhosis.

"Immediately suction, the opposite who will pull the hook a little tight, I am ready to move the retroperitoneal cavity, a help immediately knot blood vessels, eliminate gastric and pancreatic effusion. The patient is losing a lot of blood, everyone's hands and feet are sharp, if it can't be finished, tell me immediately, I'll do it! "

As soon as Chen Qun's words came out, Qi Hong could not help shaking his head. He knew that if translated, it would be "you all get out of the way. You just need to be responsible for helping me finish all the difficult work. Don't delay my time."

Sure enough, the three assistants around him immediately became interns who just went to the operating table. They only did a little basic work. They left all the complicated stitching, knotting and separation work to Chen Qun. They were only responsible for cooperating with his various fluent movements. They helped each other or pressed them. They didn't mix with other specific operations at all.

It's not that we don't want to do it, but we can't keep up with Chen Qun's speed, so we have to give up the idea of doing it by ourselves and let Chen Qun do it by himself.

"Give me the sampler and hemostatic forceps. I'm going to isolate the splenic vein from the portal vein."

Chen Qun issued another instruction, hands immersed in plasma, without any vision to see the splenic vein and portal vein, began to carry out surgical separation. To put it bluntly, this is a thorough blind exercise. The operation can be completed directly by the feeling of the fingers. Although there are three straws nearby, they still can't catch up with Chen Qun's speed.

"Line 8, needle holding forceps. I'm going to connect the splenic vein and the left renal vein. Give me two long forceps, and then hold the forceps with two hands. When I find two veins, you will be responsible for clamping them."

As Chen Qun said, he held the long forceps neatly, combed the plasma in one hand, and clamped the forceps down. The two deputy chief physicians and one inpatient around him are always very clear about how difficult it is to search for blood vessels in the bloody abdominal cavity. Chen Qun doesn't need to look at them, just like he is in his own back garden. It can be said that knowing the patient's body structure like the palm of one's hand is the only way to achieve this.

How many gross anatomy teachers are needed to achieve this level? Fifty? Or 100? Or how many simulated surgeries should we do in virtual VR glasses?

Everyone knows very well that Chen Qun never dissected a gross teacher in person from the beginning to the end, nor did he perform several operations in virtual glasses. Most of these technologies are based on his own simulation and imagination, except that his scholar syndrome has a plus effect in stereo image learning, others are still the same as ordinary people.

Sure enough, people can't be compared with each other. The lower limit of Chen Qun's surgical talent is an unattainable limit that many first-class experts in the world can't reach.

"The blood pressure begins to drop, there may be heart fibrillation, the defibrillation team is ready!"

Qi Hong looked at the basic data in front of him and saw that in just two or three minutes, the patient's blood pressure dropped by more than ten points. He immediately triggered the warning line of the computer system and helped issue an order to make everyone ready.

"Give me the scalpel! Prepare 7-0 double arm stitches. I'll start stitching right away. Let's get out of the way, take a person's hands to me, gently pass under my palm, raise the tangled tissue a little, and show the vision. Continue the suction, be careful, don't just rush, let the straw pierce all kinds of tube wall

Chen Qun is busy at high speed. He still has leisure to remind his nervous assistant and gently moves his straw to another position. Because it was a temporary emergency operation, the technical strength of the team on duty was a little weaker, which was a little different from the three teams he was equipped with.

With the acceleration of suction, the portal vein and splenic vein finally appeared in the field of vision, and a tear three centimeters long and one centimeter wide appeared in front of people's eyes.

"Oh, it's not right. It's too big, but the blood doesn't submerge the abdominal cavity! How much blood has been lost! "

"Eighteen hundred liters!"

"The portal vein is squeezed by the upper liver, the opening is big, but the bleeding point is small, so I don't learn much. However, such a large tear has been unable to do a conventional shunt operation, only a little change to do a composite shunt operation, otherwise the delicate connection will be broken again with a little wind. Xiaoxin, immediately print a T-shaped sleeve of portal vein, with a width of more than 3mm. After I finish stitching, I will put the T-shaped sleeve on it. If it is pulled by external force, the high polyester sleeve will play a protective role. In case of a blood vessel rupture, this part of the resin sheath will still work. "After less than two seconds of pondering, Chen Qun came up with a plan and immediately told the eldest lady to start at once. Next to him, Qi Hong was silent. He knew that he would have two shunt operations. But it is better to add a fixed patch to the shunt vessel than to use the patch directly.

After all, the current medical level has not yet produced a completely bionic similar blood vessel. If other patches are used to replace blood vessels, it is not as good as the original ones. In fact, there is no way to do it. There is no need to send the patient to the operating room for a second correction operation.

The difficult portosystemic shunt was completed in six minutes by Chen Qun. Because the torn mouth was too large and irregular, the torn part was used as the shunt catheter. Therefore, the blood vessel sutured by Chen Qun seems to have the feeling of walking on the cliff. If the blood pressure is higher, it may break the blood vessel.

At this time, the resin T-shaped sleeve printed by the nearby 3D printer was also sent. Chen Qun broke the sleeve and gently put it on the blood vessel to start stitching again.

"The patient's heart rate drops, the blood pressure begins to rise, and the heart fibrillation alarm is removed!"

Qi Hong looked at the patient's physiological data began to improve, also relaxed, and then found that Chen Qun is still looking for something in the patient's abdominal cavity, some surprised to ask.

"Did the forceps fall into the patient's stomach?"

"No, there is a small piece of tissue with torn blood vessels falling off. It should still be in the patient's stomach. I'll find it out before I turn it over. Wait, all right, we've found it! "

Chen Qun said while taking out a piece of blood vessel tissue the size of mung bean from the patient's stomach and throwing it in the tray, he ordered his assistant to clean the abdominal cavity.