Chapter 142： Mouth fight, do not move the knife (on)

Let the Xie people inform the group of arrogant and extravagant guys who are playing mahjong to work overtime. Zheng Ren has put the rest of the meat into his mouth.

On the first floor of the emergency department, a woman stood in the rescue room, full of blood, and looked scared.

Zheng Ren quickly came to the emergency department again, and glanced at the patient on the hospital bed. A reddish diagnosis of spleen rupture and hemorrhagic shock appeared in the system panel in the upper right corner of the field of vision.

"Patient male, forty-five years old, was stabbed in the left upper abdomen by an knife one hour ago and sent to our hospital with a blood pressure of 80/60 mm Hg." The doctor on duty in the emergency department reported the medical history: "Emergency B-return, spleen Visible effusion, deep diameter 3.5cm, no effusion in the chest."

Because the spleen is under the left diaphragm, when it is traumatized, it is necessary to determine whether there is a combined chest and abdomen injury.

Once there is a pneumothorax, the patient is sent to the operating table, blown by the ventilator... that is dead.

Although the system did not give a diagnosis of lung knife stab wounds and traumatic pneumothorax, Zheng Ren was very cautious to listen to it with a stethoscope. The lungs of the lungs are clear, and the dry and wet voices are not heard.

The trauma should be simple.

"What about family?" Zheng Ren asked.

"That is." The surgeon on duty sneaked a finger at the woman in the emergency room. "It is said that the two men quarreled and she took a knife."

"..."

So what?

However, Zheng Renke did not have the habit of playing a housekeeping lawsuit, called his family, and took a patient with a chest and abdomen combined CT. After finding out that there was no pneumothorax, this came to the emergency operating room.

Su Yun has been waiting at the door of the operating room, and one of the Chu family sisters pushed the patient forward, and Zheng Ren went to change clothes.

The patient is in good condition and the injury is not very heavy. This can be seen from the blood pressure.

Maybe you don't have to do splenectomy, Zheng Ren has a basic assessment of the condition.

Change clothes, brush your hands, and wear surgical gowns.

After the anesthesia of the Chu family was over, Su Yun had done a good job in the early stage, disinfecting and arranging the operation list. Under the shadowless light, everyone was waiting for it, and Zheng Ren took office.

There is really a professor's feeling that Zheng Ren still does not adapt to this situation. At the time of the general subject, Su Yun’s work was done by himself. Sometimes even the operating table could not go up, and the list was laid down.

All the way is pondering the patient's situation, Zheng Ren has a belly case.

Reaching out, the surgical handle was photographed in the hand.

Zheng Ren did not choose a small incision, but took a 20 cm incision along the left side of the costal margin.

In the Xinglin Garden, the live broadcast begins.

[The Great God hasn't opened the live broadcast for a long time. 】

[What is this time? Huh? Rarely seen rupture of the spleen. 】

[It seems that there is no difficulty, just a simple spleen rupture, blood pressure is not very low, cut off, the patient can be discharged after 1 week. 】

According to the habit of seeing the skin before the apricot forest garden, the doctors who entered the earliest chatted.

For surgeons, there is really no difficulty in a simple resection.

Destruction is always easier than building.

[A big mouth, really spacious, I judge and the previous surgeon is not alone. 】

[Who knows, there are similar places in the way. 】

[The action is very fast, is it? It’s just a splenectomy. Even if you want to be slow, you can’t go slow. 】

In the live broadcast, the moment the peritoneum is opened, the suction device that is wearing the sleeve is inserted. Thick, dark red blood bursts out.

Soon, the blood near the incision was absorbed, and the aspirator moved in again. The surgeon began to open the peritoneum and protect the peritoneum.

[With the operation of an assistant, it is really easy to look at it. 】

[Inevitably, otherwise there will be words saying that surgery is not done by one person. 】

[You go to see other operations of the broadcaster, many of them are done by one person. Adding a person can shorten the surgery time by a few minutes. 】

The doctors who watched the live broadcast had inexplicable confidence in the surgeon. This confidence was established by dozens of previous and hundreds of operations.

After peritoneal protection, enter the abdominal cavity.

Su Yun took the suction device and sucked up the blood left in the abdominal cavity. At the same time, Zheng Ren quickly checked the spleen and saw a knife edge of about 2 cm on the spleen.

With gauze oppression, try to get a little less blood, Zheng Ren quickly check the liver, pancreas, stomach, retroperitoneal blood vessels, nearby intestinal tract, duodenum and other organs.

Fortunately, it is just a simple rupture of the spleen, the same as the diagnosis of the system.

Because of rupture of the spleen, the spleen shrinks and does not adhere to the surrounding tissue. Zheng Ren took the spleen out of the incision and carefully handed it to Su Yun.

[Wow, what do the surgeons do? Is it spleen repair? 】

[Should be, this patient is very suitable for spleen repair. 】

[In addition to the broken spleen, we have all been repaired. Splenic resection is completely less difficult. 】

[Do not blow can not die? Spleen repair, a careless, the possibility of secondary stage is great. 】

For spleen rupture should be repaired or violent resection, many doctors who are watching the video have their own judgment.

A hospital or doctor with a slightly weaker level is rarely daring to repair. www.novelhall.com~ Just like the patient who had a bleeding after a kidney resection a few days ago, the spleen has such a risk.

Whether it is the spleen or the kidneys, it is very brittle. When stitching with needlework, if the light is light, the wound will not be able to sew. If it is heavy, it will tear at once, causing secondary damage during surgery.

After Zheng Ren handed the spleen to Su Yun, he began to fill the spleen bed with a large gauze pad.

The whole process looked very fast, but it was very cautious and did not cause side damage caused by violent operations.

While Zheng Ren filled the spleen bed, Su Yun had already discovered the direction and depth of the spleen.

The wound is located on the upper pole of the spleen and is about 3cm deep.

After Zheng Ren fills the spleen bed, he reaches for the hand and the needle takes the line.

Medium needle, standard 3# suture needle.

Thin line, 1-0 absorbable suture.

Su Yun fixed the spleen, and Zheng Ren began to make sutures.

[Hey... Why is it so fast? Is the surgeon not afraid of tearing? 】

[It should be a matter of my heart. I have done a lot, and I can’t slow down if I don’t want to. 】

[I was really scared to see it. I sewed my spleen once and it was torn apart. 】

This kind of operation is not routine. Some surgeons in lower-level hospitals have never had a spleen repair in their lifetime. It is generally found that the spleen is ruptured, and it can be cut off directly, saving the risk of secondary surgery after surgery.

After suturing, Zheng Ren took the needle holder to the side of the patient's leg. The Xie Yi then picked it up and placed it on the instrument table. While wiping the blood on the needle holder, he aimed at the movement of Zheng Ren.

At the end of the knot, the Xie Yi people even took the scissors in the hands of Zheng Renshen.

Cut, wire, and prepare to rinse with warm salt water.

Step by step, not ill.