Chapter 896： No urine

Zheng Ding has a preliminary judgment on how difficult this patient is.

Hepatic echinococcosis, patients with autologous liver transplantation, and large pig hooves did not give a task grading. And this patient actually gave a s-level judgment.

Is the surgery s grade?

Zheng Ren stunned, where is the difficulty? Want to keep the kidneys? !

He recalled the images of the kidneys that appeared in the film and began to rebuild in his mind. The bilateral kidneys are extremely severe and difficult to retain. At the very least, Zheng Ren is hard to keep at his own level.

There is a master-level skill book in hand, and you can try it if you need it. Then there are still some training sessions, which should be able to support the operation.

However, s-level surgery, like the lingering shadows, is often shrouded in the heart of Zheng Ren.

Judging from the judgment of the big pig's hoof, he knows that the director Miao said, that is, try, the probability of success is less than 20. But always look at the film than myself, I think there is no way to operate, to wait for the death to be strong.

"Let's go together, squeeze, squeeze time, don't delay." Miao director said.

Brush your hands and go to the stage.

Fang Lin did not even have a position. The director of the chest department should have heard the emergency department. The chest trauma is not heavy, so it will come later. Let Fang Lin come, the next breast bottle will be enough.

Hepatobiliary, urinary, intervention, three departments at the same time.

The hot blood is poured into a bag and a bag, and the blood pressure is still extremely low. Time is life, no one speaks in the operating room, only the rushing footsteps are echoing.

It's hard to shop a list, but everyone will deal with it.

Zheng Ren put the director of the hole on the chair and indicated that he was enough to be alone. Then go to the lead coat and brush your hands.

Professor Yang and Miao are also wearing lead clothes, they are not used to it, and a dozen pounds of things are worn on the body, too awkward.

However, the interventional embolization surgery for severe pelvic fractures takes about two hours. How many lines do you have to eat? !

It is possible that the surgery in the stomach has been completed, and the interventional surgery is not overdue.

So it’s awkward, it’s still awkward.

The inpatients knew that the time was tight and the movements were particularly fast. After Professor Yang and Miao were up, they stood on the right side of the patient, and the two hospitalized generals stood in a helping position.

Zheng Ren stood on the side of his leg and greeted Su Yun to open a corner of the sterile single. He immediately began to puncture the femoral artery.

The posture is particularly awkward, but it is hard to stop Zheng Ren. Director Miao and Professor Yang simply exchanged and selected the incision that both people could accept. Zheng Ren had completed the femoral artery puncture and the guide wire went in.

"Ready to step on the line." Zheng Ren felt the guide wire to the position, and he said it.

The airtight lead door is closed, and Miao is somewhat surprised. How can it be so fast? But he didn't have time to think about things, from bottom to top, cut the patient's abdomen, and connected with Professor Yang's incision.

Quickly separate the skin, subcutaneous tissue, and enter the abdominal cavity.

After a glance, Miao Director wanted to turn and step down.

A huge hematoma near the kidneys, although wrapped in yellow fat, is visible to the naked eye.

It is estimated that it is early to come to the hospital, there is only a chance to rescue. If it is three or five minutes late, there is really no chance.

Even so, Miao Director felt that it was no longer possible.

The liver and spleen injuries are relatively light, and Professor Yang has begun to suture.

Miao Director carefully separated and ligated continuously. What he wants is to keep at least one kidney.

But after five minutes, I found that the left kidney was no longer available.

Almost smashed, and the seams could not be sewn.

When the machine is turned off, the renal artery is blocked and the left kidney is removed. The rest, can only pray that the patient's right kidney has a chance to keep...

"How much is the amount of urine?"

"There is no urine." The anesthesiologist answered immediately.

No urine! This is the embodiment of the disappearance of the kidney function.

To completely remove the kidneys, Miao Director should not be too skilled. For him, it is a matter of minutes.

But making this choice is extremely difficult.

Cut the left kidney, the operation is simple, and can stop bleeding immediately. But what if the right kidney does not work?

However, the aspirator is sucking arterial blood, and the sound of snoring reminds Miao Director that he can no longer hesitate.

The kidney pedicle clamps directly, cuts the ligament, and prepares the left kidney.

Because there are many people on the operating table, the upper and lower equipment nurses deliver the instruments, but the Miao director is standing in the middle, which is very inconvenient.

He clamped the kidney pedicle, just want something, a blunt pair of scissors shot in his hand. The hand with sterile gloves took the kidney pedicle in his hand.

Uh……

Miao Director stunned.

This is... Zheng boss?

"Is the surgery done?" Miao Director asked strangely.

"Well, the embolization is over." Zheng Ren took the pliers and did not step down. Instead, he stood on the operating table and gave the Miao Director an assistant.

Su Yun drilled under the operating table, squeezing it in the seams of the person, hiding it under the sterile single, and doing a pressure bandage on the puncture point in a very awkward position.

Although the patient is now in a state of hemorrhagic shock, if he can stop the blood, the blood pressure must rise. Don't finish the surgery above. Look at the blood below and get the pants wet.

The amount of bleeding at least about 1000l. The patient has had hemorrhagic shock, and it is a point to save some blood.

Director Miao looked up and looked at the time. It took only ten minutes to start the stage. Zheng Ren’s face surgery was finished.

"Is the weight of the posterior peritoneal injury?" Miao Director asked the patient to cut the kidney.

"Five blood vessels are bleeding, they are all plugged, no problem." Zheng Ren knows his doubts and answers.

Director Miao looked up at the opposite screen, and the picture stopped at the interface of the embolism. There was no postoperative angiography.

"How can I confirm without angiography?"

"The patient has no urine, and eating less contrast agent will be beneficial to the postoperative recovery." Zheng Renli said of course: "Can the right kidney be preserved?"

"It depends on the situation." Miao Director cut the left kidney cleanly and neatly, then he probed the right kidney, and left the left kidney residue to Zheng Ren to pick it up and put it in the pathological basin next to it.

The left kidney is broken like a rag doll that can't be sewed, the right kidney... slightly better, but it's not good.

Zheng Ren looked at the Miao director as much as possible to suture, trying to save the right kidney, knowing that this is a dying struggle.

It is no wonder that the system is judged to be an s-level task, which cannot be completed at all.

"Su Yun, how much urine?" Zheng Ren helped Miao director to mend and began to care about the amount of urine.

If there are a few milliliters of urine, it can also prove that the injured right kidney has a residual function.

However, Su Yun’s words made Zheng Renru fall into the ice cave.

"There is no urine, there is no retention in the urinary tube." Su Yun said calmly.

After the director Miao heard Su Yun’s words, his hand paused.

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