"Hemorrhagic shock, stubborn hypotension, and such rapid blood loss are likely to have compound damage to the spleen..."

Mo Wan's face was very serious. The mortality rate of such patients was more than 70%!

Although Xu Qiu quickly injected lactate Ringer fluid through the central vein as soon as the patient was admitted to the hospital, Mr. Luo Zhong's situation was still not optimistic.

From this perspective, it is reasonable for Xu Qiu to feel that the damage is unacceptable to two points.

However, isn’t Xu Qiu good at Chen’s pancreatic and intestinal anastomosis? When will the liver be repaired?

...

In the operating room, a drop of sweat oozed out of the anesthesia group's forehead: "Doctor Xu, my blood pressure still cannot rise!"

Low blood pressure means that there is still a large amount of active bleeding in the patient's body.

If the blood pressure is not raised, forced surgery will lead to excessive reduction of cardiovascular and cerebral blood supply, which will lead to death of brain tissue and cause irreversible devastating consequences.

"Continue, speed up the blood transfusion." Xu Qiu glanced at the life monitor and said immediately.

When the nurse heard this, she did not dare to delay at all. She immediately pinched the blood bag with both hands and squeezed it hard.

Gurgling—

The speed of the three infusion channels reached the limit that the patient's body could withstand, and Mr. Luo Zhong's blood pressure began to slowly rise.

However, after the three bags of blood were transfusion, six hundred milliliters of blood entered Luo Zhongshi's blood vessels, and his blood pressure suddenly fell down.

Seeing this, Xu Qiu's calm voice immediately fell: "Prepare for surgery."

Everyone in the operating room immediately took it seriously.

Shine-

The scalpel was firmly held by Xu Qiu, and he gently cut open the skin of the patient's fifth intercostal side.

Since your blood pressure cannot be stabilized, you can only perform rescue surgery while resisting shock!

Mo Wan looked unbelievable.

Repairing liver rupture is already difficult enough, and it must be done in the anti-shock situation. Is this something that people can do?

The response to her was a neat breast opening.

Dangdangdangdang-

The operating room is getting more and more dynamic, and the unique slaughterhouse style of orthopedics adds a bit of coldness to Xu Qiu under the shadowless light.

The patient's chest was opened, hemostasis forceps, hooks and other instruments were put together. In a short while, the aortic blood flow was blocked.

Didi--

After a brief wait, the anesthesiologist's surprise voice rang: "Blood pressure has risen!"

Xu Qiu immediately changed his knife: "Open the abdomen."

Blocking the aorta on the diaphragm is the most effective but dangerous operation to increase blood pressure during surgery and prevent cardiocerebral ischemia and hypoxia.

Even Xu Qiu dared not be vague. He had to find the active bleeding point in the abdomen immediately, and quickly restore the aortic blood flow after stopping the bleeding.

laugh--

Xu Qiu made a standard short oblique incision under the right edge, and a wound was cut from under the xiphoid process and extended to the front line of the right axillary line. A thin and S-shaped blood line appeared in the patient's right upper abdomen.

“Sucker.”

"gauze."

After quickly entering the abdomen, Xu Qiu quickly organized an assistant to suck out the blood accumulation and blood clots.

However, just as I sucked out the blood pool in the abdominal cavity, fresh blood soon poured out.

Mo Wan's face changed slightly: "The bleeding speed is still very fast!"

Xu Qiu glanced lightly: "Blocking belt."

Then, he controlled the hepatic artery and portal vein.

The liver is supplied with blood from the portal vein and hepatic artery to block these two blood vessels. Even if the liver becomes a sieve, there will be no more drop of blood.

Of course, this type of bleeding is only temporary, also called intermittent blocking method. It must be loosened every fifteen minutes, and the blood supply for about five minutes is restored before a second block is performed.

Otherwise, the blood will not stop and the liver will be gone.

Mo Wan was nervous, and she took a deep breath in silence.

Blocking the aorta, and now blocking the hepatic artery and portal vein, is there really a doctor who can handle this surgery?

The next moment, Xu Qiu's hand suddenly penetrated into his abdominal cavity and pressed his hands on his liver.

At this time, many liver tissue fragments can be seen in the liver, the diaphragm and viscera of the left outer lobe. The injuries in the right lobe of the liver are the most obvious. On the reddish-brown soft normal liver tissue, several gray meat balls are scattered, which are the S7 segments that have been broken.

Logically speaking, this kind of liver needs to minimize the stimulation of touch as much as possible, but no one expected that Xu Qiu would get started directly.

Mo Wan looked panicked. She was about to stop, but she found that the rest of the operating room had a look of habit.

"Are you coming?" Wang Ping was quite excited.

Shi Lian said expectantly: "I can see the method of stopping bleeding with bare hands again. The teacher's operation alone is enough for me to learn for the rest of my life."

Mo Wan:???

What is it that stops bleeding with bare hands?

This is a fragile liver!

If the patient's already scarred liver can even be crushed if the force is slightly stronger!

"Successful." A surprise voice rang out.

Mo Wan looked at the surgery area in shock. Under the bright light, the chest cavity suddenly became clean. After rubbing it with gauze, there were only a few light blood marks, and the active bleeding had been completely stopped.

Looking at the liver again, Xu Qiu's hands curbed several parts in an exaggerated posture.

"release."

As soon as Xu Qiu finished speaking, Wang Ping couldn't wait to untie the blocking belt.

boom--

The high-pressure blood lost its hindrance and instantly poured into the liver from the double blood supply. Xu Qiu's fingers also felt wave after wave of pulsation.

However, after a few dozen seconds, the blood had washed the entire liver for several rounds, and there was no new blood spot in the chest cavity.

"Really...successful?" Mo Wan's expression was shocked.

This is more effective than an electrocondensing knife!

“The yarn pad press.”

In five minutes, the bleeding point was accurately positioned, and the hemostatic method also changed from extreme blockade to compression cutoff.

This step made Mo Wan silent again.

Clinically, blocking dual blood supply is not just for stopping bleeding.

More importantly, it is actually the surgeons to reduce the risk of surgery.

After all, if the operation is wrong, a blood-flowing blood vessel and a shriveled, blocked blood vessel will be obvious.

But all this seems to be beyond Xu Qiu's consideration.

And facts have proved that no operational errors or surgical risks exist at all.

For ordinary clinicians, they need to repeatedly loosen the blocking belt three or four times, for about an hour in total, before they can complete liver repair.

But here in Xu Qiu, everything seemed to be pressed on the fast forward key.

He quickly cleared the blood clots and inactivated liver tissue from the cracks.

At the same time, the specific context of liver repair surgery is also outlined in the brain.

The still active liver tissue seemed to be reorganized in front of him, and fine sutures like spider webs connected, integrated, patched, and returned to the patient.

"call."

Mo Wan didn't dare to blink her eyes.

At this moment, she finally understood why Xu Qiu dared to block without hesitation and relax easily... because the speed was too fast!

It’s so fast that you don’t need to consider the damage caused by blockade, and you can end the surgery early!
Chapter completed!