, meeting an old acquaintance

Author: Jiangbian Yuweng

, meeting an old acquaintance

No matter when, strength trumps everything.

Before Zhou Can found the bleeding point, there were constant voices of doubt. After he found it, all the doubts disappeared. They were replaced by exclamation, praise, and heartfelt shame.

"Director Wu, the blood supply area of ​​this blood vessel should be quite large. I'm afraid it won't work by ligating it directly to stop the bleeding, right?"

Zhou Can stood at the surgeon's position and wanted to continue touching the lower part of the surgery.

This kind of difficult surgery is a challenge for any chief physician, let alone a graduate student.

"It can be sterilized, but even if the patient is saved, he will have to sit in a wheelchair or lie in bed as a vegetative for the rest of his life." Wu Baihe is usually a very serious person.

At this moment, he may have seen Zhou Can successfully find the bleeding point and felt happy, so he humored him.

"Then...can you allow me to repair the blood vessel? I am certain that it can be repaired."

Zhou Can's suturing and ligation skills all reached the level of deputy director, and he was fully capable of repairing a blood vessel.

For a person like him who is extremely talented in endoscopic surgery, the difference between traditional surgery and endoscopic surgery is not big. For example, suturing is now level five, and whether he performs traditional surgery or endoscopic surgery, he can reach the level of deputy director.

level.

However, some people do not have the talent for endoscopic surgery, and their medical skills will be greatly reduced if they use a long arm to operate.

Those people either can't find the familiar feel, or they become unable to operate it and are far from their normal level.

"I'll let you try. The ugly words were spoken before. Now the rescue time has exceeded four hours, and the patient's condition is not optimistic. If I think you can only barely do it, or if you don't have the right repair skills, I will stop it immediately."

Wu Baihe hesitated for a moment and decided to let Zhou Can give it a try.

People are like this sometimes. They can refuse because of their feelings, but if they don't want to refuse, most of them will choose not to refuse.

If Zhou Can hadn't found the bleeding point in time, nothing would have happened to them.

The patient is likely to die directly.

"OK!"

After Zhou Can got Wu Baihe's approval, he was not polite and immediately began to quickly repair the patient's blood vessel.

I saw him controlling the arm of the endoscope, ligating the ruptured blood vessels accurately and quickly.

After stopping the bleeding, start to quickly remove the accumulated congestion, and then find a way to free up the operating space to start repairing the ruptured blood vessels.

The difficulty of repairing this malformed blood vessel is much higher than that of ordinary blood vessels.

Most of their blood vessel walls have already developed calcification.

For serious cases, atherosclerosis is basically extremely serious.

The blood vessel wall has long lost its original elasticity and toughness. Its internal channels will also increase and eventually become narrower due to the appearance of plaque.

The operation was carried out nervously.

Zhou Can's operation is not to say particularly good, but at least it is above the standard.

Wu Baihe, who was still a little worried at first, gradually relaxed his mind.

This is not the first time he has watched Zhou Can perform endoscopic surgery. He has always had a very good impression of Zhou Can.

Otherwise, it would be impossible to ask a trainee to come and help this time.

[Suture experience value +1.]

[The first time you successfully complete the suturing of the right cerebral artery and blood vessel, you will be rewarded with suturing experience points +100.]

[Experience value of ligation +1.]

[You successfully complete the suturing and knotting of the blood vessel wall of the right intraglomerular artery for the first time, and you will be rewarded with +100 ligation experience points.]

Zhou Can had long expected that this kind of difficult blood vessel repair would earn extra experience points as rewards.

It was exactly what he expected.

After earning the reward, he did not drift away, but continued to focus on repairing the ruptured blood vessels of patients.

…

More than an hour passed, and with great effort, he finally successfully repaired the malformed artery.

Before anastomosing the blood vessels, the two calcified plaques in the blood vessel wall were also removed.

He is confident that the patient's blood vessels will be smoother than before after the operation.

"Director Wu, I have completed the repair, please help me check it again!"

Zhou Can felt quite satisfied looking at his repaired blood vessels.

"Well, it looks fine. Let's do a blood test!"

After so long, the most worrying thing is the cell necrosis at the end of the blood supply.

Theoretically, a more satisfactory therapeutic effect will be achieved if the bleeding is stopped within three hours and the blood supply to the blood vessels is restored.

The longer the delay is, the more detrimental it will be to the patient and the efficacy will become more uncertain.

When doctors are rescuing patients, they sometimes know that there is little hope, but still go all out to save them. It is not because the doctors are hungry, nor because they are stupid, but because they want to create a miracle of life.

When Zhou Can was training in critical care medicine, he encountered something very helpless.

The doctors tried their best to rescue the patient and had achieved some results. However, the family members were worried about losing money and money, or they could not afford the high cost of treatment of 10,000 to 20,000 yuan a day, so they finally strongly asked the doctor to give up the treatment.

In this case, even if the doctor has seen that the patient's condition is improving, there will be hope as long as he persists in treatment.

But the family members asked to give up, and no matter how unwilling they were, the doctor had no choice but to give up the treatment.

Then watch the patient die quickly.

Zhou Can tried to loosen the ligature at the proximal end of the ligated blood vessel and the blood supply end.

When repairing blood vessels, experienced doctors like to ligate both ends of the blood vessels. This can effectively reduce air retention in the blood vessels and the possibility of thrombosis.

The proximal end of the heart is ligated mainly to prevent continued bleeding. Otherwise, surgery would be impossible.

After the ligatures at both ends were loosened, blood quickly poured into the repaired blood vessel segment.

"It worked! The blood vessel repair was successful!"

Wu Baihe has extremely rich surgical experience and can tell that the blood vessels have been repaired with just one look.

"Don't move it in a hurry. Observe it for a while to see if there is bleeding, blood clots, etc."

[Hemostasis experience value +1.]

[The first time you successfully complete the repair and cleaning of the abnormally opened arteries in the cerebral hemisphere, you will be rewarded with +100 hemostatic experience points.]

One operation earned so many 100 experience point rewards.

But Zhou Can was very happy.

However, this is the first time for him to repair intraglomerular malformed blood vessels. He has learned a lot and accumulated valuable experience.

"Okay, let me do the rest of the work!"

After Wu Baihe took over, he first conducted a second inspection of the repaired blood vessels to confirm that there were no problems, then completed the final elimination of the hematoma, and then began to close the cranial cavity in an orderly manner.

The operation lasted for more than six hours, and the patient was pushed out of the operating room.

Although the patient has not yet regained consciousness, from the doctor's point of view, the operation was successful.

The patient was sent to the recovery room and his physical condition was stable.

"Ah, it's already past 10 o'clock in the morning. Let me treat you to a treat and let's go have breakfast together. It's been a hard day for everyone. Fortunately, the operation was successful and our efforts were not in vain. I just hope that the patient can wake up. It's best not to

There are obvious sequelae.”

After Wu Baihe finished the operation, he looked up at the clock on the wall and saw that it was already past ten o'clock.

Generously invite everyone to have breakfast together.

The work of a doctor sometimes really takes place day and night.

The entire rescue operation just now was carried out under high tension, and no one cared about what time it was.

Doctors and nurses walked out of the operating room one after another.

I thought I was going to the cafeteria to have breakfast, but I didn't expect that Wu Baihe had asked his assistant to order breakfast in advance and put it in the small conference room of Shenwai.

Everyone had been tired for most of the night, and now they could finally sit down and take a rest.

The breakfast is quite rich, including steamed buns, bread, fried dough sticks, angelica eggs, and soy milk.

Doctors pay more attention to health preservation and often boil angelica eggs themselves or buy them to eat.

Eat less fried food.

Perhaps considering the taste of some young medical staff, I ordered some fried dough sticks.

The taste of fried food is very tempting. Young people are in good health and have no taboos.
To be continued...