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Chapter 158 To cut or not to cut?

Due to the special characteristics of the stomach, the surface fiber elasticity and thickness are different from other organs, so Liu Dongfang directly inserted the knife into the stomach forearm.

even!

The exposed handle of the knife was shaking slightly.

Liu Dongfang's incision this time was very large, with a diameter nearly the size of his stomach!

Suddenly!

A burst of bright red gushed out from the stomach!

"Why is there so much bright red?!"

This scene shocked everyone.

After all, gastrointestinal decompression had already caused a lot of bright redness, and laryngoscopy had already been treated to stop bleeding.

Logically speaking, the patient’s bleeding volume should be reduced!

But the scene in front of them made everyone's hearts sink.

"Don't be stunned, hurry up and attract!"

As soon as these words came out, everyone seemed to wake up from a dream.

Duan Kailiang quickly picked up the suction device and sucked all the bright red into the waste liquid collector.

"tractor!"

Seeing that the bright red color in the stomach disappeared, Liu Dongfang gave an order, and the equipment nurse Zhang Xiaoyu quickly handed the metal hook to their hands.

As the retractor opens the stomach wall incision, most of the stomach is clearly visible!

"kindness?"

Liu Dongfang's eyes narrowed slightly as he exposed his surgical field again.

"How could such a severe gastric ulcer not be discovered before?!"

At this time, Duan Kailiang, who was on the opposite side of Liu Dongfang, also exclaimed.

I saw some dense white bright spots on the patient's stomach near the cardia.

The bright red color flows continuously from these highlights.

After a while, the bright red color occupied more than half of the stomach!

"It's probably caused by these bright spots!" Liu Dongfang said solemnly.

Previously, I used a laryngoscope to examine the fundus of the stomach, but it was difficult to find the problem due to the bright red stasis.

Now that the bleeding point was found, Liu Dongfang, who should have breathed a sigh of relief, became excited.

Because he knew in his heart that this was definitely not an ordinary gastric ulcer!

"tweezers!"

After that, as the items were handed over, Liu Dongfang began to remove the white highlights on the patient's cardia.

"So many, do we have to clear them all?"

Curious, Zhang Xiaoyu stretched out his head and took a look, and his face turned pale with fright.

I saw those bright spots, densely packed, like a spider web, extending inside the stomach.

The white highlights embedded in the stomach blend with the flesh and blood, and are really difficult to clean if you don't look carefully.

"Take it to the emergency laboratory first to see what it is!"

After finishing speaking, Liu Dongfang pinched out a white particle and placed it in the curved plate.

"good!"

Zhang Xiaoyu quickly contacted the circulating nurse and carefully put the white particles into the yellow test bag.

The circulating nurse who came after hearing the news ran all the way into the operating room and sent the test bag away.

Just when everyone breathed a sigh of relief, another basin of cold water was poured down.

"You have 25 minutes left." the anesthesiologist said expressionlessly.

"25 minutes?! How is that enough!" Zhang Xiaoyu said anxiously.

If we just simply explore the bleeding point, it might be possible to complete it before the patient wakes up.

But if we want to clear the stomach residue now, let alone this little time, we will definitely not be able to complete it even if we add ten hours.

After all, this tests one's vision and skills.

Between the two, one is indispensable.

"Twenty-five minutes is really not enough." Liu Dongfang frowned, his expression looking a little solemn.

"What if we remove the necrotic tissue as well?" Duan Kailiang said suddenly with an idea.

As soon as these words came out, everyone's eyes lit up, but then their eyes dimmed again.

"Removing necrotic tissue is indeed a good choice, but hastily removing it without identifying the residue is likely to cause infection!"

"If hemorrhagic shock is combined with infection, it will be a dead end!"

Liu Dongfang saw the crux of the problem at a glance.

Having said that, Liu Dongfang's skills are not slow.

He used pressure and hemostasis to sew up most of the ulcerated surfaces in the stomach with corner stitches.

For the remaining small branches, the hemostatic agent can only be applied to the affected surface bit by bit through vertical administration.

After a while, the bright red color disappeared quickly at a speed visible to the naked eye.

However, this method can only treat the symptoms, but not the root cause.

After just a moment, the wound that had been sewn firmly began to ooze blood again.

"Director Liu, what on earth is this? It's so corrosive!"

Looking at the scene in front of him, Zhang Xiaoyu looked shocked.

You must know that the gastric juice secreted in the stomach belongs to the category of strong acid and is extremely corrosive.

Therefore, the acid and alkali resistance of the fiber surface of the stomach is extremely outstanding.

But even so, this small white bright spot can actually cause damage to the stomach wall and cause massive bleeding, which is really unacceptable!

At this moment, Zhang Xiaoyu was even a little lucky.

If Liu Dongfang had not insisted on appetizing just now, if this bright spot continued to corrode the stomach wall, the consequences would be disastrous!

"How about cutting it!" Zhang Xiaoyu muttered softly.

At this time, even she felt that the patient's life could only be saved by removing part of the stomach.

However!

Faced with her proposal, Liu Dongfang shook his head.

"The patient's function is relatively poor. If part of the stomach is cut off at this time, even if he is cured and goes home later, he will be hospitalized again due to indigestion, vomiting, and electrolyte imbalance!"

"But!"

Zhang Xiaoyu said anxiously: "If we don't cut it now, the patient won't even be able to survive this test, let alone being cured and going home!"

Although the hospital has always instilled a "patient-centered" service concept before, in Zhang Xiaoyu's concept, all this is based on the premise of patient safety!

Seeing that another argument was about to break out in the operating room, the anesthesiologist at the patient's bedside looked at him coldly and said: "Make a decision quickly, there are still 20 minutes left for you!"

The anesthesiologist illuminated the patient's pupils with the flashlight and couldn't help but curl his mouth.

The pupils on both sides have a slight reaction to light, which is a sign that the patient has awakened.

"Can't wait any longer!"

Liu Dongfang was heart-broken, and suddenly said to Duan Kailiang on the side: "Prepare diphosphine alcohol injection for intramuscular injection!"

"20ml of 50% magnesium sulfate, perfuse the ulcerated area on the stomach surface!"

"What are you doing?!"

Hearing this, Duan Kailiang was shocked. He didn't know why Liu Dongfang suddenly gave such a medical order.

After all, these two drugs have no effect on stopping bleeding!

"I'll explain it to you later, hurry up and implement it!"

At this time, Liu Dongfang had a serious expression and a majestic look on his face. The unquestionable aura on his body rose from the ground, making people have to surrender!

Sudden!

Duan Kailiang, who had just woken up from a dream, suddenly thought of something and his expression suddenly changed slightly.

"Are you suspicious?!"

Before Duan Kailiang could say anything, suddenly, the patient's lips began to turn purple at a speed visible to the naked eye.

This is a symptom of severe hypoxemia!

"There's not enough blood!"

Seeing this, Liu Dongfang's heart sank.

Due to the previously delayed condition, the patient's bleeding volume at this time has reached thousands of milliliters!

This is equivalent to a bucket of water that has been spilled for most of it, and the rest is not enough to maintain the status quo!

"Is there any fresh blood in the transfusion department?"
Chapter completed!
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