954 Bleeding a lot (Leader ROMATOTTI2)
Professor Yang came the earliest and he had the best position.
When he saw the spleen behind his peritoneum was opened, his head buzzed.
Although there are expectations, the visual impact that you see with your own eyes is completely different from watching a movie.
He regretted it a little.
If I had known this, I wouldn't have let Boss Zheng perform a live broadcast of the surgery.
He was kind-hearted, but in the end he caused a lot of trouble for Boss Zheng. Why bother?
Many thoughts appeared in his mind, and he was stunned for a moment and saw Zheng Ren starting to block the spleen artery.
"Lao He, please observe the patient's arterial pressure." Zheng Ren whispered.
This was what Zheng Ren asked before. Lao He did radial artery puncture and invasive artery pressure detection.
The advantage of invasive arterial pressure detection is that it can directly monitor arterial pressure as a continuous dynamic change process, not affected by artificial pressurization, cuff width and tightness, and is accurate and reliable, and can be used at any time.
In addition, the contraction ability of the myocardium can be judged and analyzed based on the changes in the arterial waveform to avoid an increase in the blood volume of the heart, resulting in acute heart failure in the patient.
As for other benefits, this surgery is not very obvious.
However, the disadvantages of invasive arterial pressure detection are also quite obvious. Zheng Ren doesn’t care much about the failure of puncture, local infection, etc.
Lao He is still very good at speaking, but he talks a little too much, just like Su Yun, he is a bit chattering. If he can't even do invasive arterial pressure well, Lao He can retire.
"Blood pressure is 90/70mmhg." Lao He knew the severity and kept staring at the artery pressure.
Zheng Ren knew that the blood pressure of the young patient was low. He trained in the system operating room, clamping the spleen artery and allowing the blood in the spleen to flow back along the veins. Zheng Ren also conducted nearly a hundred trials and finally obtained a standard data.
He put down his hand and waited quietly.
The color of the patient's spleen has changed slightly. Zheng Ren observed the color change with his eyes and calculated the time in his mind.
“100/70mmhg.”
“110/75mmhg.”
“115/80mmhg.”
Lao He strictly observed the patient's arterial pressure in accordance with Zheng Ren's requirements.
After the arterial hypertension of a small patient reached 115mmhg, Zheng Ren began to cut the spleen and stomach ligaments and other related ligaments.
It is difficult to find the stomach in a lump of spleen and touch the abnormal tissue structure. But under Zheng Ren, all this is natural, just like an ordinary splenectomy.
“120/75mmhg.”
“125/85mmhg.”
Lao He was still meticulously reporting the patient's arterial pressure.
May kind people have good luck every day~~~
Lao He's voice was mixed with the song, and he suddenly felt that playing this song during the operation was quite exciting.
Professor Yang felt that his vision was limited, so he moved his head to the side to see clearly what Zheng Ren was doing.
"Old Yang, leave me a place, and I have taken a good place. I have to eat more and take more, so I won't take you like this." A professor next to him said unhappily.
"Did you see the spleen and stomach ligament removal?"
"I can't see, Boss Zheng is fucking blindly."
There is no good idea to stand behind the craftsman.
However, the assistant standing opposite had long expected that a large hook would be placed directly on the spleen, with just the right force, pulling the spleen apart, and then using another hook to pull the liver and spleen on the other side at an angle of 55° in the third quadrant of the surgeon.
This time, the vision was much broader.
The assistant's left hand moved slightly, and a delicate little hand wearing a size five and a half sterile glove took the hook, and then patted a pair of hemostatic pliers into his hand.
"Boss, Yiren is still comfortable for surgery here." Su Yun sighed sincerely.
Zheng Renze looked down and had surgery as if he hadn't heard him. As soon as he stretched out his hand, the equipment he wanted was photographed in his hand like a magic trick.
The more I looked, the more frightened he became. Professor Yang gradually became dull.
I originally thought that Boss Zheng would remove the spleen one by one, but I didn't expect that when the arterial pressure reached a certain range, he began to cut directly from the top.
He began to regret it again.
I'm ready to go on stage myself, so I can also remind Boss Zheng at this time.
When it comes to surgery, you must be good at it. If the surgeon does not ask questions, it is best not to speak.
In this way, it will disturb the operator's thinking, so that a surgery will be stumbling.
But isn’t the risk too great to do so?
If you remove one by one, if you have any problems, you will treat it as a tumor reduction surgery. But if you have a direct resection...
Professor Yang's mind was fighting with heaven and man, but he saw that Zheng Ren did not hesitate at all and directly cut off the lower part of his spleen.
Stop bleeding while removing it.
The hemostatic forceps in his hand were as if they had eyes, and they could always reach into the pool of blood and clamp it in the first place.
The assistant's reaction was also very fast, but it was slightly slower than Boss Zheng's hand speed. Every time the clamp clamps the blood vessels, the assistant's suction device sucks the blood clean, and then the clamps are wired and the instrument knots are tied.
The knots of the instrument are also very particular. One plate or one wrap, and it’s all done. The dull scissors contained in the practitioner’s palm cut the knot, which is appropriate in length.
As for large-scale bleeding, use electric burn to stop the bleeding.
The smell of barbecue spread out, and the assistant's vision was limited, so he simply used the suction device to suck the smoke caused by electric burning.
"Boss, I'm bleeding a lot today." Su Yun said.
"There is no way, you will definitely bleed if you cut off your spleen." Zheng Ren said.
Professor Yang and the director of the Guantai and the professors were all stunned.
Bleeding? It is estimated that the amount of bleeding is less than 100ml, which is called excessive bleeding?
What a joke!
Generally speaking, when the spleen ruptures and the hole is relatively small, surgeons are willing to do sutures. But most people would rather cut the spleen than sew.
Nothing else, it is just because the spleen is rich in blood and has a very crisp texture, which is even more crisp than the kidneys.
The stitching is stitched, and no one can guarantee that there will be no bleeding after the operation. Once bleeding is done, the rich blood circulation will cause continuous bleeding.
If the observation is not timely, there is a risk of hemorrhagic shock in the patient, which will lead to death.
The suture of a small crack must be very careful, not to mention the spleen part of this cross-section is removed.
If only a small artery is bleeding at the incision, look for it in a bloody area. The suction device cannot absorb so much blood.
In this case, it is difficult for the surgeon to find the bleeding point.
If the equipment is not suitable and is the kind produced by a small domestic manufacturer, clamping the blood vessels will not guarantee death directly.
It is possible that the operation was declared to be a failure at the beginning.
Boss Zheng's surgery was extremely low in bleeding and the surgery was clean. I guess the doctors who watched the live broadcast of the surgery with their mobile phone could see it clearly.
But even so, the assistant still complained that he had a lot of bleeding.
Chapter completed!