Chapter 367 How to stop bleeding is difficult for people
"Don't worry, Teacher Zhu, this time the fssh and icpf university conferences have given us 5 sets of advanced surgical instruments. I will give you one set at that time, and I guarantee your satisfaction."
Zhu Huoyan chuckled. Again, no surgeon can resist this temptation. A good set of surgical tools can make the doctor more comfortable and happy during surgery.
Even Zhu Huoyan, who usually has a somewhat cold personality, is not immune to this.
Of course, there is another important reason, because Chen Qi is his young apprentice, and it has always been a natural thing for an apprentice to respect his master. If it had been someone else, Zhu Huoyan might not have accepted this kindness.
Of course, some people will say that Chen Qi is using public property as a personal favor.
But everyone should not forget that when Chen Qi first established the operating room in Huangtan Health Center, Zhu Huoyan also provided him with many public surgical instruments, which was a timely help.
You still have to act according to your conscience.
The operation was carried out quickly. As employees from the four hospitals outside lined up to donate blood, bags of blood products were brought in from the operating room and transfused into the wounded, providing valuable time and blood supply for rescue operations.
Zhu Huoyan did not hesitate, picked up the scalpel, made an L-shaped incision directly through the abdominal linea alba, and began to enter the abdomen.
Chen Qi also quickly picked up the hemostatic forceps and suction device to suck the blood in the abdominal cavity, and began to do his job as an assistant.
Zhu Huoyan quickly freed the greater curvature of the stomach, opened the lesser omental sac, ligated the splenic artery, freed the splenic pedicle, and then clamped it with a vascular forceps:
"Chen Qi, you will perform the splenectomy next. I want to explore the liver. I have to move quickly. The blood pressure keeps dropping."
"Okay."
Zhu Huoyan was really worried about his students. Now Chen Qi can simply cut off the spleen pedicle to remove the spleen.
This is equivalent to cooking the rice, serving it to you, and then feeding it to your mouth. All you have to do is open your mouth. There is no difficulty at all.
Thinking of this, Chen Qi chuckled and started his operation.
During the subsequent operation, Chen Qi handled it quickly, but Zhu Huoyan had trouble.
Seeing Zhu Huoyan stunned there, Chen Qi was a little strange:
"Teacher Zhu, what's wrong?"
"Trouble, as expected, there is liver damage. Look here, there is a rupture in the middle lobe of the liver, and the damage to the middle hepatic vein is serious. It seems that there is no way to repair it at present, and the liver must be cut."
Chen Qi blinked: "Then let's cut it."
Zhu Huoyan glanced at Chen Qi angrily: "How can liver resection be so simple? Hurry up and call Director Guo and Director Lu from the Second Hospital. Let's find a way, quickly!"
After hearing this, the young doctor in the operating room agreed and ran out quickly. Time waits for no one, and every minute and every second is very precious.
Dean Guo and Director Lu soon appeared in the operating room. They were both wearing surgical clothes. There were a lot of blood stains on their clothes. They were obviously undergoing surgery.
"Lao Zhu, what's wrong? You're so anxious to call us."
"Yes, Director Zhu, we are still undergoing surgery."
"Dean Guo, Lao Lu, look at this wounded man's liver. It's bleeding all the time."
Dean Guo stretched out his head to take a look, and his expression turned ugly: "It's over, it's over, it needs to be partially removed and cannot be repaired."
Lu Yue also had a headache: "How can such a small child perform this operation? I'm afraid he may not be able to get off the stage!"
Everyone in the operating room was troubled. Liver surgery was really too difficult.
The liver is a very metabolically active and delicate organ. It is fragile and prone to bleeding. As long as 10 to 20 minutes of ischemia occur, liver cell necrosis will occur.
The most critical issue in liver surgery is hemostasis.
But to stop bleeding, one must understand the branches of blood vessels in various parts of the liver and the distribution patterns of blood flow.
Liver resection is very simple. You can cut the liver into as big a piece as you want and into whatever shape you want.
But this is not like buying pork liver from the wet market. It is a dead thing and can be cut as you like. What is in front of you is a living person, and you cannot cut it if you want.
Before cutting the liver, you must be cautious and cautious.
So the question is, how can we quickly stop bleeding and avoid irreversible damage to liver cells caused by excessive ischemia time?
You can't blindly cut the liver before the bleeding has stopped, because the entire surgical incision will bleed, and you won't be able to stop it even if you want.
This is also the reason why Zhu Huoyan hesitated and Dean Guo said it was troublesome.
With the help of high technology, county-level hospitals in later generations performed laparoscopic surgery to remove part of the liver, or performed liver cancer surgery, which were both major events that could make the news.
In 1985, in grassroots hospitals that did not even have CT scans, liver resection was a huge medical challenge for Director Guo, Director Zhu, and Director Lu.
Even for a master like Wu Mengchao, when he first underwent liver resection, the mortality rate reached 20%. After the surgery by this master, the mortality rate dropped to 1.3%.
Professor Wu is a professional liver cutter. He has had countless opportunities to practice his skills. When it comes to surgery, practice makes perfect. The more you do it, the better it will become.
On the contrary, grassroots doctors seldom perform liver surgeries and lack the opportunity to practice, so the success rate is estimated to be only 10%.
No one is sure.
Director Lu swallowed his saliva and suggested: "Why don't we tell the family members clearly, and we will try our best."
"No!"
"No!"
Zhu Huoyan and Chen Qi shouted at the same time, shocking everyone.
Dean Guo frowned: "How about I give it a try? To be honest, I'm not sure, but I have done several similar operations, some of which were successful and some failed."
Everyone in the operating room fell silent, but there was not much time left for everyone to think and hesitate. The little nurse anxiously shouted beside him:
"The injured person's blood pressure has been dropping."
Chen Qi couldn't bear it any longer. He knew that if he asked for the opportunity to be the surgeon, Dean Guo and Director Zhu would definitely not let him come on stage out of the purpose of protecting him.
But he couldn't just watch the little girl die in front of him, as long as he had the ability.
"President Guo, Mr. Zhu, let me make a long story short. Last time I went to a surgical conference abroad, I was in the same room with Professor Wu Mengchao from Shanghai. During the one-week meeting, he taught a lot of techniques in hepatobiliary and pancreatic surgery.
One of them performed intermittent hilar block liver resection at normal temperature. Although he only taught me some theories, I still understood the hand pinch liver resection technique he mentioned. Don’t forget, the liver blood vessel model of the Health School.
But I did it myself and I have experience."
Chen Qi melted table tennis balls and poured them into the liver to make a blood vessel model. Now it has become a way for health schools to generate income.
Chapter completed!