Chapter 324: Simplify the complex and simplify it step by step! (First update, please subscribe!)

Ni Yun was really a little scared!

If under the supervision of interventional surgery, Lu Cheng could accurately send the catheter or guidewire to the splenic artery, or even the branch arteries from the splenic artery to the splenic hilus, then Ni Yun would believe it, but now?

Lu Cheng actually sent the tip of the guidewire directly to the splenic artery. Is this credible? Is this credible?

But what can you do if you don’t believe it?

Is the distance from the femoral artery to the dorsalis pedis artery as far as the distance from the femoral artery to the splenic artery? The arterial bifurcations encountered in the middle are all relatively large, the most common ones are the celiac trunk.

The fork is a little smaller.

What about Lu Cheng? He is a magical figure who can perform thrombectomy across lower limb arteries that are thinner than the femoral artery. Do you believe what he says?

"After splenic rupture in acute abdomen, there will be a large amount of abdominal bleeding, which is very fatal. If the splenic artery is intervened and embolized in advance, the amount of bleeding can be reduced and our rescue will gain a lot of time." Lu Cheng said at this time.

I thought Ni Yun didn't understand, so I explained it like this.

Ni Yun was stupid at the time. He knew that Lu Cheng must have said such a basic explanation in order to avoid a quarrel.

But it's not that harmful, it's very insulting.

After spleen rupture and bleeding, embolizing the splenic artery can stop the bleeding. Not only medical students, but also laymen may know that wherever there is leakage, just plug it. This is an unchanging principle!

I'm asking how you can find the splenic artery, not why you want to embolize the splenic artery.

Splenic artery interventional embolization is more commonly used than femoral artery embolization, but it is more commonly used for the first-line treatment of giant spleens and hypersplenism. Even if the spleen is removed in such a normal person, it will not affect his health.

Life, if the ruptured splenic artery is blocked at this time, it is naturally a very good thing.

Ni Yun was able to understand the inner and outer meanings of Lu Cheng's words, so he did not give a complicated answer. Instead, he looked up at Fang Jingsheng, the general surgeon who came down to do laparotomy and skin incision, and then asked Lu Cheng: "

Is the splenic artery thrombus healed?”

Lu Cheng nodded and said, "The embolization is done. Fortunately, we have fulfilled our mission. What we have to do now is to embolize the brachial arteries of both upper limbs that have large and frequent bleeding points, so as to minimize the risk of bleeding."

The blood loss caused by the rupture of the arteries in both upper limbs will be cured."

Lu Cheng still spoke in an inhumanly calm manner, as if what he just said were basic operations. Everyone, please sit down and be sure to say 666.

Lu Cheng was really speaking calmly. Although his speaking speed might be a little slower, at least others could hear him clearly, and his emotions could cause unnecessary trouble and delay the entire operation. This operation

, is this not a casual operation?

Although, now that Ni Yun has completed bilateral femoral artery embolization and splenic artery embolization, it has caused a dimensionality reduction blow to the end of life!

As a result, the rising level of the Life Terminator jumped directly from lv128 to lv104! At this moment, the name became Death Scythe, and the fatality rate dropped from nearly 99% to 80%.

At the same time, there are two more big monsters!

It was caused by multiple arterial embolisms and blood vessel ruptures in both lower limbs, and the embolization had just been completed, and the level had reached lv71. The blood bar was slowly rising, and it was estimated that it would soon grow into a legendary monster.

By now, Lu Cheng finally knew roughly the monster levels and their corresponding titles, and what was going on.

Below lv50, there is no title.

lv50-lv59 are lord-level monsters.

lv60-lv69 are lord-level monsters.

lv71-lv79 are epic monsters.

lv81-lv89 are legendary monsters.

Level 91-99 is also a legendary level. It’s just that the attributes are different from those at level 80 or above.

lv101-lv120??? Death's Scythe has a high probability of death! At this level, Lu Cheng is not sure. The number of monsters encountered temporarily is not enough to make statistics.

lv120-??? Life terminator basically has a mortality rate close to 100%.

When it comes to chess and playing chess, everyone may understand a truth, or at least have heard of this saying, which is to lose the rook to save the commander, or abandon the son in thirteen moves. However, after all, it is just a game of chess.

In the end, I just lost.

In the actual medical process, unless there is a special problem with the brain, you will usually think about tying all the major arteries of a person's limbs. The first reaction is whether the patient can survive and whether the bleeding can be stopped.

Can amputation save life?

But in fact, even if an amputation is performed, the amount of bleeding caused will not be very small, and it will require a relatively long process. It is not certain whether the patient can survive the process.

But tying the aorta in advance is different. First of all, although the limbs may not be saved, at least it will not increase the trauma and stress for the patient which is equivalent to amputation. It can also achieve the effect of stopping bleeding.

This move is called losing your legs and hands to save your life!

However, under normal circumstances, if a person is alive and his limbs are gone, then think about it, what is the quality of life of this living body itself? What is the meaning of his life, in addition to being able to bring benefits to his family?

In addition to psychological comfort, will he himself have to endure psychological torture that is more terrible than death throughout his life?

Some people will develop psychological stress disorder if only one leg is amputated.

Losing both legs and upper limbs means life is truly worse than death. This issue has been discussed many times in ethics.

If, if, if Lu Cheng could not solve the complication of limb embolism leading to amputation, Lu Cheng himself would not have been able to come up with such a solution.

The method of generating four new big monsters to kill a very high-level monster does feel a bit desperate. But Lu Cheng really has no time to think of other ways, even if the life terminator is now

After the dimensionality reduction attack, the game panel seemed to generate prompts one after another.

But Lu Cheng didn't even have time to take care of it.

Instead, he continued to suggest: "Teacher Ni Yun, and Teacher Du? Do you think we can now treat hematomas in the brain by treating ruptured cerebral aneurysms?"

Lu Cheng's voice was still very steady.

However, upon hearing Lu Cheng's words, Ni Yun trembled all over.

Malego Dogecoin stuff, can you please stop asking me things that even exceed my current understanding of the upper limit of treatment?

Patients with high blood pressure or cerebral aneurysms can undergo minimally invasive interventional surgery after arterial rupture and bleeding, but this is all done under interventional monitoring! If the surgery is done blindly, then

It is really playing with fire on the line of life.

If you don't succeed, your master may die because of your delay. Did you know that?

When Fang Jingsheng heard Lu Cheng's words, he looked at Neurosurgery Professor Du Daihua's expression and his expression immediately became very exciting, and he felt a lot more comfortable.

Well, this young man really doesn't want to be a human being anymore. He immediately kicked out the job of the anesthetist who monitors vital signs as soon as he walks in. You don't want to monitor the arteries of the limbs, just monitor the CVP. You have no choice.

Then, he embolized the splenic artery that caused a ruptured spleen in the acute abdomen I was about to undergo. If you embolized the splenic artery, if I open the abdomen now, I can still call an emergency laparotomy to save the patient's life.

?

Originally, a ruptured spleen would kill someone, but now that you have done this, I have become just a part-time worker. Anyway, if I drive faster and slower, he will not be in absolute danger of life due to a ruptured spleen in the end. My car

What is the meaning and sense of accomplishment of surgery?

Suddenly there is a huge difference, right?

It's as if the person who was clearly supposed to be one of the protagonists suddenly became a dispensable supporting role. Now, even if he is replaced by a chief inpatient and undergoes an elective laparotomy and splenectomy, can it be done? Yes, it can definitely be done.

, and by the way, the liver can also be explored.

But now Fang Jingsheng, who was obviously running to save his life, chose the left upper quadrant approach in a hurry, and then made a subcutaneous incision to deal with the muscle layer. After all, laparotomy is for surgery, not to stab someone.

Just take the knife and pull it directly into the stomach.

If it were so easy to open the abdomen, anyone could do it with a knife. How do you get in and how do you get out? You have to deal with the external oblique muscles, the rectus abdominis, these anatomical levels one by one.

processed.

His movements were already very deft, but he couldn't bear the fact that Lu Cheng was not a human being. He had already performed the most fatal movements before he even entered. Because the first thing he had to do was cut off his spleen.

The thing is to tie up the splenic artery. It has the same effect as tying it up to stop bleeding.

Needless to say, Professor Ni Yun's expression was confused from the moment he heard Lu Cheng say that he was going to embolize the splenic artery. He was obviously very surprised and went straight to the door.

Ni Yun's confused expression is also very beautiful.

Lu Cheng's previous proposal of embolizing the limbs also sent away the orthopedic professor who was invited to evaluate whether to perform amputation.

Anesthesiology, general surgery, vascular surgery, and orthopedics, Lu Cheng basically ‘handled’ four of them at once.

Okay. Not satisfied yet, Lu Cheng finally took action on neurosurgery again.

Ni Yun did not dare to speak. Although he is a vascular surgeon, the blood vessels in the brain have always been handled by neurosurgery. Even the surgery that intervened in Cory's brain was performed by neurosurgery professors.

.

Du Daishan had already peeled off Lin Hui's scalp, and before he could open the window, he suddenly heard these words and immediately raised his eyes: "You mean interventional embolization + routine craniotomy for hematoma removal?"

Originally, Du Daishan also needed to perform a craniotomy to remove the hematoma and a craniotomy to stop the bleeding, which was also very urgent.

Because of intracranial hemorrhage, even if the amount of bleeding is small, the patient will not die due to insufficient blood flow, but the presence of blood inside the skull is a very fatal thing in itself.

The skull is so big and hard, and the brain fills the entire space inside the skull. If you put more blood, wouldn't it crush the brain to death?

How fragile is the brain?

You’ve never seen a human brain, but you’ve always eaten pig brains, right?

This is the most vulnerable place for everyone, and it can kill you instantly.

Lu Cheng's proposal is certainly feasible in theory. However, patients with ruptured aneurysms have relatively large aneurysms. Under monitoring, embolization can be performed to prevent further bleeding, and then the aneurysms can be drained.
To be continued...