Chapter 954: There is a lot of bleeding.

Professor Yang came at the earliest and his position was the best.
When I saw the spleen of the stomach after opening the peritoneum, his head licked.
Although there are expectations, the visual impact that I have seen with my own eyes is totally different from watching movies and my own imagination.
He has some regrets.
Knowing this, I shouldn’t let Zheng Bo’s surgery live.
Kindly and kindly, in the end, it caused a lot of trouble for Zheng Boss.
A lot of thoughts appeared in his heart, and a little stunned, I saw Zheng Ren began to block the splenic artery.
"Old congratulations, trouble to observe the patient's arterial pressure." Zheng Ren whispered.
This is what Zheng Ren had requested before. Lao He gave a brachial artery puncture and an invasive arterial pressure test.
The advantage of invasive arterial pressure detection is that the direct arterial pressure monitoring can be a continuous dynamic process, which is not affected by manual pressure, cuff width and tightness, accurate and reliable, and can be used at any time.
Moreover, it can be judged according to the change of the arterial waveform to analyze the contractility of the myocardium, so as to avoid the increase of the blood volume of the heart, leading to acute heart failure of the patient.
As for the other benefits, this surgery is not very obvious.
However, the invasive arterial pressure test has obvious disadvantages. Zheng Ren is not very concerned about puncture failure and local infection.
The level of Laohe is still too good, that is, the words are a little more, like Su Yun, a bit of awkward. Invasive arterial pressure is not good, Laohe can retire.
"Blood pressure 90/70mmhg." Laohe knows the weight and has been staring at the arteries.
Small patients have low blood pressure, and Zheng Ren knows. Trained in the operating room of the system, clamped the splenic artery, and let the blood in the spleen flow back along the vein. What is the limit? Zheng Ren also did nearly a hundred tests, and finally got a standard data.
He let go and waited quietly.
The color of the patient's spleen has changed a little. Zheng Ren’s eyes observe the color change, and the heart calculates the time.
"100/70mmhg."
"110/75mmhg."
"115/80mmhg."
Lao He is very rigorous in observing the patient's arterial pressure according to Zheng Ren's request.
After a small patient's arterial hypertension reached 115mmhg, Zheng Ren began to work on the ligaments associated with the spleen and stomach ligaments.
It is very difficult to find the stomach in a spleen and to touch an abnormal tissue structure. However, under the hands of Zheng Ren, all this is logical, just like an ordinary splenectomy.
"120/75mmhg."
"125/85mmhg."
Lao He still reported the patient's arterial pressure in a meticulous manner.
May good people come to good luck every day~~~
Lao He’s voice was mixed in the song, and he suddenly felt that the song was put in the surgery.
Professor Yang felt that his vision was limited. His head moved to the side and he had to see the movements of Zheng Ren.
"Old Yang, give me a place, they all occupy a good position, but also eat more, do not take you like this." A professor around him was not happy to say.
"Have you seen the spleen and stomach ligaments?"
"I can't see, Zheng boss is blind."
Standing behind the operator can not see, this is no good way.
However, the assistant standing opposite has long predicted that a large hook will be placed directly on the spleen, the strength is just right, the spleen is pulled open, and then another hook is used to position the other in the third quadrant of the surgeon at a 55° angle. The liver and spleen on the side are also pulled apart.
This view has broadened its horizons.
The assistant's left hand hook was slightly moved, one wearing a fifth and a half sterile gloves, the delicate little hand took the hook, and then took a hemostatic forceps into his hand.
"The boss, or the Iraqi people are comfortable in the operation here." Su Yun sincerely felt.
Zheng Ren, like he did not hear his words, bowed his head and performed surgery. As soon as he reached out, the equipment he wanted was shot like a magic.
The more I saw it, the more I was shocked. Professor Yang gradually became timid.
Originally thought that Zheng boss would have a spleen resection, but did not expect that when the arterial pressure reached a certain range, he began to cut directly from the top.
He began to regret again.
It’s good to go to the stage, and I can remind Zheng boss at this time.
To see surgery, it is necessary to have something. If the surgeon does not ask questions, it is best not to talk.
That way, it will bother the surgeon's thinking, so that a surgery can be done.
But is this risk too big?
If one is removed, once there is a problem, it is treated as a cytoreductive surgery. But if you cut it directly...
In the mind of Professor Yang, the heavens and the people fought, but they saw that Zheng Ren did not hesitate and cut off the spleen.
Stop the bleeding while stopping.
The slightly larger blood vessels, the hemostatic forceps in his hand are like long eyes, always in the blood pool can always reach in, clamped.
The assistant's reaction was also very fast, but it was slightly slower than Zheng Bo's hand speed. Each time the clamp is clamped to the blood vessel, the assistant's suction device will the blood, and then clamp the line and hit the instrument knot.
The equipment is also very particular about the knot, and it’s all done after one plate and one round. The blunt scissors contained in the palm of the operator cut the knot, and the length is suitable.
As for large areas of oozing, use electric burning to stop bleeding.
The smell of a barbecue spreads, the assistant's vision is limited, and the smoke from the electric burning is simply sucked by the suction device.
"Boss, there is a lot of bleeding here." Su Yun said.
"No way, spleen, definitely bleeding." Zheng Rendao.
Professor Yang and the directors and professors of Guantai are all amazed.
Bleeding? I have visually detected that there is less than 100ml of bleeding, which is called bleeding?
What a joke!
Under normal circumstances, when the spleen ruptures, when the mouth is relatively small, there are surgeons who are willing to do the suture. But most people would rather cut the spleen and not sew.
Nothing else, just because the spleen is rich in blood, and the texture is very brittle, even more brittle than the kidneys.
The seam is sewn, and no one can guarantee that there will be no bleeding after surgery. Once bleeding, then a rich blood supply ~ EbookFREE.me ~ will lead to bleeding.
If the observation is not timely, there is a risk of hemorrhagic shock in the patient, which in turn leads to death.
The suture of a small gap should be cautious, not to mention the partial removal of the spleen in this cross section.
As long as a small artery is bleeding in the incision, look for it in a area, and the suction device can't so much blood.
In this case, it is difficult for the surgeon to find the bleeding point.
If the device is not a hand, it is a device from a small domestic manufacturer. If the device is clamped, the blood vessel cannot be guaranteed to be directly closed.
It is possible that the surgery has just begun to fail.
The boss's surgery, the amount of bleeding is horrible, the field is clean, and it is estimated that the doctors who watched the live broadcast with the mobile phone can see clearly.
Even so, the assistant is bleeding more in the vomit.
He can't understand it!