Chapter 505: : Advanced Hemostasis!

Being in a hospital is not the same as elsewhere. It's much harder to say the words "I can" than to say "I won't!"
Because down to medical students, up to medical experts and professors.
No one says "yes" to things that they are not sure about!
The phrase "I can" is really heavy.
This means that others will trust you, will support you, and assist you in the next rescue work.
Saying "I can" to a patient means that the patient trusts you unconditionally.
It's all because your profession is a "doctor"!
Therefore, when Chen Cang said "I can," both Fan Tai in the emergency department and Yue Wenqing in hepatobiliary surgery were a surprise!
This seems to be when the patient is dying and when he can't help himself, suddenly a person reaches out to help.
Of course, this is inseparable from Wang Xiangjun's recognition of Chen Cang!
Hurry to send the patient into the operating room.
Although slight subcapsular liver rupture can be cured after close observation and non-surgical treatment.
However, this type of patient with major bleeding and suspected infection caused by bile leakage in the abdominal cavity, surgery is the only opportunity for rescue!
At this moment, no one can relax their vigilance.
The doctors from the blood transfusion department rushed to get ready for blood matching, equipment nurses, anesthesiologists ... everyone is waiting, it is best to deploy before rescue.
Before the operation, the rescue operation has been performed on the patients in the operating room!
Wang Xiangjun was able to change clothes and wash his hands, ran directly into the operating room in a white coat, and performed various preoperative preparations before rescue!
Prepare blood, transfusion!
Rehydration!
Give oxygen!
Correct electrolyte disorders!
Maintain acid-base balance!
Protect kidney function and prevent kidney failure ...
A series of pre-operative preparations seems to be the preparatory work for the next battle.
When Cang Chen entered the operating room, the patient's blood pressure finally stabilized, which made everyone in the operating room relieved.
If the patient's condition is not stable and blood pressure cannot rise, then the next surgery is very risky!
Preoperative preparation is especially important!
After anesthesia, Chen Cangguo disconnected the scalpel from the nurse!
At this moment, the three, including Wang Xiangjun, and every medical staff around them all looked at Chen Cang!
Although Wang Xiangjun is willing to believe what Chen Cang said, but ... how do you say this?
Very complicated!
Even the doctor Yue Wenqing from the Department of Hepatobiliary Surgery, the attending doctor did not dare to say that he could perform repair surgery for liver rupture, but Chen Cang dared!
Is this self-confidence?
Powerful ingredients exist.
But Wang Xiangjun hoped that Chen Cang would really.
I hope he can surprise himself as before.
Chen Cang didn't hesitate, let alone restlessness. Instead, he picked up the scalpel and made a light stroke in accordance with the established route. An oblique opening extended directly from the xiphoid process to the front line of the right armpit.
A "J" cut appears!
At this time, the abdominal cavity was full of blood, and some had coagulated into blood clots.
Chen Cang turned and looked at Yue Wenqing: "Can you?"
Yue Wenqing understood Chen Cang's meaning, looked at Chen Cang's firm eyes, and nodded earnestly: "No problem!"
"Aspirate!"
"gauze!"
Yue Wenqing skillfully started to prepare the lotion. Although he would not repair the liver rupture, he assisted Director Qian to do it, so the auxiliary work was still possible.
There is a need to decisively control bleeding and detect injuries.
The removal of blood clots requires careful care.
Soon, the abdominal cavity was relatively clean!
But at this time, there was still a sharp bleeding in the ruptured liver tissue!
This should be the reason why blood pressure has not been able to rise!
Chen Cang's eyes were very fast, and he directly held the gauze pad to compress the hemostasis, holding the liver with both hands, and immediately began to stop bleeding.
His hands were holding the liver carefully, the gauze pad was firmly pressed, and his fingers were cleverly blocked at the blood vessels!
Suddenly!
The blood stopped suddenly!
This set of seemingly simple operations of Chen Cang directly made everyone around them dumbfounded and speechless!
Even Wang Xiangjun's eyes widened and he watched this amazing scene inconceivably.
Hemostasis with bare hands?
Liver stops bleeding with bare hands!
But ... it's always to stop a blood vessel or a single injury.
And Chen Cang's operation ...
How did he do it?
The seemingly random freehand operation requires precise judgment and accurate positioning, as well as quick emergency measures.
At this time, Qian Liang had hurriedly entered the operating room, woke up from a dream, and suddenly learned that there was an operation for liver rupture.
Even so, it took a lot of time.
After rushing to wash my hands, I didn't have time to change into the surgical gown after entering the operating room, and I saw this amazing scene!
Who is this
How so powerful!
Qian Liang was shocked, and his heart was pleasantly surprised. When did they have such a talent in Curry!
However, when Qian Liang looked up, he suddenly felt very strange, take a closer look!
This is not Chen Cang!
This time, Qian Liang was even more frightened.
Chen Cang ... When will he have a repair operation for liver rupture? There are only four people who can perform this operation in the Department of Hepatobiliary Surgery in the First Hospital of Dongda University.
And Chen Cang was playing the appendix gallbladder some time ago, right?
This ... has liver surgery done? !!
And he stopped bleeding with bare hands.
This shocked Qian Liang, and was a little confused.
This is not sleepwalking!
After Chen Cang stopped bleeding, he was relieved, but this free-handed hemostasis was only a short-term control. Next, he wanted surgery.
Chen Cang quickly said to Yue Wenqing, "What are you doing?"
"Blocks blood flow to the liver!"
Yue Wenqing blushed and quickly took the hemostat, but this time, Qian Liang quickly said, "Wait a minute!"
Everyone looked up and found Director Qian coming!
At this moment, everyone couldn't help but be relieved.
And Wang Xiangjun also glanced at Qian Liang and nodded: "Come here!"
Qian Liang: "Huh!"
After putting on the surgical gown, Qian Liang walked across from Chen Cang, and Fan Tai quickly gave up.
Qian Liang looked at Chen Cang and said, "Are you ready?"
Chen Cang nodded!
Qian Liang took the hemostatic forceps ~ EbookFREE.me ~ to stop the bleeding immediately, simply and neatly.
Chen Cang loosened his hands and immediately started investigation.
This method of hepatic hiatus intermittently blocking liver blood flow to control hepatic arteries and hepatic veins can indeed stop bleeding immediately!
However, the limitations are also great. The time to block blood flow cannot be too long, usually 15 or 20 minutes.
However, it is obviously unrealistic to complete such tedious work during this time.
Can only restore blood supply for 5 minutes, the second block!
However, modern medical research shows that repeated blockages are not conducive to liver recovery.
In this case, the speed of surgery must be accelerated!
The requirements on the surgeon are getting higher and higher!