Chapter 563: Perfect suture, superb separation and excision


   "Li Quan, usually mainly engaged in the medical work of obstetrics and gynecology, orthopedics, ophthalmology and other departments." Li Quan knows that he is very young, so he is easily questioned.
  Life is close to the sky, the president Bai Qiongchuan questioned him about his details, but he could understand it.
  "Are you Li Quan, a traditional Chinese medicine practitioner from Whale Hospital?"
  An old man in Tang suit who was sitting at the judges seat was surprised and asked.
   "If Whale Hospital does not have a doctor with the same name and surname as me, then I should be the person you are talking about." Li Quan didn't know what this Tang suit old man wanted to do?
   "I heard that the black jade intermittent ointment is a prescription you developed?"
   "Sure it!"
  Li Quan’s tone was flat.
  If you switch to another doctor and develop a bone-wound medicine that is effective against the sky, not to mention arrogant, at least you will be proud.
  Li Quan did not show off at all.
"I have personally tested the efficacy of Heiyu Intermittent Ointment, and it is indeed very good. President Bai, saving people is like fighting a fire. Although Li Quan is young, his medical skills are really good. He has cured many incurable diseases in the magic city. And critically ill patients."
  The old man in Tang suit intentionally helped Li Quan support and cheer.
"President Huangfu just asked him this, and he knew his medical skills were bad? With all due respect, there is no reliable Chinese medicine. The patient's condition is critical, and even the two experts He Sheng and He Zhangzhi are helpless, you Let him go to battle with a Chinese medicine doctor who has no full hair. Is this trying to kill or why?"
  President Bai Qiongchuan had a serious face, and he was very rude.
  In words, there is even more contempt for Chinese medicine.
  The face of the old man in Tang suit suddenly became very ugly.
"President Bai, why is Chinese medicine unreliable? Don’t look down on Chinese medicine, don’t forget, in the end of the pandemic fifteen years ago, it was the doctors of our Chinese Medical Association who worked together to develop a prescription. Only then was it possible to successfully contain the epidemic.
  If there were no Chinese medicine efforts, it is estimated that at least hundreds of thousands and millions of infected people would have died by relying on the medicines and treatments of Western medicine. "
  The old man in Tang suit turned out to be the president of the Chinese Medicine Association.
  No wonder the face was blackened with anger by Bai Qiongchuan’s words.
  As the leader of Chinese medicine, he must be particularly angry when Bai Qiongchuan looks down on Chinese medicine in front of so many doctors.
"That was nearly 20 years ago. At that time, domestic medical conditions were backward, both in equipment and medicines. When there was no alternative, Chinese medicine was used to make up the number. The ultimate success in containing the epidemic was not dependent on it. Chinese medicine is a vaccine developed by Western medicine."
  Baiqiongchuan and the old man in Tang suit tore each other in public.
  In the operating room, the patient’s condition continues to deteriorate.
  The removal of arterial hemangioma itself is extremely risky.
  Now the arterial wall is cut, and the blood flow is not stopping. It is estimated that the patient will be finished in ten minutes at most.
  This is because there is sufficient plasma temporarily in the operating room.
  Can continue to give patients blood transfusion for life.
"President Bai, if I remember correctly, this medical skill competition does not stipulate that Chinese medicine practitioners cannot participate? Besides, I have complete double certificates, and I have all the certificates of Chinese medicine practitioners and Western medicine practitioners. I think, I Fully qualified to participate in the rescue of patients."
  Li Quan saw that the patient’s condition was critical, but Bai Qiongchuan only took care of scolding with the old man in Tang suit.
  Wait any longer, the patient will die.
"This……"
  President Baiqiongchuan still hesitated.
"President Bai, let him try it! This is the first medical skill test this year. If lives are lost, the doctors and judges present will lose their faces. Leaders will also be particularly disappointed with us. ."
  A middle-aged woman sitting next to Baiqiongchuan spoke.
  The number of female doctors is not small, but there are only two female doctors in the judges.
  Those who can be qualified as judges must be physicians.
  Even if I am no longer engaged in clinical medical work, I must have done it before.
   "It is important to save people. If no other experts and professors dare to take the initiative to ask, I also think it would be good to let this young man named Li Quan try."
  One more person speaks for Li Quan.
  These people helped Li Quan speak after Li Quan announced that he had two licenses of Chinese medicine and Western medicine.
  It can also be seen from this point that the doctors of the two camps of Chinese medicine and Western medicine oppose each other, and they are quite distinct. In addition, Chinese medicine is in a weak position.
   "Okay! Then let him try."
  Bai Qiongchuan reluctantly nodded in agreement.
   made a quick gesture to Li Quan.
  Li Quan, led by a lady Binyi, quickly walked through the door.
   Then I discovered that there was a cave inside.
  There are multiple operating rooms.
  The fifth operating room is currently being used.
  Li Quan changed into the surgical gown inside and entered the operating room inside.
  I saw the first expert He Sheng who entered the operating room, and the expert He Zhangzhi who entered later, all surrounded in front of the operating table.
  They are still making futile efforts.
  Under normal circumstances, the arterial wall is cut. Generally, the wound can be sutured immediately for a wound repair.
  Even if the blood cannot be completely stopped, it can at least reduce the amount of bleeding by more than 90%.
   "Let me try it!"
  The entry of Li Quan surprised experts such as He Sheng and He Zhangzhi.
  Because they didn't expect such a young doctor to come in.
   "Young man, this patient is in a critical condition, the operation is complicated, and the difficulty is extremely high. You...I'm afraid it won't work." Expert He Sheng's tone was still euphemistic.
   "If any of the doctors present can stop the bleeding, I can watch. If you can't help it, why not let me try?"
  Li Quan walked to the operating table and stretched out his hand.
  This is to signal the nurse to help him put on sterile gloves.
  He Sheng and He Zhangzhi, the two experts, including the assistants they brought, were speechless.
   was not reconciled, but could only move away silently.
  Li Quan is also welcome.
  Because the patient’s condition is critical, saving the patient’s life is most important.
  "Take a set of silver needles right away. They must have seven-inch long needles."
  Li Quan told the nurse.
  Nurses are assistants for doctors. Help with some auxiliary work.
  For example, taking medicine, wearing sterile gloves, delivering surgical instruments, helping doctors wipe sweat, recording the operation process, etc.
  Li Quan stared into the patient's chest cavity.
  The patient’s heart is still beating suddenly.
  Blood constantly gushes from the ruptured arteries.
  In fact, in this case, it is not suitable to use electric forceps to stop bleeding.
  Because the principle of electric clamp hemostasis is to clamp the bleeding point with the vascular clamp, and then contact the vascular clamp with the coagulator to cauterize the bleeding point to stop bleeding.
  This will cause some damage to the blood vessel tissue.
   Ligation to stop bleeding, obviously it cannot be used at this moment.
  Because this is the artery near the heart. After ligation, blood cannot flow to other blood supply parts, and over time, those parts will die.
  If you read it correctly, this artery should be one of the four major arteries of the heart, the left anterior descending branch.
  This is a large artery blood vessel that is as famous as the right coronary artery, left coronary artery, and left circumflex artery.
  No wonder the two cardiovascular experts are helpless.
  Li Quan did not rush for immediate treatment.
  But carefully observe the patient's blood vessel condition.
  Multiple white tumors are attached to the blood vessels of this patient.
Whether    is a benign tumor or not is not yet clear.
  However, it is very likely that these tumors are benign.
  Some tumors have compressed the blood vessels, causing blockage or narrowing of the blood vessels. Removal of these tumors and implantation of stents in two locations with severe vascular disease are the most ideal treatment options.
  It's just that the risk of surgery is extremely high, and the difficulty is beyond the imagination of He Sheng expert.
   eventually lead to accidents.
  "Young man, can you do it? It's no way to keep looking like this. The patient is bleeding all the time." He Sheng expert urged.
  "While sharpening the knife and not cutting firewood by mistake, please stay calm."
  Li Quan replied indifferently and continued to observe.
   even give the patient a pulse to understand the patient’s condition in more detail.
  At this time, the nurse had already taken a set of silver needles and came over.
  The silver needle box is the latest needle storage box with its own disinfection function.
  After using up, as long as the silver needle is put back, it can be automatically cleaned, disinfected and sterilized.
  The capital is the capital. This is the first time Li Quan has seen such an advanced silver needle box.
  If the individual price is not too expensive, Whale Hospital will have to purchase a batch next time.
  As Whale Hospital now recruits more and more TCM interns and TCM physicians, there are more and more application scenarios for silver needles.
  Li Quan took a needle and punctured each of the three major points of the patient’s heart.
   Then another needle pricked the lung vein.
  The incredible thing appeared.
  Four stitches down, the arteries that had spurted blood out suddenly seemed to be turned off by someone.
  Although it is still bleeding, it has become a trickle.
   "It's amazing. This is the advanced acupuncture method in Chinese medicine. Does the silver needle stop bleeding?"
  The two experts, several assistants, and all the nurses watched this scene in shock.
  The two experts are extremely experienced and knowledgeable.
  But they have never seen that only four thin silver needles can spray blood from the arteries they can't solve.
  This is something that Western medicine cannot solve.
  Western medicine is more like a barbarian, with no skills.
  In the face of bleeding, the five most commonly used methods of hemostasis are tying blood vessels, suture, electrocoagulation to stop bleeding, drugs to stop bleeding, and compression to stop bleeding.
   is all rude means.
  Traditional Chinese medicine has a deeper understanding of the blood system of the entire human body.
  Can you know where the large and small gates of the blood supply system are?
  How to close them.
  Li Quan succeeded in controlling the patient's bleeding.
  Next, he began to suture the patient's broken arteries.
  I saw his hand holding pliers, like a dexterous butterfly piercing flower, making the most delicate sutures on the patient's arteries. Fortunately, Li Quan's surgical skills have reached the level of Xiaocheng, otherwise, there must be no way to achieve such a fine and perfect suture.
  "This, such a perfect stitching technique, I am afraid that it will be difficult to practice successfully for 50 or 60 years! Today, I am an eye-opener. There are people outside the world, and there is heaven outside. I am ashamed of this young man."
  He Sheng expert sighed.
  He knew that this patient who was nearly put to death was saved.
   "Awesome! This is the most powerful stitching technique I have ever seen." Expert He Zhangzhi also exclaimed.
  Li Quan, the person involved, was rather calm.
  The rupture of the blood vessel is not large. If it is not burned by the electric forceps, the suture will be more difficult.
  However, after Li Quan’s meticulous suture, the damaged arteries have basically been repaired perfectly.
   "Okay, I will unplug the silver needle to see the effect."
  Li Quan tried to pull out the silver needle.
  It can be clearly seen that the sutured left anterior descending blood vessel bulged suddenly.
The blood inside    has begun to circulate quickly again.
  No blood escapes from the suture, indicating that the blood vessel repair is perfect.
  Next, there is still a lot of work to be done.
   "Two experts, I will remove these tumors, and leave the rest of the stent implanted to you, are you sure?" Li Quan asked.
   "Yes, there are!"
  The two experts nodded at the same time.
  The most difficult thing was done by Li Quan. They just did some simple finishing work, if it couldn’t be done well. Their expert names can also be removed.
  Li Quanliang used a silver needle to stop the bleeding and perfect suture after the superb medical operation, and then began to perform the excision ability that surprised all surgeons.
  The resection of the tumor is divided into two parts.
  Separation and excision.
  The hardest part is separation.
  The blood supply system in the tumor is generally self-contained. Basically don't care about this.
   just cut it off directly.
  If there is a bleeding point, electrocoagulation can be used to stop the bleeding.
  Li Quan took the scalpel, and under the watchful eyes of the nurse and the two experts, he carefully separated the tumor that the expert He Sheng failed to cut off.
   One knife after another, the action is quick and accurate, and very ruthless.
  Knife knife to the meat.
  In less than three minutes, this super-difficult vascular tumor was successfully separated by Li Quan and removed.
  Because it is a tumor, this one needs to be soaked in saline. After the operation is over, it will be sent to the laboratory for biopsy.
   to clarify its nature.
  If it is a malignant tumor, further treatment must be done.
  In fact, there is another advantage of biopsy. It can be clear whether the boundary of the tumor is clear or not.
  To remove the tumor, usually a little more surrounding tissues, such as muscle tissue, are cut off.
   to prevent tumor recurrence.
  Theoretically, normal human tissue that is not part of the tumor is found around the tumor during the biopsy, even if it is removed.
  This difficult operation has become Li Quan's only show.
  After the show, the stitching show knife method.
  ……
  In the playing field outside the operating room, everyone was staring at the screen, without blinking.
  Everyone is watching Li Quan's operation on the patient seriously.
  Learning Li Quan’s suture technique and the knife method for separating and removing tumors.
  President Bai Qiongchuan, who disagreed with Li Quan’s participation in the rescue of the patient before, was shocked at this moment, but there was a trace of shame on his face.
  He made a very wrong mistake.
   Li Quan should not be underestimated, let alone Chinese medicine.
  Facts have proved that the older the doctor, the more powerful, nor the younger the less capable.
  Li Quan, a young physician, conquered everyone at the scene with his strength.
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