Chapter 275 Inadvertent Revelation (4/5 Is the Leader's Reluctance Plus 10)

Chapter 275 Inadvertent disclosure

Xinglinyuan, the live broadcast room, started the live broadcast of the surgery again.

[What kind of difficult surgery is the surgeon going to do? Is the beep buddy alive yesterday? 】

[Same question, same question. 】

[It has already been said that the skill of the practitioner is very high, and it is necessary to question it. This kind of person, in the TV series, must not survive three episodes. By the way, I will think about it yesterday. The intervention level of the surgeon seems to be higher, and the level of general surgery is also higher than before. Could it be that a better professor has started live broadcasting? 】

[I am more and more convinced that this is a team doing a live broadcast of surgery, and it cannot be a single person. Is there anyone who studied and communicated at the Montreal Medical Center in Canada, please tell us about the power of that aspect. 】

After a few words, everyone began to look for the patient's medical records and understand the patient's basic situation.

The medical records are not very complicated and require brainstorming and differential diagnosis. The medical records in the live broadcast room have always given a simple and rude diagnosis. And no matter how suspected, the diagnosis will always be proven right in hindsight.

After Zheng Ren was sterilized, he raised his hand and the handle of the scalpel was photographed in his hand.

At this point, most people have read the medical records and returned to the live broadcast room.

[Such a serious injury, it should be a fall from high altitude. 】

[Young female patient, is it jumping off the building to die for love? 】

[Please pay attention to the surgery of the surgeon, your gossip barrage is blocking my sight. 】

There is nothing to say about this operation, open the abdomen, repair the liver and cut the spleen. The rest... After the patient's condition is stable, they will be handed over to the orthopaedic department for the fixation of the second-stage fracture.

In terms of the criticality of the patient, it is comparable to yesterday's live broadcast. But from the surgeon's point of view, the difficulty is completely incomparable to yesterday's surgery.

Many of the doctors who are watching the live broadcast in Xinglinyuan have done this kind of high-altitude fall injury with their own hands.

Zheng Ren cut it with one stroke, and took the middle incision, which was 15cm long.

The incision is relatively long, because this is an emergency surgery, which requires a wide and bright field of view, rather than considering the needs of the patient's postoperative beauty.

The skin and subcutaneous tissue are pale because of ischemia, especially under the illumination of shadowless lamps, it makes people feel a sense of sadness that their lives have passed away.

But Zheng Ren didn't have this kind of sadness.

There was no blood oozing under the skin of the patient, and Zheng Ren immediately said solemnly: "Let the emergency department speed up the blood flow. It is estimated that the blood volume will be larger. If the blood transfusion department does not have enough storage, go to the blood bank in the city center to collect blood."

"Okay." Chu Yanzhi jumped and contacted the matter.

With blunt dissection, the time to speak has already reached the peritoneum. To do peritoneal protection, as soon as the hand was reached, the suction device with the sleeve was discharged to the hand.

He picked up the scalpel with his backhand, made a small incision in the patient's peritoneum, and inserted the aspirator into it.

The gurgling dark red blood was sucked out.

While waiting for the blood-sucking process, Zheng Ren raised his eyes and glanced at the patient's blood pressure, which was 50/30 mmHg.

"Has Su Yun come up yet?" Zheng Ren asked.

"I just called and said that the signing is over. I will hand it over to Director Pan. He is changing his clothes." Chu Yanzhi answered loudly in the corridor.

Zheng Ren looked down at the surgical field, and the blood accumulation in the patient's abdominal cavity began to decrease.

Before the suction was complete, Zheng Ren raised his head and glanced at Xie Yiren. Xiao Yiren immediately understood and reached out to hold the suction device.

Zheng Ren began to open the peritoneum, and Xie Yiren handed Zheng Ren the instrument with one hand.

After opening it, Zheng Ren reached into the liver area and touched the surface of the liver.

There was a rupture of about 5cm. He then touched the hepatic hilum area with his hands, crossed his left hand, and patted his hand with a hemostatic forceps fixed with rubber.

This kind of unconventional operation, Xie Yi people have prepared in advance, Zheng Ren is very pleased.

The hemostatic forceps are covered with rubber to control the hepatic hilar bleeding with the hemostatic forceps. There is a rubber tube buffer to avoid secondary damage to the hepatic portal area.

This is not a routine operation, it is made by Xie Yi in the interval after taking office after judging the patient's condition.

It feels really good to have Xie Yi supporting the station, Zheng Ren is full of sweetness, and the blood pressure and heart rate that are boosted by dopamine and adrenaline have also dropped.

The arteries and veins at the porta hepatis were clamped with moderate force.

Zheng Ren began to probe the spleen.

The spleen is relatively brittle, and the ruptured opening is larger than that of the liver. Zheng Ren exercised blindly, touched the splenogastric ligament, and started blunt dissociation. When he found the short gastric artery, he was ready to cut the splenic and gastric ligament.

At this time, the non-coagulated blood in the abdominal cavity had just been sucked out, and Zheng Ren took out two more coagulated blood clumps with his hands and threw them into the basin handed over by Xie Yi.

Then Zheng Ren began to cut the splenogastric ligament, find the splenic artery, and deal with it.

"Guess why the patient jumped off the building?" Su Yun trotted all the way to the operating room and said while brushing his hands.

Silence, waiting for him is endless silence.

"Hey, you guys are really boring." Su Yun muttered.

"Put on the lead coat first, then brush your hands, and come up quickly. You'll come to check if the intestines are ruptured, and if there are any bleeding spots in the abdominal cavity that you didn't notice." Zheng Ren said.

"And you?"

"I'm doing interventional embolization, and the patient has a retroperitoneal hematoma and a broken artery in a pelvic fracture to deal with."

"..." Su Yun was speechless, taking the time to brush his hands.

By the time he came to power, Zheng Ren had already cut off his spleen and threw it into the pathology specimen basin, waiting for the postoperative pathology.

Su Yun was not surprised that Zheng Ren performed the operation so quickly. Isn't it normal for him to perform the operation quickly and steadily? If it really slows down, there is a problem.

For example, the operation last night.

He asked for a big hook to expose Zheng Ren's vision, and Zheng Ren began to suture the ruptured liver by mattress.

The flying needle was running, and Su Yun looked a little dazed. But he immediately forced himself not to be distracted, and said, "Boss, the patient has adenomyosis."

"Yeah." Zheng Ren squeezed out a voice through his nose.

"She also really wanted to have a child, and firmly disagreed with the hysterectomy, saying that it would be better to die if she didn't have a child." Su Yun said: "Today, adenomyosis broke out, and she really didn't want to live because of the pain. At home, Jumped directly from the sixth floor in front of parents and fiancé."

Adenomyosis is a common gynecological disease in which endometrial glands and stroma invade the myometrium to form diffuse or localized lesions.

In the past, adenomyosis mostly occurred in multiparous women over the age of 40, but in recent years, it has gradually become younger.

Once this disease starts to hurt, it is really terrifying.

Jumping off buildings and cutting wrists are not uncommon.

"Can it be cured?" Su Yun asked in a low voice.

Zheng Ren smiled and looked at Su Yun as if he didn't care about anything. Every day, he wanted to open a pet hospital, and even dragged himself to operate on cats and dogs.

In fact, when he returned from the imperial capital, he did not leave the medical industry directly, but worked as a doctor in the ICU of the city's first hospital, which has long proved something.

The softness in his heart may not even be noticed by him.

Or maybe he just ignored it on purpose.

only,

inadvertently,

revealed.