Chapter 533 Expert Fees... (1/6)

Chapter 533 Expert Fees... (16)

At this time, the atmosphere in the operating room was depressing!

Ji Qu, director of the emergency department, Yang Zhiming, director of hepatobiliary surgery, and Qi Xiao, director of general surgery, gathered in the operating room.

At this moment, Shen Xiuyuan realized how sloppy his behavior just now was...

Thinking back carefully about my caesarean section just now, I was afraid after a while, cold sweat oozing out and soaking the clothes inside.

If I had made a bigger move just now, the situation might be out of control now...

However, the abdominal opening had already been opened, and although a sharp wooden fork could be seen piercing the abdominal cavity, everyone did not dare to move rashly.

Even the sound of breathing in the operating room began to become noisy.

Ji Qu, the director of the emergency department, frowned, and through the projection of the shadowless lamp, he could clearly see the sharp wood piercing the intestines. The wound is blocked!

Intra-abdominal exploration should still be continued, and the pace of surgery cannot be stopped because of this.

Ji Qu said in a deep voice, "No bile-like fluid was found in the abdomen!"

"Great vessel damage not found."

"There was a clear penetrating wound to the liver, and the bleeding was less obvious."

...

The investigation was carried out step by step and cautiously, and at this time, Yang Ziming, director of the Department of Hepatobiliary Surgery, suddenly said, "Don't move the old trick!"

This sentence made Ji Qu stunned, and even Qi Xiao, the director of general surgery beside him, looked at Yang Ziming.

Yang Ziming swallowed his saliva: "There are broken branches in the common hepatic artery, and there is an obvious puncture wound near the hepatic vein. Now you can easily cause heavy bleeding!"

In a word, Ji Qu couldn't help but stop the operation in his hand.

After a while, Ji Qu couldn't help but ask: "Is it enough to stop the bleeding? If you don't deal with it now, when the intestines are completely ruptured and the feces spread out, the infection in the entire abdominal cavity can't be controlled at all."

Indeed, there is such a truth. After all, feces are highly infectious. At this time, foreign bodies have entered the abdominal cavity. If the intestinal contents leak out, abdominal infection is very troublesome!

Generally speaking, visceral injury is not impossible to save, and it is enough to proceed slowly according to the principle of "stop bleeding first, repair later".

Yang Ziming said sharply: "If he is infected, he can fight infection, but the proximal hepatic vein is about to burst. No one can save him here!"

The sound was not loud, but it was like thunder in the ears of everyone!

The proximal hepatic vein injury is not a vein, but refers to the injury of the main hepatic vein and the retrohepatic inferior vena cava.

Due to the special anatomy of the posterior hepatic region and the difficulty in handling, the injury of the proximal hepatic vein is still one of the most difficult problems in the field of liver surgery.

Yang Ziming is not shocking, but took a deep breath and said solemnly: "Let's put it this way, the average fatality rate of near-hepatic vein injury is as high as 83%, and it is the mortality rate in the operating room, you understand?"

Ji Qu was stunned, he could understand the 80% mortality rate, but... the mortality rate in the operating room made him a little stunned!

After all, it is a highly professional case, and even Ji Qu, the director of emergency surgery, doesn't know much about it.

"You... can't do it?"

Yang Ziming blushed and laughed at himself: "Don't talk about me, there are no more than three people in Dongyang who can do it, and... this is only possible, not necessarily able to do it."

"I'm not kidding, injuries to the proximal hepatic veins can cause fatal bleeding, these large veins are thin-walled and some are surrounded by liver tissue, so...surgery and repair are difficult!

And the most important thing is that its anatomical position is behind the liver, which is not easy to reveal. If the operation is performed under direct vision, it will lead to more severe bleeding and the risk of air embolism;

And... if you stop the bleeding blindly, you can aggravate the damage! "

Yang Ziming finished speaking in one breath, sighed, and said slowly, "Do you think it is dangerous or not?"

One sentence silenced everyone!

No longer dare to look down.

Yang Ziming glanced at Shen Xiuyuan and asked, "Have you bookmarked the critical illness notice?"

Shen Xiuyuan nodded: "Signed!"

Yang Ziming snorted: "The condition has changed, sign another one, and also, the illness notification letter, tell the patient the risk..."

"By the way, you go by yourself."

The critical illness notice is not only signed once, but if you find other new and more dangerous diseases, you have to sign and inform!

Shen Xiuyuan hurriedly took off his gloves, picked up the medical records, and tore two signed papers outside. After writing a few words, he hurriedly walked outside!

At this time, Chen Cang and his party were sitting at the door of the operating room, comforting Lao He's wife constantly. The notice of critical illness just now really terrified this woman.

Chen Cang then comforted him: "Aunt, any risky operation in the hospital will ask you to sign a consent form. You must know that the operation itself is risky. This is the process, don't worry, it's fine!"

But no matter how Chen Cang comforted her, she couldn't help but tremble with fear.

At this time, the door of the operating room opened again, and Shen Xiuyuan hurried out and said to Lao He's wife, "Hello, the patient's condition has changed, and it was found that there was a wood bifurcation pierced near the hepatic vein. The situation is very dangerous and requires your signature."

One sentence made her, who was already trembling with fear, instantly lost her soul, and one sentence was very dangerous, breaking the woman's psychological defense.

It's only been a few days since my son and daughter got married, and the good times finally started, and this happened.

The woman was at a loss for a moment.

And Shen Xiuyuan was helpless, looking at the woman, he was persuading again.

Chen Cang was taken aback and asked, "Can the hospital do this surgery?"

Only then did Shen Xiuyuan think of Chen Cang, who was suspected of being a doctor, and shook his head: "We may not guarantee it, but...if you are worried..."

At this time, Yang Ziming walked out in person and said to Lao He's wife, "It's like this, the patient's situation is very dangerous now, although safety can still be guaranteed, but accidents may happen at any time, our hospital does not have this the ability to operate."

"In the case of transfer, I'm worried that the patient's condition may not be tolerated, and accidents may occur in the car, so it is best to invite outside experts."

Lao He's wife took a deep breath and tried to calm herself down: "Doctor, you must save our Lao He, I... I'm a farmer who knows any experts."

Yang Ziming sighed: "Our hospital has always been in contact with the Department of Hepatobiliary Surgery of the Second Hospital of Dongda University in Nianyang, and we can invite the other party to perform the operation, but... you may need to pay for the expert fee, because of this situation..."