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Chapter 562 Intra-abdominal hemorrhage

"Doctor, help...help..." The second batch of car accident patients were sent to the Yunyi Emergency Center at the right time.

Ling Ran changed his clothes again, and while he was still putting on gloves, the family members of the patients in the same car had already jumped down and shouted at Zuo Cidian.

This is a middle-aged woman in her 40s, her hair is messy, and she looks a little scary at night.

But at this moment, her expression was worried and scared.

Zuo Cidian, who had a face as rough as orange, showed a helpless expression to Ling Ran, and then said softly to the patient: "Don't be anxious, we have already arrived at the hospital, please stand aside first, don't delay the patient's treatment, let the doctor find a way

deal with."

When he said this, the patient's family members immediately gave up their seats obediently.

Ling Ran also walked up with his hands tied at this time.

"The left arm and leg are both fractured. There is not much bleeding... and the blood pressure is still stable..." Ling Ran quickly performed a physical examination, verbally ordered the examination items, and then whispered: "Let the orthopedic doctor come for consultation.

, leave it to them, and send the patient to the operating room first."

The two nurses pushed the patient to the operating room. The doctor who received the examination sheet nodded stupidly, turned around and left.

Seeing his appearance, Zuo Cidian couldn't help but follow him, and whispered: "The Orthopedics department may not want you, so just say, if you want to take it away, let them take it. If you want to keep it, we can take it. Do you understand?"

The doctor from Guipei was new this year, so he asked sullenly: "Why did you choose them?"

"Because the right of choice is in people's hands." Zuo Cidian shook his head helplessly and said, "If the orthopedics department doesn't accept it, can you throw the patient into the orthopedics building?"

Large tertiary hospitals such as Yunyi Hospital have completely opposite ecological models from ordinary tertiary hospitals or lower-level hospitals.

Ordinary tertiary A or lower hospital departments are in a state of competing for patients all year round. If you are not careful, the department's business will be unsustainable. Large tertiary A hospitals often have too many patients, so that professional departments do not treat emergency patients.

There are three reasons to push back and forth - Moreover, the shortage of hospital beds is also a real problem. If you open the door to admit patients without imposing restrictions, the hospital beds will be full and you will not be able to admit patients.

The current emergency patient is in a status of being admitted to the orthopedics department, so Zuo Cidian specially reminded him.

Doctor Guipei was a little at a loss: "If they..."

"Okay, run faster and just have some dessert." Zuo Cidian urged.

Doctor Guipei was even more embarrassed: "I...I'm not very good at talking."

"Do you want me to teach you this?" Zuo Cidian said, but he felt inexplicably happy in his heart. He patted Sha Guipei on the shoulder and said: "I really don't know how to explain it, so just say, oops, you have lost weight recently.

Okay, my waist looks slimmer, do you understand?"

"Oh...I understand." Dr. Guipei ran away, took two steps, and then stepped back: "Well, if I meet a doctor I have never seen before, I say this..."

Zuo Cidian shook his head in distress: "You are Dr. Guipei. To put it nicely, you can call me Dr. Guipei or "Guipei Sheng". Could it be that the orthopedic surgeon you have met can remember you?"

The first-year doctor suddenly understood and said happily: "That's good, then there will be no problem."

He ran out a few more steps, then stopped, as if he had come back to his senses and wanted to say something...

Zuo Cidian waved his hand: "Hurry up, the patient can wait for you."

"Oh." Then the first-year doctor rushed away.

"Every year is getting worse." Zheng Pei sighed heavily and said in an experienced tone: "When we were doing regular training, it was basic to have good eyesight and quick hands. Today's children seem to have eaten something and become stupid..."

Zuo Cidian turned around and looked at Zheng Pei with a silly look: "In terms of age, Dr. Ling should be training this year."

Zheng Pei then coughed violently.

"You also lie down here and I'll give you a checkup." Ling Ran looked at the patient's family and frowned.

The woman smiled and then refused: "I'm fine. I was sitting in the back when the car crashed. You can show it to my brother and sister-in-law first. I only have a few scratches, but I don't feel much pain..."

Ling Ran stared at the other party and said: "I'll do the examination first, and then we'll talk about anything else."

"I'm fine..." the woman said again, then looked in the direction of the operating room and asked, "Can my brother be cured? Don't be reluctant to take medicine. Our family belongs to Yunhua and we can afford the money for medical treatment...

"

Ling Ran waved to Zuo Cidian and said, "Let her do an ultrasound."

Zuo Cidian trotted over quickly and said with a smile: "You're already here, there's no harm in doing a check-up, come on, come on..."

Under Zuo Cidian's persuasion, the middle-aged woman opposite had no choice but to lie down on the examination bed.

Zuo Cidian rubbed oil on her belly and pulled her vagina in. In just a few seconds, Zuo Cidian's expression changed.

"Intra-abdominal bleeding." Zuo Cidian held down the woman's shoulders to prevent her from getting up, and then reminded: "You are bleeding inside your abdominal cavity, do you understand? There is bleeding in your belly, don't move now."

With that said, Zuo Cidian quickly called Ling Ran.

"Send him to the operating room." The way Ling Ran looked at the patient's family just now was wrong. To put it in more professional terms, he noticed something was wrong during inspection, but now it was diagnosed with B-ultrasound.

"Should...should I call someone again?" Zheng Pei always felt uneasy.

"It looks like the liver was injured when the car crashed. I'll open it and take a look and tell if there are any other injuries." Ling Ran's greatest confidence is that he has perfect hemostasis skills.

After mastering the perfect level of bare-handed hemostasis and the perfect level of thermal hemostasis, the general blood loss from trauma is within his control. In this way, even if there is an accident, he will still have time to use the summoning technique.

"Dr. Ling and I, you have to deal with the remaining one." Zuo Cidian quickly called Zheng Pei and rushed into the operating room, then washed his hands and put on gloves...

Entering the operating room again, Ling Ran had already opened the patient's abdominal cavity.

"Well, the liver was injured...just cut it into a small piece..." Ling Ran said as he moved the knife.

"Resection of liver segments?" Zuo Cidian stood opposite Ling Ran, looking at the patient's abdominal cavity filled with blood, as if he himself had been injected with chicken blood.

Such a small area of ​​liver resection is rare among the surgeries he has seen.

"If you don't want to perform regular resection, just cut the injured area." Ling Ran said, lowering his head and started operating.

Compared with the previous emergency liver resection, the patient's blood loss in this operation was much slower, so Ling Ran was not in a hurry to cut her open. He first slowly peeled off the porta hepatis, then blocked the blood flow, and then began to slowly

And do the excision carefully.

By choosing this method, the patient's blood loss will be much greater than that of direct incision. After the entire operation, blood loss of 1500cc or even 2000cc is considered normal.

However, the prognosis of excessive blood loss is better than that of crude emergency liver resection.

"Tonight was quite fulfilling." Ling Ran completed the operation smoothly and was in a good mood.

I had two liver resections in one night, and also had my spleen and testicles removed. I felt that the pain was not in vain.

"As long as you like it, would you like some midnight snacks?" Zuo Cidian looked at the most exciting part and his body swayed a little.

"Check your intestines. If there's nothing wrong, there's no need to call a general surgeon." Ling Ran said, then looked at the two nurses next to him and said, "I'll pay for the late-night snack. What do you want to eat?"

"It will be all right."

"Dr. Ling, let's choose."

Ling Ran then thought about it and said to Zuo Cidian: "There is an all-night Beijing-style restaurant in front of the hospital. I'll eat braised pork and bring some fried liver."
Chapter completed!
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