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Chapter 368 Demonstration of hand pinching to stop bleeding

 Dean Guo looked at Chen Qi carefully, his mind running rapidly.

For example, so far, the success rate of surgery performed by Chen Qi has reached an astonishing 100%, without any mistakes.

In addition, this kid often has flashes of inspiration. I remember that when I went to the county deputy magistrate for pancreatic head cancer, Zhu Huoyan happened to have a gastric perforation and couldn't hold on. It was this kid who temporarily snatched the surgeon and completed the extremely difficult operation.
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Maybe there is a kind of genius in this world, and you are born with it.

Thinking of this, Dean Guo decided to give Chen Qi a certain amount of trust.

After all, if you give it a try now, there is still a chance for the little wounded to survive;

If she didn't try, the ruptured liver would be unable to stop the bleeding, and she would definitely die.

If the operation failed at worst, he, the senior dean, would take all the responsibilities and protect Chen Qi, the junior dean, so he said:

"Okay, Chen Qi, are you sure?"

There was no doubt or envy in Zhu Huoyan's eyes. Instead, he asked sincerely: "Can you briefly explain the theory, what is the hand pinch method?"

Chen Qi pointed to a part of the liver and said:

"The hand pinch method is to pinch the hepatoduodenal ligament with your fingers at approximately this position to temporarily block the blood supply to the liver, and then use the hepatic portal control band to tie the liver pedicle to remove the accumulated blood, so that it can be easily explored to determine the injury.

Extent of liver resection."

Dean Guo asked: "Liver ischemia cannot exceed 20 minutes, otherwise it will cause liver cell necrosis. How do you control this?"

Chen Qi replied seriously:

"There are two solutions to this problem. One is that the surgeon should move quickly, and the other is to block for 15 minutes and relax the fingers for 5 minutes. This intermittent portohepatic block method can be cycled repeatedly."

The operating room is full of professional doctors who have become chief directors and are proficient in anatomy knowledge. As soon as I heard Chen Qi's explanation, I knew it was feasible.

Dean Guo also laughed after hearing this:

"You kid, don't say one thing and do another. So what are you waiting for? Hurry up and block the blood supply. Lao Zhu, hurry up and do the liver resection."

Suddenly, Dean Guo glanced at the curious Lu Yue, and he had a thought in his heart:

"Lao Lu, why are you still standing there? Hurry back and continue the surgery. The patients over there are in urgent need of you too. Don't worry, I'll keep an eye on you. There won't be any problems."

When Lu Yue heard this, he felt like he was about to spit out a mouthful of blood.

I thought to myself, I also want to watch this rare liver resection, especially the hand pinch method to stop bleeding. This is Professor Wu’s unique skill and a very valuable experience that I can’t even learn normally.
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As a doctor, who doesn’t want to learn a few more housekeeping skills?

But Dean Guo is careful. You, Lu Yue, know that this is a rare trick, and he, Guo Yuanhang, knows the secret of this trick even more, so he cannot let your competitor learn it.

The People's Hospital and the Second Hospital are rivals of urban hospitals and have a competitive relationship.

Unable to twist his thigh with his arm, Director Lu cursed in his heart and walked out of the operating room.

As soon as the door closed, Dean Guo couldn't wait to shout: "Quick, quick, hurry up, do the operation quickly, don't you see the little wounded man's blood is flowing."

Chen Qi put on a new pair of gloves and didn't feel nervous, took a deep breath, or looked serious.

He casually opened the covered liver, pinched a place at the porta hepatis, and the bleeding at the rupture of the liver stopped, stopped...

Dean Guo and Zhu Huoyan looked at each other, "Is this good?"

"Okay, Teacher Zhu, hurry up and cut it."

In fact, when Chen Qi underwent liver surgery in his previous life, he liked to use a No. 8 urinary catheter to bypass the hepatoduodenal ligament, and then put a short section of suction tube on it.

When blocking, tighten the urinary catheter and clamp a small curved forceps behind the tube of the suction device, so that it is convenient to release the block.

However, this method was used by him when he was the surgeon. Now he does not use the surgeon, but is just an assistant, so he pinches it directly with his hands. This way he can better control the strength and is more convenient.

When Zhu Huoyan saw that the bleeding had stopped, he didn't think about anything else, and cooperated with Dean Guo to start removing the middle lobe of the liver.

Three hours later, when the last stitch in the abdomen was completed, the operation was over.

Because the internal bleeding has stopped and the little girl's blood pressure has stabilized, her life can be considered saved as long as she passes the infection barrier.

This is the first time that Zhu Huoyan has successfully performed a liver resection. The mood is so beautiful, and the look he looks at Chen Qi, the greatest contributor, is so gentle.

Of course, he still has more questions to ask Chen Qi. Professor Wu's 'hand pinch' liver cutting technique alone is worthy of his study and research.

It is impossible to say that he is not envious. Not everyone has the opportunity to ask "Master Wu" face to face, let alone spend a week together day and night. This kind of opportunity is too rare.

But now is not the time for small talk. As the dean, Chen Qi faces such a big accident and has too many things to deal with.

When Chen Qi walked out of the operating room, the patient's mother, Bao Nanhua, rushed towards him:

"Doctor, how is my daughter? Is she still alive?"

Chen Qi quickly helped his family members:

"Don't worry, Director Guo and Director Zhu of the People's Hospital took action and the operation was successful. However, she has not passed the critical period yet. She will need to be given the best antibiotics later. The infection is still very difficult. In addition, she lost too much blood.

Recovery will be slower."

Du Li, the clerk in the medical department next to her, was anxious:

"Family members, hurry up. The operation was successful, but the subsequent treatment is still complicated. You should go back and raise money. It doesn't just cost a few dozen yuan, it will cost at least thousands."

When Bao Nanhua heard that it cost thousands of dollars to save her daughter, she sat down on the ground and couldn't get up.

Rural women will cry loudly when something happens: "Oh, my poor daughter, how can my family get so much money~~~"

Bao Nanhua was crying loudly, frightening other family members not far away:

"What's going on? Another one died?"

"Oh, I'm so pitiful. My colleagues are also rescuing me. Bodhisattva bless me~~~"

"Isn't he dead? I haven't heard that he doesn't have money for medical treatment?"

"Hey, today's hospitals are really wicked. If you don't have money, you don't have money. If you don't have money, you still have to see a doctor and take medicine."

"It's just that the current hospitals don't serve the people at all!"

The crowd was talking a lot nearby, and Chen Qi had already listened to it, and he was caught in a dilemma for a while.

On the one hand, I heard from Director Yu that the family's conditions are not good and they usually make a living by selling some vegetables. Let alone thousands, they probably don't even have a few hundred.

On the other hand, the injured patient is in a critical condition. Even if the surgery fee can be reduced or reduced, the subsequent medication cannot be saved. This all has a cost. You can’t let the hospital pay for it, right?

You must know that the financial situation of the Fourth Hospital is also very critical, and it is difficult to make ends meet.

Just when Chen Qi didn't know what to do, the medical section chief Zhou Liuxin ran over again:

"Director Chen, we have made statistics. Among the 25 people, except for the two deceased who were unclaimed, the identities of the other injured and deceased have been investigated clearly. Those with units have found their units, and those without units have also been found.

Family."

The people who can take long-distance buses these days will not be ordinary people, nor will they be literary young people wandering around with bags on their backs.

After all, the ticket price of more than ten or twenty yuan for a long-distance train is not within the reach of ordinary people.

Passengers are either on a business trip for their employer, have good family conditions, or go out on business. The poor will always be restricted to their own one-third of an acre of land.

"Chief Zhou, please go and find out again. For patients who have an employer or have good economic conditions, the medical expenses cannot be reduced. If the injured are really in difficult conditions, in addition to the medical expenses, other surgical expenses and treatment expenses can be reduced.

Then help me lose weight."

Zhou Liuxin moved his mouth, but in the end he didn't persuade him, so he nodded and left.

But at this time, Bao Nanhua was still on the ground holding Chen Qi's legs and crying, "Doctor, doctor, you can't just ignore death, you have to save my daughter."

Chen Qi was helpless and quickly comforted:

"Okay, okay, save people first. If we don't have enough money, I will pay for your daughter myself. Stop crying now and go bandage it yourself."

"Benefactor, great benefactor, you are the Bodhisattva who saves the suffering, I thank you, I thank you~~~"

When Bao Nanhua heard this, she knelt down and wanted to kowtow to Chen Qi. Chen Qi was so frightened that Chen Qi quickly hid aside.

He didn't dare to accept this gift. According to the custom in Yuezhong, if someone kneels down and kowtows to you, your life will be shortened.

When the onlookers heard this, they also praised repeatedly: "Wow, this is definitely a good doctor!"

"Yes, yes, the doctor pays for it himself. I have never heard of it. Good guy, an operation costs several thousand dollars, and you can buy a big color TV."

"You don't know, this is the dean of the fourth hospital. Do you think someone who can be the dean will be short of money?"

"Yes, there is no shortage of money. Haven't you heard? This director performed several surgeries abroad and earned millions of dollars."

"Is it true? How many operations can he make? How many millions of dollars can he make? Is he a magician?"

"Yes, yes, I also heard from my aunt's daughter-in-law's third cousin that she is a doctor from the fourth hospital, so there is no way it would be false."

"Huh, if you are so rich, what's the point of paying for medical expenses?"

"That's right..."

Chen Qi still doesn’t know how much trouble his promise will cause him in the future.

At this time, his thoughts were all about rescuing the injured, comforting their families, and doing the aftermath of the accident. At the same time, he was also carefully observing the performance of the staff of the Fourth Hospital during emergencies.

Those who have shown positive performance should be focused on in the future. Those indifferent doctors who have nothing to do with themselves will have to consider further study, salary rating, and professional title selection in the future.

After Dean Guo and Zhu Huoyan came out of the operating room, they were a little more worried when they heard that Chen Qi would bear the patient's medical expenses.

Dean Guo frowned and said:
Chapter completed!
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