Chapter 405 Killing without a knife!(2/2)
Even if Zeng Diwei comes for surgery, he still has to go through the procedure.
If you are very capable, you can get 30% by eating, 60% by hiding to protect yourself, and 10% by God's will. Isn't this life wonderful?
In this way, the most deadly places have been solved first.
It can be said that in fact, the professors in major teaching hospitals may be able to perform a much wider range of surgeries than they can actually perform, and they also have many ideas in their hearts and minds.
For six minutes, sterile draping is applied, a sterile film is pasted on the incision site, and the skin and subcutaneous tissue are incised. Use a knife to cut a small opening in the anterior sheath of the rectus abdominis, and then use scissors to cut the anterior sheath upward and downward.
Zhang Xingze, who was next to Tong Dawei, also felt that the word Zhou Cheng was familiar.
After all, Du Li is also a well-known professor of neurosurgery at Huashan Hospital. It’s not like he doesn’t know how to remove puncture-guided hematoma!
You know, under normal circumstances, who would embolize the arteries of the limbs?
This surgical idea is already in progress, so what’s wrong with the idea of interventional hemostasis and using a puncture needle to remove intracranial hematoma? However, the premise is that you must be able to do it yourself.
This speed is no longer slow. After all, only more than six minutes have passed since Zhou Cheng made the decision.
However, he was not absolutely sure.
This sounds a bit nice, but also a bit awkward.
But the professor of vascular surgery frowned slightly, looked at the condition of Lu Qianzhou's limbs, and said in disbelief: "Professor Fang, the blood supply to these limbs is so neatly cut off, could it be caused by trauma?"
Take full responsibility, pay compensation, apologize, be demoted, affect promotion, and may even no longer be able to work as a doctor.
"We're now looking to recanalize it."
It was at this time that the general surgeon opened the abdomen.
And such a bitter smile is the kind of bitterness that makes bile flow backwards.
Just as he was saying this, the door of the operating room was pushed open.
Zhou Cheng's words were calm, but the professional difficulty was something that others could not understand.
"Thank you, Professor Du."
First use vascular forceps along the direction of the muscle fibers and then use the handle or fingers to separate the rectus abdominis muscle bundle. The tendon should be cut with forceps and then tied with silk thread.
It's just that the speed at which Zhou Cheng performed the splenic artery hemostasis and intracranial artery hemostasis was a little too fast!
Professor Chu said: "Thanks to the limited blood loss, otherwise, the patient's heart rate would definitely have been in ventricular fibrillation now. It had jumped to 160 at the highest point, and the cardioversion had just happened not long ago."
He did not intend to retain his strength anymore and was always thinking about protecting himself. He decided that since Zhou Cheng wanted to save people with all his strength, he would take a risk to cooperate with him and save him time.
Du Li didn't say much, and immediately began to change the surgical method, and then began to draw a positioning line by comparing the location of the intracranial hematoma.
After all, the flow of blood in blood vessels relies solely on the pump circulation of the heart. After the flow stops, it stagnates. The blood does not move in the body, but other traumas will stimulate the endogenous and exogenous coagulation systems.
activated, which then causes blood to clot.
Dean Wang and others did not pay attention to Professor Chu's intervention and ignored the matter. However, for the sake of safety, Dean Wang still asked: "Professor Lu, Professor Nong, please don't refuse. Today's show
Surgery is an extremely difficult emergency surgery, and I sincerely request the two professors not to hold anything back without scruples."
Zhou Cheng said: "Professor Fang, now we will make another small opening at the far end of the femoral artery sheath entrance, and then remove the thrombus in the artery, and then pass through the bleeding point collected by the previous MRA.
, selectively perform precise hemostasis, and then remove the embolus. If the bleeding point is really difficult to deal with, local opening can be used to stop the bleeding."
Because, if you don’t hide your six-point ability and ideas, if one of the hundred patients has an accident and goes to court, it will not be said that you did not act in accordance with medical principles and did not treat according to the guidelines!
"Then this is Professor Nong from Tiantan Hospital in Kyoto. He."
"At that time, there was a rupture of the splenic artery and an intracranial hematoma. It was difficult to maintain the balance of blood flow through precise debridement and hemostasis, so Xiao Zhou and I chose to violently cut off the blood flow!"
Zhou Cheng nodded and said, "I can do it!"
Everything you do should be firmly framed under the so-called expert consensus and the so-called guidelines, because only in this way can you be exempted from responsibility and blame all accidents on the limitations of medical technology.
Zhou Cheng was also very quick at stopping the bleeding. It took only two or three minutes to treat several intracranial bleeding points.
"Shave your hair!" Du Li just replied.
The operation continues.
Why bother?
Therefore, under such circumstances, Zhou Cheng was a little touched that Du Li could say such things.
"The oxygen flow can be reduced..."
"How much fluid replacement?" He was already busy.
Then a large number of middle-aged and elderly people in green clothes, surgical masks and hats crowded in.
"What about the hematoma removal surgery?" Zhou Cheng asked one more question, mainly because the hematoma might be fatal. Zhou Cheng didn't want his legs and hands to be saved while he was doing the surgery to remove the thrombus from his limbs, but he would be dead.
"Zhou Cheng, he has already gone to the operating table for surgery. He embolized all the arteries in his limbs first, saying that the treatment will be postponed." Fu Youhan continued to explain.
Then after Tong Dawei saw Zhou Cheng's figure, he lowered his head and explained to Zhang Xingze: "Teacher Zhang, this Zhou Cheng is..."
As a result, the two people from the orthopedics department were no longer involved, and the operation continued.
…
Chapter completed!