Chapter 140 The people are young, but the technology is not. The situation is opening up little by little.

Author: Jiangbian Yuweng

Chapter 140 The people are young, but the technology is not. The situation is opening up little by little.

After hearing this, Isuke immediately became furious.

What does this mean?

Isn't it just a roundabout way of laughing at him for being so helpless and unable to help?

"You think it's that easy to stop bleeding? Just clamp the blood vessel with a hemostatic forceps? Young man, let me tell you, reading and actual operation are two completely different concepts."

Isuke sneered and taught Zhou Can, a novice, in an old-fashioned tone.

I'm afraid I'm scolding these young people, they always want to show their faces every day.

I don’t even think about how many kilograms I have.

"Doctor Ou, can you let me try using a hemostat? If I can help you, that would be the best. If I can't help you, the destructive power of the hemostat can be controlled." Zhou Can looked at Dr. Ou.

At this moment, Dr. Ou was very distressed.

The patient's blood vessels were spurting out blood. He tried to directly press the blood vessels in multiple locations with his hands, but unfortunately had little effect.

The current situation is extremely unfavorable.

Basically it's like being stuck in an infinite loop.

If he couldn't stop the bleeding, the blood that kept spurting out would block his vision, preventing him from finding out the real reason why he couldn't stop the bleeding with electrocoagulation.

When doctors perform surgery, what they fear most is damaging important nerves, unexplained bleeding, and complications.

All three situations may have extremely bad consequences.

If the nerves are affected, it can range from paralysis to severe apnea, cardiac arrest, and death.

The consequences of unexplained bleeding are also death. If the bleeding cannot be stopped, the patient will be in danger. Especially this kind of internal bleeding.

Complications may be intraoperative complications or postoperative complications.

Before surgery, why does the doctor ask about the history of allergies, high blood pressure, heart disease, diabetes, etc. It is to fully consider whether other complications will occur during the surgery.

Some heart patients have extremely low tolerance for surgery.

Perhaps he was so frightened that he suffered a heart attack as soon as he was put on the operating table before the operation was performed. What the doctors had to do next was not to operate, but to save the patient in a hurry.

As for postoperative complications, they were not taken seriously before.

Nowadays, more and more surgeons regard postoperative complications as the number one killer.

Take spinal epidural hematoma as an example. It may be caused by the patient himself. It may also be caused by anesthesia being administered during the operation and the lumbar puncture not being done properly.

It couldn't be discovered at the time.

It was not until after the operation that the patient was found to be paralyzed, and an examination revealed a spinal epidural hematoma.

The location of the hematoma is exactly where the spinal anesthesia occurs.

This is the simplest postoperative complication.

Not to mention post-operative lung infection, kidney failure, cardiopulmonary failure, etc.

Dr. Ou was at his wits end and was about to ask for help from his superior doctor when he heard Zhou Can volunteering for help. For the first time, he took a good look at this courageous graduate student.

Only then could Zhou Can tell that the patient was bleeding non-stop. It was possible that he had injured the spinal subdural blood vessels when removing the malformed blood vessels, or it was possible that he had just cut the bifurcation point of the blood vessels.

Both of these ideas are beyond the reach of ordinary people.

Dr. Ou only had a high opinion of Zhou Can's ability.

"Chen Yue, let him try!"

Doctor Ou said to Yisuke.

Basically, the mentality is to treat a dead horse as a living horse doctor.

As Zhou Can said, the destructive power of the hemostatic forceps is very small. At most, it will pinch the blood vessels. But if it can help him stop the bleeding, it will avoid asking the superior doctor for help.

Face is saved and the problem can be solved.

Asking a superior doctor to come over and put out the fire is not just a matter of hiring someone you want, there is a price.

As a result, the patient loses points in the eyes of superior doctors, the surgical weight is reduced, and the surgical ability is questioned.

These will have very bad effects.

You can often see in the news that a medical accident occurred in a certain hospital. The doctor involved concealed the report, avoided the serious matter, and failed to report the problem to the superior doctor in a timely manner after discovering the problem. This led to the accident.

Such low-level mistakes can be made.

Do you think the doctor involved is stupid?

In fact, they are very smart.

He just took a chance and thought he could handle it well. That's why he didn't report it to his superior doctor.

Eventually an accident occurred.

Doctor Ou had spoken, and regardless of whether he wanted to or not, Yisuke had no choice but to give up his seat.

Zhou Can took the hemostatic forceps handed to him by the nurse, and first carefully searched for the blood vessels and veins of the bleeding point.

But he also encountered the same problem as Dr. Ou.

The continuous spurting of blood seriously interfered with the view of the spinal dura mater. Even continuous sucking out the accumulated blood was useless.

The bleeding was too fast.

And to find blood vessels, you must start from the location of the bleeding point.

Zhou Can has developed a skill long ago.

He can find out where the bleeding point is through the ripples of blood. Now, the bleeding point is very clear. All he has to do is to 'find the dragon and cut off the pulse' through the ripples of the blood.

All laws in the world are interlinked, and this is similar to Kanyu in Feng Shui.

"The proximal location of the bleeding blood vessel should be here."

After saying that, he used a hemostat to clamp an inconspicuous submembranous blood vessel.

A magical scene appeared.

The bleeding stopped immediately.

"It's amazing! It's amazing!"

Doctor Ou shouted happily.

Isuke looked at Zhou Can who was showing off with a face full of shame.

In the operating room, everyone has real skills, and nothing can be done in vain.

Zhou Can successfully stopped the bleeding, which shows that his ability to stop bleeding is indeed superior to his.

Even stronger than Dr. Ou.

"Don't clamp the blood vessels for too long, otherwise it will easily damage the blood vessels and spinal dura mater. I have tried electrocoagulation to stop the bleeding many times, but all failed. Do you think it can be ligated to stop the bleeding?"

Anyway, it is a blood vessel with the terminal capillary network cut off, and ligation to stop the bleeding should be a better method.

"Wait a minute, let me check!"

Doctor Ou spoke much more politely to Zhou Can.

First suck up the accumulated blood to avoid obstructing your vision.

Without any interference, he quickly found the problem.

"When I removed the malformed blood vessel, I ruptured the blood vessel. No wonder electrocoagulation could not stop the bleeding. The distortion of this blood vessel is quite severe, and it has already affected the blood vessels under the spinal dura mater."

The reason was found.

Doctor Ou is very happy.

Sometimes it's like this. Before the problem is found, anything could happen. Only when the fog dissipates and the real cause is found, it suddenly becomes clear. Oh, it turns out that the reason for non-stop bleeding is so simple.

"We have to continue to explore downward, remove all the diseased and problematic blood vessels, and then ligate them. Otherwise, sooner or later, it will be a time bomb."

Doctor Ou said.

"In this case, it is already necessary to cut open the dura mater to get to the bottom of it and completely solve the hidden danger."

According to regulations, some necessary records need to be made during the operation.

Originally it was just a spinal epidural hematoma removal surgery, but now the dura mater needs to be incised, which is equivalent to an upgraded surgery.

A reasonable explanation must be given.

Under normal circumstances, the surgical process is recorded by the first assistant. The surgeon signs after reading it.

You can also have the surgeon write it himself within 24 hours.

Dr. Ou cut open the dura mater, and after some investigation, he found that although the blood vessel was not very thick, the disease was quite serious.
To be continued...