Chapter 133 I Really Just Want to Be Longer(3/5)
Such distant and unfamiliar images and scenes that only appeared in martial arts novels he had read suddenly popped into his mind.
Yang Yifeng said: "Master, I'm just talking casually."
"I will definitely not do such stupid things. My parents just want me to live well and live happily."
"This is more important than anything else."
"I know it very well myself."
Ding Changle was not sure whether Yang Yifeng was clear at this moment.
I don't dare to be sure.
In this world, there is only a thin line between genius and madness.
Yang Yifeng's title among his classmates is "madman", which is another name for genius.
But it is unclear whether Yang Yifeng will take this title seriously.
Moreover, Ding Changle paid attention to every word Yang Yifeng said. He would definitely not do such a stupid thing.
What about others?
What does Yang Yifeng want to do?
Before Ding Changle could reply, Yang Yifeng said: "Master, please don't come over now. I have already decided."
"I want to find a quiet place now and be quiet."
Ding Changle was still worried: "Send me the location of where you want to go, and I'll be there soon!"
After hanging up the phone.
Ding Changle became very nervous, and then urged the taxi driver to speed up.
But it was almost time to get off work at this time, and the Second Ring to Star Link line from the Affiliated Hospital where he started to go to the Star District was blocked to death!
The master said: "Boss, it's not that I don't want to go fast, but if I step on the accelerator too fast, we won't be able to go at all."
Ding Changle's heart was like an ant on a hot pot, and he could only wait quietly to move forward at a rapid pace.
I feel a little regretful. I should have taken the subway if I had known better...
Yang Yifeng.
…
When Luo Yun and Zhou Cheng rushed to the operating room!
Li Changhong and Wang Yaoxiang had already disinfected their upper limbs. Yan Haihan also arranged for Xu Yanlin to complete the preoperative disinfection actions, while Huang Yu held the patient's legs with both hands.
Because the patient's body is quite strong, the weight of both legs is quite heavy.
Huang Yu had never experienced such high-intensity leg-raising movements before when he was doing rotations in departments such as the Department of Neurosurgery. He looked like he was overwhelmed and could barely hold on.
Seeing this, Zhou Cheng first put on a pair of sterile gloves and asked Huang Yu for a leg so that Huang Yu could interchange his left and right hands as a buffer.
Luo Yun washed his hands directly with Yan Haihan, and the two of them were still talking about something in the middle.
When Luo Yun heard that Yan Haihan said with great pity that Yang Yifeng actually had a way to complete the patient's limb-sparing surgery, but he was unwilling to go on stage. Luo Yun felt particularly surprised, but he immediately remembered what Yang Yifeng had told him.
I have been to the annual academic meeting of SVS.
It suddenly dawned on me.
Luo Yun turned to Yan Haihan and asked: "Director Yan, in other words, this patient can actually avoid amputation, but no one dares to complete this operation now?"
Yan Haihan glanced at Luo Yun, his eyes and tone were strange: "Luo Yun? Why are you asking this? Don't make matters worse."
"This patient's situation is quite special and his status is also special."
Although Yan Haihan knew that Luo Yun's background was quite high, and he and others had underestimated Luo Yun, Luo Yun was obviously from the Department of Orthopedics. If he wanted to get involved in vascular surgery, he would also be with this patient.
Yan Haihan would absolutely not allow it to be done on his body.
Luo Yun quickly explained: "No, Director Yan, I just asked casually out of curiosity. Naturally, I won't rush into limb-sparing surgery."
"I am not a graduate student in vascular surgery. Since Director Huang has said that I want to amputate the leg, I must listen to him. He is a knowledgeable person in this field."
Then Luo Yun said again: "Director Yan, Zhou Cheng in our team has now obtained Level II surgery authority. Limb dissection is an authentic Level II surgery. I will let him come on stage and I will be my assistant. It's okay, right?"
It will not delay the patient's condition."
"What do you think?"
Amputation is simple and is a level II operation. Zhou Cheng can do it just right. To obtain authorization for level III surgery, he needs a certain amount of level II surgeries. It is impossible that the amount of level II surgeries is not enough. Ding Changle
Just go and make arrangements for him.
As for the amount of surgeries, Zhou Cheng has to accumulate them slowly. There will only be one more surgery.
The patients in the department are not only Zhou Cheng's, nor Cai Dongfan's, Du Yanjun and Zhang Zhengquan also need to learn.
"It's okay. Just tie the artery later. The most important thing now is to solve the problem of blood loss caused by blood vessel damage." Yan Haihan reminded the important point.
Zhou Cheng received Level II surgery because the entire department made a concerted effort to ask the medical department for it, so naturally they trusted Zhou Cheng's ability.
Amputation is not difficult, limb salvage is difficult.
Nowadays, the most critical thing for patients is multiple wounds and severe blood loss. Hemostasis and blood transfusion are the key.
However, after the bleeding has been stopped for a long time, the blood in the arteries and veins will coagulate. If amputation is not possible, the muscles of the limbs will gradually become necrotic, and the creatine produced by muscle dissolution will be fatal.
Therefore, this amputation can actually be performed in two steps.
Tie arteries, stop bleeding, and save lives in emergency situations.
Then amputate the limb to save your life!
The amputation can even be done slowly after six hours, it doesn't matter, it won't put any burden on the body.
"Okay!" Luo Yun and Yan Haihan walked in again.
They saw that Li Changhong and Wang Yaoxiang had opened the gauze on their upper limbs and began to expose the brachial artery.
The purpose and procedures of their surgeries are the same as those of Yan Haihan.
Stop the bleeding first. After the bleeding is stopped, Li Changhong can step down. Just let Wang Yaoxiang complete the amputation slowly...
The first department of osteopathy is responsible for the upper limbs, and the second department is responsible for the lower limbs.
Therefore, Luo Yun and Yan Haihan didn't even look at what Li Changhong and others were doing. They just told Zhou Cheng and Xu Yanlin to wash their hands quickly and then go on stage to help.
Zhou Cheng nodded, and after leaving his position as a pure tool, he went to look at the patient's other conditions.
The knife was stabbed in the right upper abdomen, probably directly on the liver. The edges of the wound were neat, so it should be fairly easy to repair.
The edges of the openings in the jejunum and ileum are also neat. It seems that the person who injured the person did not stab the person cruelly and then stirred it up.
If you really do this, I'm afraid it's really hard to save the gods——
But even so, there was still an extremely pungent smell in the abdominal cavity.
The intestinal tract is ruptured, and the smell is ecstasy.
Zhou Cheng frowned involuntarily...
When Zhou Cheng and Xu Yanlin washed their hands and walked in, they saw that Yan Haihan was already cooperating with Luo Yun to peel off the femoral artery of one lower limb, and the four people from the Department of Orthopedics had divided into two teams and started to search separately.
Arteries, hemostasis.
Because the limb needs to be amputated, the brachial artery and femoral artery can be directly found and tied off.
Zhou Cheng put on sterile surgical clothes and wandered around Luo Yun.
Luo Yun turned around and said, "Zhou Cheng, take Xu Yanlin to do the other side. The femoral artery exploration and ligation is just a simple Level II operation, which is part of the amputation. It shouldn't be difficult for you to complete it, right?"
Zhou Cheng nodded and looked at Yan Haihan.
Exploration of the femoral artery is only a level II operation and is also a component of amputation. This is naturally not difficult. Zhou Cheng has perfect level of anatomy experience and can do it with experience.
Ligating the artery is much simpler, just tie it off with a silk thread.
Yan Haihan said: "You and Yan Lin should do the femoral artery exploration over there. Remember to be careful. After you find the breach, press the proximal end of the femoral artery firmly and firmly."
Blood vessels are similar to water pipes, but they are not exactly the same as water pipes. They are similar in that they can pass liquid.
The difference is that water pipes can be on the surface of the body, while blood vessels are generally buried deep.
If there is a break in the water pipe, you can stop the water first and then slowly look for the hole. But the blood vessels are not good. The main switch for blood in the blood vessels is the heart. If it stops beating, the person will die.
Therefore, it is necessary to quickly find the proximal end of the blood vessel and then compress it to control bleeding.
Everyone in the department knew about Zhou Cheng's Level II surgery, so Xu Yanlin didn't say much, but looked at Zhou Cheng with a little envy.
He even stepped forward and said, "Brother Zhou Cheng, let me help you suppress it first."
Zhou Cheng nodded.
Then while slowly tearing the gauze apart with his right hand, his left hand went to the abdomen. After touching it flatly for a while, he pressed it firmly and deeply!
This is on the surface of the body. Press according to the shape of the blood vessels to stop the bleeding!
It comes naturally from knowledge of anatomy and is not a very advanced skill.
To be continued...