Since 1981 Health School Chapter 366

  Chapter 366 Demonstrates pinch hemostasis

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

  For example, so far, the success rate of Chen Qi's surgery has reached an astonishing 100%, without a single mistake.

  In addition, this kid often had flashes of inspiration. He remembered that the deputy magistrate of Yu County had pancreatic head cancer. He happened to encounter Zhu Huoyan's gastric perforation and couldn't hold on.

  Perhaps there is a kind of genius in this world, let's know it from birth.

  Thinking of this, Dean Guo decided to give Chen Qi some trust.

   After all, try it now, the little wounded may still survive;

  If she doesn't try, the rupture of the liver will not stop the bleeding, and she will definitely die.

   At worst, the operation failed, and he, the chief dean, came forward to take all the responsibilities, and protected the junior dean Chen Qi, so he said:

   "Okay, Chen Qi, are you sure?"

  There was no doubt or envy in Zhu Huoyan's eyes, but he asked sincerely: "Can you talk about the theory, what is pinching?"

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

"Hand pinch method is to pinch the hepatoduodenal ligament with fingers, at about this position, to temporarily block the blood supply of the liver, and then tie the hepatic pedicle with the hepatic porta control belt to remove accumulated blood, so that it is convenient to detect and determine the injury The extent of liver resection."

  President Guo asked: "Liver ischemia should not exceed 20 minutes, otherwise it will cause necrosis of liver cells. How do you control this?"

  Chen Qi seriously replied:

  “There are two solutions. One is that the main surgeon should move quickly, and the other is to block for 15 minutes, and the fingers should be relaxed for 5 minutes. With this intermittent portal liver block, the cycle can be repeated.”

  The operating room is full of professional doctors who have become major directors, and they are proficient in anatomical knowledge. After listening to Chen Qi's explanation, they know that it is feasible.

  President Guo laughed when he heard that:

   "You boy, don't talk about one thing, and do another thing. Then what are you waiting for? You should block the blood supply, Lao Zhu, hurry up and perform liver resection."

  Suddenly, Dean Guo glanced at the curious Lu Yue, and there was something in his heart:

   "Old Lu, why are you still standing there in a daze, go back and continue the operation just now, the patients over there are also in urgent need of you, don't worry, I will keep an eye on it here, nothing will go wrong."

  When Lu Yue heard this, he was about to spurt out a mouthful of old blood.

  I thought to myself, I also want to watch this rare liver resection, especially the pinching method to stop bleeding. This is Professor Wu's unique skill, a very valuable experience, and I can't learn it even if I want to learn it.

  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 you, a competitor, should not be allowed to learn it.

  The People's Hospital and the Second Hospital are rival hospitals in the urban area, and they are in competition.

  The arm couldn't twist the thigh, so Director Lu walked out of the operating room cursing in his heart.

  As soon as the door was closed, Dean Guo couldn't wait to shout: "Hurry up, hurry up, operate quickly, I didn't see the blood of the little wounded is rushing."

  Chen Qi changed a pair of gloves again, and he wasn't nervous at all. He took a deep breath, or looked serious.

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

  President Guo and Zhu Huoyan looked at each other, "Is this all right?"

   "Okay, Mr. Zhu, cut it quickly."

  Actually, when Chen Qi was undergoing 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 suction tube on it.

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

  However, this method was applied when he was the chief surgeon. Now he does not use the chief surgeon, but only an assistant, so he directly squeezes it with his hands, which can better control the strength and is more convenient.

  Zhu Huoyan saw that the bleeding had stopped, and did not think about anything else. He cooperated with Director Guo and began to remove the central liver lobe.

  3 hours later, when the last stitch on the abdomen was completed, the operation was over.

  Because the internal bleeding has stopped, the little girl's blood pressure has also stabilized. As long as she passes the infection test, her life can be regarded as saved.

   This is the first time that Zhu Huoyan has successfully completed a liver resection. The mood is not to mention how beautiful it is, and the eyes that look at Chen Qi, the most heroic hero, are not to mention how gentle.

  Of course, he still has more questions that he wants to ask Chen Qi. Professor Wu's "hand pinching" liver cutting technique alone is worth his study and research.

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

  But now is not the time to chat. As the dean, Chen Qi has too many things to deal with such a big accident.

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

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

  Chen Qi quickly helped the family members up:

"Don't worry, Director Guo and Director Zhu of the People's Hospital took action. The operation was successful, but she has not passed the critical period, and she will be given the best antibiotics. It is still very sad to be infected, and there is too much blood loss. Recovery will be slower."

  Du Li, a junior officer in the medical department next to him, was in a hurry:

   "Family, hurry up. The operation is successful, and the treatment is still complicated. You should go back and raise money. It's not just a few dozen dollars, it's at least a thousand."

  Bao Nanhua sat down on the ground and couldn't get up when she heard that saving her daughter cost thousands of dollars.

  Rural women, when encountering things, they cry loudly: "Oh, my poor daughter, how can my family afford so much money~~~"

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

   "What's the matter? Another one died?"

   "Ah, it's really pitiful, my colleague is also in the rescue, Bodhisattva bless you~~~"

   "Isn't he dead? Didn't I hear that he didn't have money to see a doctor?"

   "Hey, the current hospital is really immoral. 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."

   "That's right, the current hospitals don't serve the people at all!"

  The crowd was discussing, Chen Qi had more or less listened to it, and fell into a dilemma for a while.

  On the one hand, Director Yu said that the family's conditions are not good, and they usually rely on selling vegetables for a living, let alone a few thousand, probably not even a few hundred.

  On the other hand, small wounded patients are in critical condition. Even if the operation fee can be reduced, the follow-up medication cannot be saved. This is all costly. The hospital can't help pay for it, right?

   You must know that the financial situation of the Fourth Court is also in jeopardy, unable to make ends meet.

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

"Dean Chen, the statistics have been calculated. Among the 25 people, except for the two dead people who were not claimed, the identities of the other wounded and the dead have been investigated clearly. Those who have units have found units, and those who have no units have also been found. family."

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

   After all, after a long-distance bus trip, the ticket price of more than ten or twenty yuan is not affordable for ordinary people.

  Passengers are either on a business trip, or have a good home, or go out to do business. The poor will always be limited to their own one-third of an acre of land.

"Section Chief Zhou, you need to find out again. For patients with units or with good economic conditions, the medical expenses cannot be reduced. If the wounded are really in difficult conditions, in addition to the medical expenses, other surgical expenses and treatment expenses can be reduced. Then help reduce it."

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

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

  Chen Qi was also helpless, and quickly comforted him:

   "Okay, okay, save people first. I don't have enough money and I will pay for your daughter myself. Don't cry, go and bandage yourself."

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

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

  He dare not accept this gift, it is the custom in Yuezhong, if someone kneels down and kowtows for you, it will shorten your life.

  The onlookers heard it and praised repeatedly: "Wow, this is definitely a good doctor!"

   "Yes, yes, the doctor pays for it himself. I've never heard of it. A good guy has a few thousand yuan for one operation, and he can buy a large color TV."

   "You don't know, this is the dean of the Fourth Academy. Do you want someone who can be the dean to be short of money?"

   "Yes, it's not short of money, haven't you heard? The dean has performed several operations in foreign countries, but he has earned millions of dollars."

   "Really or fake? Doing a few operations can make millions of dollars? Is he a fairy hand?"

   "That's right, that's right, I also heard from my little aunt's daughter-in-law's third cousin that he is a doctor from the Fourth Hospital, so there is no way he can tell lies."

   "Hmph, so rich, what's the point of paying for some medical expenses?"

   "It's just..."

  Chen Qi still doesn't know how much trouble his one promise will bring him in the future.

  At this time, his mind was full of rescuing the wounded, comforting the family members, doing a good job in the aftermath of the accident, and at the same time carefully observing the behavior of the staff of the Fourth Hospital in the emergency.

  Those who are active should be paid attention to in the future, and those indifferent doctors who have nothing to do with themselves should be considered in the future when they go out for further studies, salary ratings, and professional title selection.

   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 all by themselves.

  Dean Guo frowned and said:

   "This kid is still inexperienced. He said in front of so many people that he would pay for it out of his own pocket, and he must be in trouble later..."

  (end of this chapter)

Chapter end