Chapter 282: 0276 One Screen, Two Wilds (5/5, Bonus 10 for Alliance Leader Lurenyi)
"Need to do angiography." Zheng Ren said: "Uterine adenomyosis, if it's diffuse, doing interventional embolization treatment is not as straightforward as directly removing the uterus; if it's focal, we can try interventional treatment."
"How effective is it?" Su Yun asked.
He has only just come into contact with interventional medicine for less than two months, yet he can understand this much; he's already a heavenly genius.
But the specific effects of interventional surgery, Su Yun is not clear about.
"There's a 30% success rate, maybe even lower. But for now, the top priority is to save lives, then we'll talk later." Zheng Ren said while finishing suturing the liver; the whole process didn't even take ten minutes.
"You handle the rest, I'll go do interventional embolization." Zheng Ren said.
Su Yun nodded.
"Yi Ren, prepare the instruments Su Yun needs. Yanran, how's the condition?"
"Condition is still okay, blood pressure stabilized, medication just given." Chu Yanran replied.
Just as they were speaking, Chu Yan zhi and the circulating nurse rushed in, holding over ten bags of fresh frozen red blood cells and fresh frozen plasma.
"Hang one bag, set up the pressure infusion device, then you all go out first." Zheng Ren said, then slapped the needle holder and needle against the patient's thigh, turned and stepped down.
Uterine adenomyosis? Zheng Ren has been pondering this disease.
It's not a major illness, but when it hurts, it can truly be life-threatening.
First save lives, then see if there's an opportunity to address the uterine adenomyosis issue.
Taking out the lead clothing from the system space, accompanied by the system quest's notification sound.
【Emergency mission: Save people from water and fire.
Mission content: Treat head for headache, foot for foot pain, unable to reach the summit. Please complete one emergency rescue and cure the patient's hidden ailment.
Mission reward: 2000 skill points, 20000 experience points.
Mission duration: 7 days.
Uh... Zheng Ren had a vague feeling that he had returned to the imperial capital again, and that system big pig trotter started being generous again.
But after thinking it over, Zheng Ren smiled.
The system gave 7 days, this seemingly long completion time; if it were an ordinary patient, this would indeed be a generous, large-scale mission reward.
But the patient's emergency condition is very serious, many.
After treating the liver-spleen rupture and correcting hemorrhagic shock, the patient still has a pile of fractures needing treatment.
7 days, such a short time, can it be completed?
Never mind, first handle the patient's emergency rescue then we'll talk.
Put on lead clothing, expose the patient's right femoral artery, scrub hands, disinfect, lay drapes; after a full set of sterile procedures, the time consumed is about the same as Zheng Ren's surgery time.
But the sterile procedure must still be followed; a century ago, surgical success rates were low precisely because of postoperative infection issues.
Although current clinical doctors are somewhat resistant to infectious disease, the sterile concept in surgery remains strong.
Infectious disease... hehe.
In the ward, if every operation required using 3M hand sanitizer... clinical medical staff really want the person who made these rules to try it, feeling what it's like to use 3M hand sanitizer over a hundred times a day.
The ward is still okay to say, but outpatient sees dozens to a hundred patients a day. If we disinfect like that, not exceeding a week, a pair of hands would be completely unusable.
The little nurses' delicate hands will chap and split skin; half a month later, there will be bleeding. Not to mention the little nurses; even Zheng Ren's hands full of calluses couldn't bear it.
No matter how good something is, it can't withstand repeated use. Doing it thirty to fifty times a day, even up to a hundred times, what a joke.
They copied the rules from abroad, but completely ignored how many patients people see in a day.
After Zheng Ren finished disinfecting, seeing Xie Yiren, the Chu family sisters, and the circulating nurse withdraw from the operating room, he began arterial puncture, placing an arterial sheath.
"Boss, by the way, take a quick look at the uterus, check the staining." Su Yun didn't forget to remind Zheng Ren.
"Got it." Zheng Ren said.
One operating table, two surgeries, thus began.
In the Xinglin Yuan live broadcast room, the pot exploded.
After removing the spleen and repairing the liver, in these doctors' eyes, it's just a very ordinary operation. The operator's surgical skill is high, the operation is especially beautiful, this is beyond doubt.
The assistant actually went on stage that late; this point was also discussed by everyone. Many thought the student was performing the surgery, and the one who went on stage later was the real professor.
But this speculation was immediately questioned.
From the very beginning, the skill of the person in charge of opening the abdomen and removing the spleen was so proficient that anyone with eyes could see.
Such a person being a student? Impossible!
The doctors watching the live broadcast had their self-esteem challenged.
But, the climax hasn't arrived yet.
When the liver repair was completed, just as everyone thought the surgery was over, preparing to open up their hand speed and argue about whether the operator was a student or professor, the hands of the operator in the live broadcast suddenly left.
He left... he really left!
Generally, after a professor finishes surgery, the remaining steps are handed over to the assistant to resolve.
This is the rule; if you can't even close the abdomen, what's the point of bringing you to surgery? You can't do anything, yet you still have to go into surgery?
Nice dream!
If that's the case, better go to a grassroots hospital to do five years of appendectomies first.
The argument seemed unnecessary to continue; just as the doctors supporting the operator as a professor were feeling pleased, the barrage posted a few lines, and then the live broadcast screen split in two.
Split in two?
What is this for?
Could it be that they simultaneously need to do internal fixation of fractures?
Seems unnecessary; fracture fixation isn't an urgent task either, as long as the skin isn't broken and there's no risk of secondary infection, delayed treatment is sufficient.
One surgery, opening two or three procedures at once, blood loss greatly increases; can the patient bear it?
These speculations had just arisen in the minds of the doctors watching the surgery live broadcast, when the hands on the screen began femoral artery puncture.
I go... Is this to do interventional hemostasis?
Why are you in such a hurry?
Just now in the operating field, I saw the operator's hand, while probing, move downward—did it touch a retroperitoneal hematoma? Just now, when I looked at the medical record, I saw the diagnosis of retroperitoneal hematoma.
Where are they? They're a team, only two people? How can interventional surgery be operated by one person, and closing the abdomen also be operated by one person?
Foreign hospitals are like this; any Shou Bing is done by two people. One Shou Bing costs 30,000 US dollars; if one more person shares the money, the income is less by one share. It really looks like a foreign hospital, the standard is so high, the hope of going for further training...... is so slim.
This is what emergency resuscitation is; if it were us here, we would definitely close the abdomen. Then, in the ICU, we observe the patient's blood pressure. If the blood pressure continues to drop, we then consult the Intervention Department.
Multiple specialties, impressive. I'm considering whether I should also learn interventional surgery.
The barrage is flying wildly, it has already impacted watching the Shou Bing.
Many people have closed the barrage, silently and seriously watching the same-screen dual-field surgery live broadcast.
One side, the assistant who took over the operator's Shou Bing also displayed super strong Shou Bing skill; even if merely probing for bleeding, rinsing, closing the abdomen, the technique so proficient it makes people feel dazed.
One side, the interventional surgery proceeded extremely quickly. The internal iliac artery super-selective was almost completed in the blink of an eye, and at the ends of four small blood vessels, a black contrast agent like fireworks spilled out.
Single-screen dual-field, this live broadcast, I give it full marks!
The doctors watching the surgery live broadcast almost all have this thought.
End of Chapter
