When a doctor opened a plug-in

In the operating room at this time, the atmosphere was once depressed!

Ji Qu, director of the emergency department, Yang Zhiming, director of hepatobiliary surgery, and Qi Xiao, director of general surgery, gathered in the operating room, staring meticulously at the situation in the abdominal cavity, not daring to be careless!

At this moment, Shen Xiuyuan realized how hasty his behavior was just now...

Thinking back carefully about my own caesarean section, I was afraid after a while, cold sweat oozes, and the clothes inside have been soaked.

If I acted a little bit more recently, the situation may be out of control now...

However, the abdomen had been opened, and although the sharp wooden fork could be seen piercing the abdominal cavity, everyone did not dare to move rashly.

Even the breathing in the operating room started to become noisy.

The director of the emergency department, Ji Qu, frowned. Through the projection of the shadowless lamp, he could clearly see the sharp wood piercing the intestines. Although the fecal secretion did not spread out at this time, it was entirely because the sharp wood pierced the intestines. The wound is blocked!

Intra-abdominal exploration should continue, and the pace of surgery cannot be stopped because of this.

Ji Qu said in a deep voice: "No bile-like fluid was found in the abdomen!"

"Great vessel damage was not found."

"The liver has obvious penetrating wounds and bleeding is not obvious."

...

The exploration was carried out step by step and cautiously, and at this moment, Yang Ziming, the director of hepatobiliary surgery, suddenly said: "Don't move the old plan!"

Ji Qu was stunned by one sentence, and even Qi Xiao, the director of general surgery, looked at Yang Ziming.

Yang Ziming swallowed: "There are broken branches in the common hepatic artery, and there are obvious puncture wounds in the proximal hepatic vein. Now you can easily cause heavy bleeding!"

In a word, Ji Qu couldn't help but stop his operation.

After a while, Ji Qu couldn't help but ask: "Bleeding can stop bleeding, right? Don't deal with it now. When the intestines are completely ruptured and the stool spreads, there is no way to control the entire intra-abdominal infection."

Indeed, this is the truth. After all, feces are very infectious. At this time, foreign bodies have entered the abdominal cavity. If the contents of the intestines leak out, abdominal infection is very troublesome!

Generally speaking, visceral damage is not impossible to save, just follow the principle of "stop bleeding first, then repair".

Yang Ziming said sternly: "If it is infected, it can fight infection, but the proximal hepatic vein is about to break. No one here can save him!"

The sound is not loud, but it sounds like thunder in everyone's ears!

The injury of the proximal hepatic vein is not a vein, but refers to the injury of the main hepatic vein and the posterior inferior vena cava.

Due to the special anatomical parts of the posterior hepatic area, it is difficult to deal with, so far the proximal hepatic vein injury is still one of the most difficult problems in the field of liver surgery.

Yang Ziming was not shocking, but took a deep breath, and said solemnly: "Let's put it this way, the average fatality rate of proximal hepatic vein injury is as high as 83%, and it is the mortality rate in the operating room, do you understand?"

Ji Qu froze for a moment. He could understand that the 80% mortality rate was very high, but... the mortality rate in the operating room gave him a bit of a daze!

After all, it is a highly specialized case, even if Ji Qu is the director of emergency surgery, he does not know it well.

"Can't you...can't do it?"

Yang Ziming blushed and laughed at himself: "Don't talk about me, the whole Dongyang can do no more than three people, and...this is just what you can do, not necessarily."

"I'm not kidding. Injuries to the proximal hepatic veins can cause fatal bleeding. These large veins have thin walls and some parts of them are surrounded by liver tissue. So... surgery and repair are very difficult!

And the most important thing is that its anatomical position is behind the liver, which is not easy to reveal. If the operation is performed under direct vision, it will cause more severe bleeding and risk of air embolism;

And... if you stop bleeding blindly, you can aggravate the damage!"

Yang Ziming finished speaking in one breath, sighed, and slowly said, "You said it's not dangerous?"

A word silenced everyone!

Never dared to probe down again.

Yang Ziming glanced at Shen Xiuyuan and asked, "Have you bookmarked the critical illness notification?"

Shen Xiuyuan nodded: "Signed!"

Yang Ziming said: "If the condition has changed, go to sign another one, and also, the condition notice, tell the patient the risk..."

"By the way, you go personally."

The critical illness notice is not only signed once, but if other new and more dangerous diseases are discovered, you must sign and inform!

Shen Xiuyuan quickly took off his gloves, picked up the medical record, and tore two signature books outside. After writing a few sentences, he hurriedly walked outside!

At this time, Chen Cang and his party were sitting at the door of the operating room, constantly comforting Lao He's wife. A notice of critical illness just now really scared the woman.

Chen Cang soothed: "Auntie, you will be asked to sign a consent form for any risky surgery in the hospital. You must know that the surgery itself is risky. This is the process. Don't worry, it's okay!"

But no matter how Chen Cang calmed her down, she couldn't help trembling with fright.

At this time, the door of the operating room opened again, and Shen Xiuyuan hurriedly walked out and said to Lao He’s wife: “Hello, the patient’s condition has changed, and he found that the proximal hepatic vein was pierced by a wooden bifurcation. The situation is very dangerous and requires your signature."

In a word, she was instantly lost in fear and trembling. The sentence was very dangerous and broke the woman's psychological defense.

It was only a few days after the good day that my son and daughter had just gotten married, and this happened when the good days began.

The woman was at a loss for a moment.

And Shen Xiuyuan helplessly, looking at the woman, again persuaded.

Chen Cang was taken aback and asked, "Can the hospital perform this operation?"

Only then did Shen Xiuyuan think of Chen Cang, who was a suspected doctor, and shook his head: "We may not guarantee it, but... if you don't worry..."

At this time, Yang Ziming walked out in person and said to Lao He’s wife: “That’s right. The patient’s current condition is very dangerous. Although safety can be guaranteed now, accidents may happen at any time. Our hospital does not have this. Kind of surgical ability."

"If I am transferred to the hospital, I am worried that the patient's condition may not be able to tolerate it, and accidents may occur in the car, so it is best to invite an outside expert."

Lao He's wife took a deep breath and wanted to calm down: "Doctor, you must save our family, Lao He, I... where do I know any expert as a farmer."

Yang Ziming sighed: "Our hospital has always been in contact with the Department of Hepatobiliary Surgery in the Second Hospital of Dongda University in Nongyang. We can invite the other party to perform the operation, but... you may need to pay the expert fee because of this situation..."