"So much blood. ”

As the patient's abdominal cavity was opened, Qian Xiaolin couldn't help but be taken aback: "This bleeding is too much, right?"

"It's almost 1000CC. Li Junxian cautiously interjected.

In this operation, Li Junxian is only three assistants, and it is completely the existence of soy sauce, but Li Junxian is still a little nervous.

With so much blood, Li Junxian is the first time to see it, but it is an opportunity to have surgery, and Li Junxian is very good at showing himself.

"Almost. Qian Xiaolin nodded: "Suction, gauze filling." ”

"There was so much bleeding that there should be more than one bleeding spot. ”

Fang Han looked at the situation, his face was solemn, the patient's condition was not stable, such a large amount of bleeding was very dangerous.

Sometimes surgery does not mean that you will be able to succeed in surgery with a high level of surgery, especially this kind of emergency surgery, the situation is not very clear, there are various conditions, and the patient's condition is unstable, and it is not uncommon for half of the surgery to be unbearable.

"Well, it's possible that it's bleeding from the arteries. Qian Xiaolin nodded.

"Stop the bleeding first, speed up the suction, expose the surgical field as soon as possible, and add the blood recovery machine. Fang Han commanded.

"Doctor Fang, there is a lot of bleeding. The doctor of the second assistant said a word.

"Director Qian, you stare at the point, I'll stop the bleeding first. ”

As he spoke, Fang Han took off his gloves and reached into the patient's abdominal cavity, which startled Qian Xiaolin at the moment.

Xian Fen, who was standing outside the observation line, was also taken aback.

"Director Qian, Dr. Fang's bare hands to stop bleeding are very powerful. Li Junxian was not surprised.

As the saying goes, if you want to do a good job, you must first sharpen your tools, and if you want to follow Fang Han, Li Junxian naturally has to be prepared in all aspects, and when he went back last night, he asked for Fang Han's surgery video in Shanghai Hospital.

Some surgery videos can't be seen by outsiders, but insiders are still very easy to do, and the surgery in Shanghai Hospital is an observation operation, which is not difficult to find.

After finding it, Li Junxian studied it, and he found that Fang Han's hemostasis was no worse than the level of liver resection.

"The bleeding has increased. ”

As Fang Han's hand reached in to investigate, the amount of bleeding suddenly increased.

"Found it, right hepatic artery bleeding ......"

As Fang Han spoke, the amount of bleeding began to decrease, the bleeding point was pressed by the organs just now, although it was arterial bleeding, the amount of bleeding just now was actually not much, otherwise the arterial bleeding, the patient might not have time to go to the operating table.

"Speed up suction. ”

"The amount of bleeding has decreased, but there is still a small amount of bleeding. ”

"It looks like there's more than one bleeding spot. ”

While pressing to stop the bleeding, Fang Han judged: "But my side should be the biggest bleeding point, hold needle forceps, sutures." ”

"Xiaofang, are you going to stitch it up?" Qian Xiaolin was a little surprised.

"It's not a good location, I'll do it. ”

The nurse hurriedly threaded the needle forceps and handed it to Fang Han, Fang Han pinched the patient's liver with one hand to stop the bleeding, sutured it with the other, and even tilted it in a weird posture, and the people on the side were instantly stunned.

"Xiao Fang's level of suture is so high?"

After glancing at Qian Xiaolin's mood twice, Fang Han's level of stitching was absolutely first-class, even he couldn't compare.

Fang Han used through-suture, high-grade suture, and the speed was very fast.

After the stitches were completed, Fang Han straightened up and put the hemostats into the plate held by the nurse.

"Director Qian, look for it again, there should be a bleeding point, I'll wash my hands first. ”

As he spoke, Fang Han left the operating table to wash his hands, while Qian Xiaolin continued to look for bleeding spots.

As Fang Han sutured up the largest bleeding point, the amount of bleeding had been significantly reduced, and at this time, Shu Ye was also a lot clearer, Qian Xiaolin quickly found another bleeding point, Fang Han washed his hands, and Qian Xiaolin had already dealt with it.

Fang Han put on his gloves again and went to the operating table, tilted his head sideways to look at the situation, and at the same time reached out and pulled the patient's liver.

"The main thing is the rupture of the right hepatic artery, and the organ damage is not great. ”

"Doctor Fang, do you mean that the operation is over?" asked Li Junxian.

"How is the patient's condition now?" Fang Han did not answer Li Junxian, but asked about anesthesia.

"Blood pressure is starting to come back up, and signs are stabilizing temporarily. ”

"Stitch it up, it's better than expected. Fang Han glanced at Qian Xiaolin.

Li Junxian swallowed his saliva, is this better?

Just now, the abdominal cavity was opened, and the patient's organs seemed to be soaked in blood, which was scary to look at.

And the bleeding just now is very serious, if you can't find the bleeding point as soon as possible to stop the bleeding, whether the patient can hold on is a matter of two things.

There is no damage to the organs, and the operation is over.

"Has Doctor Li ever closed his abdomen?" Fang Han looked at Li Junxian.

"Nope. Lee Jun-hyun was a little nervous.

"I'll teach you, come, change positions. Fang Han said.

"Thank you, Dr. Fang. Li Junxian was excited at the moment, close his abdomen, although it was only the finishing work in the operation, but this was also a lot of progress for Li Junxian.

"Xiao Li, you are lucky, study hard. ”

Qian Xiaolin smiled and gave Li Junxian a position, except for the main knife, Yisuke's position is the best.

"Director Qian, I will work hard and learn hard from Doctor Fang. Li Junxian hurriedly said, his voice trembling a little.

If he learns to close his abdomen, he will have an advantage over other doctors in the emergency department in the future, and he will have more opportunities to operate in the future.

"There is basically not much difference between the abdominal sutures, but it depends on the situation...... The first step is to close the aponeurosis. ”

As he spoke, Fang Han motioned for the nurse to hand the needle forceps to Li Junxian.

Li Junxian has had some general surgeries and sutures before, and he is not a pure newcomer, so Fang Han stood on the side and pointed out.

"Whew. ”

Lee Jun-hyun took a deep breath and tried to calm himself down before he began to stitch up.

"As a surgeon, whether it is wound debridement or surgical incision, the principle is to require the original tissue to be in place, no dead space, the same tissue alignment, no adhesion of different tissues, and no change in appearance after healing. ”

"Hmm. Li Junxian nodded.

He still has a foundation, but he doesn't have the experience of closing his abdomen, and now Fang Han is pointing out on the side and telling him the key points, he can still operate.

All surgical operations are born once, cooked twice, the most basic as long as mastered, the complex is actually made up of the combination of the basic.

As long as the foundation suture is solid, there is no problem with closing the abdomen.

The doctor who originally served as the second assistant stood on the side, his eyes were full of envy, Li Junxian, this kid is really lucky, he can let Fang Han teach him by hand.

He didn't have this treatment at all when he used to learn to close the abdomen, the chief knife gave him a chance, try it out, can do it to continue, can't do substitutions, where will he tell you how to do it?

Although surgeons are all from raw to mature, they need to constantly practice, but I don't know how many people are stuck in a simple hands-on link.

Before many doctors get started, they first practice the basics in the practice room, then debridement and suture in the disposal room, study the operation video in private, and simulate the surgical scene in their minds.

One minute on stage, ten years off stage, and the same goes for surgeons.

To meet a senior doctor who is willing to patiently teach him, for a new doctor, it is really a matter of accumulating virtue in his previous life, but he cannot ask for it.

Just as Ren Haiqiang, director of the medical education department, said when Fang Han and others entered the Jiang Intermediate Hospital, the hospital lacked people, but what was lacking was talent.

Senior doctors are also willing to train new people, but what can be cultivated is also talents, you can only show the value worth cultivating, in order to let people cultivate, what is the value, a point will be understood, a word will be.

This talent is not for everyone.

Li Junxian is a popular doctor in the emergency department of Yenching Hospital, and the public may praise him, to be precise, mediocre.

One abdomen, Li Junxian closed for ten minutes, there were already dense beads of sweat on his forehead, Fang Han reminded the nurse to wipe Li Junxian's sweat: "Don't be nervous, relax your mood." ”

"Hmm. ”

Li Junxian was silent, while recalling what he had learned and watched before, he combined with Fang Han's guidance to operate slowly, not fast, but very stable, and nothing went wrong.

"Whew!"

It took fifteen minutes of stitching before Li Junxian finished closing his abdomen.

"Not bad. Take it easy. Fang Han praised it, and then said: "Send the patient to the ICU and pay attention to the situation at any time." ”

Li Junxian stepped off the operating table, and then relaxed, while recalling the details of the stitching just now in his mind.

"Ding......

"Fang Han. ”

Seeing Fang Han get off the operating table, Xian Fen stepped forward with a smile: "Your bare hands to stop the bleeding just now are simply amazing, it is definitely the top level." ”

"Brother Xian, don't praise me, I'll be proud. Fang Han smiled slightly.

As he was talking, suddenly the system's prompt sound sounded in Fang Han's mind.

"Congratulations to the host, Li Junxian has reached the primary level of stitching with the help of the host, and the host will be rewarded with a random lottery. ”

Fang Han was subconsciously stunned.

Lee Jun Hyun's stitching has reached the elementary level?

The gold content of the primary level recognized by the system is still quite high, just like when Fang Han learned joint replacement, he can already operate independently under the guidance of Liang Qunfeng, and the experience value is still stuck before 50,000 points.

Li Junxian's previous level should be more than 45,000, close to 50,000, and if you have a closed stomach, this will reach the primary level?

"Thank you, Dr. Fang. Li Junxian walked to Fang Han's side and thanked him sincerely.

Dr. Lee was polite. ”

Fang Han said with a smile: "Doctor Li did a good job just now, the basic points have been mastered, relax a little more, and slowly get acquainted." ”

With one more random draw, Fang Han's mood was also quite good.

Speaking of which, Li Junxian can be regarded as grateful, and he has a hand on his side. Li Junxian gave Fang Han a random lottery with his backhand, and Fang Han actually earned it.

"Hmm. ”

Li Junxian nodded, today he finally raised his eyebrows for a while.

Counting Fang Han, he will be in the emergency department for three months, and he will definitely not only have an operation like today in these three months......

: The third watch has been delivered, continue to ask for tickets!