Let the Shay people inform the group of arrogant and lascivious guys who play mahjong to work overtime, and Zheng Ren stuffed the rest of the meat into his mouth in two bites.

In the emergency department on the first floor, a woman stood in the emergency room at a loss, covered in blood and panicked.

Zheng Ren quickly came to the emergency department again, glanced at the patient on the bed, and a reddish diagnosis appeared in the system panel in the upper right corner of the field of vision - a ruptured spleen and hemorrhagic shock.

"The patient, a 45-year-old male, was stabbed in the left upper abdomen an hour ago and presented to our hospital with a blood pressure of 80/60 mm Hg. The on-duty doctor of the emergency surgery department reported the medical history: "The emergency B ultrasound report showed that there was an effusion in the spleen fossa, with a depth diameter of 3.5 cm, and no effusion in the chest cavity. ”

Because the spleen is below the left diaphragm, when you are traumatized, it is necessary to determine whether there is a combined thoracoabdominal injury.

Once a pneumothorax is present, the patient is sent to the operating table and blown by the ventilator...... That's going to die.

Although the system did not give a diagnosis of lung stab wound or traumatic pneumothorax, Zheng Ren still listened with a stethoscope very cautiously. Breath sounds are clear in both lungs, and no dry and wet rales are heard.

Trauma should be simple.

"What about the family?" asked Zheng Ren.

"That's it. The surgeon on duty secretly pointed to the woman who was stunned in the emergency room, "It is said that the two quarreled, and she stabbed her directly." ”

“……”

So strong?

However, Zheng Renke did not have the habit of fighting a housework lawsuit, called his family, took the patient to do a combined CT of the chest and abdomen, and found out that there was indeed no pneumothorax, and then came to the emergency operating room.

Su Yun was already waiting at the door of the operating room, and one of the Chu family sisters pushed the patient in, and Zheng Ren went to change clothes.

The patient is in good condition, the injury is not very serious, which can be seen from the blood pressure.

Maybe there is no need to have a splenectomy, Zheng Ren has a basic assessment of the condition in his heart.

Change your clothes, brush your hands, and put on a surgical gown.

After the anesthesia of the Chu family sisters ended, Su Yun had already done the preliminary work, disinfecting, laying out the surgical sheet, and everyone was waiting for Zheng Ren to come to the stage under the shadowless lamp.

There is really a feeling of a professor, but Zheng Ren still doesn't adapt to this situation. When he was in the first department of general surgery, Su Yun's work was all done by himself, and sometimes he couldn't even go up to the operating table, so he was pushed down after laying the list.

After pondering the patient's condition all the way, Zheng Ren already had a belly case.

Reaching out, the handle of the scalpel was slapped into his hand.

Instead of choosing a small incision, Jeong-in took an incision up to 20 cm long along the left side below the costal margin.

In the apricot grove garden, the live broadcast began.

[The great god hasn't started a live broadcast for a long time. 】

[What is it this time? Huh? It's a rare ruptured spleen. 】

[It doesn't seem to be difficult, it's just a simple ruptured spleen, and the blood pressure is not very low, so you can cut it off, and the patient can be discharged after 1 week.] 】

According to the habit of peeling before looking in the apricot grove garden, the doctors who entered first chatted miscellaneously.

For surgeons, there is really nothing difficult about simple excision.

It's always easier to destroy than to build.

[It's such a big opening, it's really spacious, I judge that it's not the same person as the previous surgeon.] 】

[Who knows, there are similarities in the viewing techniques. 】

[It's all fast, isn't it? It's just a spleen removal, even if you want to, it's not slow. 】

In the live broadcast, the moment the peritoneum was opened, the suction device with a condom was inserted. Thick, dark red blood gushed out.

Soon, the blood near the incision is absorbed, the suction device is further entered, and the surgeon begins to open the peritoneum for peritoneal protection.

[The operation with an assistant is so easy to watch.] 】

[Inevitably, otherwise how could there be a saying that surgery is not done alone. 】

[You go and see the other surgeries of the broadcaster, many of which were successfully completed by one person. Adding one more person can shorten the operation time by just a few minutes. 】

The doctors who watched the live broadcast had inexplicable confidence in the surgeons, and this confidence was built up by dozens or hundreds of surgeries before.

After peritoneal protection, it enters the abdominal cavity.

Su Yun took the suction device and sucked the remaining blood in his abdominal cavity clean. At the same time, Zheng Ren quickly checked his spleen and saw that there was a knife cut of about 2cm on the top of the spleen, and blood was gushing out.

Compressed with gauze to minimize a little blood, Zheng Ren quickly examined the liver, pancreas, stomach, retroperitoneal blood vessels, nearby intestines, duodenum and other organs.

Fortunately, it was only a simple splenic rupture, which was the same as the systematic diagnosis.

Because of the rupture of the spleen and heavy bleeding, the spleen shrinks and there is no adhesion to the surrounding tissues. Zheng Ren lifted his spleen out of the incision and carefully handed it to Su Yun.

[Wow, what is the surgeon going to do? Is it spleen repair?]

[It should be, this patient is very suitable for spleen repair. 】

[Except for the broken spleen, we have all done repairs. Splenectomy is not at all difficult. 】

[Can you die if you don't blow it?] Spleen repair, if you are not careful, there is a great possibility of going to power again. 】

As to whether the ruptured spleen should be repaired or violently resected, many doctors who are watching the video have their own judgments.

Hospitals or doctors with weak skills rarely dare to do repairs.

Just like the patient who bleed after Zheng Ren's nephrectomy a few days ago, the spleen is also at such a risk.

Both the spleen and the kidneys are brittle, and when they are sutured with needles and threads, the wound cannot be sewn if it is light. If it is severe, it will tear all at once, causing secondary damage during surgery.

After Zheng Ren handed over his spleen to Su Yun, he began to fill the spleen bed with a large gauze pad.

The whole process seemed to be quick, but it was very careful, and there were no collateral injuries caused by violent manipulation.

While Zheng Ren was filling the spleen bed, Su Yun had already explored the direction and depth of the spleen fissure.

The wound is located at the superior pole of the spleen and is about 3 cm deep.

After Zheng Ren filled the spleen bed, he stretched out his hand and took the needle with thread.

Medium needle, standard 3# suture needle.

Thin sutures, absorbable sutures of 1-0.

Su Yun fixed his spleen, and Zheng Ren began to do mattress sutures.

[uh...... Why is it so fast? Aren't the surgeons afraid of tearing?]

[It should be the reason that I have a lot of money, and I can't slow down if I don't think about it. 】

[I'm so scared to watch, I sewed my spleen once, and it was torn with a lot of force. 】

This operation is not routine, and some surgeons in lower-level hospitals have never done a spleen repair once in their lives. Generally, if the spleen is ruptured, it can be cut off directly, which saves the risk of secondary surgery after surgery.

After the sutures, Zheng Ren slapped the needle holder to the side of the patient's leg, and Shay Ren then picked it up and put it on the instrument table, wiping the blood stains on the needle holder while aiming at Zheng Ren's movements.

When the knot was finished, Shay slapped the scissors on Zheng Ren's outstretched hand.

Cut, wiring, to warm salt water ready for rinsing.

Step by step, no slow, no illness.