Chapter 66: It only takes a moment for something to happen
Doctor Lu took the scalpel like an expert and enlarged the wound.
"Xiao Zhou, hurry up and help me with the pinky promise!"
Doctor Lu shouted.
Zhou Can had no choice but to put down the film, take the flat hook, and pull open the wound.
It is worth mentioning that the flat hooks used for pulling wounds or tissues in different parts will be different. For example, L-shaped flat hooks are often used for breast surgery. Large abdominal hooks are used for abdominal wall. Double-headed hooks are used for appendectomy surgery.
When Zhou Can was an intern, he was often scolded for making pinky promises to Director Liu or other doctors.
Later, as I practiced hook pulling more often, I knew which hook to use for different parts of the body and how to pull, and I rarely got scolded.
A good teacher produces good students.
Director Liu’s surgical skills are very high, and Zhou Can’s hook retraction skills have been honed.
At least above the standard.
After Dr. Lu's scalpel enlarged the wound, blood gushed out even more violently.
However, he had extensive surgical experience and did not panic.
Instead, he let Zhou Can suck out the blood, then calmly continued to expand the wound and cut downwards.
This is mainly the muscle and dermis.
There are only two large blood vessels.
As long as you are careful, it usually won't break.
At this moment, the black grinding wheel fragments have appeared.
It turned out to be a metal grinding wheel.
The fragments are embedded quite deeply in the dermis and muscle layers.
"Xiao Zhou, learn this. Judging from the film taken by the patient, this fragment is triangular in shape. The big head is exposed outside, and there must be only a sharp corner left below. Just clamp the tail of the fragment and pull it out. Be quick and handsome."
Doctor Lu suppressed Zhou Can very tightly, and the operation went very smoothly, so he was already feeling very proud.
I saw him grab the fragment with pliers and pull it out with force.
The pose is very handsome.
“Shhh!”
A small column of blood spurted out directly.
This sudden change shocked Dr. Lu.
"Is the blood vessel broken?"
Doctor Fu's face changed slightly and he quickly walked over to check.
"It shouldn't be a big problem. It's possible that the fragments had already damaged a blood vessel, and after it was pulled out, a small cut was made in the blood vessel. A simple repair should be enough."
Dr. Lu pretended to be calm.
At this point, he still didn't realize the seriousness of the problem.
Zhou Can's expression had become very solemn.
He never found out what was wrong with the patient.
When I was cleaning the wound, I just had some ideas but was rudely interrupted by Dr. Lu.
It was not until this moment that we realized that the patient most likely had a coagulation disorder.
No wonder the blood does not coagulate and remains bright red after being outside the body for a period of time.
[Pathological diagnosis experience value +1. ]
The experience points were successfully credited, and it turned out to be a coagulation disorder.
Unfortunately, the diagnosis was made too late. The tragedy had already happened.
Doctor Lu enlarged the wound, which increased the bleeding.
Now that the fragments have been pulled out, the broken blood vessels have lost their suppression and started to bleed directly.
This time we are in big trouble.
What’s funny is that Dr. Lu thought it was just normal bleeding and not a big deal.
I’m afraid it will be too late to cry later.
Of course, the first person to cry must be Dr. Fu.
When something goes wrong, the first person to be held accountable is the highest-ranking doctor.
This is a bit like when an army is defeated, it is the general who is punished, not the soldiers.
"Stop the bleeding!"
Dr. Fu regretted it so much that his intestines turned green.
If I had known that Dr. Lu was so capable of causing trouble, I would never have let him perform this operation.
"I'm afraid it will be difficult to stop the bleeding."
Zhou Can had already walked to the cabinet where first aid items were stored, looking for gauze to stop the bleeding.
The patient has a coagulation disorder, so electrocoagulation to stop bleeding may be difficult to be effective.
First tie the proximal end of the thigh tightly. This is the only effective way to stop bleeding quickly.
Zhou Can’s idea was very simple: control the bleeding first, and then find a way to stop the bleeding.
Otherwise, at this rate of bleeding, it won’t be long before the patient’s life is in danger due to excessive blood loss.
"Xiao Zhou, shut up!"
Doctor Lu's expression was somewhat ferocious.
When something happens, everyone feels bad.
He just took the electrocoagulation knife and applied it to the bleeding sources.
Sizzle!
The bleeding stopped immediately.
However, soon after the bleeding stopped, it started to bleed again.
It was only then that Dr. Lu realized how bad the situation was.
Zhou Can didn't bother with this idiot and just focused on doing his own thing.
Use gauze to tie the patient's proximal thigh tightly.
The bleeding finally stopped temporarily.
"Doctor Lu, if you continue to do this, it will burn. Cleaning the wound will be a hassle then."
Zhou Can couldn't bear to watch it any longer.
Doctor Lu’s ability to stop bleeding was not very good to begin with, yet he was still doing it recklessly.
This does not stop the bleeding, but causes greater harm to the patient.
It will be a headache for whoever is going to clean up this mess by then.
"Shut up!"
Doctor Lu's eyes were red and his expression was ferocious and terrifying.
I can feel a terrible sense of hostility emanating from it.
"Doctor Zhou is right! Please stand down on the stage first."
Dr. Fu had a cold face and directly drove Dr. Lu off the operating table.
The most panicked ones are probably the patients.
"Doctor, is my leg okay? What happened?"
Although the patient was only a young man in his early twenties with little experience, he also sensed the danger from the conversations between these doctors.
Fear spread rapidly in his heart.
"Don't worry, the fragment may have ruptured your blood vessel wall a little bit. We are trying to find a solution."
After Dr. Fu calmed the patient down, he looked at Zhou Can.
When the crisis occurred just now, Zhou Can responded quickly and his handling plan was also very good.
The judgment is accurate and the hemostasis strategy is scientific and reasonable.
You can tell at first glance that he has real talent.
"Doctor Zhou, why did you think the patient's bleeding was difficult to stop?" Doctor Fu remembered that before the operation, Zhou Can had suggested postponing the operation.
As a result, he believed the nonsense of Dr. Lu, the pig, and criticized Zhou Can instead.
Now that something has happened, it’s too late to regret.
"The patient is likely to have a coagulation disorder, and conventional hemostasis methods may be difficult to work with."
Zhou Can repeated his diagnosis.
If only Dr. Fu had listened to him earlier.
Now the disaster has occurred and it is too late.
"Tell me the basis for your diagnosis!"
Dr. Fu's face turned as pale as the patient's, and layers of oily sweat appeared on his forehead.
He also had the same bad feeling.
Now Zhou Can suspected that the patient had a coagulation disorder, and his last bit of hope was gone.
"When the patient was brought in, I felt that his face was paler than normal people. Also, the blood around the patient's wound was very fresh. In theory, after the blood flows out of the body, it will soon coagulate into clots, and the color will be dark red and black. However, at the time, I only found these two points, and I was not too sure that the patient had a coagulation disorder."
Zhou Can paused and glanced at Dr. Lu, who looked panicked.
"It was not until Dr. Lu enlarged the patient's surgical incision that I realized that the patient was likely to have a coagulation disorder. He had just used electrocoagulation to stop the bleeding, but it was almost ineffective. I was basically certain that this diagnosis was correct."
When doctors perform surgery, what they fear most is that the patient has a coagulation disorder.
Because this patient had an emergency surgery, and it was a minor operation with trauma, the attending doctor may not have done a routine blood test on him.
After brief questioning and CT scan, the patient was sent directly for surgery.
The attending doctor had good intentions and wanted to perform surgery on the patient as soon as possible to relieve his pain.
Unexpectedly, something went wrong.
