"Doctor Ling!"
"Doctor Ling …"
The men and women in the operating theater greeted Ling Ran seriously when they saw him.
Ling Ran gave a socially acceptable smile and asked, "What's the situation?"
"Sharp instrument injury, massive blood loss, palpitations, shortness of breath, Beck's triad …" Yu Yuan quickly reported the situation. She was also the fastest learner in Ling Ran's treatment group. While the other doctors were still learning about the Department of Hepatobiliary and Pancreatic Surgery, Yu Yuan had already started self-learning about the Department of Cardiovascular Surgery.
Ling Ran listened while he made preoperative preparations. Cardiac trauma repair was not difficult, and the main factor in whether the patient could survive was the time before he was admitted to the hospital. The biggest test was how to get the patient into the hospital in the fastest possible state.
However, this also required the success rate of the hospital and doctors to be high enough so that they could save every patient with cardiac trauma that was admitted to the hospital.
And for this person, it was a critical moment. The so-called Beck's triad was low blood pressure, carotid artery dilation, and distant heart sounds. They were the main symptoms of acute cardiac tamponade. In clinical practice, there was basically no need to perform other tests on such patients.
It was not that other tests were useless, but the tests were time-consuming, and the patient's life had already started counting down.
"Thoracotomy." Ling Ran did not waste any time and directly used a central incision.
The assistants had nothing to say. They obediently cooperated with Ling Ran, and they were a little worried.
Compared to hepatectomy or the Hand Surgery Department, Ling Ran had yet to establish his reputation in the Department of Cardiovascular Surgery, and he did not have any glorious battle examples to support him. Naturally, it made people think too much.
The endotherm knife cut the soft tissue in the middle of the anterior sternum.
"Thyroid retractor.
"Curved forceps.
"Sternum saw. Test. "
Ling Ran used one instrument in less than twenty seconds, and he had to change to another one. The nurses from the Department of Surgery beside him cooperated perfectly. The standard thoracotomy procedure was not difficult for experienced nurses who often participated in surgeries.
Wang Jia lowered her posture and helped the nurses from the Department of Surgery. If she were to participate in a hepatectomy, she could pass instruments to the attending physician with her eyes closed. But when it came to the Department of Cardiovascular Surgery, it was inevitable that she would have to learn again.
"Stop ventilation." Ling Ran turned on the sternum saw to see if it was working. He held the sternum saw with one hand as if he was holding a pistol with a thick handle.
Huo Congjun, who was in the visitation room, also temporarily stopped the ventilation.
The surgery in front of him was indeed a little too nervous for him. After all, it was a heart surgery, and it was different from other internal organs. If he made a mistake, there was still a chance to remedy it.
If something went wrong during a cardiac surgery, there were many times when the surgeon would not even have the chance to save the patient.
Huo Congjun turned around and glanced at Department Director Kang. A smile appeared on his face again. "Old Kang, you seem to be in good health. Do you have any tips on maintaining your health?"
"I just turned 50 this year." Department Director Kang's face was dark and red, like a pig about to be slaughtered throwing a tantrum.
Huo Congjun was not afraid of Department Director Kang raising the price. He still smiled like a good old man. "Old Kang, when you first came to the hospital, you were known to be young and promising. I still remember this. Sigh, in the blink of an eye, you're already fifty years old …"
Department Director Kang snorted a few times. He did not approve of Huo Congjun's attempt to get close to him. From his point of view, Huo Congjun's attempt to get close to him now was just like how a person would feed a pig until it was full before selling it. Huo Congjun's goal was to make the pig eat its fill, and it was not because he loved and missed the pig.
However, what Huo Congjun said still made Department Director Kang a little happy.
Being young and promising was indeed Department Director Kang's label in the past. After all, he was a doctor who performed cardiovascular surgeries. Twenty years ago, when Department Director Kang was still a member of the Department of Cardiothoracic Surgery, he also amazed countless people when he performed cardiovascular surgeries. During that era, cardiac surgeries using extracorporeal circulation were major surgeries that required the entire hospital to mobilize. In an environment where there was no professional ICU, the head nurse of the Department of Surgery would even specially arrange a group of young nurses to serve Department Director Kang's patients.
Later … it was because Department Director Kang was not good at management, and he could not develop the Department of Cardiothoracic Surgery well. Otherwise, he might have been able to build a cardiovascular surgery center by now, and he would be as proud as Huo Congjun.
No matter what, when he recalled those passionate years, Department Director Kang's mood naturally became excited. His expression when he looked at Huo Congjun also became slightly gentler. He thought, 'If Huo Congjun's attitude is still as good as before, it is not impossible for me to go on stage to help if something goes wrong with Ling Ran's surgery. Hmm, what should I ask for then? Would it be too much to ask for a color doppler ultrasound? '
Department Director Kang thought about it in his heart, and there was a faint smile on his face.
When Huo Congjun saw that, he knew that his foreshadowing worked. He slapped his thigh. "Oh, by the way, my family made me some yogurt a few days ago. They said that yogurt is good for the stomach, and it tastes quite good. Hey, you, go to the fridge and get it for me."
The resident doctor who was closest to the door trembled, as if he had suddenly received a new name. He ran out of the visitation room excitedly, then came back with the yogurt while panting. He passed it to Department Director Kang and Huo Congjun, smiled, and said, "It's still cold."
"It'll taste better if you mix it." Huo Congjun took the yogurt and said, "Hey, don't I still have a nut bun and a dried fruit bun in my fridge? Go and get it for me. "
"Yes." This time, it was the turn of the other resident doctor who was by the door to use the name "Hey".
"Let's wait for a while." Huo Congjun smiled and looked downstairs.
Department Director Kang held the cold yogurt in his hand, and he could already feel Department Director Huo's strong attitude. He could not help but calm down. He looked at Ling Ran's operation and said, "The sternum has been sawed open, and the bleeding control of the cross-section is done quite well. As expected of a doctor who often performs hepatectomy. The position of the incision looks quite good, but it's a little big from the angle of the sternum to the xiphoid process. "
"The incision is a little big?" Huo Congjun asked even though he already knew the answer. He just wanted to let Department Director Kang speak and feel good.
Department Director Kang took the bait and said, "Doctor Ling's incision is a textbook incision. The advantage is that it's fully exposed, and everything inside can be seen clearly. However, we usually don't make incisions like this anymore. The patient is also a person of society. After the surgery, they still hope that it will look good. So, usually, for aesthetic reasons, we will make a shorter incision and take a lower incision. "
"It's a little less exposed, but when we consider all aspects, it's an advantage," Huo Congjun added on behalf of Department Director Kang.
"Yes, yes, yes, that's what I mean." Department Director Kang felt extremely comfortable being flattered. He only felt that Huo Congjun was a little more pleasing to the eye now.
As a department director of a small department, it had been some time since Department Director Kang received sincere treatment and respect from a department director of a big department like Huo Congjun.
Department Director Kang picked up the yogurt and sniffed it. His eyes narrowed slightly.
"Pay attention to blood replenishment." Ling Ran's voice came from below again. When they looked down from the visitation room, they could see that the doctors and nurses were tensed up.
If they were in someone else's operating theater, when they were in a tensed state, all the staff would shut up and perform the surgery in silence. If they were more emotional, there would be a chief surgeon who would curse and scold them while pointing at the mulberry tree.
But in Ling Ran's operating theater, when all the staff were so focused that no one even peeked at Ling Ran, it meant that they were tensed up.
Ling Ran's finger gently pressed on the wound in the patient's heart. The surging blood flow immediately became thinner and slower, just like how a river became a stream that absorbed water, and how a person who peed became a bird.
"Thread." Ling Ran extended his hand, and when he pulled it back, he had already pierced through the heart.
One stitch.
Two stitches.
"Okay, I'm done." Ling Ran sutured the small wound in the heart with a total of two stitches.
The repair of cardiac trauma was usually faced with such small wounds. The probability of a patient with a large wound reaching the hospital alive was too low.
Everyone in the operating theater and visitation room breathed a sigh of relief.
* Bang. *
The second generation "who" pushed open the door of the visitation room and brought a whole basket of dried fruits, nuts, and preserved fruits.
Huo Congjun looked at the people downstairs who were finishing up the surgery, then looked at the basket. He picked up a quarter of a walnut regretfully and put it into the yogurt in Department Director Kang's hands. He said, "Eat it."
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