MTL - Doctor’s Life Simulator-Chapter 290 Emergency surgery on the 'mobile ICU' ambulance

, Doctor's Life Simulator

"Qin Lang, let's get started. We will cooperate with you."

Shen Xi was completely persuaded by Qin Lang. Although it was said that it was incomparable with the operating room conditions in the hospital, this time, due to Qin Lang's advance arrangement, Director Mo asked the emergency center to send out the most advanced "mobile icu". ambulance.

Compared with common ambulances, this "mobile icu" is a multi-functional emergency and critically ill ambulance that integrates fully intelligent mobile monitoring, rapid diagnosis of chest pain, first aid, trauma surgery, and disaster emergency rescue. In a mobile operating room and ICU ward.

For this brand new ambulance, Qin Lang is also a little surprised. I have to say that the Zijingang No. 1 Hospital is much better than the City No. 1 Hospital in all aspects.

This kind of ambulance is now equipped in several hospitals in Hangzhou.

Qin Lang glanced at it. In addition to the conventional first aid equipment, this ambulance was also equipped with on-board surgical shadowless lights, eomo equipment, cardiopulmonary resuscitation equipment, transport ventilator, and defibrillation monitor. Transport monitor, vehicle electric suction device, visual laryngoscope, infusion pump, bolus pump, resuscitation first aid kit and other equipment.

With the support of these devices, coupled with the top radical nephrectomy in Zhejiang Province, Qin Lang certainly has this confidence.

The doctor who followed the car cooperated with Qin Lang to give the patient combined anesthesia with endotracheal intubation, and then put the patient in the lateral decubitus position.

Generally speaking, nephrectomy is performed with an incision in the lower back. However, this patient was a bit special and had a huge tumor on the kidney, so Qin Lang still used a more appropriate combined thoracoabdominal incision.

"...scalpel..."

Qin Lang raced against time to start the operation. The first step was to take the 11th intercostal incision, which was extended forward along the 11th intercostal space to the outer edge of the rectus abdominis.

For the routine excision of the 12th rib, the 11th rib was partially excised according to the patient's condition.

Soon a dorso-lumbar-abdominal pathway outside the thoracoperitoneum was formed.

Seeing Qin Lang's smooth operation, the two doctors who followed the car were slightly surprised.

"It's amazing, I feel even more powerful than our Director Mo."

When the two doctors who followed the car were emotional, Qin Lang had already entered the next step, starting to separate the retroperitoneal folded part and the perirenal fascia.

"...gauze..."

Qin Lang's order made Shen Xi, who was one of help, stunned for a moment, not quite understanding.

"I'm going to bluntly dissect the peritoneum with gauze and free it medially to expose the aorta and inferior vena cava."

After explaining, Qin Lang threw himself into emergency rescue again. Due to the rupture of the huge tumor on the patient's kidney, there was a lot of bleeding.

The most important thing now is to stop the bleeding for the first time. After further exposure, Qin Lang has already made a judgment.

"The patient's renal tumor spontaneously ruptured and bleeds during the operation, and renal artery embolization is required..."

Qin Lang calmly began to specify the next surgery plan.

In fact, Qin Lang already knew the patient's situation through several simulations, but he understood that the procedures, especially the steps of judgment and analysis, were indispensable. After all, he was surrounded by professional doctors.

Under Qin Lang's analysis, Shen Xi and the two doctors who followed the car kept nodding their heads, full of admiration in their hearts. This doctor Qin was too powerful.

Under such circumstances, in such a state of crisis, the clarity of thinking and the calmness in dealing with things all make them admire.

This skilled operation is like predicting the patient's condition in advance.

With the perfect hemostasis technique for massive tumor bleeding, Qin Lang quickly completed the initial hemostasis. In order to hurry up, this time Qin Lang performed the operation at full speed.

So, the whole procedure of the operation is very terrifying.

"What is this for, why is the peritoneum cut open?"

A doctor with the car on the side was a little lost, and Qin Lang's calm voice came immediately:

"Because the patient's condition is more serious, I need to cut the peritoneum to facilitate free and abdominal exploration to expose the renal pedicle."

Qin Lang is in the simulation world, but he has led many research groups, and he has experienced thousands of radical nephrectomy.

This sense of senior professionalism, even Shen Xi admired, let alone the two doctors who followed the car.

"...glass filament..."

After blunt separation of the renal vein, Qin Lang started to dissociate the renal vein with glass wire after blunt separation of the adrenal vein in the upper part and the gonadal vein in the lower part, and then retracted the renal artery above and behind it.

"...surgical scissors..."

Qin Lang swiftly entered the next step, which was to free the ureter, along with the gonadal vein and surrounding fat, and cut and ligate it.

Looking at Qin Lang's operation, the two doctors who followed the car became more and more shocked and admired.

"This is a textbook-level radical nephrectomy. No wonder he dares to preside over this operation in front of Professor Shen."

The two doctors who followed the car quietly appreciated and learned. This operation is really a classic emergency operation that is hard to come by.

They are honored to be a part of it.

After a while, Qin Lang had completed most of the operations, but suddenly, the situation on the operating table suddenly changed.

Since the patient had suffered massive bleeding before, after the initial stop, another renal pedicle was torn.

"Oops!"

The three people on the sidelines were all nervous. In such a major operation, the most feared thing was the occurrence of heavy bleeding during the operation.

Shen Xi immediately handed over the blood vessel clamp.

But Qin Lang shook his head and didn't take it.

The two doctors who followed the car had the same reaction as Shen Xi. At this time, shouldn't they use vascular clamps to stop the bleeding?

"Hey, Doctor Qin, what are you doing?"

A doctor who followed the car exclaimed, and Shen Xi, who was closest to Qin Lang, also changed his expression:

"Qin Lang, who are you?"

In the midst of the thrill of the three people, Qin Lang put his finger into the bleeding place with all his attention, and directly supported it with his fingers, compressing the proximal end of the kidney pedicle.

Through the subtle control of the fingertips, UU Reading www.uukanshu.com really allowed him to control the bleeding.

"...saline gauze pads..."

Qin Lang and others pressed the saline gauze pad to the bleeding site. After stopping the bleeding, they took the hemostatic forceps from Shen Xi. To the three people who had been stunned, they explained:

"When bleeding, do not use vascular forceps to clamp indiscriminately, and do not attempt to clamp large pieces of tissue to stop bleeding. Otherwise, it is easy to accidentally injure adjacent organs, or expand the bruised blood vessel."

"Teacher, you cooperate with me to perform blood transfusion and rehydration for the patient. Two doctors, you control the patient's blood pressure and pulse."

After Qin Lang finished his instructions, and after the patient's blood pressure and pulse stabilized, he exposed the field of vision again, and the hand that controlled the bleeding point was slowly released, allowing the injured area to bleed in a controlled manner.

After everything is stable, the bleeding point can be accurately clamped by the blood vessel clamp.

"...needle pliers, silk thread..."

After the bleeding stopped, Qin Lang sutured the bleeding site at the textbook level, and then continued the operation.

"See if you understand. This is the correct step to deal with massive bleeding during tumor surgery."

All three of them benefited a lot from Qin Lang's words and deeds, especially the doctors in the emergency department.

"This Doctor Qin is too powerful."

ps: Counting the 2 shifts of the dangerous boss of the tunnel machine, there are still 12 shifts for the leader of Nangong Yi, and the author continues to make up for the codewords.