At this time, the atmosphere in the operating room was once depressed!

Ji Qu, director of the emergency department, and Yang Zhiming, director of the hepatobiliary surgery department, and Qi Xiao, director of the general surgery department, gathered in the operating room, staring at the condition in the abdomen meticulously, and did not dare to be careless at all!

At this moment, Chen Xiuyuan realized how hasty his behavior just now...

I thought about my caesarean section just now, and after a while, I was afraid that cold sweat oozed out and the clothes inside were already wet.

If my movements were a little bigger just now, the situation might be out of control now...

However, the abdomen had already been opened. Although you could see a sharp wooden fork piercing into the abdomen, everyone did not dare to move rashly.

Even the breathing sounds in the operating room began to become noisy.

Ji Qu, director of the emergency department, frowned. Through the projection of the shadowless lamp, he could clearly see sharp wood piercing into the intestines. Although the fecal-like secretions did not spread out at this time, it was entirely because the sharp wood pierced into it blocked the intestinal wounds!

Intraperitoneal exploration should still be continued, and the pace of surgery should not be stopped because of this.

Ji Qu said in a deep voice: "No bile-like liquid was found in his abdomen!"

“The major blood vessel injury was not found.”

"The liver has obvious penetration of wounds and the bleeding is not very obvious."

...

The investigation was carried out step by step, and carefully. At this time, Yang Ziming, director of the Department of Hepatobiliary Surgery, suddenly said: "I'm planning, don't move!"

Ji Qu was stunned by one sentence, and even Qi Xiao, the director of general surgery, looked at Yang Ziming.

Yang Ziming swallowed: "There are broken branches in the common hepatic artery, and there are obvious wounds piercing in the near hepatic veins. Now you move around easily causing heavy bleeding!"

In one sentence, Ji Qu couldn't help but stop the operation in his hand.

After a while, Ji Qu couldn't help asking, "Just stop bleeding, right? If you don't deal with it now, when the intestines are completely ruptured and the feces spread, the infection in the entire abdominal cavity cannot be controlled."

Indeed, the principle is that after all, feces have strong infectiousness. At this time, foreign objects have entered the abdominal cavity. If the intestinal content leaks, abdominal infection will be very troublesome!

Generally speaking, internal organ damage is not something that cannot be saved. Just follow the principle of "stop bleeding first, then repair it".

Yang Ziming said sternly: "If you are infected, you can fight the infection, but the near-hepatic vein will be broken, and no one can save him here!"

The sound was not loud, but it was like thunder in everyone's ears!

The damage to the near-hepatic vein is not a vein, but refers to the damage caused by the main hepatic vein and the inferior vena cava after the hepatic.

Due to the special anatomical location in the posterior liver area and the difficulty in processing, near-hepatic venous injuries are still one of the most difficult problems in the field of liver surgery.

Yang Ziming was not shocking, but took a deep breath and said with a serious expression: "Let me say that, the average mortality rate of near-hepatic vein injury is as high as 83%, and the mortality rate in the operating room, do you understand?"

Ji Qu was stunned. He could understand that the mortality rate of 80% was very high, but... the mortality rate in this operating room made him a little stunned!

After all, it is a highly professional case, and even Ji Qu is the director of emergency surgery, he doesn't know much about it.

"Can't you...can't do it?"

Yang Ziming blushed and laughed at himself: "Stop talking about me, there are no more than three people in Dongyang Energy, and... this is just something that can be done, not necessarily what to do."

"I'm not kidding. Near-hepatic vein damage can cause fatal bleeding. These large veins have thin walls and some are surrounded by liver tissue, so... surgery and repair are difficult!

And the most important thing is that its anatomical position is behind the liver and it is not easy to reveal. If the surgery is performed under direct vision, it will cause more severe bleeding and there is a risk of gas thrombosis;

And... if you stop bleeding blindly, it can aggravate the damage!"

Yang Ziming finished speaking in one breath, sighed, and said slowly: "Do you think it's dangerous?"

One sentence made everyone silent!

I never dare to investigate anymore.

Yang Ziming glanced at Chen Xiuyuan and asked, "Do you have the critically ill notice?"

Chen Xiuyuan nodded: "I signed it!"

Yang Ziming said: "The condition has changed. Go and sign another one. Also, the condition notification letter will tell the patient the risk..."

"By the way, you go in person."

The critical illness notice is not only signed once, but if other new and more dangerous diseases are found, you must sign and inform us!

Chen Xiuyuan quickly took off his gloves, picked up his medical record, tore two signature books outside, and after writing a few sentences, he hurriedly walked outside!

At this time, Chen Cang and his group sat at the door of the operating room, constantly comforting Lao He's wife. The notice just now really scared the woman.

Chen Cang then comforted: "Aunt, any risky surgery in the hospital will ask you to sign a consent form. You should know that the surgery itself is risky. This is the process. Don't worry, it's okay!"

But no matter how Chen Cang comforted her, she still couldn't help but tremble in fear.

At this time, the door of the operating room opened again, and Chen Xiuyuan hurriedly walked out and said to Lao He's wife: "Hello, the patient's condition has changed. I found that there was a fork of wood in the vicinity of the hepatic vein. The patient's condition is very dangerous now and you need your signature."

One sentence made her who was already trembling and trembling in an instant. One sentence was very dangerous and defeated the woman's psychological defense.

A few days later, my son and daughter had just started a family. Finally, this happened when the good days started.

The woman was at a loss for a moment.

Chen Xiuyuan was helpless and looked at the woman and persuaded her again.

Chen Cang was stunned and asked, "Can the hospital perform this operation?"

Chen Xiuyuan then remembered Chen Cang, who was suspected of doctor, and shook his head: "We may not guarantee it, but...if you are worried..."

At this time, Yang Ziming walked out in person and said to Lao He's wife: "That's right. The patient's current situation is very dangerous. Although it can still be guaranteed to be safe now, accidents may occur at any time. Our hospital does not have the ability to operate this way."

"If you transfer to the hospital, I am worried that the patient's condition may not be tolerated, and accidents may occur in the car, so it is best to invite experts from outside."

Lao He's wife took a deep breath and made herself want to calm down: "Doctor, you must save our Lao He, I... I, a farmer, do you know any experts?"
Chapter completed!