Xia Xingran demonstrated to the doctors in the operating room while pumping: "The needle should be inserted along the upper edge of the ribs to avoid damage to the intercostal nerves and intercostal blood vessels. In addition, during puncture, the first puncture volume should not exceed 600mL. Otherwise it can cause recruitment pulmonary edema."
Even with masks and face shields on, as the pleural effusion drained, everyone still smelled an increasingly strong and disgusting smell. The brows were knitted together, and one after another they were fanning themselves further and further away.
"Damn, I'm really impressed by Xia Xingran. Is her nose broken? Can't she smell?"
"She also explained the key point to us while doing it. When the taste enters our mouth, my God, vomit~"
Not only the doctors and nurses at the City's First Hospital, but also the medical staff at Magee Hospital couldn't stand the smell. The bathroom outside the operating room was full for a while.
Bai Moyan stood beside Xia Xingran, helping her with the final finishing work. "It's just as you expected." Bai Moyan motioned to Xia Xingran to look back at the empty operating room.
Xia Xingran smiled knowingly, called the nurses and family members outside, and sent the patient out.
"Take the puncture fluid for routine pleural effusion and biochemical examination of the pleural effusion." Xia Xingran took out a bag and deliberately handed it to the doctor who had said so confidently before.
The doctor had just washed up and there was still a smell that had not been dissipated from his body. When he saw this, he immediately started to retching again.
Before Xia Xingran could say anything, the patient's family members became dissatisfied. They took the bag from Xia Xingran's hand and pushed the doctor away. They said dissatisfied: "They say doctors save lives and heal the wounded, but it is the doctors from big hospitals who are the losers. Are you qualified to be a doctor at this level?"
The doctor rarely heard this kind of questioning and criticism, so he froze on the spot.
After being stunned for a long time, as if he mustered up great courage, he chased after the patient's family with a red face. In everyone's surprise, they reached out and took the breast water bag.
A gratified smile appeared on Xia Xingran's lips, and she turned to the remaining family members and said with a strict face: "If you have chest tightness or shortness of breath after the operation, it may be a pneumothorax. Please tell me in time so that I can deal with it."
The family members held Xia Xingran's hand and nodded repeatedly, expressing their gratitude.
Xia Xingran intentionally glanced at the embarrassed doctors and nurses standing beside him, and said to the family members: "It's not just my fault, everyone's efforts were contributed."
The family members oohed and ahhed twice and expressed their gratitude to every medical and nursing staff seriously. Everyone blushed, and their eyes gradually began to shine.
After the patient was pushed into the ward, Xia Xingran glanced at them and said, "Dad once told me that the happiest time as a doctor is when you devote yourself wholeheartedly to the patient, and they also treat you with the most sincerity. of thanksgiving.”
She paused, her eyes clear and sweet, shining with a starry light: "I hope you can also experience this unique sense of social value and achievement."
"Dr. Xia, thank you."
Just when Xia Xingran was about to change clothes, disinfect and wash hands for the next surgery for intestinal obstruction caused by intussusception, she suddenly heard this sound behind her.
She looked back with a slight smile, her eyes shining like autumn water under the lamp, gentle but full of power.
For a moment, everyone felt that in their lives that had been dark for too long, the sun appeared, a light-like salvation.
…
An hour later, the intussusception surgery began.
Xia Xingran repeatedly confirmed the surgical plan and details with Ye Yin, and sat aside with Bai Moyan, watching the operation begin with trepidation.
Ye Yin first entered the abdominal cavity through a right middle transrectus abdominis incision.
Then use the index finger and middle finger of the right hand to feel the intussuscepted intestinal segment along the direction of the colon to identify the location and scope of the intussusception. After finding out the situation, start the reset.
Then, under direct vision in the abdominal cavity, extend one hand into the abdominal cavity, hold it at the top of the insertion part, and gradually squeeze from the distal end to the proximal end.
Xia Xingran kept reminding her to be gentle with her hands. Ye Yin interrupted her instructions impatiently.
Ye Yin reset it for nearly ten minutes and found that it was difficult to reset. Then she started to use the expansion and compression ring. When she took it out with her little finger, Xia Xingran clearly saw the bloody liquid and smelled a hint of odor in the air.
She stood up immediately, trying to stop Ye Yin from further dilating her intestines. But she was still a second too late. Ye Yin forcibly expanded and the intestines were punctured!
"Perform intestinal plication immediately!" Xia Xingran glanced at Bai Moyan, who nodded and made preparations immediately.
Ye Yin was so frightened that he stood aside and said tremblingly: "Intestinal plication surgery takes a long time, the patient burden is heavy, and the mortality rate of the operation is high. You must choose carefully. Is it really possible?"
"Do you have a better idea? Why are you still standing here? Quickly call outside to get the plasma!" Xia Xingran looked at Ye Yin with a rather annoyed expression.
Ye Yin nodded repeatedly and ran out quickly.
Xia Xingran skillfully opened the abdominal cavity, and the sight in front of her shocked her and Bai Moyan. This patient actually had extensive intestinal adhesions!
Bai Moyan glanced at Xia Xingran with some worry. Xia Xingran closed her eyes and took a deep breath, and said to Bai Moyan: "Don't worry, Brother Mo Yan, I know it's separation and adhesion."
As soon as she finished speaking, she began to bend down and separate the patient's adherent intestines bit by bit. First, the intestines and abdominal wall are separated, and then sharp separation is performed. Finally, the adhesions between the intestinal tubes were separated.
Just when Xia Xingran thought he was done, because the patient had been delayed for a long time, the intestinal tube was very weak and ruptured at the slightest touch, thus damaging the superior mesenteric artery.
Suddenly the abdominal cavity was overflowing with blood, and the patient's ECG monitor instantly started alarming!
"Bring blood quickly!" Bai Moyan shouted outside. Based on this amount of bleeding, the patient would go into shock within a few moments.
Ye Yin stumbled in with empty hands, took a look at the current situation, and said with a sad face: "Maji Hospital doesn't have a blood bank. What should I do?"
No blood! These words were like a bolt from the blue, hitting every doctor in the operating room.
Unexpectedly, the most terrifying situation that occurs during surgery occurs in this poor hospital.
Xia Xingran suppressed her inner panic and started a series of remedial measures.
Bai Moyan took the initiative to stand beside Xia Xingran, skillfully handed her the special instruments, and cooperated in performing operations such as debridement and drug injection.
The doctors around him could feel the tacit understanding between the two. Xia Xingran's every request received a timely and accurate response from Bai Moyan.
After more than ten minutes, the bleeding slowed down, but the patient's condition was still not optimistic.
Bai Moyan's expression became extremely serious. He sighed helplessly and said: "Xiao Ran, close your abdomen and sew it up."
It's not that he doesn't want to save, but the current situation is impossible even if he tries his best.
Xia Xingran didn't move at all, standing in front of the operating table as if her feet were rooted, her mind thinking at high speed. Even if there is a slight chance, she will never give up the patient's life!
After a brief pause, Xia Xingran made an operation that made everyone's eyes pop out.
I saw her inserting her hands into the patient's abdominal cavity, pressing the superior mesenteric artery, and stopping the bleeding with her bare hands!
This scene made everyone present feel numb. It was simply unbelievable and unbelievable!
Everyone knows that this not only requires good control of strength, but also requires a combination of the rhythm of the arteries and the flow rate of the blood.
Xia Xingran turned a deaf ear to everything around her. Her father's years of teaching experience told her that the patient might have deeper bleeding.
She stopped the bleeding with one hand, picked up the scalpel with the other, and explored inside layer by layer. Sure enough, she found a large amount of blood accumulation and bleeding spots.
At this moment, the alarm sound of the ECG monitor reached its peak. Bai Moyan reminded from the side: "Xiao Ran, the patient is in shock!"
The anxiety in the operating room reached its peak, and everyone's heart was in their throats.
"Xia Xingran is really too crazy. How can this be possible? You see there is something wrong."
The doctor next to him began to whisper, accusing Xia Xingran of his random behavior.
However, Xia Xingran still turned a deaf ear. He continued to stop the bleeding with his bare hands and stared at the data on the instrument.
Time passed by second by second, and when one minute passed, everyone was surprised to find that the patient's bleeding volume began to decrease significantly. Immediately after the shock symptoms disappeared, the ECG monitor slowly began to return to normal.
The operating room erupted with exclamations one after another.
Xia Xingran also breathed a sigh of relief briefly and said to Bai Moyan: "Brother Mo Yan, use electrocoagulation to stop the bleeding."
Bai Moyan nodded, took the electric knife, and sealed all the bleeding points.
Everyone's hearts finally calmed down. The most fatal step of stopping the bleeding was successful!
Xia Xingran continued the operation and began to fold and fix the intestinal tube. After finally checking that there was no foreign body remaining in the abdominal cavity, the abdominal wall was sutured layer by layer.
"The operation was successful." After confirming that the patient's vital signs were stable. A smile finally appeared on Xia Xingran's pale face, as if speaking to herself and everyone.
Ye Yin, who witnessed this miracle with his own eyes, was stunned.
Xia Xingran's medical skills have reached the point where he can do two things at once. Stop the bleeding with one hand and operate with the other. And every step is decisive and accurate, without any mistakes.
Such a world-class and perfect operation was actually performed by a young girl who had just started working!
For a moment, Ye Yin felt ashamed of herself, and all her prejudices towards Xia Xingran suddenly turned into deep admiration.
…
Just as Xia Xingran was exhausted and pushing the patient out of the operating room, he saw another bloody patient pushed in from outside the door.
"Dr. Xia, Doctor Xia, this is a man who committed suicide by jumping off the building. He was just brought here. Please see if he can be saved!" The nurse's urgent voice sounded in Xia Xingran's ears.
As soon as Xia Xingran heard the words "suicide by jumping off the building", her body suddenly became weak. Bai Moyan knew her heartache and hurriedly stretched out his hand to touch her back. Xia Xingran calmed down and only dared to squint for a glance.
At this glance, she was stunned with a "boom", her eyes immediately widened, and after she was sure of it, streams of cold sweat began to flow from her neck.
The person lying on the ambulance bed was none other than the director of Magee Orphanage!
