Although he heard Lu Cheng directly call the circulating nurse to get the equipment for removing blood clots, although Cao Mengda is a specialist in orthopedics, he is not a novice who knows nothing about vascular surgery. On the contrary, his previous foundation was very solid, and finally in

I just chose orthopedics among vascular surgery, urology and orthopedics.

"How is the blood vessel condition now? It has been more than three hours since the patient was injured. Is the remaining time enough?" This was also what Cao Mengda was worried about, so he asked Lu Cheng again.

Although arterial thrombosis is only a diagnosis, the treatment methods are not the same.

Thrombectomy combined with arterial rupture is also different from ordinary lower extremity arterial thrombus removal.

If an ordinary normal person has an arterial thrombosis, the integrity of the proximal blood vessel must be good. Then before the operation begins, the structure proximal to the thrombus and the collateral circulation without thrombus have a blood supply.

Even if you don't take care of the thrombus, it will only cause necrosis of the limbs distal to the thrombus.

In this way, the time when the body itself cuts off the blood supply to non-thrombotic parts should be calculated from the moment the operation begins and the blood vessels are pressurized to stop bleeding.

But for patients with arterial damage, the body's ischemia time should be calculated from the moment of injury, because from that time on, there is no longer enough blood supply to locations far away from the injury.

The objective conditions of nature will not spare you just because you are injured and allow your muscles or other soft tissues to survive longer.

Therefore, if you want to save your leg, what you need to do is to restore the blood supply as soon as possible.

That is to say, Lu Cheng or any vascular surgeon must complete the thrombectomy and arterial suturing as quickly as possible, and then restore the blood supply to the body that has suffered from extensive ischemia as quickly as possible.

Blood flow is the source of life for all organisms. Without blood supply, all functions are illusions. This is the absolute truth.

It's like if you don't let people eat, no matter how strong a warrior is, he will end up with only one end - withered bones.

This will increase the difficulty of the operation to a certain extent. The faster the operation, the greater the possibility of accidents, and the stronger and more precise control is required.

"You can try your best. Let's do it first and then see." Lu Cheng was not sure at all. He had never done a rapid vascular thrombectomy. The reason why he could accurately remove thrombocytes was because there was a hang-up.

But if you have special orthopedic glasses and have experience in removing blood clots, you can give it a try.

"Okay, let's do the vascular surgery first. If it doesn't work, I'll discuss it with the patient and their family members. When manpower is limited, the hospital is not a life sanctuary. All diseases can be saved."

Cao Mengda also asked Lu Cheng to relax and not put pressure on himself.

Even if the blood clot cannot be removed, he is still there to communicate with the patient's family.

Even though he had to perform vascular surgery first, for the convenience of subsequent surgery, Cao Mengda still ordered Chen Xiaobo to disinfect the entire affected limb.

After the routine disinfection and toweling were no problem, Lu Cheng immediately came on stage and inserted the arterial endotracheal tube into the proximal end of the femoral artery. Then he inserted it for a while, then inflated and pulled it back without any hesitation.

A large number of long strips of dark red flocculent blood coagulation were pulled out by Lu Cheng.

Very straightforward and without any hesitation.

Seeing this, the circulating nurse immediately said to Chen Xiaobo: "Doctor, please bring a few more saline pads to the stage and put the blood clots into the saline pads so that we can count them later."

Obviously, this traveling nurse may be a specialist nurse in the vascular surgery department. She usually works more with the vascular surgery department, so she is very professional.

Chen Xiaobo is an orthopedic surgeon and has only a slight understanding of vascular surgery. However, even though he only has a slight understanding, when performing emergency operations, he will still encounter vascular surgeons to perform thrombectomy for arterial embolism.

Chen Xiaobo felt that compared to those he was familiar with, Lu Cheng's method of removing the bolt was a bit wild, but also a bit fast.

Very decisive, but the criterion for evaluating whether a surgery is well done is not the speed of the surgery, but the quality of the surgery.

However, just the show of Lu Cheng's hand was enough to make Chen Xiaobo respect Lu Cheng and said, "Teacher Lu, let me deal with these blood clot strips."

Although this operation is an open fracture, it has a natural advantage over vascular thrombectomy, that is, the blood vessel itself is exposed, and there is no need for Chen Xiaobo to deliberately expose the retractor.

After the blood vessel clamp clamped the femoral artery, Cao Mengda was freed to help Lu Cheng hold the catheter.

Otherwise, there might be a shortage of manpower for this operation, and Lu Cheng would need one hand to perform the operation.

The arteries are all ruptured, so naturally there is no way to do an angiogram to show where the thrombus is. Everything can only be done blindly by feeling.

Blindly practicing thrombectomy, he is very familiar with the anatomy and shape of blood vessels. This is the first treasure ability that Cao Mengda discovered in Lu Cheng. He originally thought that he would have a chance to put it to great use in the future, but he did not expect that this was just

When we get to the magic city, we have to catch Lu Cheng on the table.

Cao Mengda didn't know if anyone else knew this skill, but he estimated that even if someone did, they wouldn't be too many.

After Lu Cheng heard Chen Xiaobo say that he was here to deal with these blood clot strips, he put the blood clot strips aside and continued to explore deeper.

Article 2, Article 3, Article 4.

After Lu Cheng's seventh and eighth operations, he was still able to pull out the thrombus strip so accurately, the circulating nurse became shocked.

She blinked, looked at the countertop, hesitated for a moment, then took a photo of the thrombus strips on the countertop and sent it to the chief resident of vascular surgery with whom she was usually familiar, and said: "Brother Zong, is this?

It’s a bit tricky. The airbag is inserted nine times to remove the blood clots nine times, and the success rate is 100%.”

However, there was no response. The chief resident of the Vascular Surgery Department was already busy running around in various departments. How could he have time to reply to her message?

But even so, as a nurse who has worked in the vascular surgery operating room for a long time, she has seen it before. Not to mention the 100% success rate, just the operation of removing seven consecutive thrombus, the number of times she has seen it here is not the same.

many.

Just kidding, who wouldn’t have their limbs amputated if they had so many blood clots?

If the limbs were not amputated, the grass on the graves would start to move away.

This is probably an emergency situation like this.

…

"Teacher Lu, how many blood clots does this patient still have?" Chen Xiaobo saw that his scalp was numb, and there were already about 20 blood clots.

The blood vessels in this patient's lower limbs must have been blocked throughout, right?

But this is not the most important thing. The most important thing is that the thrombus strips taken out by Lu Cheng are getting smaller and smaller. The shaping of the thrombus strips is based on the diameter of the blood vessels. The diameter of the thrombus strips is getting smaller and smaller, which proves that Lu Cheng has reached

The location of the blood vessels is also getting smaller and smaller, and they must all be at the branch blood vessels.

Although Chen Xiaobo doesn't know much about what kind of vascular surgery operation it is to remove thrombus from such small arteries, it is definitely a relatively cool operation.

Lu Cheng turned his head slightly, glanced at Chen Xiaobo, and said, "There should be about twenty more!"

Chen Xiaobo's feet and legs suddenly became weak.

Good guy, cooking hot pot is enough for a meal.

Hey, why the hell am I even thinking about cooking hot pot?

…

After Lu Cheng removed a relatively large thrombus from the posterior tibial artery, he paused for a moment, and then began to gasp. This kind of blind branch artery thrombus removal without the assistance of any imaging data requires a lot of time to control accurately.

There are too many experiences.

There are at least four bifurcations from the femoral artery to the posterior tibial artery. They cannot go sideways, and when retrieving the embolus, the embolus cannot fall into other bifurcations.

This requires both hands to be tense at all times and a high degree of concentration, otherwise it will make the already very difficult operation more difficult.

And for such a long time, it is actually very energy-consuming and physical to concentrate on the precise control of the hands.

You know, the number of thrombi removed in a vascular surgery unit is generally less than ten, which is enough. Rapid surgery will not reduce the workload of the operation, but will shorten the working time for the same workload. This will not

Save energy.

There was also a lot of fine sweat on his forehead. When the traveling nurse passed by, he carefully wiped Lu Cheng with a piece of paper.

Because she realized that Lu Cheng was challenging the 'impossible' as early as when Lu Cheng took out the twelfth thrombus. Because she walked around in the operating room and didn't see any hanging CTA.

Or MRA.

Moreover, Lu Cheng and Cao Mengda did not go to the computer to read any imaging data during the operation. Now everything Lu Cheng does is done blindly.

This was something she hadn't seen anyone do in the operating room for so long, and she didn't dare to ask her friends about it.

Just staring at Lu Cheng, the eyes exposed through the gaps between the mask and hat were very lively and seemed to have an indescribable charm.

But at this moment, the door of the operating room suddenly opened, and a person walked in. After walking in, he went straight to Cao Mengda and whispered a few words in his ear.

"Are you Professor Cao Mengda Cao? I am Ding Yuanyi from the Department of Thoracic Surgery. I came here mainly because of the entrustment of Mr. Mi's family. I hope to discuss it with you. Their family members contacted two foreign experts in vascular surgery and orthopedics.

Expert, I hope you won't perform any surgery on the patient yet, just make sure the patient doesn't die. Just save the leg."

Ding Yuanyi seemed to be about the same age as Cao Mengda, and he was also very fast when he said this.

Cao Mengda was dumbfounded at the time. After hearing this, he only turned around and asked, "How about you come on stage and not do any operations, just to ensure that the patient does not die and the leg is not broken?"

What kind of fucking words were these, Cao Mengda couldn't believe that these words should come out of Ding Yuanyi's mouth.

Hearing that Cao Mengda suddenly became so angry, Ding Yuanyi simply said: "These are the family members' original words. I was asked to tell them exactly. What I discussed with you was not mine. What am I going to do on stage?"

"Why are you angry at me? I didn't do anything to you."

Cao Mengda did not continue to argue with Ding Yuan: "Once the operation starts, it cannot be stopped. I am the chief surgeon and I am responsible for this operation."

"You are not here to help with the operation, please leave this operating room immediately. Thank you."

After Cao Mengda finished speaking, he told the tour: "If he says another word or doesn't leave the operating room within half a minute, he directly calls the security guard. If the security guard can't drive him away, he calls the special police below. They say he forced his way into the operating room and affects the situation."

I perform surgery and purposely kill people."

Ding Yuanyi knew that Cao Mengda was really angry, but it seemed that he couldn't do what he wanted to do, which made him immediately angry.

He continued: "Professor Cao, that's okay."

When the circulating nurse heard that Ding Yuanyi was still talking, she immediately came forward and made a polite gesture, asking Ding Yuanyi to go out.

After all, Ding Yuanyi is still a member of this hospital, so he didn't really hire security guards or anything.
To be continued...