Zhuo Zhuo was about to say that there was someone here and went to the toilet, because he had reserved this seat for Lu Cheng, just to wait for Lu Cheng to come out and tell him about Lin Hui's current situation. But when he saw the woman's appearance,

I was stunned at that time.

"Hello, hello." Zhuo Zhuo really remembered this woman. He used to think that this woman was Lin Hui's girlfriend who was getting married. He had seen her at least three times!

And they are all quite formal occasions.

"Hello, Mr. Zhuo. I remember your name is Zhuo Zhuo." The woman stretched out her hand and introduced herself: "I'm Huang Xu."

"Ang, I remember, I remember. We have had dinner together several times." Zhuo Zhuo nodded and stretched out his hand to shake, and then said: "I don't know Lin Hui's current situation now. I'm waiting."

It’s on.”

Originally, Zhuo Zhuo wanted to say a few more polite words, but considering the other person's current status, it was not suitable for him to joke. So he didn't try to be more polite together.

"What about the past?" Huang Xu asked. She felt that, as a good friend of Lin Hui, Zhuo Zhuo should know something about it, right?

Zhuo Zhuo smiled bitterly and shook his head and said: "I don't know this very well. This is the truth. Otherwise, with my temper, I would probably be beating people by now, and I wouldn't have let the matter develop to the current situation."

Indeed, if Zhuo Zhuo really knew that these things were happening to Lin Hui in the Magic City, then he would never let Lin Hui go alone this time!

Naturally, I won't meet some idiots.

Even if they meet, the other party will probably be disabled.

"Then let's wait together." The woman put her hands on her legs. Her legs were not crossed, but she was sitting very straight and meticulous.

Seeing this, Zhuo Zhuo sighed sadly in his heart, Brother Dahui, Brother Dahui, what a smart person this girl was back then. You said before that she got her name well, Xu, lifelike and vivid. Look at it.

Nowadays, a straight face may look good, but if you look at it too much, you will become autistic.

…

In the operating room.

After Lu Cheng found a possible solution in the scene skills, he immediately spoke: "Teachers, I have an idea, I don't know if it is possible."

"Look, most of the patient's bleeding points are now concentrated near the limbs. Although the liver is bruised and the spleen is ruptured, as long as the spleen is removed or sutured as appropriate, the amount of bleeding will not be much. In the brain

The hematoma can also be cleared away."

"Then can we embed his bilateral brachial and femoral arteries first?"

"You also know that there is a certain life window for muscle ischemia and necrosis in the limbs. In order to ensure the body's blood supply, our body will often shunt the blood."

As soon as Lu Cheng said these words, several people turned their heads.

The first reaction was, I'm afraid this is not a student, and there is something wrong with his brain. My bleeding here has not been resolved, you have blocked the human aorta???

Will the limbs be amputated after the blood clots?

I would amputate my leg now. Wouldn’t it be delicious?

A few suspicious eyes swept over Lu Cheng, and after finally confirming that Lu Cheng was a child with no hair, one of the professors with a hot temper immediately cursed: "Young people, don't rush into energy, not to mention the embolized energy."

If the bleeding cannot be stopped, if there is no arterial blood flowing out, how will the venous blood return?"

"Only leaving but not coming back?"

"Watch carefully and don't block the road."

"The upper arm is left alone, and a fistula between the femoral artery and vein is used for external circulation. After the spleen is removed or sutured, the blood flow in the upper and lower limbs is restored, and the small arteries and branch arteries are embolized from the femoral artery to stop the bleeding." Since Lu Cheng proposed this plan,

Of course there are alternatives.

When Lu Cheng said this again, several people turned their heads again. The person who spoke before became a little angry and said, "What is your name? Which department do you belong to?"

"I am Lu Cheng, not from our hospital. The person on the operating table is my master. His name is Lin Hui. The chief resident of the fourth ward of the Orthopedics Department of the Second Xiangya Hospital. I am his student." Lu Cheng knew that if he wanted to

To obtain permission for surgery, you must first report your home address immediately.

Because there wasn’t much time.

Although he temporarily blocked the large blood vessels of the limbs, resulting in more diseases, treating diseases with diseases may not be a solution. He blocked unimportant blood vessels to reduce the number of diseases.

Temporary bleeding is not unfeasible. At least, Lu Cheng has succeeded in scene skills!

Lu Cheng's answer could be said to have made these professors angry, and they all looked at Lu Cheng seriously.

What the hell is this?

Are you a patient's student?

Is the patient a doctor?

Hey, even if you are Lin Hui's student, can you talk nonsense here?

Lu Cheng continued: "I am currently studying in the Ninth Academy of the Magic City, and the teacher I am following is Du Li. If you don't believe me, you can call and ask, or I will call you."

It's not that I don't believe it, it's just that the plan proposed by Lu Cheng is too bold, because if this one is not good, amputation may be possible. Moreover, after the embolization of the large artery, the small artery will also slow down the blood flow, causing the whole embolization.

, what should I do at that time? Shouldn’t I amputate the leg?

So the professor said: "You are Lin Hui's student. There is no need to prove this. However, if after the embolization, a full embolization of the limb blood vessels occurs, what will be done then? Or amputation?"

"It's not impossible. Even though I'm missing my limbs, my life can still be saved. What do you think?"

It seems that this is a better life-saving idea at present, but the method is a bit cruel, and they did not consider this aspect immediately. Moreover, this is less traumatic than direct amputation. After all, even if the limbs are necrotic,

You can also cut it off slowly in the future. As long as you don't bleed too much now, you can at least ensure that your blood volume is restored.

Lu Cheng said at that time: "It's OK to remove the blood clots after the whole process. There is no need for amputation."

"You said there is no need for amputation? Can you call the blood vessels and it will be unblocked?" Perhaps it was because Lu Cheng's previous suggestion at least provided a solution. Therefore, the professor was a little rushed when he spoke.

But at least he's not that mean and difficult.

"Teacher, I can't open the blood vessel. But we can get it." Lu Cheng still answered calmly and seriously.

"You want it?" Hey, are you still angry?

Lu Cheng nodded: "Yes, I'll take it."

Hearing Lu Cheng's words, some professors felt that Lu Cheng was a little ungrateful and were about to scold him, but the professor of vascular surgery suddenly reacted and immediately asked: "What did you say your name was?"

"Lu Cheng." Lu Cheng replied, not bothered by it.

"Is it that Lu Cheng?" The professor of vascular surgery suddenly changed his expression slightly, and his tone was a little unnatural. But hearing his tone, the person who was about to fire stopped temporarily.

"If there is no other one, it would be me. Teacher, I really hope you can consider my suggestion. There is still time! If there is any further delay and the amount of bleeding continues to increase, even a blood transfusion may not be able to help." Lu Cheng said.

At this time, he once again took on a pleading tone, please, please promise me quickly, okay?

This is not something that can be done just by doing it.

However, the professor of vascular surgery immediately said: "Listen to Xiao Lu. This Xiao Lu is very interesting in thrombectomy. I know and understand him, and the idea he is proposing now is indeed a good one."

Ideas.”

"Circuit, reopen venous channels!"

"Teacher Anesthesia, please wait and change the drug injection channel. We need to temporarily block the blood vessels in the limbs."

"I will open the femoral artery right now. Professor Fang, you continue the operation and don't worry about us." The professor of vascular surgery actually agreed with Lu Cheng's idea at once.

This made several other professors suddenly startled. Although they did not speak, when they looked at Ni Yun from the Department of Vascular Surgery, they all looked inquiringly, meaning, Brother, are you really asking us to listen to such nonsense?

Isn't it a boy who doesn't even have the same height?

Can you take responsibility?

"Professor Fang, just open your abdomen. Professor Du, you continue to deal with the intracranial hematoma. After I thrombose the artery, I will open the arteriovenous fistula and restore the external circulation. In this way, the amount of bleeding in the limbs will be reduced.

Even if it disappears, the blood pressure should go up." Ni Yun said with great certainty.

With Lu Cheng here, the whole process of embolization after embolization will be less scary, and one or two limbs may be saved in the end.

This is already the best result at the moment. If he hesitates any longer, the patient will have to have a heart-to-heart talk with Marx. How can he have so much time to make a choice? This is not an elective surgery, this is an emergency surgery. It is to save lives! Brother.

"Okay!" Since Ni Yun knows Lu Cheng and approves of Lu Cheng, it proves that this young man really has something. Anyway, he can't think of a better way now, so he can only be a dead horse.

.

However, when he heard this, the anesthesiologist suddenly became stupid. I am an anesthesiologist. When I was doing anesthesia, you blocked all the arteries. What am I trying to do? "Professor Ni, you blocked all four arteries?"

How do I monitor my blood pressure?”

"Monitor CVP directly! I'll prescribe it to you." Ni Yundao said.

Central venous pressure (CVP) is the pressure where the superior and inferior vena cava enter the right atrium. It is measured through the superior and inferior vena cava or the right atrium internal catheter. It reflects the right atrial pressure and is one of the main indicators for clinical observation of hemodynamics.

.More suitable for monitoring critically ill patients than pressure measured from limbs.

Indications for CVP testing: 1. Severe trauma, various types of shock and acute circulatory failure and other critically ill patients. 2. Various major and medium surgeries, especially major cardiovascular, cranial and abdominal surgeries.

Ni Yun is a vascular surgeon, so it's not difficult to ask him to install this monitor.

What can the anesthesiologist say? He can only nod and say yes, but if he is not allowed to monitor blood pressure, then he will run away on the spot. Damn it, I am doing anesthesia and you don't let me monitor blood pressure.

How can I play with you?

Being able to monitor CVP is naturally more standard and more reassuring.

Then, the operation started step by step.
To be continued...