Chapter 89
Ji Wende nodded frequently and said, "I think these are quite strange after hearing what you said. He, a small resident, judged so accurately. This is amazing."
"Yes, not only that, but even more strange. He was able to do this operation very skillfully. You should know that even Director Chang Qiu from their department could not do it. He also said that he could not do it, so he invited relevant doctors with rich experience to our hospital from the pastoral area to handle it, because no one in their department would do this kind of surgery. Unexpectedly, he volunteered, and Chang Qiu asked him to tell him that the operation process was really well-informed."
"Chang Qiu obviously trusted his operation very much and asked him to take a look. We watched the operation, which really opened our eyes. The operation process was smooth and smooth, without a slight pause, and there was no time to think and comment. That quickness and reality made people feel comfortable. Really! And we have already been on the surgery live broadcast. If we need to watch it, we can call it out and play it back and watch it."
Ji Wende said: "Forget it, hydatum disease is disgusting. I believe what you said. Kang Hong has really got two tricks after hearing what you said.
"Isn't it? I really discovered talents today."
Ji Wende said: "I wonder if the dean in charge knows it? I'll take the time to talk to him."
Kang Hong returned to the office after the operation. He made a cup of coffee and was about to drink it. The young nurse Tian Youqing ran in panting and said, "Emergency, liver trauma, call for you to go to the consultation, go quickly!"
This sentence should be once or twice a day, and sometimes more than three or four times.
As long as Kang Hong is not undergoing surgery or other things that cannot be left at all, he will go to the consultation.
Director Chang had already agreed with Xu Cong of the emergency department to run between Kang Hong. It turned out that this was originally an opportunity provided by Huang Yamei to practice her hands and feet, but unexpectedly it became an important help that the emergency department cannot do without.
Because Kang Hong's treatment of liver surgery was perfect and had no flaws.
The patient's family was extremely satisfied and praised him.
The pennant side after side, those patients who had not been treated by Kang Hong were complaining.
So if you can invite Kang Hong, you will never invite a second one.
Kang Hong ran to the emergency department, and Huang Yamei said: "The patient is a real estate agent. When he took the customer to see the house, he fell and his upper abdomen hit a stone. The upper abdomen was severely painful. He went to the local health center to see it first. He suspected that the liver was ruptured, so he immediately got 120. The patient is generally in good condition now, his vital signs are relatively stable, and he is clear about consciousness. The ambulance arrived soon."
"The patient hasn't arrived yet? I thought it was very urgent. I ran very fast and almost fell. By the way, you just said that he was a real estate agent and fell on a stone. He also went to the clinic through the local health center for treatment, and suspected that his liver rupture was sent to the clinic. That is to say, he took people to the suburbs to see a house?"
"It's in Huangmiao Village. There is a land temple at the beginning of this village. I heard it was from the Ming Dynasty and it is still a bit famous, but the place is too deserted. They went there to see the houses, and they fell there, and some people there sent them."
Kang Hong has heard of the Land Temple in Huangmiao Village. Because it is located in a remote location and there are no other supporting facilities around it. Moreover, if this land temple is not particularly famous, it will generally not become a tourist hotspot, so few tourists will go there.
While he was talking, he heard the sirens of an ambulance. Kang Hong hurried to the door to greet him. After the car arrived, it turned out to be the real estate agent named Lin Zhenxiong.
After the patient was lifted from the ambulance, the emergency doctor of the 120 Emergency Center completed the handover procedures for Kang Hong and reported the preliminary examination. Kang Hong ordered the patient to be sent to the emergency room for electrocardiogram monitoring and opened up venous channels.
At the same time, he checked that the patient's abdomen did not find any bloating, and there was mild tenderness and rebound pain in the upper abdomen, and the movement was not obvious.
The chest x-ray showed that the right diaphragm was slightly elevated, but no free gas was found under the diaphragm. The abdominal b-ultrasound test showed that the right hepatomegaly and there was a dark bloody area under the diaphragm.
Kang Hong immediately had an abdominal puncture, but no blood was drawn out.
At this time, Kang Hong's old emergency room partner Huang Gaofeng also rushed over and asked, "How is it?"
"Abdomen closure injury, intrahepatic hematoma, immediately check the laparotomy."
They entered the operating room while talking.
The operation has been prepared, the patient has been fully anesthetized with tracheal intubation, lying on his back, his right shoulder and waist are slightly raised, and his body is leaning left.
Kang Hong took the lead in the surgery, and Deputy Chief Physician Huang Gaofeng was an assistant.
Kang Hong entered the abdomen along the right costal margin. He found that there was hemorrhage under the liver diaphragm. He drew out 350 ml of the right liver, and the right liver was swollen and protruded, the cavernous hemangioma on the surface of the liver area ruptured and bleeding, and the left liver was compensated and slightly enlarged.
Huang Gaofeng couldn't help but take a deep breath and said, "The right liver has a huge cavernous hemangioma rupture. Moreover, this cavernous hemangioma is so big, it's scary. It must have hit the hemangioma after falling down, causing the hemangioma to rupture and bleeding. What should I do now?"
Kang Hong looked briefly and said, "Let's do a right hepatitis resection."
Huang Gaofeng nodded and said, "Yes, the lesion range has exceeded the semi-hepatic, and the left liver is compensatory and there are no obvious signs of cirrhosis. The liver function test is also normal. I think it can be done with semi-hepatic resection, and agree with your opinion."
Then he pointed to the patient's liver and said, "But this patient should be careful. Whether this surgery can be successful is whether the bleeding is successful. Especially for the treatment of the short liver vein, if there is a problem, fatal bleeding will occur."
Kang Hong nodded and said, "There are certain challenges. If not, why should I come here to take over?"
If Huang Gaofeng hadn't known Kang Hong before, he might think Kang Hong was too arrogant, not humble at all, and was not liked by others. However, now he has done a lot of surgery, and Huang Gaofeng already knows him very well, knows that he is not a casual bragging person, and his surgery is almost perfect and impeccable, so people are qualified to say such things.
Huang Gaofeng has seen Kang Hong undergo many difficult operations, but this time he still feels a little hungry. Because this liver hemangioma is too big, he has never seen such a big one.
If he knew that Kang Hong had cut a tumor weighing fifteen kilograms, he wouldn't be so surprised.
Huang Gaofeng said: "This giant hepatic cavernous hemangioma is subjected to liver resection. If it is not handled carefully, it can easily lead to difficult-to-control heavy bleeding. Let's prepare enough blood bags."
Kang Hong glanced at him and said, "If it were me to take charge of the surgery, there was no need, but since you are worried, please inform the blood bank to prepare. It is not useful."
His tone was light, just like a world-class bicycle racer, who had to add two balance wheels on both sides of his bicycle to ensure safety.
Huang Gaofeng said lightly: "Forget it, anyway, if there is a problem during the operation, it will be fine if the blood is urgently adjusted."
After saying this, he found that Kang Hong had not had surgery, but looked at him instead.
Huang Gaofeng was stunned and said, "What's wrong?"
Chapter completed!