第713章(第1页)
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第713章
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没想到还会遇到这样小小不言的情况,我以为手术就要告一段落了。"
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这小血栓可能是从肺里流出的。病人血液凝固过甚,如果没有及时察觉,可能会遍布整个肺到支气管间的血管。"
看到林帆的表现,贺仲文深感惊讶。他导师也许也无法处理如此棘手的情况。
"
如今我理解了Boss为什么不采取皮下导管治疗,导管清栓虽然看似简单,但不够彻底,而且容易引发后续的血管栓塞,即使是采用这种疗法,仍存在后遗症的可能。”
何仲文看完这回复,觉得非常有理。在进行血栓治疗时,绝大多数医生都倾向于外科手术。真正用导管疗法治疗血栓的情况极罕见。因为这仅仅停留在理论层面,实际的成功率过低。只有对于自身技术缺乏信心的新手才会尝试采用导管取栓术。
李翔的操作手法快准稳定,不像林帆那样熟能生巧,而更像是技术应用带来的敏捷性。林帆侧眼看着李翔,心想他现在还会感到紧张吗?
不理会李翔的反应,林帆吩咐孟岳准备好抗凝和溶栓的药物,随后亲自操作完成。注射完毕,他带着患者转往重症监护室(ICU),自己回到急诊室。
当林帆抽离血栓后,直播间掀起一片惊叹声。剩下的缝合由李翔负责完成。
“替加色酸钠抗凝药物,静脉滴注!”
“越来越让我刮目相看,你还藏有什么绝技吗?”
李翔再次展现了精湛的动作技巧,既快速又精准。相比于林帆的技术纯熟,他的灵活运用是专业能力的展现。
林帆瞄了一眼李翔,他还真能淡定自若吗?林帆决定不再理会,而是专心让孟岳做好准备工作。手术之后,李翔将患者送至重症监护室,林帆回归到紧急事务处理上。
孟岳把血液样本交给病理科分析。血栓二号已是个大块头,取出来的时候像根巨大树根。
手术结束后,病人离开医院,林帆在办公室沉寂了一个多小时后方恢复宁静。然后另一个急诊病人,急性阑尾炎,需要他的手术治疗。
接到通知,林帆给陆明和孟岳打了电话,吩咐李格负责联系病患家属。
这次腹腔手术不是由他自己进行,而是给了陆明展现能力的机会。陆明已经跟随林帆学一个月,这是他初次担任手术主导者的角色。
走进手术间,林帆拍了拍陆明的肩,语气温和地说道:
“不要紧张,按部就班,照做就是。”
换上手术袍后,三人步入手术区。
陆明选的是最常规的阑尾切除和腹腔镜微创术。在他的面前,鲁明依然显得有些生涩。
林帆接过孟岳递来的器械,在陆明准备剖开肚子之前提醒道:“这里开口小,如果你稍放大些切口,你的技术足以轻松应对。”
由于长时间的观察和跟随,陆明不知不觉中学会了一些无意识的手术技巧,不过林帆认为新手还是需要像新手那样一步步学习,不会一口吃到胖子。
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