第223章 好人难当
武毅点了点头,他很能理解患者家属的心情,毕竟来急诊科的急症患者家属o
一百个有九十九个都是这样的。
不过这个算好的,很配合他的程序,该签字就签字,这后面的就好说了。
“好,您放心,我们会尽力的,我现在问您几个问题,您一定要如实回答我o
患者的血型是什么?”
血型?
患者姐姐赶忙想了一下,“a型,是a型,我弟弟和我爸一个血型,我妈是o型,我也是a型。”
武毅点了点头,继续问道,“他有没有什么感染病史,比如说是b肝、梅毒、爱滋这些,您別误会,手术太急,我们没时间进行探查了,只能从您这里做一个初步的了解了。”
患者姐姐面露迟疑,犹豫一下,不停的摇头,“没有,他可乖了,绝对没有。”
“那有没有什么基础病,比如说是心臟病高血压尿病这些。”
“没有,他这么小怎么可能有。”
“有过敏的吗?”
“没发现啊。”
武毅一项项的问著,一项项的填写病歷,然后让患者姐姐签字。
安抚患者一番,直接上手术,因为此时方阳已经来了,路过诊室门口,对著武毅点了点头,武毅就直接放心的离开了。
手术室。
此时雷文仲已经在火急火燎的开始手术了,腹腔已经打开,正在止血。
钟襄作为助手,此时多少都是有些手忙脚乱,她虽然基础不错,但终究只是研一,基本操作还好,手术想要跟上雷文仲的速度就很难了。
看到武毅上来,钟襄也是鬆了口气。
“患者家属来了吗?”
武毅洗手穿衣带手套上手术,雷文仲开口问道。
“来了,我做了初步的了解,患者家属说患者没有基础疾病,没有过敏史,没有感染性疾病等等问题。”
雷文仲表示瞭然,手上动作一直没有停止,脾蒂已经夹闭,脾臟出血基本止住。
只不过,腹腔出血还是汹涌,毕竟肝臟破裂也不轻。
“你还没跟过肝破裂吧,来,正好看看。”
武毅闻言也是赶忙点头,这还真是他第一次跟,因为有自知之明,知道自己的精力有限,所以武毅之前都没有涉足肝臟这块几。
而急诊这样的机会也少。
可现在是雷文仲给机会,武毅自然欢喜。
雷文仲在腹腔开的口子很大,別看雷文仲做手术那么厉害,但是在手术时候,雷文仲是真正的保守派。
就以这个口子为例,就连武毅都不会开这么大,毕竟太难看了。
可雷文仲遇到这种大创伤的病例,永远都是大口子,因为在他看来,开大口子顶多就是难看一些。
但是万一出现问题,后招就能出的足足的,根本不用担心,可要是口子开小了,后面手术空间不足。
那再开口子就得不偿失了。
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所以开大口子就开大口子,根本不犹豫。
武毅趁著这个空间,一边学习雷文仲的手术思路,一边开始在雷文仲处理肝臟的时候,一边主动处理脾臟。
钟襄则是主动打著下手,只用拉鉤子吸血水之后,钟襄感觉自己一下子就轻鬆多了。
“钟襄,帮我提一下。”
雷文仲看向钟襄,钟襄赶忙將拉鉤交给器械护士,没办法,人手不足,只能让器械护士也顶上来。
而钟襄则是直接用手去托患者的肝臟。
“等等,用钳子垫著纱布托。”
武毅看到钟襄的动作赶忙说道,只是晚了,这姑娘是真的莽啊,直接上手。
虽然他们平时也挺糙,这事儿也常干,可那是在患者感染出来的情况下。
而且也確实是这么更方便,但这是不符合规定的,而且也不安全,这小姑娘刚上临床,可不能学他们的坏毛病啊。
“啊,那我?”
钟襄赶忙去取镊子带纱布,只是这肝臟確实是损伤不轻,再托的时候,一道血液已经直接崩了出来。
正在手术台上的四人无一倖免,全都被喷了一脸。
雷文仲皱起眉头,武毅赶忙去接手,他这里处理的差不多了。
“先看情况,再托。”
武毅並没有说钟襄什么,刚刚上手术,哪能要求太多,敢做能做就很厉害了。
患者肝臟损伤的挺厉害,而肝臟上的小血管不少,一个不小心就会血液四射。
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