After 100 Days Of Signing In, The First Operation Shocked The Medical Community!

Chapter 216 Hepatitis C Cirrhosis

“Dr. Liu, the operation has been scheduled. This is a notice from the Institute.”

Liu Xin originally thought it would take at least three days, but he didn’t expect it to be so fast this time. The news came from Davis in less than a day.

“Any notice next?”

Chu Jingyuan passed the tablet in his hand, and Liu Xin glanced at it. In the operating room on the 3rd, all the equipment that needs to be prepared is ready, and the operation can be done directly at 8 o’clock tomorrow morning.

“Eight o’clock? What time is it?”

“It’s six o’clock in the morning.”

Liu Xin didn’t expect to be caught off guard, but he didn’t think much about it. Hepatitis C cirrhosis surgery and ascites are actually not difficult. He believes everything will go smoothly.

“Dididi.”

At eight o’clock, the time was accurate, and the lights in the operating room came on, which also heralded the official start of the operation.

“Did the results of the contrast agent come out?”

In order to ensure that the internal conditions of the liver are more obvious, Liu Xin used the latest scientific instruments of the entire institute to conduct a comprehensive systemic examination of the patients. The biggest problem with hepatitis C cirrhosis is not the liver itself, but the impact it causes on other parts of the body. The problem.

“Stem cell necrosis, connective tissue hyperplasia.”

As a result of the contrast agent, Liu Xin found that it was not as easy as imagined. On the contrary, Davis’ liver had deformed and formed cirrhosis.

“The patient has upper respiratory tract bleeding, is it clear blood?”

Liu Xin nodded lightly: “Well, proceed immediately, and scan the patient’s brain at the same time.”

Soon, Liu Xin was surprised by the scan results. In just a few days, Davis had developed hepatic encephalopathy and formed a very serious infection. If it is later, I am afraid that his life will not be saved.

“Notify the technical department that there is an emergency in the operation here, so that they will delay the operation time.”

“receive!”

Patient anesthesia is done by the technical department. In order to avoid the effects of anesthetics on the brain, the staff of the technical department need to effectively anesthetize the patient instead of using anesthetics. This is also the result of high technology. Stay in the room for two months. Liu Xin has been learning new medical devices in the department, and now it can be said to be like a duck in water.

“Perform a liver puncture examination and provide HVPG values ​​at any time.”

The puncture needle penetrates the liver, and the HVPG data provided by the nurse has reached a peak of ten millimeters of mercury, which means that Davis is very dangerous and may cause portal hypertension due to high blood pressure at any time.

“It is equipped with No. 3 nutrient solution and intravenous injection. If rejection occurs, the injection of hypertonic glucose is immediately welcome.”

No. 3 nutrient solution is a unique formula of the research department, which can replace glucose and has a faster and better effect. Fortunately, the No. 3 nutrient solution has no problems, and the blood drops slightly at this time.

“Inject hydrochlorothiazide and prepare for laparoscopy and jugular vein drainage three minutes later.”

The time passed by one minute and one second, and the result of the injection of the diuretic hydrochlorothiazide, the laparoscopy can clearly see the problem, and the jugular vein drainage program can be treated immediately.

The puncture passes through the abdominal cavity, and the ascites is quickly guided out. Fortunately, Davis cherishes his body. There is no wound in the abdomen. After the abdominal effusion is drained, the blood pressure also drops significantly.

“Record, complete abdominal drainage.”

The nurse is responsible for the record of the operation process. This is the strict regulations of the institute, and it is also an important criterion for the institute to judge whether a person is outstanding in surgery in the future.

“The next step is liver cirrhosis surgery.”

The injection of polyethylene glycol combined with bavirin, the laboratory has fast-acting drugs. After the injection, the results that would have taken at least two weeks to appear can be formed within ten minutes.

After waiting for less than three minutes, the test result was updated at any time and the test was negative. Liu Xin sighed lightly. He had a negative result even when he had upper respiratory tract bleeding and hepatic encephalopathy. This made him a little relaxed.

“Check the upper respiratory tract bleeding.”

“The bleeding is in good condition, there is no bleeding.”

“Very well, surgery for liver cirrhosis will be performed right away.”

After nearly three hours of preparations, the operation has just begun. According to Davis’s wishes, he was unwilling to replace the liver. Liu Xin could only manually remove the connective tissue by one step and clean the liver manually.

“Scalpel.”

Liu Xin slowly incised his liver. The liver under the incision was already on the verge of collapse. It was not so serious when he first saw Davis, but now he was shocked by the results of the examination again.

“Debridement knife, tweezers.”

Liu Xin took the two tools and tore the connective tissue protruding from the liver with both hands. Seeing the countless numbers, he could only peel it off step by step.

“Inject saline.”

The nurse injects normal saline and at the same time provides part of the liver to make up for the lack of blood.

“Inject No. 5 hematopoietic agent.”

“now?”

The nurse hesitated for a moment and asked.

“immediately.”

Liu Xin knows what she is worrying about. The hematopoietic agent developed by the research is very special. It can quickly provide iron ions in the blood. When combined with normal saline, it is equivalent to forming the freshest blood through the site. It is also one of the most high-end artificial blood in the world. Kind of material.

Under the hematopoietic agent, the liver began to become congested. Liu Xin used puncture to extract pus and blood from the liver while continuing to inject sodium chloride solution. The two cooperated with each other to clean the patient’s liver in an all-round way. The pus is flushed by flushing.

“The patient’s blood pressure increased frequently.”

“Well, give an early warning if it exceeds the normal range, and don’t stop the injection of hematopoietic agents.”

The nurses didn’t quite understand what Liu Xin wanted to do, but to debride the patient’s liver with hematopoietic agents and saline. It reached a high price of three thousand dollars, but he used it here at will.

“There is a spike in blood pressure.”

“Stop the injection.”

Liu Xin looked at the liver in front of him. The connective tissue that was originally covered with it had been replaced, and there was no problem in the whole process. This was the result he wanted.

“Needle, inject flumazenil.”

Liu Xin punctured the intestines with a puncture needle. Hemorrhage was severe due to liver cirrhosis. The hematuria derived from the puncture needle reached more than one liter. After flumazenil was injected, the recurrence of hepatic encephalopathy was effectively suppressed. .

“Prepare two branches of pseudo-neurotransmitter branched chain amino acids, and inject them every hour after the wound is closed to ensure that the patient does not urinate within three hours.”

After that, Liu Xin continued to work at hand, and within a short time, he sutured several wounds, still using the fusiform suture method. This would not form suture marks, which was considered to meet his expectations.