Knight Story: Learning medicine can’t save the world!

Chapter 129 Angry Hideki Takano!!

“One piece of etomilate, bolus!”

“Yes, one etonomilate, bolus!”

“Bolus complete!”

The nurse repeats Hideki Takano’s words, which are also the rules for clinical surgery.

There are many drugs with similar names, and if you use the wrong medicine, it is very likely to cause serious consequences.

Therefore, clinical medicine has strict regulations, and before administering the drug, the name of the drug required by the surgeon must be clearly repeated.

“Prepare to unwrap the bandaged gauze.”

“With the naked eye, the abdominal effusion is about 500cc.”

“Clean up the fluid!”

“The effusion is cleared!”

“With the naked eye, the patient’s spleen was severely ruptured, with more than half of the damage area, and there were multiple ruptures.”

“In accordance with the requirements of clinical life, I decided to perform a complete resection of the spleen!”

Among the five internal organs, the spleen is indispensable.

But among the five organs, only those who have lost their spleen can survive.

Blood supply to the heart, hematopoiesis to the liver, urine production by the kidneys, breathing to the lungs.

The spleen belongs to a storage and purification organ, similar to a water purifier.

There are many structures called “blood sinuses” in the tissues of the spleen, and usually a part of the blood flows directly into the blood sinuses.

When the body loses blood, the blood sinuses contract, releasing this part of the blood to the periphery to replenish blood volume.

Blood sinuses are attached to the walls of macrophages that can engulf senescent red blood cells, pathogens, and foreign bodies.

The spleen is the largest immune organ in the body, accounting for 25% of the total lymphoid tissue in the body, and contains a large number of lymphocytes and macrophages.

It is the center of cellular immunity and humoral immunity, and exerts anti-tumor effects through various mechanisms.

Splenectomy leads to disturbances in cellular immunity and humoral immunity, affecting the occurrence and progression of tumors.

Patients after splenectomy have a decrease in immune function and lifelong increased susceptibility to severe infections, susceptibility to the development of acute infections, septicaemia and meningitis.

Infants and young children are more likely to develop infectious complications after splenectomy.

After spleen removal, attention should be paid to strengthening the prevention of infection, including heating, dietary hygiene, personal hygiene, appropriate exercise and so on.

The spleen is not the only immune organ, and after a period of adjustment, the body’s immunity can be restored to a certain extent.

Part of its immune function is replaced by other immune organs.

Of course, a complete return to normal life is unlikely.

Therefore, if the last resort occurs, the doctor will not do the whole spleen surgery.

After Hideki Takano finished speaking, he used blunt separation of the spleen ligament, and the spleen-colon ligament set the spleen-diaphragmatic ligament.

“Scalpel.”

Hideki Takano dragged the spleen out of the incision.

“Double clamps.”

“Surgical scissors.”

“Shihao Line!”

“Split clamps!”

“Surgical scissors!”

“Eight hao line!”

“Triple pliers!”

“Surgical scissors!”

“Seven hao lines!”

“Splenectomy complete!”

Double forceps clamp the ligament that links the spleen and stomach.

Double forceps clamp the splenic pedicle and triple forceps clamp the arteriovenous.

It’s like a plastic hose filled with water, you want to keep half of it, and you want the water in it.

The best way is to clamp the place where you are going to cut it short, and after cutting the plastic hose short, seal the cut.

“Clean up the fluid!”

“The effusion is cleared!”

“No active bleeding!”

“No abnormalities were seen in the diaphragm, liver, gallbladder, common bile duct, pancreas, stomach, duodenum, jejunum, rectum, colon, bladder, and kidneys!”

“The operation was successful!”

“Clean up the abdominal wall!”

After Hideki Takano finished speaking, he put the removed spleen into a sealed bag after sterilization and turned to leave.

Next, it is accepted by Nijido Red Maru.

His hands were a little shaky, and he didn’t expect that he would have a day to personally touch the operation.

He has always been a marginal person.

He quickly rinsed his abdominal cavity with normal saline according to the strictest standards until it was clear.

Then dry with clean saline gauze.

Once done, the intestines of the various organs of the abdominal cavity are examined again.

“Complete cleaning of the abdominal wall to confirm that there is no active bleeding and bleeding!”

After Erjido Hongmaru finished speaking, he left the operating table.

“Drainage tube No. 28!”

“Drainage tube No. 28!”

Taking the drainage tube, Hideki Takano placed it in the splenic fossa and then dug a hole in the stomach.

The drain is pulled out of the body and sutured to fix.

“Count the gauze!”

“Count the surgical instruments!”

After all the counts are correct, Hideki Takano wants to put 50ml of Voltaire in the abdominal cavity to prevent intestinal adhesions.

“Push the patient into the EICU, 24-hour focus monitoring!” If you find a problem, no matter what time it is, call me as soon as possible! ”

Hideki Takano said this as he took off his gloves and took off his sterile suit.

“Director Takano, why are you going?”

Erjido Hongmaru was about to go to the cart bed, when he suddenly saw that something was wrong.

Hideki Takano’s face was gloomy and could drip water.

After getting along for so long, Nikjido Red Pill had never seen Hideki Takano look like this.

“Your life has nothing to do with you!”

After Takano Hushu finished speaking, he turned around and left the operating room.

“What, Sister Hong, Sister Lan, trouble you to push the patient to the ICU, I’ll go see Director Takano.”

After Erjitang Hongmaru finished speaking, he chased out in a hurry.

Lin Yu and Shizaki Crazy looked at each other and hurriedly chased them out.

Although Shizaki Crazy San was not interested in what was about to happen, since Lin Yu had gone, she had no reason not to go.

Takano Hideki walked out of the emergency building and walked straight towards the surgical building.

“Director Takano! Director Takano! Why are you going? ”

The second order hall red pill stopped in front of Hideki Takano, with a fawning look.

“Why should I report to you? Go back to your class! ”

Takano Hideki glared at Erjido Red Pill fiercely and directly bypassed him.

Seeing Gao Ye Hushu furious, Erjido Hongmaru did not dare to say anything, and could only quietly follow behind him.

Entering the surgical building, Hideki Takano walked to the fourth floor, the director’s office.

I saw an elderly old man sitting inside, wearing a white coat, drinking tea, and looking leisurely.

Seeing Hideki Takano, the little old man said with surprise on his face.

“Ouch, isn’t this Director Takano? Rare! ”

“How did you get to me today? Come and sit, come and sit! ”

“This is the authentic Longjing that I specially asked someone to bring me from Jiuzhou!”