In the hospital, unlike in other places, it is much more difficult to say "I can" than "I won''t"!


    Because from medical students to medical experts and professors.


    No one will say "yes" to things he is not sure of!


    This sentence "I can", the weight is really heavy.


    This means that others will trust you, support you and assist you in the next rescue work.


    Saying "I can" to the patient means that the patient will unconditionally trust you.


    All this, just because your profession is "doctor"!


    Therefore, when Chen Cang said "I can", both Fan Tai in the emergency department and Yue Wenqing in hepatobiliary surgery were pleasantly surprised!


    It''s like when a patient is dying and there''s nothing he can do, suddenly someone comes to help.


    Of course, this is inseparable from Wang Xiangjun''s recognition of Chen Cang!


    Rushed the patient to the operating room.


    Although slight subcapsular liver rupture can be cured after close observation and non-surgical treatment.


    However, for patients with massive bleeding and infection caused by suspected abdominal bile leakage, surgery is the only chance to rescue!


    At this moment, no one can relax their vigilance.


    The doctors from the blood transfusion department hurried to get ready for blood matching, instruments, nurses, anesthesiologists... Everyone is in full readiness. It''s best to deploy before rescue.


    Before the operation, the patient has been rescued in the operating room!


    Wang Xiangjun could change his clothes and wash his hands. He directly ran into the operating room in a white coat and carried out various preoperative preparations before rescue!


    Blood preparation and transfusion!


    fluid infusion!


    Oxygen!


    Correct electrolyte disorders!


    Maintain acid-base balance!


    Protect renal function and prevent renal failure


    A series of preoperative preparations is like preparing for the next battle.


    Just when Chen Cang and others walked into the operating room, the patient''s blood pressure finally stabilized, which relieved everyone in the operating room.


    If the patient''s condition is not stable and the blood pressure cannot rise, the next operation is very risky!


    Preoperative preparation is particularly important!


    After anesthesia, Chen Cang resolutely took the scalpel in the nurse''s hand!


    At this moment, the three people, including Wang Xiangjun, and every medical staff around them, all looked at Chen Cang!


    Although Wang Xiangjun is willing to believe Chen Cang''s words, but... How do you say that?


    It''s complicated!


    Even Yue Wenqing, the doctor of hepatobiliary surgery, and the attending physician dare not say that he can repair liver rupture, but Chen Cang dares!


    Is this confidence?


    There is an element of courage.


    But Wang Xiangjun hopes that Chen Cang really will.


    I hope he can surprise himself as before.


    Chen Cang did not hesitate, nor did he feel uneasy. Instead, he picked up the scalpel and gently drew it according to the established route. An oblique cut extended directly from under the xiphoid process to the front line of the right axilla.


    A "J" cut appears!


    At this time, the abdominal cavity is full of blood, and some have coagulated into blood clots.


    Chen Cang turned and looked at Yue Wenqing: "is that ok?"


    Yue Wenqing understood Chen Cang''s meaning, looked at Chen Cang''s firm eyes and nodded seriously: "no problem!"


    "Suck!"


    "Gauze!"


    Yue Wenqing began to prepare the lotion skillfully. Although he could not repair the liver rupture, he assisted director Qian, so the auxiliary work was OK.


    It is now necessary to control bleeding and explore injury decisively.


    The removal of blood clots requires care.


    Soon, the abdominal cavity was relatively clean!


    But at this time, there is still sharp bleeding at the rupture of liver tissue!


    This should be the reason why blood pressure can''t rise all the time!


    Chen Cang''s eyes were quick and his hands were quick. He directly held the gauze pad to compress and stop bleeding. He handled the liver with both hands and immediately began to stop bleeding.


    His hands carefully hold the liver, the gauze pad steadily oppresses it, and his fingers skillfully block the blood vessels!


    Suddenly!


    The blood stopped at once!


    Chen Cang''s seemingly simple operation directly stunned the people around him!


    Even Wang Xiangjun stared at this amazing scene.


    Freehand hemostasis?


    Liver hemostasis with bare hands!


    But... It''s always hemostasis for a blood vessel or a single injury.


    And Chen Cang''s operation


    How did he do it?


    Seemingly random unarmed operation requires accurate judgment and accurate positioning, as well as rapid emergency measures.


    At this time, Qian Liang hurried into the operating room and woke up from his dream. He suddenly learned that there was an operation with liver rupture. Where could he care about others and hurried to come.


    Even so, it took a lot of time.


    After washing hands in a hurry, I came into the operating room and saw this amazing scene before I had time to change my surgical clothes!


    Who is this?


    How so powerful!


    When Qian Liang was shocked, his heart was pleasantly surprised. When did such a talent come out of their section!


    However, when Qian Liang looked up, he suddenly felt very strange. Take a closer look!


    This is not Chen Cang!


    This time, Qian Liang was even more stunned.


    Chen Cang... When will he have a liver rupture repair operation? There are only four people in the hepatobiliary surgery department of the first hospital of Dongda who can do this operation, all at the director level.


    And Chen Cang was still playing with the appendix and gallbladder some time ago, right?


    This... Liver rupture surgery?!


    And still accurate hemostasis with bare hands.


    This shocked Qian Liang and confused him.


    It''s not sleepwalking!


    Chen Cang breathed a sigh of relief after hemostasis, but this kind of unarmed hemostasis is only a short-term control. If you want surgery next, you can''t do this!


    Chen Cang hurriedly said to Yue Wenqing, "what are you doing?"


    "Block liver blood flow!"


    Yue Wenqing blushed and hurriedly took over the hemostatic forceps, but at this time, Qian Liang hurriedly said, "wait a minute!"


    They looked up and found director Qian coming!


    At this moment, everyone couldn''t help but breathe a sigh of relief.


    And Wang Xiangjun also glanced at Qian Liang and nodded: "coming!"


    Qian Liang: "Hmm!"


    After putting on the surgical suit, Qian Liang went opposite Chen Cang, and Fan Tai quickly gave up his position.


    Qian Liang looked at Chen Cang and said, "are you ready?"


    Chen Cang nodded!


    Qian Liang took the hemostatic forceps and stopped bleeding immediately. It was crisp and clean.


    Chen Cang opened his hands and immediately began the investigation.


    This method of intermittently blocking hepatic blood flow through the hepatic portal to control hepatic artery and hepatic vein can really stop bleeding immediately!


    However, it has great limitations. The time for blocking blood flow each time can not be too long, usually 15 or 20 minutes.


    However, it is obviously unrealistic to complete such cumbersome work during this period.


    Can only restore blood supply for 5 minutes, the second block!


    However, modern medical research shows that repeated blocking is not conducive to the recovery of the liver.


    In this way, we must speed up the operation Kwai!


    The requirements for practitioners are getting higher and higher!