[{"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/0.webp", "translations": [], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/1.webp", "translations": [{"bbox": ["169", "541", "957", "1367"], "text": "..."}, {"bbox": ["169", "620", "956", "1366"], "text": "..."}, {"bbox": ["169", "620", "956", "1366"], "text": "..."}], "width": 1080}, {"height": 2475, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/2.webp", "translations": [{"bbox": ["93", "482", "645", "852"], "text": "Perfect-level manual hemostasis... if I can\u0027t feel the bleeding point, it only means this much blood isn\u0027t accumulating in the patient\u0027s abdominal cavity."}], "width": 1080}, {"height": 1125, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/3.webp", "translations": [{"bbox": ["486", "72", "917", "326"], "text": "It\u0027s not bleeding from an exposed organ."}], "width": 1080}, {"height": 1200, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/4.webp", "translations": [{"bbox": ["380", "128", "757", "396"], "text": "So... what are your thoughts now?"}], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/5.webp", "translations": [{"bbox": ["137", "94", "625", "393"], "text": "Considering the patient\u0027s condition, I believe it\u0027s intrauterine bleeding caused by disseminated intravascular coagulation."}, {"bbox": ["478", "1101", "837", "1355"], "text": "That means a hysterectomy."}], "width": 1080}, {"height": 1050, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/6.webp", "translations": [{"bbox": ["605", "779", "886", "976"], "text": "Absorbable sutures."}], "width": 1080}, {"height": 2025, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/7.webp", "translations": [{"bbox": ["171", "86", "635", "369"], "text": "Huh? Suturing now? There\u0027s still so much blood in the abdominal cavity!"}, {"bbox": ["226", "1673", "617", "1959"], "text": "Where are you going to suture?"}], "width": 1080}, {"height": 2175, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/8.webp", "translations": [{"bbox": ["44", "1676", "717", "2032"], "text": "B-Lynch suture: A uterus-specific suturing method characterized by its simplicity and ease of implementation. It stops bleeding while preserving the uterus\u0027s reproductive function."}, {"bbox": ["520", "674", "970", "898"], "text": "B-Lynch suture."}], "width": 1080}, {"height": 1950, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/9.webp", "translations": [{"bbox": ["154", "1476", "709", "1862"], "text": "Although it\u0027s self-taught and I haven\u0027t practiced it, with Master-level interrupted suture skills, this procedure shouldn\u0027t be difficult."}], "width": 1080}, {"height": 1050, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/10.webp", "translations": [{"bbox": ["119", "246", "673", "525"], "text": "Any doctor who knows this procedure must have unquestionable suturing skills."}], "width": 1080}, {"height": 3675, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/11.webp", "translations": [{"bbox": ["449", "173", "816", "463"], "text": "But, is suturing the uterus appropriate right now?"}, {"bbox": ["250", "1563", "677", "1885"], "text": "Dr. Ling, isn\u0027t the safest course of action right now... not to suture?"}], "width": 1080}, {"height": 1425, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/12.webp", "translations": [{"bbox": ["87", "189", "652", "532"], "text": "Dr. Ling, the patient already has a child. If you suspect uterine bleeding, the safest course of action is a hysterectomy."}], "width": 1080}, {"height": 2062, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/13.webp", "translations": [{"bbox": ["189", "1394", "878", "1739"], "text": "Besides reproduction, the uterus also affects the endocrine system. Removal immediately plunges women into menopause. The series of consequences that follow are often difficult to predict."}, {"bbox": ["404", "128", "948", "446"], "text": "A B-Lynch suture has the same outcome as a hysterectomy. Moreover, suturing has a better prognosis."}], "width": 1080}, {"height": 2063, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/14.webp", "translations": [{"bbox": ["65", "751", "511", "1121"], "text": "Isn\u0027t your emergency department\u0027s priority to save lives? You just said, save the life first, then treat the illness."}], "width": 1080}, {"height": 2475, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/15.webp", "translations": [{"bbox": ["154", "293", "533", "613"], "text": "The B-Lynch suture is just as effective; it can also save her life."}, {"bbox": ["329", "1995", "828", "2344"], "text": "But you\u0027re not sure about the internal bleeding range. It\u0027s possible it\u0027s outside the suturing area, right?"}], "width": 1080}, {"height": 1275, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/16.webp", "translations": [{"bbox": ["594", "380", "871", "597"], "text": "The probability is low."}], "width": 1080}, {"height": 2362, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/17.webp", "translations": [{"bbox": ["316", "137", "876", "491"], "text": "The blood loss is already substantial. If the B-Lynch suture can\u0027t stop the bleeding, I don\u0027t think an extra one or two hundred milliliters will make much difference."}, {"bbox": ["483", "1652", "876", "1907"], "text": "It won\u0027t be too late to perform a hysterectomy then."}, {"bbox": ["99", "2009", "341", "2189"], "text": "!!!"}], "width": 1080}, {"height": 2363, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/18.webp", "translations": [{"bbox": ["271", "794", "979", "1078"], "text": "As a woman myself, I can empathize. Let alone one or two hundred milliliters, even a thousand more, I\u0027d be willing to try to preserve my uterus."}], "width": 1080}, {"height": 3075, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/19.webp", "translations": [{"bbox": ["431", "1930", "918", "2258"], "text": "It seems Dr. Ling still has the same pure, original intention I had when I first entered the hospital!"}, {"bbox": ["243", "201", "898", "578"], "text": "After so many years in obstetrics, we generally remove the uterus if there\u0027s a problem. No one turns one surgery into two. No one thinks to let the patient try."}], "width": 1080}, {"height": 1425, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/20.webp", "translations": [{"bbox": ["165", "279", "718", "556"], "text": "No, no, no! We can\u0027t be swayed by sentiment. This is a life-or-death situation!"}], "width": 1080}, {"height": 3150, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/21.webp", "translations": [{"bbox": ["388", "1679", "1006", "2085"], "text": "The B-Lynch suture requires intrauterine bleeding. But we can\u0027t confirm that 100% right now. There\u0027s even a possibility of amniotic fluid embolism. Therefore, there\u0027s a risk of misdiagnosis if we perform the B-Lynch suture."}, {"bbox": ["518", "101", "990", "407"], "text": "Dr. Ling, you still can\u0027t 100% confirm that the patient is experiencing intrauterine blood loss, right?"}, {"bbox": ["144", "2164", "572", "2423"], "text": "Director Fang, Dr. Ling, another 300 milliliters!"}], "width": 1080}, {"height": 2700, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/22.webp", "translations": [{"bbox": ["202", "1866", "480", "2088"], "text": "Director Fang, whose instructions should I follow?"}, {"bbox": ["512", "293", "866", "531"], "text": "Increase suction speed, expose the surgical field."}], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/23.webp", "translations": [{"bbox": ["36", "1254", "1079", "1496"], "text": "Stepping back means relinquishing authority, and also relinquishing responsibility."}], "width": 1080}, {"height": 1200, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/24.webp", "translations": [{"bbox": ["260", "798", "546", "1000"], "text": "I understand."}], "width": 1080}, {"height": 975, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/25.webp", "translations": [], "width": 1080}, {"height": 1725, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/26.webp", "translations": [{"bbox": ["662", "88", "989", "381"], "text": "1800 ml of intra-abdominal bleeding."}, {"bbox": ["177", "1441", "523", "1667"], "text": "Pay attention to fluid and crystal replenishment."}], "width": 1080}, {"height": 1200, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/27.webp", "translations": [{"bbox": ["361", "802", "795", "1124"], "text": "Yes. 1000 ml of colloid, 2000 ml of crystalloid, and 400 ml of plasma have been administered..."}], "width": 1080}, {"height": 1650, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/28.webp", "translations": [{"bbox": ["170", "1267", "606", "1559"], "text": "Intrauterine injection of carboprost tromethamine can be beneficial for postpartum hemorrhage..."}], "width": 1080}, {"height": 1200, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/29.webp", "translations": [{"bbox": ["531", "859", "860", "1080"], "text": "Director Fang, that\u0027s a good point!"}], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/30.webp", "translations": [], "width": 1080}, {"height": 2025, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/31.webp", "translations": [{"bbox": ["564", "149", "873", "399"], "text": "Suturing complete."}], "width": 1080}, {"height": 825, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/32.webp", "translations": [], "width": 1080}, {"height": 1350, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/33.webp", "translations": [{"bbox": ["336", "89", "756", "376"], "text": "So... has the bleeding stopped?!"}], "width": 1080}, {"height": 1275, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/34.webp", "translations": [{"bbox": ["182", "77", "489", "335"], "text": "It... it seems there\u0027s still bleeding!"}], "width": 1080}, {"height": 2025, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/35.webp", "translations": [{"bbox": ["319", "1591", "821", "1905"], "text": "The bleeding is minimal now. Even if it fails and the heavy bleeding continues, we can still perform a hysterectomy then."}, {"bbox": ["448", "74", "820", "347"], "text": "Let\u0027s observe further."}], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/36.webp", "translations": [{"bbox": ["229", "953", "627", "1285"], "text": "Controlling the bleeding is already a significant improvement. Let\u0027s wait for the amniotic fluid embolism test results."}], "width": 1080}, {"height": 1275, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/37.webp", "translations": [], "width": 1080}, {"height": 1575, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/38.webp", "translations": [{"bbox": ["505", "84", "878", "393"], "text": "Director Fang, the results are out. No evidence of amniotic fluid embolism was found."}], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/39.webp", "translations": [{"bbox": ["97", "67", "540", "335"], "text": "Now it just depends on how well the bleeding is controlled..."}], "width": 1080}, {"height": 1500, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/40.webp", "translations": [{"bbox": ["413", "1269", "1031", "1376"], "text": "Everyone waits in silence."}], "width": 1080}, {"height": 303, "img_url": "snowmtl.ru/storage/tmptest/great-doctor-ling-ran/192/41.webp", "translations": [], "width": 1080}]

Manhua