Chapter 88 draw the line
What kind of people are these! All operations for others should be recycled, and the resection operation should be turned into transplantation operation. Isn't this the legendary collusion?
Elder sister is to let Doctor Chen come to do a plastic surgery, how can this situation?
Fortunately, my sister has already been on the plane. These frustrations have nothing to do with my sister. Even if the patient died in the operating room, it also proves that Dr. Chen's good luck has come to an end.
I want to draw a clear line with these guys who are afraid that the world will not be chaotic, so as not to be accused by menopausal women and say that I am the backstage of those troublemakers.
As soon as Su wanting thought of this, she immediately told the little secretary sitting next to her, "I'm a little sleepy. I'm going to take a nap on the plane, and I won't answer any phone calls. We've been busy these days. We don't have to worry about everything in Xiangyun hospital. Just let Ms. Xie take charge. In case she says that we have bad intentions and want to make her ugly. "
The little secretary said with a sweet smile, "I know, Mr. Su! It's none of your business even if there's a human death there. It's called mind your own business. "
Su wanting stood up and went to the back bedroom. It's rare to get a sleep on the plane. This time, we finally made the best use of everything.
At this time, Chen Qun, the chief surgeon in the operating room, encountered the first trouble after the operation. Although the left kidney has been removed, exposing a complete field of vision, but gangchengxiufu's tumor, and several other abdominal organs adhesion together.
Let Chen Qun finally had to give up the scalpel cutting method, but use both hands to use blunt separation, slowly and gently tear the tumor and the adhesive liver together.
All the doctors who watched the operation in the observation room had a deep interest in Chen Qun's skillful hands and left a deep impression in their hearts. If you change to another doctor, the operation has failed at this time. It is impossible to separate the tumor from the liver, let alone damage the blood vessels and other tissues.
In the middle of the separation, the alarm suddenly beeped.
"Normal breathing, normal blood pressure, normal blood oxygen, no massive bleeding. The patient developed a distributive shock and was immediately ready for shock resuscitation. "
A series of instructions were issued from Chen Qun's mouth, which made all the doctors present come up with an idea in their mind.
It's too skillful. It's not like a little doctor who just got the qualification of practicing medicine, but more like the attending doctor of a large international hospital. When it comes to emergencies, they don't panic at all, which is enough to kill 95% of the young people who just join the industry.
"The patient's white blood cell index is increasing. He's dying! Stop the operation
It was Fang Heng, the chief surgeon and tumor expert, who said this.
"No, the patient's white blood cells are active, mostly due to systemic pro-inflammatory cytokine release, leading to post embolism syndrome. I'm going to have an intra-arterial injection of ricardine, plus 100 mg of methylprednisolone, antibiotics. The patient's condition should be postponed before the operation
Chen Qun gave the explanation without wave. This symptom may be very rare for other people, but it's common for him to face the patients with thrashing and systemic fracture training every day. He doesn't know how many times to deal with it, and almost has no fluctuation and panic in his heart.
"We have to stop the operation, stop doing useless work and save the patient's life first."
Fang Heng just gave the order, and listened to the beep alarm next to him. He stopped and the patient immediately recovered to normal.
"How much is the patient bleeding?"
Chen Qun tou also asked this question without looking back. In his hellish simulated operating room, he has achieved that he can save half of the patients with 6 liters of massive bleeding.
"1200 milliliters."
The nurse in the back answered the question immediately.
When all the doctors on the stage heard about the amount of bleeding, it was almost too normal. Most of the blood was lost when the patient's kidney was removed. In other words, Chen Qun was in charge of the partial resection and dissociation operation. There was almost no bleeding at all, and the patient's abdominal cavity didn't even have excess hemostatic gauze.
As a domestic hemostatic expert, Liu Yang put his palm on his chin and asked the microphone behind him“ Xiao Chen, how can you continue the operation when dealing with post embolism syndrome. If you remove the patient's tumor in the next step, it will inevitably cause the patient to lose blood again and aggravate the patient's massive bleeding. Please answer this question clearly. "
Chen Qun raised his head and gave a sonorous answer to this question“ I can clamp the aorta first and slow down the blood supply of the tumor, which is enough to slow down the release of cytokines, so that the problems that should appear disappear. If we can't solve the problem, we can solve the source of the manufacturing problem. "Liu Yang's voice improved a lot, and the loud voice made the loudspeaker roar.
"When you clamp the aorta, the patient's kidney system, gastrointestinal system, thighs and lower limbs are completely necrotic. No matter how successful your operation is, the patient will be dead. "
This not so funny joke roared out from vice president Liu, and no one dared to laugh.
Maybe you experts are more experienced than me, but when it comes to hemostasis, I'm a great master of system certification. I've also treated hundreds of virtual patients and accumulated valuable experience with blood.
You have absolutely no experience in treating hundreds of patients.
Chen Qun answered calmly.
"It's not like that. I just need to clip it every ten minutes and it won't die. Now the patient's condition is relatively stable, so we can adopt a more conservative scheme, and change it to a seven minute clip. The blood volume is enough to prevent the release of cytokines without causing excessive blood loss and death. The antibiotic I just injected is to prevent other accidents. "
Liu Yang closed his mouth and began to appreciate the little doctor he had not met. How wonderful the intermittent method is! But it was the best way. If he had known that he could clip it like this, maybe his old comrades would not have lost a thigh.
"Does anyone else have a better way? If not, continue the operation!"
Vice president Liu's loud voice came to the operating table below through the microphone. Anyway, even if the patient is dead without surgery, there is still a chance for surgery. It was only when patients knew this that they decided to gamble. They had already signed all kinds of medical contracts and were not afraid of making a big deal.
There was no big problem with the subsequent operation. The only problem was that it took too much time to remove the patient's lump of rotten meat. It wasn't until the sixth hour that Chen Qun separated the last tumor from the spine that he found that the gauze used to wipe the sweat on his forehead was already full of a small basket.
Chen Qun couldn't help gasping for breath. If he hadn't left some of the attributes of the front and back rewards, and all the others had been added to the attributes of energy, he would not have been able to support such a long operation.
In the total energy value of 100, his 81 value has shown a beautiful green value, which is quite different from the original yellow alert value.
"Dr. Sun, you will take over the cleaning and sewing of the patient."
Liu Yang, who entered the operating room for the third time, was finally relieved to know that this super tumor resection was a complete success. Perhaps to be exact, the operation is really done by hand. Even the hand of God of Sanjiang Company is useless in the face of this rotten tumor.
It seems that the operation is not difficult, but it is more difficult to separate it than any heart brain level 4 operation. The reason is also very simple, that is, the tumor is very special, it is an abnormal situation.
No wonder Sanjing general hospital, which has better medical conditions, directly dismissed the patient without saying a word. But absolutely did not expect, the patient's opponent, a moment into his Savior.
This little Doctor Chen, however, completely attracted his attention.