Chapter 204

Chapter 204 general concerns of hospitalization

"Gastrointestinal endoscopy..."

Chen Qun just issued the first instruction, and saw that the door of the operating room suddenly opened and walked into two doctors wearing masks. People do not speak, standing on the edge of the corner, quietly watching them. One of them also made a gesture to continue.

Qi Hong looked at two doctors and recognized that they had just been intercepted outside and asked about the situation. Looking at Chen Qun on the side again, he has no expression. He is taking the instrument from Zhao Xue's hand and slowly inserting the endoscope into the little girl's throat into her esophagus.

The girl Xueba is smart and understands it immediately. This is not so much dissatisfaction with Mr. Huang as the requirement of his own responsibility. After all, both of them are too young to be recognized by most doctors. In addition, endoscopic surgery is prone to make mistakes. If she was the chief hospital officer, she would come and have a look to ensure that there would be no problems.

Now that Chen Qun doesn't care, he's still at ease with the operation, which shows that he's mentally prepared, and he didn't mess up because he suddenly had two more "supervisors" in the operating room.

At the moment, Qi Hong calmed down and looked at the colonoscopy display screen, quietly watching the catheter enter the stomach along the esophagus.

I don't know whether it's an illusion or a daze. Qi Hong saw that the speed of endoscopy entering the narrow part of the stomach and cardia was a little slower, the front end was slightly bent, and then from the narrowest central channel position, he entered the stomach. It's as if the endoscopic catheter has become a spiritual snake, entering the digestive tract without any damage.

It's just a detail that can be ignored, but Qi Hong suddenly realized that Chen Qun's mind is as tender and considerate as a girl's. He is afraid that his actions will cause extra damage to the little girl, so he has been carefully controlling the catheter endoscopy.

Where is this the first operation? Is Chen Qun able to directly grasp the larger endoscopic technology through his interventional operation practice these days, and what innovations he has made? Or did he have a lot of endoscopic surgery? Maybe both.

The same problem also appears in the mind of Jin Zhensheng, the chief inpatient in the operating room. He has been the chief inpatient for the second time, and the purpose is more simple and direct, that is, through this position to carry out devil like training, improve his surgical operation ability, and strive to become one of the backbone of the emergency center.

Although he is not Liu Yang's lineage, the emergency center is developing rapidly. Liu Yang, President of subjective medical surgery, treats all doctors equally and works according to one principle. It can be said that it's very fair for anyone to do what he wants, and he doesn't favor one. Instead, many doctors without a mountain have been under his command, and they think that they are the incorporated army.

For Jin Zhensheng, he doesn't mean to come to see Chen Qun's jokes. He is more concerned about whether the operation can be successfully completed. After all, it's about his bonus and promotion. His plan is also very simple, if the two bold "God's pride" is screwed up, he can immediately take over the operation with his assistant, so as not to let things slide into the bottomless abyss.

Especially for those young people who have been successful in the operation, there has never been any setback. When they are confident, they suddenly encounter Waterloo. Especially when they make a mistake in a new operation, at least two-thirds of the young people will be confused immediately, and another one-third will be able to reluctantly remedy it, but they will make more mistakes in the chaos, and the more rescue, the greater the damage.

Jin Zhensheng knows that Chen Qun is lucky. The operation he participated in has always been smooth sailing. Of course, it has a lot to do with his solid basic skills in surgery, which makes him have a great fault tolerance rate.

But now it's another kind of endoscopic surgery. Once the boy makes a mistake, he can't rely on his surgery to save the scene. It's more likely that his mistake will be compounded, turning a slight injury into a serious injury, which will eventually lead to the death of the patient. Sometimes, in a few seconds, there's a big crash.

As soon as he entered the operating room, he kept looking at the image taken by the endoscope on the screen. After a few eyes, his heart was hanging in his heart.

Chen Qun, who had surgery, was very fast. The speed of endoscopy entering the intestines and stomach was not like a novice at all. But the more so, the more dangerous it is. Because endoscopic surgery is most likely to hesitate, too fast operation, leading to a variety of vascular rupture, or directly through the inner wall, leading to a variety of massive bleeding.

The faster, the greater the risk.

In the twinkling of an eye, he saw that the endoscopy entered the duodenum from the pylorus. It seemed that the speed slowed down a bit, but how much it still dropped. The technique became even more strange, which made him unable to understand in this hospital. In addition to a slightly clumsy way, Jin Zhensheng raises his heart to his throat.

The most incomprehensible thing happened to him. As soon as the endoscope arrived at the crumpled part, the NBI staining mark of the young man was completed, it was heard that the young man did a strange thing instead of continuing the following operation."Two liters of 20 ℃ normal saline!"

What's this for? Does he think that even after the operation is finished, he starts to clean the intestines and stomach? Chen Qun quickly injected a large syringe of normal saline into the duodenum. With the flushing of saline, the narrowest and most compressed part of the duodenum was inflated by the water, just like a long balloon.

What on earth is this for?

After two or three seconds of thinking in his mind, Jin Zhensheng knew that it was the young people who wanted to expose more vision, but the space under the endoscope could completely cut the small intestinal polyp in front of him.

Is it for the sake of safety for young people?

However, if we pay attention to this detail, it shows that the young man is actually very cautious, which is totally incompatible with his previous actions.

Moreover, after such a salt water cleaning, the dyeing part has become a little light.

What Jin Zhensheng couldn't figure out happened again. Chen Qun quickly marked the intestinal polyp with allophycocyanin. Then he didn't even wait for the ideal location for the pathological elevation, so he directly used the endoscopic incision. At the location outside the mark, he began to cut the mucosal layer of the intestinal wall.

In all places where bleeding occurs, electrocoagulation is used to stop bleeding immediately, rather than electrocoagulation, which is more harmful. In particular, electrocoagulation hemostasis is done just right. It didn't burn through the mucous membrane, but it just stopped the blood of all the wounds.

In less than two minutes, the blocked polyp was cut off, leaving only a white electrocoagulation layer.

Then the most difficult thing for Jin Zhensheng happened. A small knot of artificial duodenum appeared in the endoscope. It was attached to the bulging intestinal wall of the patient and began to be fixed on the intestinal wall. It was like a stent in heart surgery. Every move was done carefully for fear of any damage.

What is the purpose of this artificial intestine in the duodenum without pathological changes?

Jin Zhensheng feels more and more that he can't understand the young man's behavior. However, judging from other people's manipulation, it can be said that it is impeccable. He is a doctor who has done a lot of ESD operations in general hospital, and is still a higher level.

No wonder these two guys said it was a minor operation.

For the first time in his life, Jin Zhensheng felt that his hospitalization was useless. In front of this young man, he never worked as the chief hospital officer, and he never went through the hell torture for half a year. He walked in the operating room every day, carrying out all kinds of operations.

Why is his operation better than his own one or two grades, even the mind of comparison completely disappeared.

It's not scientific at all!

Can't this kid get out of the womb and do endoscopic surgery?