Chapter 1108

The echo of the system is still in my ears, and Huang Shiren's voice from the top of the operating room immediately makes Chen Qun return to the real world.

"Xiao Chen, just as you have finished the operation, go to rescue a patient from the Development Zone hospital immediately. I couldn't finish it there, so I sent it here. A 41 year old male presented with ruptured abdominal aortic aneurysm, hypertension, diabetes mellitus, coronary heart disease, liver and renal failure, and cardiac dysfunction. I used to think I had an open operation for gastric ulcer. "

As soon as Chen Qun heard this, he knew why the hospital over there would send the patients directly. Because these symptoms combined, it became a technical problem that a surgeon had to solve. The patient's abdominal adhesion was very serious, and it was impossible to shunt the abdominal cavity and internal organs. At the same time, it was difficult to separate the various organs.

Sometimes, many diseases are so simple and complex, many small symptoms come together, and become a problem that is not important on weekdays, but is very difficult to solve for surgery. What's more, low heart function and ruptured aortic aneurysm are almost lifeless. Only a few big hospitals can save them. The probability is not high.

Chen Qun didn't even think about it and gave a direct answer.

"Send the patient over immediately, and I'll brush my hands!"

Two minutes later, Chen Qun saw the medical records sent by the district hospital and frowned slightly.

An abdominal aortic aneurysm with a diameter of 7 cm appeared under the abdominal renal artery. Due to the enlargement of the aortic aneurysm, the aortic dissection is reduced, and the possibility of rupture is very high. Coupled with such a toss on the road, it should be possible to rupture. There is a high probability that the heart will stop beating due to excessive bleeding.

Now the only thing to be thankful for is that the patient is not a giant panda blood type, otherwise it would be impossible for him not to cheat.

Almost in a few seconds after the data came into view, Chen Qun immediately prepared a response plan.

"Prepare six units of frozen plasma and two units of platelets, send the patient to operating room 4 immediately, and we will start the rescue according to the massive abdominal bleeding. Because the patient has a previous record of open surgery, the fastest time to perform open surgery for abdominal adhesions is 15 minutes, but at the beginning of the operation, the patient may not be able to sustain for more than 5 minutes, so we switched to unconventional rescue

Sure enough, it's a very Chen Style way of thinking. Everyone's medical staff came up with this idea in their mind. Without winning, they expected to lose first, which made the only idea of luck lose its existence. Of course, this kind of worst-case operation may not be a trial and error operation, and may even be counterproductive. But the current situation is very suitable for the patient's condition.

Zhao Xueli, who had nothing to do as an assistant in the last operation, was a little nervous and asked quickly.

"What is the unconventional way?"

"Without adhesions dissection, the patients were operated in the lateral position, and underwent abdominal aortic aneurysm resection and artificial vascular replacement through the thoracoabdominal incision. Fortunately, we have three spare blood vessels that were not used in the last operation. This time, even disinfection and preparation have been saved. "

This is still a new posture, even if Zhao Xue, a senior replacement mechanical nurse of Chen Qun, has never seen it, and she doesn't know much about the operation itself. However, although Zhao Xue has little experience, he is used to Chen Qun's treatment of various strange patients. He will take a group of other rookies to complete a brand-new operation.

What's more, in the case of severe adhesion of patients, it is a more "clean" surgical method for nurses and other medical staff not to peel off the adhesion organs. Otherwise, if there is any intestinal leakage or ulcer, the operating room is a disaster.

Besides, when Chen Qun comes to the new hospital, the type of operating room has changed from one to four. Among them, No. 1 operating room is the most comprehensive demonstration operating room, No. 2 operating room is the hybrid operating room for heart, No. 3 and No. 4 operating room is the small operating room for abdominal surgery, especially No. 4 operating room is the simple abdominal surgery.

Because the four operating rooms are divided and modularized, as long as different equipment and instruments are deployed, these operating rooms can be converted into the operating rooms needed by Chen Qun in just a few minutes. Of course, the strong logistics of various automated operations is essential.

Of course, the scheme given by Chen Qun at this time was based on his rich clinical experience. It was not demonstrated in the system space, but directly decided. Because if the incision is made from the middle, the abdominal adhesion is serious, which leads to dissection adhesion, and it takes quite a long time to reach the most important abdominal aortic aneurysm.

What's more, the tumor has ruptured and began to bleed. If you enter from the side, you can directly contact the abdominal aortic aneurysm for rescue without any abdominal adhesion.

The reason why this kind of operation is not common is that it has a small opening, a small field of vision and a weak operability. Even for himself, it is not as fast as the conventional way. But now, this is the best way of operation. Of course, the difficulty has increased several times, but he has also done thousands of operations from this position in the system space, and has formed a muscle memory, which is not difficult.A few minutes later, Chen Qun opened the abdominal cavity of the patient during the operation. Looking at the hemangioma as swollen as a kidney, Zhao Xue felt that she could not look directly at the fried kidney in the hospital. However, Zhou Lin, another nominal manager of the husband and wife store, who was the first assistant, did not notice. When he saw the tumor, he naturally came up with an operation plan in his mind. It seemed that he would do it. Although it was very slow, he could firmly believe that he could complete the operation.

Is it that after a trip abroad, he performed very well and began to fly?

Zhou Lin felt that his idea was not normal, so he quickly threw his head away and left the unrealistic idea out of his mind. Then he saw Chen Qun gently raise his right hand, slightly pull the surgical glove on his left hand, and put his right hand into the patient's abdominal cavity, then gently pull, and slightly pull out the big artery.

As soon as he reached in his palm, the index of the sphygmomanometer outside, the patient's blood pressure of 72, jumped to 101.

"Blood pressure is rising, Dr. Chen, you have found the bleeding point of the patient!"

A touring nurse read the reading on the monitor, and a little star appeared in her eyes. She knew that it was Dr. Chen Qun's free hand hemostasis, which was not easy to use. It worked, and the blood stopped at once.

"Don't talk nonsense. The operation hasn't started yet. Give me hemostatic forceps, prepare Mayer's dissecting scissors and inject heparin!"

Chen Qun replied in a steady voice, and then reminded Zhao Xue that when the voice fell, he saw the hand of the female nurse involuntarily touched the dissecting scissors. Although he didn't know the mechanism and principle of the system upgrading the assistant, he knew that all upgrading was based on personal efforts. After the effort, skills improvement in turn affects their assistants and nurses.