Chapter 1696

Quan Xiaocao closes the book. She has been learning about ESD technology recently.

Once boss Zheng takes himself to surgery, if he can't even know the most basic knowledge, what an embarrassment! Just think about it and don't live.

Of course, the basic knowledge is only a part, and micromanipulation is also very important. Teacher Feng lent her a microscope. Quan Xiaocao fought with pig intestines every day.

When watching boss Zheng perform the operation, I felt that there was no special difficulty. It was very stable and accurate.

However, as soon as the grass in power knew it, the micromanipulation was simply difficult.

It's already 12 o'clock. Have a good sleep. I hope nothing will happen tonight. When Quan Xiaocao went to wash, he was still thinking about the anatomical structure of the intestine and the matters needing attention when doing microsurgery.

While I was brushing my teeth, the nurse's telephone rang wildly.

The phone calls from this point even sounded impatient and flustered.

It must be an emergency!

It must be an emergency!

"Dr. Quan, the emergency department said 120 received a patient with rectal trauma and hemorrhagic shock!" The night nurse said in a hurry.

It's this point. Come to the severe emergency. It's another sleepless night.

Both Quan Xiaocao and the night nurse were helpless.

Quan Xiaocao heard that it was rectal trauma. He immediately judged that it was definitely not something he could handle. She called up the inpatient, and without hesitation, she called Professor Feng on the second line.

Quan Xiaocao is a little uneasy.

The rectum is the last segment of the digestive tract. Because there is a very rich connective tissue space around the middle and lower rectum, the rectum is less involved in general trauma.

However, once rectal trauma perforation, it may lead to extremely serious perirectal space infection and bring a series of related complications. Therefore, rectal trauma is not only difficult to deal with, but also difficult to recover and many complications.

And the elasticity of rectum is not enough, which is similar to esophagus. Postoperative blood supply is a very important point.

For example, anastomotic leakage after resection of rectal cancer is a very serious complication. If this complication is to occur, the repair can not grow. It can only be removed, parallel anal resection and drainage fistula.

In that case, the quality of life of patients will be greatly affected.

The injured in the emergency department, listening to the narration, were in serious condition. It is likely that the intestinal tract needs to be left open for a period of time to avoid rectal anastomotic leakage.

This kind of operation level is very high, and it will not be easy to try in hospital. Slow diagnosis is still possible, emergency... Call the second line.

It's a rare disease. Do you want to see boss Zheng? Quan Xiaocao took a look at the time. It's already more than 12 o'clock. Forget it.

Finding boss Zheng for surgery in the middle of the night is completely different from finding him for surgery during the day.

Getting up angry is a terrible thing to burst out. Besides, boss Zheng is not a second-line professor.

Quan Xiaocao thought of this and counseled directly before calling.

120 first aid first take the patient to the emergency department. After taking various first aid measures, send him to make a film to provide guidance for the operation.

When Feng Jianguo arrived, the patient was just sent to gastrointestinal surgery.

The blood pressure is 60 / 40 mmHg. The liquid in the deep vein puncture pipe drips in. The emergency department has collected blood samples and sent them to the blood transfusion department for blood matching.

The injured were not accompanied by their families, only by themselves. The emergency department said it had reported to the medical department and their people would arrive soon.

Feng Jianguo glanced at the film first.

The rectum is broken, as if the colon is broken, and there seems to be a problem with the stomach. How much impact can this cause so many serious injuries.

Feng Jianguo is very helpless.

The key is pelvic fracture and large retroperitoneal hematoma.

Trouble

Without hesitation, he picked up his cell phone and called Zheng Ren directly.

"Boss Zheng, received a lower body trauma, severe pelvic fracture, retroperitoneal hematoma, rectal and colon rupture."

"OK, I'll go to the stage for anesthesia and preparation."

Hang up the phone, Feng Jianguo roared, "send it up, hybrid operating room!"

"Good!" The inpatient always gave a shout, and Quan Xiaocao and the nurse pulled the injured and ran away.

Feng Jianguo didn't wait for the people from the medical office to come. He explained and ran directly to change his clothes.

After changing his clothes in a hurry, he kicked out the general manager in hospital.

There are still a lot of formalities at the medical office. Let the inpatient manager go through them. Soon boss Zheng will be able to come, and the operation is not afraid that no one will do it.

Emergency first aid, 912 is still very professional. It's almost a race with death to complete preoperative preparation and send it to the operating table in such a short time.

Feng Jianguo changed his clothes. As soon as he left the dressing room, he heard the door ring.

I'll go... Is boss Zheng coming so soon?

He turned back and shouted, "boss Zheng?"

"Well, here we are." Zheng Ren's voice came.

"I'll see the patient and disinfect first. You change your clothes first." Feng Jianguo said casually.

This kind of moment is definitely not a time for greetings. There is also a dying wounded waiting for treatment.

Every minute, every second is extremely precious.

After entering the operating room, Feng Jianguo saw that the anesthesiologist had finished endotracheal intubation and began breathing with a ventilator.

"Lao Feng, why are your intestines coming out? What trauma?" When the anesthesiologist was finished, he asked.

"120 people said they picked it up in Carnival square. The trauma caused by the largest fountain."

"The biggest fountain..." the anesthesiologist was stunned and smiled bitterly.

Such trauma is rare, but not unique. Usually children, playing in the fountain square, accidentally injured.

If it's a little crooked and thrown out, it may be black and blue.

Like this

I'd better hurry up and have an operation. My intestines are coming out!

After 30 seconds, Feng Jianguo thought the patient was strange.

Blood pressure? He could not accurately grasp the idea in his mind and began to look for it bit by bit.

Traumatic shock, blood pressure is very low, but it is still a little higher than when we first saw it. Itinerant nurses have gone to get blood. As long as they start blood transfusion, it should be no problem.

What's that? Do you think it's strange?

Feng Jianguo stared at the patient.

"Lao Feng, what's the matter?" Seeing that he was stunned, the anesthesiologist smiled and asked, "is it because you can't do the operation?"

"What do you think is wrong?" Feng Jianguo looked at Ren Ling lying on the operating table and was surprised.

"There's nothing wrong. I tell you, the patient's airway is a little deformed. If I hadn't been experienced and changed to an ordinary anesthesiologist, I wouldn't be able to insert the air tube." The anesthesiologist said with a smile.

As soon as Feng Jianguo listened, he immediately began to see the patient.

When he watched Ren Ling's stomach bulge, it seemed as if a basin of cold water poured down.

“MD!” He cursed, "is it inserted into the esophagus!"

……

……

Note: in 2007, one of my patients was airway malformation. Anesthesia, belly bulge first. Fortunately, Mr. Chen was invited to have an operation and observed this. Finally, there was no danger. Now 12 years after operation, the patient has recovered from lung cancer and has a slight heart problem.