Chapter 1706

"Boss, are you a little more serious?" Su Yun asked.

"Hmm..." Zheng Ren thought about countless situations in his mind. He only answered Su Yun's question intentionally or unintentionally.

Then there was no more.

Su Yun is also very helpless, but Zheng Ren has to think about this little thing. He thinks he has nothing to do.

If you are willing to think about it, Su Yun saw that the patient was fine, so he ran to chat with the nurse in ICU. Zheng Ren always wondered why he had so much to say to strangers.

If you change yourself, you must be embarrassed to talk. The third sentence is that you don't know what to say.

But looking at Su Yun's side, I was very interested in talking with two little nurses in ICU, and the little girls smiled brightly. Is it a benefit to steal time?

Director Qian of Haicheng first hospital scolded director Pan for Su Yun's going to the emergency department.

But speaking of being rude and unreasonable, old director Pan is a good hand. Director Qian, it's not enough.

As long as Su Yun is there, the nursing team can't break up. Zheng Ren thought of the conclusion that Lao Pan said at that time, and felt it was absurd.

"Boss Zheng, do you have any possibility of doubt? I'll check it right away." Asked the chief inpatient in ICU.

"No, I'll think about it." Zheng Ren stood in front of the hospital bed, did not go to see Su Yun, but began to recall the process of his reception yesterday.

I didn't receive the diagnosis myself. I got a call saying that there was a patient with emergency pelvic fracture rescue, so I ran over.

When I entered the operating room, I saw

wait!

Zheng Ren was stunned. What he had just thought suddenly became clear.

It's anesthesia!

Anesthesia intubation was inserted into the esophagus. When he entered the house, he saw that the patient's stomach expanded slightly and his limbs began to appear cyanosis.

yes!

It must be.

After general anesthesia, the smooth muscle of gastrointestinal tract is relaxed. At this time, a large amount of gas is pressed in, resulting in extreme expansion of stomach, and a part of small intestine is similar.

High tension makes the gastrointestinal wall thinner, widens the endothelial cell gap and strengthens the permeability, resulting in liquid extravasation.

Peritoneal effusion, in fact, is the same as the effusion in case of severe intestinal obstruction, but there is no infectious factor.

Therefore, the liquid introduced from the drainage bag is light yellow, without precipitation and bloody exudation.

Zheng Ren thought of this, immediately picked up his cell phone, made a gesture, found a slightly quiet corner and called Lao he.

"Lao he, it's me." Zheng Rendao.

"Boss Zheng, do you have an emergency?" Lao he's voice was a little excited.

"No." Zheng Ren said, "let me ask you something. Have you ever had an intubation error and inserted it into the esophagus?"

There was a sudden silence on the other side of the phone.

This topic, across the phone, Zheng Ren seems to be able to hear Lao he's heartbeat accelerating.

"Boss Zheng, wait a minute. I'll find a quiet place to tell you." Lao he's voice became cautious.

Zheng Ren can't laugh or cry. He knows that Lao he must have misunderstood.

But he was too lazy to explain to Lao he. He couldn't wait long anyway.

After dozens of seconds, Lao he's voice came.

"Boss Zheng, did you rescue the accident in the emergency department?" Lao he asked in a low voice.

"No." Zheng Ren replied with a smile.

The other side of the phone breathed a sigh of relief.

"In the early morning of the day before yesterday, general surgery received an emergency patient. When I came here, I just saw the patient's stomach bulging. Then I took off the tube again with fiberoptic bronchoscope. The operation was completed. The patient recovered well. I was watching the patient in ICU." Zheng Ren explained.

"Scared the hell out of me." Lao he said.

"I want to ask you, have you seen such patients?"

"Boss Zheng, this is one of the biggest medical accidents in the anesthesiology department. It is the same as the intraoperative wakefulness caused by operational errors." Lao he said, "it's more serious than that. I met it several times, but I saved it all."

"Have you followed up the postoperative situation of these patients?" Zheng Ren asked.

"No, but I can ask in the group. They are old anesthesiologists all over the country." Lao he said.

"Ask me if they have seen a large amount of light yellow liquid after abdominal drainage." Zheng Rendao.

"Good!" Lao he answered.

Zheng Ren hung up and saw that there were more and more little girls around Su Yun. The general face in the hospital had begun to look bad.

It really affects the work. Is it true that he said he would wear a two-layer mask? Zheng Renzi thought it over and thought it was ridiculous.

It's not serious at all.

"Boss Zheng, are you consulting with your teacher?" Seeing that Zheng Ren finished calling, the inpatient of ICU asked with a smile.

It's logical that boss Zheng should have a particularly powerful teacher at his age.

"Er..." Zheng Ren smiled and went back to the bedside to see the patient's drainage bag.

Light yellow drainage fluid is very clear, with occasional turbidity, but not much. Zheng Ren recalled the process of the operation, calculated the flow in his heart, and became more and more convinced of his judgment.

Seeing that Zheng Ren didn't speak, he thought that his teacher might have died. This is a sad thing. Don't expose boss Zheng's scar yourself.

More than ten minutes later, Lao he called.

"Boss Zheng, someone has met him and said that there will be a medium amount of exudate after the operation." Lao he said, "I'll send you the chat records. Your judgment is right."

Zheng Ren glanced at the chat record. The anesthesiologist said a lot. It seems that the patient is very impressed by him.

It was a patient who was stabbed by a knife. After it was found that it was inserted incorrectly, it was the same. Immediately give artificial respiration and re intubate with fiberoptic bronchoscope.

The anesthesiologist followed for three days because he was worried about an accident and the patient had symptoms of cerebral hypoxia.

He has always remembered the postoperative drainage.

Light yellow drainage fluid, 500-1000ml, gradually decreased every day. In the later stage, there was no symptom of cerebral hypoxia. When transferred out of ICU, we no longer paid attention to it.

What the anesthesiologist said was the same as what Zheng Ren saw. Zheng Ren smiled.

The level of clinical technology has been improved a little bit.

I had no experience this time and thought for half an hour. But if you encounter it again in the future, you won't be troubled by many things.

"Su Yun, let's go." Zheng Ren stood up and greeted Su Yun.

"Got it?"

"Well, it should be. The diversion volume will be about 200ml tomorrow, which will be reduced in turn and will get better soon." Zheng Ren said with certainty.

Su Yun raised his eyebrows, but there are many people here, so he can't ask in detail.

After talking to the nurses, Su Yun left the ICU with Zheng Ren.

……

Lao he felt something was wrong after completing the task assigned to him by Zheng Ren, so he looked up the operation record.

That night, it was Cui Zhiying's class. Lao he thought about it and ran to the surgery room to find him.

……

……

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