Chapter 2161

Su Yun was stunned. His first thought was that the oxygen pipe exploded.

But it doesn't sound like it. It's a little stuffy. The oxygen pipe burst. The sound can't be so small. The mind flashed. After 0.2 seconds, Zheng Ren strode to the back of an operation room.

Su Yun quickly follows Zheng Ren. He doesn't have time to ask what's going on. Go and have a look.

If something serious happens in the operating room, doctors and nurses will be injured. On the one hand, patients lie on the operating table after anesthesia, but they don't even have the chance to run.

It is said that a hospital caught fire and the patient died on the operating table, which aroused considerable public opinion at that time.

Fire, power failure, even if doctors and nurses stay in place, so many instruments can't run at all

It's better to pray not to encounter such a thing.

The door of the operating room was open, and Zheng Ren strode in.

Several people were at a loss during the operation. The patient was in the lithotomy position. Looking at the posture and the patient's system panel, Zheng Ren knew that this was transurethral resection of the prostate.

Zheng Ren looked around in panic when he saw the patient. The "bang" sound frightened him. The patient's face was dazed and frightened, and his hands were constantly waving, as if he had to try to get up.

But his upper body was strong and his lower body had no strength at all. His posture looked strange.

"Lie down, it's okay." Zheng Ren was the first person to wake up. He strode to the patient and recovered his position.

If Zheng Ren hadn't responded in time, I'm afraid the patient might fall off the operating table in a few seconds.

This kind of falling off the platform... It's a headache to think of it.

Looking at the patient's system panel, Zheng renzhuo pondered for a few seconds. Until the itinerant nurse reacted, stopped counting the surgical instruments and came to help fix the patient.

"Don't worry, it's okay." Zheng Ren tried to make his tone softer and softer.

Seeing the itinerant nurse coming, Zheng Ren let go of the patient, "normal, what if you fall so surprised."

"Doctor, are you all right?" The patient asked worried.

"It's all right. Don't worry." Zheng Ren comforted the patient. Although what he said was a lie, Zheng Ren said it as the truth.

With his eyes closed, Zheng Ren is almost a master.

The patient has coronary heart disease. If you really tell him the truth, what if you have to be nervous and excited about myocardial infarction.

"What's going on?" Zheng Ren came to Yu Zong with an ignorant face and asked in a low voice.

Standing in the assistant's position, master Zheng Ren looked at a mosaic.

"It's rare for director Liu to pick the prostate himself." Su Yun said with a smile.

Seeing that the value of ECG monitoring is stable, everyone's mood is not so nervous. A few jokes can not only ease the tension in the operating room, but also make the patients calm down.

Director Liu? It's the new director after director Miao retired. Zheng Ren made a fake smile and said hello. Then he looked at president Yu.

"When the operation was about to be finished, there was a sudden bang." Yu never lost his mind, he replied in a low voice.

"Nothing." Director Liu said calmly,

Zheng Ren glanced at the things around him and immediately realized that the operation had completed the steps of ellik lavage, electric cutting tissue and complete hemostasis.

It's really only 1-2 minutes from the end.

But then something happened. Director Liu looked really calm. He calmed down and began to stop bleeding.

"Boss Zheng, why did you come up?" Yu is always a little flustered. He tries to gossip and calm his heart whose heart rate has reached 130.

"I made a pneumothorax caused by endometriosis with the chest department." Zheng Ren looked at the patient, a possibility came to mind, and his mouth was perfunctory.

“……”

Director Liu and president Yu were stunned.

Chest? Pneumothorax caused by endometriosis? This is too rare.

How does endometriosis get into the chest? Yu Zong had countless gossip in his heart, but then he pressed it down.

The patient has a problem in front of him. What was the dull noise just now? It's enough for him to worry about. He doesn't have the mind to mind other people's business.

Zheng Ren has guessed that it is not difficult to guess the dull sound. Whether Su Yun, director Liu or president Yu should be clear - considering the bladder rupture caused by the explosion of mixed flammable and explosive gases in the bladder.

Bladder gas explosion is a rare complication in prostatectomy. There are cases reported in China in recent years. There are many reports abroad, and even doctors have done large-scale sample survey, with an incidence of about 1 / 1500.

The test shows that hydrogen produced by intracellular water electrolysis accounts for about 30% - 50%, and oxygen accounts for only about 3%. At present, it is generally believed that hydrogen mainly comes from the electrolysis of water in cells.

When the volume of hydrogen contained in the air accounts for 4% ~ 74.2% of the mixed volume, ignition will produce explosion.

The "bang" sound just heard may be that various explosive gases are produced by gasification of prostate tissue during TURP. During electrosection and electrocoagulation, water in cells is electrolyzed to produce hydrogen and explode in the bladder.

The fuse of the explosion is the spark triggered by the contact between the hot metal electric cutting loop of the electric cutting mirror and the tissue.

During the operation, the oxygen reaches the concentration of combustion or explosion, which may be due to the gas entering the bladder with perfusion during elliik flushing.

The consequences caused by gas explosion in the bladder vary in severity. Light cases have no obvious injury, and serious cases can have multiple ruptures of the bladder.

Zheng Ren looked at director Liu's positive look and tone, and was still doing the final hemostasis. He was also in a trance.

Can it be said that director Liu has encountered similar things? Or does he also have a system to check the patient's bladder early in the morning, and it is certain that the patient has no major event.

With these doubts, Zheng Ren entered the system space again, clicked to buy the operation training time and entered the system operating room.

The experimental body lying on the operating table is much more honest than the real patient.

Zheng Ren took a look with an electric cutting mirror. The bladder wall collapsed and there was bleeding. Look carefully. The breach is only a few millimeters. It should be no problem.

No wonder director Liu is so calm.

However, the explosion may cause one or more damage to the bladder. Zheng Ren left the electrocision mirror and began to puncture the patient.

Extraperitoneal puncture produces clear fluid. Consider bladder rupture caused by explosion of mixed flammable and explosive gas in bladder.

The amount of urine is not much, about 40ml is extracted.

Zheng Ren frowned. If he were himself, he would certainly step down and explain the situation to the patient's family directly, and the operation would be converted to open operation.

It's the safest thing to open it. The fr22 three chamber air bag catheter was indwelling under the guidance of the metal support to lead out the light red liquid.

There should be a problem. Zheng Ren determined his point of view.

Fortunately, it was the system space. Zheng Ren did not hesitate to start laying the list and switch to open surgery.