Chapter 1706： Ask the roots

"Boss, are you a bit more realistic?" Su Yun asked.

"Well..." Zheng Ren’s mind is pondering countless situations, and Su Yun’s questioning is only a long echo of intentional or unintentional.

Then there is no more.

Su Yun is also very helpless, but Zheng Renfei wants to ponder this little thing, he thinks it is nothing to do.

I was willing to ponder over it. Su Yun saw that the patient was fine, and ran to chat with the nurse of ICU. Zheng Ren has always been very strange about this, why he has so many words with strangers.

If you change yourself, you must be swearing two sentences. The third sentence does not know what to say.

But looking at Su Yun's face, chatting with the two ICU's little nurses, the little girls laughed. Stealing in a hurry, is this a welfare?

At the time, the director of the Haicheng First Hospital Qian had to go to the emergency department for Su Yun, and he also confronted Director Pan.

However, when talking about being unreasonable, Director Pan is a good hand. Director Qian, it is not enough to see.

As long as there is Su Yun, the nursing team will not be able to disperse. Zheng Ren thought that the conclusion that Director Pan said at the time was also ridiculous.

"Zheng boss, do you have the possibility of doubt? I will check it right away." ICU's hospitalization chief asked.

"First, don't use it, I will ponder 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 own consultation yesterday.

I didn’t go to the doctor myself. I received a phone call and said that I had a patient with an emergency pelvic fracture. I ran over.

I saw it in the operating room...

and many more!

Zheng Ren lived, and what he had just thought was suddenly clear.

It is an anesthetic problem!

The anesthesia was inserted into the esophagus. When I entered the room, I saw that the patient's stomach was slightly inflated and the limbs began to appear purpura.

Correct!

It must be like this.

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

The high tension makes the gastrointestinal wall thinner, and the gap of the endothelial cells is widened at the microscopic angle, and the permeability is enhanced, resulting in fluid extravasation.

Abdominal effusion, in fact, and the effusion of severe intestinal obstruction is a reason, but there is no infection factor.

Therefore, the liquid drawn from the drainage bag is pale yellow, with no sedimentation and no **** exudation.

Zheng Ren thought of this, immediately picked up the phone, made a gesture, found a slightly quiet corner, and called the phone to Laohe.

"Old congratulation, it is me." Zheng Rendao.

"Zheng boss, there is an emergency?" Laohe's voice is slightly excited.

“No.” Zheng Rendao: “Ask you, have you ever encountered an intubation mistake and inserted it into your esophagus?”

The phone was suddenly over.

This topic, across the phone, Zheng Ren seems to be able to hear the sound of Lao He's heartbeat acceleration.

"Zheng boss, you wait a moment, I am looking for a quiet place to tell you." Laohe's voice was cautious.

Zheng Ren can't smile, he knows that Lao He must have understood it wrong.

But he was too lazy to explain with Laohe, and he couldn't wait any longer.

After a few tens of seconds, the voice of Lao He came.

"Zheng boss, are you in the emergency department to rescue the accident?" Lao He whispered.

"No." Zheng Ren replied with a smile.

The phone was relieved.

"The day before yesterday, I received an emergency patient. When I rushed over, I just saw the patient's belly bulging. Then I used a fiberoptic bronchoscope to re-administer the tube. The surgery was done. The patient recovered well. I was looking at the patient at the ICU. "Yong Ren explained."

"Scared me." Old congratulations.

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

"Zheng Boss, this is one of the biggest medical accidents in the anesthesiology department, and it is the same as the intraoperative waking caused by the operation error." Lao Hedao: "It is more serious than that. I met several times, but I was rescued." ""

"The postoperative situation of these patients, have you tracked?" Zheng Ren asked.

"No, but I can ask in the group, they are all old anesthesiologists in the country." Old congratulations.

"Help me ask, postoperative abdominal drainage, leading to a lot of light yellow liquid, they have not seen." Zheng Rendao.

"Well!" Lao He responded.

Zheng Ren hung up the phone and saw more and more girls around Su Yun. The general face of the hospital has begun to look bad.

It really hurts the work. Does he say that it is true to wear a two-layer mask? Zheng Ren thought about it carefully and felt ridiculous.

This product, there is nothing serious.

"Zheng boss, are you consulting with your teacher?" ICU's hospitalization always saw Zheng Ren after the phone call, he asked with a smile.

Zheng boss, this age, should have a particularly powerful teacher to be logical.

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

The pale yellow drainage fluid is very clear, occasionally a bit turbid, but not much. Zheng Ren recalled the process of surgery, and calculated the drainage volume in his heart, and he was more and more convinced of his judgment.

Zheng Ren always did not speak when he was hospitalized. He thought that his teacher had passed away. This is a sad thing, don't expose the scars of Zheng boss.

After more than ten minutes, Lao He called.

"Zheng boss, some people have encountered, said that there will be a moderate amount of exudate after surgery." Lao Hedao, "Chat record I will send it to you, your judgment is correct."

Zheng Ren glanced at the chat record. The anesthesiologist said a lot. It seems that this patient is very profound in his impression.

It was a patient with a knife stab wound. After the insertion was wrong, the same was true. Immediately, artificial respiration was performed and re-intubation was performed with a fiberoptic bronchoscope.

After the postoperative anesthesiologist worried about the accident, the patient had symptoms of cerebral hypoxia, so he followed for three days.

He has always remembered the situation of postoperative drainage.

Light yellow drainage fluid, 500-1000ml, gradually reduced every day, there is no symptoms of cerebral hypoxia in the later stage, and the ICU is no longer concerned.

The situation described by the anesthesiologist was the same as that seen by Zheng Ren. Zheng Ren smiled.

The clinical technical level is just a little bit better.

This time I have no experience and thought for half an hour. But if you encounter it again in the future, you will not be bothered by the fact that there is a lot of traffic.

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

"Let's figure it out?"

"Well, it should be. The daily drainage will be around 200ml, which will decrease in turn, and it will soon be better." Zheng Ren said with certainty.

Su Yun raised his eyebrows, but this person has more people and can't ask in detail.

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

......

After the completion of Zheng Ren’s assignment to him, Lao He felt that something was wrong and looked for a surgical record.

That night was Cui Zhiying’s class. Old He Yan grinded a bit and ran to the surgery to find him.