v3 Chapter 2289： Meticulous operation

"General Zheng." Chang Yue led the little girl and stood in front of Zheng Ren.

Seeing that the little girl did not resist the indifference and fear of thousands of miles, but had a little more expression of trust, Zheng Ren was also very convinced of Chang Yue. It seems that anyone can become a friend if she wants to.

This is the same whether it is a young girl who is "old and mature" in front of her, or many patients and family members who were in Haicheng.

In addition to myself as the medical team leader.

It was not unreasonable that she was taken captive to the medical office that year.

"It's okay," Zheng Ren thought to himself, saying, "Considering is to avoid-restrictive feeding disorder, just correct it."

"What to do?" Chang Yue asked seriously.

"Now she only drinks porridge every day, and it gradually becomes puree, such as yogurt, applesauce, and pudding."

"After a few days of adapting, it becomes a coarse texture of puree, such as oatmeal, mashed potatoes and so on. Then you can eat a softer solid food, such as rice, noodles, bread, potatoes."

"So simple?" Chang Yue looked at Zheng Ren in amazement.

"It's simple." Zheng Ren smiled and tried to touch the little girl's head, but saw that she had a slight evasive action, but instantly reacted and stopped abruptly.

The stop was stiff, Zheng Ren pulled his hand back, not wanting to stimulate her.

"When her grandpa comes back and signs the agreement, the elderly will be able to extubate home soon after the operation." Zheng Ren withdrew his hand and laughed: "Seeing that the patient is getting better, she can see her problem quickly. Just It's a trivial matter, mainly surgery. "

Although Chang Yue felt that Zheng Ren said it was too simple, but for so long, she still had a considerable degree of trust in her boss' diagnosis and treatment of the disease.

Mr. Zheng has said it, so that's it.

Zhou Litao is busy. I don't know why tonight. The emergency department is like opening a pot. Patients with minor injuries and illnesses continued, and there was no time to entertain Zheng Ren.

Zheng Ren didn't have any thoughts about staying in the emergency department.

The situation of Fang Lin's patients is special. If he had surgery in the afternoon tomorrow, he would have to do more training in the system operating room.

Such patients have a surgical completion rate of less than 95, and Zheng Ren did not dare to perform surgery directly. He had a headache at the thought of so many postoperative complications.

Chang Yue said she wanted to stay with the little girl and watch her eat.

No words overnight.

The next day was a normal ward round and surgery. After lunch, Zheng Ren sat in the old place and read a book in the system library.

At more than 1 pm, Su Yun told Zheng Ren that the patient's son had returned.

The two went up to see the situation and saw that Xinglinyuan's lawyer was talking to the patient's son about legal procedures.

He was about fifty years old, with deep wrinkles on his face, not just dust and mud. The wrinkles seemed to be mixed with concrete debris.

What the lawyer said, he responded docilely, and it seemed to him that he was still a little afraid of the suit lawyer.

"Prepare for surgery." Zheng Ren said that there was nothing wrong with Su Yun.

Su Yun saw that the appearance of the patient's son was somewhat different from his imagination, and did not say anything else. After going through the legal process on this side, Fang Lin explained before the operation that he would come to power.

Lao He had already prepared anesthesia-related matters early, propofol and analgesics were not effective during surgery, and all preparations for intubation were also prepared.

Regardless of whether Boss Zheng can successfully complete the operation every time, Lao He's preparations are based on major events, careful, such as walking on thin ice.

Zheng Ren expressed satisfaction with Lao He's attitude.

After 1 hour and 22 minutes, Fang Lin took the patient to the operating room.

With mask anesthesia, Zheng Ren understands that the biggest purpose of interventional surgery is to preserve the lung function of the patient. He took a deep breath, calmed his emotions, then waited for the anesthesia to take effect, and began exploration with a fiberoptic bronchoscope.

Entering the mirror, Zheng Ren found that the main fistula was in the left superior superior lobe, and there were also small fistulas in the posterior and anterior segments.

After he blocked the lamina propria with a balloon, he began to observe the breast bottle.

There were fewer bubbles in the closed chest drainage bottle, but they could not completely disappear. Zheng Ren suspected that there might be a branch of the left superior propria fistula.

The bronchoscope was then continued inside.

While trying to explore as much as possible, try to avoid causing too much stimulation to the patient's airway.

Zheng Ren thought he was too difficult.

This kind of operation, even if he is at the peak level of intervention level, still feels a little headache.

Su Yun carefully assisted, and soon discovered that the area of ​​the traffic branch that was expected to leak before was the upper left lobe and left lower lobe, the left lower lobe dorsal segment, and the left lower lobe inner anterior basal segment.

The scope is too wide, if this is all tied up, the patient's respiratory function cannot be guaranteed.

Su Yun stared at the pressure waveform of the hariti system tightly, her eyebrows frowned.

"Boss, what do you do next?" Su Yun asked.

"The pressure waveform of the hariti system may have a false positive potential. Need to combine other positioning methods. "Zheng Ren said faintly, then began testing.

Su Yun consonantly cooperated.

He saw his boss plug the left superior propria with a balloon, use the gelatin sponge to plug the left tongue and left lower lobe, and then look down at the closed chest drainage bottle.

The blisters in the bottle disappeared, and Su Yun and Zheng Ren immediately explained this, excluding the lateral branch ventilation of the left lower basal segment.

Zheng Ren then slowly removed the gelatin sponge from the dorsal segment of the left lower lobe. The blisters in the drainage bottle in the chest cavity did not appear, suggesting that the lateral branch ventilation of the dorsal segment of the left lower lobe had a small effect.

The operation is very slow and detailed, and the observation time is longer than the operation time.

Zheng Ren blocked the left superior propria with a one-way valve, and sealed the left tongue with a gelatin sponge. The air bubbles in the closed chest drainage bottle completely disappeared.

After about half an hour, slowly reduce the pressure, remove the gelatin sponge from the left tongue, and no air bubbles appear in the closed chest drainage bottle.

In the end, Zheng Ren only implanted a one-way valve in the left superior propria, and the left branch of the left lobular communication branch was not further processed.

Although only one one-way valve was left, the meticulous degree of operation and exploration during the operation was astounding.

The whole operation was done for almost 3 hours. Fang Lin was impressed by the stability and patience of Boss Zheng.

When the operation was finally completed, like the beginning, Boss Zheng's hands were steady, as if he had never changed.

"It's done?" Fang Lin whispered when Boss Zheng withdrew his tube and Lao He gave the drug.

"Well, I guess there is nothing wrong with it." Zheng Ren said softly, watching the system give a 98% success rate.

Fang Lin saw that the water column in the closed chest drainage bottle fluctuated well, but no air bubbles appeared, and his breath grew.