Path of Medicine With a System

Chapter 195: 191 The humble Ouyang

Views:

"Don't cry! There is a dad in everything, you see your eyes are swollen, you are not hurt!" Lao Lu pitifully hugged his daughter in his arms. It has been many years since Jiajia has never relied on him so much since high school. Indie daughter really freaked out today! Lao Lu's heartache is all pulled together.

"I went out of the bathroom to wash my hands, and a gangster came to pester me. After Zhu Bing knocked him down, he quickly let me into the box. When I came out, he was already lying in a pool of blood. Woo~woo~woo! "Lu Renjia finally expressed the sadness in his heart, but who can he tell the guilt and regret in his heart!

In the operating room, the director of chest surgery said to Zhang Fan: "Doctor Zhang, will you go or should I go?"

"Director, let me go. This person is my friend. I was there for today's incident. I feel very uncomfortable if I don't do anything for him." Zhang Fan said to the director outside his chest seriously.

"Okay, then you go. I'll be your assistant." The director outside the chest nodded. There was no other way, he did not need to ask other doctors in the hospital for thoracic surgery, but Zhang Fan couldn't do it, Zhang Fan's level was no worse than his, and his technique was more stable, because Zhang Fan was younger.

At the beginning of the operation, the fifth rib is usually taken into the chest, especially for such critically ill patients, the chest wall bleeding is not considered first, and the thoracotomy is performed directly. Fortunately, Zhu Bing is a mirror image person. The mirror person refers to "the heart is on the right and the liver is on the left" and the internal organs are all reversed, just like the imaging principle of a plane mirror. It is common sense that the main internal organs of the human body are "heart, spleen, and stomach are on the left, and liver and gallbladder are on the right". It is extremely rare for mirror images, and the probability of all organs being reversed is only one in a few million.

In other words, Zhu Bing is a descendant of a martyr. Otherwise, it would be almost impossible for him to enter the police force in this situation, and he would be rejected in the first round of medical examination.

After the chest was opened, Zhang Fan removed the blood clot, and then found the bleeding point. Although it was not a big blood vessel, it was also a big blood vessel. After quickly pressing with his fingers, Zhang Fan said to the anesthetist and the itinerant nurse : "Speed up the infusion speed, put the dexamethasone directly into the pot and let it sit still."

Then start to deal with the bleeding point. There are many compensatory blood vessels in this kind of artery, so there is no need to connect it, and there is no time to connect it, because the intercostal artery and internal thoracic artery are also bleeding. After suturing the bleeding point in the chest, Zhang Fan asked, "How are the vital signs?"

The anesthesiologist hurriedly said: "I couldn't detect it just now, but now I can detect it, 80/50mmhg. After this liquid is injected, it will probably improve."

"Okay!" Zhang Fan didn't talk nonsense, and directly started to suture the intercostal artery and the internal thoracic artery. The human body has evolved too advancedly. Once one blood vessel is ligated, the blood vessels in all directions will compensate and improve the circulation. The lung tissue was bleeding badly, and Zhang Fan couldn't stop the bleeding by himself after the suture, because it was a large interpulmonary blood vessel. Although the bleeding was much smaller than before the suture, it still continued to bleed.

Zhang Fan hesitated, he didn't want to cut off the lung lobe, Zhu Bing was too young, and he was still a criminal policeman, so he kept the lobe surgery, as long as Zhu Bing recovered, he would be no different from a normal person, and he would have an extra postoperative scar. If one lobe of lung was cut off, Zhu Bing would probably leave the criminal police team in the future!

Seeing that Zhang Fan stopped the operation, the assistant was the director of chest surgery and asked, "What's the matter, Dr. Zhang? Is there something wrong?" After saying this, the anesthesiologist quickly looked at the monitor and said: "Doctor Zhang, the blood pressure has risen to 100/60mmhg, and the breathing and heart rate have also stabilized."

"No. Director Liu, I want to remove the lung lobe or not." Zhang Fan said to the director outside the chest.

"Although it was stitched up, you can see that it is still bleeding, and this cannot be preserved."

"As long as everything is done, this person will have no chance to be a criminal policeman again." Zhang Fan said regretfully.

"Doctor Zhang, you are really lucky this time, you still think about these things? Cut it!" said the director of the chest surgery without any hesitation.

"Then cut it!" Zhang Fan said regretfully. At this moment, the head nurse in the operating room came in. She looked at the itinerant nurse. The itinerary nurse nodded to the head nurse. The meaning was very clear, that is, the operation went well and the patient was saved!

Then the head nurse stood behind Zhang Fan, gently pressed against Zhang Fan's back, and stretched out her head to take a look at the progress of the operation. The breath of a young woman is obvious, and when entering the operating room, she must wear a surgical gown, which is very thin!

After reading it, he said into Zhang Fan's ear, "Doctor Zhang, what's the matter? The dean and leaders outside are waiting for news. The professor of Di University has also contacted him. Is it necessary for Professor Di University to fly over?" , but I guess it shouldn't be a big problem for you and Director Liu to make a move."

This is the treatment of Dana. The head nurse has a high emotional intelligence, and she can use her best capital without losing money! This kind of slight temptation, which is not explicit but can cause a ripple in people, if you really take it seriously, then it is low-end. A young woman with high EQ like her likes to play a secret ambiguity, to seduce you, but she will never take you seriously! Only middle-aged people will understand and control such things. If Zhang Fan was an old man, he would smile knowingly and then said with a frivolous smile: "The head nurse is fat again!" Then it would be over up.

But now Zhang Fan is just a young child, and the operation was not nervous, but the head nurse made such a gentle application, which made his head sweat. When the head nurse asked, Zhang Fan didn't speak for a long time, and the director of chest surgery said, "Dr. Zhang needs to keep improving, but the patient has no major problems. No need for Professor Di Da to come over. What do you think, Dr. Zhang?"

"Okay, don't come anymore." Zhang Fan said in a subdued voice.

"Hehe, I knew my brother was very powerful." The head nurse patted Zhang Fan's back lightly, turned around and left the operating room.

"Really, Dr. Zhang, I really don't need to worry about it. This lung lobe must be removed. The human body has a very powerful compensatory function. It will not be a big problem if you don't do extreme sports in the future." Director Liu thought that Zhang Fan was struggling.

"Okay, then cut!" Zhang Fan said uncomfortably.

The oblique fissure was opened, the lower lobe was retracted, and the upper lobe was retracted forward to expose the lower lobe artery. Because the upper (dorsal) artery and the lingual artery often originate from the left pulmonary artery at the same level, the upper artery should be ligated and cut off first. The basal artery was freed from below the inferior lingual artery, ligated and sutured, and cut off. Pull the lower lobe forward, ligate and cut off the inferior pulmonary ligament. The mediastinal pleura was pushed away, the inferior pulmonary vein was freed, ligated with a set of sutures and sutured, and then cut off. The lower lobe bronchus was freed, the dorsal bronchus was cut off and sutured first, and then the basal bronchus was processed.

This kind of operation is not difficult for Zhang Fan. As long as the shock is dealt with, other problems will not be a problem, so there is no need to worry. When in shock, you must be fast, and slow movements are not enough. The bleeding is fierce and the rescue speed cannot keep up. Shock turned into multi-organ failure, and even the gods were exhausted.

But once the shock improves, you must be cautious. Some people don't understand medical treatment, and they always feel that they are masters if they perform surgery quickly. This can be said: not necessarily.

The simplest one, an appendix operation, was done by a country doctor in ten minutes! And a doctor in a tertiary hospital did it for more than half an hour, whose level is higher

The purpose of the operation is to treat the disease, not to drive a speeding car. When it is not about life, you should be cautious and cautious. After the appendix was completed in about ten minutes, he definitely did not enter it according to the anatomical level, and he did not suture it according to the anatomical level. It's super fast, but it's very unfriendly to patients in the later stage, and the organizational structure is disordered. If something really happens in the future, no one dares to move this place!

Surgery is not mowing the grass. The tissue is cut and it will not grow back. It can be said that the error tolerance rate is very low. If you mow the grass wrong, you can say: Oops! I didn't pay attention, but can surgery say that

With Zhang Fan's little treatment, the development of technology has also made some operations easier and more perfect. If the lobectomy was done in the past, after cutting off the lung lobes, it would have to be stitched carefully stitch by stitch. If the suturing is not careful, there will be air leakage after the operation, and the operation will fail, and the chest needs to be re-sutured! If that's the case, let alone the hospital, the family members of the patients can eat you up!

But now it is much simpler. The stapler, which directly anastomoses the severed lung tissue, is a bit expensive, with a click of 3,000 yuan! Domestic ones are more than a thousand cheaper, but there is a disadvantage of domestic ones, as long as there is less anastomotic tissue, it may fall off, while imported ones are expensive, as long as the anastomotic tissue is closed, it will not fall off, unless the lung tissue falls off. Gui also makes sense, one lung leaf Zhang Fan clicked eight times.

Outside the operating room, after the head nurse went out, she took off her mask and said to Ouyang with a smile on her face: "Report to the director, Doctor Zhang and Director Liu said, don't bother the experts at Di University, the patient has passed the critical period, this kind of operation is very important It is not difficult for our hospital!"

Although there were a lot of senior leaders outside the operating room, she just stared at Ouyang and reported without even glancing at her! This is the reason why she has an average technical level but has always been the head nurse in the operating room. There is a certain number of pecks and drinks. People are in society, and society is built by people. The truth in this is sometimes even more difficult than science and technology. There are too many people with Jiuqu heart. A technical dog with low EQ can only go crazy, otherwise he really won't be able to get along! It is too ridiculous to say something here!

Ouyang was also shocked, the dagger was stabbed in the heart, and he was rescued! This directly overturned half of her life's medical knowledge, "Really!" She asked hesitantly! Then he asked again: "Who is in charge."

"Yes, Dean, when I went in, the wounded's blood pressure had reached 120/70, and his vital signs were stable. Dr. Zhang was the chief surgeon, and Director Liu was the first assistant. Moreover, Dr. Zhang and Director Liu personally confirmed it."

"Good! You have worked hard! On behalf of the Municipal Party Committee and Municipal Government, I thank you. The comrades on the medical front are good, and Dean Ouyang is very good! I am not proud at all. Such difficult and dangerous patients can be rescued in time. I will do my best for you. You celebrate, but I also want to criticize Dean Ouyang, he is too modest! Really, when you said that your life was in danger, I was in a state of suspense for a long time, but this is also good, and it shows that our doctors and our hospitals are not Arrogant or impetuous." Lao Lu is very happy, not for other reasons, he can't be happy with his daughter alone, otherwise if he really can't be rescued, it is estimated that his daughter's temperament will never get out of this shadow in this lifetime.

"Thank you, leader! We haven't done enough, and we will definitely continue to work hard." Ouyang blushed, and he had been practicing cardiology all his life, but today he made such a big mess.

Although Lu Renjia was born well and was proud, she was not a girl ignorant of the world. This moment was not the time for her to lie in her father's arms for comfort, nor was it the time for her to stand out. When the head nurse confirmed again , When Zhu Bing was rescued, her eyes were blurred with tears, and her body was weak. This is the symptom after the peak and valley of adrenaline subsided.

At this moment, Shao Hua gently touched her, stroked her head, wept with Lu Renjia, and said slowly: "It's all right, you can rest assured, Zhu Bing is all right!"

"Shao Hua!" There were too many people, Lu Renjia stuffed her head into Shao Hua's arms and wept quietly, feeling great sadness and joy! There is no better outcome than an accident in life.

Knowing the result, the leaders don't have to guard this place anymore. After leaving a few policemen behind, Lao Lu couldn't care about his daughter anymore, so he patted her on the back, and then led a group of people to go directly Hospital conference room.

First of all, he has to report to the secretary. The secretary is also very concerned about this matter, and it has alarmed the local military region. "Secretary, our outstanding police comrades have survived under the rescue of doctors and have passed the dangerous period. Yes! It has been confirmed."

"Okay! That's great! It's good news, you don't need to come here anymore, just stay in the hospital to supervise the follow-up hunt, and you must not let them escape."

"Yes!" After hanging up the phone, Lao Lu's face changed, and a frightening chill came over his face. "Now, Director Chen will report on the arrest situation. The secretary attaches great importance to it. It's up to you whether we can give a satisfactory explanation to the people."

"Report to the leader. At present, two people have arrived, and three others are still chasing them. They have entered the area under the jurisdiction of the border police. I have coordinated with the border police. I have also notified the leader's instructions and shot them to death when necessary."

"I'm working here now. If I let them escape today, I don't think I will have the face to go to the municipal committee again, and so will you."

The office of the hunting leadership team was set up in the hospital conference room, and the phone kept ringing.

After answering the call, the police chief reported to Lao Lu: "Through the urgent interrogation of the two suspects, we learned about their criminal past. This group is not only involved in smuggling, but also has a murder case in their hands."

"Notify, shoot dead immediately! There is no need to condone. We can't hurt our masses and front-line police for a few scumbags." Lao Lu said with a livid face while sitting in the main seat.

This hunting team has nothing to do with Ouyang. She is very curious and confused now. When did the hospital's surgery become so powerful? Few people in the country can guarantee that such a difficult operation will be foolproof. After changing her washing clothes, putting on her hat and mask, she entered the operating room.

Zhang Fan and the director of thoracic surgery are still doing the operation. The operation is said to be very fast, and it can be explained clearly in a few words, but it is really done, it is very slow, and any bleeding must be dealt with in time. Not to mention such a major operation.

Ouyang entered the operating room without saying a word, and went in quietly. As an internal medicine expert, although she rarely came to the operating room, she still knew the rules of the operating room.

In the operating room, the anesthesiologist chatted with the director of chest surgery again, but Zhang Fan said nothing, "Old Chen, I heard that you bought a car recently? At your age, can you drive!"

"Hey! I regret buying it. It's okay to drive, but it's too difficult to park. I have nowhere to park when I go back at night. Sometimes I want to take the car home."

"You are hypocritical. There is no place to park. Give it to me and let me drive every day. There are many parking places at my house. I will pick you up at work in the morning and send you back after get off work."

"You just pick~~" Before he finished speaking, he saw Ouyang, "Yuan~~"

Before he finished speaking, Ouyang raised his hand to stop his words. Ouyang saw that the atmosphere in the operating room was not tense at all, and he was completely relieved. Then he turned his head to look at the monitor, and he was even more relieved.

"What's going on?" She turned to face Zhang Fan and asked only after she was sure Zhang Fan had seen her. Although the old lady is not a surgeon, she knows everything.

"This police officer Zhu is a mirror image, and his heart is on the right side, otherwise today would be in danger!" Zhang Fan said while doing it. At this time, the operation is almost over, and closed drainage has been placed.