Quan Xiaocao closed the book. She had been learning about ESD technology recently.
Once Boss Zheng takes himself for surgery, what an embarrassment it will be if he doesn't even know the most basic knowledge! Just think about it and stop living.
Of course, basic knowledge is only part of it, and micromanipulation is also extremely important. Teacher Feng lent her a microscope, and Quan Xiaocao was fighting with pig intestines every day.
When I watched Boss Zheng perform the surgery, I felt that it was not particularly difficult, it was very stable and accurate.
But when Quan Xiaocao got started, he realized that micromanipulation was extremely difficult.
It's already 12 o'clock. Have a good sleep. I hope nothing will happen tonight. Quan Xiaocao went to wash up, still thinking about the anatomy of the intestines and the things to pay attention to when performing microsurgery.
While I was brushing my teeth, the phone at the nurse's station rang frantically.
Even the ring tone of the phone call at this point was full of impatience and panic.
It must be an emergency!
It must be an emergency!
"Doctor Quan, the emergency department said that 120 received a patient with rectal trauma and hemorrhagic shock!" the night shift nurse said hurriedly.
At this point, I came to the critical care emergency room. It was another sleepless night.
Both Quan Xiaocao and the night shift nurse were a little helpless.
Quan Xiaocao heard that it was rectal trauma and immediately judged that it was definitely not something he could handle. She called up the hospital manager, who didn't hesitate and called Professor Feng directly on the second line.
Quan Xiaocao was a little uneasy.
The rectum is the last section of the digestive tract. Since there is a very rich connective tissue space around the middle and lower rectum, there is less chance of the rectum being involved in general trauma.
However, once the rectum is perforated due to trauma, it may lead to extremely serious perirectal space infection and a series of related complications. Therefore, rectal trauma is not only difficult to deal with, but also has difficult postoperative recovery and many complications.
Moreover, the rectum is not elastic enough, similar to the esophagus, so blood supply after surgery is very important.
For example, anastomotic leakage after rectal cancer resection is a serious complication. If this kind of complication occurs, the repair cannot be extended, and the only option is to remove it, perform anal resection, and create a discharge tract fistula.
If so, the patient's quality of life will be greatly affected.
According to the description of the injured person admitted to the emergency department, they were in serious condition. It is very likely that the intestines will need to be left alone for a period of time to avoid rectal anastomotic leakage.
This kind of surgery is very high-level, and the hospital manager will definitely not try it lightly. It's still possible for chronic diagnosis, emergency treatment... let's call the second line.
It's considered a rare disease. Do you want to ask Boss Zheng to take a look? Quan Xiaocao took a look at the time. It was already past 12 o'clock, so he might as well forget it.
Seeing Boss Zheng for surgery in the middle of the night and seeing him for surgery during the day are two completely different concepts.
Getting angry when you wake up is very deadly when it breaks out. Besides, Boss Zheng is not a second-tier professor.
When Quan Xiaocao thought of this, he immediately gave up before he could make a call.
120 First Aid will first take the patient to the emergency department. After various first aid measures are taken, he will be sent to take a picture to provide guidance for surgery.
When Feng Jianguo arrived, the patient happened to be sent to the gastrointestinal surgery department.
The blood pressure was 60/40 mmHg, and the liquid dripped into the deep venous puncture tube. The emergency department had collected blood samples and sent them to the transfusion department for blood matching.
The injured was not accompanied by his family members and was alone. The emergency department said it had reported to the medical office and their people would arrive soon.
Feng Jianguo took a glance at the film first.
The rectum was ruptured, it seemed that the colon was also ruptured, and there seemed to be something wrong with the stomach. How big of an impact is this that can cause so many serious injuries
Feng Jianguo was very helpless.
The key is that there is a fracture in the pelvis and a large area of retroperitoneal hematoma.
Trouble...
He didn't hesitate at all, picked up his cell phone and called Zheng Ren directly.
"Boss Zheng, we have admitted a patient with lower body trauma, severe pelvic fracture, retroperitoneal hematoma, rectal and colon rupture."
"Okay, I'll go on stage to anesthetize and prepare first."
After hanging up the phone, Feng Jianguo shouted: "Send it up to the hybrid operating room!"
"Okay!" The hospital manager responded, and he, Quan Xiaocao and the nurse took the injured and ran away.
Feng Jianguo didn't wait for anyone from the medical office to come. He explained and ran up to change clothes.
After hurriedly changing his clothes, he kicked the resident out.
There are still a lot of procedures at the medical office, so the hospital manager can go through them. Boss Zheng will be here soon, and there is no need to worry that no one will perform the surgery.
In terms of emergency first aid, 912 is very professional. To be able to complete the preoperative preparation and deliver the patient to the operating table in such a short time is almost like a race against death.
Feng Jianguo changed his clothes and just left the dressing room when he heard the door knock.
I'll go... Boss Zheng came so quickly
He turned around and shouted: "Boss Zheng?"
"Well, we're here." Zheng Ren's voice came.
"I'll go see the patient and disinfect first. You change clothes first." Feng Jianguo said casually.
This kind of moment is definitely not the time for small talk. There is a critically injured person inside waiting for treatment.
Every minute and every second is extremely precious.
Entering the operating room, Feng Jianguo saw that the anesthesiologist had completed tracheal intubation and started ventilator-assisted breathing.
"Old Feng, why did the intestines come out? What kind of trauma?" the anesthesiologist asked after finishing his work.
"120 people said they were picked up at the Carnival Plaza, and the biggest fountain caused trauma."
"The biggest fountain..." The anesthesiologist was startled and smiled bitterly.
This type of trauma is rare, but not unique. Usually it is children who accidentally get injured while playing in the fountain square.
If it's a little crooked and it's thrown out, it may cause a bruise or a swollen face.
Like this…
It’s better to hurry up and do the surgery, the intestines are all out!
30 seconds later, Feng Jianguo felt something was strange about the patient.
Blood pressure? He couldn't accurately grasp the idea in his mind and began to search bit by bit.
In traumatic shock, the blood pressure is very low, but it is still a little higher than when I first saw it. The circulating nurse has already gone to collect blood. As long as the blood transfusion is started, there should be no big problem.
What would you find strange
Feng Jianguo looked at the patient blankly.
"Old Feng, what's wrong?" Seeing that he was stunned, the anesthesiologist asked with a smile: "Is it because you can't perform the operation?"
"Do you think something is wrong?" Feng Jianguo looked at Ren Ling lying on the operating table, a little surprised.
"There's nothing wrong. Let me tell you, the patient's airway is a little deformed. If it weren't for my rich experience, an ordinary anesthesiologist wouldn't even be able to insert a tracheal intubation." The anesthesiologist said with a smile.
As soon as Feng Jianguo heard this, he immediately started seeing patients.
When he saw Ren Ling's belly bulging, it was as if a basin of cold water was poured over his head.
"MD!" He cursed: "Did it get inserted into the esophagus?"
…
…
Note: In 2007, one of my patients had airway malformation. Under anesthesia, the belly will swell first. Fortunately, I asked Teacher Chen to do the surgery and observed this. In the end, there was no danger. Now, 12 years after the operation, the patient's lung cancer has been cured and he has some minor heart problems.