Su Yun was stunned for a moment, and his first thought was that the oxygen pipeline had exploded.
But the sound was different, a bit muffled. The oxygen pipe burst, the sound could not be so quiet. There was a flash of lightning in my mind, and 0.2 seconds later I saw Zheng Ren striding towards a surgery room at the back.
Su Yun quickly followed Zheng Ren. He didn't have time to ask what was going on. He just took a look and found out.
If something serious happens in the operating room, it depends on whether the doctors and nurses will be injured. The patient lies on the operating table after anesthesia, but there is no chance to run away.
It is said that a fire broke out in a certain hospital and the patient died on the operating table. This incident aroused considerable public opinion at the time.
In the event of a fire or power outage, even if doctors and nurses stay where they are, so many instruments will not be able to operate at all...
It’s better to pray that this kind of thing never happens to you.
The door of the operating room where the sound came from was open, and Zheng Ren strode in.
Several people in the operating room were at a loss. The patient was in the lithotomy position. Looking at the position and the patient's system panel, Zheng Ren knew that this was transurethral resection of the prostate.
Zheng Ren saw the patient looking around in panic, and the "bang" sound frightened him. The patient looked confused and frightened, and kept waving his hands as if trying to get up.
But his upper body was strong, but his lower body had no strength at all, and his posture looked weird.
"Lie down, it's okay." Zheng Ren was the first person to wake up. He strode to the patient's side and restored his position.
If Zheng Ren hadn't responded promptly, the patient might have fallen off the operating table in a few seconds.
This kind of thing about falling off the platform... gives me a headache just thinking about it.
Looking at the patient's system panel, Zheng Ren thought about it for a few seconds. Until the circulating nurse reacted, stopped tapping the surgical instruments, and came over to help immobilize the patient.
"Don't worry, it's okay." Zheng Ren tried his best to keep his tone softer and softer.
Seeing the circulating nurse coming, Zheng Ren let go of the patient and said, "It's normal. You were so startled. What should you do if you fall?"
"Doctor, are you okay?" the patient asked worriedly.
"It's okay, don't worry." Zheng Ren comforted the patient. Although what he said was a lie, Zheng Ren took it as the truth.
Telling lies with his eyes closed, Zheng Ren has almost master-level skills.
The patient has coronary heart disease. If you really tell him the truth, what if he gets a heart attack due to nervousness or excitement
"What's going on?" Zheng Ren came to the confused Mr. Yu and asked in a low voice.
Mr. Yu stood in the position of assistant, and the magician Zheng Ren looked at him with a mosaic of expression.
"It's rare for Director Liu to pick out his prostate himself." Su Yun said with a smile.
Seeing that the values on the ECG monitoring were stable, everyone was less nervous. Making a few jokes would not only ease the tension in the operating room, but also calm the patient down.
Director Liu? He must be the new director after Director Miao resigned. Zheng Ren made a fake smile as a greeting, and then looked at Mr. Yu.
"The operation was about to be completed, and suddenly there was a bang." Mr. Yu replied in a low voice without losing his mind.
"It's okay." Director Liu said calmly,
Zheng Ren glanced at the things around him and immediately realized that the operation had already completed the steps of Ellik's lavage to remove the tissue and completely stop the bleeding.
There is really only 1-2 minutes until the end.
But just at this time, something happened. Director Liu looked really calm. He calmed down and began to stop the bleeding.
"Boss Zheng, why are you here?" Mr. Yu was a little flustered, trying his best to chatter and calm his heart, which had reached 130.
"We did a pneumothorax due to endometriosis with the thoracic department." Zheng Ren looked at the patient, a possibility came to his mind, and he muttered casually.
“…”
Director Liu and Mr. Yu were both startled.
Chest? Pneumothorax due to endometriosis? This is too rare.
How does endometriosis get into the chest? Mr. Yu had countless gossips in his heart, but he suppressed them immediately.
The patient in front of me has a problem, and what the muffled noise was just now is enough for me to worry about. How can I care about other people's business
Zheng Renyou guessed that it was not difficult to guess the muffled sound. Su Yun, Director Liu, and Mr. Yu should all know that it was considered that the explosion of mixed flammable and explosive gases in the bladder caused bladder rupture.
Gas explosion in the bladder is a rare complication during prostate resection, and there have been case reports in China in recent years. There are many reports abroad, and some doctors have even conducted large-scale sample surveys, and the incidence rate is about 1/1500.
Tests show that the electrolysis of intracellular water produces about 30%-50% hydrogen and only about 3% oxygen. It is currently generally believed that hydrogen mainly originates from the electrolysis of intracellular water.
When the volume of hydrogen contained in the air accounts for 4% to 74.2% of the mixed volume, ignition will cause an explosion.
The "bang" sound I just heard may be due to the vaporization of prostate tissue during the TURP process to produce various explosive gases. During electrocution and electrocoagulation, the water in the cells is electrolyzed, producing hydrogen gas that explodes in the bladder.
The fuse of the explosion was a spark triggered by contact between the hot metal resection loop of the resectoscope and the tissue.
During the operation, the oxygen reaches a concentration that causes combustion or explosion. The reason may be that air enters the bladder with the perfusion during ELLIIK flushing.
The consequences of gas explosion in the bladder vary in severity from mild cases with no obvious damage to severe cases with multiple ruptures of the bladder.
Zheng Ren looked at Director Liu's affirmative look and tone, and was still doing the final steps to stop the bleeding. He was also in a daze.
Could it be said that Director Liu has encountered similar things? Or maybe he also has a system. He checked the patient's bladder condition early in the morning and made sure that the patient was fine.
With these doubts, Zheng Ren entered the system space again, clicked to purchase surgical training time, and entered the system operating room.
The experimental subject was lying on the operating table in the lithotomy position, but he was much more honest than the patient in reality.
Zheng Ren took a look with a resectoscope and found that the bladder wall had collapsed and there was bleeding. If you look carefully, the break is only a few millimeters, so it should be fine.
No wonder Director Liu is so calm.
However, the explosion may cause one or more damage to the bladder. Zheng Ren left the resectoscope and began to puncture the patient.
Extraperitoneal puncture produced clear fluid. Consider the explosion of mixed flammable and explosive gases in the bladder causing bladder rupture.
The amount of urine was not large, about 40ml was drawn out.
Zheng Ren frowned. If it were him, he would definitely step down and explain the situation to the patient's family, and switch to open surgery during the operation.
It is safest to open it and take a look. A Fr22 three-lumen balloon urinary catheter was placed under the guidance of a metal stent to drain light red liquid.
There must be a problem, Zheng Ren confirmed his point of view.
Fortunately, there was system space, so Zheng Ren did not hesitate to start making orders and switch to laparotomy.