Chapter 143： Mouth fights with a knife (below)
Flushing the abdominal cavity with warm saline, although the degree of surgery done by the system panel is already very high, Zheng Ren knows that as long as the abdominal cavity is closed, the degree of completion of the operation must be 100%, but it is still careful to check for active bleeding in the abdominal cavity.
This may be one of the surgeon's obsessive-compulsive symptoms.
Do not check, really can't. Once active bleeding occurs, the patient's traumatic injury is much higher than a single operation.
The second time, it is the so-called second-in-coming house in the medical field, and the risk is extremely high.
Two thousand milliliters of warm salt water was poured into the abdominal cavity, and repeatedly sucked out with a suction device. When only a faint, slightly turbid liquid was left, Zheng Ren and Su Yun closed the abdomen.
Chu Yuran has been observing the patient's vital signs and the progress of surgery.
At the beginning of the closure of the abdomen, she recorded a record on the surgical anesthesia list to prepare the patient's anesthesia to wake up.
Take a look at the East of the Chu, take a look at the West, talk to the Xie Yi people for a while, and stand behind Zheng Ren and Su Yun, and observe the surgery from different angles.
The abdominal cavity was closed layer by layer, and the patient's consciousness began to recover while the last needle was sewn.
Because the patient is in a timely manner, the amount of bleeding is not large, only a light hemorrhagic shock, so there is no need to intubate, bring a ventilator.
However, because the nursing care of the emergency ward is limited, Zheng Ren decided to send the patient to the ICU for one night.
In fact, the ICU will not spend 10,000+ per day. For example, the patient in front of the patient will review the blood routine after surgery. If the hemoglobin is not less than 80, it should not be transfused.
You can get through this barrier by relying on your own hematopoietic function.
After the operation, Zheng Ren stepped down and did not change his clothes urgently. Instead, he waited for a few minutes to help lift the patient into the flat car. He was sent back to the ICU by Su Yun and Chu Yuran. Then he took a shower and changed clothes. Go back to the emergency room.
Su Yun did not come back, this is a routine operation.
Because it is a postoperative patient in the emergency department, Su Yun is habitually staying in the ICU, guarding for 1-2 hours, and the patient's condition is stable, and will leave without special treatment.
One hour after the operation, Zheng Ren and the nurse on duty spoke, then put on a white suit and went to the ICU to check the patient's condition.
Every surgeon will do this whenever circumstances permit, except for small ones that can no longer be small.
When I came to the ICU, the patient's condition was stable and she was completely awake.
Because of the pain in the knife, I gave a medicine and was sleeping.
On the monitor, the patient's vital signs are stable. Su Yun did not seem to care for the serious problems, sitting next to the ventilator, the monitor, holding pen and paper in his hand.
He was a little leisurely, and he talked with the nurses and sisters of ICU without a word.
Zheng Ren did not hear what Su Yun said. Anyway, the sisters in the internship room kept their voices down, and the stalks of laughter trembled.
The blood pressure of the ruptured hemangioma was basically restored. It was uncomfortable to insert the ventilator tube. Zheng Ren and he said the outside situation and calmed the old man.
It’s good to recover. It’s good.
Zheng Ren smiled and turned and left.
Out of the ICU, Zheng Ren saw the chair in the hall full of patients' families, and even the ground was covered with rolls, and I don't know where the lover of the postoperative patient is.
This is the case with the ICU, where the patient's family cannot enter, lest the bacteria carried on the body may re-infect the patient with open airways. So they can only sleep outside, no lounge, just find a place to lie down.
Patients who are undergoing surgery today are lighter and can switch out of the ICU overnight. The family members of this patient are also stunned overnight, but once they are replaced by severe cases, they can rely on the ventilator to suffocate the patient. The family members wait indefinitely, day after day.
Zheng Ren called the names of the patient's family members. The voice was not big, but it was not small.
There was a sound coming from the fire passage, and Zheng Ren pushed the door into it.
Tang Xiu and the middle-aged woman smoked and smoked in the fire passage.
Seeing Zheng Ren, Tang Xiu took a moment, subconsciously took out the woman's cigarette and handed it over.
Zheng Ren waved his hand.
"The patient recovered well. If there is no accident, it will come out tomorrow." Zheng Ren said.
Tang Xiu and the middle-aged woman showed a happy look on their faces, but immediately realized that Dr. Zheng was talking about one person or two people?
Zheng Ren also smiled and said: "All good."
The faces of the two men finally relaxed.
"Do you have a fight?" Zheng Ren pretend to be easy, and he asked.
The middle-aged woman was a little embarrassed, biting her lip and nodding her head.
"Why do you want to move a knife?"
"He is always honest. Today, because of this month's money, I ask you." The middle-aged woman's excuse: "You also know that when children go to high school, it is time to spend money. Hundreds, we are just ordinary employees, really don't have much money. The money is also smashed from the teeth."
"That's not to move the knife." Zheng Ren and Yan smiled. "This is good, more flowers."
When talking about spending money, the woman’s face showed a painful look.
"But it's okay, you sent it in time, it's not too much. Go back to the emergency room and try to save you a bit." Zheng Rendao.
"Thank you, thank you." The middle-aged woman nodded in a hurry. "Medical insurance can reimburse it."
"How is it possible." Zheng Ren shook his head. "Car accident, knife wound, medical insurance is not reimbursed. Besides, although you are two people fighting each other, under normal circumstances, if there is a public prosecutor to bring a lawsuit, you have to face the crime of serious injury. ""
The woman's face becomes very difficult to see immediately But as long as your lover has no opinion, you will not file a public prosecution. After all, what we are paying attention to is that people do not pay attention to officials. "Zheng Ren's expression is very serious. "After you love someone, don't be so tough. Apologize, let him go smoothly. During the recovery period, if the mood is good, they will be discharged soon, and they can spend less. If you are suffocated, the cost of subsequent treatment can be astronomical. ”
Zheng Renlian was scared, and the middle-aged woman looked stunned and nodded. The swearing swears that it will not be the case again.
This is the purpose of Zheng Ren to talk a few words. He does not have the talent of Chang Yue, but for many years in clinical practice, the mastery of the patient's family mentality is considered to be of a high standard.
In the face of such family members of patients who have been frightened by passion and impulsive, it is not too simple to communicate.
"Dr. Zheng, how is my father?" Tang Xiu, who has been waiting quietly, sees the topic of Zheng Ren and the middle-aged woman come to an end, and he eagerly asks.
"The old man is fine, he is awake, I can hear it when I speak. It is because the ventilator assists in breathing, there is no way to talk, and it is better to pull out the tube tomorrow."
The patient recovered smoothly. Whether it was Zheng Ren or the family of the patient, his face was filled with a smile.
"Thank you, thank you." Tang Xiu really did not know what to say, a thousand words, and finally turned into a thank you twice, constantly repeating.
Zheng Ren waved his hand, turned away from the fire exit, and took the elevator back to the emergency room.
The Xie Yi people have already left. Zheng Ren is watching the WeChat group. The Mahjong Bureau has been harassed and has undergone an operation. They are also not interested in each other.
The north wind whistling outside, and the heated hospital was as warm as spring.
All kinds of noisy in the middle of the night, it was stable in the middle of the night, and spent safely.
This may be one of the surgeon's obsessive-compulsive symptoms.
Do not check, really can't. Once active bleeding occurs, the patient's traumatic injury is much higher than a single operation.
The second time, it is the so-called second-in-coming house in the medical field, and the risk is extremely high.
Two thousand milliliters of warm salt water was poured into the abdominal cavity, and repeatedly sucked out with a suction device. When only a faint, slightly turbid liquid was left, Zheng Ren and Su Yun closed the abdomen.
Chu Yuran has been observing the patient's vital signs and the progress of surgery.
At the beginning of the closure of the abdomen, she recorded a record on the surgical anesthesia list to prepare the patient's anesthesia to wake up.
Take a look at the East of the Chu, take a look at the West, talk to the Xie Yi people for a while, and stand behind Zheng Ren and Su Yun, and observe the surgery from different angles.
The abdominal cavity was closed layer by layer, and the patient's consciousness began to recover while the last needle was sewn.
Because the patient is in a timely manner, the amount of bleeding is not large, only a light hemorrhagic shock, so there is no need to intubate, bring a ventilator.
However, because the nursing care of the emergency ward is limited, Zheng Ren decided to send the patient to the ICU for one night.
In fact, the ICU will not spend 10,000+ per day. For example, the patient in front of the patient will review the blood routine after surgery. If the hemoglobin is not less than 80, it should not be transfused.
You can get through this barrier by relying on your own hematopoietic function.
After the operation, Zheng Ren stepped down and did not change his clothes urgently. Instead, he waited for a few minutes to help lift the patient into the flat car. He was sent back to the ICU by Su Yun and Chu Yuran. Then he took a shower and changed clothes. Go back to the emergency room.
Su Yun did not come back, this is a routine operation.
Because it is a postoperative patient in the emergency department, Su Yun is habitually staying in the ICU, guarding for 1-2 hours, and the patient's condition is stable, and will leave without special treatment.
One hour after the operation, Zheng Ren and the nurse on duty spoke, then put on a white suit and went to the ICU to check the patient's condition.
Every surgeon will do this whenever circumstances permit, except for small ones that can no longer be small.
When I came to the ICU, the patient's condition was stable and she was completely awake.
Because of the pain in the knife, I gave a medicine and was sleeping.
On the monitor, the patient's vital signs are stable. Su Yun did not seem to care for the serious problems, sitting next to the ventilator, the monitor, holding pen and paper in his hand.
He was a little leisurely, and he talked with the nurses and sisters of ICU without a word.
Zheng Ren did not hear what Su Yun said. Anyway, the sisters in the internship room kept their voices down, and the stalks of laughter trembled.
The blood pressure of the ruptured hemangioma was basically restored. It was uncomfortable to insert the ventilator tube. Zheng Ren and he said the outside situation and calmed the old man.
It’s good to recover. It’s good.
Zheng Ren smiled and turned and left.
Out of the ICU, Zheng Ren saw the chair in the hall full of patients' families, and even the ground was covered with rolls, and I don't know where the lover of the postoperative patient is.
This is the case with the ICU, where the patient's family cannot enter, lest the bacteria carried on the body may re-infect the patient with open airways. So they can only sleep outside, no lounge, just find a place to lie down.
Patients who are undergoing surgery today are lighter and can switch out of the ICU overnight. The family members of this patient are also stunned overnight, but once they are replaced by severe cases, they can rely on the ventilator to suffocate the patient. The family members wait indefinitely, day after day.
Zheng Ren called the names of the patient's family members. The voice was not big, but it was not small.
There was a sound coming from the fire passage, and Zheng Ren pushed the door into it.
Tang Xiu and the middle-aged woman smoked and smoked in the fire passage.
Seeing Zheng Ren, Tang Xiu took a moment, subconsciously took out the woman's cigarette and handed it over.
Zheng Ren waved his hand.
"The patient recovered well. If there is no accident, it will come out tomorrow." Zheng Ren said.
Tang Xiu and the middle-aged woman showed a happy look on their faces, but immediately realized that Dr. Zheng was talking about one person or two people?
Zheng Ren also smiled and said: "All good."
The faces of the two men finally relaxed.
"Do you have a fight?" Zheng Ren pretend to be easy, and he asked.
The middle-aged woman was a little embarrassed, biting her lip and nodding her head.
"Why do you want to move a knife?"
"He is always honest. Today, because of this month's money, I ask you." The middle-aged woman's excuse: "You also know that when children go to high school, it is time to spend money. Hundreds, we are just ordinary employees, really don't have much money. The money is also smashed from the teeth."
"That's not to move the knife." Zheng Ren and Yan smiled. "This is good, more flowers."
When talking about spending money, the woman’s face showed a painful look.
"But it's okay, you sent it in time, it's not too much. Go back to the emergency room and try to save you a bit." Zheng Rendao.
"Thank you, thank you." The middle-aged woman nodded in a hurry. "Medical insurance can reimburse it."
"How is it possible." Zheng Ren shook his head. "Car accident, knife wound, medical insurance is not reimbursed. Besides, although you are two people fighting each other, under normal circumstances, if there is a public prosecutor to bring a lawsuit, you have to face the crime of serious injury. ""
The woman's face becomes very difficult to see immediately But as long as your lover has no opinion, you will not file a public prosecution. After all, what we are paying attention to is that people do not pay attention to officials. "Zheng Ren's expression is very serious. "After you love someone, don't be so tough. Apologize, let him go smoothly. During the recovery period, if the mood is good, they will be discharged soon, and they can spend less. If you are suffocated, the cost of subsequent treatment can be astronomical. ”
Zheng Renlian was scared, and the middle-aged woman looked stunned and nodded. The swearing swears that it will not be the case again.
This is the purpose of Zheng Ren to talk a few words. He does not have the talent of Chang Yue, but for many years in clinical practice, the mastery of the patient's family mentality is considered to be of a high standard.
In the face of such family members of patients who have been frightened by passion and impulsive, it is not too simple to communicate.
"Dr. Zheng, how is my father?" Tang Xiu, who has been waiting quietly, sees the topic of Zheng Ren and the middle-aged woman come to an end, and he eagerly asks.
"The old man is fine, he is awake, I can hear it when I speak. It is because the ventilator assists in breathing, there is no way to talk, and it is better to pull out the tube tomorrow."
The patient recovered smoothly. Whether it was Zheng Ren or the family of the patient, his face was filled with a smile.
"Thank you, thank you." Tang Xiu really did not know what to say, a thousand words, and finally turned into a thank you twice, constantly repeating.
Zheng Ren waved his hand, turned away from the fire exit, and took the elevator back to the emergency room.
The Xie Yi people have already left. Zheng Ren is watching the WeChat group. The Mahjong Bureau has been harassed and has undergone an operation. They are also not interested in each other.
The north wind whistling outside, and the heated hospital was as warm as spring.
All kinds of noisy in the middle of the night, it was stable in the middle of the night, and spent safely.
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