Chapter 402： Stepping on the red line for surgery
Receiving patients to the emergency ward, preoperative preparation, preoperative explanation, this series of activities is very cumbersome.
Even in the case of emergency, it was simple, but when the patient's status allowed, he was busy for at least half an hour, and Su Yun pushed the patient to the operating room.
When the patient was pushed to the stage, the patient's high pressure had dropped to 90 mm Hg.
The continuous decline in blood pressure indicates that the patient's condition does not seem to be as simple as it appears.
Anesthesia, Su Yun placed the patient in the position, laid the first layer of sterile single, and then went to brush again. At this time, Zheng Ren put on a sterile coat and began to lay a second layer.
The operation officially began.
Zheng Ren reached out and handed a hemostatic forceps to his hand with iodov gauze.
Disinfect, put the pliers on the side of the patient's leg, then reach out and the scalpel is taken up.
Open skin, 20 large knife edge, then cut layer by layer, blunt separation, electric burning to stop bleeding.
Cao Guozhen had already arrived in the operating room. He stood behind Zheng Ren at the moment and looked at the operation from the perspective of the surgeon.
The process of opening the chest is almost perfect and the amount of bleeding is minimal.
Although Cao Guozhen is still not convinced, his belly will open his chest and he will not produce much blood.
Open chest and open belly are two very different ways of opening.
Many years ago, when electric fire was not used in clinical practice, it was necessary to open the chest with 500l of blood.
However, the surgery of Zheng Ren and Su Yun did not show any bleeding at all. Some of the larger blood vessels were directly picked out from the tissue with hemostatic forceps and sewed.
Only after breaking the muscles, use electric burning to burn the blood in the muscles.
The cleanliness of the surgery, Cao Guozhen is more and more afraid.
This enchanting in the emergency ward, how did the chest surgery do so? I really want to talk about the emergency department of the thoracic department.
Zheng Ren and Su Yun had a tacit understanding of not doing rib fracture internal fixation, but first opened the chest.
Because there is no strong evidence, you can open the thoracic surgery, so you can only say that you need to do rib fracture internal fixation.
This,
It is already on the line.
Even if the postoperative recovery is not good, the patient's family is ruthless, and Zheng Ren and Su Yun may have trouble.
of course,
This trouble is what they are looking for.
The sneer under the mask of Cao Guozhen is getting thicker and thicker. The two guys in the emergency department are really arrogant.
The medical procedures are illegal. Do they not know it?
The patient is not surnamed Zheng, nor surnamed Su, as for this?
Still inflated, I don’t know what my name is.
Although I didn't see any problems after opening the chest, it is also possible to directly fix the rib fracture. The patient's family members do not know, and they will not provoke themselves.
However, it is often the case that there are non-wet shoes on the river.
Let them go so arrogantly, not far from the accident.
Cao Guozhen looked at the two men and opened their chests. Zheng Renyi raised his hand and a heavy automatic hook appeared on his hand.
Open the chest and use the automatic hook to open the field of about 8 or so.
Under normal circumstances, the field is definitely not so big. However, the patient has a rib fracture, and the ribs do not have such high elasticity and toughness at the moment, and the field is more open than ever.
"I started to want to have a chest, just for this kind of surgery." Su Yun said that the operating room was too quiet and began to groan. "It's more open, and you don't have to lick the intestines." Boss, you said yes."
As the buckle of the automatic hook is unscrewed, the lungs appear in front of you.
The middle and lower leaves of the right lung each have a huge mouth with a dark red edge that appears in the field.
Zheng Ren and Su Yun took a deep breath.
If there is a problem with the real thing, the intuition is not wrong!
Zheng Ren was a little scared. He secretly slandered the big pig's hoof. He only said that the lungs were broken and there was no mark.
05 rubbing lung rupture and this 10 long, 10 deep lung rupture, can it be the same?
Zheng Ren used hemostasis to probe, and the hemostasis pliers all went in, only to explore the end.
The middle lobe of the right lung was almost not penetrated.
Cao Guozhen stood behind Zheng Ren and stopped.
What is the reason for this?
Why is there no blood pneumothorax when such a large lung is broken? impossible!
Can't!
He is confused.
Cao Guozhen has also been in medical care for 10 years, and the number of injuries he has seen has been numerous, but this situation is still the first time.
How is this going?
Zheng Ren explored, Su Yun squatted, "Boss, I guess the strength of the steel bar is too big, the broken end of the rib fracture is like a dagger, causing trauma in the lower and middle lobe of the right lung, and then because of the elasticity of the rib itself, Shrink back.
Because the power is too big, the trauma is too heavy, or the kind of sharp injury. At the moment of the injury, the bronchial artery was damaged in many places, and a lot of blood was poured out, filling the lungs directly. ”
Zheng Ren’s thoughts in his mind are similar to what Su Yun said, and there is not much difference.
"So looking at the video, it is similar to traumatic wet lung. Because the blood is filled in the bronchi and bronchi of the right lung, there is no pneumothorax. The lung itself is not compressed, the pressure is huge, and the blood can't be produced, so There is no blood chest."
"This case is simply misleading." Su Yun probed the patient's lungs, especially happy, and the words in his mouth were not broken.
Compared with the previous caution, it is like changing someone.
Cao Guozhen stood behind Zheng Ren and was already in a petrochemical state Su Yun said that it makes sense. But change to yourself, have such a guess, dare to open the chest?
He pondered for a long time, he must not dare.
Without surgical indications, if you open your chest at will, you may be succumbed to the medical team by those who are malicious.
These two people... the courage is simply too big.
But continue to think about it, Cao Guozhen burst into a cold sweat moment.
If Zheng Ren and Su Yun insisted on a chest exploration, the patient would observe for a few more hours, fearing that the blood would not be in the chest, but would be a little bit past the upper respiratory tract.
It is similar to the process of drowning, but it is his own blood that affects the patient's breathing this time.
This is more of a headache than drowning. Once the blood has condensed into a sputum, the airway is blocked...
The patient has to die in thoracic surgery.
When I thought about the patient's hospitalization, it was still good. I didn't go through the night and died in the thoracic surgery... Cao Guozhen was stupid.
Even if you just think about it, like the most horrible horror film, the creeps are chilling.
His whole body of blood was solidified. His mind recalled a rib fracture that had occurred in the ward, causing the aortic dissection. When doing t, the dissection was not heavy and was not found. After a few hours, the mezzanine ruptured and the patient died suddenly.
After the patient died, dozens of people came from the house, wearing a filial piety, placing the patient's body at the door of the thoracic surgery, burning paper and crying.
In that scene, Cao Guozhen just thought about it and his legs were already soft.
It’s not that the doctor is not on the heart, nor is the family of the patient wanting to make trouble. Good people, saying that they have not been saved, who can afford it?
But do 10 times 8 times a night to prevent and avoid?
One year, the thoracic department has to receive hundreds of fractures, fearing that it is not necessary to let the patient's family die.
Tai Te is terrible, thinking, Cao Guozhen's palm is full of sweat.
Even in the case of emergency, it was simple, but when the patient's status allowed, he was busy for at least half an hour, and Su Yun pushed the patient to the operating room.
When the patient was pushed to the stage, the patient's high pressure had dropped to 90 mm Hg.
The continuous decline in blood pressure indicates that the patient's condition does not seem to be as simple as it appears.
Anesthesia, Su Yun placed the patient in the position, laid the first layer of sterile single, and then went to brush again. At this time, Zheng Ren put on a sterile coat and began to lay a second layer.
The operation officially began.
Zheng Ren reached out and handed a hemostatic forceps to his hand with iodov gauze.
Disinfect, put the pliers on the side of the patient's leg, then reach out and the scalpel is taken up.
Open skin, 20 large knife edge, then cut layer by layer, blunt separation, electric burning to stop bleeding.
Cao Guozhen had already arrived in the operating room. He stood behind Zheng Ren at the moment and looked at the operation from the perspective of the surgeon.
The process of opening the chest is almost perfect and the amount of bleeding is minimal.
Although Cao Guozhen is still not convinced, his belly will open his chest and he will not produce much blood.
Open chest and open belly are two very different ways of opening.
Many years ago, when electric fire was not used in clinical practice, it was necessary to open the chest with 500l of blood.
However, the surgery of Zheng Ren and Su Yun did not show any bleeding at all. Some of the larger blood vessels were directly picked out from the tissue with hemostatic forceps and sewed.
Only after breaking the muscles, use electric burning to burn the blood in the muscles.
The cleanliness of the surgery, Cao Guozhen is more and more afraid.
This enchanting in the emergency ward, how did the chest surgery do so? I really want to talk about the emergency department of the thoracic department.
Zheng Ren and Su Yun had a tacit understanding of not doing rib fracture internal fixation, but first opened the chest.
Because there is no strong evidence, you can open the thoracic surgery, so you can only say that you need to do rib fracture internal fixation.
This,
It is already on the line.
Even if the postoperative recovery is not good, the patient's family is ruthless, and Zheng Ren and Su Yun may have trouble.
of course,
This trouble is what they are looking for.
The sneer under the mask of Cao Guozhen is getting thicker and thicker. The two guys in the emergency department are really arrogant.
The medical procedures are illegal. Do they not know it?
The patient is not surnamed Zheng, nor surnamed Su, as for this?
Still inflated, I don’t know what my name is.
Although I didn't see any problems after opening the chest, it is also possible to directly fix the rib fracture. The patient's family members do not know, and they will not provoke themselves.
However, it is often the case that there are non-wet shoes on the river.
Let them go so arrogantly, not far from the accident.
Cao Guozhen looked at the two men and opened their chests. Zheng Renyi raised his hand and a heavy automatic hook appeared on his hand.
Open the chest and use the automatic hook to open the field of about 8 or so.
Under normal circumstances, the field is definitely not so big. However, the patient has a rib fracture, and the ribs do not have such high elasticity and toughness at the moment, and the field is more open than ever.
"I started to want to have a chest, just for this kind of surgery." Su Yun said that the operating room was too quiet and began to groan. "It's more open, and you don't have to lick the intestines." Boss, you said yes."
As the buckle of the automatic hook is unscrewed, the lungs appear in front of you.
The middle and lower leaves of the right lung each have a huge mouth with a dark red edge that appears in the field.
Zheng Ren and Su Yun took a deep breath.
If there is a problem with the real thing, the intuition is not wrong!
Zheng Ren was a little scared. He secretly slandered the big pig's hoof. He only said that the lungs were broken and there was no mark.
05 rubbing lung rupture and this 10 long, 10 deep lung rupture, can it be the same?
Zheng Ren used hemostasis to probe, and the hemostasis pliers all went in, only to explore the end.
The middle lobe of the right lung was almost not penetrated.
Cao Guozhen stood behind Zheng Ren and stopped.
What is the reason for this?
Why is there no blood pneumothorax when such a large lung is broken? impossible!
Can't!
He is confused.
Cao Guozhen has also been in medical care for 10 years, and the number of injuries he has seen has been numerous, but this situation is still the first time.
How is this going?
Zheng Ren explored, Su Yun squatted, "Boss, I guess the strength of the steel bar is too big, the broken end of the rib fracture is like a dagger, causing trauma in the lower and middle lobe of the right lung, and then because of the elasticity of the rib itself, Shrink back.
Because the power is too big, the trauma is too heavy, or the kind of sharp injury. At the moment of the injury, the bronchial artery was damaged in many places, and a lot of blood was poured out, filling the lungs directly. ”
Zheng Ren’s thoughts in his mind are similar to what Su Yun said, and there is not much difference.
"So looking at the video, it is similar to traumatic wet lung. Because the blood is filled in the bronchi and bronchi of the right lung, there is no pneumothorax. The lung itself is not compressed, the pressure is huge, and the blood can't be produced, so There is no blood chest."
"This case is simply misleading." Su Yun probed the patient's lungs, especially happy, and the words in his mouth were not broken.
Compared with the previous caution, it is like changing someone.
Cao Guozhen stood behind Zheng Ren and was already in a petrochemical state Su Yun said that it makes sense. But change to yourself, have such a guess, dare to open the chest?
He pondered for a long time, he must not dare.
Without surgical indications, if you open your chest at will, you may be succumbed to the medical team by those who are malicious.
These two people... the courage is simply too big.
But continue to think about it, Cao Guozhen burst into a cold sweat moment.
If Zheng Ren and Su Yun insisted on a chest exploration, the patient would observe for a few more hours, fearing that the blood would not be in the chest, but would be a little bit past the upper respiratory tract.
It is similar to the process of drowning, but it is his own blood that affects the patient's breathing this time.
This is more of a headache than drowning. Once the blood has condensed into a sputum, the airway is blocked...
The patient has to die in thoracic surgery.
When I thought about the patient's hospitalization, it was still good. I didn't go through the night and died in the thoracic surgery... Cao Guozhen was stupid.
Even if you just think about it, like the most horrible horror film, the creeps are chilling.
His whole body of blood was solidified. His mind recalled a rib fracture that had occurred in the ward, causing the aortic dissection. When doing t, the dissection was not heavy and was not found. After a few hours, the mezzanine ruptured and the patient died suddenly.
After the patient died, dozens of people came from the house, wearing a filial piety, placing the patient's body at the door of the thoracic surgery, burning paper and crying.
In that scene, Cao Guozhen just thought about it and his legs were already soft.
It’s not that the doctor is not on the heart, nor is the family of the patient wanting to make trouble. Good people, saying that they have not been saved, who can afford it?
But do 10 times 8 times a night to prevent and avoid?
One year, the thoracic department has to receive hundreds of fractures, fearing that it is not necessary to let the patient's family die.
Tai Te is terrible, thinking, Cao Guozhen's palm is full of sweat.
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