Chapter 1853： Doctor's responsibility
"The patient was diagnosed with lung torsion before surgery. Because the course of the disease was long, when he was admitted to our hospital, the illness suddenly worsened." Su Yun began to introduce, "Lao He, you turn off the voice of the song!"
Laohe pretended not to hear, to debug the ventilator.
"Boss, you talk about Lao He." Su Yun is not satisfied.
"Open the chest." Zheng Ren did not hear, reached for the chest opener, stuffed into the chest, began to screw.
Under the squeaking sound, the chest was opened. The scale is just right, the ribs are elastic to the maximum, but there are no concurrent fractures.
"Intraoperatively, the right middle lobe was displaced upwards and rotated counterclockwise by about 170°. It is a standard value because 180° is written in various textbooks." Su Yunlian Mai, began to squat, "The lungs are congested with the naked eye." Serious, there are already ischemic lesions on the edge."
He knows why Zheng Ren is so anxious, because according to the steps, it may take 5 minutes to cause the edge necrosis to die forever, unable to ischemia and reperfusion.
And if it is completely necrotic, correcting the blood perfusion after twisting will bring the necrotic tissue into the blood circulation of the body.
What is bacteremic?
If the time is too late, and there is a similar problem, it is best to cut the lungs directly.
How will the boss choose?
Su Yun mouth squats while assisting Zheng Ren.
His movements have to be postponed a bit, because in the live broadcast of the wheat, can not ask, can not communicate, the quality of the continuous wheat is extremely high.
Zheng Ren did not hesitate, he directly began to release the right lung.
"General lung torsion, surgery options are resection. But our 912 emergency first aid level is high, no delay time, the patient's lungs have not been necrotic, you can choose to keep." Su Yun said.
Ringer walked in and just heard the sentence.
This sentence is like a nine-day Sanskrit, which makes his heart happy. Zheng Boss is a live broadcast and does not forget to give 912 the rhythm of advertising, really righteous!
"Old congratulations, preparation!" Zheng Rendao.
"Ready."
With the assistance of Su Yun, Zheng Ren reversed the right middle lobe and restored the original anatomy.
The old Hena fiber bronchoscope with the suction tube has been extended.
"The power of anesthesia is very important. The anesthesiologist **** under the direct view of the fiberoptic bronchoscope. The boss gives a shot to the old man." Su Yundao.
Zheng Ren looked up and saw a look at Lao He.
Lao He was happy in his heart, but his face did not have the slightest expression. He carefully and focused on sucking with a fiberoptic bronchoscope. Try to show the style of the big anesthesiologist he imagined and strive for perfection.
"A large number of plasma sputum is sucked out, why there is such a secretion, it will not be explained in detail." Su Yun said, while he began to deal with the bleeding points left by Zheng Ren just opened the chest.
Hey, electric burning, dancing, hitting the bleeding point, leaving at once.
There is nothing to explain here, Su Yun is lazy to say that Fang Lin used hemostasis with Su Yun to stop bleeding.
Zheng Ren did not move, watching the patient's right middle lobe.
"The surgeon is observing the blood supply of the right middle lobe of the patient. Now, the middle lobe of the right lung should be able to be preserved." Su Yun stopped bleeding while talking about what Zheng Ren was doing.
"Now you have a question for watching the live broadcast - the next 20 minutes - 60 minutes, you must continue to take blood tests. What items do the surgeons need to check?" Su Yun said.
Fang Lin also had some mistakes. When he thought hard, he asked in a small voice: "Yun Geer, is it necessary to check serum potassium and lactate dehydrogenase?"
"Hey, for so many years, there is no tacit understanding." Su Yun sighed and said: "You talk, you have heard the ears and use them."
"..." Fang Lin bowed his head and used hemostatic forceps to expose Su Yun to the blood vessels.
Small ones burn directly, while big ones need to be ligated.
Soon after this was done, three people stood on the operating table, nothing happened.
Before the start of the hospital, the chest was opened and the right middle lobe was reset, and then it was converted from extreme dynamic to static.
This type of surgery is generally rare, the most common is the freezing during surgery. A well-trained hospital, 20-30 minutes in the pathology department is enough to produce results.
But live surgery, just waiting for it, it is a bit weird.
Su Yun waited for the time, waiting for the good luck of the song, began to tell the patient's previous medical history.
His memory is very good. He only looked at the test list in the chest surgery before surgery. He took it out and began to analyze the head.
The time passed quickly, three consecutive blood draws, and the values of serum potassium and lactate dehydrogenase did not increase significantly.
Zheng Ren took a deep breath.
The patient's lungs should be kept.
"The serum potassium and lactate dehydrogenase are no problem, now the surgeon began to explore." Su Yun began to talk to Mai: "1 hour, the operator finally moved! Watch live friends, do you have a trace? Little excited?"
While investigating the pulsations of V4 and V5, Zheng Ren asked: "When you give Liu Xuzhi a live broadcast, are you so unconventional?"
"Boss, do you have to be very serious about surgery? Friends, have you heard the background music? Taste! It is hard to believe that the world's top surgeons like this song."
Zheng Ren does not take care of this product, is broadcasting live, can not stop the blood pliers, his face is not.
Reach out and hold the needle in the palm of your hand.
Zheng Ren began suturing the right middle lobe and the right lower lobe.
This is to prevent the right middle lobe from reversing after the operation, and if the ligament is absent or not, then it is fixed with other lungs.
"After returning to normal physiological structure, **** sputum disappeared." Su Yun looked at the suction tube of Laohe's hand and only sucked a small amount of white foam-like sputum. He began to take out the fiberoptic bronchoscope and explained it.
"Why wait an hour, first of all, it is natural to observe whether the patient's right middle lobe can be preserved. I... the surgeon will not easily do the surgery with great damage, but simple and rude surgery."
"Removing a lobe will cause the patient's respiratory function to suffer a loss of about 20%. Although it will not affect life, it will affect the quality of life more or less."
"And waiting for 1 hour during surgery means an improvement in the quality of life for patients after surgery."
"This is the responsibility of a doctor, yes, boss."
"Operation, you have less words." Zheng Ren felt that it was really unreasonable to open the wheat. Usually, Su Yun said that it was okay to smile. But when I opened the wheat today, no one else spoke, only Su Yun said alone.
Originally, I didn’t feel much about the good luck songs, but today I feel that Su Yun’s voice is mixed in the good luck songs. It is very harsh.
"To control airway secretions, patients were mechanically ventilated for about 12 hours after surgery, and the patient's condition was observed and then removed."
"Because there may be thrombosis in the pulmonary vein stump, warfarin antithrombotic therapy is given after surgery."
Laohe pretended not to hear, to debug the ventilator.
"Boss, you talk about Lao He." Su Yun is not satisfied.
"Open the chest." Zheng Ren did not hear, reached for the chest opener, stuffed into the chest, began to screw.
Under the squeaking sound, the chest was opened. The scale is just right, the ribs are elastic to the maximum, but there are no concurrent fractures.
"Intraoperatively, the right middle lobe was displaced upwards and rotated counterclockwise by about 170°. It is a standard value because 180° is written in various textbooks." Su Yunlian Mai, began to squat, "The lungs are congested with the naked eye." Serious, there are already ischemic lesions on the edge."
He knows why Zheng Ren is so anxious, because according to the steps, it may take 5 minutes to cause the edge necrosis to die forever, unable to ischemia and reperfusion.
And if it is completely necrotic, correcting the blood perfusion after twisting will bring the necrotic tissue into the blood circulation of the body.
What is bacteremic?
If the time is too late, and there is a similar problem, it is best to cut the lungs directly.
How will the boss choose?
Su Yun mouth squats while assisting Zheng Ren.
His movements have to be postponed a bit, because in the live broadcast of the wheat, can not ask, can not communicate, the quality of the continuous wheat is extremely high.
Zheng Ren did not hesitate, he directly began to release the right lung.
"General lung torsion, surgery options are resection. But our 912 emergency first aid level is high, no delay time, the patient's lungs have not been necrotic, you can choose to keep." Su Yun said.
Ringer walked in and just heard the sentence.
This sentence is like a nine-day Sanskrit, which makes his heart happy. Zheng Boss is a live broadcast and does not forget to give 912 the rhythm of advertising, really righteous!
"Old congratulations, preparation!" Zheng Rendao.
"Ready."
With the assistance of Su Yun, Zheng Ren reversed the right middle lobe and restored the original anatomy.
The old Hena fiber bronchoscope with the suction tube has been extended.
"The power of anesthesia is very important. The anesthesiologist **** under the direct view of the fiberoptic bronchoscope. The boss gives a shot to the old man." Su Yundao.
Zheng Ren looked up and saw a look at Lao He.
Lao He was happy in his heart, but his face did not have the slightest expression. He carefully and focused on sucking with a fiberoptic bronchoscope. Try to show the style of the big anesthesiologist he imagined and strive for perfection.
"A large number of plasma sputum is sucked out, why there is such a secretion, it will not be explained in detail." Su Yun said, while he began to deal with the bleeding points left by Zheng Ren just opened the chest.
Hey, electric burning, dancing, hitting the bleeding point, leaving at once.
There is nothing to explain here, Su Yun is lazy to say that Fang Lin used hemostasis with Su Yun to stop bleeding.
Zheng Ren did not move, watching the patient's right middle lobe.
"The surgeon is observing the blood supply of the right middle lobe of the patient. Now, the middle lobe of the right lung should be able to be preserved." Su Yun stopped bleeding while talking about what Zheng Ren was doing.
"Now you have a question for watching the live broadcast - the next 20 minutes - 60 minutes, you must continue to take blood tests. What items do the surgeons need to check?" Su Yun said.
Fang Lin also had some mistakes. When he thought hard, he asked in a small voice: "Yun Geer, is it necessary to check serum potassium and lactate dehydrogenase?"
"Hey, for so many years, there is no tacit understanding." Su Yun sighed and said: "You talk, you have heard the ears and use them."
"..." Fang Lin bowed his head and used hemostatic forceps to expose Su Yun to the blood vessels.
Small ones burn directly, while big ones need to be ligated.
Soon after this was done, three people stood on the operating table, nothing happened.
Before the start of the hospital, the chest was opened and the right middle lobe was reset, and then it was converted from extreme dynamic to static.
This type of surgery is generally rare, the most common is the freezing during surgery. A well-trained hospital, 20-30 minutes in the pathology department is enough to produce results.
But live surgery, just waiting for it, it is a bit weird.
Su Yun waited for the time, waiting for the good luck of the song, began to tell the patient's previous medical history.
His memory is very good. He only looked at the test list in the chest surgery before surgery. He took it out and began to analyze the head.
The time passed quickly, three consecutive blood draws, and the values of serum potassium and lactate dehydrogenase did not increase significantly.
Zheng Ren took a deep breath.
The patient's lungs should be kept.
"The serum potassium and lactate dehydrogenase are no problem, now the surgeon began to explore." Su Yun began to talk to Mai: "1 hour, the operator finally moved! Watch live friends, do you have a trace? Little excited?"
While investigating the pulsations of V4 and V5, Zheng Ren asked: "When you give Liu Xuzhi a live broadcast, are you so unconventional?"
"Boss, do you have to be very serious about surgery? Friends, have you heard the background music? Taste! It is hard to believe that the world's top surgeons like this song."
Zheng Ren does not take care of this product, is broadcasting live, can not stop the blood pliers, his face is not.
Reach out and hold the needle in the palm of your hand.
Zheng Ren began suturing the right middle lobe and the right lower lobe.
This is to prevent the right middle lobe from reversing after the operation, and if the ligament is absent or not, then it is fixed with other lungs.
"After returning to normal physiological structure, **** sputum disappeared." Su Yun looked at the suction tube of Laohe's hand and only sucked a small amount of white foam-like sputum. He began to take out the fiberoptic bronchoscope and explained it.
"Why wait an hour, first of all, it is natural to observe whether the patient's right middle lobe can be preserved. I... the surgeon will not easily do the surgery with great damage, but simple and rude surgery."
"Removing a lobe will cause the patient's respiratory function to suffer a loss of about 20%. Although it will not affect life, it will affect the quality of life more or less."
"And waiting for 1 hour during surgery means an improvement in the quality of life for patients after surgery."
"This is the responsibility of a doctor, yes, boss."
"Operation, you have less words." Zheng Ren felt that it was really unreasonable to open the wheat. Usually, Su Yun said that it was okay to smile. But when I opened the wheat today, no one else spoke, only Su Yun said alone.
Originally, I didn’t feel much about the good luck songs, but today I feel that Su Yun’s voice is mixed in the good luck songs. It is very harsh.
"To control airway secretions, patients were mechanically ventilated for about 12 hours after surgery, and the patient's condition was observed and then removed."
"Because there may be thrombosis in the pulmonary vein stump, warfarin antithrombotic therapy is given after surgery."
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