v3 Chapter 2974： Sunshine is good
Zheng Ren couldn't believe this number was true.
100% of the surgical completion rate is over, now it has jumped 17.2 percentage points on the basis of 110%!
He hesitated for a moment, realizing immediately that it might be the effect of organ transplant specialization.
Every point of organ transplant specialization may increase the completion rate of surgery by 10%, then the original surgery completion rate is 96%, plus 10% and then 106%, plus 20% specialization bonus, this is an appalling number .
Zheng Ren felt that he was invincible, and the medical team worked together to pile up the completion of the original operation madly, and finally got this result can only express satisfaction, very satisfied.
"Boss, how do I feel that ECMO can withdraw from the plane? Is it an illusion?" Su Yun turned and stepped down, looking at the latest blood gas analysis value and wondering.
"Sue, if my patient, I would not take ECMO with me." Dr. Charles took a look at the test sheet and stated his point.
Zheng Zhengren hesitated for a moment, and finally said, "Take it anyway, I see the situation, a little downtime."
Su Suyun looked at all kinds of machines with some anxiety.
Five micropumps connected to the ventilator, monitor, carotid and radial arteries, and three-way infusion. There are two chest bottles, ECMO and liver dialysis device.
I ignored this before, and it was also Zheng Ren's never practiced in the system operating room. After all, the system operating room is just pure training. Success is success. Unlike reality, there are so many troubles.
之后 After the operation is successful, how can I return the small stones with so many equipments?
There is no room for so many things in an elevator room, and Zheng Ren can't help it. I have been thinking about how to successfully complete the operation, but I did not expect to have problems after the operation was completed.
"Wait a minute, the plasma exchange device can be removed first." Zheng Ren hesitated for a while and started to order.
Stones have passed the acute liver failure period, and bilirubin has fallen to an acceptable value. Once adsorption of bilirubin plus plasma exchange, withdrawal is also reasonable. If it does n’t work, then go back to the machine, this is the best choice.
Zheng Ren glanced, looking for a small round stool to sit and watch.
Through leaded glass, he was surprised to see that the operating room was overcrowded. There were 20 people standing there, like canned sardines.
The airtight lead door opened, Zheng Ren went out, and a heat wave came on.
"Congratulations, Mr. Zheng!" Vice President Yuan said with a smile.
"Dean, why are you here?"
"Linger will definitely report to me for such a big operation. I'll take a look and coordinate it. You're fully prepared, no surprise." Yuan Yuan laughed.
"It's okay, okay, luck is good, and the operation went smoothly." Zheng Ren took off his mask and breathed.
"When will the patient be sent back?"
"Have to wait, it may take about 2 hours for the operation." Zheng Rendao said, "There are too many pipes and machines on the body, so I have to withdraw the points to send people to ICCU."
"It's okay, I only arranged this operation. If you are not tired, Mr. Zheng, you can wait here for a few more hours and observe more. No one will grab the surgery with you." Director Xu said with a smile.
Zheng Ren's heart moved and smiled slightly. "Director Xu, I'm welcome."
"What kind of operation are you polite to, Mr. Zheng?" Director Xu smiled. "The most important thing is that patients can step down safely and smoothly."
With the words of Director Xu, Zheng Ren was even more suspicious, politely, and turned back to the operating room.
"Boss, are you ready to stop ECMO before going down?"
"Well, it's in the operation room for 6 hours of observation. If you can, you can withdraw ECMO and continue." Zheng Ren said with certainty. Observed."
Everyone knows that the operating table in the operating room is the most suitable for observation, but it must have that condition. In 912, these are all resources. In order to ensure the smooth operation of this operation, many people did their work silently.
Not to mention the needs of other departments, generally speaking, after the operation is completed, at least 10 doctors will be around, and an operating room will be occupied. This kind of thing is that the dean and the director of the anesthesia department gave a green light to dare to think about it. Before that, Zheng Ren didn't have this concept at all.
After he finished speaking, he found a small round stool and sat in the corner, watching the Xie Yi people wipe the surgical instruments.
"Yiren, I am going to observe for 6 hours."
"I heard, I won't go down, clean up and disinfect the operation box." Xie Yiren said crisply.
"Boss, when does the ventilator unplug when you go back?"
不 "Don't worry, take it for 24 hours before talking." Zheng Ren said, "ECMO can go offline, which has exceeded expectations."
"What the surgery is doing today is really good." Su Yun said happily, he can also feel that the degree of completion of the surgery is quite high today, but there is no specific value given by the system panel.
嗯 "Well, it's done well, and the situation is better than expected. The 3d printed organs have no rejection and no oral anti-rejection drugs are needed after surgery, which is also an important point."
"Zheng, do you really refuse to go to Mayo?" Dr. Charles looked at the values of each device and had his own judgment in mind, and the operation was bound to succeed. But the more so, the more regrets he felt, the doctor came to Zheng Ren for the last time to persuade him.
Zheng Ren quickly stood up and apologized, "Doctor, if you want to see me for surgery, I can fly to Mayo directly if I have time."
拒绝 He refused so simply, Dr. Charles sighed slightly.
仁 Zheng Ren sent the doctor out of the operation room with a smile, but instead of sending the doctor out of the door, he ordered Su Yun to send it, and by the way, told Wen Xiaonuan that the operation was successful.
The operation was smooth and the degree of completion was extremely high, but the small stone was still lying on the operating table, and it must not be careless.
If something really happened, but he wasn't on the scene, the rescue was delayed, and there was no place to cry.
Sitting on a small round stool, Zheng Ren watched various values. With the replacement of blood bag by bag, Lao He was still monitoring blood gas, liver and kidney function.
Soon, Su Yun returned.
"Boss, Sister Wen sat directly on the ground after hearing the news of the successful operation." Su Yundao.
"Oh, she's too nervous." Zheng Ren's focus is not here. He calculated the value in his heart and suddenly asked, "What do you mean to the doctor?"
哪 "Which sentence? Is the population aging?"
"Yes."
"There is a game called Plague Company, have you ever played it?"
"So anti-human name?" Zheng Ren frowned.
"A strategy game developed by an independent game studio in London, England, with the theme of infectious diseases." Su Yundao, "I don't think it's that simple. This game is a bit interesting. You have time to come and play."
仁 Zheng Ren stared at the values and chatted with Su Yun casually, saying that the game was better than driving in the operating room.
怎么 "Why isn't that easy?"
"Like you said, is it anti-human. I think it was the capitalists who used the plague to change the aging society's mind early, let everyone get used to it and adapt it. The game setting is a bit interesting, like Ebo The virus is not strong at all, and it can't infect all human beings at all. Boss, if you design a virus, what are you going to do? "
"It must be a very long incubation period. It is of secondary importance that the outbreak is fierce or not. It is best to start the disease slowly so that everyone will be slack. Said.
"Yes, only this way can overcome Greenland. I have a contact with a friend of the P4 laboratory in the United States, who studies various viruses, but I always feel that the flu on that side is related to the research every year."
"Don't talk nonsense, impossible." Zheng Ren scolded.
"Hey." Su Yun rarely did not raise the bar, if it is really too anti-human, it is a criminal, not a bar.
I changed the subject. Su Yun just guessed and was not sure. And this idea is really too anti-human. Even Su Yun could not draw such a picture with the most brilliant and darkest ideas.
"Is this a small stone picked up again?" Su Yun looked at the values, his words light and happy.
差不多 "Almost. According to the current indicators, ECMO can withdraw in more than 5 hours."
"That's good." Su Yun walked around, feeling bored in the room, and ran out to find someone to chat with.
Blood gas, liver and kidney function were measured every half an hour, and the values continued to progress in a good direction.
After 4 hours, the equipment for liver dialysis was withdrawn.
After 6 hours, ECMO was withdrawn.
Bring the ventilator, monitor, and a bed of micro-pumps, all the medical team escorted and returned to icu.
Sitting in the monitoring room, Zheng Ren stared at the values of the ventilator and monitor. Monitoring tests have been reduced from once every 30 minutes to once an hour.
数值 The various values of the small stones are stable, the high scary total bilirubin during the operation is also returned to the preoperative level, and the various values of the renal function are also acceptable. There is no need to use equipment such as dialysis.
After the ECMO was removed, the ventilator assisted breathing, and the replaced lungs began to work. The blood oxygen exchange was good, and the blood oxygen saturation was maintained between 98-100%.
"Boss, are you no longer worried about smoking?" Su Yun asked with a smile.
"Can a lung transplant be done at any time? Aren't you talking nonsense?" Zheng Rendao said, "Don't think of surgery, take good care of it. Is it possible to smoke less or smoke less?"
"Maybe the whole body will be changed after decades. Maybe if we look at the research progress of neurology, if the whole body can be replaced with memory, humans will be immortal." Su Yundao.
不会 "No, everyone thinks that there will not be such a serious disease before conquering tuberculosis, but you can look at cancer. After conquering cancer, there will be other diseases. This is a battle that never ends."
"Don't think so much, shouldn't this be celebrated?" Su Yun laughed.
"Stones don't need a ventilator to assist in breathing. We need to return to Haicheng after leaving ICU." Zheng Rendao said, "I miss Director Pan."
"It's Chinese New Year, so are you going to have surgery around the clock this year?" Su Yun asked.
"It's a normal holiday. No one is okay to come to the hospital for the New Year."
"New Year this year, are you going to spend time with Uncle Ning?"
Wu Suyun really hates this product, and would not say it well! The operation was successful, and it was a happy thing. Why did he have to bring up Uncle Ning?
But now when I think of Uncle Ning, the first idea was not to calm down in Pengxi Township Hospital and not to be angry and to control the big image of the overall situation, but to become the little old man who could not seek medical treatment in Sweden.
I don't seem to be afraid, Zheng Ren smiled.
I thought, Zheng Ren was a little stunned. Uncle Ning, this year's New Year with Uncle Ning, everyone has a reunion dinner and set off firecrackers ... this feeling is really strange.
Unfamiliar is strange, but it is still very warm to think about. Zheng Ren smiled, he had subconsciously wanted to accept the concept of family.
"I'll lie down for a while and call me if something happens." Su Yun made a call gesture, "If you're tired, tell me, let's change shifts."
"Um." Zheng Ren nodded.
Su Su left, Zheng Ren looked at the small stone lying on the bed, a smile appeared on the corner of his mouth. The icu of 912 is still relatively backward. It is said to be a renovation. It is estimated that construction will not start until the spring flowers bloom.
是 Is it possible to use the new icu at this time next year? Zheng Ren looked at the small stone, thinking about the brand-new laminar flow icu of a critically ill patient's ward.
If you have that kind of ward, you can reduce the amount of antibiotics and reduce cross infection. It is estimated that the use of antibiotics for one day after severe surgery is very serious, and generally will not be used.
I went to Mayo, and I have the best diagnosis and treatment machines. I don't have to put together a machine for liver dialysis before surgery.
But can it be the same.
This matter Zheng Ren never considered it. The main body of medical treatment is the patient, not the machine.
If there is a doctrine in your mouth and all your business is in your heart, Zheng Ren has already gone to Hopkins, and the conditions on that side are not worse than Mayo.
But Zheng Ren did not like the American medical treatment in his eyes, and even Sweden, which claims universal medical insurance and free medical treatment, did not like it.
分析 From a logical analysis, the number of doctors determines everything. As far as their doctors work, can they do all this imagination? joke.
Uncle Su Ning and Wu Hui's appendix perforation were not done. Zheng Ren was able to come into contact with the conservative treatment waiting for the second-stage operation.
医疗 The medical level on that side is high, but that's ... In Su Yun's words, that's for capital. Mayo's door is always open, rich people go to check-ups, and there are some domestic capitalists.
Sure, that's the top resource.
But all this has nothing to do with ordinary people. People like Wu Hui have been misdiagnosed and mistreated ...
I was thinking, with a shock on my shoulder and a pop.
"Boss, what are you thinking about?" Su Yun asked.
"Looking at Little Rock."
"I ask what's on your mind."
"Emmm, I was thinking about rejecting Dr. Charles," Zheng Ren said with a smile.
老板 "Boss, have you thought about it before? The doctor hasn't communicated with you. You refused so simply, there was no room for manoeuvre."
"I never thought about it," Zheng Ren said flatly, "perhaps an instinct."
"I guessed that you will refuse because of your nature, but I did not expect you to refuse so simply." Su Yundao, "What does instinct mean?"
"Remember the day the emperor felt a shock?"
"Well, I remember Fuguier standing under the car and asking us what to do if we can't come back." Su Yun said with a smile, "What can I do?"
"Yeah." Zheng Rendao, "Everything on the Internet, I feel like I'm finished. As soon as something happens, they come together naturally. It may be this kind of behavior."
"Ha." Su Yun laughed under his voice, "What did you think then?"
"I didn't think of anything, I just thought I would die in Rongcheng even if I was dead." Zheng Ren laughed. "But it's good to be back alive. I hope the weather is smooth and Guotai Min'an. But if there is one more time, there is no way to go to the front.
"I thought you would say the same thing again, what domestic medical conditions of the same level are the best, and tell the truth blindly. I tell you, it ’s easy to kill someone if you say that.
"Medical resources are scarce. To be fair, you still have to make progress in science and technology. There is too much reason to think about it." Zheng Ren shook his head slightly. You see, if there is another time, there will definitely be countless doctors and nurses rushing up. "
"I remember that a netizen named Xianyunye Hezhi said that it still makes sense. Every time there is a disaster, there are medical staff. This is a group that can sing and weep. But this group has no sense of existence like a fan. It ’s like a mourning dog, it ’s like a street mouse. ”
"Hey, this description is quite appropriate." Zheng Ren smiled indifferently, "like a bereavement dog, anxious like a fish missing the net."
"What do you say."
"Boiled in a pot, and everyone thinks ... emm, do you remember that an old professor in Tsinghua was deceived by more than 10 million, what do you say?" Zheng Ren asked suddenly.
"Well, at that time, why is a teacher having so much money!" Su Yun shrugged and said helplessly.
"Yes, shouldn't it be?"
"Later, an old Tsinghua professor went to Maryland, and the trend of public opinion has turned to improving treatment and retaining high-tech talents. I think the two groups before and after are almost the same, turning their faces faster than turning their books."
"Everyone hopes that they are the best one ever. It is easy to understand. Just like medical treatment, Uncle Ning took roots in Sweden for 24 hours and couldn't get them out. Most domestic voices are dozens of fishbone. Medical fees?"
"Boss, I don't think you have much respect for Uncle Ning since the fishbone incident." Su Yun said with a smile.
"Don't talk nonsense." Zheng Ren watched the various values on the instrument slowly and chatted with Su Yun.
"I think the US medical system charges are very reasonable. For example, let's make a ureteral tube lithotripsy, a few hundred dollars. The United States wants tens of thousands, it is a beautiful knife. I do n’t know, I am shocked. "
"Don't compare, it doesn't make sense," Zheng Ren said lightly.
"That's the thing. Our domestic medical system can sustain it. Isn't this what it depends on. When private hospitals are getting more and more, everyone will be sucked into private hospitals with the economic siphon effect, hey!" Su Yun sneered.
"The reason why a university is called a university is not because of the school itself, but because of the master." Zheng Ren slowly said, "Mr. Yiqi Qi, the old president of Tsinghua University, makes sense. The reason why a hospital is a hospital is also Here."
"Speaking of this, Teacher Yan Ning resolutely decided to resign from Tsinghua University at that time, and transferred to the University of Houston, Princeton, USA, to be hired by Shirley Tillman, a tenured professor at the university's Department of Molecular Biology. Presumably, going to Mayo is logical. "
"Nothing logical, has the phrase persuaded people to study medicine to fight thunder and lightning for several years?"
"Forgot, it seems to have been popular for a long time."
"There are fewer and fewer children doing clinical work, and the pressure is getting heavier. There will always be a day of collapse. Although everyone's ability is limited, running to the emergency department can alleviate the total weekly stress a little."
"Don't make yourself so noble."
"It does not involve nobleness. When you go to school, you must bear Hippocra's vow. Medical capitalization is a tear in itself. But in the face of the torrent of the times, it cannot be reversed by personal power. The tear of the times, the tear of cognition. , How do you say that?
"Which sentence are you talking about? This is the best and the worst; or is the passport of the mean and the noble is the epitaph of the noble?" Su Yun asked.
Zheng Ren smiled, Su Yun was really clever, and all his thoughts were directly spoken by him.
"Brother Yun."
The two were chatting, and a little nurse came over and whispered.
"Um." Su Yun's eyes narrowed and a smiley face appeared. "What's the matter."
"There is something wrong with us, see if there is any way."
Zheng Zhengren saw several medical staff around a patient in another ICU bed, discussing something. The viewing angle is limited and the patient's system panel is not seen. 912 severe illness is very strong, Zheng Ren is not willing to worry.
But taking the initiative to see what is going on and others asking for help are two concepts.
"The patient was a 56-year-old male. He was admitted to the department due to loss of consciousness due to a car accident. He was diagnosed with severe head injury. Hernia and right frontotemporal subdural hematoma were fully prepared before surgery. Subdural hematoma and intracranial hematoma removal + decompression of the skull flap. "The little nurse began to report the medical history softly, professionally and skillfully.
"The stomach tube did not go down before the operation, we wanted to do it after the operation, but the 1-minute downtime is too short and too difficult!"
Alas ... Zheng Ren saw a girl who was a little dazed when she talked to Su Yun involuntarily, and she was a little helpless.
It is normal to not enter the stomach tube, the patient is in a coma, and the swallowing and cough reflexes are weakened or disappeared, and they cannot cooperate; the indwelling trachea intubation and the balloon compress the esophagus, reducing the diameter of the esophagus, affecting the insertion of the gastric tube; Excessive removal may cause edema of the throat, esophageal spasm, or edema of the esophagus.
These are the reasons why you can't get into the stomach tube.
"How much paraffin oil did you touch?" Su Yun asked.
"A lot ..." The little nurse said two words, her face blushed.
"Go and have a look." Zheng Ren glanced at the vital signs of the small stones, and reduced the dopamine micropump pump speed by 1ml.
Came to the patient after cerebral hemorrhage, paused the ventilator, Su Yun took a laryngoscope and glanced. Sure enough, the spasm and edema of the esophagus were very serious, much heavier than expected.
Because the gastric tube is soft, even if it is well lubricated, it will fold when it encounters spasms, and it wo n’t go in at all.
Qi Suyun groaned a bit, Zheng Rendao, "Deep vein puncture ..."
"Oh? Do you think so too?" Su Yun asked.
Icu's hospitalization was always a little bit stunned, what is the relationship between the lower gastric tube and deep vein puncture.
"Try it." Zheng Ren did not intend to reach out, but said blandly.
"Is there a guide wire for deep vein puncture?" Su Yun asked.
"It's been thrown." Icu's hospital director.
"Have another one." Su Yundao, "It would be more expensive if we used our guide wire."
Icu's hospitalization is always a bit confusing, but Su Yun has made it clear that the guide wire for deep vein puncture, he is going to go ahead with a slightly harder guide wire, and then slide the gastric tube in.
This is the idea of a typical interventional physician, but it was not expected to be used in nursing work.
Seeing Icu's hospitalization always prepare the guide wire, Su Yun laughed, "Boss, if you are in Mayo, there will be professional equipment to solve this problem."
"It's okay, in our 912, it can be solved by dealing with it." Zheng Ren smiled, "The principle is similar, but it is a bit more troublesome."
Su Suyun raised her eyebrows and said nothing.
Soon, the hospital always prepared a stomach tube and a nasal feeding bag, which contained paraffin oil, cotton swabs, gauze, a 20ml syringe, a deep vein catheter, and a stethoscope.
Su Yun did not explain, but after applying the paraffin oil to the gastric tube, measure the length of the gastric tube, insert the guide wire into the gastric tube, and bend the top end into a small round shape. Insert it to the position of 14 ~ 18cm.
By the time I reached the throat, Su Yun hadn't waited for the talk. Zheng Ren had already lifted the patient's head so that the lower jaw was close to the sternal bone, and her posture was set.
His assistant was very skillful, and Su Yun slandered. Subsequent operations allow the gastric tube to pass smoothly through the edema of the throat, insert a predetermined depth, and then withdraw the guide wire.
Fix the gastric tube, pump the stomach contents or inject air, and listen to the sound of water passing through the tube, indicating that the tube was successfully inserted.
"Oh, it's done." Su Yun said easily.
Icu's hospitalization is always stupid.
下 The patient's stomach tube had been exchanged with the nursing group 6 times. Almost this day, the patient and the stomach tube moved around.
I did not expect Su Yun to get started and immediately solve the problem.
This time I really opened my eyes. Not only can people do lung transplantation, even this upset little operation is very good. A deep venipuncture guide wire solves a difficult problem that plagues one day, and hospitalization is always unbelievable.
"I'll go if it's okay." Su Yun said chicly.
"Brother Yun, Boss Zheng, you two are busy." Icu said always in hospital.
"Boss, if I don't use it, I'll lie down for a while." Su Yundao, "When can you expect to be extubated?"
"24 hours." Zheng Ren said seriously, "It may not be 24 hours, depending on the situation."
"Really fast." Su Yun's tone was a bit erratic, and it seemed that he could hardly believe the judgment of his boss.
Yun Su Yun left, Zheng Ren'an sat quietly in front of the bed of small stones, watching various values, drainage, urine volume, and kept calculating.
He is like a hard and silent hill, standing beside a small stone, sheltering from the wind and rain.
This is a war. Fortunately, I don't have to watch out for the cold gun from behind, Zheng Ren sometimes thought to myself. It would be great if all patients could cooperate with each other and concentrate on treating the disease and saving people, without having to consider the cost and the psychology of the patients' families.
Although this is impossible, Zheng Ren occasionally thinks so.
In the end, all the principles can not be compared to the four words of treating a disease and saving people. Zheng Ren was too lazy to think. He looked at the small stones silently, and looked at the various machines and numbers around him. The whole person was like a computer. In the central processor, the cold and boring data is converted into a disease for analysis.
Elapsed one minute and one second, five micropumps were withdrawn one by one, the urine in the urine bag was about 50ML per hour, and the airway pressure of the ventilator ...
It was late at night, Zheng Ren still watched all the values wisely, without seeing any tiredness.
As each instrument stopped, Zheng Ren accurately calculated the amount of entry and exit, maintained the balance of body fluids, and worked hard to make the state of the small stones as good as possible, and better.
Adjust the parameters of the ventilator and watch the fluctuation of positive end-expiratory pressure. As the little vital signs of the stone stabilized, the sky lit up.
Zheng Zhengren rejected Su Yun's request to change his class. He tenderly and focused on taking care of the small stones.
The sky was getting brighter, and at work, there were more people in icu.
Director Icu Cai changed his clothes and came in. At a glance, Boss Zheng still maintained the position he had when he left yesterday, watching the patient patiently.
He walked in surprise, glanced at the values first, and then whispered, "Boss Zheng, did you sleep all night?"
"Director Cai, it's time to go to work." Zheng Ren turned his head and saw that he came and said with a smile.
"Well, are you okay?"
"Very good, all the values are normal." Zheng Rendao, "It is estimated that I can go offline at noon and breathe spontaneously."
Noon ...
怔 Director Cai froze for a while, so fast?
呼吸 It is a whole thing to use a ventilator for 3 days after lung transplantation. Is it too urgent for Boss Zheng to do this?
"Boss Zheng, don't watch for another day? If you are tired, I'll watch here." Director Cai tentatively tried.
"I'm not tired. The evolution of the disease has allowed me to go offline. Try it. If you can't, you can take medicine for two days." Zheng Ren said very gently.
Director Cai still couldn't understand. He winked and greeted the hospitalized person. He whispered, "I have to check the return in the morning."
"Director Cai, I have been watching the patient myself. 15 minutes after surgery yesterday ..."
Zheng Ren saw that Director Cai was uneasy and asked about the treatment, and then began to talk about the operation afterwards.
Monitor the 24-hour access and record it every 30 minutes; averagely check the liver and kidney function, blood gas analysis, blood routine, D2 polymer, etc. on average every 2 hours; the time, reason, and vital signs of various drugs are withdrawn ...
Fine to the extreme, as the director of icu has a strange heart. It would be nice if the hospitalization of his own staff always had this level, and the changes were reported in a clear and timeline manner, and down to the minute level.
But Director Cai smiled a little later, and he knew he was dreaming. Use Boss Zheng to be hospitalized? Who has this qualification in 912 now.
Zheng Ren spoke for twenty minutes, and finally smiled gently, "Director Cai, I think there is nothing wrong."
"Well then." Director Cai said politely, "We will not care about this patient if you are here, and need to speak at any time."
"Thank you." Zheng Ren bowed slightly, expressing his gratitude.
仁 Zheng Ren saw Icu's doctor started a new day's work. He smiled slightly, sat in a chair, and continued to observe changes in his condition.
胸 The chest of the small stone is undulating under the action of the ventilator. The new lungs work well and the blood oxygen exchange is perfect. Zheng Ren also thinks that there is nothing wrong with it. After all, 127% of the operation completion rate is placed there. After the overnight sleepless care, if there is any problem, it can't be justified.
If the little stone can wake up and go through another bump, I hope the recovery will be faster.
孩子 The child is very sensible and does not know whether he "floats" in the endless darkness in a state of calm, panic or calm.
停止 Stopping sedation is equivalent to lifting the seal, and I don't know if he will wake up with intense agitation because of excitement and fear.
Zheng Ren began to think wildly in his mind. The closer he was to the 24 hours after surgery, the more nervous he became.
紧张 This tension is completely unfounded, and Zheng Ren knows it. Various objective indicators are clearly in front of them, and they have been repeatedly stunned countless times, and no problems have been found. But emotions are emotions, and even Zheng Ren, who is motionless, can hardly curb the emotional changes of the residents.
After a minute and a second passed, Zheng Ren reduced the pumping speed of the sedative and started to wake up.
Very simple operation, but Zheng Ren was nervous.
There are many things that I worry about, and no one is 100% sure about them. Zheng Rensheng was afraid of something unexpected. He watched the condition of the small stone blinking.
Slight agitation, airway pressure increases instantly.
"Stone, wake up, don't panic, take a steady breath," Zheng Ren said softly in the ear of Xiao Stone.
Zheng Ren was not sure that he had heard everything he said. He faintly saw that the eyelids of the little stones moved slightly, and then the little stones calmed down, without resistance, unexpectedly smoothly.
Zheng really is a child with good medical skills, Zheng Ren exhaled slightly.
Generally speaking, when waking up, they will toss for a while. After all, most people are not used to using machine-assisted breathing, and they subconsciously fight against the machine.
Ye Ke only said a word, and the small agitation of the small stones disappeared without trace, and the blood oxygen saturation also recovered from 92% to 99%.
If all patients are so medically compliant, it will be a doctor's paradise, and a smile will appear on the corner of Zheng Ren's mouth.
After a few minutes, the small stone gradually adapted to the ventilator-assisted breathing, and gradually gained strength as the sedative drug accumulated in the body to reduce the metabolism and concentration of the drug. He was relaxed all over, only his eyelids beating constantly.
"Slow down, don't worry, your breathing is smoother." Zheng Ren patted the small stone on his shoulder and said in his ear.
I don't know if Xiao Shihe didn't hear it, Zheng Ren just vaguely felt that his breathing frequency had stabilized a little after he finished speaking.
Zheng Ren did not continue to talk to Xiao Shitou, he was looking into Xiao Shitou's eyes. Promised that Little Rock can see her with her eyes open, and she must do it.
十几 After another ten minutes, Little Stone slowly opened his eyes, his eyes were clear and agile, without the turbidity and confusion under the action of sedative drugs.
With four eyes staring at each other, Zheng Ren exhaled and smiled slightly.
"It recovered very well. Now close your eyes and continue to breathe smoothly." Zheng Ren said softly, "After another hour, I will take off the ventilator and you will feel the fresh air."
Xiao Xiaoshi blinked his eyes obediently and told Zheng Ren that he understood. But instead of closing her eyes, she blinked twice.
"Can you move?" Zheng Ren asked.
Stone's fingers moved slightly and could move, but writing communication was definitely impossible.
"You want to go offline now?" Zheng Ren asked tentatively. After that, Little Stone blinked again.
仁 Zheng Ren slightly hesitated for a few seconds, and said gently, "Okay, but if your breathing function can't keep up, you need to use a ventilator for another 12 hours."
Only Zheng Ren speaks, and Little Rock just expresses his thoughts with a simple blinking motion. But Zheng Ren felt that he could understand what Xiao Shito was thinking, and the two communicated in this strange way without any obstacles.
My heartbeat speeded up a bit, just like Zheng Xiang's mobile phone rang when he slept in the middle of the night, and told him to react to the operation. Zheng Ren took a deep breath, calmed her emotions, and removed the ventilator connector from the trachea.
The alarm sounded from the ventilator, Zheng Ren ignored it. His attention was all on Little Rock's body, don't drop blood oxygen saturation.
Unexpectedly, Zheng Ren didn't have any twists and turns. Little Stone's eyes were closed and he "breathes" attentively.
Taking a sip of fresh air, normal people do not feel its existence at all, but it is the most precious thing for small stones.
The thorax is undulating, the blood oxygen saturation is 98%, the breathing rate is 22 beats / min, and the heart rate does not fluctuate violently. It has been maintained at about 110 beats / min.
I'm done! Zheng Ren shouted in his heart.
After the small stone breathed for two or three times at this time, a very complex emotion appeared on his face. The breath of air is incredibly sweet. Once it enters the lungs, it immediately participates in blood oxygen exchange, and then follows the hemoglobin to provide the body with a steady stream of oxygen ~ www.novelhall.com ~ Incredible and relieved, many complex emotions are written on the face of the small stone on. However, he was not emotionally excited, which led to the recurrence of the illness, but closed his eyes quickly and began to breathe hard and greedily.
The sound of the air hitting the wall with the breath in the tracheal intubation is so pleasant, this is the sound of life. Zheng Ren listened carefully, judging by his ears that there was not much secretion in the lungs of small stones.
Fortunately, there is not a lot of sputum, but the expression of small stones is particularly interesting.
Zheng Ren knows that a brand new lung is definitely not the same as a lung with severe fibrosis. But this is theoretical, and it is not clear to what extent Zheng Ren can breathe smoothly after changing the lungs.
I observed for a few minutes, everything was stable, and Zheng Ren finally felt relieved.
It looks like there is no problem offline 24 hours, if everything goes well, you can pull out the tube tomorrow morning.
The sound of the ventilator's alarm was a little noisy. Zheng Ren saw the small stone in a stable state, turned around, hung the pipe, and turned off the ventilator.
The sunlight from the outside came in, a little bit dazzling. Zheng Ren narrowed his eyes and looked at the blue and clear blue sky in winter, his heart was peaceful and happy.
收 Pack up the machine as fast as possible, Zheng Ren turned back.
Xiao Xiaoshi opened his eyes and tried to raise his left fist. The infusion tube hanging on his arm was like a broken armor after a war. For the rest of the battle, the child's life was still very good. Zheng Ren remembered the time he met on the mountainside. This was his agreement with Xiao Shitou.
Fist in the left hand and gently touched the fist of the small stone.
In the afternoon, the sun was very nice.
记住 Remember the first domain name in this book:. Reading website of Vertex Novel Mobile Edition:
100% of the surgical completion rate is over, now it has jumped 17.2 percentage points on the basis of 110%!
He hesitated for a moment, realizing immediately that it might be the effect of organ transplant specialization.
Every point of organ transplant specialization may increase the completion rate of surgery by 10%, then the original surgery completion rate is 96%, plus 10% and then 106%, plus 20% specialization bonus, this is an appalling number .
Zheng Ren felt that he was invincible, and the medical team worked together to pile up the completion of the original operation madly, and finally got this result can only express satisfaction, very satisfied.
"Boss, how do I feel that ECMO can withdraw from the plane? Is it an illusion?" Su Yun turned and stepped down, looking at the latest blood gas analysis value and wondering.
"Sue, if my patient, I would not take ECMO with me." Dr. Charles took a look at the test sheet and stated his point.
Zheng Zhengren hesitated for a moment, and finally said, "Take it anyway, I see the situation, a little downtime."
Su Suyun looked at all kinds of machines with some anxiety.
Five micropumps connected to the ventilator, monitor, carotid and radial arteries, and three-way infusion. There are two chest bottles, ECMO and liver dialysis device.
I ignored this before, and it was also Zheng Ren's never practiced in the system operating room. After all, the system operating room is just pure training. Success is success. Unlike reality, there are so many troubles.
之后 After the operation is successful, how can I return the small stones with so many equipments?
There is no room for so many things in an elevator room, and Zheng Ren can't help it. I have been thinking about how to successfully complete the operation, but I did not expect to have problems after the operation was completed.
"Wait a minute, the plasma exchange device can be removed first." Zheng Ren hesitated for a while and started to order.
Stones have passed the acute liver failure period, and bilirubin has fallen to an acceptable value. Once adsorption of bilirubin plus plasma exchange, withdrawal is also reasonable. If it does n’t work, then go back to the machine, this is the best choice.
Zheng Ren glanced, looking for a small round stool to sit and watch.
Through leaded glass, he was surprised to see that the operating room was overcrowded. There were 20 people standing there, like canned sardines.
The airtight lead door opened, Zheng Ren went out, and a heat wave came on.
"Congratulations, Mr. Zheng!" Vice President Yuan said with a smile.
"Dean, why are you here?"
"Linger will definitely report to me for such a big operation. I'll take a look and coordinate it. You're fully prepared, no surprise." Yuan Yuan laughed.
"It's okay, okay, luck is good, and the operation went smoothly." Zheng Ren took off his mask and breathed.
"When will the patient be sent back?"
"Have to wait, it may take about 2 hours for the operation." Zheng Rendao said, "There are too many pipes and machines on the body, so I have to withdraw the points to send people to ICCU."
"It's okay, I only arranged this operation. If you are not tired, Mr. Zheng, you can wait here for a few more hours and observe more. No one will grab the surgery with you." Director Xu said with a smile.
Zheng Ren's heart moved and smiled slightly. "Director Xu, I'm welcome."
"What kind of operation are you polite to, Mr. Zheng?" Director Xu smiled. "The most important thing is that patients can step down safely and smoothly."
With the words of Director Xu, Zheng Ren was even more suspicious, politely, and turned back to the operating room.
"Boss, are you ready to stop ECMO before going down?"
"Well, it's in the operation room for 6 hours of observation. If you can, you can withdraw ECMO and continue." Zheng Ren said with certainty. Observed."
Everyone knows that the operating table in the operating room is the most suitable for observation, but it must have that condition. In 912, these are all resources. In order to ensure the smooth operation of this operation, many people did their work silently.
Not to mention the needs of other departments, generally speaking, after the operation is completed, at least 10 doctors will be around, and an operating room will be occupied. This kind of thing is that the dean and the director of the anesthesia department gave a green light to dare to think about it. Before that, Zheng Ren didn't have this concept at all.
After he finished speaking, he found a small round stool and sat in the corner, watching the Xie Yi people wipe the surgical instruments.
"Yiren, I am going to observe for 6 hours."
"I heard, I won't go down, clean up and disinfect the operation box." Xie Yiren said crisply.
"Boss, when does the ventilator unplug when you go back?"
不 "Don't worry, take it for 24 hours before talking." Zheng Ren said, "ECMO can go offline, which has exceeded expectations."
"What the surgery is doing today is really good." Su Yun said happily, he can also feel that the degree of completion of the surgery is quite high today, but there is no specific value given by the system panel.
嗯 "Well, it's done well, and the situation is better than expected. The 3d printed organs have no rejection and no oral anti-rejection drugs are needed after surgery, which is also an important point."
"Zheng, do you really refuse to go to Mayo?" Dr. Charles looked at the values of each device and had his own judgment in mind, and the operation was bound to succeed. But the more so, the more regrets he felt, the doctor came to Zheng Ren for the last time to persuade him.
Zheng Ren quickly stood up and apologized, "Doctor, if you want to see me for surgery, I can fly to Mayo directly if I have time."
拒绝 He refused so simply, Dr. Charles sighed slightly.
仁 Zheng Ren sent the doctor out of the operation room with a smile, but instead of sending the doctor out of the door, he ordered Su Yun to send it, and by the way, told Wen Xiaonuan that the operation was successful.
The operation was smooth and the degree of completion was extremely high, but the small stone was still lying on the operating table, and it must not be careless.
If something really happened, but he wasn't on the scene, the rescue was delayed, and there was no place to cry.
Sitting on a small round stool, Zheng Ren watched various values. With the replacement of blood bag by bag, Lao He was still monitoring blood gas, liver and kidney function.
Soon, Su Yun returned.
"Boss, Sister Wen sat directly on the ground after hearing the news of the successful operation." Su Yundao.
"Oh, she's too nervous." Zheng Ren's focus is not here. He calculated the value in his heart and suddenly asked, "What do you mean to the doctor?"
哪 "Which sentence? Is the population aging?"
"Yes."
"There is a game called Plague Company, have you ever played it?"
"So anti-human name?" Zheng Ren frowned.
"A strategy game developed by an independent game studio in London, England, with the theme of infectious diseases." Su Yundao, "I don't think it's that simple. This game is a bit interesting. You have time to come and play."
仁 Zheng Ren stared at the values and chatted with Su Yun casually, saying that the game was better than driving in the operating room.
怎么 "Why isn't that easy?"
"Like you said, is it anti-human. I think it was the capitalists who used the plague to change the aging society's mind early, let everyone get used to it and adapt it. The game setting is a bit interesting, like Ebo The virus is not strong at all, and it can't infect all human beings at all. Boss, if you design a virus, what are you going to do? "
"It must be a very long incubation period. It is of secondary importance that the outbreak is fierce or not. It is best to start the disease slowly so that everyone will be slack. Said.
"Yes, only this way can overcome Greenland. I have a contact with a friend of the P4 laboratory in the United States, who studies various viruses, but I always feel that the flu on that side is related to the research every year."
"Don't talk nonsense, impossible." Zheng Ren scolded.
"Hey." Su Yun rarely did not raise the bar, if it is really too anti-human, it is a criminal, not a bar.
I changed the subject. Su Yun just guessed and was not sure. And this idea is really too anti-human. Even Su Yun could not draw such a picture with the most brilliant and darkest ideas.
"Is this a small stone picked up again?" Su Yun looked at the values, his words light and happy.
差不多 "Almost. According to the current indicators, ECMO can withdraw in more than 5 hours."
"That's good." Su Yun walked around, feeling bored in the room, and ran out to find someone to chat with.
Blood gas, liver and kidney function were measured every half an hour, and the values continued to progress in a good direction.
After 4 hours, the equipment for liver dialysis was withdrawn.
After 6 hours, ECMO was withdrawn.
Bring the ventilator, monitor, and a bed of micro-pumps, all the medical team escorted and returned to icu.
Sitting in the monitoring room, Zheng Ren stared at the values of the ventilator and monitor. Monitoring tests have been reduced from once every 30 minutes to once an hour.
数值 The various values of the small stones are stable, the high scary total bilirubin during the operation is also returned to the preoperative level, and the various values of the renal function are also acceptable. There is no need to use equipment such as dialysis.
After the ECMO was removed, the ventilator assisted breathing, and the replaced lungs began to work. The blood oxygen exchange was good, and the blood oxygen saturation was maintained between 98-100%.
"Boss, are you no longer worried about smoking?" Su Yun asked with a smile.
"Can a lung transplant be done at any time? Aren't you talking nonsense?" Zheng Rendao said, "Don't think of surgery, take good care of it. Is it possible to smoke less or smoke less?"
"Maybe the whole body will be changed after decades. Maybe if we look at the research progress of neurology, if the whole body can be replaced with memory, humans will be immortal." Su Yundao.
不会 "No, everyone thinks that there will not be such a serious disease before conquering tuberculosis, but you can look at cancer. After conquering cancer, there will be other diseases. This is a battle that never ends."
"Don't think so much, shouldn't this be celebrated?" Su Yun laughed.
"Stones don't need a ventilator to assist in breathing. We need to return to Haicheng after leaving ICU." Zheng Rendao said, "I miss Director Pan."
"It's Chinese New Year, so are you going to have surgery around the clock this year?" Su Yun asked.
"It's a normal holiday. No one is okay to come to the hospital for the New Year."
"New Year this year, are you going to spend time with Uncle Ning?"
Wu Suyun really hates this product, and would not say it well! The operation was successful, and it was a happy thing. Why did he have to bring up Uncle Ning?
But now when I think of Uncle Ning, the first idea was not to calm down in Pengxi Township Hospital and not to be angry and to control the big image of the overall situation, but to become the little old man who could not seek medical treatment in Sweden.
I don't seem to be afraid, Zheng Ren smiled.
I thought, Zheng Ren was a little stunned. Uncle Ning, this year's New Year with Uncle Ning, everyone has a reunion dinner and set off firecrackers ... this feeling is really strange.
Unfamiliar is strange, but it is still very warm to think about. Zheng Ren smiled, he had subconsciously wanted to accept the concept of family.
"I'll lie down for a while and call me if something happens." Su Yun made a call gesture, "If you're tired, tell me, let's change shifts."
"Um." Zheng Ren nodded.
Su Su left, Zheng Ren looked at the small stone lying on the bed, a smile appeared on the corner of his mouth. The icu of 912 is still relatively backward. It is said to be a renovation. It is estimated that construction will not start until the spring flowers bloom.
是 Is it possible to use the new icu at this time next year? Zheng Ren looked at the small stone, thinking about the brand-new laminar flow icu of a critically ill patient's ward.
If you have that kind of ward, you can reduce the amount of antibiotics and reduce cross infection. It is estimated that the use of antibiotics for one day after severe surgery is very serious, and generally will not be used.
I went to Mayo, and I have the best diagnosis and treatment machines. I don't have to put together a machine for liver dialysis before surgery.
But can it be the same.
This matter Zheng Ren never considered it. The main body of medical treatment is the patient, not the machine.
If there is a doctrine in your mouth and all your business is in your heart, Zheng Ren has already gone to Hopkins, and the conditions on that side are not worse than Mayo.
But Zheng Ren did not like the American medical treatment in his eyes, and even Sweden, which claims universal medical insurance and free medical treatment, did not like it.
分析 From a logical analysis, the number of doctors determines everything. As far as their doctors work, can they do all this imagination? joke.
Uncle Su Ning and Wu Hui's appendix perforation were not done. Zheng Ren was able to come into contact with the conservative treatment waiting for the second-stage operation.
医疗 The medical level on that side is high, but that's ... In Su Yun's words, that's for capital. Mayo's door is always open, rich people go to check-ups, and there are some domestic capitalists.
Sure, that's the top resource.
But all this has nothing to do with ordinary people. People like Wu Hui have been misdiagnosed and mistreated ...
I was thinking, with a shock on my shoulder and a pop.
"Boss, what are you thinking about?" Su Yun asked.
"Looking at Little Rock."
"I ask what's on your mind."
"Emmm, I was thinking about rejecting Dr. Charles," Zheng Ren said with a smile.
老板 "Boss, have you thought about it before? The doctor hasn't communicated with you. You refused so simply, there was no room for manoeuvre."
"I never thought about it," Zheng Ren said flatly, "perhaps an instinct."
"I guessed that you will refuse because of your nature, but I did not expect you to refuse so simply." Su Yundao, "What does instinct mean?"
"Remember the day the emperor felt a shock?"
"Well, I remember Fuguier standing under the car and asking us what to do if we can't come back." Su Yun said with a smile, "What can I do?"
"Yeah." Zheng Rendao, "Everything on the Internet, I feel like I'm finished. As soon as something happens, they come together naturally. It may be this kind of behavior."
"Ha." Su Yun laughed under his voice, "What did you think then?"
"I didn't think of anything, I just thought I would die in Rongcheng even if I was dead." Zheng Ren laughed. "But it's good to be back alive. I hope the weather is smooth and Guotai Min'an. But if there is one more time, there is no way to go to the front.
"I thought you would say the same thing again, what domestic medical conditions of the same level are the best, and tell the truth blindly. I tell you, it ’s easy to kill someone if you say that.
"Medical resources are scarce. To be fair, you still have to make progress in science and technology. There is too much reason to think about it." Zheng Ren shook his head slightly. You see, if there is another time, there will definitely be countless doctors and nurses rushing up. "
"I remember that a netizen named Xianyunye Hezhi said that it still makes sense. Every time there is a disaster, there are medical staff. This is a group that can sing and weep. But this group has no sense of existence like a fan. It ’s like a mourning dog, it ’s like a street mouse. ”
"Hey, this description is quite appropriate." Zheng Ren smiled indifferently, "like a bereavement dog, anxious like a fish missing the net."
"What do you say."
"Boiled in a pot, and everyone thinks ... emm, do you remember that an old professor in Tsinghua was deceived by more than 10 million, what do you say?" Zheng Ren asked suddenly.
"Well, at that time, why is a teacher having so much money!" Su Yun shrugged and said helplessly.
"Yes, shouldn't it be?"
"Later, an old Tsinghua professor went to Maryland, and the trend of public opinion has turned to improving treatment and retaining high-tech talents. I think the two groups before and after are almost the same, turning their faces faster than turning their books."
"Everyone hopes that they are the best one ever. It is easy to understand. Just like medical treatment, Uncle Ning took roots in Sweden for 24 hours and couldn't get them out. Most domestic voices are dozens of fishbone. Medical fees?"
"Boss, I don't think you have much respect for Uncle Ning since the fishbone incident." Su Yun said with a smile.
"Don't talk nonsense." Zheng Ren watched the various values on the instrument slowly and chatted with Su Yun.
"I think the US medical system charges are very reasonable. For example, let's make a ureteral tube lithotripsy, a few hundred dollars. The United States wants tens of thousands, it is a beautiful knife. I do n’t know, I am shocked. "
"Don't compare, it doesn't make sense," Zheng Ren said lightly.
"That's the thing. Our domestic medical system can sustain it. Isn't this what it depends on. When private hospitals are getting more and more, everyone will be sucked into private hospitals with the economic siphon effect, hey!" Su Yun sneered.
"The reason why a university is called a university is not because of the school itself, but because of the master." Zheng Ren slowly said, "Mr. Yiqi Qi, the old president of Tsinghua University, makes sense. The reason why a hospital is a hospital is also Here."
"Speaking of this, Teacher Yan Ning resolutely decided to resign from Tsinghua University at that time, and transferred to the University of Houston, Princeton, USA, to be hired by Shirley Tillman, a tenured professor at the university's Department of Molecular Biology. Presumably, going to Mayo is logical. "
"Nothing logical, has the phrase persuaded people to study medicine to fight thunder and lightning for several years?"
"Forgot, it seems to have been popular for a long time."
"There are fewer and fewer children doing clinical work, and the pressure is getting heavier. There will always be a day of collapse. Although everyone's ability is limited, running to the emergency department can alleviate the total weekly stress a little."
"Don't make yourself so noble."
"It does not involve nobleness. When you go to school, you must bear Hippocra's vow. Medical capitalization is a tear in itself. But in the face of the torrent of the times, it cannot be reversed by personal power. The tear of the times, the tear of cognition. , How do you say that?
"Which sentence are you talking about? This is the best and the worst; or is the passport of the mean and the noble is the epitaph of the noble?" Su Yun asked.
Zheng Ren smiled, Su Yun was really clever, and all his thoughts were directly spoken by him.
"Brother Yun."
The two were chatting, and a little nurse came over and whispered.
"Um." Su Yun's eyes narrowed and a smiley face appeared. "What's the matter."
"There is something wrong with us, see if there is any way."
Zheng Zhengren saw several medical staff around a patient in another ICU bed, discussing something. The viewing angle is limited and the patient's system panel is not seen. 912 severe illness is very strong, Zheng Ren is not willing to worry.
But taking the initiative to see what is going on and others asking for help are two concepts.
"The patient was a 56-year-old male. He was admitted to the department due to loss of consciousness due to a car accident. He was diagnosed with severe head injury. Hernia and right frontotemporal subdural hematoma were fully prepared before surgery. Subdural hematoma and intracranial hematoma removal + decompression of the skull flap. "The little nurse began to report the medical history softly, professionally and skillfully.
"The stomach tube did not go down before the operation, we wanted to do it after the operation, but the 1-minute downtime is too short and too difficult!"
Alas ... Zheng Ren saw a girl who was a little dazed when she talked to Su Yun involuntarily, and she was a little helpless.
It is normal to not enter the stomach tube, the patient is in a coma, and the swallowing and cough reflexes are weakened or disappeared, and they cannot cooperate; the indwelling trachea intubation and the balloon compress the esophagus, reducing the diameter of the esophagus, affecting the insertion of the gastric tube; Excessive removal may cause edema of the throat, esophageal spasm, or edema of the esophagus.
These are the reasons why you can't get into the stomach tube.
"How much paraffin oil did you touch?" Su Yun asked.
"A lot ..." The little nurse said two words, her face blushed.
"Go and have a look." Zheng Ren glanced at the vital signs of the small stones, and reduced the dopamine micropump pump speed by 1ml.
Came to the patient after cerebral hemorrhage, paused the ventilator, Su Yun took a laryngoscope and glanced. Sure enough, the spasm and edema of the esophagus were very serious, much heavier than expected.
Because the gastric tube is soft, even if it is well lubricated, it will fold when it encounters spasms, and it wo n’t go in at all.
Qi Suyun groaned a bit, Zheng Rendao, "Deep vein puncture ..."
"Oh? Do you think so too?" Su Yun asked.
Icu's hospitalization was always a little bit stunned, what is the relationship between the lower gastric tube and deep vein puncture.
"Try it." Zheng Ren did not intend to reach out, but said blandly.
"Is there a guide wire for deep vein puncture?" Su Yun asked.
"It's been thrown." Icu's hospital director.
"Have another one." Su Yundao, "It would be more expensive if we used our guide wire."
Icu's hospitalization is always a bit confusing, but Su Yun has made it clear that the guide wire for deep vein puncture, he is going to go ahead with a slightly harder guide wire, and then slide the gastric tube in.
This is the idea of a typical interventional physician, but it was not expected to be used in nursing work.
Seeing Icu's hospitalization always prepare the guide wire, Su Yun laughed, "Boss, if you are in Mayo, there will be professional equipment to solve this problem."
"It's okay, in our 912, it can be solved by dealing with it." Zheng Ren smiled, "The principle is similar, but it is a bit more troublesome."
Su Suyun raised her eyebrows and said nothing.
Soon, the hospital always prepared a stomach tube and a nasal feeding bag, which contained paraffin oil, cotton swabs, gauze, a 20ml syringe, a deep vein catheter, and a stethoscope.
Su Yun did not explain, but after applying the paraffin oil to the gastric tube, measure the length of the gastric tube, insert the guide wire into the gastric tube, and bend the top end into a small round shape. Insert it to the position of 14 ~ 18cm.
By the time I reached the throat, Su Yun hadn't waited for the talk. Zheng Ren had already lifted the patient's head so that the lower jaw was close to the sternal bone, and her posture was set.
His assistant was very skillful, and Su Yun slandered. Subsequent operations allow the gastric tube to pass smoothly through the edema of the throat, insert a predetermined depth, and then withdraw the guide wire.
Fix the gastric tube, pump the stomach contents or inject air, and listen to the sound of water passing through the tube, indicating that the tube was successfully inserted.
"Oh, it's done." Su Yun said easily.
Icu's hospitalization is always stupid.
下 The patient's stomach tube had been exchanged with the nursing group 6 times. Almost this day, the patient and the stomach tube moved around.
I did not expect Su Yun to get started and immediately solve the problem.
This time I really opened my eyes. Not only can people do lung transplantation, even this upset little operation is very good. A deep venipuncture guide wire solves a difficult problem that plagues one day, and hospitalization is always unbelievable.
"I'll go if it's okay." Su Yun said chicly.
"Brother Yun, Boss Zheng, you two are busy." Icu said always in hospital.
"Boss, if I don't use it, I'll lie down for a while." Su Yundao, "When can you expect to be extubated?"
"24 hours." Zheng Ren said seriously, "It may not be 24 hours, depending on the situation."
"Really fast." Su Yun's tone was a bit erratic, and it seemed that he could hardly believe the judgment of his boss.
Yun Su Yun left, Zheng Ren'an sat quietly in front of the bed of small stones, watching various values, drainage, urine volume, and kept calculating.
He is like a hard and silent hill, standing beside a small stone, sheltering from the wind and rain.
This is a war. Fortunately, I don't have to watch out for the cold gun from behind, Zheng Ren sometimes thought to myself. It would be great if all patients could cooperate with each other and concentrate on treating the disease and saving people, without having to consider the cost and the psychology of the patients' families.
Although this is impossible, Zheng Ren occasionally thinks so.
In the end, all the principles can not be compared to the four words of treating a disease and saving people. Zheng Ren was too lazy to think. He looked at the small stones silently, and looked at the various machines and numbers around him. The whole person was like a computer. In the central processor, the cold and boring data is converted into a disease for analysis.
Elapsed one minute and one second, five micropumps were withdrawn one by one, the urine in the urine bag was about 50ML per hour, and the airway pressure of the ventilator ...
It was late at night, Zheng Ren still watched all the values wisely, without seeing any tiredness.
As each instrument stopped, Zheng Ren accurately calculated the amount of entry and exit, maintained the balance of body fluids, and worked hard to make the state of the small stones as good as possible, and better.
Adjust the parameters of the ventilator and watch the fluctuation of positive end-expiratory pressure. As the little vital signs of the stone stabilized, the sky lit up.
Zheng Zhengren rejected Su Yun's request to change his class. He tenderly and focused on taking care of the small stones.
The sky was getting brighter, and at work, there were more people in icu.
Director Icu Cai changed his clothes and came in. At a glance, Boss Zheng still maintained the position he had when he left yesterday, watching the patient patiently.
He walked in surprise, glanced at the values first, and then whispered, "Boss Zheng, did you sleep all night?"
"Director Cai, it's time to go to work." Zheng Ren turned his head and saw that he came and said with a smile.
"Well, are you okay?"
"Very good, all the values are normal." Zheng Rendao, "It is estimated that I can go offline at noon and breathe spontaneously."
Noon ...
怔 Director Cai froze for a while, so fast?
呼吸 It is a whole thing to use a ventilator for 3 days after lung transplantation. Is it too urgent for Boss Zheng to do this?
"Boss Zheng, don't watch for another day? If you are tired, I'll watch here." Director Cai tentatively tried.
"I'm not tired. The evolution of the disease has allowed me to go offline. Try it. If you can't, you can take medicine for two days." Zheng Ren said very gently.
Director Cai still couldn't understand. He winked and greeted the hospitalized person. He whispered, "I have to check the return in the morning."
"Director Cai, I have been watching the patient myself. 15 minutes after surgery yesterday ..."
Zheng Ren saw that Director Cai was uneasy and asked about the treatment, and then began to talk about the operation afterwards.
Monitor the 24-hour access and record it every 30 minutes; averagely check the liver and kidney function, blood gas analysis, blood routine, D2 polymer, etc. on average every 2 hours; the time, reason, and vital signs of various drugs are withdrawn ...
Fine to the extreme, as the director of icu has a strange heart. It would be nice if the hospitalization of his own staff always had this level, and the changes were reported in a clear and timeline manner, and down to the minute level.
But Director Cai smiled a little later, and he knew he was dreaming. Use Boss Zheng to be hospitalized? Who has this qualification in 912 now.
Zheng Ren spoke for twenty minutes, and finally smiled gently, "Director Cai, I think there is nothing wrong."
"Well then." Director Cai said politely, "We will not care about this patient if you are here, and need to speak at any time."
"Thank you." Zheng Ren bowed slightly, expressing his gratitude.
仁 Zheng Ren saw Icu's doctor started a new day's work. He smiled slightly, sat in a chair, and continued to observe changes in his condition.
胸 The chest of the small stone is undulating under the action of the ventilator. The new lungs work well and the blood oxygen exchange is perfect. Zheng Ren also thinks that there is nothing wrong with it. After all, 127% of the operation completion rate is placed there. After the overnight sleepless care, if there is any problem, it can't be justified.
If the little stone can wake up and go through another bump, I hope the recovery will be faster.
孩子 The child is very sensible and does not know whether he "floats" in the endless darkness in a state of calm, panic or calm.
停止 Stopping sedation is equivalent to lifting the seal, and I don't know if he will wake up with intense agitation because of excitement and fear.
Zheng Ren began to think wildly in his mind. The closer he was to the 24 hours after surgery, the more nervous he became.
紧张 This tension is completely unfounded, and Zheng Ren knows it. Various objective indicators are clearly in front of them, and they have been repeatedly stunned countless times, and no problems have been found. But emotions are emotions, and even Zheng Ren, who is motionless, can hardly curb the emotional changes of the residents.
After a minute and a second passed, Zheng Ren reduced the pumping speed of the sedative and started to wake up.
Very simple operation, but Zheng Ren was nervous.
There are many things that I worry about, and no one is 100% sure about them. Zheng Rensheng was afraid of something unexpected. He watched the condition of the small stone blinking.
Slight agitation, airway pressure increases instantly.
"Stone, wake up, don't panic, take a steady breath," Zheng Ren said softly in the ear of Xiao Stone.
Zheng Ren was not sure that he had heard everything he said. He faintly saw that the eyelids of the little stones moved slightly, and then the little stones calmed down, without resistance, unexpectedly smoothly.
Zheng really is a child with good medical skills, Zheng Ren exhaled slightly.
Generally speaking, when waking up, they will toss for a while. After all, most people are not used to using machine-assisted breathing, and they subconsciously fight against the machine.
Ye Ke only said a word, and the small agitation of the small stones disappeared without trace, and the blood oxygen saturation also recovered from 92% to 99%.
If all patients are so medically compliant, it will be a doctor's paradise, and a smile will appear on the corner of Zheng Ren's mouth.
After a few minutes, the small stone gradually adapted to the ventilator-assisted breathing, and gradually gained strength as the sedative drug accumulated in the body to reduce the metabolism and concentration of the drug. He was relaxed all over, only his eyelids beating constantly.
"Slow down, don't worry, your breathing is smoother." Zheng Ren patted the small stone on his shoulder and said in his ear.
I don't know if Xiao Shihe didn't hear it, Zheng Ren just vaguely felt that his breathing frequency had stabilized a little after he finished speaking.
Zheng Ren did not continue to talk to Xiao Shitou, he was looking into Xiao Shitou's eyes. Promised that Little Rock can see her with her eyes open, and she must do it.
十几 After another ten minutes, Little Stone slowly opened his eyes, his eyes were clear and agile, without the turbidity and confusion under the action of sedative drugs.
With four eyes staring at each other, Zheng Ren exhaled and smiled slightly.
"It recovered very well. Now close your eyes and continue to breathe smoothly." Zheng Ren said softly, "After another hour, I will take off the ventilator and you will feel the fresh air."
Xiao Xiaoshi blinked his eyes obediently and told Zheng Ren that he understood. But instead of closing her eyes, she blinked twice.
"Can you move?" Zheng Ren asked.
Stone's fingers moved slightly and could move, but writing communication was definitely impossible.
"You want to go offline now?" Zheng Ren asked tentatively. After that, Little Stone blinked again.
仁 Zheng Ren slightly hesitated for a few seconds, and said gently, "Okay, but if your breathing function can't keep up, you need to use a ventilator for another 12 hours."
Only Zheng Ren speaks, and Little Rock just expresses his thoughts with a simple blinking motion. But Zheng Ren felt that he could understand what Xiao Shito was thinking, and the two communicated in this strange way without any obstacles.
My heartbeat speeded up a bit, just like Zheng Xiang's mobile phone rang when he slept in the middle of the night, and told him to react to the operation. Zheng Ren took a deep breath, calmed her emotions, and removed the ventilator connector from the trachea.
The alarm sounded from the ventilator, Zheng Ren ignored it. His attention was all on Little Rock's body, don't drop blood oxygen saturation.
Unexpectedly, Zheng Ren didn't have any twists and turns. Little Stone's eyes were closed and he "breathes" attentively.
Taking a sip of fresh air, normal people do not feel its existence at all, but it is the most precious thing for small stones.
The thorax is undulating, the blood oxygen saturation is 98%, the breathing rate is 22 beats / min, and the heart rate does not fluctuate violently. It has been maintained at about 110 beats / min.
I'm done! Zheng Ren shouted in his heart.
After the small stone breathed for two or three times at this time, a very complex emotion appeared on his face. The breath of air is incredibly sweet. Once it enters the lungs, it immediately participates in blood oxygen exchange, and then follows the hemoglobin to provide the body with a steady stream of oxygen ~ www.novelhall.com ~ Incredible and relieved, many complex emotions are written on the face of the small stone on. However, he was not emotionally excited, which led to the recurrence of the illness, but closed his eyes quickly and began to breathe hard and greedily.
The sound of the air hitting the wall with the breath in the tracheal intubation is so pleasant, this is the sound of life. Zheng Ren listened carefully, judging by his ears that there was not much secretion in the lungs of small stones.
Fortunately, there is not a lot of sputum, but the expression of small stones is particularly interesting.
Zheng Ren knows that a brand new lung is definitely not the same as a lung with severe fibrosis. But this is theoretical, and it is not clear to what extent Zheng Ren can breathe smoothly after changing the lungs.
I observed for a few minutes, everything was stable, and Zheng Ren finally felt relieved.
It looks like there is no problem offline 24 hours, if everything goes well, you can pull out the tube tomorrow morning.
The sound of the ventilator's alarm was a little noisy. Zheng Ren saw the small stone in a stable state, turned around, hung the pipe, and turned off the ventilator.
The sunlight from the outside came in, a little bit dazzling. Zheng Ren narrowed his eyes and looked at the blue and clear blue sky in winter, his heart was peaceful and happy.
收 Pack up the machine as fast as possible, Zheng Ren turned back.
Xiao Xiaoshi opened his eyes and tried to raise his left fist. The infusion tube hanging on his arm was like a broken armor after a war. For the rest of the battle, the child's life was still very good. Zheng Ren remembered the time he met on the mountainside. This was his agreement with Xiao Shitou.
Fist in the left hand and gently touched the fist of the small stone.
In the afternoon, the sun was very nice.
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