This doctor is very stable

Chapter 629 Bullous Resection Begins [Seeking subscription, seeking monthly pass. 】

Pulmonary bullae are formed by the fusion of respiratory bronchioles to form emphysema and the fusion of each other.

The vast majority of bullae are due to infection, smoking, pulmonary fibrosis, and a variety of causes.

Generally, small and few simple bullae have no special symptoms, and most of them can be found in CT examination.

The number of larger bullae increases, which can easily cause symptoms such as chest tightness and shortness of breath.

Infection of the pulmonary bullae can also cause symptoms such as coughing and expectoration.

Generally, bullae are larger than one centimeter.

Generally divided into secondary bullae and idiopathic bullae.

Secondary bullae: inflammatory lesions secondary to small bronchi, such as pneumonia, tuberculosis, or emphysema.

Idiopathic bullae: Some are caused by congenital genetic abnormalities, and many are idiopathic bullae with unclear etiology.

Under normal circumstances, bullae do not require surgical treatment, and drug therapy is usually the main treatment.

Such as bullae rupture, causing spontaneous pneumothorax or hemopneumothorax.

For example, the volume of bullae is large, and the large bullae compresses the adjacent lung tissue, and the patient has obvious symptoms.

Such as recurrent infection of bullae.

All three require surgery.

Lin Ran's patient today is a patient with large bullae, adhesions on the top of the chest, and active bleeding.

[Patient: Zhang Daquan, male, 69 years old. 】

【Chief complaint: cough, expectoration, chest tightness, chest pain, hemoptysis. 】

[Past medical history: chronic pharyngitis, hypertension, hyperlipidemia! 】

[Imaging examination: Chest CT, plain X-ray film. 】

【Diagnosis: The volume of the bulla in the right lobe of the patient is 2.2 cm, which is too large, with local adhesion to the top of the chest and active bleeding. 】

……

The patient is not young, and has basic diseases such as hypertension and hyperlipidemia, so this operation is not easy to win.

Cardiothoracic surgery area, locker room.

After finishing the disinfection work, Lin Qianhong led Lin Ran and his group of seven doctors out of the locker room.

Lin Qianhong didn't know why, this small bullae resection gave him a sense of accomplishment before it even started!

"Lin Ran, have you experienced lobectomy before?"

Lin Ran's expression was as calm as ever, making Lin Qianhong a little confused!
Looking around at the young resident doctors like Lin Ran's age, which one didn't look overjoyed when they learned that they could have surgery?
"Leader Lin, I used to work in the emergency department, so I have seen a lot of surgeries. Of course, I have also seen lobectomy. In the morning, I saw Director Liu in our emergency department perform a sleeve lobectomy."

Lin Ran also told the truth, but when he said this, others all turned their eyes to Lin Ran, their eyes were full of envy!

Not everyone can enter the operating room as an emergency doctor.

Going to the emergency room also has to suffer!

Lin Ran must have survived to see it.

But Huang Ju was well aware that Director Liu who was in the emergency department in the morning and their Director Guo almost quarreled on the operating table for robbing Lin Ran's ownership.

Just like this, he, the attending doctor, is also envious.

"Really? That's very good, you work hard. Trying to master an extra-cardiothoracic operation within the six months of training is worthwhile. Compared with extra-cardiac operations, lobectomy is still a Easier, for you, from easy to difficult is a more suitable choice."

In the afternoon, Director Guo called Lin Qianhong to have a chat in private.

Said to focus on cultivating Lin Ran!

Lin Qianhong still doesn't understand. Lin Ran knows that he is a doctor and has no obvious intention to stay in the hospital. Why should he spend time and energy on training!
However, after seeing the video of Lin Ran's rescue in the emergency room, he had to admit that Lin Ran was a genius, one genius out of ten thousand.

Perhaps as long as a doctor sees a genius of this level, he will love it in his heart.

Lin Qianhong is no exception!

So now he is not so blunt when talking to Lin Ran.

Into the operating room, nurses and anesthesiologists are already in full swing.

The patient is also lying quietly on the operating table.

After several days of recuperation, Zhang Daquan felt that he did not need to undergo surgery.

Of course, there is naturally an element of fear of surgery.

Entering the operating room, Lin Qianhong took the position of the surgeon on the right hand side of the patient without hesitation.

"Dr. Huang's help, Lin Ran, you come to pull the hook."

"Yes."

"no problem."

hook.

It's been a long time since Lin Ran did the job of Lagouxia.

There is a saying in clinical surgery that a good surgeon must be a good puller!

Lin Ran got a system after entering the hospital, so the process of growing up is different from other doctors.

Therefore, he really didn't have a good experience of the work of the hook.

It's not bad to experience it now.

There is no distinction between high and low on the operating table.

The main sword is indispensable, and the hook man is also indispensable, but the division of labor is different.

Seeing Lin Ran's neither arrogance nor impetuosity, Lin Qianhong nodded, feeling rather satisfied in his heart.

Generally speaking, geniuses are more arrogant and have personality.

Some talented people have that special personality that really makes them hard to like.

"Nurse, gloves, anesthetist, give medicine, general anesthesia, two hours."

On the right lung of the patient, there were large and small bullae, the small one was one centimeter larger, and the large one was two centimeters.

After the operation, air bubbles of all sizes must be removed.

According to the speed of my operation, two hours is enough.

It's also written in the surgery plan.

"Okay, Dr. Lin."

The middle-aged anesthetist stepped forward, ready to intubate and give anesthesia. At the same time, he also glanced at Lin Ran.

Lin Qianhong has a very straightforward temper, and it is difficult for ordinary people to fall into his eyes.

Lin Ran saw that he was a new trainee doctor. It was not easy for Lin Qianhong to fall in love with him just after he arrived!
Just as the anesthesiologist was about to intubate, Liu Daquan, who was lying on the operating table, spoke. He looked at Lin Qianhong and asked anxiously, "Well, doctor, my operation is really not dangerous!"

Lin Qianhong smiled slightly, "Uncle Liu, don't worry, your operation is not very dangerous, and I will try my best to cure your illness."

Liu Daquan still sighed, "Oh, that's good, then please ask Dr. Lin, but if I don't wake up..."

When people are older, they are usually more worried, and it is natural that they will be more verbose when they are on the operating table.

In the end, Lin Qianhong had no choice but to signal the anesthesiologist to intubate and administer medicine quickly.

Any operation has certain risks, not to mention Liu Daquan also has underlying diseases such as high blood pressure and high blood lipids.

However, Lin Qianhong is still very sure of cutting two bullae under the gun scope.

Before the intubation, the anesthetist carefully checked the patient's mouth and took out Liu Daquan's dentures.

(End of this chapter)