Doctor: I picked up attributes in the hospital

Chapter 31

Soon, Xia Xiaoyu sent the patient in.

Zhao Heng saw that the patient who was sent in was a middle-aged uncle. As soon as he entered, Zhao Heng smelled a smell of alcohol mixed with a rancid smell.

Looking at the uncle's face again, he was already very pale, and his lips were already blue-purple.

Just in a daze, the uncle kept muttering in his mouth.

"Drink! It's done!"

They're already here, still thinking about drinking.

Zhao Heng couldn't help shaking his head. This kind of drunk patients are quite common in hospitals, especially in emergency departments.

Gao Jun couldn't help frowning when he smelled the alcohol on the patient's uncle.

The most taboo thing about this anesthesia is that the patient drinks alcohol.

The anesthesia medication is inherently very precise, if it is too much, the patient may not be able to wake up, if it is too little, the anesthesia is not enough, and it will affect the surgeon's operation.

This patient drank alcohol, and alcohol is metabolized by the liver in the human body, which will seriously affect the metabolism of anesthetic drugs in the body. In this case, it is a very headache to estimate the patient's anesthesia dosage.

Generally, this kind of drunken patients must wait for the alcohol in the body to be metabolized before using anesthetics.

But this patient has an acute abdomen, which is troublesome.

"How much did you drink?"

Gao Jun stood up and asked Xia Xiaoyu.

"His family said he drank two catties, but the specifics are not very clear."

Xia Xiaoyu shook her head and said, it's impossible to quantify how much she drank on the wine table.

In the eyes of different people, the amount of drinking is different.

Unable to quantify, which is even more troublesome.

Gao Jun's complexion also became serious.

Moreover, if the patient is a long-term alcoholic, it will be even more troublesome.

Generally, patients with long-term alcohol abuse need a larger dose of anesthetic drugs when receiving preoperative anesthesia, and the onset time of anesthetic drugs is also shorter. , so the effect of anesthetic drugs will be reduced.

Patients with alcoholism are not easy to wake up after surgery, and it takes longer to wake up than ordinary people, which makes it difficult to assess their health after surgery.Moreover, ethanol has a relatively large impact on the nervous system, endocrine system, and cardiovascular system.

"Does the patient have a long history of alcoholism?"

Zhao Heng asked Xia Xiaoyu with his usual expression.

"Yes, a ten-year history of severe alcoholism."

Xia Xiaoyu nodded.

"What is the initial diagnosis?"

Zhao Heng asked again.

These situations must be clearly understood.

"Stomach bleeding, the estimated bleeding volume is at least 600ml."

Xia Xiaoyu answered quickly.

"I see."

Zhao Heng nodded.

"Teacher, the dosage should be increased by at least 50%."

Zhao Heng thought for a while, and said to Gao Jun who was standing beside him.

"Well, yes."

Gao Jun nodded. Originally, he was going to remind Zhao Heng, but before he said anything, Zhao Heng thought of the influence of drunkenness on anesthesia, and listening to him ask Xia Xiaoyu the key points of anesthesia for drunk patients, Zhao Heng It is also basically mastered.

Thinking of this, Gao Jun's frown relaxed a little, and he sat down again, watching Zhao Heng continue to operate.

It was the first time he met a student with such high comprehension.

"Student, did you anesthetize yourself this time?"

Seeing Gao Jun standing up and sitting down again, Xia Xiaoyu couldn't help asking Zhao Heng in surprise.

This junior, will he be able to stand on his own so soon?

But she is still working as a little follower behind the attending doctor? !

"The anesthesia is not particularly complicated. I can basically do it by myself now."

Zhao Heng nodded and said calmly.

"Student, you are too powerful."

Xia Xiaoyu looked at Zhao Heng with some envy. He got started so quickly, and was affirmed by Gao Jun to operate on his own. This kind of ability is what she most desires to have.

To be honest, as a doctor, no one wants to follow others every day.

But in fact, it takes at least ten years to go from an intern to an attending doctor.

You have to be a follower in the first ten years, and you can be a teacher in the next ten years!
"Why are your eyes red?"

At this moment, Zhao Heng suddenly saw that Xia Xiaoyu's eyes were red and bloodshot, as if he hadn't had a good rest for a long time.

"Don't mention it, I stayed up for a 24-hour shift, and I have to wait until the operation is done before I can rest."

Xia Xiaoyu said helplessly.

This is the norm in the emergency room!
Hearing what Xia Xiaoyu said, Zhao Heng also felt something in his heart, but he didn't say anything, but continued the anesthesia operation.

After a while, Li Yang came in. He was a little surprised when he saw Zhao Heng operating while Gao Jun was sitting beside him watching.

"Old Gao?"

Li Yang asked tentatively.

"It's okay, Xiao Zhao can do it."

Gao Jun gave Li Yang a reassuring look.

"Row."

Li Yang also nodded, since Gao Jun said yes, it must be possible.

Gao Jun is also very demanding.

It can be said that in Dongfang Hospital, as long as it is anesthesia, among all the surgeons, the most wanted anesthesiologist is Gao Jun.

Clinically, the operating procedures and points for attention are written in textbooks, but the actual application still depends on the individual's talent.

The human body is complex, and individual differences are also very significant. If we follow the textbook completely, there will be many medical accidents.

To put it bluntly, textbooks are not golden rules, which are completely applicable to every patient.

The operations and knowledge written in textbooks are just the result of high statistical probability and can only be applied to most people within a certain range.

"Xiao Zhao, you have made great progress."

Seeing Zhao Heng's various skillful operations, Li Yang couldn't help saying.

He dared to say that this was definitely the first time he had seen a young doctor who had improved so fast.

No wonder the director often mentioned Zhao Henglai.

However, when he thought of Yin Jian who had reported to the department today, he couldn't help shaking his head slightly.

From Li Yang's point of view, Zhao Heng just had bad luck.

The competition is too strong, there is no way!
"It's all taught by Teacher Gao."

Zhao Heng said very humbly.

To a certain extent, what he said was also true. His current experiences were indeed picked up from Gao Jun.

Li Yang looked at the life monitor. Blood pressure, respiration, heart rate, and carbon dioxide levels were all very stable, which showed that the dosage of Zhao Heng's anesthesia was very precise.

Emergency anesthesia for drunken patients has always been the most troublesome operation for young anesthesiologists. Generally speaking, it takes at least several years to fully master this kind of anesthesia in a drunken state.

This anesthetic drug does not mean that the dose can be added casually if the dose is not enough. You must know that anesthetics have a great impact on various parts of the human body, especially the brain.

Originally, the brain cells of patients with long-term alcoholism would be damaged to a certain extent. If they take too much medicine, it is very likely that the brain cells will be damaged in a large area. Although the operation is completed by then, the person will become a fool.

"Young people are awesome."

Li Yang couldn't help admiring again and again.

He looked at Xia Xiaoyu with resentment for being weak, why didn't he have such an excellent young doctor under his command.

Seeing the way Li Yang looked at her, Xia Xiaoyu flinched subconsciously, and said weakly, "Mr. Li, I will work hard."

Cough!

Li Yang choked on Xia Xiaoyu's words.

Will work hard?
Does it mean that the previous efforts were not serious? !

(End of this chapter)