The surgeon opens a cheat
Chapter 232 Waiting for My Heart to Jump Out
Chapter 232 Waiting for My Heart to Jump Out
Watching the patient, being wheeled to the side ICU.
Xiang Jianhua sighed, "I'm afraid I'm going to lose sleep tonight."
"This patient's liver has only a small volume, and the most dangerous time is within 24 hours after surgery. If he can survive, the patient still has hope."
Wu Yan also said: "Let's not talk about you, I'm afraid I won't be able to sleep either. A patient with a volume of only 291ml is too unimaginable. Zhang Gu really dares to cut it!"
To be honest, both of them felt that Zhang Gu was overplaying this time.
If it weren't for Zhang Gu's dazzling record of nearly complete surgery before his eyes, both of them would have rushed forward several times during the operation to prevent the operation from being interrupted.
But the current situation is already like this, and it is useless to say more.It can only be at the most dangerous moment of the patient's 24 hours after surgery, guard the patient well, and let him survive this period without accidents.
The two looked at each other with helplessness on their faces.
Ning Hongru came over to join in the fun and said, "Then the three of us, let's just take shifts! Let's monitor the patient's condition. This way, even if the patient has an accident, emergency rescue can be carried out as soon as possible."
"In addition, this is also a good opportunity to observe the traces of Zhang Gu's project. If the patient's liver volume can increase rapidly as Zhang Gu said, the first 24 hours must also be the most obvious change."
Several people nodded again and again. Their eyes were full of worry and expectation, which was very contradictory.
……
At night, Zhang Gu had gone to sleep in the next dormitory, it was pitch black and quiet.
In the intensive care unit not far away, it was brightly lit.
The three old doctors were talking while listening to the guardianship report that the nurse sent every hour.
"The patient's body temperature has been maintained between 37.5 and 38.7."
"This is a good sign, indicating that the patient's vital signs are still relatively stable, and the metabolism in the patient's body is estimated to be very fast at this time."
"What about liver function, blood coagulation function, HB, PT?"
"TB7.5, DB3.0, globulin 27, neutrophils 84.1, all aspects are slightly higher than normal human body, all indicators show that the metabolism of this patient is very fast at the moment."
Xiang Jianhua and Wu Yan looked at each other.
"This shows that the patient's signs are stable, and the danger within 24 hours is not great, even less dangerous than other critically ill patients."
The nurse next to me couldn't help but secretly rolled her eyes when she heard this.
Originally, Dr. Zhang Gu explained that this patient only needs one nurse to watch over it, and free up other nurses on duty to take care of other patients.
But these three old doctors insisted that two nurses take turns to take care of them, so that no mistakes could be made.
As a result, the patient's vital signs were extremely stable, and there was no sign of danger at all, which made them worry for nothing, and wasted manpower, and the nursing workload of other beds suddenly increased.
But they still can't say anything, who made these three old men have higher status in the hospital?
Before I knew it, it was dawn.
After all, the three old doctors were getting old and couldn't bear it any longer. They leaned on their chairs one by one to take a nap, and even Ning Hongru was still snoring.
At this time, Zhang Gu, who was sleeping refreshed, walked in leisurely.
Seeing the appearance of the three of them, Zhang Gu was dumbfounded: "Xiao Mao, go get a blanket and cover them with some."
Zhang Gu strolled in.
I don't know if Xiao Mao Gai woke up from the stall, or the three old doctors didn't sleep well.
Xiang Jianhua woke up first, saw Zhang Gu, and said hello. Now, the other two also woke up.
Seeing that Zhang Gu was going to check the data, they were all refreshed and followed.
Time to review the first 12 hours of data!
Zhang Gu looked at the patient's signs first, and he was sure in his heart: "Yes, the patient is in good condition."
Looking at the various indicators, Zhang Gu knew it well. This is the symptom of the rapid increase in liver volume, which leads to the acceleration of metabolism, and it can all be explained.
Finally, Zhang Gu said: "Look at the color Doppler image." In fact, it doesn't matter whether he sees it or not. From various indicators, Zhang Gu can already deduce a lot of things.
Looking at the images, it was more for the three old doctors.
Xiao Mao hurried to operate the color Doppler instrument.
Examination and measurement showed that the volume of the patient's liver increased to 323ML overnight.
Zhang Gu smiled and said: "Not bad, yesterday was 291ml, an increase of 32ml compared to yesterday. According to this trend, in the first 24 hours, it can probably increase by 58ml, reaching about 350ml."
"In about a week, the volume of the liver should return to about 600ML, and then the second operation can be performed."
As soon as Zhang Gu said this, everyone's hearts surged!
Wu Yan was pleasantly surprised: "Let me see, it has grown so much?"
Wu Yan and Ning Hongru also leaned over to take a look.When they saw that certain number, everyone immediately felt relieved!
What reassures them even more is the trend that Zhang Gu said!
This shows that Zhang Gu not only has an understanding of liver surgery, but also knows how to increase the size of the liver after liver surgery and blood supply convergence, and he is not blind.
……
The next six days.
Zhang Gu disappeared in the ward without showing his face once.
The three veteran doctors including Xiang Jianhua are more attentive than Zhang Gu. They spend every day in the ward, observing the patient's data, and drawing the curve recovery chart of each data according to the daily performance.
On the fourth day.
Wu Yan: "You can see that the data recovery trend is basically in line with the trend Zhang Gu said."
The other two nodded, and the heart that had been hanging was basically let go now.
They all know in their hearts that this project is basically on the right track, and as long as there are no unexpected accidents, the probability of success of this project is already very high.
Xiang Jianhua's joy was beyond words: "The biggest difficulty has been solved, and the second operation will be relatively easy. It seems that we are lucky to see the new treatment method for huge liver cancer!"
Ning Hongru smiled all over his face: "Yes, I have a background in hepatobiliary surgery, and this feeling of witnessing is particularly strong."
Wu Yan laughed: "I am the real beneficiary, and Zhang Gu has contributed the most, but I am also fortunate enough to be named on the project. This feeling is just like a pie in the sky."
Both of them gave him envious glances, why are you so lucky?
……
Zhang Gu was alone in the office next to him.
This is an office that he and Qin Weiduo wanted, allowing him to write with peace of mind without being disturbed by others.
On his computer, two new PPTs were created.
One is "Lecture Notes on the Application of Different Spleen-preserving Operations in Different Operations".
One is "Course Notes on the Treatment of Huge Liver Cancer by Two-step Liver Cutting Method".
These two courses must be carried out sooner or later, so Zhang Gu simply used these few days to write lecture notes and organize materials.
Six days passed in a blink of an eye.
Early in the morning, everyone including Zhang Gu gathered in the ward to check the condition of the patient's liver.
(End of this chapter)
Watching the patient, being wheeled to the side ICU.
Xiang Jianhua sighed, "I'm afraid I'm going to lose sleep tonight."
"This patient's liver has only a small volume, and the most dangerous time is within 24 hours after surgery. If he can survive, the patient still has hope."
Wu Yan also said: "Let's not talk about you, I'm afraid I won't be able to sleep either. A patient with a volume of only 291ml is too unimaginable. Zhang Gu really dares to cut it!"
To be honest, both of them felt that Zhang Gu was overplaying this time.
If it weren't for Zhang Gu's dazzling record of nearly complete surgery before his eyes, both of them would have rushed forward several times during the operation to prevent the operation from being interrupted.
But the current situation is already like this, and it is useless to say more.It can only be at the most dangerous moment of the patient's 24 hours after surgery, guard the patient well, and let him survive this period without accidents.
The two looked at each other with helplessness on their faces.
Ning Hongru came over to join in the fun and said, "Then the three of us, let's just take shifts! Let's monitor the patient's condition. This way, even if the patient has an accident, emergency rescue can be carried out as soon as possible."
"In addition, this is also a good opportunity to observe the traces of Zhang Gu's project. If the patient's liver volume can increase rapidly as Zhang Gu said, the first 24 hours must also be the most obvious change."
Several people nodded again and again. Their eyes were full of worry and expectation, which was very contradictory.
……
At night, Zhang Gu had gone to sleep in the next dormitory, it was pitch black and quiet.
In the intensive care unit not far away, it was brightly lit.
The three old doctors were talking while listening to the guardianship report that the nurse sent every hour.
"The patient's body temperature has been maintained between 37.5 and 38.7."
"This is a good sign, indicating that the patient's vital signs are still relatively stable, and the metabolism in the patient's body is estimated to be very fast at this time."
"What about liver function, blood coagulation function, HB, PT?"
"TB7.5, DB3.0, globulin 27, neutrophils 84.1, all aspects are slightly higher than normal human body, all indicators show that the metabolism of this patient is very fast at the moment."
Xiang Jianhua and Wu Yan looked at each other.
"This shows that the patient's signs are stable, and the danger within 24 hours is not great, even less dangerous than other critically ill patients."
The nurse next to me couldn't help but secretly rolled her eyes when she heard this.
Originally, Dr. Zhang Gu explained that this patient only needs one nurse to watch over it, and free up other nurses on duty to take care of other patients.
But these three old doctors insisted that two nurses take turns to take care of them, so that no mistakes could be made.
As a result, the patient's vital signs were extremely stable, and there was no sign of danger at all, which made them worry for nothing, and wasted manpower, and the nursing workload of other beds suddenly increased.
But they still can't say anything, who made these three old men have higher status in the hospital?
Before I knew it, it was dawn.
After all, the three old doctors were getting old and couldn't bear it any longer. They leaned on their chairs one by one to take a nap, and even Ning Hongru was still snoring.
At this time, Zhang Gu, who was sleeping refreshed, walked in leisurely.
Seeing the appearance of the three of them, Zhang Gu was dumbfounded: "Xiao Mao, go get a blanket and cover them with some."
Zhang Gu strolled in.
I don't know if Xiao Mao Gai woke up from the stall, or the three old doctors didn't sleep well.
Xiang Jianhua woke up first, saw Zhang Gu, and said hello. Now, the other two also woke up.
Seeing that Zhang Gu was going to check the data, they were all refreshed and followed.
Time to review the first 12 hours of data!
Zhang Gu looked at the patient's signs first, and he was sure in his heart: "Yes, the patient is in good condition."
Looking at the various indicators, Zhang Gu knew it well. This is the symptom of the rapid increase in liver volume, which leads to the acceleration of metabolism, and it can all be explained.
Finally, Zhang Gu said: "Look at the color Doppler image." In fact, it doesn't matter whether he sees it or not. From various indicators, Zhang Gu can already deduce a lot of things.
Looking at the images, it was more for the three old doctors.
Xiao Mao hurried to operate the color Doppler instrument.
Examination and measurement showed that the volume of the patient's liver increased to 323ML overnight.
Zhang Gu smiled and said: "Not bad, yesterday was 291ml, an increase of 32ml compared to yesterday. According to this trend, in the first 24 hours, it can probably increase by 58ml, reaching about 350ml."
"In about a week, the volume of the liver should return to about 600ML, and then the second operation can be performed."
As soon as Zhang Gu said this, everyone's hearts surged!
Wu Yan was pleasantly surprised: "Let me see, it has grown so much?"
Wu Yan and Ning Hongru also leaned over to take a look.When they saw that certain number, everyone immediately felt relieved!
What reassures them even more is the trend that Zhang Gu said!
This shows that Zhang Gu not only has an understanding of liver surgery, but also knows how to increase the size of the liver after liver surgery and blood supply convergence, and he is not blind.
……
The next six days.
Zhang Gu disappeared in the ward without showing his face once.
The three veteran doctors including Xiang Jianhua are more attentive than Zhang Gu. They spend every day in the ward, observing the patient's data, and drawing the curve recovery chart of each data according to the daily performance.
On the fourth day.
Wu Yan: "You can see that the data recovery trend is basically in line with the trend Zhang Gu said."
The other two nodded, and the heart that had been hanging was basically let go now.
They all know in their hearts that this project is basically on the right track, and as long as there are no unexpected accidents, the probability of success of this project is already very high.
Xiang Jianhua's joy was beyond words: "The biggest difficulty has been solved, and the second operation will be relatively easy. It seems that we are lucky to see the new treatment method for huge liver cancer!"
Ning Hongru smiled all over his face: "Yes, I have a background in hepatobiliary surgery, and this feeling of witnessing is particularly strong."
Wu Yan laughed: "I am the real beneficiary, and Zhang Gu has contributed the most, but I am also fortunate enough to be named on the project. This feeling is just like a pie in the sky."
Both of them gave him envious glances, why are you so lucky?
……
Zhang Gu was alone in the office next to him.
This is an office that he and Qin Weiduo wanted, allowing him to write with peace of mind without being disturbed by others.
On his computer, two new PPTs were created.
One is "Lecture Notes on the Application of Different Spleen-preserving Operations in Different Operations".
One is "Course Notes on the Treatment of Huge Liver Cancer by Two-step Liver Cutting Method".
These two courses must be carried out sooner or later, so Zhang Gu simply used these few days to write lecture notes and organize materials.
Six days passed in a blink of an eye.
Early in the morning, everyone including Zhang Gu gathered in the ward to check the condition of the patient's liver.
(End of this chapter)
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