Back in 2002 as a doctor
Page 208
Listening to Huang Lao's words, the operating room became quiet, and no one disputed.
In fact, it is easiest to directly cut the uterus to stop the bleeding. Mr. Huang is desperately preparing to leave an organ for the patient.Operate together with ecmo without wasting time.
Zhou Congwen sighed, as long as the boss has this confidence, it would be a little worse for him.
The doctors and nurses in the operating room should wear lead clothes, and those who should prepare the equipment should prepare the equipment. Everyone is like each part of a machine, which starts to operate after changing the frequency.
The emergency department here is also well-trained, and Zhou Congwen feels very familiar with it.
I didn't think much of it before, but I was afraid of comparison in everything. With the Third Hospital of Jianghai City as a reference, the emergency rescue of 912 was top-notch in terms of software and hardware.
Even including consciousness, it is at the first-class level in China.
Especially Huang Lao presided over the rescue, and no one raised any objections when orders were strictly prohibited.
"Boss, I'll accompany you." Zhou Congwen walked quickly to brush his hands, and said to Huang Lao.
Elder Huang glanced sideways at Zhou Congwen, "Have you done it?"
"Understood."
Chapter 0360 Xiao Zhou, you come
The middle-aged doctor who followed Mr. Huang to wash his hands was slightly taken aback, "Mr. Huang..."
"You rest, I'll take him up." Huang Lao said in a deep voice.
The middle-aged doctor glanced at Zhou Congwen suspiciously. Although he was a little surprised and puzzled, he obediently listened to Huang Lao's words and went to the side to pick up a lead jacket to help Huang Lao put on.
When Mr. Huang was washing his hands, he took another lead skirt and squatted beside Mr. Huang to tie it on.
When he was about to give Huang Lao a lead collar, Huang Lao finished brushing his hands, "Don't bring those labors, it's too heavy."
"Old Huang, your body..."
"It's okay." Mr. Huang strode into the operating room.
Zhou Congwen also finished brushing his hands, went in first to disinfect his hands again, and then laid the sterile sheet.
The caesarean section operation was almost over, and the suture had reached the fat layer. It is estimated that the ECG monitoring indicated that there was a problem with the patient when the suture reached here.
Zhou Congwen laid the sterile sheet as quickly as possible, then closed the lead door and stood in the position of the assistant.
……
……
Everyone who was fine for the time being went to the operating room, and when they saw Huang Lao standing on the operating table through the thick leaded glass, someone sighed.
"How old is Mr. Huang, and he still has to go up to the rescue in a lead suit."
"Huang Lao was the first to carry out interventional surgery in the hospital, such as lower esophageal stents.
The Department of Intervention has not yet been established, and only Lao Xu can perform surgery, and the operation is just like that.If you want me to say, it is better to cut the uterus directly. "
"Hemorrhage in scar pregnancy is better than cutting the uterus directly. The time involved in embolization is too long, and the patient still has amniotic fluid embolism. It is estimated that Huang Lao also wants to try it while he is on ecmo. It is best to keep it."
Just as he was talking, a middle-aged doctor walked in.
"Xiao Liu, you..." Someone saw him, as if seeing a ghost, "You didn't have surgery? Then who will do interventional embolization with Mr. Huang!"
"I don't know either." The middle-aged doctor said helplessly, "I don't know a young man. It doesn't look like he belongs to our hospital."
"..."
Everyone in the operating room was speechless.
How could a stranger enter the operating room, and Mr. Huang actually "threw out" the interventional doctor in the radiology department and replaced it with a young man.
In 2002, interventional surgery was just launched, and whether it was blood vessels, heart or internal organs, they were all brand-new technologies.
At this time, there is no clear conclusion on who will perform the operation, and whoever learns it first will do it.
Dr. Xu from the Department of Radiology is a doctor who has returned from studying in Germany. In Germany, he learned interventional embolization technology, which was the first to be carried out on 912.
However, the development of interventional embolization technology is not smooth. Hepatobiliary surgery is strongly suppressed, and the operation volume is very small, and even if there is operation, it is some emergency operation.
Middle-aged Dr. Liu is Dr. Xu's assistant. It is said that he is the most suitable for Mr. Huang to do uterine artery embolization. Can you try it first?
But Mr. Huang... the old kid's temper has come up?Do you have to take a young man for surgery? !
Now is the time for emergency rescue, and it is not suitable to bring new people.
"Hey, I'm going to brush my hands. When Director Deng finishes ecmo, I'll cut off the uterus. Total bleeding will definitely not work. Even if I'm on ecmo, I can't handle it with advanced cardiopulmonary support... Sigh." The obstetrician sighed again tone.
Amniotic fluid embolism complicated by massive uterine bleeding, now the best way is to remove the uterus, once and for all.
There was not much time left for Mr. Huang, and he still rejected the only intervention assistant in the courtyard like a child, and used a young man to play the stage.
Everyone knew the current situation in their hearts, but no one dared to speak ill of Mr. Huang to his face, and even scolded him cautiously.
Everyone in the operating room was making their own preparations. Through the leaded glass, they suddenly saw the young man who was supporting Mr. Huang say something to the nurse, and then the nurse in the lead suit started to get busy.
"What did he say? Turn on the intercom."
"Do you want Xiao Liu to go in? Let me tell you, young people have already panicked when they saw the big rescue."
"No, it seems that the operation has already begun."
The technician pressed the switch of the intercom, and everyone became dumb in an instant, and no one dared to disturb Huang Lao's operation.
Huang Lao is a strange flower, so old, he doesn't reject new technology at all.
Not only thoracoscopic thoracoscopy, but also research on esophageal stents and interventional embolization, and the operation is said to be good.
It's just that his age doesn't allow him. He is almost [-] and is wearing a lead jacket. Everyone is worried that the weight of dozens of kilograms will crush the old man into bones.
"Prepare epinephrine, one 1mg, one 2mg, intravenous injection every 2 minutes."
"The speed of norepinephrine is faster, and it is changed to 0.05~0.4 μg·kg-1·min-1 for continuous pumping."
"5% sodium bicarbonate 12.5g slow intravenous drip to correct acidosis."
"Calcium gluconate 1g intravenous injection to reduce potassium."
"Recheck a blood gas analysis in 5 minutes. Boss, do you think there is anything else to add?"
The young man's voice kept coming out of the intercom. If he hadn't added a question to ask Huang Lao at the end, everyone would have thought that it was the young Huang Lao who was directing the rescue.
Huang Lao didn't speak, but started to step on the line.
The guide wire has been inserted, and the position is just right, and then the catheter is also inserted, and the young man begins to operate the panel in the operating room to inject contrast agent.
"Old Huang's level is high enough!"
"I heard that Mr. Huang has always wanted to carry out interventional heart surgery, but the people in the heart surgery department are very resistant. After all, he is eating thread."
"Hey, who is willing to take the line? Mr. Huang doesn't dare to force it. If he really pushes it, the whole cardiac surgery department will fall apart."
Although the intercom was on, everyone couldn't help talking in low voices.
It's no secret that Mr. Huang has been "coveting" coronary interventional surgery. It's just that the bypass and valve surgery in cardiac surgery have been done smoothly, and no one wants to take advantage of it.
That thing can cause cancer, so just do it if you have a job, no one wants to be sick at a young age.
Unexpectedly, Mr. Huang secretly researched it by himself, and the level of interventional surgery is already so high. The old man's sword is not old!
But the more so, the more uncomfortable the surrounding audience felt.
The treasured sword is not always true, but is it really appropriate for a nearly 80-year-old national treasure old man to come on stage in a lead suit?
After angiography, it was found that three blood vessels supplied blood, and the amount of bleeding was not small. Soon, a ball of fireworks bloomed in the patient's uterine cavity.
Huang Lao began to conduct super selection.
Everyone held their breath and watched Huang Lao's operation carefully.
The micro-guide wire rested lightly on a branch blood vessel. Everyone was relieved just now, but the micro-guide wire "slid" out of the blood vessel wall with a slight tremor.
Ugh.
Mr. Huang was getting old, and his hands were shaking somewhat.If it is a surgical operation, except for some extremely delicate operations, this level of shaking is nothing, but...
Still old.
"Xiao Zhou, come here."
0361 - God Synchronization
Who is Xiao Zhou?
Although there was only one answer in a flash, no one believed that Mr. Huang would let a strange young doctor do the operation in the emergency rescue of amniotic fluid embolism.
Even Director Deng Mingdeng, who was wearing a lead suit in the operating room and was on ECMO, raised his head and glanced at Mr. Huang in surprise.
In the next second, Huang Lao raised his hands in front of his chest, turned around, and changed positions with Zhou Congwen back to back.
"Boss, get off." Zhou Congwen said lightly from the position of the operator.
"..."
Everyone in the operating room was stunned.
Down?
Did you give up?
"The lead coat is too heavy, please pay attention to your body, I will finish it soon, don't worry."
The obstetrician had already covered his eyes with his hand, and he really didn't dare to look at it again.
The rescue turned into a farce, Mr. Huang... is really old.Alas, the worst thing is that the world can't keep it, Zhu Yan Ci Jing Hua Ci Shu... No, it should be the end of the hero and the end of the beauty.
Although Huang Lao's famous name cannot be said to be ruined overnight, such unreliable things appearing in the emergency rescue will definitely leave a very bad impression-Huang Lao is already confused.
As for that young man, does he know where he is now?Does he know what rescue he is facing?
Amniotic fluid embolism!
That is, on 912, the patients in other hospitals had already lost their breath.
What a joke.
Just when everyone was disdainful and surprised, they saw Huang Lao walk out of the operating room and return to the operating room.
"Mr. Huang, you're exhausted." Someone went up to help Mr. Huang take off his clothes.
"Old Huang, I'm going to cut the uterus with my hands. Soon, the operation must be completed before Director Deng goes to ECMO." The obstetrician's face turned pale.
"No need." Mr. Huang sat on the chair provided by the technician, and let out a long breath, "I'm still old, and my whole body hurts after a few minutes of going up."
Need not?The obstetrician was taken aback.
"Just now I was going to try it for the first time. Xiao Zhou helped me guide the wire and almost failed to help me in. It was the first time I set up a stage, and I didn't know his level. Now that I know, let this child do it by himself."
help in...
This description is simply unbelievable.
Is Mr. Huang joking?
An assistant is an assistant, how could he almost complete the operation while assisting the operator in the operation.
The obstetrician was a little anxious, but it was not good to say anything to Mr. Huang face to face, so she turned around to brush her hands.But within two steps, he was pulled back.
"What are you doing!" the obstetrician was anxious.
The man didn't speak, but pulled her isolation suit again with his hand.
The obstetrician turned around and suddenly saw that the microcatheter had entered the first blood vessel along the microguide wire, and that "Little Zhou" was pushing the embolic agent.
"..."
The air in the operating room condensed almost solid.
912 is a large public hospital in the country. A few decades ago, it was only for the military. When it was turned to the whole country, it directly stood at the pinnacle of domestic medical care. It is one of the few existences.
All kinds of new technologies 912 are among the first in China, including the country's first CT settling in 912.
It's not that everyone has never seen interventional embolism. The interventional embolization treatment of severe pelvic fractures is the specialty of old Dr. Xu from the Department of Radiology.
However, it takes more than 3 hours for Lao Xu to do one operation, which can only be done under relatively smooth conditions.
Arterial superselection in embolization surgery is extremely difficult, and even everyone knows that it is much more difficult than coronary stenting.
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