Back in 2002 as a doctor
Page 24
Fortunately, the prince of the People's Hospital is here, and there is still a way.
Several people walked into the operating room and saw Zhou Congwen directing the rescue while brushing his hands.
The anesthesiologist has placed a subclavian tunnel, dripping drips into the blood vessels.Seeing the patient's blood pressure was 80/50mmhG, several of them breathed a sigh of relief.
It's okay, I guess people should be able to save them.
Li Qinghua immediately finished calling the doctor he was familiar with, and walked into the operating room to comfort Wang Chengfa.
"Director Wang, the quality of the doctors under your command is really good." Li Qinghua said with a smile, "Looking young, but the command and rescue are methodical and have the style of a general."
Wang Chengfa was sullen and said nothing.
Li Qinghua was keenly aware of Wang Chengfa's emotions. He was clearly praising him, but Wang Chengfa was unhappy. Could it be that...
During the meal, Wang Chengfa didn't mention a word about the surgery, but Professor Chen wanted to chat a few words but he distracted him.
Connecting the cause and effect, Li Qinghua vaguely understood that this person in front of him should not be the direct descendant of Director Wang Chengfa, and even looked down on him a little, so he couldn't hear others praise this little doctor.
Li Qinghua was clear about the fights between departments. He watched Zhou Congwen's orderly rescue in silence, and he appreciated it more and more in his heart.
The little doctor directing the rescue looked young, but he was meticulous and methodical, a talent!
The Cardiothoracic Surgery Department of the Third Hospital was supported by an old director who led several doctors who had just graduated and hadn't been promoted yet. Li Qinghua knew it very well.
The person in front of me should have grown to this point only 2 years after graduation?Where is the talent, it is a genius!I just don't know why Wang Cheng issued such a good seedling and didn't use it.
"Director Wang, shall I drive first?"
After the preoperative preparations were completed, Zhou Congwen looked at Wang Chengfa and asked.
Wang Chengfa remained silent with a cold face.
"Can I do it alone?" Professor Chen was a little worried.
"Reluctantly, but it can be done. I heard that Dr. Li called colleagues from the People's Hospital to rescue Taiwan. I will open it first, so that I can save some time when they come." Zhou Congwen said lightly.
"I'll keep an eye on it, you dare to open it." The little doctor in front of Professor Chen was very interested. He felt that this was his assistant bestowed by God, so he wanted to know his ability.
Hearing what Professor Chen said, Wang Chengfa said in a deep voice, "He has never held a knife, no way."
Professor Chen was stunned for a moment. He heard from Wang Chengfa that Zhou Congwen did not know how to perform surgery, but what he saw in his eyes was a 5cm incision made along the 6th and 20th intercostal spaces with a scalpel shining coldly under the shadowless lamp.
So fast, without hesitation at all.Zhou Congwen's actions startled Professor Chen, how could it be so fast!
"Be careful." Professor Chen said quickly.
Zhou Congwen raised his head slightly and glanced at Professor Chen.
The eyes were as real as they were, and a coercion pressed Professor Chen's heart, which shocked him.
If Wang Chengfa hadn't mentioned it repeatedly, it would be hard for Professor Chen to believe that this kind of coercive gaze from a superior doctor would be felt from a young doctor who just graduated two years ago and "can't" perform surgery.
It must be the hallucination that I had after drinking a few drinks today, Professor Chen thought to himself.
Just thinking about it, the small curved forceps clamped a subcutaneous arteriole, and the other forceps in the surgeon's hand clamped the opposite end as if by magic.
Cut off and ligate the No. 1 wire.
It just so happened, Professor Chen was a little puzzled.It is almost impossible for cardiothoracic surgeons to open the skin without damaging the small blood vessels.
Who can't get 300-500ml of blood after opening the chest?Even if Chen Houkun holds the knife by himself, the blood of 200ml is super god level.
It is normal for surgeons with a slightly rougher level to prepare blood for every lung lobe cut.Occasionally, some people will ligate the small arteries, but most of them are found along the bleeding point.
Those who can use the hemostatic forceps to clamp out the small blood vessels that have been cut off and shrunk under the muscle or skin in the first place are all masters, let alone this kind of prediction.
According to Professor Chen's previous estimates, the young surgeon might not have finished his chest operation before the rescue doctor arrived.
But looking at this level, it's a bit ridiculously high.
Chen Houkun watched Zhou Congwen speak alone, and soon fell into deep thought.
Chapter 0040 The operation was very...contradictory
Zhou Congwen was the only one on the operating table. He pulled the hook and clamped by himself. His technique did not look proficient, but a little jerky.
Although the surgeon's prediction was extremely accurate, Chen Houkun always felt that his operation process had an indescribable... awkward and intricate sense of contradiction.
What Director Wang said should be correct. This little doctor has never performed surgery at all, and the incongruity can be seen in many details of his movements.
But he can make predictions that are more difficult. Chen Houkun knows that if he wants to make predictions, he must have rich experience.
Jerky techniques, rich experience...
How can this be!The action just now should be a coincidence.
It turned out to be his own illusion, he thought to himself.If he doesn't even know how to open his chest, should he dig him out and send him to the second year of medical school?
Professor Chen was thinking wildly while watching the operation, and suddenly his eyelids twitched again.
After ligating the previous blood vessel, the stripped forceps fell on the next small artery like a living thing.
The small arteries between the skin interstitial lines are difficult to see. When the forceps "pulled" the arteries out from under the fascia, Professor Chen's eyes were straightened.
how can that be!
Hallucinations, must be hallucinations!
Two pliers clamped, cut off, ligated, and the operation was carried out in an orderly manner.
the third...
fourth...
Professor Chen was dumbfounded, and Li Qinghua behind him didn't know how to describe the little doctor's operation techniques.
No one can avoid the thoracotomy with 300ml of blood, and this is based on the fact that the surgeon has quick eyesight and quick hands, and no small artery bleeding can be found within 10 minutes.
However, the surgeon ligated all the arterioles that could be ligated in advance, and the surgical area was clean. Only one piece of sterile gauze was used, and it was not covered with blood...
Is this a rookie who has just been exposed to surgery? !
Can you do this by yourself?
The answer is yes, definitely not.
However, it can be seen that the technique of the surgeon is a little rusty. It is a bit too much to say that he is a rookie, but it is enough to be unskilled. It is definitely not the practice of an old doctor.
Two contradictory ideas are intertwined, both Li Qinghua and Professor Chen are in a trance.
Wang Chengfa was also puzzled.
He has never spared Zhou Congwen's operation, which Wang Chengfa can be sure of, so he has less doubts and entanglements than others.
But how could Zhou Congwen do this!
The more he watched the operation, the more gloomy Wang Chengfa's face became.
Zhou Congwen has long been used to minimally invasive surgery in the future, and the surgery in 2002 was really rough.
But there was no way, he overcame the problem that his hands couldn't keep up with his eyes, while trying to minimize the bleeding, and proceeded with the operation step by step.
Opening the chest cavity, a bloody smell came out.
Zhou Congwen frowned.
At the moment just now, the light of the shadowless lamp, the smell of blood and the unique smell of human internal organs mixed together, and he couldn't help but feel a little dazed.
Are you reborn?Why stand on the operating table for emergency rescue after rebirth?
Countless questions popped up in my mind.
The snoring sound from the suction device came to my ears, Zhou Congwen smiled slightly, and stopped thinking about these things.
The patient is right in front of us, why not perform surgery?Some things can not think too much, or not long.
Eight ribs on the left were fractured, and the upper and lower lobes of the left lung were congested and edematous. There was a 8cm-long opening in the lower part of the upper lobe, which was probably caused by the broken ends of the rib fractures.
There were many other small openings. Zhou Congwen only took one look, and then used the appendix retractor to open up a surgical space for himself.
"Round needle, line 4." Zhou Congwen said in a deep voice.
"Wait a minute!" Wang Chengfa stopped Zhou Congwen, "What do you know? Suturing internal organs is not something you, a young doctor who has never had surgery, can do."
Zhou Congwen loosened the appendix retractor and changed to a comfortable position to relax the right hip joint as much as possible to relieve the fatigue of the platform.
"Okay." Zhou Congwen didn't argue, but replied plainly.
Professor Chen sighed inwardly, liking the young man in front of him more and more.
Although his surgeries are very...contradictory, and he can't see clearly with his own eyesight, but he has never done a single surgeries, and he can do it neatly with a copy of a knife. Isn't that a talent, what is? !
And he is so honest, he is indeed a good assistant...
Before Professor Chen's thoughts flashed across his mind, Zhou Congwen squinted his eyes and looked at Wang Chengfa, "The patient is still bleeding, and there is probably a ruptured artery in the lung. I will write down your opinion, Director Wang, in the operation record. Please ask the director if you still have a problem." Any instructions?"
again!
What the hell!
Wang Chengfa ran away on the spot, almost bursting directly.
The paralyzed old man just won't let you sew your lungs, is there anything wrong with that?
He knew very well what Zhou Congwen was going to write in the operation record—because director Wang Chengfa drank too much and couldn't go on stage, so it was blah blah blah.
Is there such a little doctor as him!
Wang Chengfa poured blood all over his head, and was furious.
"Let's sew it first. It's really difficult. There's no one to support the stage. Alas, the hospital was like this when it was first built. There is no good way." Professor Chen persuaded.
He didn't think about tit for tat, but imagined Zhou Congwen as a harmless, honest, young doctor.
Wang Chengfa frowned, really wanted to beat Zhou Congwen!Then kick him off to the farm to feed the rabbits.
"Director Wang? Should I try to sew or wait?" Zhou Congwen asked lightly.
Wang Chengfa felt as if he had eaten a fly.
With drooping eyelids, he said coldly, "You try."
"Okay." Zhou Congwen twisted the screw of the automatic chest opener twice more, trying to open the chest cavity and expose the operative field.
The appendix retractor of the right hand exposes the opening of the lung, and the left hand stretches toward the patient's leg.
The equipment nurse was a little confused. A few seconds later, the needle holder held the large round needle, and the No. 4 thread was slapped in Zhou Congwen's hand.
There is almost no angle, the posture is very awkward, and the needle is held in the left hand...Professor Chen feels that there is no need to try it.I drink less alcohol by myself. Although I can't do some invasive operations, I can still pull the hook.
"Wait a minute, I'll take the stage." Professor Chen and Zhou Congwen said.
"Oh, okay, thank you, Professor Chen." Zhou Congwen narrowed his eyes and smiled, waiting for Professor Chen to come on stage?
does not exist at all.
Holding the needle holder in his left hand, his wrist slightly changed the angle, and the round needle pierced deeply into the wound of the lung.
Professor Chen's eyelids kept twitching, and he couldn't stop it.
"8" stitching, threading the needle and threading, even if the posture is awkward, even without an assistant, the large round needle held by the needle holder still walked around the lung wound as if it had a sense of wisdom.
Zhou Congwen signaled the equipment nurse to accept the appendix retractor to help him, and then began to tie the knot.
After several days of knot-tying practice, the surgical knot-tying is very skillful and comfortable.Pressing down deeply with the index finger of his right hand, the acrylic thread stained with blood rubbed against each other and made a creaking sound.
No need to look, this quarter was played firmly enough, and the feel told Zhou Congwen what happened where the eyes could not see.
Zhou Congwen didn't ask for wire scissors, but "pulled" the lungs up with the No. [-] wire, looking left and right at the damage to the lungs.
Everyone stopped talking, and only the ventilator and monitor were ticking in the operating room.
Can I be so proficient in exchange for myself?
Everyone asks themselves such a "critic" question.
Chapter 0041
Small round needles and No. 4 thread were used to repair the patient's riddled lungs. The operation was performed faster and faster under Zhou Congwen's hands.
"Warm salt water." Zhou Congwen said.
"Ah? Flushed?" The roving nurse was stunned for a moment, she never expected to reach the final flushing step so soon.
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