Back in 2002 as a doctor

"En!" Shen Lang nodded excitedly.

"Have you eaten?" Zhou Congwen asked.

"Ah? Eat?" Shen Lang was startled, and then said blankly, "What time is it, how can I have time to eat. Wait for me to take a look and go home. I'm not hungry."

This is called forgetting to eat and sleep, Zhou Congwen looked at Shen Lang, and couldn't help but burst out laughing.

"You rest, I'm off to work." Shen Lang glanced at the time and hurried out to watch the fun with the family members of the patients who had made an appointment. "I'll tell you the result tomorrow."

"Hey, remember to call 120." Zhou Congwen reminded.

"Stop making trouble." Shen Lang said disdainfully, "If you really want to die, there are countless ways. It is usually fake to make such a big noise in advance. He must do something, no really jumped off."

Shen Lang walked out while talking, without looking back at all.

Hey, Shen Lang is also quite interesting, Zhou Congwen didn't criticize Shen Lang, but thought of it with a smile in his heart.

"Li Ran, I'm going back, call me if you have anything to do." Zhou Congwen said when passing by the doctor's office.

"Congwen, let's have a meal together." Li Ran said with a serious expression, "What if you come to the emergency room, don't you have to make trouble?"

Hearing what Li Ran said, Zhou Congwen felt an indescribable sense of crisis in his heart. Is this trying to die? !

"Ring Ling Ling ~"

At the same time, the landline at the nurse's station rang.

Zhou Congwen gave Li Ran a vicious look.

What are you doing!Wouldn't it be nice to lie on the bed and sleep honestly?Don't say emergency!

Although he still doesn't know who is calling, Zhou Congwen already knows that it should be an emergency call.

It's over, and it's going to be another night of work. Zhou Congwen has an impulse to go to the Second Hospital of Medical University now.

He had never looked forward to working at the Academician Workstation so much.

"Brother Li! General foreign emergency consultation!" The nurse yelled after answering the phone, and then she saw Zhou Congwen standing at the door of the doctor's office, "Brother Zhou, you didn't go back, there happened to be an emergency consultation."

"I'll go see it now." Zhou Congwen said listlessly.

"It's just in general surgery, don't turn back, we... we don't have any beds!" The nurse emphasized.

Zhou Congwen sighed, raised his hand feebly, and waved it to signal the nurse to rest assured.

Chapter 0466

No hospital bed?

Zhou Congwen knew that she had nothing to do with the nurses in the department for consultation and rescue outside, so she was happy and quiet.

Forget it, if you don’t want to turn around, you must turn around. Although Zhou Congwen is a thousand or ten thousand unhappy and unwilling, he can only go back and change his clothes.

"Ding dong~" The notification sound of the system task came immediately, and Zhou Congwen was a little relieved that the little guy didn't forget to pull the wool.

"Congwen, together..."

"You wait for my call." Zhou Congwen walked out quickly, "Prepare the things for closed chest drainage, and send them immediately if necessary."

He walked out while talking, and his figure quickly disappeared into the fire escape.

Running to the general surgery department, before entering the ward, Zhou Congwen smelled a sticky, heavy bloody smell coming towards his face.

It must be serious, Zhou Congwen sighed.

When they rushed to the emergency room, the general surgery staff were busy.ECG monitoring has been installed, and hemorrhagic shock and sinus tachycardia are visible to the naked eye.

Zhou Congwen glanced at the patient, knife wound!

There were two incisions on the left side of the chest, and small air bubbles were still bubbling from the incisions. Traumatic hemopneumothorax is inevitable.

There were more knife wounds on the stomach, and he was stabbed four times.

Director Wen of the General Surgery Department hadn't left work yet, so he gave Zhou Congwen a serious look, "I've called a B-ultrasound, please get off the bottle first."

"Yeah." Zhou Congwen took out his mobile phone and called Li Ran, asking him to deliver something.

"Have you notified the operating room?"

"After you get off the pipe, we'll get on."

The thoracic surgery is really urgent, just a pneumothorax can be fatal.Anesthesiologists dare not anesthetize without closed drainage under chest department.

But with the drainage and the gas drawn out, the thoracic department is not so anxious, and bleeding from various organs in the general surgery department has become the next focus of emergency first aid.

Soon, Li Ran rushed over with a bunch of things.

The two worked together, a chest tube was inserted, and black and red blood came out.

The chest bottle was instantly full, full of black-red liquid.

Zhou Congwen frowned, "Director Wen, we have to open it together, the intercostal artery is probably broken."

Director Wen glanced at the chest bottle that was about to emerge and nodded helplessly.

Although the two departments operated together, it would be very traumatic to the patient, but there is no way to do it.

It is not enough to stop the abdominal bleeding on my own side, the blood from the broken intercostal artery alone is enough to cause the death of the patient.

"Let your director come here." Director Wen said in a deep voice, "thoracic surgery is relatively simple, the patient has 4 knives in the abdomen, and the supine position."

Zhou Congwen glanced at Director Wen, this guy has already started grabbing positions, and he really didn't leave himself a chance.

Under normal circumstances, if the two departments perform surgery together, the chest department needs to lie on the side, and the general surgery needs to lie on the back. Let’s just make it up and put a small pillow under the patient’s left body and place it in a 30° position. over.

Director Wen directly said to lie on the back, regardless of the feelings of the chest department.

This is the style of a strong director.

"Okay." Zhou Congwen didn't say much, he fixed the chest tube, took out his mobile phone and called the operating room.

It was Liu Wei who picked it up, Zhou Congwen was a little relieved.

"Brother Liu, prepare for single-lumen intubation. I will use a thoracoscope on this side." Zhou Congwen said.

When Director Wen heard what Zhou Congwen said, he raised his eyebrows and looked at him in confusion.

The intercostal artery was broken, and the thoracoscopic examination must be full of blood. It was all red, and there was no operative field. What did he do?

But this is a matter of the chest department, Director Wen didn't say much.It's fine if you can earn a supine position. If there is a problem with the chest surgery, Li Qinghua will naturally come forward.

While Zhou Congwen was on the phone, he and Li Ran went to the dressing room of the operating room to change.

"Li Ran, can you take it down?" Zhou Congwen asked.

"..." Li Ran was taken aback, looking seriously at Zhou Congwen, as if asking him what he meant.

"Why, still not confident?" Zhou Congwen asked.

"Emergency..." Of course, Li Ran was not confident. Emergency first aid is not the time to practice by yourself.

"I didn't tell you to go." Zhou Congwen glanced at Li Ran helplessly.

Li Ran looked at Zhou Congwen with a serious expression, with three parts of indifference, three parts of ridicule, three parts of carelessness, and one part of disdain.

"I'm asking if you can do it."

"Yes." Li Ran said affirmatively, "But I'm not proficient. I think if there is a chance, I can do emergency treatment. You can help me check it out."

This attitude is right, unlike Shen Lang who is not serious at all, Zhou Congwen nodded to show his approval.

After changing his clothes, Zhou Congwen walked in quickly. Seeing that Liu Wei was preparing the equipment for thoracoscopy, he quickly said, "Brother Liu, I'll do it."

"They're all from our own family, so why not be polite." Liu Wei said with a smile, "Which patient is next?"

"Sword wounds, two in the chest and four in the abdomen."

"It's so heavy!" Liu Wei was surprised, "I heard it's the boyfriend of a nurse in the internal medicine department."

"Oh?"

"Her ex-boyfriend is a little ruffian, and she has been refusing to break up. Let's talk about these little girls. When they were young, they liked messy people." Liu Wei said with emotion, "What's so good about those little ruffians? I'm so angry that I can't even break up."

"And then?" Zhou Congwen asked.

"Forcibly breaking up, her ex-boyfriend doesn't think so. We met in the mall today, and it cost a few dollars. I knew about it, but I didn't expect it to be so serious."

"When the person is sent to the hospital, there should be no major problems. I think he can survive."

"En." Liu Wei helped prepare things, and when the patient pushed up, Liu Wei wanted to indwell a deep vein puncture, but was stopped by Zhou Congwen.

"Brother Liu, let me anesthetize you. Li Ran, put yourself in position."

Liu Wei happily handed over the work to Zhou Congwen, and started single-cavity anesthesia.

Director Wen came up, watched the doctors under him position themselves, glanced at them, and saw that Zhou Congwen had prepared the thoracoscopy equipment. He said contemptuously, "Zhou Congwen, I heard that you have done a lot of laparoscopic surgery recently?"

"Fortunately, a little more than before." Zhou Congwen replied lightly.

"I suggest to open the chest for this patient." Director Wen finally couldn't bear it anymore, "I can't see anything through the thoracoscope, it's just a waste of time."

"Hehe." Zhou Congwen just smiled, but didn't say anything.

Although Director Wen is in the name of the Chief of Surgery, he has no right to comment on chest surgery, so Zhou Congwen pretended not to hear it.

Director Wen frowned, knowing that Zhou Congwen was perfunctory, he said in a low voice, "Laparoscopy is useless at all, Xiao Gao has been thinking about using a laparoscopic surgery for a long time, tossing around.

You too, it’s enough to do a big operation like a small nodule, why is it still used in the emergency department? "

"Because it is faster, 300ml less blood can be produced." Zhou Congwen replied lightly.

"Quick?" Director Wen didn't believe it, and gave Zhou Congwen a disdainful look.

Chapter 0467

"Director Wen, that's not what you said." Liu Wei was upset, and he went straight to him, "Laparoscopic surgery is really fast and less traumatic."

"That has to be done." Director Wen said disdainfully.

"How do you know you can't do it?"

Liu Wei is from the anesthesiology department, and Director Wen can't control him.

The most important thing is that Liu Wei's level is very good. He is an outstanding one in the third hospital. Director Wen is not willing to offend him for nothing. He glanced at Zhou Congwen, and the two stopped arguing.

"I'm going to brush my hands." Zhou Congwen kept his eyes on the ECG monitor, as if he didn't notice the entanglement between Liu Wei and Director Wen, he turned to brush his hands.

Sterilize each of them, lay out sterile sheets, and only one equipment nurse routinely stands on the patient's leg.

But the instrument table was opened twice.

"Knife."

"Knife."

Zhou Congwen and Director Wen said at the same time.

"Don't worry, it's just me!" The equipment nurse hurriedly made preparations, "Don't worry."

She first patted the knife to Director Wen, and then gave him a hemostat with iodophor gauze.

Director Wen cut down the left outer edge of the rectus abdominis, "Each surgical method has its own scope of application. Laparoscopy can only be said to look good. Chronic surgery... catches up with the adhesions inside." It can’t be done in serious cases.”

Zhou Congwen took the knife, heard Director Wen DISS himself in his ears, narrowed his eyes, and seemed to be smiling.

"After entering, it was all red. I couldn't see the surgical field at all, and the operation couldn't be done at all. What is this called? Haste makes waste. What will happen in the end? I have to change the operation method and open the chest honestly. "

Director Wen was talking on his mouth, but his hands were not slow. He cut the skin, applied electric heat to stop the bleeding, and began blunt separation.

Since the electric cauterization equipment was installed in the third hospital more than a month ago, it has been well received, and all the surgeons who have used it say that the operation has become easier.

Director Wen also likes it, "Although the electric burner is also a new device, it is a good thing. What is good? It is good if it is practical. It is not like a laparoscopic mirror, which is expensive and not practical at all."

He asked for two appendix retractors and handed them to his assistant to stretch the muscles, and continued to stop the bleeding and dissociate at the same time.

In the sound of electric burns, Director Wen continued, "With electric burns for the laparotomy, it can save 5-10 minutes, and the blood loss is also reduced by 50-100 ml. This is practical."

"Xiao Gao is willing to think about those useless ones. Laparoscopic surgery has been stumbling, and I haven't seen any benefits for several months. He performed an appendectomy with one hole, and I cut the appendix out with the same hole, fart Useless, waste of money."

"Prepare peritoneal protection."

Director Wen said while nagging.

Liu Wei did the anesthesia today, it wasn't hard at all, the patient was soft, and Director Wen's hands were smooth.