Back in 2002 as a doctor

No matter how it sounds like a dream, it is not real at all.

The shift was ready for surgery early, Xiao Kai answered a phone call, and said to Zhou Congwen, "Professor Zhou, is it convenient for you to go to your office?"

Zhou Congwen glanced at Xiao Kai and nodded.

When he came to the office, Xiao Kai turned around and closed the door, put on his glasses and looked at his notebook like a wolf grandmother.

Zhou Congwen thought Xiao Kai's pose was very funny.

"Professor Zhou, yesterday our trainee doctor called and said that there seems to be something wrong in the first hospital."

"how."

"The director of the first hospital inquired about the situation of our ESD surgery through the brave director Liang. It is said that the inquiry was very specific and asked about all kinds of details. Besides, Academician Chu seems to be writing a case report, which will be published in "European Journal of Gastroenterology."

"Oh?" Zhou Congwen snorted, then frowned slightly, "Did Laurent Fabius ask for it?"

"Professor Zhou, I guess it is." Xiao Kai looked at Zhou Congwen along the position on the reading glasses, "Academician Chu is going to participate in the academy, I wonder if there will be any problems."

"Probably." Zhou Congwen nodded, then smiled, "Dean Xiao, you've done a good job in espionage work."

"Hey, it's nothing." Xiao Kai said with a smile, "It's all about the doorstep, just pay attention to it and you'll know."

"Doctor Laurent Fabius..." Zhou Congwen muttered the name.

"Professor Zhou, why don't we go." Xiao Kai seriously suggested, "I always feel something is wrong."

"Don't go? Why not." Zhou Congwen laughed, "I'm just an ordinary expert, and I can't make any big troubles."

"It's hard to say about their home game." Xiao Kai sighed, "If you are embarrassed and lose face, it's better not to go."

"Well, I'll discuss it with Academician Chu." Zhou Congwen said.

"And then there's the recent volume of surgeries."

After Xiao Kai finished talking about this, he began to report on the operation in the last half month.

He stated a lot of numbers concisely, and Zhou Congwen was very satisfied with it.Xiao Kai and Chen Houkun contributed a lot to the time when I took care of Shen Lang and survived the surgery without being delayed.

"Let's go to surgery."

After Xiao Kai finished his report, Zhou Congwen said with a smile.

The two walked out of the office of the academician workstation, and a group of people rushed into the ward pushing the flat cart.

Zhou Congwen took a glance and saw a young girl lying on the flat car.The patient looked young and beautiful, but she was weird. Her neck looked very thick, which was not in harmony with her thin body.

Chapter 1275

Xiao Kai also glanced at the patient, and said to Zhou Congwen, "Professor Zhou, guess how the patient got injured."

"It's not like a car accident. I met a child who was kicked by a donkey, similar to her, probably kicked by a donkey or a horse." Zhou Congwen said.

"Awesome." Xiao Kai praised, "I guess so."

Both of them are general guesses, but they don't care about emergency patients.

There is an inpatient department, and there are related professors on duty above the inpatient department. This is the hospital's emergency treatment process, and it has nothing to do with Zhou Congwen and Xiao Kai.

If the operation couldn't be done, someone would come to Zhou Congwen.

But to put it bluntly, it's an emergency department. If the Second Hospital of Medical University can't even handle this kind of emergency department, then it can't be justified.Moreover, Zhou Congwen was a little tired of emergency first aid, so it was best to stay away.

I went into the operating room and changed clothes. The operation was just about to start, and the timing was just right.

Several operating tables followed the standard procedure, and Zhou Congwen watched Li Ran perform the operation with his hands behind his back.

Shen Lang also stood by Zhou Congwen's side to watch the operation. He was recovering almost, but fortunately there were no sequelae, and he was young and in good health, so he recovered quickly.

Li Ran quickly completed the operation with the help of the equipment nurse. Seeing Zhou Congwen standing aside with his arms folded, the patrolling nurse laughed and said, "Professor Zhou, your team is not good either. You need someone to help you."

"Otherwise, what should I do? After all, it's a matter between two people."

Similar words are almost immune to an old hooligan like Zhou Congwen. When he saw that Li Ran had finished the wedge cut, he put on sterile gloves and cut it open. After seeing the small nodules, he turned and left to go to the next stage.

As soon as he left the door of the operating room, a flat car rushed in hurriedly.

Zhou Congwen glanced at the patient, but he didn't see the chest bottle, and was startled for a moment.

"Slow down the operation a little bit." Zhou Congwen and Xiao Kai said, "I'll go to the emergency department."

Xiao Kai didn't see the breast vase either, so it shouldn't be, and he followed Zhou Congwen curiously to see the situation.

For the diagnosis of the previous emergency patient, Xiao Kai thought it was traumatic pneumothorax with subcutaneous pneumatosis.Before going on stage, you should first perform closed chest drainage to draw out the air.

No breast bottle was seen, which is very strange.

After entering the emergency room, Xiao Kai glanced at the patient.The patient's condition is very urgent, and the neck is thicker than the head, so you can feel the rustling sensation from the patient's breathing without touching it.

"What's going on?" Zhou Congwen asked intently.

"It is said that there is something wrong with the trachea, and no pneumothorax was seen on the X-ray." The anesthetist said to Zhou Congwen while answering.

Due to the blocked airway and perhaps a problem with the circulatory system, the patient was completely unconscious and his lips were bruised.

In addition, her neck was swollen thicker than her head, like a frog when it inhales.

The anesthetist immediately put on the oxygen mask on the patient, and the nurse in the operating room hurriedly connected to the ECG monitoring.

At this time, no one was joking, and even the pace was countless times faster, as if someone had pressed the fast forward button.

"It's a broken trachea." Zhou Congwen picked up the film from the patient's flat car and looked at the light, and said with certainty, "Do you have similar anesthesia experience?"

"..." The anesthetist was startled, thought carefully about Zhou Congwen's words, and shook his head.

"I'll come." Zhou Congwen was not polite and walked over directly.

Zhou Congwen is very clear that such patients cannot undergo rapid induction of anesthesia according to the normal procedure.

It is impossible to judge the patient's current condition just by taking a film, or a film taken at least half an hour ago.

Serious consequences can occur if the patient develops a collapsed airway or difficult intubation.

Xiao Kai looked at Zhou Congwen's back, his heart tightened, and he immediately knew that something was wrong.

The patient who was kicked by a donkey has encountered it himself. Traumatic pneumothorax plus subcutaneous pneumothorax is generally not a big problem, and it is enough to open the chest as soon as possible.

But... the trachea was directly kicked off... there was no pneumothorax, it was all subcutaneous air.

Where does this go.

The trachea is surrounded by soft tissues and other organs, and it is difficult to have only a simple trachea injury.That's why Zhou Congwen asked that question, and the anesthesiologist replied very "frankly" that he had never seen it.

Let alone him, Xiao Kai has never seen him.

"Give me a bottle of pethidine hydrochloride." Zhou Congwen said in a deep voice.

The anesthesiologist was taken aback and hesitated slightly.Because this is not a routine routine, and there is no anesthesia yet, there is no reason to give Dulantin.

But Zhou Congwen just made it very clear, and asked him if he had a similar experience.

In the Department of Anesthesiology, Zhou Congwen was quite well-known, and the anesthesiologist was inexperienced, so he looked at Zhou Congwen blankly.

"You can give it if you want." Xiao Kai urged aside, "You have never seen a similar patient, have you?"

The anesthesiologist naturally knew that the previous hesitation was dispelled by Xiao Kai's words, and he quickly took the medicine and opened the bottle directly.

A dose of pethidine was pushed into the patient's vein, and a surprising scene appeared.

This opioid is used for analgesia, and after being pushed into the patient's blood vessels, the patient is like being pushed with a shot of muscle relaxant, and the whole person is paralyzed on the operating table.

Does Dulantin actually have this effect?The anesthetist's jaw almost dropped.

Originally, he thought that even if there was a problem, it was just a dose of Demerol, which would not delay treatment and anesthesia.

It can be seen from the patient's performance that his trust in Zhou Congwen instantly +10.

The scene in front of him was miraculous.

"Professor Zhou...this is..." the anesthesiologist asked dumbfounded.

"At this time, the patient's brain is likely to be in a paralyzed state... Prepare the bronchoscope! Hurry up! Don't stand still!" Zhou Congwen said solemnly.

While preparing the bronchoscope, the anesthetist was afraid, and he broke out in a cold sweat.

He is now pretty sure that this patient is different from usual patients.

If the anesthesia is performed according to the normal procedure, the patient may have suffered a cardiac arrest by now, and it is hard to say whether there is even a chance of rescue.

Xiao Kai was also stunned when he saw this scene.

What the hell, after pushing a dose of Demerol, the patient is just as soft as a muscle relaxant!

Thinking with Xiao Kai's brain, this is simply impossible!

But no matter how impossible things are happening before our eyes, Xiao Kai has to admit for the N+1 time that Zhou Congwen is really awesome, heinously awesome.

The anesthesiologist handed the tracheoscope to Zhou Congwen. Following the lens of the tracheoscope, Zhou Congwen suddenly found that the trachea on the carina was broken.

"Professor Zhou, why are you under anesthesia?" Mr. Chai hurried in. He had just changed his clothes and didn't even fasten the belt on the trousers of the isolation suit, and he was flustered.

He saw Zhou Congwen holding a tracheal mirror to observe the airway, doing the work of an anesthetist, and asked in surprise.

Chapter 1276

"The trachea is broken, prepare for single-chamber ventilation, insert the endotracheal tube into the left side, and open the chest on the right side to repair the trachea. Tour, install the armrest and headrest! Mr. Chai, prepare to position yourself."

Zhou Congwen didn't answer Mr. Chai's words, but directly took over the command of the operating room with a roar, and began to direct the rescue.

The anesthesiologist watched with Zhou Congwen in an extremely awkward posture. Although Professor Zhou was not from the anesthesiology department, his hand was really steady, and the stump of the trachea passed directly without any hindrance.

Seeing the successful intubation, the anesthetist let out a sigh of relief.

"Hurry up and adjust your posture." Zhou Congwen's voice was a little harsh, "This situation won't last long. The lung on that side is not deflated, and a severe true shunt will lead to further aggravation of hypoxia and carbon dioxide retention."

After speaking, Zhou Congwen turned to brush his hands.

Mr. Chai was taken aback, and seized the time to pose with Xiao Kai.

Zhou Congwen had a serious face, and instead of waiting for Mr. Chai, he went straight to laying out the list after brushing his hands.

Mr. Chai was dumbfounded. He hadn't seen Professor Zhou Congwen Zhou laying out the surgical sheets for so long. Today, this matter seemed to be more urgent than he imagined.

Zhou Congwen's movement of laying the sheet looks unpleasant, but it seems to be fast-forwarding three times...five times, and he quickly spreads the sheet, disinfects it and puts on the surgical gown.

He didn't even use the handle of the knife, he held the blade with his thumb and forefinger and slashed down.

"Stop the bleeding." Zhou Congwen didn't have time to stop the bleeding, bright red blood came out of the cut skin and subcutaneous tissue.

The pleura was opened, and the equipment nurse was still preparing the rib spreader, Zhou Congwen reached in.

Xiao Kai stared straight at the back, Zhou Congwen usually does things slowly, without rushing.

But in an emergency, the hand speed is so fast that you can almost see afterimages.

"It's okay." Zhou Congwen reached in and touched it, finally squinted his eyes and smiled, "The lungs are already deflated."

After finishing speaking, he withdrew his hand and asked Mr. Chai, "Can you sew the trachea?"

"Will...well..." Mr. Chai didn't know what Zhou Congwen meant by "will". His "will" might be different from what he understood, so Mr. Chai was a little at a loss.

"Then you and the first line, I'll step down." After Zhou Congwen finished speaking, he turned and stepped off the stage unambiguously.

After tossing around, in a hurry, this is it in the end?

Mr. Chai was at a loss, but now Zhou Congwen was used to even Director Zhang in the department, so he didn't dare to say anything else.Besides, he is the number one in the world, Mr. Chai had a "joke" about the Maiquan campaign last time, so how dare he question it.

When Zhou Congwen and Xiao Kai left, the equipment nurse asked, "Boss Chai, what's the matter with Professor Zhou, he came up in a hurry, touched it and then went down."

"Huh?" Boss Chai was still stopping the bleeding a little bit, and he was taken aback for cleaning up the "mess" left by Zhou Congwen.

"I was so anxious at the beginning, why did I reach into my chest and feel it and said it's all right. I've never seen such an operation, what's going on with Professor Zhou?"

"I don't know either." Mr. Chai replied, while looking up at the monitor, he saw that the patient's vital signs were stable, and his blood pressure, which was precarious at the beginning, had also risen, and he felt at ease.

"What's wrong with Professor Zhou today, it looks weird." The itinerant nurse smiled, "I thought the blood was going to be in the room. After the operation, I made preparations for cleaning up the operating room for one day, and this is the result?"

"You can't say that, Professor Zhou still has two brushes." The anesthesiologist said cautiously, "Look at the beginning, Professor Zhou gave me a domerol. I don't know what it means."

"That's right!" The itinerant nurse and the equipment nurse recalled the incident at the same time, "Did you give the wrong medicine? Why did the patient go soft after taking a dose of Demerol, as if he had been given a muscle relaxant."

"I don't know." The anesthesiologist sighed, "I haven't rescued similar patients, Mr. Chai, how many patients with ruptured trachea have you encountered?"

"It's all about the bronchi, and I haven't encountered the main airway before." Mr. Chai said, "This patient is also unlucky. I don't know how he was injured until now."