Back in 2002 as a doctor

"No." After Mr. Chai finished speaking, he hesitated for a moment, "I was injured during the equestrian class, but I don't know how it hurt the main airway, but I don't even have a pneumothorax."

"Here." The anesthesiologist pointed to his neck, "the trachea is not protected here."

"But the patient's position is fine." Mr. Chai said, "It's really weird. This is the first patient I've encountered who injured the main airway. By the way, what did you see in the bronchoscope?"

Speaking of this, the anesthesiologist immediately recovered.

"I looked behind Professor Zhou, and saw the position above the tracheal carina near the right..."

As he spoke, he recalled the situation at that time.

But as he talked, the anesthesiologist's voice became lower and lower, and finally gradually disappeared.

"What are you doing, you're asleep." The itinerant nurse asked.

"Ah!" The anesthesiologist woke up suddenly, "I recall the process of Professor Zhou's intubation under the bronchoscope."

"Then why don't you say it?"

"At that time, Professor Zhou took the tracheal intubation and sent it directly into the left airway, over the stump, and there was no difficulty." The more the anesthesiologist said, the weirder he felt, he said in disbelief, "But the patient has a tracheal carina. There is a problem above, how did he insert the tube in."

"What do you mean? Are you saying that your level is poor and you can't get in?"

"Fart! My level is very high." The anesthesiologist retorted, "The main reason is that there is a broken end at that position. If I want to send the intubation tube directly, I should insert it directly into the mediastinum along the opening."

"And then keep trying."

"What was the blood oxygen saturation when the patient came up, who gave you time to try."

The anesthesiologist was still a little dazed when he thought of that scene at that time, the key is that he was a little scared.

Fortunately, there is a thoracic operation today, and Professor Zhou Congwen Zhou is here, so he "smoothly" helped me to do everything.

If he wasn't here, I... the patient...

Thinking of the Demerol, and of inserting the mediastinum during endotracheal intubation, and when the ventilator blows, the anesthesiologist's hands began to tremble.

What Zhou Congwen completed in a few minutes, if it were him, he would probably blow the patient to death.

The anesthesiologist's back was covered in cold sweat, and his fear soared, and the cells in the body's internal environment had begun to separate.

Just as he was frightened, a series of hurried footsteps came from outside.

"Mr. Chai!" Zhang You's voice came in.

"Director, I'm in the emergency room." Mr. Chai quickly replied.

A few seconds later, Zhang You hurried in with the director of the anesthesiology department wearing a mask strap, with several professors behind him.

"How is the patient?" Zhang You asked anxiously.

Chapter 1277 One wrong step, one wrong step

"The patient is fine." Mr. Chai said, "There is a gap 0.5cm above the tracheal carina, near the right side, about..."

"Take a breath." Zhang You didn't even look at the wound, "Hurry up!"

"Director Zhang, what's the matter?" The anesthetist was not in a hurry, and asked slowly to greet Zhang You.

"You know what, the main airway is damaged..." Zhang Youqing opened his mouth to scold in a hurry, but he was stunned when he saw the patient's stable ECG value and ventilator parameters in an instant.

A few seconds later, Zhang You asked in a daze, "The anesthesia went well?"

"Successful." The anesthesiologist said proudly.

Especially when he saw Zhang You's unbelievable expression, he felt even more frightened.

"How is it possible! How did you give the anesthesia?" Zhang You rubbed his eyes, walked to the right side of the patient's head, and carefully looked at the parameters of the ventilator.

"In the beginning, no muscle relaxants were given, and a pethidine was given directly, and then the intubation began. The bronchoscope saw a breach in the main airway, and the specific location has been told to Mr. Chai."

The anesthesiologist said simply.

Zhang You didn't speak, but looked at the various values ​​in doubt, and saw that there was nothing serious, and then his impatience eased.

He looked at the anesthesiologist carefully, and the director of the anesthesiology department asked suspiciously, "How did you know to give opioids?"

"..." The anesthesiologist smiled when he saw the director talking, "Professor Zhou Congwenzhou was there at the time, and he directed the rescue at the beginning."

Zhang You was stunned, and then shook his head, "If I knew Professor Xiao Zhou was here, I wouldn't be in a hurry. I was so anxious that I didn't even put on my trousers, and they almost fell off."

The director of the anesthesiology department also let out a sigh of relief, and carefully asked about the situation at that time.

After the question, the anesthesiologist was a little puzzled, "At that time, after the anesthesia was over, Professor Zhou was still brushing his hands on the stage, but he was very anxious to cut it open, then reached in and touched it and said it was all right. Director Zhang, why is that?"

"There is also an anatomical shunt in the lungs, which means that part of the blood flows directly into the pulmonary vein through the bronchial vein and very few arteriovenous communication branches in the lungs. Since this part of the blood has not undergone the gas exchange process at all, it is called a true shunt."

Zhang You explained.

"Isn't the trachea broken? If the right lung is not deflated, the amount of oxygen and concentration you give will not be enough. At the beginning, the patient who was given a dose of Demerol was like being given a muscle relaxant, which means The patient is quite hypoxic."

"Yes." The anesthesiologist sighed, "If it weren't for Professor Zhou, I guess I would have given the wrong medicine."

Zhang You and the director of the anesthesiology department suddenly looked at each other.

"Director Zhang, what's next?" the anesthesiologist asked eagerly.

Things are different today, every step of Zhou Congwen seems to have a deep meaning, so I want to know how many dangers he experienced at that time.

"Generally true shunts are caused by bronchiectasis, and this kind of trauma is rare." Zhang You said slowly, "20 years ago, when I was still hospitalized, I took over a similar patient and worked with your director. made."

This is the original rhythm.

The anesthesiologist heard that the matter involved his own director. Although he was interested and curious, he didn't dare to ask.

"At that time..." the director of the anesthesiology department said, sighing.

There was silence in the operating room for nearly ten seconds. Zhang You saw Mr. Chai open his chest and start mobilizing the mediastinum to expose the wound. He sighed softly.

"Director Zhang, you're talking, it's really uncomfortable to talk halfway." The roving nurse was choked up, seeing that the operation went smoothly, she asked.

"The patient was frightened by a horse that pulled vegetables into the city, and was kicked by a kick. Normal anesthesia, the anesthesia process was not smooth, and the operation... well, the operation was not difficult. But the patient couldn't wake up after the operation, and he was in a vegetable state. .”

"..."

"..."

"..."

Everyone in the operating room looked at each other, dumbfounded.

Vegetative? !

"This kind of disease is rare. We studied it after the operation. At that time, the induction was rapid, the patient's breathing was not smooth, and the intubation was not smooth." The director of the anesthesiology department did not shy away, and said directly, "The other thing is that after going in, the injured side His lungs were not deflated, and there was a severe true shunt, which made it useless to give much oxygen."

"One wrong step, one wrong step. At that time, the thoracotomy was also slow. After the normal process was opened, the trachea was sewn up, but the patient suffered from brain death."

It was eerily quiet in the operating room.

The anesthetist did not expect the matter to be so serious.

Although Director Zhang said that the operation at that time involved the limitations of the basic technical conditions at that time, he had a strange idea in his mind. If Professor Zhou was 20 years ago, this kind of thing would not have happened.

After the explanations of the two directors, he finally understood what Professor Zhou Congwenzhou's operations meant that he didn't understand at the time.

At first, there was no direct rapid induction, the patient was kept breathing, and only opioids were given; then...

This step by step, now recalling that each step has a target, is the most accurate operation.

Including Zhou Congwen reached in and felt the right lung at the end, and he probably helped the right lung deflate as quickly as possible, so as to reduce the true shunt and avoid the occurrence of insufficient oxygen in the blood.

It looks simple, but every step is full of clinical experience.

"Director Zhang, Professor Zhou...Professor Zhou...Professor Zhou..." The director of the anesthesiology department mentioned Professor Zhou three times in a row, but he didn't know how to describe it.

"Professor Xiao Zhou is number one in the world!" When Zhang You said that he was number one in the world, his face seemed to have a halo, and he was a little excited, "Professor Xiao Zhou must be dealing with such a small matter. .”

"Where did he get so much clinical experience?" the director of the anesthesiology department asked doubtfully.

"I don't know, but let me ask you, have you ever seen the number one magician in the world?"

The head of the anesthesiology department shook his head.

"Don't use your ordinary people's thinking to think about the number one in the world. Compared with Professor Xiao Zhou, he is a professional, and we are all amateurs." Zhang You said.

This is a bit too much, and the director of the anesthesiology department wants to refute.

But after thinking about it, the director of the anesthesiology department also smiled mischievously.

Indeed, a patient with a ruptured trachea was treated without any risk, leaving behind a bunch of staring and inexperienced doctors and nurses who had no idea what he had just done.

Compared with Zhou Congwen's major, everyone in the operating room is amateur.

Even myself and Zhang You only have the experience of a dozen or 20 years ago.Looking back now, the handling at that time can be said to be appalling.

But doctors are trained in the mountains of corpses and seas of blood. If you talk about clinical experience, you have to add precious adjectives in front of it.

That is human life.

"Oh." The director of the anesthesiology department sighed.

"Stop moaning and sighing, I don't know if you're convinced or not, anyway, I'm convinced." Zhang You's mask moved, and the exposed big teeth couldn't even be blocked by the mask, exuding a faint dark yellow light.

Chapter 1278

Zhou Congwen wandered around from one surgery to another, performing one operation after another. At 11:23 noon, all 18 operations were completed.

Although Xiao Kai has long been used to this rhythm, every time the operation is over, he can't help but feel a little dazed when he thinks of the series of patients' names.

Before I came to the Second Hospital of Medical University, I never expected to encounter such a situation.

Looking back at the beginning, Xiao Kai only thought that it would be good if Zhou Congwen could perform three or five difficult surgeries a day. He never thought that he could perform more chest surgeries than prostate picking, and faster.

"Professor Zhou, where are we going for lunch?" Xiao Kai stepped off the stage and asked after Zhou Congwen.

"Go find Shen Lang." Zhou Congwen said.

Shen Lang is recuperating, and with his personality, he will definitely not be at home. Xiao Kai also knows that this guy squats in the emergency department every day to watch the excitement.

Xiao Kai didn't know how to describe Shen Lang's character.

All the doctors Xiao Kai knew and met were terrified of the emergency department.

After all, there are endless emergency departments there, and the mess makes people's ears hurt, and their brains are a mess.

But Shen Lang is full of affection for the emergency department, and is willing to go to the emergency department as long as he has time.

The two changed their clothes and went to look for Shen Lang. As soon as they walked to the corridor of the emergency department, the peculiar smell and noise that belonged to the emergency department made Zhou Congwen's head ache and his temples throbbed.

What the hell, Zhou Congwen cursed in his heart.

If Shen Lang is squatting in the catheterization room to watch surgery, it's fine, but squatting in the emergency department every day, what is this called?

"Professor Zhou, Shen Lang's condition is still good, and there are no sequelae." Xiao Kai said with a smile as he walked, "I read the journal papers as you said, and it was said that although the patient recovered after the Milwaukee therapy, he still stayed behind. Syndrome and other sequelae. I was always worried about it before, but recently I saw that Shen Lang is fine, so I was relieved."

"It's his fate," Zhou Congwen said.

"Shen Lang is still young and in good health." Xiao Kai was talking, and he saw Shen Lang sitting on a chair in the waiting area, looking around.

"This guy is not serious, and he just wants to watch the excitement." Zhou Congwen said helplessly, "It is said that Chinese people like excitement, and Shen Lang's blood is really pure."

"Hahaha."

With pure blood, Xiao Kai couldn't laugh or cry at Zhou Congwen's evaluation.

Zhou Congwen's childlike heart rose, and when he saw Shen Lang with his back turned to him, he tiptoed over to try to scare him.

Xiao Kai found it funny, and stared at Zhou Congwen with a smile.

But turning around a corner of the corridor, Xiao Kai suddenly saw Zhou Congwen's figure and paused, no!

Xiao Kai knew Zhou Congwen very well, so something big must have happened.

But this idea is very hazy and vague, just a concept in the subconscious, and Xiao Kai himself doesn't know what happened.

With the next snap of his fingers, Zhou Congwen rushed towards a child in the corner like a cheetah.

The child should be about seven years old, holding a balloon in his left hand and an orange in his right hand, and he is eating the orange.

What's going on here?Xiao Kai was a little dazed.

Zhou Congwen's movements were very blunt and sudden. It was obvious that Zhou Congwen hadn't prepared before, and he just rushed over when he saw something.

This is muscle memory, very strong muscle memory, even Xiao Kai can smell blood from Zhou Congwen's mechanical and blunt movements.