Pain at minus 7 degrees Celsius

Feng Zhichu always felt that Cheng Yue was very depressed these days, and he even occasionally lost his mind. He even misread the speech at the welcome meeting yesterday when He Chen returned from medical missions, and he was in a trance for the reception afterwards. He was poured a lot of wine, but everyone who came would not refuse to drink one after another, until he couldn't bear it anymore and ran to the bathroom to vomit heart-piercingly, vomited a few strands of blood, but stubbornly refused to pass out.

"When did you learn to drink away your worries?" Seeing Cheng Yue lying in the lounge, his hand with the needle stuck close to his forehead, his eyes slightly closed, he remained silent.

"In such a scene, you let me lie to people with plain boiled water, making the media think that I have a problem with Uncle Chen."

"Don't digress, you know that's not what I'm talking about."

"Didn't you just drink two more glasses? As for interrogating prisoners like this?"

"You have a stomach/bleed/blood and drink, don't tell me you don't know."

"Okay, okay, let me sleep for a while, I haven't slept for several days."

"What did you do when you didn't sleep?"

"I can't sleep because of the pain."

Feng Zhichu has always been silent, this person always has a calm or playful smile, when did he cry about the pain, and when did he tell him so seriously that he couldn't sleep because of the pain?Suddenly lost his temper, stood up and walked to the French window, silent.

Seeing that Feng Zhichu finally stopped worrying about his drinking problem, Cheng Yue heaved a sigh of relief. The dense pain in his stomach gradually eroded his sanity but he couldn't fall asleep completely. But it backfired.

"After you stop the bleeding, let's have a gastroscopy tomorrow. I feel like your body has collapsed since you came back. Don't drag it out until the end."

"I just did it two days ago, the ulcer is a little deeper, and bleeding/bleeding is inevitable."

"Cheng Yue! Are you hiding something from me?"

"What are you doing to hide it from you? I'm not transparent enough in front of you?"

"You have given me too many things recently, and the management of the hospital has changed a lot in the past few days. What do you want to do?"

"It's just a change of fresh blood, I miss you too much."

"I hope I'm thinking too much. You should rest first. I'll go to the ward to have a look."

Cheng Yue didn't notice Feng Zhichu's obvious displeasure, but so what?Sitting up with effort, I opened the drawer of the bedside table, and the checklists of cardiogram and gastroscopy done two days ago were properly placed in the interlayer of the book.

In the early stage of ischemic cardiomyopathy, gastric erosive ulcers are accompanied by bleeding/bleeding, persistent low-grade fever and severe anemia.

It's not that he doesn't cherish life, it's just that, now, it seems a bit powerless to do all this.

Cheng Yue only went back to work after resting in bed for two days, and one can imagine the displeasure in Feng Zhichu's heart when he met him in the corridor of the operating room.

"You had surgery?"

"Well, the patient with a ruptured abdominal aorta has gone into shock."

"Can't other doctors do it?"

"It really can't be done. What about you?"

"My simple, thoracoscopic surgery."

"See you later."

"Cheng Yue!"

"kindness?"

"It's okay, I'm going to observe after the operation."

Feng Zhichu walked into No. 1 operating room, temporarily ignoring Cheng Yue's bleeding complexion and blue eyes just now, and neatly brushed his hands and changed into the surgical gown on the operating table.

"Scalpel."

The intern doctor didn't quite understand what he was doing, and couldn't help but ask when he saw the scalpel cut across the skin.

"Doctor Feng, doesn't a simple operation like thoracoscopic surgery not require surgery?"

"Hemostatic forceps...tweezers...expanding forceps..." Feng Zhichu methodically ordered the assistant next to him to hand over the instruments, his movements were still crisp and neat, but he just raised his head and glanced at the interrogating intern doctor, "report Check the patient's age."

"7 is old."

"Pass me the needle and catheter." Seeing that Feng Zhichu didn't speak, the intern doctor was a little trembling and puzzled, "The patient is only 7 years old, and it is difficult to find the artery. Surgical incision and direct insertion can minimize the amount of bleeding, which is also the fastest. The safest course of action."

Feng Zhichu continued to answer the question just now while implanting the catheter, and he caught the intern's suddenly enlightened expression in his eyes. "Remember, the doctor's mission is to ensure the patient's life in the fastest and safest way."

"Doctor Feng, the carbon dioxide value has dropped."

"Give me the thoracoscopy equipment."

The simple operation only took more than an hour. Feng Zhichu finished the final finishing work and walked off the operating table.

Cheng Yue's operation was being carried out next door, and he always felt an unconscious panic in his heart, so he walked to the central monitoring room next to him and sat down.

"Give me the hemostat."

"Dean, the patient has more serious adhesions than we expected, and the aorta is also very thin."

"The bleeding/bleeding is serious." Before the assistant next to him finished speaking, the monitoring nurse made a sound in a panic.

"Suck out the blood, peritoneal forceps." Cheng Yue unhurriedly took the peritoneal forceps to clamp the bleeding place. Feng Zhichu, who was sitting in the monitoring room, discovered the situation. Cheng Yue's handling method was correct. A peritoneal forceps was added on top to temporarily suppress the bleeding/bleeding.But seeing that neither of them relaxed.Because more blood poured out of the abdominal cavity in the next second.

"Keep smoking, Xiao Liu, show me the patient's CT."

Feng Zhichu followed Cheng Yue's gaze to look at the CT image displayed on the screen, and the words "vessel tearing" came out of his mind.Although the patient did not have a large aneurysm, the degree of calcification was more serious than expected. According to his observation, it may have been cracked somewhere during the process of using peritoneal forceps just now.

Cheng Yue also noticed this phenomenon and turned back to continue to ask the nurse to suck up the bleeding, and began to ask the assistant to help support the patient's body. In this case, the left chest must be opened to grasp the descending aorta.

"Don't panic, give me gauze." The blood in front of his eyes spread more and more, but the sudden colic in his heart made his hand holding the hemostat suddenly lose strength, and the sound of metal falling on the floor knocked every time. Personally, the doctors and nurses present were a little overwhelmed, Cheng Yue could only suppress the pain, and tried to comfort everyone.

Feng Zhichu saw the hemostat in Cheng Yue's hand fell to the ground uncontrollably. He was obviously in a precarious state and tried to comfort the others with his support. He couldn't sit still any longer, so he stood up and headed towards the operating room. run.

"Dean, we can't move the patient lying like this. A little accident may cause blood vessels in other parts to rupture."

"Dean, the patient's pulse has slowed down!"

"According to my instructions, I will open his left chest." Cheng Yue's voice was not loud. In such a panic environment, everyone's rapid breathing could drown out his weak voice, but he never I can't muster more strength to say a word, seeing that the patient's bleeding/blood/volume is close to the dangerous value.

"Cheng Yue!"

"Old Feng?"

"I'll do the next operation, you go to the side and rest for a while." Feng Zhichu had already brushed his hands over his chest, looking at him probably reassuringly, Cheng Yue seemed to lose his strength suddenly. The black mist is getting worse.

"Xiao Liu, help the dean to rest to the side. Xiao Chen and Xiao Li help me support the patient. I will do it from the left."

Feng Zhichu watched Cheng Yue being helped to the side to do a good job. With the help of the nurse, he changed into the surgical gown and walked onto the operating table without any delay, orderly arranging the tasks of everyone around him.

"Doctor Feng, the blood is flowing to the abdominal cavity, and the amount of bleeding/bleeding is decreasing."

"Open left chest, scalpel."

The decrease in bleeding/blood volume made the people present finally breathe a sigh of relief, and the assistant handed over the scalpel and electric knife one by one according to Feng Zhichu's request.The actions of Feng Zhichu's subordinates were smooth and smooth, and he still wanted to explain to everyone who was flustered just now.

"The aorta is severely blocked, and there will be pressure under the heart, so if you grab the bottom, it will easily cause the rupture of the upper blood vessels. When encountering such a thing, don't panic, calm down and think about various possibilities. The dean has already taken measures just now. The right way to deal with it, but you are not calm enough as assistants, it will only backfire."

"Doctor Feng, the ribs cannot be opened, so it is difficult to get close to the chest artery."

"Strength."

Cheng Yue endured the angina pectoris, the black mist still lingering in front of his eyes was much better than before, he tried his best to close his eyes and then opened them again to look at the screen. There is no way to open the patient's ribs.

"Old Feng, use Chitwood pliers."

Feng Zhichu also suddenly remembered, but the nurse next to him heard Cheng Yue's hoarse and weak voice this time, and ran out in a hurry without waiting for instructions.

Everything that followed was back to order, and everyone in the panic-stricken operating room just now stood at their respective posts to complete their personal tasks.

"Doctor Feng, your blood pressure is slowly returning to normal."

"Confirm the ACT, add some protamine, and leave the rest of the finishing work to you."

Feng Zhichu looked at Cheng Yue, saw the man smiled and thought he would give a thumbs up, but he was uncontrollably falling to the side like a puppet with a broken string.

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