Sleepless Doctor

　　 "Mr. Wu, the patient's blood pressure suddenly dropped." Ren Haitao quickly reported the situation.

　　 "Well, it's okay." Wu Mian still did the vascular anastomosis steadily, with no change, as if the monitor alarm did not exist at all.

　　 "..." Ren Haitao and the crowd in the operating room were startled.

　　 A drop in blood pressure means that the patient's physical condition has undergone a special change. Why did it pass without a word?

　　 "What's your blood pressure?" Wu Mian asked softly instead of raising her head.

　　 "Blood pressure 70/40mmHg, heart rate 108 beats/min, a total of 1220ml crystal liquid and 530ml colloid were infused." Ren Haitao reported the situation immediately.

　　 "Push norepinephrine 20ug statically." Wu Mian said while performing the operation methodically.

　　 Norepinephrine 20ug pushed forward. After 20 seconds, the blood pressure still did not rise. Ren Haitao immediately reported the situation without taking the initiative.

　　 "After intravenous injection of 50 ug of norepinephrine, continue to pump in a micro pump to check a blood gas."

　　 Seeing Wu Mian calmly doing a micro-anastomosis, and turning a deaf ear to the alarm of the monitor, Ren Haitao and others were in a daze.

　　 Director Xu of the Anesthesiology Department asked in a low voice, "Mr. Wu, should we suspend the operation for a while?"

　　 This is a good conscience suggestion.

　　 "No, it's okay." Wu Mian replied, "Surgery trauma caused the toxins under the scabs to penetrate into the blood, causing infection and toxic shock."

Infect……

　　 Moderate...

　　Shock...

　　 Just return it?

　　 Director Xu almost didn't drop his chin after hearing Wu Mian's words. They were all infected with toxic shock, so why is Teacher Wu not in a hurry!

　　 If you change someone, Director Xu will definitely go up and kick him aside.

　　 But seeing Wu Mian full of confidence, he no longer questioned, but stood aside and watched Ren Haitao busy.

　　 "pH7.35, PaO2497mmHg(100%), 47mmHg, Hct28%, HGB95g/L, Lac2.6mmol/L."

　　 Ren Haitao reports blood gas analysis values.

　　 "Combined pump injection of norepinephrine, epinephrine, and dobutamine."

　　 "Hydrocortisone 100 mg is given intravenously."

　　 "A rapid infusion of 1000ml of hydroxyethyl starch, suspended red blood cells, and fresh frozen plasma."

　　 Wu Mian said.

　　 As usual, if the monitor in the operating room emits a sharp alarm, everyone will inevitably find the cause of the drop in blood pressure and solve the problem before performing the operation.

　　 But Ms. Wu Mianwu’s calm and composure sent everyone at a loss, but he followed his doctor’s instructions quickly.

After 　　14′12″, the high pressure returns to above 90 mmHg, and the alarm is released.

　　 Wu Mian had expected this situation a long time ago, and of course it is not a 100% occurrence. In Wu Mian's guess, the possibility of toxic shock is only 18%, but there are no other rarer cases, and Wu Mian is not dissatisfied.

　　Wu Mian has been taking care of Bai Dalin for a short time since he came to the Second Hospital of Medical University. At the same time, he initially figured out what changes had taken place in him.

　　 Hypermemia still exists, but like an upgraded supercomputer, I can handle the flashback memories of hypermemia with ease.

　　 And after the head no longer hurts and no trouble, Wu Mian discovered a benefit.

　　I can predict various changes in the condition based on various objective examination data before surgery and my solid basic clinical knowledge.

　　 It is speculated that the condition has changed, which is the basic clinical skill. What Wu Mian can do now is to digitize various changes. The probability is not based on Meng, but a real possibility.

　　Like Bai Dalin's situation, Wu Mian had already had plans for rescue and treatment. It’s just a toxic septic shock, just replenish fluids quickly and give some rescue medication.

　　 There was no panic, no accidents, everything was under control. This feeling gave Wu Mian a feeling of detachment.

　　 This is the so-called control, not the desire to control, but the real control over surgery and disease treatment. Controlling everything on the operating table like a god, avoiding any accidents as much as possible.

　　 Bai Dalin's blood pressure slowly returned to normal, and Wu Mian had already done half of the operation.

　　 The rest is simple and repetitive work. Director Li looked at it from the beginning very seriously, but still didn't understand the technique of Wu Mian's surgery.

　　 Some things depend on talent, and Director Li knows this. The talent is not enough, there is no way it is not.

　　 There were no waves in the following, Wu Mian and Chu Zhixi cooperated tacitly, and there was no exchange between the two, but there has never been a situation of who is waiting for whom.

　　 Basically remove a piece of skin, just transplant a piece of skin, time is tight, there is no error.

　　 58 minutes later, the last piece of skin was transplanted. After covering the wound with gentamicin gauze, it was covered with Vaseline gauze and wrapped thickly.

　　 Wu Mian moved her cervical spine, the vertebral bodies rubbed against each other, making a creaking sound.

　　 The operation was done very well, he was a little happy. After Bai Dalin's problem is solved, the burn will definitely be fine. If this guy is not satisfied with the scar after the operation, he can still perform cosmetic surgery on him.

　　 It's just a man, who do plastic surgery is a man's medal.

　　 "Mr. Wu, is there anything special about going back?" Director Li asked ~www.wuxiaspot.com~No. "Wu Mian said, "You don't have to go to the severe disease, just go back to the burn ward." Let me see it for another day, and I will trouble you to change the dressing or something in the future. "

　　 "Teacher Wu, you are too polite." Director Li had something to ask, but he didn't know where to start.

　　 Besides, there is a chest surgery, so let’s wait for the meal.

　　 Wu Mian didn't care much. He took the next patient from the other side. He first left the operating room, explained the operation situation to his father and Bai Dalin's family, and then personally sent Bai Dalin back.

　　 On the second channel, Wu Mian completed the operation in just 22 minutes.

　　 There is no difficulty in the resection of small lung nodules under thoracoscopic surgery. The only problem is the surgeon’s familiarity with the relationship between imaging examination and anatomy.

　　 Small nodules are not like huge tumors, they are visible to the naked eye.

　　 While the operation requires one-lung ventilation, the lungs on the operation side are deflated. The test is whether the surgeon can accurately find the location of the small lung nodules. As for the resection, even an ordinary thoracic surgeon can do it well.

　　 After cutting the lung tissue, Wu Mian asked Director Fang Jinshui to wash and close the chest, while he put it on gauze, dissected the lung tissue, and saw the small nodules with his own eyes.

　　 I want to find 2 small nodules about 5mm accurately, and the difficulty can be imagined. But the scalpel in Wu Mian's hand is like having undergone an operation that is unknown how many times, a small nodule will be formed after a single stab.

　　 There have been tumor-like changes inside the small nodules, which is expected. But there is no metastasis. From a certain perspective, the patient can be said to be cured after the operation.

　　 The two operations were completed, and the time was less than 11 noon.

　　 Wu Mian squatted to take care of Bai Dalin in the burn department until he was fully awakened from the anesthesia. After chatting with Bai Dalin, he went to eat.