When doctors have a simulated operating room
Chapter 227
The doctor said that the patient was very tired.
Wang Mingjun, Jiao Yong, another assistant, and two nurses! !
All looked at Liang Yuan! !
Damn it! !
Are you kidding me! !
Why are you farting during surgery! !
I'm dying! !
Wang Mingjun frowned slightly, and then his nose twitched.
The next second...
He almost fainted! !
Oh my god!
What the hell, why am I smelling this fart! !
Oh my god!
What did Director Liang eat to fart so badly? !
Oh no, Wang Mingjun suddenly remembered that we seemed to have eaten hot pot last night...
Or they had eaten hot pot together with several leaders.
In the operating room, except Wang Mingjun, everyone else smelled this deadly poison...
Almost died at the age of 30, 36, 31...
They all stood a little further away.
They didn't come over to continue the operation until the smell dissipated.
At this moment, Liang Yuan's entire face and neck were red under the mask!
Oh my god, he couldn't hold back his fart...
People have three urgent needs, one is shit, one is urine, and one is fart...
This can't be blamed on him!
After taking a deep breath, Liang Yuan focused again.
The angiography catheter has been sent to the bottom of the aortic sinus. Next, the tail end of the catheter, that is, the radial artery, should be vented with the reverse side of the three-way three-way.
After the gas in the catheter is completely exhausted until the ring-handled syringe can draw blood, it proves that there is no gas in it.
Then the contrast agent was injected. The purpose of this contrast agent is to see the specific situation of the blockage on the left and right sides of the coronary artery.
Make the surgical field of view more accurate and clear.
Soon, several gray-black blood vessels appeared on the image.
Several doctors gathered together to observe carefully and distinguish the severity of the blockage.
At this time...
Liang Yuan frowned again! !
Then...
"Puff"~!
Everyone:...
Wang Mingjun secretly cried out in his heart that it was not good!
Jiao Yong's heart was full of 10,000 grass mud horses galloping through! !
The other assistant immediately held his breath and stepped back two meters away! !
For a moment, Liang Yuan felt that his old face was almost ruined by these two farts...
It was simply a large-scale social death scene!
At that time, he pulled his lips awkwardly and said:
"That... I... I may have eaten too spicy last night, and my stomach may be a little uncomfortable. Sorry."
No one else spoke.
Mainly because they didn't dare to speak!
Don't you have to breathe when you talk?
Then won't you be finished if you breathe?
Wang Mingjun took two steps back and said:
"How about... Director Liang, you go to the toilet first, we can wait."
Liang Yuan didn't refuse. These two stinky farts in a row were just his stomach telling him that he needed to ventilate.
Then, Liang Yuan took off his gloves and hat and went to poop.
Everyone in the operating room looked at Liang Yuan's back as he ran away.
There were only two words left in my heart: speechless...
It's good that people have three urgent needs, but it's a bit too inappropriate to be stuck at this juncture.
But thinking about it, Wang Mingjun felt a little guilty.
The reason why I invited everyone to dinner last night was mainly because I hadn't seen Director Liang for a long time.
Then I thought that Director Liang was from Chengdu, and hot pot must be the favorite of Chengdu people.
That's why I went to the best hot pot restaurant in Tianhe.
But I didn't expect it...
This hot pot made people fart twice as soon as they entered the operating room...
Ah!
What a sin!
About ten minutes later, Liang Yuan came back.
After disinfection, he changed into surgical clothes and radiation protection clothes again.
"Sorry for keeping you waiting, let's continue."
Liang Yuan's gastrointestinal tract was successfully cleared, and he looked refreshed when he came back.
After the contrast agent was injected into the left and right coronary arteries, it was determined that the blocked section was in the left coronary branch.
So, Liang Yuan slowly moved the guide wire in his hand along the route on the image.
To be honest, although Liang Yuan farted and pooped during the operation.
But his skills are really amazing.
No wonder he is the director of West China.
The patient is a 90-year-old grandfather, and his blood vessels must be much harder than those of young people.
But Liang Yuan was very careful throughout the whole process and did not cause any damage to the patient's arteries along the way.
This kind of blood vessel rupture can cause heavy bleeding if not handled with care, which is very dangerous.
At this moment, Liang Yuan has already sent the guidewire to the entrance of the left coronary branch.
There is only two centimeters left to reach the blocked section.
But for some reason, it was just a short distance to turn a corner, but it couldn't go in again and again.
Liang Yuan clearly felt that the guidewire encountered resistance.
"Could it be spasm?"
"Director Wang, try injecting 2.5mg of verapamil and 200ug of nitroglycerin into the other end of the sheath."
"Okay."
Verapamil and nitroglycerin can relieve vascular spasm. Only when the blood vessels are smooth can the guidewire enter.
The transparent liquid was slowly injected along the sheath.
But at this moment, Liang Yuan farted again! !
"Puff"~!
When the people around heard this sound, they didn't know what to say at all! !
They could only roll their eyes in their hearts!
Wang Mingjun looked at Liang Yuan helplessly and said:
"Director Liang... are you... going to the toilet again?"
Liang Yuan looked at the guide wire in his hand, then thought for a while and said:
"Okay... I'll go again and stabilize the guide wire."
"Okay."
So...
Liang Yuan went to the toilet again.
Ten minutes passed, and Liang Yuan hadn't come back yet.
Jiao Yong wondered:
"Director Liang didn't fall into the toilet, did he?"
Wang Mingjun glared at Jiao Yong: "Don't talk nonsense, the patient is still here."
Jiao Yong looked at the old man who fell asleep during the operation, and then whispered:
"Director Wang, why don't we do this operation? He's running to the toilet, when can we finish the operation? You have another operation at 1 pm."
Wang Mingjun thought Jiao Yong's words made sense.
"Okay, let me see if the guidewire can go in first."
It's not like they can't do this operation. It's better for them to solve it as soon as possible than to wait for Liang Yuan.
Then Wang Mingjun picked up the guidewire and moved towards the blocked section again little by little along the angiography image.
The result was strange.
I also used the medicine to relieve spasms, but why couldn't it go in?
Wang Mingjun tried several times but still couldn't do it.
He didn't dare to use too much force, for fear of puncturing the blood vessel.
Jiao Yong said:
"Director Wang, do you want to make another contrast agent to see the situation? Change the puncture point or a harder guidewire?"
Wang Mingjun shook his head: "No, you can't change a harder guidewire. This patient is old, and the pressure in the blood vessels will increase after the catheter is inserted.
If you change a harder guidewire, I'm afraid that the blood vessel will be broken if it just moves to the coronary artery.
And the puncture point cannot be changed. The radial artery was discussed before the operation.
It is the safest puncture point among so many options.
It is the only straightest blood vessel here, and it is also elastic.
So this is the only access.
But it's strange, why can't it go in after injecting the spasm-relieving drug?"
When Jiao Yong heard that Wang Mingjun rejected his idea, he could only sigh slightly and wait for Liang Yuan to come back to discuss it.
But ten minutes later, Liang Yuan still didn't come back? ?
Now the people in the operating room were anxious!
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