When doctors have a simulated operating room

The doctor said that the emergency department was in trouble.

Looking at Zhang Yi's back, Zhao She pouted:

"I've been working for several years, and you still don't trust me?"

"But then again, many times in the hospital, if there is anything that can't be solved, they will go to Zhang Yi.

What's this called? Go to Zhang Yi when you have difficulties?

Humph, what department do you think our emergency department is? We are also very busy, okay?"

...

Gastrointestinal surgery.

Less than two minutes after the phone call ended, Zhang Yi came up.

"What's wrong? Is there anything going on?"

Zhang Yi came to the doctor's office of the gastrointestinal surgery department.

The attending physician in his early thirties was on night duty in the gastrointestinal surgery department today.

Seeing Zhang Yi coming over, he was like seeing a savior!

"Assistant Zhang, please help me check, is this a bowel obstruction? Does it need surgery immediately?"

Zhang Yi approached and looked at the check list he handed over.

DR check list: a small amount of gas accumulation in the intestinal tract, intestinal dilation diameter> 3.0cm.

"Do I need to look at this? It's almost certain! Where is the patient?"

Zhang Yi glanced at him and said hurriedly.

Do I need to ask him to come up and help with this kind of list? ?

Is this guy's first night shift?

So easily panicked? !

The doctor quickly took Zhang Yi to the ward, and said as he walked:

"I... This is my first night shift. I suspect it's adhesive intestinal obstruction, but... I'm afraid I made a wrong diagnosis, so I want you, Assistant Zhang, to come up and help."

"When did this patient come in?"

"He was admitted to the hospital at 6:10 when the outpatient department was about to close. He said he couldn't defecate, had abdominal pain and vomiting, and his bowel sounds were hyperactive. The outpatient department suspected intestinal obstruction and cancer."

Hyperactive bowel sounds are common in intestinal inflammation, such as acute gastroenteritis.

Or indigestion, intestinal obstruction, intestinal tumors, etc.

First of all, acute gastroenteritis and indigestion can be ruled out, because these two problems will not cause constipation.

Only intestinal obstruction and tumors are possible.

As they talked, they came to the ward.

There were several anxious family members sitting inside, and a sixty-year-old man on the bed.

The old man was curled up on the bed, exhaling from his mouth from time to time as if to relieve the pain.

This look is really uncomfortable.

"Doctor, what's going on with my dad? Does he need surgery?"

The family members asked as soon as they saw the doctor coming in.

Zhang Yi walked to the bedside to check on the old man and comforted the family members:

"Don't worry, I'll help him. If it's really an obstruction, surgery must be done immediately."

Zhang Yi took a closer look and saw that it was indeed adhesive intestinal obstruction.

And it was adhesion related to intestinal inflammation, and there was a little exudate around it.

Zhang Yi took the stethoscope and listened to the old man again, and then asked a few more questions and hurriedly said to the doctor on duty:

"Hurry up and call to prepare the operating room!"

"Oh, okay!"

The family members asked nervously: "Doctor, do you really need surgery? Is my dad's condition dangerous? Is the success rate of the operation high?"

"The success rate is generally very high, but this disease comes quickly, so you must also be prepared for failure."

Zhang Yi didn't say too much.

The family members panicked when they heard it.

He quickly pulled Zhang Yi's arm and asked Zhang Yi to make sure it succeeded.

Zhang Yi nodded and went to the gastrointestinal surgery office.

The doctor on duty had already notified the operating room.

They could go in as soon as the operating room was ready in ten minutes.

"Have you performed this operation as the lead surgeon?" Zhang Yi asked.

The doctor on duty nodded somewhat unconfidently: "I have performed it as the lead surgeon, but only three times."

"What about the second-line surgeon? Is he in the hospital now?"

"No, the second-line surgeons in our department usually go home to rest."

"Forget it, I'll do this operation." In the end, Zhang Yi said helplessly.

It would take at least half an hour for the director and the second-line surgeon to rush over from home.

Intestinal obstruction cannot be delayed, and this old man has exudate, so it cannot be delayed even more.

For safety reasons, only he can do this operation.

Immediately, Zhang Yi called the emergency department.

He said he was going to help the gastrointestinal surgery department with an intestinal obstruction operation, and he would probably have to go to the hospital at 11pm after the operation.

He told Zhao She to take care of the emergency department.

Zhao She promised solemnly.

Soon, the old man was rushed to the operating room.

Zhang Yi was the surgeon, and the two doctors on duty in the operating room were his assistants.

…

Emergency Department.

Upon hearing Zhang

Yi went upstairs to perform surgery, Gao Han and Shen Lingyue were also eager to go to the operating room to learn.

But they were stopped by Zhao She.

"Originally, there were fewer people in the emergency room without Assistant Zhang. Are you two still going? Will the emergency room still work?"

Zhao She didn't dare to say a word, so they had to stay in the emergency room.

However, Zhao She had just finished speaking for less than a minute.

There was something happening in the emergency room.

The emergency center called and said that a female patient with lower body bleeding would be sent in ten minutes.

Zhao She immediately took it seriously.

Female patient, lower body bleeding?

The first reaction in Zhao She's mind was that it was related to the female reproductive organs.

It could be a tumor or miscarriage.

Soon, an ambulance stopped steadily at the door of the emergency room.

The emergency doctor and family members helped to send the girl to the emergency room.

As soon as she came in, she could see that the girl was pale and sweating.

"When did she start bleeding? She's close to shock?" Zhao She asked the emergency doctor.

The emergency doctor shook his head: "We don't know either. We only know that she took diet pills these days. The family members said that she had a little blood in her stool these days, and just now she had blood in her stool when she went to the toilet at home.

The pants and sofa are stained with blood. I don't know what happened."

Zhao She frowned: "Blood in the stool? It's not vaginal bleeding but lower gastrointestinal bleeding?"

The family members beside him nodded repeatedly:

"Yes, our daughter is single, she is not pregnant and can't have cervical cancer. She has blood in her stool."

Zhao She nodded and said:

"Okay, let's expand her blood volume first. Her current state does not rule out the possibility of hemorrhagic shock. You family members should also be mentally prepared."

The family members were so anxious that tears were about to fall!

"Doctor, my daughter is only 24 years old, please help and save her!"

"Don't worry, we will definitely try our best to save her, don't panic."

Soon, the female patient was connected to various monitoring instruments.

Including drugs to expand blood volume.

Blood pressure 88/60mmhg, breathing 26 times/min, heart rate 128 times/min.

All indicators seem to have the possibility of shock.

Just in case, Zhao She quickly asked the nurse to prepare plasma.

"Liu Xiaoli? Can you hear me?"

The patient on the bed was very weak and his breathing was constantly accelerating.

But she was still conscious. Hearing Zhao She's question, she nodded gently.

"Do you know how many times you have had blood drawn?"

"No... I don't know... It seems like many times... Anyway, I feel very uncomfortable these days."

"Are you sure it's not vaginal bleeding but blood in the stool?"

Zhao She asked again.

Female patients must accurately distinguish whether it is my digestive tract or vagina when bleeding from the lower body.

Otherwise, it is easy to misdiagnose.

After being asked by Zhao She, the girl actually thought about it.

Zhao She thought, could it be that she herself does not know?

After waiting for a while, she heard her say: "It is... it is... blood in the stool, and... it is the kind of blood in the stool."

Blood in the stool? ?

Zhao She did not think it was not good until he heard the patient confirm that it was blood in the stool.

Blood in the stool, could it be a tumor in the intestine? Or a ruptured intestinal artery bleeding? ?