Chapter 1853 A doctor's responsibility
“The patient was diagnosed with lung torsion before the surgery. Because the course of the disease was long, when he was admitted to our hospital for treatment, his condition suddenly worsened.” Su Yun started to introduce the song.”Old he, turn down the volume!”
Old he pretended not to hear him and went to adjust the mechanical ventilator.
“Boss, what about old he?” Su Yun was dissatisfied.
“A chest surgeon.” Zheng Ren didn’t hear it either. He reached out to take the chest surgeon, stuffed it into his chest cavity, and began to screw the screws.
With a creaking sound, his chest was opened. The scale was just right. The elasticity of the ribs was maximized, but there was no complication of bone fracture.
“During the surgery, the lobular lobe of the right lung was found to be shifted upward and rotated counterclockwise about 170 degrees. It’s a very standard value because it’s written in various teaching materials that it’s 180°. ” Su Yun took the microphone and began to nag.”I can see with my naked eyes that the lungs are severely congested. There is already a lack of blood at the edge.”
He knew why Zheng Ren was in such a hurry. If he followed the steps, the position of the border necrosis might die forever in five minutes, and there would be no way for him to perform blood transfusion.
And if it was completely necrotic, after correction and blood infusion, the necrotic tissue would be brought into the body’s blood circulation.
That was how the bacteria syndrome appeared.
If there was no time and similar problems were discovered, the best choice was to remove the lobular lobe directly.
What would the boss choose?
Su Yun nagged as she helped Zheng Ren.
His actions had to be slightly delayed because he was streaming with the mic, so he couldn’t ask questions or communicate with them. It was extremely demanding on the quality of the streamer.
Zheng Ren did not hesitate and immediately started to release his right lung.
“In general, the surgical choice for lung torsion is resection. However, our emergency treatment in 912 is not good enough. Without wasting time, the patient’s lung has not died, so we can choose to keep it. ” Su Yun said.
Lin Ge walked in and happened to hear this.
These words were like the sound of Sanskrit from the nine Heavens, making him happy. Boss Zheng did not forget to advertise 912 even though he was livestreaming the surgery. He was so loyal!
“Old he, get ready!” Zheng Ren said.
“I’m ready. “
With Su Yun’s help, Zheng Ren twisted the lobe of the right lung and restored its original anatomical structure.
Old he’s Fiber Bronchoscope and a phlegm – sucking tube had already been extended inside.
“The strength of anesthesia is very important. The anesthetist can use a firbochropedle to suck phlegm directly. Boss, give old he a shot. ” Su Yun said.
Zheng Ren raised his head and glanced at old he.
Old he was overjoyed, but he did not show any expression on his face. He focused on using the firbotomy tube in a serious and focused manner. He tried his best to portray the imposing manner of a Grand anesthetist in his imagination and strive for perfection.
“A large amount of bloody phlegm was sucked out. I won’t explain in detail why there is such a secretion.” As Su Yun spoke, she began to deal with the bleeding point that was left behind when Zheng Ren’s chest was opened up.
Pa, pa, pa, PA. The electric burns danced and left as soon as they touched the bleeding point.
There was nothing much to explain here, and Su Yun could not be bothered to do so either. Fang Lin used the hemostatic forceps to stop the bleeding together with Su Yun.
Zheng Ren did not move as he stared at the patient’s right lobe of the lung.
“The surgeon is observing the blood circulation in the right lobe of the patient’s lung. From the looks of it now, the right lobe of the lung should be preserved.” Su Yun explained what Zheng Ren was doing as she slapped the bleeding to stop.
“Now, I’ll leave a question for all of you who are watching the live broadcast. For the next 20 minutes, 60 minutes, you’ll have to continuously draw blood and do tests. What do the patients need to be checked for?” Su Yun said.
Fang Lin was also slightly astonished. He thought hard for a moment before he asked softly,””Big brother Yun, do you want to check for blood potassium and lactic decomposer?”
“Sigh, it’s been so many years, but there’s no chemistry at all.” “Anyone with good ears heard what you said,” Su Yun sighed and said.
“...” Fang Lin lowered his head and exposed Su Yun’s blood vessels with the hemostatic forceps.
The small ones were directly burned, while the large ones needed ligation.
Soon, this side was done. The three of them stood on the operating table, and everything was fine.
He had been busy before the surgery, but after he opened the chest and reset the right lobular lobe, his condition went from extremely dynamic to static.
This kind of surgery was rarely seen, and the most common was to wait for intraoperative freezing. In a well – trained hospital, the pathology Department would be able to get the results in 20 to 30 minutes.
However, it was a little strange to just wait for a live broadcast of a surgery.
Su Yun took advantage of the waiting time and began to tell the patient’s medical history with the help of the song.
He had an excellent memory. He took out the test sheet that he had only seen once in the cardiothoracic Department before the surgery and began to analyze it.
Time passed quickly. Even after three consecutive draws, the values of serum potassium and lactic defixate did not increase significantly.
Zheng Ren heaved a long sigh of relief.
The patient’s lungs should have been saved.
“There’s no problem with her blood serum potassium and lactic defixation. Now, the surgeon can start the investigation. ” Su Yun began to speak into the microphone,”it’s been an hour, the Sorcerer has finally moved!” Friends who are watching the livestream, are you guys a little excited?”
Zheng Ren checked V4 and V5’s pulse as he asked,””When you livestreamed for Liu xuzhi, you were also this out of tune?”
“Boss, do you really have to perform the surgery in a serious manner? My friends, can you hear the background music? Taste! It’s hard to believe that the top surgeon in the world of surgery would like this song. “
Zheng Ren ignored him. They were in the middle of a live broadcast, and he couldn’t possibly smash a hemostatic forceps into his face, right?
He reached out and held the needle – holder in his palm.
Zheng Ren started to suture the right lobular lobe and the right lower lobe of the lung.
This was to prevent the right lobe of the lung from twisting again after the surgery. If the ligament was missing or not strong enough, it could be fixed with the other lobules.
“One hour after the normal physiological structure is restored, the bloody phlegm will disappear.” Su Yun explained as she saw that the tube in old he’s hand only sucked out a small amount of white foam – like phlegm. She then began to take out the firbotomy tube.
“Why do we have to wait for an hour? the first thing we need to do is to observe if the lobular lobe in the patient’s right lung can be preserved. I ... The surgeon will not easily perform a simple and crude operation that will cause great damage to the patient. “
“Removing a lobular lobe will cause the patient’s respiratory function to suffer a loss of about 20%. Although it won’t affect your life, it will more or less affect your quality of life. “
“And the one hour of waiting during the surgery means that the patient’s quality of life will improve for decades after the surgery.”
“It’s a doctor’s duty, isn’t it, boss?”
“We’re in the middle of a surgery, so don’t talk so much. ” Zheng Ren felt that opening the mic was really unreliable. Su Yun was usually fine with talking and laughing. However, when the microphone was turned on today, no one spoke except for Su Yun.
He did not feel anything towards the singing of ‘come to good luck’, but why did he feel that Su Yun’s voice was very piercing when mixed in with the singing today?
“In order to control the respiratory tract secretion, the patient will be given mechanical ventilation for about 12 hours after the operation. The catheter will be removed only after the patient’s condition is observed.”
“Because there might be thrombosis in the pulmonary vein, you will be given huafalin anti – thrombosis treatment after the surgery.”
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