"When did Mr. Wu leave?" Professor Tang asked, feeling better, with a long sigh.

"Three minutes ago, Professor Tang walked when you started sewing skin. Ren Haitao's assistant said.

Professor Tang was sure that Mr. Wu was gone, and suddenly felt that his whole body was weak, and he almost sat on the ground.

This surgery is an old sin.

O iniquity!

Wang Chengfa of the dog day! He must have deliberately put eye medicine on himself!

Professor Tang glanced at Wang Chengfa viciously, and secretly swore in his heart that if he had a chance in the future, he would definitely take a good look at this old guy.

Teacher Wu is here, don't run to Bajingzi if you have nothing to do in the future, whoever wants to come will come, but you won't come.

"What should the patient do after surgery?" Professor Tang didn't even take off his surgical gown, and directly found a stool to sit down and take a breath first.

Teacher Wu said that there was nothing wrong and asked him to call him if there was something. The roving nurse said.

"Okay, it's fine. Professor Tang was finally relieved this time.

There is such a big moth, and it is fortunate to say that it is okay to be fine.

"Haitao, how did you get this?" Professor Tang asked.

"Alas, don't mention it. Ren Haitao's mood was obviously not high, and he wanted to "by the way" to ask for advice on the ways and methods of rehydration and rescue under B-ultrasound positioning, as well as the most precious experience, but he didn't expect to encounter such a thing.

How many elderly patients outside the chest have undergone lobectomy surgery, and all of them have a clear history of asthma, and they are all struggling to go upstairs, and they have to wheezing for half a day. But for so many years, the silent lung himself has not encountered it. But I didn't expect to encounter it in such a place as Bajingzi.

Life really doesn't make sense.

Sending the patient back, Ren Haitao was not at ease, and watched it for another half an hour.

Seeing that the patient was completely awake from general anesthesia, without any signs of asthma, and it was clear that there was nothing wrong, he was depressed.

It's not that the patient is depressed because he's completely fine, it's an indescribable emotion, in short, he's in a very bad mood, quite bad.

"Haitao, let's go, let's eat. Professor Tang greeted.

"I ...... I'm afraid that patients are at risk. Ren Haitao said depressedly, "I'll watch it for a long time, I'll go back by myself if it's okay." ”

Seeing that Ren Haitao was depressed, like a defeated rooster, Professor Tang felt a relative.

"Teacher Wu said that it was okay, rest assured. Professor Tang patted Ren Haitao on the shoulder and said, "Besides, you see that the guardianship is so stable, if there is anything, you will be back in ten minutes with a phone call." Bajingzi is not like ours, there is no traffic jam here. ”

Ren Haitao thought about it, he rushed over early in the morning and didn't eat breakfast, and the various hormones in the emergency rescue body have not been metabolized, and if he doesn't eat something, he is afraid that he won't be able to bear it.

In case of low blood sugar and fainting in the ward, it will be a shame to be thrown to grandma's house. Don't make trouble, Teacher Wu has to come back to save himself, if this is the case, he will not have the face to see Teacher Wu again in the future.

Professor Tang walked out of the ward, and Ren Haitao let out a long sigh.

"Don't be depressed, isn't it okay, fortunately Mr. Wu is here. Professor Tang smiled, "If you rush to anesthesia and I don't open the stage, the patient will be gone, what do you think will happen in the end?"

In a word, Ren Haitao's sweat was scared out again. It's not that he was shocked and had poor psychological quality, but that this assumption is really too scary.

In the second year of medical college, there is still a medical office. The group of people in the medical department usually have five or six people, but if something happens, Director Ma can help him carry it. Director Ma is quite reliable in doing things, which is admitted by the doctors and nurses in the second year of medical college.

But if there is an accident when you come out for surgery without permission, it is not the patient's family who invited it...... All kinds of bad thoughts appeared in Ren Haitao's mind. He didn't expect that if Wu Mian wasn't in the Bajingzi Traditional Chinese Medicine Hospital, he wouldn't come.

"Brother Tang, don't scare me. Ren Haitao smiled bitterly and said, "I'm frightened today, you touch, my legs and stomach are soft now." ”

"Don't be, at your age, you're soft except for your hard mouth. It's okay, it's gone. Seeing that Ren Haitao's face was wrong, Professor Tang made a little joke, so he urged him to change his clothes.

After returning to the ward and observing for another half an hour, the patient woke up from anesthesia, everything was normal, and Ren Haitao left nervously.

When I came to the restaurant arranged by Wang Chengfa, sat down and ate two bites of food to avoid the risk of hypoglycemia, Professor Tang asked, "Haitao, when I was rescued, I heard Mr. Wu ask you about the batch number and manufacturer of the drug, what does this mean?"

Ren Haitao made a wait-and-drink gesture and drank a bottle of Coke. After feeling the blood sugar rise, he said, "I don't know the specifics, I listened to what my teacher said when I was following the imperial capital to learn B ultrasound rescue." ”

"Huh?" Dean Xue was also interested and looked at Ren Haitao.

"Anaphylactic shock is rare in the operating room. This thing has come and gone without a trace, and you can't do a skin test in advance. So far, there are many things that the world's top hospitals have not studied and understood, so let's not think about it. ”

"My teacher, some manufacturers will have special reactions to some products, once a case of anaphylactic shock occurs in the operating room, even the drugs produced by the world's multinational pharmaceutical companies will be scrapped at one time. Even if it is not scrapped, no one dares to use it. ”

This is true, and the Second Hospital of the Medical University is also the same rule. It's just that rules are rules, not explicit, but unspoken rules.

"I can't say how specific it is, I'll ask Mr. Wu when I have time. Ren Haitao said. This time, Bajingzi had surgery, and he didn't ask about the B-ultrasound clearly, but he had one more thing to ask Mr. Wu.

"Haitao, can the silent lungs be avoided? I've vaguely heard of it before, but I haven't encountered it. Professor Tang asked.

"I don't usually think about that kind of thing. Ren Haitao shook his head, sighed and said, "I really thought about it today, the percentage of eosinophils in the patient's test list is 6.2%, which is slightly higher." I also asked in detail, and the patient and the patient's family all said that there was no history of asthma. ”

"This disease is usually a critical sign that a patient with bronchial asthma has a severe cramp of the bronchial tubes or extensive mucus plug blockage due to intubation stimulation, resulting in a significant decrease or disappearance of wheezing and breath sounds. ”

"Alas, it's also unlucky. We have at least 10 thoracoscopic lobes in the chest every day. Most of them are over 70 years old, asthma is a normal problem, as long as you can climb to the third floor without being tired and out of breath, your lung function is considered to be passable. Who would have considered going up to the lungs in silence, in that case, there would be no surgery. ”

Professor Tang thinks about it, it seems to be the same reason.

"I estimate that eosinophils are elevated, which should be compared to the fact that the patient has recently had a slight cough and sputum production. But it is not serious, and the patient and the patient's family ignore it. The patient is in a state of hyperresponsiveness...... Forget it, I really can't make it up. ”

Ren Haitao looked depressed.

"Hahaha. ”

Ren Haitao's words made everyone present laugh.

Do you really rely on making up everything? There are many things in clinical practice that cannot be explained by modern medicine, and Ren Haitao can say so much in one breath, which can be regarded as a solid basic skill.

"Seriously, I don't understand why this patient has silent lungs, it can only be blamed on my bad luck. I said that I must wash my hands three times before going to the operating table, and I was in a hurry today, so I washed them again. Ren Haitao complained.

"You are feudal superstition. ”

"You can't say that, old soup. Ren Haitao smiled bitterly, "The patient is ...... before surgery Let's put it this way, I think it's an extremely rare case, and if all patients were like this, the eosinophils would be a little higher and there would be a silent lung, and the volume of surgery in our operating room would have to be reduced by more than half. ”

"Some anesthetic drugs can induce the occurrence of perioperative "silent lung", such as atracurium, mevicurium and other muscle relaxants have histamine release effects, so they should not be used in asthma patients.

For patients with specific allergies, such as allergic rhinitis, drugs with histamine-releasing effects are more likely to induce bronchospasm or even "silent lung". ”

"But I asked about these before the operation, and the patient's family said that there were no allergies, and they had not used medicine, and they were usually in good health. ”

As he spoke, Ren Haitao sighed deeply again.

It's hard to be a doctor, it's even harder to be a qualified doctor, and it's even harder to be a qualified doctor without having an accident.