Wu ...... How did Wu Mian come here?" Han Guangyun asked in a low voice.

"Director Han, Director Fang and I were worried that the patient would not be able to get off the stage, and the shock would not improve after giving a lot of rescue medication, so we had to ask Mr. Wu to take a look. Director Xu said.

Wu Mian heard the voice and knew that Han Guangyun was coming, but he didn't look back, as if he didn't know that someone was coming in, and continued, "Keep your hand steady, the stitch distance of the third needle is slightly larger." Pay attention to the location of the calcified plaque peeled, otherwise it is easy to bleed after surgery, resulting in a second thoracotomy. ”

Between being scolded and being directly ignored, Han Guangyun would rather choose to be scolded himself.

To ignore means silent contempt, contempt to the bone.

Seeing Wu Mian's attitude, Han Guangyun's anger rose, and new and old hatreds surged into his heart.

"Did the medical department approve it? Han Guangyun said in a deep voice, "Can anyone enter the operating room?!"

His voice was not loud or small, it sounded like a whisper, but Han Guangyun was sure that Wu Mian could hear his words.

Director Xu was silent, looked at Han Guangyun meaningfully, and said nothing.

"Yo, the official authority is really great. Wu Mian turned his head and didn't look at Han Guangyun, but looked directly at Director Xu, "If foreign medical staff perform invasive operations and participate in consultations, they need to be filed by the medical department and approved by the hospital." ”

Han Guangyun was stunned for a moment.

"I'm here to visit. Wu Mian said with a smile, "The newly established hospital should learn from the advanced experience of the brother hospital and go back to better serve the people. ”

Facing Wu Mian, who was talking nonsense with his eyes open, Han Guangyun was speechless for a while.

Brother Hospital...... MB, do you still know that it is a brother hospital? The corners of the second hospital are about to be dug up! A wall that was originally impregnable has now been dug and crumbling, isn't it all a moth made by the Sword Association Hospital and you, Wu Mian and Teacher Wu.

Han Guangyun was unhappy in his heart, but he didn't dare to say anything, he knew Wu Mian's force value. And people beat themselves, and they have enough strength to settle the ...... If I knew he was here, I definitely wouldn't have come over.

Xu Caizhi, an old immortal, actually yin himself! Han Guangyun glared at Director Xu angrily.

"Slow down, don't rush, and pay special attention to the spacing of the pins. Aortic valve replacement surgery is not difficult, and it is best to take the critical steps. ”

"Esmolol 20mg intravenously. ”

"Cedilan, give half a stick, 0.2mg. ”

"Verapamil 2.5 mg and continuous pumping of amiodarone 10 μg·kg-1·min-1. ”

"Urge the results of the three tests of the nail function. ”

After Wu Mian finished scolding Han Guangyun, he stood in the operating room and commanded the rescue. The surgical process only mentions the key points occasionally, and does not pay special attention.

For Wu Mian, the difficulty of heart surgery is just like that, and the second hospital of the Medical University can complete it, so there is no need for him to brush his hands on stage.

The doctors and nurses in the operating room were busy with their own things with their heads down, and if they looked up at Director Han in this case, they were afraid that he would be even more embarrassed. Although Director Han doesn't say anything now, he can't stand his revenge in the future.

Han Guangyun was also uncomfortable, Wu Mian simply didn't treat himself as a dish, this thing just finished talking about visiting and studying, and then directly commanded the rescue......

The alarm of the monitor was continuous, and the patient's vital signs were not stable, but the whole operation was completed little by little under the command of Wu Mian.

"Mr. Wu, the results of the examination are back. Director Xu answered a phone call and said to Wu Mian's side.

“T3：12.2，T4：584.1，FT3：54.52，FT4：84.2，TSH：0.22.”

Director Xu took his mobile phone and quickly read the value on it.

Serum total T3 and T4, free T3 and T4 were several times higher than normal, and TSH was lower than normal. Whether it is thyroid storm or not, this test report is abnormal.

"Propylthiouracil 600mg, propranolol 10mg, injected through a gastric tube. ”

Director Xu was glad in his heart, fortunately, dozens of minutes ago, Mr. Wu Mian Wu asked him to prepare medicine. Otherwise, propylthiouracil, a drug that cannot be used in the operating room for eight lifetimes, will definitely not be used in the first place.

"60 minutes after the gastric tube was injected with propylthiouracil, 1.0g of sodium iodide was added to 500ml of 5% glucose saline, and slowly intravenous infusion for 12 hours. ”

"Propranolol, 3 mg plus 5% dextrose saline 250 m1 in a slow intravenous extraction. Wu Mian continued to say, "I know how propranolol stopped taking medicine." ”

"Yes, yes. Director Xu turned into a little anesthesiologist, holding an A4 paper in his hand, and wrote down everything Wu Mian said, not daring to omit a word, "Pay close attention to changes in heart rate and blood pressure." Once the crisis is lifted and the usual dose is switched, I know, I know. ”

"Hmm. Wu Mian nodded.

"Give a hydrocortisone first, then 100 mg to 5% glucose saline 500 m1 intravenous infusion. ”

"After surgery, he was sent to the ICU and given antibiotics to prevent infection. In addition, pay attention to the liver and kidney function, and some patients will be complicated by multiple organ failure after thyroid storm. ”

As he spoke, Wu Mian glanced at Fang Jinshui and asked, "Director Fang, does the preventive use of antibiotics also have to be approved?" Or is it not allowed at all?"

"Don't let it now. Fang Jinshui didn't dare to look at Han Guangyun, and told the truth.

"If you consult with the clinical pharmacy team, you must use antibiotics in advance. High-level, high-dose, if you don't let me call. Wu Mian didn't look at Han Guangyun, and said directly to Fang Jinshui.

"......" Han Guangyun listened to Wu Mian's words, feeling a little dazed and a little angry.

The value of the report just assay...... He didn't understand any of them. Although I couldn't understand it, I could see from the expressions of Wu Mian, Fang Jinshui and Xu Caizhi that there was really a problem with the laboratory examination.

How can a heart surgery be complicated by thyroid problems! Han Guangyun suppressed the countless questions in his heart, lowered his head, and said nothing.

The cruel words I said to Director Xu before I came in could only be swallowed back.

Although the guy was "arrogant" and said that he would not be allowed to call him, who did he think he was......? Han Guangyun's chest was suffocated, and his stomach pain was a little worse.

Wu Mian didn't look at Han Guangyun, and after explaining the doctor's orders one by one, the anesthesiologists and nurses in the operating room began to execute. Ren Haitao followed beside him, cautiously glancing at the manufacturer and production date of each drug.

The drug is injected, and the patient's vital signs still do not change. The high pressure is still hovering around 75mmhG, the heart rate is around 160 beats, the alarm sound of the monitor is constant, and the sound of Didi is upsetting.

But the momentum emanating from Wu Mian was much gentler, and Ma Xiude could clearly feel that Teacher Wu's whole person was relaxed.

"Mr. Wu, when will the medicine take effect?" asked in a low voice.

"Let's go down. Wu Mian said, "It will always be like this during the operation." But it's okay, propylthiouracil and sodium iodide are given in, and people should be fine. ”