(Thanks to my friend 08a for his encouragement, thank my friend for his encouragement)

"Yo, Brother Li, let's partner today. Did you pass on the relevant information?" asked Liu Banxia with a smile after coming to the operating room.

"It's been passed on, and now I'm infusion to adjust the electrolytes. ECG is normal, no hypertension and no diabetes mellitus. Li Liwei said.

"The film shows a large amount of free gas in the abdominal cavity, and there is a perforation on the side of the small curve, which you will have to open your abdomen to find out. ”

Liu Banxia gave a thumbs up, "Doctor Liang, do you see it?" Brother Li didn't talk much, and every word was said on the blade. During the operation, you should hurry up and don't go into shock during the operation. ”

He is not bad, although the patient is also in danger now, but the physical condition must be controlled. Otherwise, if you rush to do the surgery, it will increase the risk to the patient.

If there is no perforation that causes diffuse peritonitis, the most important thing to do is to treat it conservatively. Surgery is only considered if there is no improvement with conservative treatment.

After waiting for more than ten minutes, the patient was pushed in.

"Don't be nervous, leave it to me. Liu Banxia said with a smile.

The patient nodded, "It's just that this gastric tube is uncomfortable, can it be removed after the operation?"

"That's not possible, this can decompress the stomach and intestines before surgery, don't you see that your belly is small. It can also play a role in drainage after surgery, and you are now suffering from a gastric perforation. Liu Banxia said with a smile.

"It's really uncomfortable to plug this thing, as long as it's okay, I'll pull it out for you as soon as the time comes. Let's have surgery next, just rest assured. ”

The patient nodded.

Liu Banxia glanced at the monitor, his body temperature was 38.9 degrees, his low pressure was 80, his high pressure was 115, and his heart rate was 110. The index is slightly high, but now the patient has severe abdominal pain, and he does not allow himself to palpate, and it is normal for the heart rate to be high.

I took a closer look at the patient's body surface features, and fortunately, the yellow staining phenomenon did not become serious. Although the patient was also delayed at home, after all, it was not delayed for too long.

Sun Fengjiao was very interested, and this was also her first operation with Liu Banxia in a serious sense. Even if she has a higher education, Liu Banxia's current position is higher, and her skills are better.

After waiting for anesthesia, Li Liwei nodded at Liu Banxia.

"Brother Li, this patient is special today, and it is all up to you to provide us with protection. Liu Banxia said.

"Just invite me to dinner when you have time. Li Liwei nodded seriously.

"Liang Xiaolin, open stomach. Liu Banxia said.

Liang Xiaolin, who was already ready, was stunned for a moment, and looked at Liu Banxia pitifully.

She didn't expect Liu Banxia to be so bold and dare to let herself open the patient's abdomen. This is not a minor operation, what should I do?

"What are you afraid of, I'm here. Liu Banxia said lightly.

"There will be more people in the future, and there will be no opportunity to practice like this. I will complete the work after the laparotomy, and the work of closing the abdomen will be handed over to Dr. Sun, and we can be regarded as having a division of labor in place. ”

"I ...... ......Do I really do it? , how big does that have to be. Liang Xiaolin said with some hesitation.

"If I do it, 8 centimeters is about the same. However, considering the patient's condition, you should drive it to 10 cm, which is safer. Liu Banxia said.

"Oh"

Liang Xiaolin answered, turned around, and took the scalpel.

I'm still very nervous, I really haven't done this job. But nervousness is nervousness, and this knife has to be cut. Trying to recall Liu Banxia's actions when she had the knife in the past, she took a deep breath, and she went under the knife.

"That's good, just right, come on. Liu Banxia nodded with satisfaction.

If it was usual, Liang Xiaolin would definitely have to stare at him. It's just that Liang Xiaolin is now in charge of other things, and all her attention is on this abdomen.

Layer by layer, Liu Banxia cooperated seamlessly here. Until it was completely opened and the abdominal cavity was exposed, Liang Xiaolin felt that more than half of his strength had been drained.

It turned out that the pressure was so great during the operation, why did Liu Banxia look relaxed every time?

"Exploration showed a large amount of green pus of no less than 3000 ml, large areas of edema in the peritoneum, intestinal paralysis, and aspiration. After the transfer came back, Liu Banxia said.

"The patient was really lucky to come in time. If it drags on for a few more hours, it's really hard to say. I think that even if Director Zhou makes a move, there is not much chance. ”

"Doctor Liu, they all said that you did the operation quickly, how long is this one expected to do?" Sun Fengjiao asked curiously.

"I'm doing it fast? Not too fast. Liu Banxia said casually.

"Today's this is really uncertain, the main thing is the cleaning of the abdominal cavity, the sutures are easy to do, now I can see how big the perforation is, I hope it is smaller." ”

After sucking out all the exudate and stomach contents in the abdominal cavity, Liu Banxia began to use edentulous forceps to look for the perforation site.

This job is not so quick to complete, and the X-ray can only show the approximate location. In the process of searching, as long as the exudate is stained, the device will be considered contaminated and will have to be replaced.

"I was really lucky that the piercing was about 0.6 centimeters, and it was very well stitched. After finding the piercing, Liu Banxia let out a sigh of relief.

"This is also an advantage of early medical treatment, and it is really hard to say if it is delayed any longer. Because the perforation is small, there is less gastric juice coming out. Isn't there much damage to the surrounding organs?" asked Li Liwei.

"Well, the prognosis should be much better, you don't have to lie in the ICU for too long, you can save a lot of money." Liu Banxia nodded.

Liu Banxia first intermittently sutured three stitches, and the middle needle was knotted and trimmed. The other two stitches were only knotted and not cut.

After it is done, cover the perforated area with omentum, and then fix the omentum with the first and third stitches, tie the knot and cut the thread, and this is considered the completion of the stitching.

"Alright, now comes the most important work, rinse. Liu Banxia stretched and stepped aside.

The rest of the work can be completed by Liang Xiaolin and Sun Fengjiao, and it is very simple and hard work. The abdominal cavity should be flushed repeatedly until the warm salt water is clear, and then the abdominal cavity should be flushed clean.

Liu Banxia was also patronizing the patient, and he didn't notice Zhou Shuwen and Dean Chen Zhenxing standing in the observation room above the operation.

"This kid is really good, he can be on his own in such a short time. You can give him some permission appropriately, and make it clear. Chen Zhenxing said with a smile.

"Don't praise him, he may not be able to get embarrassed after listening to him. Haven't you heard, before the operation, I had another battle with Qin Hai. Zhou Shuwen said distressedly.

"Are you complaining, or are you wronged for him? Let's do this first, Lao Qin, it's not easy to get it. Chen Zhenxing dropped a sentence and walked away with his hands behind his back.

Zhou Shuwen glanced at Liu Banxia, who was chatting leisurely with Li Liwei below, shook his head helplessly, and left.