Chapter 111: Tell Yang Xi to come back and save Taiwan
Whether it is a perforation of the stomach due to mechanical trauma or a perforation of the stomach due to a stress ulcer, bleeding can occur. However, when Gao Chao looked through the negative pressure drainage bag where the patient had an indwelling gastric tube, he found that the drainage bag was only some clear gastric juice.
"Bring the syringe, the biggest one. ”
Li Xingzhou hurriedly went to the nurse's station to get a 50-milliliter disposable syringe.
Gao Chao didn't even wear gloves, put the indwelling gastric tube on the syringe with his bare hands, first pulled back, the resistance was extremely great, and then pushed the air inside, but he didn't move at all.
"The stomach tube is blocked, go get a new one. ”
Li Xingzhou obeyed the order again and went to the nurse's station at speed.
brought a new gastric tube, and Gao Chao had already pulled out the original blocked indwelling gastric tube, and sure enough, the head of the gastric tube was stained with blood clots.
Gao Chao frowned again and asked in a low voice, "Have you checked this patient's blood clotting?"
Li Xingzhou shook his head indifferently, he was busy rescuing, where could he still take care of various inspections.
Gao Chao re-placed the patient's gastric tube, and then used a syringe to draw a tube of normal saline into the gastric tube, and then withdrew the gastric volume......
At this moment, the patient suddenly became agitated, and then, vomited a lot of blood mixed with blood clots from his mouth.
"Send it directly to the operating room!" Gao Chao's tone became urgent, and his voice became much louder: "Call the operating room and ask them to prepare for the operation, what about the patient's family? Pick a person who can be in charge and wait for me in the office, don't be idle, hurry up and find a cart, it's too late to wait for the operating room to pick up the patient!"
Based on experience, Gao Chao judged that this patient should not be stress bleeding, but traumatic bleeding, the former can still try balloon compression to stop the bleeding, but the latter because the stomach wall may have been torn and can only be treated with surgery.
Twenty minutes later, Gao Chao stood in front of the operating table with a young doctor who had just graduated.
The proposed gastrectomy is not very difficult for Gao Chao, he can easily take an intern when he is studying in the city hospital three years ago, but at this time today, I don't know why, Gao Chao's heart faintly feels a little uneasy.
The anesthesiologist Li Ying's level is not bad, and the anesthesia effect implemented is completely satisfactory, after the superb test, he took a deep breath and said, "Let's start." ”
The little doctor who served as a helper was quite bright, although he hadn't had a few surgeries, but his personal understanding was quite good, and although he couldn't help Gao Chao on stage, he could barely complete the basic cooperation.
Successfully opened the abdomen, Gao Chao cleaned the residual blood in the abdominal cavity with a suction device, and then checked the stomach body, and couldn't help but gasp.
The stomach wall is very thin, and a hole about two centimeters long is torn at the bottom of the stomach.
There is definitely no way to make up for it, and most of the stomach can only be removed according to the proposed surgical method, which is not the reason for Gao Chao to gasp, after all, these are all expected before he came to power.
The problem is that the patient's stomach wall is not only much thinner than that of ordinary people, but also due to the stimulation of pesticides and repeated gastric lavage, the stomach wall tissue is inflammatory, and the edema is severe.
In this way, the impact on resection is not large, but the requirements for the subsequent anastomosis are quite high. When suturing, a little more force may cause tissue avulsion, and if the force is not in place, it will inevitably form an anastomotic leak. And this patient, the first time he entered the operating room, he was already dancing on the palm of the god of death, if he formed a anastomotic fistula and had to enter the palace for the second time, it is estimated that the chance of surviving will not exceed 5%.
Gao Chao sighed secretly, asked the instrument nurse Fang Chang for a needle to hold a needle, found a random place on the stomach wall, stitched a stitch, and when the knot was knotted, his hand shook slightly, and the sutures tore a small hole in the stomach wall.
This kind of difficulty has exceeded the scope of Gao Chao's ability, but fortunately, Gao Chao is not the grand army, and he knows that surgery is not child's play, and being strong and competitive on stage is tantamount to murder.
"Give ......" Gao Chao almost blurted out the three words of Director Qin, realizing that asking Director Qin to save the stage by himself at this moment was actually embarrassing Director Qin, so he changed his words and said: "Call Dean Lin, I can't take this operation." ”
Dean Lin was drinking when he received a call from the operating room, and without saying a word, he put down his glass and rushed back. This old brother is a person who understands, and he was thinking about the operation that Gao Chao couldn't take, and he Lao Lin also thought about it, so he thought about which director in the city should come to the rescue.
When he came to the operating room, Dean Lin briefly asked about the situation, and then put forward a suggestion that exceeded everyone's expectations as if asking for advice: "Why don't we call Yang Xi back for this operation?" ”
This is not a whim of Dean Lin, but the result of his pondering all the way.
Yang Xi, this kid looks a little confused, a little hanging, but in fact, he has a very careful mind, it is rare to see him impulsive, never do things that he is not sure of, it is not an exaggeration to call him a brother Gou.
When he called, he could exaggerate the difficulty of the operation, he was sure that it was the best, if he was not sure, he would definitely drag Director Gao over, so that he could save himself a lot of trouble, not to mention, but also play another role.
Yang Xi suddenly rose up, that Gao Chao was obviously unacceptable, Dean Lin could see that during these days, that Gao Chao held back a lot of energy, and only thought about getting Yang Xi out of the town hospital.
This is obviously contrary to President Lin's development strategy for the entire hospital.
Gao Chao is narrow-minded and attaches great importance to personal interests, which Dean Lin has seen clearly a long time ago, but without the existence of Yang Xi, his shortcomings are not very obvious, and now Yang Xi has shaken his position in the department, forcing him to lose his cool a little, thus magnifying his shortcomings.
However, Dean Lin still thinks that Gao Chao is a good doctor who is serious and responsible and has no less surgical skills than him.
Since he is a good doctor, for Dean Lin, he must do everything possible to keep him, not only to stay, but also to let him have a good mood when he is working.
Calling Yang Xi to do this operation, if he is not sure, please invite Director Gao to do the surgery, then there is no need to talk about it, it is also a great achievement to solve the patient's surgical problem. If Yang Xi can take this operation alone, presumably what Gao Chao saw with his own eyes, he will change his opinion of Yang Xi, if he can get along peacefully, it will be a huge benefit to the department and the hospital.
On the stage, Gao Chao listened to Dean Lin's suggestion, and couldn't help but chuckle in his heart.
Tell Yang Xi to come back to save Taiwan?
You Lao Lin can afford to lose this face, but I can't afford to lose it!