Chapter 19 Alone

"And what about the first one?" asked the woman hurriedly.

"The first traditional open cholecystectomy has an incision of about 15 centimeters, and the wound is relatively large, the trauma is relatively large, the postoperative recovery is relatively slow, and there are many postoperative complications. But the price is the lowest, and the operation costs more than a thousand can be done. Ruan Bin could also see that this woman was dressed ordinarily, and it was estimated that she was also an ordinary working family. To be honest, it is indeed hesitant to take out tens of thousands of yuan for treatment at once.

The women were also a little hesitant after hearing this, although the first one was cheap. However, the recovery time is long, and the wound is relatively large. Maybe it will affect her husband's work and heavy work in the future.

"What about the second one?"

"Although the second small incision cholecystectomy is also a traditional laparotomy, it has a small incision, the incision is only 4~6 cm, the trauma is small, and the recovery is not as fast as laparoscopic surgery, but it is much faster than the first one, and the safety factor is also very high! Ruan Bin introduced.

Small incision cholecystectomy is developed in traditional surgery, which is a combination of minimally invasive concept and high technology, which is not only reflected in the small incision, but also in the accuracy of every step of the operation inside the cavity and abdomen.

Because it is modified, there is no need for general anesthesia and artificial pneumoperitoneum, no need for gastric tube and urinary tube, and the recovery is faster than traditional surgery!

"Doctor, then use this!" the woman immediately made a decision after hearing this. The cost of laparoscopic surgery is 20,000 yuan, and her family is indeed unbearable.

This small incision cholecystectomy sounded like a good recovery and a high safety factor, so she directly chose this surgical plan.

"Okay, there may be accidents during the operation, and I need to make this clear to you. After all, the surgical process is full of unknowns. If you agree, sign it. Ruan Bin handed over the consent form for the operation.

"I know. "The woman turned out to have a consent form for the operation, and she signed it by brushing it.

"Director, the family signed, and she said that she wanted to have gallbladder surgery with a small incision. Ruan Bin walked up to Jiang Yurong and said.

"Well, you come in with me and be my assistant. Jiang Yurong said.

"Okay. ”

But just as the two of them were about to enter the operating room, suddenly four or five people outside the door brought in a patient. One of the middle-aged women cried and shouted, "Save my husband, save my husband!"

"What's going on?" Jiang Yurong hurriedly walked over.

A traffic policeman sighed and said, "Drunk driving, car accident." ”

Ruan Bin glanced at the middle-aged man lying on the stretcher, only to see that his eyes were half-closed, and his right arm was reversed and deformed. The face is severely swollen, the forehead is twice rampant, the mouth is slightly open, the pupil reflex to light disappears, and the whole body exudes a strong smell of alcohol.

Jiang Yurong immediately conducted a simple examination and said solemnly: "There is no breathing, and there is a faint heartbeat!"

"Ahh......h I told him not to drive after drinking, but he just didn't listen, he just didn't listen...... Woo woo woo ...... "The middle-aged woman cried even more devastated.

"Send it to the operating room immediately!" Jiang Yurong's tone was unprecedentedly serious. She knew very well that the patient's condition was precarious, and she didn't know whether she could be rescued. Because the injury is too bad!

"Hurry, hurry, hurry!"

After being carried into the operating room, Jiang Yurong preliminarily judged that the first emergency cardiopulmonary resuscitation should be tried first!

Ruan Bin hurriedly moved the patient to the bed in the emergency room with a few people, and the nurse Xiaoli placed the automatic cardiopulmonary resuscitation massage machine, set the parameters and started the machine.

"Ruan Bin, you immediately establish intravenous access, Zhao Yaxue places ECG monitoring, Zhou Tianlei, you help with tracheal intubation!" Jiang Yurong performed cardiopulmonary resuscitation on the patient while facing the three people.

For the establishment of venous access, Ruan Bin is naturally handy, after all, it is an expert-level phlebotomy!

Zhou Tianlei on the side was anxious: "I, I ......"

As soon as Jiang Yurong saw Zhou Tianlei's attitude, she knew that the other party was probably not confident enough in herself.

"You come to perform cardiopulmonary resuscitation on the patient, and I will insert the patient's trachea!" Jiang Yurong said in a deep voice.

"Okay!" Zhou Tianlei was amnesty, and he thought that cardiopulmonary resuscitation was still very stable.

The next moment, when Jiang Yurong was training the patient to intubate, she found that her throat was full of blood, but although the patient's oropharynx was full of blood, after suction, she was quickly and successfully intubated, not to be an old driver.

The trachea was successfully inserted to allow the patient to breathe, and Ruan Bin also successfully established intravenous access at this time.

2 minutes to complete!

Jiang Yurong was slightly surprised, this speed, the thief is fast!

"Give him 3 units of plasma, 1 unit of epine!"

"Good. "Nurse Xiaoli is busy using it for patients.

"How much does your heart beat?"

"23 just now, 30 now!" Zhao Yaxue said.

Things are getting better, and that's hope!

"Oh no, no one went to the operation of the acute cholecystitis patient who was in shock just now?" At this time, Nurse Xiaoli remembered this and hurriedly said.

"Now I can't leave here, why don't you go to the inpatient department and call a surgeon down. Jiang Yurong frowned. Obviously, this patient here will die at any time, or this one is more important!

"Ding-dong...... Temporary task of the system: take charge of the patient's acute cholecystitis surgery in person, and reward 1000 points for successful operation. ”

With the system task echoing in his mind, Ruan Bin immediately spoke: "Director, shall I go?"

"Can you have cholecystitis surgery?" Ruan Bin had said before that most of the secondary surgeries would be done, but she still asked hesitantly.

"Absolutely! I've done more than 20 cases in my original hospital. Ruan Bin nodded very seriously.

Zhou Tianlei on the side of the "......" was stunned for a moment. This second-level surgery will also be for Mao Laozi also came to the county hospital from the small county town to study, and he will not even be able to perform the more difficult appendicitis surgery in the first-level surgery. Have you had a cholecystectomy more than a dozen times in your secondary surgery?

Everyone is in the county hospital at the same time, why is the gap so big?

In fact, Ruan Bin had never had a cholecystectomy at all, but if he didn't say so, Jiang Yurong would definitely not worry about letting him do it. So, I can only pretend to be forced.

"Okay, then you can go. It's just you this time, no problem, right?"

"No problem!" Ruan Bin nodded and walked out of the operating room quickly.

Outside, the wife of the acute cholecystitis patient was already anxious like an ant on a hot pot. None of the doctors have one!

Seeing Ruan Bin coming out, he immediately rushed up: "Doctor, my husband ......"

"I'm sorry, I delayed a little just now, but I'll go for your husband's surgery now. Don't worry, it's okay!"