Chapter 231: The heart of waiting is about to jump out
Looking at the patient, he was pushed to the next intensive care unit.
Xiang Jianhua sighed: "I'm afraid I'm going to lose sleep tonight." ”
"This patient's liver is only a little bit of volume, and the 24 hours after surgery are the most dangerous, if they can survive it, there is still hope for the patient. ”
Wu Yan also said: "Don't talk about you, I'm afraid I can't sleep, only a patient with a volume of 291ml, this is too incredible, Zhang Gu really dares to cut it!"
To be honest, this time both of them felt that Zhang Gu had played big.
If it weren't for Zhang Gu's previous dazzling and almost totally victorious surgical records in front of him, I am afraid that the two of them would have rushed up several times during the operation to prevent the interruption of the operation.
But now the situation is already like this, and it is useless to say more. The only way to do this is to guard the patient at the most dangerous moment in the 24 hours after surgery, so that he can avoid accidents and survive this time.
The two glanced at each other, their faces full of helplessness.
Ning Hongru came over and said, "Then the three of us, just take shifts!" In this way, even if the patient has an accident, he can carry out emergency rescue as soon as possible. ”
"In addition, it is also a good opportunity to observe the traces of Zhang Gu's project. If it is true that the patient's liver volume can increase rapidly, the first 24 hours must be the most obvious change. ”
Several people nodded again and again, their eyes were worried and expectant, and they were very contradictory.
……
At night, Zhang Gu had already gone to sleep in the dormitory next to him, dark and quiet.
Not far away, in the intensive care unit, it was brightly lit.
The three old doctors were talking while listening to the nurse's monitoring report every hour.
"The patient's temperature has been maintained between 37.5 and 38.7. ”
"This is a good sign, indicating that the patient's vital signs are still relatively stable, and the metabolism in the patient's body is estimated to be very fast at this time. ”
"What about liver function, coagulation function, HB, PT?"
"TB7.5, DB3.0, globulin 27, neutrophils 84.1, all aspects are slightly higher than the normal human body, all indicators show that the metabolism of this patient is very fast at the moment. ”
Xiang Jianhua and Wu Yan glanced at each other.
"This shows that the patient's signs are stable, and the risk is not great within 24 hours, and even less dangerous than other seriously ill patients. ”
The nurse next to her couldn't help but roll her eyes secretly when she heard this.
Originally, Dr. Zhang Gu explained that this patient only needs one nurse to watch, and other nurses on duty can be freed up to take care of other patients.
But these three old doctors have to be watched by two nurses in turn, so they can't make a mistake.
As a result, the patient's vital signs were extremely stable, and there was no sign of danger at all, which made them worry in vain, and wasted manpower, and the nursing workload of other hospital beds suddenly increased.
But they can't say anything yet, who made the status of these three old men in the hospital, one higher than the other?
Before I knew it, it was dawn.
After all, the three old doctors were all old, and they couldn't bear it anymore, one by one, they half leaned back in their chairs to take a nap, and even Ning Hongru was still snoring.
At this time, Zhang Gu, who was sleeping refreshed, walked in leisurely.
Seeing the appearance of the three of them, Zhang Gu was dumbfounded: "Xiaomao, go get a blanket and cover them with some." ”
Zhang Gu strolled inside.
I don't know if it was the little hairy booth that woke me up, or if the three old doctors didn't sleep well.
Xiang Jianhua woke up first, saw Zhang Gu, and said hello, and now, the other two also woke up.
Seeing that Zhang Gu was going to check the data, they were all in good spirits and followed.
It's time to check out the first 12 hours of data!
Zhang Gu first looked at the patient's signs, and suddenly felt certain: "Yes, the patient's condition is very good." ”
Looking at the indicators again, Zhang Gu knows in his heart, which are all signs that the liver is rapidly increasing in size, resulting in accelerated metabolism, which can be explained.
Finally, Zhang Gu said: "Look at the color Doppler image. In fact, for him, it is the same whether he looks at it or not, from various indicators, Zhang Gu can already deduce a lot of things.
Looking at the image map, it is more for the three old doctors.
Xiao Mao hurriedly went to operate the color Doppler instrument.
EXAMINATION AND MEASUREMENT SHOWED THAT THE VOLUME OF THE PATIENT'S LIVER INCREASED TO 323ML OVERNIGHT.
Zhang Gu smiled: "Not bad, yesterday it was 291ml, an increase of 32ml from yesterday, according to this trend, in the first 24 hours, it can probably grow by 58ml, reaching about 350ml." ”
"IN ABOUT A WEEK, THE LIVER VOLUME SHOULD BE BACK TO ABOUT 600ML, AND THEN IT WILL BE READY FOR A SECOND OPERATION. ”
As soon as Zhang Gu said this, everyone was excited!
Wu Yan was pleasantly surprised: "Let me see, how much has it grown?"
Wu Yan and Ning Hongru also came over and glanced at it. When they saw that definite number, everyone was immediately relieved!
What reassures them even more is the trend that Zhang Gu said!
This shows that Zhang Gu not only has an understanding of liver resection, but also has an understanding of the increase in the volume of the liver after liver removal and blood supply convergence, and he can also know it in his heart, not blindly.
……
The next six days.
Zhang Gu disappeared into the ward and never showed up.
Xiang Jianhua and the other three old doctors are more attentive than Zhang Gu, soaking in the ward every day, observing the patient's data, and drawing the curve recovery chart of various data according to the daily performance.
By the fourth day.
Wu Yan: "If you look at the data recovery trend, it is basically in line with the trend that Zhang Gu said. ”
The other two nodded, and the heart that was originally hanging was now basically put down.
They all know in their hearts that this project is basically on the right track, and as long as there are no accidents, then the probability of success of this project is already very high.
Xiang Jianhua's joy was overflowing: "This biggest difficulty has been solved, and the second operation will be relatively easy." It seems that we are fortunate to see the treatment of giant liver cancer on the market!"
Ning Hongru smiled all over his face: "Yes, I am from hepatobiliary surgery, and this feeling of testimony is particularly strong. ”
Wu Yan laughed: "I am a real beneficiary, Zhang Gu's credit is the greatest, but I can also have the honor to put a name on the topic, this feeling is like pie in the sky." ”
Both of them glanced at him with envy, why are you so lucky?
……
Zhang Gu was alone in the office next to him.
This is an office that he and Qin Weiduo wanted, so that he can write with peace of mind and not be disturbed by others.
On his computer, two new PPTs were created.
One is "Handouts on the Use of Different Spleen-Protecting Procedures in Different Surgeries".
One is the "Course Handout for the Treatment of Giant Liver Cancer with a Two-Step Liver Resection Method".
These two courses will have to be carried out sooner or later, so Zhang Gu simply spent the next few days writing handouts and sorting out the materials.
Six days have passed in a flash.
Early in the morning, everyone, including Zhang Gu, gathered in the ward to check the patient's liver condition.