The data that made Zhang Gu frown.

It is esophageal manometry to monitor the pressure index of gastroesophageal motility.

According to his judgment, "it is possible that this patient will have a decrease in esophageal motility tonight, or the day after tomorrow." ”

Zhang Gu frowned, if his worries really happened, then this operation could not be done again.

The decrease in gastroesophageal motility will cause the cavity and traction devices to be unable to lower the stomach.

"Now, we can only hope that this patient will not have gastroesophageal reflux again, otherwise the esophageal motility will inevitably decrease again if the patient refluxes a few more times. ”

"At that point, you really can't have surgery. ”

Zhang Gu glanced at the schedule.

"It just so happens that I'm on duty tonight, and I'll observe and observe. ”

At night.

In the general surgery duty room, it was Zhang Gu and Shen Wenting's turn to be on duty.

After the two inspected the ward, they chatted in the duty room.

"Brother Zhang, is the house still comfortable? The uncles and aunts downstairs are running Tai Chi in the morning, do they disturb your dreams?"

"If you're not satisfied, I'll change it for you, I have a lot of rooms. Shen Wenting said with a lot of money.

Zhang Gu said: "It's okay, don't bother, I got up in the morning to have breakfast, and I looked at the people below who got up early to exercise, and I was in a good mood." ”

"That's good, if you have any questions, just say it. ”

After Shen Wenting finished speaking, she poked her head curiously.

"Brother Zhang, what are you writing about this sketch?"

Zhang Gu was holding the pile of materials that Xiang Jianhua gave him in his hand, and he was correcting them with pens of different colors.

"Fundoplication information, I write some thoughts. ”

Shen Wenting was stunned and said enviously: "Is it the new surgery arranged for you by the director?"

"Yes. ”

Shen Wenting's eyes flashed with the light of expecting progress.

"Can I take a look?"

Zhang Gu smiled: "Okay, these materials are not confidential, and they are basically open information." If you want to read it, take a few pages and read it. ”

Zhang Gu took out the first few pages of basic information and gave it to Shen Wenting.

He himself continued to correct the difficult parts later.

At this moment, Xiao Mao, who was arranged by Zhang Gu to pay close attention to the special patient, hurriedly ran over.

"Teacher Zhang, the patient has reflux again, and has been saying that he has a feeling of heartburn, and he even vomited acid reflux just now. ”

Zhang Gu frowned, got up and rushed to the ward.

Shen Wenting also put down the information, and followed Zhang Gu in three steps and two steps.

The three of them came to the ward.

Two little nurses are dealing with wiping clean.

Zhang Gu saw this situation and said quickly: "Xiaomao, do another esophageal measurement and compaction monitoring." ”

"Good. ”

Xiao Mao also knew that the situation was serious, so he connected the instrument with both hands and feet.

When the pressure value came out, Zhang Gu's face was not very good-looking.

Esophageal motility continues to decline.

This should not last until tomorrow.

"Teacher Zhang, what should I do?" Xiao Mao saw that the pressure value was almost below the standard value, and he was anxious.

Shen Wenting also looked worried: "Brother Zhang, can this operation still be done?"

The patient who was vomiting acid was also frightened by his own situation and panicked.

"Doctor, am I okay? Can I still have surgery?"

"What can I do if I can't have surgery?"

Zhang Gu took a deep breath and said, "Contact Director Xiang, and say that the operation will be carried out overnight, and ask him to make arrangements." ”

At the same time, he contacted Director Lu Taolu of the Second Department of Gastroenterology of the First Hospital and asked him to come over overnight to help. ”

Xiao Mao hurriedly called.

Xiang Jianhua was sleeping at home, and as soon as he answered the call, he immediately got up and dressed.

At the same time, he also contacted Lu Tao in the first hospital and learned that Lu Tao was not scheduled for work tonight and was resting at home. I also just received a call and was getting up and getting dressed quickly.

The problem is that Lu Tao's house is a bit far away from the Third Courtyard.

Xiang Jianhua made a quick decision and sent Dr. Donnie Yen, who was on duty, to Zhang Gu.

Cooperate with Zhang Gu to carry out the operation first.

First, do pre-operative work such as perforation, perforation, lower laparoscope, traction device and other equipment.

Before the patient's esophageal motility drops to the standard value, the first half of the operation is done in a race against time.

Wait for Lu Tao to come over, and then do the core part of the operation.

An operation attracted several people from different places, and at the same time they took urgent action.

General surgery operating room.

Donnie Yen hurried over.

At the same time, an anesthesiologist who was urgently dispatched also rushed over to administer general anesthesia to the patient.

Donnie Yen said: "Doctor Zhang Gu, arrange for me to be your deputy to the director, and I will obey your command." ”

Zhang Gu didn't care about being polite at the moment, and said quickly: "Okay, Dr. Zhen put the patient in the left decubitus position and help me get under the gastroscopy." ”

Mao Junliang knew that at this time, there was no place where he could help, and if he forced himself to help, he might help the other way, and the more he helped, the more chaotic he became.

He was anxious, but after helping to position the patient, he sensibly stepped aside.

on the operating table.

Zhang Gu, with the assistance of Donnie Yen, gradually got off the gastroscopy.

Explore the esophagus and stomach.

As the monitor gradually showed the picture, Zhang Gu shook his head: "No wonder the esophageal motility is declining, this is too bad." ”

"Dr. Zhen, Shun gastroscopy, lower tractor equipment. ”

"Good. "Donnie Yen showed excellent deputy ability.

Mao Junliang was beside him, carefully observing Donnie Yen's cooperation methods, and sometimes took out the small notebook he carried with him and wrote down a few lines.

A moment later.

Gastroscope, tractor and other equipment have been ordered.

Just waiting for Lu Tao, the chief surgeon, to come to the operation.

But at the door of the operating room, Lu Tao was still not visible, and even Xiang Jianhua was not in place.

"Doctor Zhang Gu, what should I do?" Donnie Yen ran out of ideas.

He cooperated with Xiang Jianhua to perform many surgeries, but he never involved this fundoplication.

Faced with this situation, Donnie Yen, the old deputy, has no bottom in his heart.

Zhang Gu kept in his hands, and said directly: "Let's continue the operation." ”

Donnie Yen paused: "Don't you wait for Director Lu and Director Xiang?"

Zhang Gu said: "Wait while doing it." ”

Donnie Yen hesitated a little and nodded.

……

Another twenty-five minutes passed.

At the gate of the third courtyard, a car turned in and entered the parking lot.

After Lu Tao got out of the car, he immediately rushed in the direction of the general surgery operating room.

A moment later, Xiang Jianhua also came.

He passed by the door of the general surgery duty room and saw Shen Wenting on duty inside.

"Has Director Lu Tao of the First Academy arrived?"

Shen Wenting hurriedly said: "It's here! ”

Xiang Jianhua's heart suddenly felt a lot easier!

I'm not so anxious anymore.

This operation can only be done by Lu Tao in the whole original city.

Just now he arranged for Zhang Gu and Donnie Yen to do the anterior surgery first, and then get the gastroscopy equipment first, but in fact, he also took the risk.

Now that Lu Tao is in place, it should be fine.

"Hmm, how are you holding this stack?"

Xiang Jianhua was about to go to the operating room, but found that the pile of information he gave Zhang Gu appeared in Shen Wenting's hands.

Shen Wenting was a little at a loss, and said like a thief who had been caught: "Dr. Zhang said that I could also see it, and he went to the operating room, so I picked it up and took a look." ”

Xiang Jianhua smiled and comforted her: "It's okay, I didn't say you can't watch it." ”

Out of the corner of his eye, he saw the annotations on the two colors of handwriting on the document.

In his heart, he secretly said that Zhang Gu's enthusiasm for learning is really high, and he has already written so many experiences.

Xiang Jianhua took the information, flipped through a few pages, and was even more surprised.