Chapter 98: The Second Operation
Outside the operating room.
The two newly sent patients were already in place, and the faces of the two black men were extremely bad.
The most urgent patients with severe illness are the first to experience treatment, and the rest can only suffer the pain, which is not the most important thing, but fear is the greatest psychological torture.
No one is not afraid of death.
In the process of waiting for treatment, I am afraid that they have thought about the gains and losses in the first half of their lives several times, and how to carry out the life of their parents and families after death......
Dr. Jack had apparently finished checking the patient's condition and was reading the film.
Seeing that Zhou Zhou and Silan arrived, he immediately handed over the test sheet after he watched it......
Then Silan was 'very sensible' and took the lead in handing over the list to Zhou Shengsheng for review.
Zhou Zhou was helpless, but he was also putting this helplessness behind him, he needed to focus on the next first aid, as for the worries about the aftermath...... As he just thought, if you do it once, you don't care about it twice.
Breaking jars and breaking is indeed an act of dementia.
But often people always like to knowingly make mistakes, whether it is a fluke or a certain purpose.
At the very least, Monday was ready to face the consequences......
No excuses, no reasons.
If you want to blame yourself, your 'youthful impulse' is much more arrogant than ordinary people.
"The two cases are about ......"
"Zhou, you choose a patient who is more certain to operate, I will hand over Silan to you, if there is a situation that cannot be handled, we can change the position of the chief surgeon at any time. ”
Jack watched the abdominal imaging and gave the film to Zhou Sheng.
Zhou Shengsheng, who is a clinical imaging student, is too familiar with the film, but no matter how experienced front-line doctors are, the systematic scan is more reliable than the image.
After performing the A-level scan detection function on two patients, he had already made a decision in his heart -
"Just him. ”
Hearing Zhou Zhou's choice, Jax Court and Dr. Slan were stunned, they didn't expect Zhou Zhou to choose a patient with dense bleeding spots in the angiography.
Silan didn't dare to say more, he thought he was not as good as Zhou Yi, but Jack was absolutely thoughtful: "Are you sure? This patient has a lot of bleeding spots, and there is no traumatic abdominal bleeding after the abdominal impact, and the condition of the internal intestines should be very bad!"
Zhou Sheng said very simply: "But at least the injury is far away from the main blood supply system, you know that I don't know how to suture blood vessels, and I am more sure of this patient." ”
"Okay. Jack agreed, "If there is a rupture of a small blood vessel, notify me as soon as possible, I can come over to help you complete the treatment first, the conditions are difficult, everyone do your best!"
As Monday said, the patients he chose did not have a ruptured blood supply center.
As for the inaccurate suturing of blood vessels, will the intestinal sutures be done?
No, you can learn it now......
Zhou Yi had already flipped through the system's exchange column for the first time, and [Intestinal Suture Method] only needed 10 medical achievement points, and in the current situation, it was not the time to save achievement points, and the freshly baked medical achievement points had to be used.
At present, two patients were pushed out of the operating room, and the cleaning and disinfection of the operating room was immediately carried out.
After only five minutes of rest, the lights in the operating room came back on.
Nurse Mill continued to take her seat, and in addition to Dr. Slan, a nurse anesthetist arrived in fear...... The anesthesiologists in the hospital are completely insufficient, and the anesthetist nurses present are still very new, but at least they have assisted in completing more than 100 surgeries, and she knows all the basic procedures.
Such a grass platform team will not be possible in China at all, and no matter how critical the situation, it will not be so rash. However, this is Africa, where medical conditions are poor, and it is the main position to undertake the treatment of patients in major car accidents.
"Are you ready?" asked Monday.
Dr. Slan was actually the calmest: "I'm fine. ”
Mill and the nurse anesthetist looked at each other and nodded.
"Anesthesia!"
Anesthetic injection, monitoring heart rate, blood pressure, the patient from the painful struggle gradually into a state of sleep, finally got a little relief, anesthesia nurse as usual to ask the patient, check his consciousness, after the confirmation of the completion of anesthesia.
"Let's get started. ”
Even if Dr. Silan's real technical level is higher than his, the power of the system is beyond obscurity, and the precise incision is like a dynamic perspective process, revealing the vision of the injury, and selecting the best incision direction and route through system calculation.
After the terrifying imaging function of the system is deduced, the dotted line naturally forms on the skin of the patient's abdomen.
Even when the knife is dropped, there is a force display on the interface that is distinguished by the brightness of the red grid, indicating the selection position of the best force.
Drop the knife.
After the stroke is cut in one go, the fat layer just appears in the wound, and the second knife is cut down immediately after it, and the fat layer is like melted butter cutting down the blade, and it softly collapses to the sides.
Si Lan was stunned, this kind of one-time cutting was too rare, and the grasp of both strength and accuracy had reached a terrifying level.
Not to mention, the length of the opening chosen by Zhou Zhou is very long......
The current situation is not a simple appendectomy, the bleeding point on the imaging is for reference only, and the real examination should be seen after the laparotomy, so the opening is selected to maximize the healing range.
If you cut it and let him do it, it will take at least four or five intermittent times to complete.
But how long has it been now?
Three seconds, five seconds?
Definitely less than five seconds!
Even if he was stunned, Silan moved quickly, and the hook peeled open the skin and fat tissue, and it was not until he finished his work that Zhou Zhou made a third knife and successfully cut the fascia tissue.
At the same time, several people in the operating room frowned at the same time, only because of a foul smell......
The foul smell comes from the smell of the patient's ascites, the blood and mucus naturally secreted by the intestinal membrane, and the filth after the intestinal damage is mixed.
Under normal surgical conditions, it is not unreasonable to fast the night before, and impurities in the intestines are the most significant source of contamination.
"Cleanup!"
Commanding on Monday, Mill took the hook, and Slan injected a large amount of saline to begin abdominal cleansing and continuous suction.
At the same time, on the system interface-
【Exploration of bleeding points in abdominal tissue】
【Start...】
A small window is suspended on the field of view, which is magnified after successful deduction, and the blurred image is completely covered in the surgical field after laparotomy, overlapping with the patient's abdominal cavity, and several small bright spots determine the exact location of the bleeding.
The results of the Class A scan detection function are in the upper right corner.
[Seven intestinal rupture slightly, three necrotic sticky, it is recommended to excise the viscous part during the operation for end-to-end anastomosis, and the slight rupture is made with basic intestinal anastomosis, pay attention to the degree of ascites cleaning, and avoid postoperative infection......]
[Pollution rate: 75% (continue to clean)]
[Patient Signs Assessment: B]