0143 Two Men Fight with a Knife (Part II)
Although the completion of the operation given by the system panel is already very high, Zheng Ren knows that as long as the abdominal cavity is closed, the completion of the operation must be 100%, but he still carefully checks whether there is active bleeding in the abdominal cavity.
This may be one of the surgeons' obsessive-compulsive disorder.
If you don't check, you really can't. Once there is active bleeding, the patient will suffer much more traumatic damage than a second operation.
The second time to come to power is the so-called second entry into the palace in the medical world, and the risk is extremely high.
Two thousand milliliters of warm salt water were poured into the abdominal cavity and repeatedly sucked out with a suction device, and finally when only a faint, slightly turbid liquid remained, Zheng Ren and Su Yun closed their abdomen together.
Chu Yanran has been observing the patient's vital signs and the progress of the operation.
At the beginning of the abdominal closure, she wrote down a note on the surgical anesthesia sheet to prepare the patient for anesthesia recovery.
Chu Yanzhi looked east and west, chatted with Xie Yiren for a while, and then stood behind Zheng Ren and Su Yun to "observe" the operation from different angles.
The abdominal cavity is closed layer by layer, and the patient begins to regain consciousness while the last stitch is stitched.
Because the patient was sent to the hospital in time, the amount of bleeding was not large, but it was only a relatively mild hemorrhagic shock, so there was no need to be intubated or put on a ventilator.
However, because the emergency ward has limited nursing capacity, Zheng Ren still decided to send the patient to the ICU for an overnight stay.
In fact, the ICU will not spend 10,000+ every day, for example, the patient in front of him, if the hemoglobin is not less than 80, there should be no blood transfusion.
Relying on its own hematopoietic function, you can get through this hurdle.
After the operation, Zheng Ren stepped down and did not rush to change his clothes, but waited for a few minutes to help lift the patient into the flat car, and was escorted back to the ICU by Su Yun and Chu Yanran, and then took a shower, changed clothes, and returned to the emergency ward.
Su Yun didn't come back, this is a routine operation.
Because he is a postoperative patient in the emergency department, Su Yun habitually stays in the ICU, guards for 1-2 hours, and will not leave until the patient's condition is stable and there is no special treatment.
One hour after the operation, Zheng Ren said to the nurse on duty, then put on a white suit and went to the ICU to check the condition of the postoperative patient.
Every surgeon will do this whenever the situation allows, unless it is a small surgery that cannot be smaller.
When he came to the ICU, the patient was in stable condition and was fully awake after the operation.
Because the incision was painful, he was given a pill and was in a coma.
On the monitor, the patient's vital signs are stable. And Su Yun didn't sit next to the ventilator and monitor like he did before when he took care of serious patients, holding a pen and paper in his hand and calculating.
He was a little laid-back, chatting with the nurses in the ICU without a word.
Zheng Ren didn't hear what Su Yun said clearly, anyway, the girls in the custody room next to him lowered their voices and laughed wildly.
The old man's blood pressure from the ruptured hemangioma has basically recovered, and he is a little uncomfortable with the ventilator tube, Zheng Ren told him about the situation outside, and comforted the old man.
Good recovery, it's good.
Jung in smiled and turned to leave.
After leaving the ICU, Zheng Ren saw that the chairs in the corridor were full of patients' family members, and even the floor was covered with rolls, and he didn't know where the patient's lover was after surgery.
This is the case in the ICU, where the patient's family is not allowed to enter, so as not to carry the bacteria on the body to open the respiratory tract of the patient and the possibility of reinfection. So they can only sleep outside, there is no rest room, and they can only find a random place to lie down.
Patients like today's surgery, which are relatively mild, can be transferred out of the ICU overnight. The family members of this kind of patients can stay up all night, but once they are replaced by severe cases, they can barely rely on ventilators to hang their lives, and the family members wait outside indefinitely, day after day.
Zheng Ren called the names of the patient's family members a few times, and the voice was not loud, but it was not small.
There was a sound from the fire escape, and Zheng Ren pushed the door and walked in.
Tang Xiu and the middle-aged woman smoked in the fire escape to refresh themselves.
Seeing Zheng Ren, Tang Xiuleng paused, subconsciously took out the lady's cigarette and handed it over.
Zheng Ren waved his hand.
"The patient is recovering well, and if there are no accidents, he will be able to come out tomorrow. Zheng Ren said.
Tang Xiu and the middle-aged woman both had joyful looks on their faces, but they immediately realized that Dr. Zheng was talking about one person or two people?
Zheng Ren also smiled and said, "It's all good." ”
The faces of the two finally relaxed.
"The two of you are quarreling?" Zheng Ren asked tentatively, pretending to be relaxed.
The middle-aged woman was a little embarrassed, bit her lip, and nodded.
"Why bother with knives and guns. ”
"He is usually honest, but today because of the money of the gift-bearers this month, he asked me for it. The middle-aged woman sneered: "You also know that when children go to high school, it is the time to spend money. It costs hundreds of each make-up class, and the two of us are just ordinary employees, so we really don't have much money. All this money was saved between the teeth. ”
"Then don't use your knife. Zheng Ren smiled kindly, "It's good now, it's more spent." ”
When it comes to spending money, the woman's face shows a look of pain.
"But fortunately, you sent it in time, and it didn't take much. Go back to the emergency ward and try to save a little bit for you. Zheng Rendao.
"Thank you, thank you. The middle-aged woman nodded busily, "Medical insurance can reimburse it." ”
"How could it be. Zheng Ren shook his head, "Car accidents, knife wounds, medical insurance is not reimbursed." Besides, even though the two of you are fighting on your own, under normal circumstances, if a prosecutor files a lawsuit, you will face the crime of felony and go to jail. ”
The woman's face immediately turned ugly.
"But as long as your lover has no opinion, you won't be prosecuted. After all, what we pay attention to is that the people do not raise officials and do not hold them accountable. Zheng Ren's expression was very serious, "After your lover comes out tomorrow, don't be so tough." Apologize and let him go smoothly. During the recovery period, if the patient is in a good mood, he will be discharged from the hospital quickly, and he can spend a few less. If you are angry, the cost of follow-up treatment is astronomical. ”
Zheng Ren was even frightened, and the middle-aged woman looked sneered, nodded again and again, and swore that she would never do this again in the future.
This is the purpose of Zheng Ren's more chat, he does not have Chang Yue's talent, but he has been clinical for many years, and his mastery of the mentality of patients' families is also a high-level level.
In the face of this kind of family members who have been frightened because of the consequences of passion and impulse, it is not too simple to communicate.
"Doctor Zheng, how is my father?" Tang Xiu, who had been waiting quietly, asked eagerly when he saw that the topic between Zheng Ren and the middle-aged woman was over.
"The old man is fine, he is awake under general anesthesia, and he can hear me when I speak. It's because I use a ventilator to assist breathing, I can't speak, and I will be extubated and transferred out tomorrow. ”
The patient recovered smoothly, and both Zheng Ren and the patient's family members were filled with warm smiles on their faces.
"Thank you, thank you. Tang Xiu really didn't know what to say, a thousand words, and finally turned into thank you twice, repeating constantly.
Zheng Ren waved his hand, turned around and left the fire escape, and took the elevator back to the emergency ward.
Shay has already left, Zheng Ren looked at the WeChat group, the mahjong game was stirred up, and he had an operation, but he was not interested, and he went back to his own home.
The north wind was howling outside, and the heated hospital was as warm as spring.
The first half of the night was noisy, but the second half of the night was smooth and peaceful.