Chapter 73: On the Operating Table
Liu Musheng had already done lumbar puncture anesthesia, his eyes were blurred, and the whole person was a little dizzy. After anesthesiologist Li Sujuan finished anesthesia, he saw that the young man was dizzy, and couldn't help but be full www.biquge.info of love, pinching his little face.
Zheng Yichen saw that she was pinching very coolly, and couldn't help but remind him loudly: "This person is an addict, ruthless character, it's better for you to pick a softer persimmon and pinch it." ”
Li Sujuan put down her hands and stood aside.
Chen Yong, who was in charge of disinfection, showed the professionalism of a medical staff at this time, and looked at Liu Musheng's **** when he was routinely disinfecting his lower body and said: "The **** is too long, and after cutting the appendix later, I will give him a **** circumcision by the way to reshape the male male style." ”
"I heard that the pleasure caused by taking drugs is hundreds of times stronger than when I was ****, maybe he has this silver gun under his crotch, and he never needs to play with it." Li Sujuan replied.
Chen Yong didn't answer, and used iodine tincture to apply it to the skin from Liu Musheng's abdomen to his knees for disinfection, and when he wiped it on the sensitive parts, perhaps because the anesthetic strength had not completely worked, something under his crotch was actually provoked and stood upright.
Li Sujuan blushed and said: "The dead child is actually a hooligan." After speaking, he opened his eyes and glanced at it a few more times, not forgetting to comment on the size, "It's still quite impressive." ”
In fact, the atmosphere presented in the operating room is often not as tense as in film and television dramas, when the surgeon is afraid of an operational accident, he will always look for some buffering concoction while being highly nervous, such as a few innocuous jokes, or teasing the nurse who passes the surgical instruments on the side.
Comparatively speaking, the atmosphere in the operating room is actually much more relaxed than in the inpatient department.
After finishing the routine procedures of disinfection and laying towels, Chen Yong handed the scalpel to Xu Zhiwei: "You can locate it." ”
Appendectomy is one of the most common surgeries, almost every day, Xu Zhiwei has been in the surgery for so long, although he has not obtained the relevant qualifications and cannot become the chief surgeon, but he is familiar with each process of the operation, and the simple positioning is not a problem.
He did not shirk, took the Mai dot as the center, and after making a cut about five centimeters long with the back of the knife, he handed the scalpel back to Chen Yong.
Zheng Yichen frowned, and couldn't help muttering, "Wrong." ”
Xu Zhiwei, who has sharp ears, is best at chasing the wind and shadows, although his voice is small, he still hears it: "You dare to say that I am wrong?" Can you find a better place to make an incision than this one? ”
Zheng Yichen nodded generously and said, "That's right." ”
Xu Zhiwei blushed, stretched out his hand and gestured: "The intersection of the middle and outer 1/3 of the line between the umbilicus and the right anterior superior iliac spine is the Mai's point, the body surface projection of the root of the appendix, and it is the most suitable to choose this part for surgery, I ...... I don't think I'm wrong, if you have a better place to make the surgery, you might as well point it out. ”
He has restrained a lot, and there is no aggressive bravado in his words, but when Zheng Yichen points out his mistake, he still can't help but fight with reason.
"Okay, then I'll show you." Zheng Yichen stretched out his hand to ask Chen Yong for a scalpel, and the head and tail were extended on the notch positioned by Xu Zhiwei, and the five-centimeter surgical nick became eight centimeters: "The position you are looking for is completely correct and flawless, but I think this knife should be a little longer." ”
Xu Zhiwei's face flashed with disdain, and he said, "Isn't it? The surgery must be just right, and a five-centimeter surgical opening is more than enough to do a small appendectomy. Dr. Chan, am I right? He didn't dare to belittle Zheng Yichen openly, so he had to turn to the selfless Chen Yong.
Chen Yong nodded and said, "You're right, but Yi Chen is not wrong." For a person of normal body size, it is enough to remove the appendix and make a five-centimeter surgical incision. But today's one is too fat, and organs such as the large and small intestines may cover the appendix in the deep layer, making it difficult to see clearly, so it is still necessary to make a larger incision. ”
He took the scalpel, and the blade cut through the flesh, "But eight centimeters is a little longer, and a seven-centimeter surgical incision should be enough." ”
His tone was to the point, and he did not mean to favor either side.
After Xu Zhiwei thanked Chen Yong for his comments, he stopped talking.
Zheng Yichen was also a little unhappy, because according to his estimate, the eight centimeter surgical opening was the smallest opening, but Chen Yong actually reduced it by one centimeter.
Zheng Yichen pulled the hook on the side, ripped off the muscles on both sides, revealing the organs in the abdomen, Chen Yong used a hemostat to open the overlapping intestines, and concentrated on looking for the appendix, after two minutes, he couldn't help but signal Li Sujuan to help him wipe his sweat, while saying helplessly: "It's the first time I've seen such a hard-to-find appendix." ”
Zheng Yichen smiled: "Do you dare to say that a seven-centimeter surgical opening is enough?" Listen to me obediently and make the incision wider. ”
Chen Yong shook his head and said: "Looking at this situation, there is no point in expanding the incision to find the appendix, I only have to make a trick, boy, you learn a little." ”
After saying that, he reached in with one hand and pulled out a bloody intestine!
"Which play are you playing?" Zheng Yichen was obviously frightened.
"Since you can't find the appendix with the naked eye, you can only find it by touching the melon." Chen Yong's tone was calm, as if he had done a lot of this kind of thing.
He carefully pulled out the large intestine inch by inch, and Li Sujuan, in order to neutralize the bloody atmosphere of the scene, played Weibo on the side, looking for jokes to make people happy: "I'll tell you a joke." During class, the teacher asked Xiao Ming, "I have ten catties of gold and ten catties of cotton, can you tell me which one weighs." When Xiao Ming heard this, he knelt down with a 'plop', hugged the teacher's thigh and said, "Local tyrant!" Let's be friends! ”
"It's not funny at all." Chen Yong said while pulling his intestines.
"It's not funny." Zheng Yichen had relatives in his heart, thinking of one of his local tyrant friends, and shivered, "When can you stop being friends with me?" ”
Li Sujuan felt that her laughter was seriously underestimated, and she felt that it was time to make a big move: "Then listen to this: the farthest distance in the world is not that I am in front of you, but you don't know that I love you, but the distance from Monday to Friday ******." ”
"It's Monday,, it's not funny to have such a hard appendix."
Zheng Yichen said: "I think of one: the saddest thing in the world is that I wanted to cut the appendix, but you pulled out the entire large intestine. ”
Chen Yong suddenly stopped moving, Zheng Yichen thought that he couldn't stand such ridicule and felt embarrassed.
Who knew that Chen Yong then silently stuffed the large intestine that had been pulled out of the elder, and said something that made Zheng Yichen depressed and wanted to vomit blood: "It's in the wrong direction, you have to change the other end and pull it again." ”
So the sad intestine was just stuffed back into the body, and it once again faced the fate of being torn out.
This time, the appendix was finally found, Zheng Yichen turned on the light and observed carefully: "There doesn't seem to be any special inflammation." ”
Chen Yong motioned to Zheng Yichen to move his head away: "Dodge point, you have covered my sight." Wait until I cut it down and put it on a tray to clean it so you can see it all. ”
He skillfully removed the appendix and continued the follow-up work: debridement and suturing.
Halfway through the debridement, the door of the operating room suddenly opened, and a female nurse came in and said to Chen Yong, "Doctor Chen, your department has an urgent matter to call and ask you to answer." ”
"How busy? I'm having surgery! Chen Yong didn't raise his head, and his tone was not good.
Xu Zhiwei said loudly: "Brother Yong, anyway, there is only these finishing jobs left, Yichen and I can handle it here, you go and answer the phone." ”
Zheng Yichen also said: "Yes, we can do it well, don't worry." ”
Chen Yong couldn't resist the warm self-recommendation of the two and the urging of the nurse, so he said: "Okay, it's up to the two of you next, I'll answer the phone." He took off his blood-stained sterile gloves and walked out of the operating room.
After the debridement was completed, Zheng Yichen said to the nurse in charge of handing over the surgical instruments for the sake of insurance: "Check the gauze to see if the number is correct." ”
Xu Zhiwei was a little disagreeable: "Can you be so cautious?" ”
Zheng Yichen said lightly: "Be careful to sail the ship of ten thousand years." ”
After the nurse counted carefully, she nodded and said, "Fourteen pieces, the correct number." ”
Xu Zhiwei laughed and said loudly: "Great, the only thing left is to stitch up the wound!" ”
Zheng Yichen was startled by his sudden voice, thinking to himself, are you so excited? Isn't it just a little finishing work, and when you can remove the appendix yourself, it will be happy.
At this moment, Liu Musheng, who had been very quiet, suddenly let out a painful moan, and his body twisted from side to side like a snake: "Okay, it hurts!" ”
Zheng Yichen's expression tightened, and he couldn't help but glance sideways at him: "Could it be that the anesthetic is not effective enough?" "Chen Yong was delayed in searching for the appendix just now, which caused the operation to take longer than expected, and the drug was not effective enough to relieve the pain, which is also normal.
Li Sujuan hurriedly ran to Liu Musheng, leaned down, held his shoulders, didn't let him continue to move, and patiently comforted: "It's okay, it won't hurt after a while." ”
She pushed the syringe of the anesthetic, increased the dose of the anesthetic, and said to Zheng Yichen: "Wait for the effect of the drug to take effect before continuing to suture." ”
After a while, Liu Musheng's moaning changed from big to small, and finally turned into a meaningless murmur, and Li Sujuan said, "Okay, you can continue." ”
Two minutes later, Xu Zhiwei straightened the surgical thread with both hands, flipped his ten fingers flexibly, tied the last knot, and cut the thread with scissors as a end to the operation.
Zheng Yichen breathed a sigh of relief, put down the surgical instruments in his hand, took off the gloves and threw them in the medical trash can, and after taking off the sterile surgical gown, he carried Liu Musheng to the mobile hospital bed with Xu Zhiwei and Li Sujuan.
According to the usual practice, the next step is for the anesthesiologist to send the postoperative patient to the hospital bed, and there is nothing to do with the doctor, Zheng Yichen said to Xu Zhiwei: "Let's go back to the department." ”
Xu Zhiwei said with a smile on his face: "Okay! ”
Zheng Yichen noticed that his smile was not the humble and cowardly smile just now, and he became very complacent and arrogant, and his heart was a little unhappy, so he left the operating room first.
When passing by the office of the anesthesiology department, Chen Yong came out after answering the phone, saw Zheng Yichen, and asked, "The operation is done, right?" No surprises, right? ”
"It's not an accident, the anesthetic is not effective enough, I gave him more medicine before the stitches, and the dose was controlled within the normal range."
Zheng Yichen replied casually, and then asked, "Brother Yong, is there anything urgent in the department to call you?" ”
Chen Yong spread his hands: "It's nothing important at all, it's just that the body temperature of the thirty-nine-bed Abel is a little high, and someone from the nurse's station called to ask how to deal with it." ”
"For this, you have to call for advice? Which nurse? ”
"I don't know."
While talking, the two walked to the locker room, changed into white coats, and went back to the department.