Chapter 6 Cardiac Arrest
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"Dr. Zheng, Dr. Li Feng just called, he had a traffic accident on the road and couldn't make it. Do you think today's surgery should be postponed? Liu Xiaorong, a nurse in the operating room, walked to Zheng Jingying's office and said.
Li Feng's first assistant assisted Zheng Jingying in carrying out many surgeries, and she was more familiar with it. It may take a while for a different person to get used to.
"The patient has been waiting for days. Let's go as planned. Did the new intern come over? Zheng Jingying said.
"I'm already waiting outside the operating room." Liu Xiaorong said.
"He's going to go into the operating room later, and you can get him a surgical gown." Zheng Jingying said.
"It's ready. Is it for Dr. Fan Wenbo to take Li Feng's place? Liu Xiaorong asked.
"That's it, you hurry up and get ready to inform the patient." Zheng Jingying said.
The operation has nothing to do with Watson, of course, it is not nothing at all, it is estimated that the operation record will be written by Watson, generally such things are done by interns, and the instructor only needs to sign to confirm it. Therefore, before coming, Watson had already prepared a sample record of the surgical operation, and the framework was ready-made, as long as the content was filled in.
Although he was just observing, Watson was still excited and nervous. However, Zheng Jingying, as the main knife, is very calm.
The patient's case had already been in Watson's hands, and Watson naturally looked at it carefully.
Li Ailin: Female. 5o years old. The patient suddenly fainted when he went to the toilet a day ago, woke up after a short time, felt dizzy, weakness of his limbs, discomfort in the precordial area, and had nausea and vomiting that night.
Physical examination: T37net, blood pressure Bp13o/75mmhg. Acute pain and illness, no yellow staining of the sclera. Cardiopulmonary examination shows no significant abnormalities. Abdominal softness and slight distention, Murphy's disease (+); Examination B showed cholecystitis and gallstones.
Acute cholecystitis, gallstones, the patient was unwilling to operate after admission, so anti-inflammatory treatment was given, the symptoms were not alleviated, the pain in the right upper quadrant was aggravated, and the abdominal X-ray examination was performed on the second day, showing that there was a 7*8cm annular linear translucent shadow in the right upper abdomen, and the air and fluid level were seen in it, and the contour and position were consistent with the gallbladder; cT examination showed local interstitial emphysema in the gallbladder wall, hyperdense opacity in the gallbladder, diagnosis of emphysematous cholecystitis, and gallbladder stone band discharge (high density in the gallbladder). The patient's family agrees to have a cholecystectomy.
There is not much to see on the case, and even the patient's physical condition is not indicated. Watson scratched his head. It is known that there are also some test results that are not included in this case. After all, it's just for interns like me. The main purpose is not to understand the patient's situation, but to understand the basic format of the case. It will be useful when writing cases in the future.
When Watson was looking at the case, there was a rhythmic sound of footsteps in the corridor, and when he looked up, Zheng Jingying had already walked over.
"Teacher Zheng." Watson quickly stood up.
Zheng Jingying walked over and just nodded slightly to Watson, "Go to the locker room to change clothes, and wait to go into the operating room to observe." ”
Zheng Jingying's tone was as cold as ever.
Watson felt as if he had fallen into an ice cave.
Liu Xiaorong was very enthusiastic, "Classmate, come with me, I'll give you the surgical gown." ”
Watson glanced at the work card on Liu Xiaorong's chest and smiled, "Trouble you, Mr. Liu." ”
"I don't dare to be your teacher. You call me Senpai. I also graduated from Tokai Medical University with a major in advanced nursing. Liu Xiaorong said with a smile.
"That's great, Senior Sister Liu." Watson laughed.
Although Liu Xiaorong's appearance is much worse than Zheng Jingying, she is very warm. Unlike Zheng Da Beauty, there is an iceberg.
Watson said in his heart, if he chose one of the two to be his wife, he would rather choose Liu Xiaorong, who is average. Marrying a beauty like Zheng Jingying as a wife is only afraid that she will have a short life span of several decades.
"Don't be stunned, hurry up and change your clothes." Liu Xiaorong handed a set of surgical gowns to Watson.
"Hey." Watson answered.
However, this surgical gown is also particular, especially the surgical gown worn by the surgeon and assistant is very strict, and when wearing clothing, nurses are generally needed to help.
Although Watson had also seen a simulated operating room in school, this was the first time he had actually observed the operation on the spot. I'm still a little excited.
The patient was already lying on the operating table, somewhat obese, with a bulging belly, like a pregnant woman. At this time, the anesthesiologist has anesthetized the patient and performed a general anesthetic. The patient lies on the operating table as if he had fallen asleep.
Zheng Jingying walked very vigorously, and walked out of the locker room after a while, wearing a green surgical gown, Zheng Jingying's fair face was like a white snow lotus in the green trees. Beautiful and cold.
Watson didn't like the color of the gown hat, and the green hat was worn on his head, and he always felt a lot of pressure. Is it precisely for this reason that the relationship between men and women in the hospital is always a little messy?
Watson didn't know anything about the pre-operative preparations because it was his first day in the hospital, and it was his first time seeing a patient.
Because the patient is too obese, if the general laparotomy is used, the wound will naturally be larger, and it will be more difficult to recover.
Zheng Jingying is ready to use laparoscopic techniques to remove the patient's gallbladder. This can cause less trauma to the patient's body.
Laparoscopic technology is not a new thing, and for a young doctor like Zheng Jingying, it is naturally not a problem. The whole procedure took only thirty minutes to complete the operation.
Watson also sighed when he watched it, this woman was a little cold, and the technology in her hands was really hard. No wonder he was able to become the chief surgeon of the First Affiliated Surgery at such a young age. Even if he is a medical doctor from a famous foreign university, it is difficult to gain a foothold in the First Affiliated Hospital without excellent technology.
But just when the instrument nurse finished counting the instruments and everyone was about to leave the operating room, something went wrong. The patient's cardiac arrest.
Everyone panicked, but Zheng Jingying was very calm, quickly examined the patient, and then immediately ordered.
"Increase oxygen delivery. Epinephrine 1 mg intravenously is given. ”
However, there was still no effect, and the patient's complexion slowly began to turn purple.
Since the patient has just undergone surgery, it is natural that cardiac resuscitation cannot be performed by compression.
Watson glanced up at Zheng Jingying, and now her beautiful face was frowning and full of worry.
"How do you do anesthesia?" Zheng Jingying glared at the anesthesiologist Zhu Juncheng.
"The patient was somewhat obese. I increased the dosage appropriately. Zhu Juncheng whispered.