Chapter 434: Posterior appendicitis
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"This day the hospital is really a mysterious place..."
After reading this medical record in his hand, as well as the diagnosis of "acute appendicitis" above, Jiāng Yuan sighed faintly, and really felt that he was under pressure.
A surgical operation that can be completed in a local township hospital, this suddenly appeared in the Heavenly Hospital, and it also appeared in the direct promotion assessment of the third-grade doctor, Jiāng Yuan really felt that he was confused.
All of them turned to the healer in disbelief, "Is this patient innocent?" ”
The healer glanced at Jiāng Yuan with a stern expression, and did not make a sound.
Looking at the healer's bulging eyes, Jiāng Yuan knew that he was wrong...
No matter where the hospital is, this is at least a formal medical record, and it is directly handed over to him, and it also explains that he wants to operate on his own patients, how can this be a fake medical record?
Yitian Hospital's Qinggao still has the Eight Classics, it is absolutely impossible to do such a thing that violates the spirit of the great doctor's sincerity, so it is absolutely impossible for this medical record to be forged, even if it is for assessment, it is impossible.
Although he did not believe that this medical record was fake, every attentive doctor should check the situation thoroughly before performing the operation, so as not to make any mistakes.
While doing the examination, Jiāng's heart was spinning rapidly, he wanted to know what it meant that the Heavenly Hospital suddenly introduced such a simple patient to himself? And why does a simple appendicitis appear in the hospital of heaven?
It only took a few minutes for Jiāng Yuan to confirm that the patient's condition was the same as on the medical record... There is no difference cuò 100% is a problem that needs to be solved surgically... Well... Simple Patient...
Seeing that Jiāngyuan turned around, Doctor Zhu Shiyangtian nodded slowly, and then said, "After the examination, get ready, and in a quarter of an hour, the operation will be performed."
Hearing Zhu Shiyang's words, Jiāng Yuan laughed dryly, and finally couldn't help but say: "Doctor Zhu Shiyangtian, may I ask if this is really for me to have an appendicitis operation?" ”
Zhu Shiyang glanced at Jiāng Yuan lightly, then nodded and said, "Yes" You do your best to do this operation well"
Oh, okay, looking at Zhu Shiyang's salty and non-indifferent appearance, Jiāngyuan nodded depressedly, isn't this nonsense, do you dare not do a good job?
When he entered the operating room, Jiāng Yuan was shocked again...
Tian Hospital is worthy of being a Tian Hospital, doing a minor operation to eliminate a du, and also following up the isolation area, standing in a dissipation room, with a transparent exhalation helmet, front and back left and right cooking agent miè bacteria...
When Jiāng Yuan walked into the operating room, Jiāng Yuan found that there were three people standing inside, one seemed to be an assistant, one was an instrument, and the other was a tour.
"It's a little easier, isn't it?" Looking at the three people standing, there is not even an anesthesiologist, it seems that it is only the tour that has anesthesia at the same time.
Jiāng Yuan has performed a lot of surgeries, but there has never been such a minimum number of people in the hospital, unless it is confirmed that there are only three or four people in an operating room.
But for such an operation, Jiāng Yuan naturally doesn't care,
Jiāng Yuan looked around, and did not see the extremely invigilated Cun Zài, but Jiāng Yuan did not feel strange, walked forward slowly, raised his head slightly, glanced at the delicate shadowless lamp above his head, and a few probes on it as expected, and then smiled
"Can we start?" Jiāng stood in front of the stage and looked at the assistant opposite through the goggles he was wearing; The assistant was very young and a female doctor
The patient has entered the anesthesia state, and the assistant Huang Ying's voice sounded, and a pair of crystal eyes looked at Jiāng Yuan, with a very normal curiosity in his eyes, and looked Jiāng Yuan up and down.
It's no surprise for such a gaze, in the past two days, in the heavenly hospital, few people have met themselves, and they can treat themselves as air, all of them are the same as looking at orangutans, and their eyes are particularly weird.
Shrugging his hemorrhoids slightly, Jiāng Yuan looked at the assistant opposite, then looked at the instrument next to him, and smiled slightly: "So... Let's get started, shall we? ”
Jiāng's smile was also a little weird in the eyes of this assistant and the tour, is this guy really here to participate in the assessment? I've never seen someone who came to the exam and laughed so arrogantly, I really thought that Doctor Tian's operating table was so easy to get on? Although this is just a simple appendicitis surgery, what should be reflected is a person's real skills and hands-on ability.
The two glanced at each other, and both saw the weirdness in each other's eyes, but neither of them made a sound, and both looked at the jiāng source, waiting for the jiāng source to start.
Jiāng Yuan looked at the abdomen that had been eliminated and laid out, nodded slowly, and stretched out his hand...
The assistant on the opposite side was worthy of being an assistant, and immediately reacted quickly and handed over a surgical dāo;
jiāng source niē tightened the handle lightly, and then slashed towards the patient's right lower abdomen, but at the same time as he casually went down, his keen feeling was to tell him that his hand had been locked by an inexplicable qi machine: and this qi machine came from the opposite side, with the sense ability of the jiāng source, it was natural to know without looking at it, and the female assistant on the opposite side was staring at his movements at this time:
Jiāng Yuan smiled lightly, the Heavenly Hospital is the Heavenly Hospital, it is really cautious to the extreme, and even has a master to be his assistant, it seems that if he is about to make a mistake, this assistant of his will immediately take action to stop his actions.
"It's just such a minor operation, if there is a mistake, will you still use it to mix?" Jiāng Yuan smiled bitterly silently, and the movements at hand suddenly accelerated.
The operation in the hand of the assistant on the opposite side of the skin and fat layer cut straight at a speed that was almost invisible to the naked eye, and looked at the dāo of Jiāng source and the tumbling abdomen in a daze, and was stunned for half a second before he came back to his senses, and quickly reached out to the instrument on the side.
The instrument nurse had already prepared, and she was also stunned, after all, she had already been accustomed to the high speed of some doctors in the hospital, although the speed of the doctor in front of her was indeed a little too fast, but with the assistant as a buffer, she put the two small retractors into the assistant's hands very punctually.
got the small retractor, and then neatly opened the belly on both sides of the opening, but looking at the slight expression of shame in her eyes, she knew that she had some opinions about the little mistake just now.
Jiāng Yuan's subordinates are non-stop, since it is such an ordinary operation, and it happens to be the project he is most proficient in, he naturally wants to bào hair, such an ordinary operation, there is no doubt whether it will be successful or not, now what needs to be shown is to see whether your hands are skilled or not, and whether the movements are precise or not, of course, there are certain factors in the speed of the completion of the operation.
Jiāng Yuan's hand fǎ proficient Cheng dù, this is naturally not a problem, for the precision of the movements, this does not need to think about anything, what he has to do now, of course, is just speed.
Is there a need to consider for the speed jiāng source? That, of course, is not needed ...
As the tip of Jiāng's dāo gently lifted the pale yellow sè large peritoneum in the abdominal cavity, the assistant's eyes widened at the same time, and now she didn't dare to be careless at all, otherwise if something really went wrong, her face would be lost this time.
It's just that she's not too nervous this time, and judging from the situation just now, this Jiāng Yuan shouldn't be a new hand, and it is estimated that there will be no problems with Mo, but this guy's speed is too fast, which makes her feel a little uncontrollable.
As the number one master in the younger generation of the Heavenly Hospital, this feeling makes her feel very bad, but now she doesn't do fǎ, before the other party has a problem, she is just an assistant, and a monitor, she doesn't do other precautions, but if something really goes wrong, she, the monitor, will be annoyed.
Jiāng Yuan didn't have the heart to think too much about this assistant, and the dāo in hand gently opened the large peritoneum to reveal the organs inside.
Of course, Xiaokouzi, I can't see too much inside, but with the eyesight of Jiāng Yuan, I can naturally see it! Qing Erchu, stretched out two fingers, and gently arched inside,
Seeing Jiāngyuan's two slender fingers rubbing into it, the female assistant next to her also breathed a sigh of relief at this time, it seemed that it was not too much.
However, just as her two beautiful eyebrows were slowly unfolding, Jiāngyuan's two handsome eyebrows were gently raised.
"Huh?" Just when the female assistant was suspicious, Jiāng Yuan suddenly stretched out her hand again,
"Huh?" Looking at Jiāng's outstretched hand, the female assistant was finally stunned at this time, she looked at Jiāng's source and then at Jiāng's hand, and she really didn't know what to give to Jiāng.
"dāo..."jiāng Yuan was paying attention to the fingers of his left hand at this time, and at this time the fingers were in the patient's stomach and carefully moo the small appendix of the storage zài: this right hand stretched out for a while, only then did he realize that his hand was still empty, and then he came back to his senses, and estimated that his assistant did not know what he wanted, so he had to say helplessly and quietly.
Hearing Jiāng Yuan's somewhat helpless tone, the female assistant's cheeks exposed on the mask suddenly turned red, and the shame and anger in her eyes soared,
I finally couldn't help but pick up the operation with hatred and stuffed it into Jiāng Yuan's hand...
She knew very well that in this third-grade physician's direct promotion assessment, Youtian Physician and several first-grade and second-grade physicians were watching, and their every move was in their eyes, and they could see any arsenic leakage clearly.
"Uh..."Jiāng Yuan also sensed the dissatisfaction of this female assistant at this time, and couldn't help but laugh dryly, and said, "Hou Dian Ni"
"Posterior appendix?" The female assistant was also stunned at this time, and then understood the reason why Jiāng Yuan seemed to have been moving his fingers in the patient's stomach just now.
The posterior appendix is a very troublesome thing, because the appendix is generally at the tail end of the colon, and then bào is exposed in the abdominal cavity.
Then use the zhēn thread to make a purse sewn together, and then a qiēpk,
However, this posterior appendix represents that the appendix is hidden in a certain part, or even behind a certain peritoneum, which is extremely difficult to find in such a field of vision: so the jiāng source reaches out to dāo, and the surgical incision must be dilated, and the position of a single two fingers is not enough.
Hearing that it was the posterior appendix, the female assistant was not ashamed and angry at this time, and she also understood that Jiāng Yuan was in trouble this time...
Jiāng Yuan took the operation handed over by the female assistant, and while dilating the surgical incision, he was also secretly smiling bitterly, sure enough, the direct promotion assessment of these three-grade doctors is not such a simple matter, this ordinary appendix surgery and posterior appendix surgery, those are two different things, and in the case of unclear in advance, it is completely different
However, Jiāng Yuan is not worried about the posterior appendix at all, although he has not seen much such things, but he has seen it three or four times, and he is still relatively experienced compared to ordinary surgeons.
So after the incision in the abdominal wall was dilated, the two fingers went a little deeper, and then the fingers quickly moked a colonic frenulum on the patient's colon.
Others may not care much about this inconspicuous thing sometimes, but Jiāng Yuan is very clear that no matter where the appendix is, it starts at the end of this colonic frenulum.
As long as you know the position of the tail end of the colonic frenulum, then you can easily find the location of the appendix...
So he just went a little deeper, and immediately found the colonic frenulum along the colon, and then down the line, and soon he reached the swollen mani behind a bobo membrane.
Feeling the swollen appendix touched by his fingers, a faint smile appeared on Jiāngyuan's face, and then with a slight hook of two fingers, the extremely hidden appendix was hooked out.
After ticking it out, Jiāng Yuan reached out again...
Seeing that Jiāng Yuan had found a posterior appendix so quickly, the female assistant's eyes were slightly stunned, but after all, she was prepared, and then quickly handed over the zhēn holder.
Jiāng Yuan took the zhēn holder, quickly hooked a few zhēn at the junction of the colon and the appendix, and then smiled slightly, and took the scissors handed over by the female assistant with great eyesight
The swollen appendix of the "click" fell in response...
As soon as the silk thread is collected by the jiāng source, a colon purse is immediately completed, and the most important part of the operation is quickly completed after the jiāng source quickly knots and cuts the silk thread
In a monitoring room more than ten meters away, Zhu Shiyang looked at the monitoring screen, his eyes flashed slightly, revealing a trace of incredulity, frowned slightly, and said in a deep voice: "Zhang Lingyang, are you sure this is a patient with a posterior appendix?" (To be continued)