PS: The second watch is sent, the monthly pass, the monthly pass, everyone is giving a point, and the back is chasing closely!

When Su Hongwen came back with a bunch of things and followed by nurse Qian Qianqian, An Zinan and Zhou Siyuan were still in a daze, looking at An Zifeng, who was still in pain, Su Hongwen hurriedly said: "Don't stand, hurry up and prepare for surgery, if it is a perforation, it will be a big trouble." ”

Speaking of this, Su Hongwen turned to Qian Qianqian and said: "Give the patient a set of 5% glucose and a group of 0.9% saline, both of which are five hundred, and I will ask the family members if the patient is allergic to the drug and is using antibiotics." "At this juncture, you have to replenish energy for An Zifeng, and you have to use antibiotics to fight inflammation.

An Zinan came to his senses when he heard Su Hongwen's words and said, "My brother has no allergies, you can use antibiotics." Speaking of this, he turned his head and said to Zhou Siyuan: "Zhou Siyuan's operation will be handed over to you." ”

Zhou Siyuan panicked when he heard this, and said hurriedly: "How can Xiao Nan do surgery here, the sterile environment can't be reached, what kind of instruments do you think they are holding?" That's a cut bag, and there's not even a retractor or tweezers in it, what do you want me to do? Are you talking about anesthesiologists? You can't do without anesthesia, right? ”

"Overcome the difficulties, now my brother can't wait, so I'll count on you." After An Zinan finished speaking, he walked to Su Hongwen's side and said, "Is there a disposable surgical gown?" I also came to the stage to help. ”

"Yes, I'll get it for you later, and now I don't have time to tell you anything about the risks of surgery and asking you to sign, everyone is engaged in medical treatment, you also know, it's important to save people first, and the rest is going back to talk." After Su Hongwen finished speaking, he pulled a cart next to him over.

After a while, Su Hongwen and An Zinan changed into disposable surgical gowns and stood in front of An Zifeng, and there was obviously no way to prepare the skin before the operation. But Su Hongwen still did the steps of disinfection and paving sterile sheets.

As for letting the patient fast for six hours before the operation, I can't take care of it now, let alone using general anesthesia in An Zifeng's operation, and even hard anesthesia can't do it, there is no anesthesiologist.

Su Hongwen has just entered the general surgery study, and it is no problem to do simple appendicitis, but he is not good at anesthesiology, and now he can only use local anesthesia, that is, lidocaine for anesthesia.

The effect of this anesthesia is not good, and it is almost no longer used in modern times, but now An Zifeng's condition is really urgent. Conditions are limited. It doesn't work without this anesthetic.

As for the preoperative examinations such as blood routine, coagulation, electrocardiogram, chest X-ray, there is no time to do them, so it is important to save people first. If you really have to go through this set of procedures, An Zifeng's appendix will rupture and perforate, and it will progress to the point of acute peritonitis. That's damning.

Although Zhou Siyuan was also wearing a surgical gown, he was still walking around in front of the door like ants on a hot pot. Although he has only been working in the Department of General Surgery for half a year. But there are a lot of patients in Anhe Hospital, and some of them are patients with appendicitis who let him practice, but Zhou Siyuan's identity and status are there after all. He can't be like an ordinary doctor, in order to learn to do appendicitis well, soak in the hospital all day and all night without playing.

It's not that Zhou Siyuan doesn't pay attention to work, he goes to work on time and gets off work on time, but he doesn't have a medical practitioner's qualification certificate now, so he can only follow his teacher to manage patients and do surgery, general surgery is not just an operation for appendicitis, there are many surgeries that can be done, and there are many surgeries in his teacher's hands, but the appendix depends on luck, sometimes a doctor can encounter several appendices a day, but when he is unlucky, he has no one, so he can only go to other surgeries.

Zhou Siyuan has been following the teacher for half a year, but there are not too many appendicitis patients he has encountered, so he has not done a few appendices by himself until now, and he does not squat in the hospital all day long like other doctors who have just entered the hospital, just to be able to do appendicitis in the middle of the night, so that Zhou Siyuan is far from being able to do any appendicitis.

There are several kinds of appendicitis, the most difficult to do is the retroperitoneal appendix, the simplest is naturally the normal appendix, and the thinner the person, the better it is to do, because there is not so much fat accumulation in the abdomen, and the surgical field is clear.

An Zifeng is indeed not fat, it can be said that such a patient is quite easy to do as long as he does not have retroperitoneal appendix, but Zhou Siyuan knows that An Zifeng has had laparotomy before, such a patient must have adhesions in the abdominal intestines, and his appendicitis has long been there, and it is recurrent, this situation will aggravate the degree of adhesion of the abdominal intestines, and it is really not good to do appendicitis for this kind of patient Zhou Siyuan.

And in this situation, the environment is not good, the equipment is lacking, there is no anesthesia, and An Zifeng's appendix may be perforated at any time, Zhou Siyuan has no idea about this operation.

Even if the environment, instruments, and anesthesia are fine, because the intestinal tube is so adhesive, it will take a lot of time to find the appendix, so what if there is a perforation during this time? At that point, the surgery will be more than just an appendectomy.

Zhou Siyuan is so nervous now, he doesn't dare to go on stage, he is afraid that something will happen, he is afraid that he will not be able to do this operation.

"Zhou Siyuan, what are you rubbing? Hurry up. An Zinan couldn't help but be a little anxious when she saw that Zhou Siyuan hadn't come over yet.

"Xiao Nan, I ......" Zhou Siyuan couldn't say the words later, he couldn't say that he didn't have that level, right?

Su Hongwen said at this time: "Don't wait, I'll anesthetize first." After speaking, Su Hongwen took the syringe handed over by Qian Qianqian, and made a triangular anesthesia in An Zifeng's lower right abdomen with the Mai dot as the center of the circle.

The so-called triangular anesthesia is three anesthesia points, this kind of anesthesia is not available on the earth, it is all learned by Su Hongwen from the medical training system, and the anesthetic also needs special manual massage to spread lidocaine out of the body to achieve the effect of anesthesia.

Seeing that Su Hongwen had made a move, Zhou Siyuan hurriedly said: "Su Hongwen, don't be scared, this is an operation, if Brother Feng has three long and two short, can you afford this responsibility?" I think you're really tired of being crooked. ”

Zhou Siyuan was right, he didn't scare Su Hongwen, An Zifeng is the most promising third generation of the old An family, if he dies due to a medical accident, Su Hongwen will definitely have to be buried with him.

"Shut up, or you'll do it." Su Hongwen's voice was as cold as ice, but his hands didn't stop, still massaging An Zifeng's right lower abdomen.

"What the fuck are you ......" Zhou Siyuan wanted to scold people as soon as he was reprimanded by Su Hongwen and became angry, but An Zinan interrupted him and said, "You hurry up and have surgery, my brother can't wait." ”

An Zinan has confidence in Su Hongwen's anesthesia skills, because she had seen a very special anesthesia in the morning, but when it comes to appendicitis, she doesn't believe Su Hongwen, after all, he is just a village doctor, and he has just been working for more than a year, how can he have an appendix, compared to Su Hongwen, An Zinan trusts Zhou Siyuan more, after all, he is a doctor outside Anhe Hospital.

"Xiao Nan, this ......" Zhou Siyuan really didn't dare to operate on An Zifeng, he was not sure to do it, something really happened, and he could bear the responsibility.

"Zhou Siyuan, don't you want you, yours, don't you always brag to me about what you can do in the department and what kind of surgery? Why can't you even do an appendix? "An Zinan will also be in a hurry.

"But this environment is not good, there are no instruments, and there is no anesthesia, what do you want me to do?" Zhou Siyuan has been in a big hospital for a long time, and he relies too much on hardware things, but in fact, with what he said, he didn't dare to do this operation, because he knew that his skills were not good.

"Don't wait, I'll do it." Su Hongwen really didn't want to compete with Zhou Siyuan for the position of the chief surgeon at first, but he didn't want to show it in front of An Zinan, but he had just learned the appendix in the surgeon game for a while, except for the retroperitoneal appendix, he couldn't do it anymore, and he was afraid that An Zifeng was a retroperitoneal appendix.

Although Zhou Siyuan is not pleasing to the eye, he is a doctor in Anhe Hospital after all, and Su Hongwen thought that he would have no problem working in such a good hospital, so he didn't think about grabbing the position of the chief knife at all.

But now Zhou Siyuan didn't dare to come up and do it, so Su Hongwen opened his perspective glasses and took a good look at the position of the appendix, he glanced at it in a hurry just now, and didn't look at the position of the appendix carefully, and now he found that it was not a retroperitoneal appendix, which gave Su Hongwen the confidence to complete the operation.

"Su Hongwen, what are you kidding? You're going to have this surgery, I see you're really tired of it, get out of the way, I'll do it. Zhou Siyuan knew that he had to do this situation today, and he had to do it if he didn't work, so he could only fight, and at the same time prayed that An Zifeng would never have a retroperitoneal appendix and that the intestinal tube would not be too adhesional.

Zhou Siyuan gritted his teeth and walked over a few steps, Su Hongwen was too lazy to be angry with him, it was important to save people first, so he didn't say anything.

"Are you good at this anesthesia?" Zhou Siyuan looked at Shu Ye.

"No problem, you do it quickly." There was no need for Su Hongwen to answer, An Zinan said.

"Xiao Nan, I haven't seen his anesthesia, are you really sure you can." Zhou Siyuan didn't expect An Zinan to believe in Su Hongwen so much, and he was very jealous in his heart, but this would not be the time to attack.

"Stop talking nonsense, hurry up." After An Zinan finished speaking, he handed over the scalpel.

Zhou Siyuan gritted his teeth and went directly into the knife to make a five-centimeter cut in An Zifeng's lower right abdomen, seeing this cut, Su Hongwen sneered in his heart, this kid's skills are not very good, just an appendix to make such a big incision, it seems that he is really in Anhe Hospital, what a waste of opportunity.

Some experienced doctors make the incision as small as possible when making the appendix for the patient, so that they can appear to be experienced, excellent skills, and will not be seen by peers jokes, only novice doctors will make a five-centimeter large mouth, in the hospital there is a saying about this kind of incision called a large mouth, since the mouth is all open to the sky, the space for surgical operation is large, and the operation is easy to do.

However, doctors who make this kind of incision are not good at technical skills. (To be continued......)