Chapter 186: Race Against Time
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Zhou Siyuan, a doctor from the dignified Anhe Hospital, actually made such a big opening, and couldn't help but let Su Hongwen, a colleague, see the joke, if it was a doctor who has worked in other hospitals for more than a year, Su Hongwen would definitely not laugh at him, other hospitals are not as good as the hardware and software environment of Anhe Hospital, and there are not so many sources of disease.
But Zhou Siyuan is a doctor in such a good hospital as Anhe, and for more than a year, he has done an appendix to this level, which is really a waste of the opportunity to work in Anhe Hospital.
However, Su Hongwen just sneered in his heart, and didn't say anything, now is the time for surgery, but not the time to trouble the enemy, everything has to be put down during the operation, everything is put down at the time of the operation, everything is based on the patient's life safety first, even if it is his father-killing enemy who is standing opposite Su Hongwen at this time, Su Hongwen will not say a word, but will fully cooperate with him to complete the operation, this is the doctor.
Zhou Siyuan cut through the skin and subconsciously said: "Electric knife." "He wanted to stop the bleeding.
The electric knife used by Su Hongwen last time has been completely scrapped, and he can't use it, Liu Yongqiang didn't buy it without any surgery in the hospital, and waited to apply for a free one with the Health Bureau next year, and the state has a policy of aiding medical devices to hospitals below the town level.
"We don't have it, there is not much blood, just press with a dressing to stop the bleeding." After Su Hongwen finished speaking, he pressed it with a dressing.
"What bullshit hospital? There is not even an electric knife, it is really a garbage hospital. "Zhou Dashao doesn't have Su Hongwen's doctor's quality, he doesn't miss every opportunity to retaliate against Su Hongwen.
"Don't talk nonsense. Hurry up and get the surgery. An Zinan is now looking at Zhou Siyuan more and more unpleasantly.
Hearing An Zinan's displeased words, Zhou Siyuan didn't dare to say anything, picked up the tissue scissors to cut off the fat underneath, and saw this Su Hongwen couldn't help it: "The fat is not thick, use a hemostat to divide it, this can reduce bleeding." ”
"Shut up for me, I can't do surgery before you can point fingers, and a village doctor has commanded me." After Zhou Siyuan finished speaking, he cut the fat underneath.
There are also blood vessels in the fat, which are generally cut with an electric knife, which can not only achieve the purpose of cutting, but also stop bleeding. But now Zhou Siyuan directly uses tissue scissors. There was a bit of blood coming out of the fat, and An Zinan was dissatisfied again.
Fortunately, there are no large blood vessels in the fat at the McSylour point in the right lower abdomen, which will not cause heavy bleeding, but with the current amount of bleeding, it has to be ligated to stop the bleeding. It's a bit of a delay.
Zhou Siyuan's level is not very good. But it also came out of Anhe Hospital. He can still tie the knot to stop the bleeding, but the speed of knotting is really slow, in fact, it is not too slow. It's normal, but An Zinan just saw Su Hongwen's knotting speed today, and there is a comparison, so he naturally thinks Zhou Siyuan is playing slowly.
In order to save operation time, An Zinan said: "You let Su Hongwen tie the knot, you can just tie it." ”
"He? Can he? Xiao Nan, don't forget that he is a village doctor, this broken hospital doesn't even have an operating room, he hasn't even done surgery, how can he tie the knot, what if it is loosened, what if there is infection and fat liquefaction in the bleeding in the incision? Zhou Siyuan's teeth itched with hatred, why did An Zinan believe in Su Hongwen's poor boy so much.
"Here you go." An Zinan lazily talked nonsense with Zhou Siyuan, and directly gave way to the place, and Su Hongwen did not shirk and quickly tied the remaining bleeding points and knotted them, and the speed was still so fast that people couldn't see the movements of his hands clearly.
Seeing this scene, Zhou Siyuan was a little dumbfounded, this was too fast, he couldn't help but say: "Rub, you kid is fooling around with that, you can be tight so soon." ”
"Zhou Siyuan will do your surgery, you don't have to worry about anything else." Zhou Siyuan's chirps and two times delayed the operation time, An Zinan has endured him to a limit, and now if he doesn't need to have surgery, An Xianzi will definitely have to blast him out.
Zhou Siyuan didn't dare to refute An Zinan's words, so he had to glare at Su Hongwen, and then continued to work behind. The fat has been opened, and what we have to do now is to blunt separate the muscles, this step Zhou Siyuan has done a good job, and there is no problem in opening the peritoneum after the last, but as soon as the peritoneum is opened, Zhou Siyuan is a little dumbfounded when he sees the situation in the abdominal cavity.
The omentum is full of white adhesions, and the intestines are also, from which it can be seen that the organs in the abdominal cavity are adhesed to a mess, and now to find the appendix, you must first separate the omentum that is glued to the intestine, and then separate the intestinal tube that is stuck together, this step can only be done slowly, but not too fast, otherwise once the intestinal tube or the blood vessels on the omentum are injured, it will be troublesome.
"What are you doing? Hurry up and do it. An Zinan saw that Zhou Siyuan was stunned and didn't move, and her heart became even more anxious.
Zhou Siyuan gritted his teeth and picked up the hemostatic forceps and began to wander a little bit, but his technique was very rusty, and it could be seen that he rarely got rid of the adhesions in his abdomen, and at this time An Zifeng's body trembled again.
"What's wrong, brother?" An Zinan's heart was in her throat at this time.
"It hurts, it hurts badly." An Zifeng's words were almost squeezed out from between his teeth.
Su Hongwen looked at the position of the appendix with her see-through eyes, and when he saw it, he chuckled in his heart, the appendix just now was only red and swollen, but now the appendix has become iron blue, there is only one possibility for this situation, that is, the blood vessels in the appendix have ruptured due to too much tension caused by edema, and the appendix will rupture in less than five minutes, not a simple perforation.
"Get out of the way." After Su Hongwen finished speaking, he walked towards Zhou Siyuan, took off his gloves and put them in his pocket, and asked the watch to take out the adhesion release agent from the infirmary.
Put the medicine in the pocket of the surgical gown, Su Hongwen found a new pair of gloves to bring on, and came to Zhou Siyuan's side, several people in the disposal room didn't have the idea of what Su Hongwen took off his gloves for a new one, they put all their attention on Su Hongwen, what was he going to do?
"Su Hongwen, what are you going to do? Don't you say you want to have this surgery? As soon as Zhou Siyuan finished speaking, he was squeezed away by Su Hongwen, and he said angrily: "Su Hongwen, I think you are really tired and crooked, I don't know how many catties and taels I have, a village doctor will do an appendix?" What are you kidding, fuck me off. ”
Su Hongwen took advantage of the fact that everyone else was focusing on Zhou Siyuan, and quickly crushed the bottle of adhesion release, so that the gloves were stained with the liquid inside.
Su Hongwen also took care of Zhou Siyuan, opened his mouth and said to An Zinan: "Now the appendix must be cut off immediately, the appendix will rupture in less than five minutes, this is not a perforation, you believe me." ”
"Su Hongwen, you don't fucking pretend to be a big-tailed wolf, and it's still broken? Can you see with clairing eyes? Fuck off. Zhou Siyuan said that he had to do it.
Su Hongwen didn't look at it and kicked Zhou Siyuan in the stomach, Zhou Dashao was directly kicked and hit the wall, and he couldn't stand up in pain.
Su Hongwen didn't use hemostats, he directly put his hands into the abdominal cavity, An Zinan was anxious when he saw this scene: "Su Hongwen, you ......" The free adhesions can't be dragged hard with your hands, it will hurt the intestines, and she was anxious when she saw Su Hongwen put her hands into the abdominal cavity.
"I don't have time to explain to you, trust me." Su Hongwen didn't raise his head.
An Zinan wanted to say something, but was surprised to find that the omentum was pushed up by Su Hongwen, how could this be possible? Just now, the omentum was still stuck with the intestinal tube, could it be that Su Hongwen dragged it open, what if it hurt the blood vessels?
An Zinan just wanted to say something to stop Su Hongwen from messing around, but he found that there was not a trace of blood in the field, which could only show that Su Hongwen's actions did not hurt the omentum.
At this time, a scene that shocked An Zinan even more appeared, Su Hongwen's two hands moved rhythmically, and the intestinal tubes that were very adhered to were all gone, as if there had been no adhesions.
How is this possible? Even if Su Hongwen dragged these intestines open, it shouldn't be so fast, and he didn't see him pulling, but he just saw his two hands moving around inside, and the amplitude was not big at all, this? For a while, An Zinan felt that her brain was not enough.
Su Hongwen applied the adhesion release agent on the glove to the intestinal tube, and in less than a minute, the adhesion of An Zifeng's abdominal organs was all lifted, and Su Hongwen couldn't help but sigh in his heart that Zhiyuanxing's technology was developed, and just such a small bottle of medicine had such a great effect.
Looking for the appendix was supposed to be found with two long flat tweezers along the colon a little bit, but now the situation is urgent, and there is no long flat tweezers after saying it, Su Hongwen simply used the perspective glasses to directly pull the appendix out with his hands, which is also thanks to the adhesion reliever, otherwise even if there is no adhesion in other positions, but the appendix will definitely have adhesions due to inflammation, and there is no need to think about it if you want to pull it out by hand.
An Zinan was dumbfounded when she saw the blue-purple appendix with a diameter of eight centimeters in Su Hongwen's hand, and the appendix that was so swollen was blue and purple again, which proved what Su Hongwen just said, An Zifeng's appendix would rupture in less than five minutes, not just perforation.
"Don't be stunned, hurry up and ligate the appendix artery and cut the appendix." Speaking of this, Su Hongwen directly used a hemostat to quickly clamp the two ends of the mesangial appendix, cut it, and ligate the double line of the fourth and first lines.
0.5 cm away from the cecum, Su Hongwen directly clamped it with hemostats, first ligated it with a silk thread, and then cut off the appendix with a knife, and then disinfected the stump, sewing the purse and burying the broken end.
These steps require the cooperation of people, but An Zinan is stunned now, and Su Hongwen can only ask Qian Qianqian to help.
The operation is almost completed now, Qian Qianqian couldn't help but praise when she watched Su Hongwen complete the operation smoothly: "Doctor Xiaosu, you are too powerful." ”
An Zinan looked at Su Hongwen in a daze, not knowing what Lu Dao was thinking. (To be continued......)