Chapter 476: The Operation Begins
PS: The third watch sent a monthly pass, kneeling and begging!
Wu Jianbin signed the conversation record and the consent form for the operation, but at this time, if he didn't have surgery, he would definitely die, and he might still be alive after surgery, he could only take this risk to do surgery, he didn't want Liu Fang to die, even if there was a little hope, he wanted to fight.
Looking up at Su Hongwen, Wu Jianbin took his hand and said, "Director Su, please save my wife, her life is too much, too difficult......" Speaking of this, Wu Jianbin couldn't go on, and the seven-foot man burst into tears at this moment, crying like a child.
Liu Jinshui patted his brother-in-law on the shoulder and comforted: "Brother-in-law is fine, Director Su's medical skills are so good, he will definitely be able to save my sister." ”
Su Hongwen exhaled and said, "I will do my best." After speaking, he took the conversation record and the surgical consent form and went directly to the doctor's office, and saw that Shen Song and the others had not left yet, Su Hongwen said directly: "The patient's family has signed, ready for surgery, notify the nurse to prepare the skin quickly, and let the operating room pick up the patient quickly." ”
Shen Song saw that it was useless to say anything, and he didn't talk nonsense, he got up and walked to the ward, he had to look at the patient, and if the patient had any sudden accident during the operation, it would all depend on him, and the more he understood the patient's physical condition at that time, the better.
Su Hongwen's words began to get busy, while the nurse prepared the skin, the nurse in the operating room also came up to pick up the patient, usually doing surgery Su Hongwen waited for the anesthesia to call him before he went down, but this time the patient's situation was very special, Su Hongwen was not at ease and went down directly with the nurse in the operating room.
Today is Dong Zhirui on duty. The two of them have had very little contact recently, Dong Zhirui was quite resentful in her heart, and when she saw Su Hongwen today, she wanted to say something, but she saw that his face was so heavy that she swallowed the words on his lips.
Su Hongwen went into the operating room to change his clothes and walked inside, at this time Shen Song had already begun anesthesia, ordinary appendicitis only needed to be hard, but today to do Liu Fang's appendix Shen Song chose general anesthesia.
Even the patients with hard anesthesia are awake during the operation, and everyone has a sense of fear of the operation, and it is inevitable to be nervous in the awake state, and once the blood pressure rises due to tension, it is also a big burden on the heart. If it's a normal person, it's fine. But Liu Fang can't do it, her heart is already quite bad, if the burden on her heart increases because of nervousness, it will greatly increase the chance that she will not be able to get off the stage.
Therefore, Shen Song chose general anesthesia, and the patient was unconscious under general anesthesia. In this way, the patient will not be nervous, and the blood pressure will rise, which will increase the burden on the heart. But there is also a downside to general anesthesia. That is, the drugs used in general anesthesia have a greater impact on the heart than those used in the general anesthesia.
However, general anesthesia does not require any operation, only medication can be administered, but even the hard side needs to do a small puncture at the position of the lumbar spine, and a thin tube must be put in to facilitate the administration of medicine at any time when the anesthesia effect is not good. Although this puncture is not large, it will bring pain to the patient, and the patient will inevitably be nervous under the stimulation of pain, and the tension will be high, and the high blood pressure will increase the burden on the heart.
In a situation where Liu Fang's physical condition has to reduce the stimulation of her body as much as possible, whether it is a painful stimulation or because of her own nervousness, it will increase the burden on the heart, and the removal of the appendix is an inevitable operation, but puncture can be avoided, so general anesthesia is safer than even hard and external.
Shen Song's anesthesia level Su Hongwen can be trusted, he just asks about anesthesia and sits on the side and waits for the anesthesia to be completed and then operates immediately, Dong Zhirui has already begun to set up the instruments, Shang Zhongjin also walked in, Liu Fang is his patient, this help is naturally him.
No one spoke in the operating room at this time, only the "dripping" sound from the ECG monitor, and the sound made by Dong Zhirui placing the instruments, this kind of silence gives people a strong sense of oppression, making people feel panicked, and the taste is really uncomfortable.
After a while, Shen Song said: "It's okay to operate, anesthesia is no problem." ”
As soon as Shen Song's words fell, Shang Zhongjin and Su Hongwen stood up at the same time and went outside to brush their hands without saying a word.
Standing in the position of the main knife, Su Hongwen took a deep breath, then stretched out his right hand, and Dong Zhirui put the scalpel that was flashing silver brilliance under the shadowless lamp into his hand with a "snap".
Su Hongwen took the scalpel and did not start immediately, but looked at Shen Song, Shen Song nodded and signaled that the operation could begin, this Su Hongwen only cut the abdomen with a knife, and it was still a knife into the abdomen, at this time, he didn't care that cutting the external oblique muscle with a knife would cause great damage to the muscles, and there was a possibility of abdominal wall hernia after surgery, now he must finish the operation as soon as possible, the sooner the better, and the chance of Liu Fang's heart failure and sudden arrest will be reduced in one second.
As soon as the abdominal cavity opened, a stream of yellow liquid immediately overflowed, this is exudate, Su Hongwen didn't wait for Shang Zhongjin to dip the dressing into these exudates and directly put his hand deep, as soon as his hand entered the abdominal cavity, some strange-colored liquid immediately appeared on his hand, which was the adhesion release agent made in the spaceship, in the past, the spaceship made this thing in a small bottle, but with Su Hongwen's second upgrade of the spaceship, the spaceship can already use the watch to directly transfer the adhesion release agent to Su Hongwen's hand, It saved him a lot of trouble.
The last time I used this medicine was when I operated on An Zifeng, Su Hongwen has never met a patient who needs to use this medicine, but today he encountered it, Liu Fang is an acute attack of chronic appendicitis, from the name of this disease, it can be seen that Liu Fang has had appendicitis before and has committed it many times, just because she has rheumatic mitral stenosis and has not had surgery, and repeated appendiceal inflammation must lead to appendix adhesions.
In order to complete the operation as quickly as possible, Su Hongwen naturally uses an adhesion reagent, which eliminates the step of free adhesion and shortens the time of the operation.
Ordinary appendicitis is poured down a little bit along the colon belt with two long forceps, but Su Hongwen put his hand in directly in order to save operation time, and he had already seen the position of the appendix with fluoroscopic glasses, and the adhesion release agent stained on the gloves quickly took effect, and the adhesion opened instantly, and Su Hongwen gently clamped the tail end of the appendix with two fingers and pulled it out directly.
As soon as the appendix appeared outside, everyone gasped, these people in the operating room often saw the appendix, but they had never seen the appendix with such a strong inflammatory response, the diameter of the entire appendix was swollen to five centimeters, which was almost the diameter of the upper intestine, and the entire appendix was black and red, densely covered with yellow pus.
If the appendix is swollen so much, it means that the tension inside is very high, and the color is black, indicating that the appendix has begun to die, and if the operation is done later, the appendix will definitely rupture.
Su Hongwen looked at the appendix and still didn't speak, and reached out to ask for a hemostat, he now wants to do the appendix quickly, Dong Zhirui saw that he stretched out his hand and handed the hemostat over.
Su Hongwen used hemostats to penetrate the mesangium of the appendix directly at the root of the appendix, and took a pair of forceps to directly clamp the blood vessels in the mesangial appendix, the next steps Su Hongwen did very quickly, the appendix was cut off in less than a minute, and the stump of the appendix was disinfected with an iodophor cotton ball and buried directly in it, and the operation was basically completed as soon as the purse line was tightened, and the rest was to clean up the exudate of the abdominal cavity and close the abdomen.
From the beginning of the operation to the present has just passed three minutes, this speed is really amazing, Su Hongwen did not dare to delay the time to complete the remaining steps quickly, as soon as the abdominal cavity was closed, Su Hongwen breathed a sigh of relief, looked up and looked at the operation timer on the wall, only five minutes have passed, this time has broken the record of appendectomy in the city hospital, and the last record is also Su Hongwen.
Su Hongwen didn't have the heart to think about whether he broke the record or not, he took the dressing and covered it on the incision, and just fixed the dressing with medical tape when Shen Song suddenly shouted: "It's broken, the heartbeat is gone." ”
Just this sentence made Su Hongwen instantly break out in a fine cold sweat, the operation has been completed, but at this moment, the last thing Su Hongwen wants to see appeared, cardiac arrest.
Su Hongwen didn't dare to delay and tore open the operation sheet and started cardiac resuscitation, on the other side, Shen Song was also administering medicine, Su Hongwen pressed Liu Fang's left chest wall, his eyes stared at the ECG monitor, and he kept muttering in his heart: Jump up, jump up.
But no matter how hard Su Hongwen tried, what rescue medicine did Shen Song give Liu Fang's heart still didn't beat, and three minutes passed in one fell swoop, Su Hongwen was in a hurry, and shouted directly: "Defibrillator." ”
A defibrillator is a device used by doctors on TV or movies to attach two electrode plates to a patient's heart and use electrical stimulation to make the heart beat again.
Now Liu Fang is in cardiac arrest, and the ECG is a straight line, in this case, unarmed cardiopulmonary resuscitation has no effect, so you can only try it with a defibrillator, but the probability of success will not be too high, but when things come to this point, Su Hongwen naturally wants to try his best to save the patient
Dong Zhirui and another nurse were anxiously preparing for defibrillator, Su Hongwen was still doing hands-on cardiopulmonary resuscitation, he suddenly raised his head and said, "Go and get a critical illness notice." At this moment, Su Hongwen already had a very bad premonition in his heart, he felt that he was choked enough to save the patient, so it would be better to follow the regular process, at least once the patient's family did not understand and made trouble, he had no problem from operation to related procedures.
Shang Zhongjin didn't even have time to take off the surgical gown and hurriedly ran out, he went outside and told Wu Jianbin about the situation inside, and immediately sat down on the ground, and several female family members cried directly.
Shang Zhongjin gave them the critical illness notice and then turned around and ran in again, praying in his heart that Su Hongwen would definitely rescue Liu Fang. (To be continued......)