In the other operating room, Su Hongwen had already stood on both sides of Chen Dong with Lu Baoliang, and before coming in, Lu Baoliang was not at ease and simply asked Su Hongwen how to do the surgery for gastric perforation, and there were some precautions.

Although purulent fluid is now withdrawn from the abdominal cavity, and the abdominal x-ray also shows your free air, these results all point to the diagnosis of gastric perforation, but these cases can also occur with perforation of hollow viscera, which refers to intestinal organs such as duodenum.

Although doctors judge that the patient has a gastric perforation nine times out of ten based on his own experience, the procedure still has to be performed by laparotomy, which is the most secure surgical method, even if it is not a gastric perforation.

Su Hongwen is 100% sure that the patient is a gastric perforation, but he still has to use laparotomy to explore the operation, because he can't explain to Lu Baoliang why he is 100% sure, I can't say that I have fluoroscopic glasses, right?

To be honest, Su Hongwen didn't want to use laparotomy to explore this surgical method, but the incision was a bit big, which was very traumatic to the patient, but at present, he had no choice but to use this conventional surgical method.

This time, the anesthesiologist is still Shen Song, and the instrument nurse is still Dong Zhirui, they originally had other surgeries, but this laparotomy was a little earlier than the other operation, so these two went to this operation with Su Hongwen again.

As soon as Su Hongwen stood in the position of the main knife and stretched out his hand, Dong Zhirui handed him the scalpel. Then he said, "Don't stab yourself in the abdomen, it's too scary." Dong Meinu was really frightened just now, she still had palpitations, and when she saw that she was about to start, she hurriedly instructed.

At this time, neither Dong Zhirui nor Shen Song distrusted Su Hongwen as much as he did just now, because Su Hongwen used his actual actions to let them know that his surgical skills were quite good, even if Shen Song and Dong Zhirui didn't believe that Su Hongwen would still do this gastric perforation operation, but Lu Baoliang was right in front of him, and he agreed to let Su Hongwen take charge of the operation, which proved that Su Hongwen was capable of doing this operation, and even if he didn't do it well, there was a mistake in the operation. But with Lu Baoliang here, it can still be remedied in time. So the two of them are not so resistant to Su Hongwen's main knife.

Su Hongwen took the scalpel and looked up at the patient's vital signs displayed on the ECG monitoring instrument, in fact, he didn't know what the patient's vital signs were now, because he had the prop of the vital signs detector in his hand, but this thing couldn't see the light. Su Hongwen still has to pretend.

"Can Brother Shen's surgery begin?" As the chief surgeon, Su Hongwen had to ask the anesthesiologist if he wanted to start this operation. The operation can only begin with the nod of the anesthesiologist's head. The anesthesiologist is in control of the patient's anesthesia effect, and if the anesthesia effect is not good, the anesthesiologist will not let the surgeon start the operation.

In addition, the anesthesiologist is also responsible for the treatment of various conditions during the operation, such as high blood pressure and arrhythmias. During surgery, an anesthesiologist is also an internist who is responsible for managing the various medical symptoms that patients are experiencing.

If the patient has high blood pressure or arrhythmia before the operation, the anesthesiologist will treat the patient and will not let the operation begin, and if the patient has any situation during the operation, the anesthesiologist will stop the operation until the patient's condition is stable.

It is the surgeon who performs the operation, but it is the anesthesiologist who can control the start and progress of the operation, which shows that the anesthesiologist plays a considerable role in an operation.

Although Shen Song usually has a stinky face to everyone, as if everyone owes him money, and he usually gives people a look of being a hanger when he talks and does things, but he is quite conscientious in his own work, hearing Su Hongwen's words, he did not rush to say the beginning, but checked the anesthesia effect of the patient at the last time.

I have to say that Shen Song's anesthesia level is quite high, and the anesthesia effect of the patients he handles is quite good, take the two surgeries that Su Hongwen did today as an example, all of them are connected with hard external anesthesia, the anesthesia plane of this anesthesia is connected to the patient's nipple line, and down to ten centimeters above the knee, which is the upper and lower plane of anesthesia written in the book.

However, there are few anesthesiologists who can achieve such a precise anesthesia plane in actual surgery, most people either have less anesthesia planes, or more, and it seems that there is nothing.

However, it should be known that the impact of narcotic drugs on the patient's heart, liver and other major organs is quite large, and if the anesthesia level is too high, it will affect the functions of the human body, which may cause the patient's various functions to be disordered, and eventually lead to the death of the patient.

If the anesthesia level is too low, it has to be administered twice, which is a secondary burden on the patient's body, the first administration has made the patient's body begin to adapt to the anesthetic reaction brought by these drugs, but in the second time, the patient's body will have a series of unsuitable reactions, if the patient's constitution is poor and there are some underlying diseases, it is likely to cause the collapse of the body, resulting in the death of the patient.

Therefore, an excellent anesthesiologist will accurately control the amount of narcotic drugs during anesthesia, so that the anesthesia plane is not big or small, but it is not easy to do this, everyone is different, so the amount of narcotic drugs required by each person to produce a suitable anesthesia plane is also different, and this degree is difficult to master.

This is still a small hard anesthesia, more difficult is general anesthesia, this anesthesia patient is into a deep sleep state, if the medication is not well mastered, the patient suddenly wakes up during the operation is a big trouble, because the patient wakes up is the anesthesia effect is not good enough, he will feel pain, the severe pain caused by the surgical trauma can even make the patient enter a state of shock in a moment, this is a stress protection measure for pain in the brain, usually a protective measure, but in the operation this protective measure will kill the patient, Because the operation has begun, because the patient has used a lot of anesthetic drugs, these may make the patient's shock quickly enter the point of cardiac arrest, and it is difficult to rescue it, and nine times out of ten the patient will die.

After the operation, the patient needs to wake up and start the various functions in the body to repair the wound caused by the operation, absorb the various drugs used after the operation to repair the body as soon as possible, but if the recovery time is too long, the various functions in the patient's body can not be started as soon as possible, so that the trauma of the operation, plus the side effects of narcotic drugs, may kill the patient.

A good anesthesiologist will not let the patient wake up during the operation during the general anesthesia, and they can even know exactly how long the patient will wake up after the operation, and will not let this time take too long.

Fifty percent of the surgeons in charge of a successful operation are anesthesiologists, and the other 50 percent are anesthesiologists, which shows how much role the anesthesiologist plays in the operation.

Every surgeon hopes to cooperate with a good anesthesiologist, only in this way can the success rate of surgery be improved as much as possible, Shen Song is such an excellent anesthesiologist, although he always has a stinky face and stinks when he speaks, but in time, many doctors still like to operate with him.

This matter is not a secret in the operating room, but it is a pity that Su Hongwen has not seen Shen Song's anesthesia level on the first day, and in his opinion, he still doesn't want to have surgery with Shen Song, it is really uncomfortable to see his stinky face, which is also human nature, but when he saw Shen Song checking the anesthesia effect for the patient before the operation began, Su Hongwen felt that Shen Song was still very serious about his work.

After Shen Song checked Chen Dong, he looked at the vital signs on the ECG monitor and said that there was no problem, "Let's start." Speaking of this, he said to Su Hongwen: "You kid, don't fucking play with Lao Tzu in the abdomen, I have a bad heart, I can't stand you scaring Lao Tzu so much, if you dare to do something scary, don't think about Lao Tzu and you for surgery together." “

Su Hongwen smiled and didn't say anything, but the patient Chen Dong felt that the quality of the doctors in the city hospital was so low, a mouthful, a Laozi, this is a doctor, similar to the gangsters on the side of the road, but Chen Dong didn't dare to say anything, at this time, his little life was in the hands of these doctors, offended them, in case they didn't do the operation well, his own little life could be explained.

It seems that many patients have this kind of thought, but the real situation is not like this, even if you scold the doctor or even beat the doctor, he will not do a bad job when he operates on you, because he is a doctor, because this is saving a life, no matter how much enmity he has with you, the doctor will not retaliate against you during the operation.

Some people say that it is impossible, so can you check the news about medical malpractice in the past few years, once because the doctor deliberately failed the operation in order to retaliate against the patient? None of them, partly because doctors are also human beings, and they can't never make any mistakes for the rest of their lives, partly because the media exaggerates the facts, and some are unreasonable for some patients to make a profit.

It is really a very embarrassing profession to be a doctor in Huaxia, and now it has almost become a rat on the street, and Su Hongwen is engaged in this embarrassing industry, he does not feel wronged, nor does he feel unfair, on the contrary, he still enjoys the sense of achievement that this profession brings him.

The doctor's sense of accomplishment is not what status they have obtained or how much money they get, their sense of accomplishment comes from saving a fresh life, and now Su Hongwen is about to start the operation to save Chen Dong's life. (To be continued......)