Chapter 24 Independent Surgery
"Well, I'm Dr. Qin of Gynecology"
"Director Qin, I am Xiao Liu from the emergency department, our emergency department received a 22-year-old female patient, who is in the ambulance with abdominal pain and shock, and will arrive at the hospital in about five minutes, please come to the emergency department"
Director Qin pulled Haishan and rushed to the emergency department.
"Director, slow down, be careful of wrestling"
The director and Hai Shan took out the speed of the athlete's 100-meter sprint and ran to the emergency department.
As soon as the ambulance arrived at the entrance of the emergency department, a doctor held a hanging bottle in his hand, and a nurse held an oxygen pillow and carefully transferred the female patient out of the ambulance.
Her husband held her hand firmly and cried: "Weiwei, I can't live without you, how can I live without you?" ”
Hai Shan looked at the female patient lying on the stretcher, her face was beautiful, her face was pale, and her black and bright black hair was scattered on the stretcher to form a bleak beauty.
The doctors and nurses in the emergency department asked Director Qin.
"Director, which department will put this patient in?"
Director Qin replied: "Rescue nearby"
The doctor and nurse carried the female patient into the emergency room, leaving her family members outside the emergency room, and immediately made the seven-foot man cry.
Haishan, you go outside to calm the family's emotions, let him calm down and don't get excited.
Medium-flow oxygen, catheterization, rapid intravenous infusion of low-molecular-weight dextran, and ECG monitor closely observe changes in vital signs. Doctors and nurses follow in an orderly manner.
The ECG monitor showed a heart rate of 98 beats per minute, a pulse of 96 beats per minute, a breath of 23 beats per minute, a systolic blood pressure of 40 mm Hg, and a diastolic blood pressure of 25 mm Hg.
Haishan, who was comforting her family outside, heard the director's call again
。
Haishan, go to the gynecological treatment room, get a sterile puncture bag, and we will do a differential diagnosis.
Haishan quickly ran to the gynecological treatment room, took the sterile puncture kit and rushed back.
At this time, Director Qin was already outside the emergency room and began to ask the family members about the general condition of the patient.
"Has your daughter-in-law had her period this month?"
The family replied that he did not know.
Director Qin asked again
"Do you have any children?"
The family replied that no.
"When did you find out she was in shock?"
When he went to work this morning, his daughter-in-law called him and said that his stomach hurt very badly and asked him to go back quickly. After he asked for leave, he hurried back, and when he came back, he saw that she was already lying on the ground, so he immediately called the emergency number, and so on.
Haishan, who had already entered the emergency room, immediately set up the bladder lithotomy position for the patient and placed the items on the treatment cart.
The treatment cart is placed at the patient's feet, and Hayshan uses sterile edentous forceps to open the sterile bag and place iodophor cotton balls in the sterile dish.
Director Qin put on gloves at this time, and after disinfection, he punctured and extracted ten milliliters of non-coagulated blood.
Hai Shan went to inform the operating room that there was an emergency operation, made preoperative preparations, and urgently checked the abdominal color ultrasound.
Doctors from the auxiliary examination department rushed in, and color ultrasound showed intra-abdominal bleeding with shock.
At this time, the ECG monitor shows a heart rate of 90 beats per minute, a pulse of 90 beats per minute, and a breath of 22 beats per minute. Systolic blood pressure 50 mm Hg, diastolic blood pressure 30 mm Hg.
The blood pressure is still not good, it is too low, and the blood pressure rises slightly after a 50% high sugar 100 ml intravenous bolus.
Director Qin instructed Haishan to fill in the medical records, ask the family to sign the surgical consent form, explain the situation to the family, and bring the blood transfusion consent form to sign.
As soon as the results of the auxiliary examination come out, and the blood pressure is a little better, I will immediately enter the operating room.
Haishan kept nodding and quickly complied.
Director Qin sat on the chair, feeling dizzy, seeing that everything in front of him was ghosted.
Vertigo, late committed, early committed, this time just committed.
Director Qin didn't dare to move, she hoped that the feeling of dizziness would end before she entered the operating room.
Haishan completed the medical records, explained her condition to her family, and signed the consent form for surgery.
She took the medical records with her and showed them to the director, who had a habit of carefully reviewing the medical records before each operation.
Director Qin squinted his eyes and tried to read the words on the medical record, but he couldn't do it, and there was still a double shadow in front of him.
Hai Shan also felt that Director Qin would be wrong, and asked her, "Are you uncomfortable?"
Director Qin nodded and told Hai Shan that her vertigo had occurred. She couldn't go to the operating room, so she was in charge of this emergency operation, Li Xizi was the assistant, and an instrument nurse was added to complete it.
Director Qin asked Hai Shan to call Professor Hu of the Department of Surgery and ask for support.
Hai Shan felt that this burden was too heavy, she usually followed the director and deputy director, and never did it alone.
Director Qin also has no choice, and the deputy director has already gone to other places to attend academic conferences.
"You two take the patient to the operating room first, I'll see if I can get better for a while, and I'll go to the operating room as soon as I'm better."
Hassan, who led the patient into the operating room, frantically called the system in the bathroom of the operating room
"System, system, come out!"
The system lazily responded.
"Where are you?"
Add some luck!
The system replied, "You don't have a lot of luck in the first place, can you use it?" ”
Use......
Haishan changed into a surgical gown and entered the operating room. She was thinking about the surgical plan, procedures and precautions.
A faint voice interrupted her train of thought, "Doctor...... Doctor"
Hai Shan followed this voice and turned out to be the beautiful female patient, and Hai Shan asked her softly, "What's wrong, is it uncomfortable?" ”
She shook her head and said weakly, "Doctor, I'm a dancer, can you make the knife a little smaller?" I don't want to leave a scar."
Haishan couldn't cry or laugh, "I'll do my best!" Doctors are just ordinary people, not immortals, I promise to work hard! ”
Li Xizi rolled his eyes at Li Haishan, the difficulty factor of this operation is not small, and he has to ensure that there are no scars.
The door of the operating room opened again, and it turned out to be Professor Hu of the Department of Surgery who came to guide and support the gynecology.
Hai Shan suddenly felt confident in her heart, and a professor of surgery supported the increase in the qi luck value of the external qi transportation system. It doesn't go wrong.
Hai Shan respectfully shouted "Professor Zhang", Professor Zhang nodded lightly, he is mainly looking at today, and it is not too late for him to go to the operating table if there are problems that cannot be solved.
The anesthesiologist had already adjusted the anesthesia plane and shouted to Dr. Li to start.
The patient is placed in a supine position, and the towels are routinely disinfected.
The lower edge of the umbilicus was incised 1cm, the pneumoperitoneum needle was vertically punctured into the abdominal cavity and CO2 was injected to make the intra-abdominal pressure reach 11mmHg, the pneumoperitoneum needle was extracted, and the puncture diameter of 10mmTrocar was placed into the laparoscope.
Li Haishan, who has a good luck value, used just the right amount of strength, and this piercing was very stable and fast.
Under laparoscopic supervision, the left and right lower quadrant punctures were performed with a diameter of 5 mm Trocar and the required instruments were inserted, and the exploration was recorded as above.
Li Xizi can't keep up with Haishan's speed, freak Li Haishan. As soon as I started the operation, it was like a different person, and I was not stupid or stupid.
Professor Zhang's eyes widened, Haishan's piercing technique and angle were very reasonable, and she was extremely talented. It's really a good seedling for surgery.
Pour me two bottles of metronidazole into the treatment bowl.
Hassana shouted the itinerant nurse.
Suck off the blood in the abdominal cavity, clamp the ampulla of the right fallopian tube to stop the bleeding, and then gently suck out the villous tissue from the broken part with a small suction head.
After repairing the broken tissue, rinse the pelvis with metronidazole.
The tallest nurse in the operating room, the nurse nicknamed Xiao Tiantian, came into the operating room after washing her hands, and when she saw this process, she was happy, she didn't have to go to the operating table, the operation was going to be over.
Examination of the surgical wound is not bleeding; Examination of the bowel and bladder shows no damage. Remove from the umbilicus, expel the gas in the abdominal cavity, and remove the instrument, Trocar.
The umbilical incision was sutured subcutaneously with 1 stitch, and three puncture holes were bandaged, and the operation was completed. The operation went smoothly, the bleeding was a little, the urethral tube was smooth, and the urine was yellow, about 100ml. After the operation, the tissue will be shown to the family and sent for examination.
There is no special treatment and rescue situation.
After seeing Haishan's surgery, Professor Zhang was very unhappy in his heart, because Haishan's speed and technique could beat all the young doctors in their surgery.
He lowered his head and walked out of the operating room with a sad face, and Director Qin, who felt that his dizziness had just been relieved, met Professor Zhang, who had been hit by a daze, and sighed in his heart, could it be that there was a problem with her arrangement, Lao Zhang was late, and something happened to the patient.
Director Qin didn't ask anymore, and strode directly to the operating room, there was no one in the operating room, and the director grabbed Xiao Tiantian and asked how the surgical patient was.
"It's going to be done quickly, I haven't come to the stage yet, the two of them have finished the operation, don't you know, Professor Zhang is stunned, the doctor you brought is the most popular, he lives well, and he doesn't talk much."
After hearing this, Director Qin breathed a sigh of relief, and her heart was also beautiful, she has a unique vision and can cultivate seedlings, Lao Zhang must be too envious.
This child does not drop the chain at a critical moment, and it is indeed worth cultivating.
After watching the gynecological surgery, Professor Zhang returned to the department and felt that he still had to learn from Director Qin and learn how to cultivate seedlings.
Just go, just do it, and Professor Zhang came to the obstetrics and gynecology department again.
"Haishan, did you see the director?"
"I got an injection in the duty room, and vertigo appeared"
"Then I'll go find her"
Professor Zhang, who was in a hurry, ran to the duty room to find Director Qin again
"Xiao Qin! How did you bring your apprentice? Don't hide it from me."
It was Hai Shan who was obedient and willing to study, and Li Xizi was also brought by her, so far, she didn't dare to do any surgery alone.
"There are successors, you have a good seedling, you are not in a hurry, I am in a hurry! There is not a doctor as savvy as her, otherwise, you can give her to me! ”
Director Qin is going to complain about him, he usually doesn't let go,
When they see other people's students, their eyes are red.
"Don't think about good things, it's impossible"
The two of them muttered in the duty room for a long time.
In the ward, Weiwei was not awake under general anesthesia, and Haishan stayed in the ward and continued to observe her condition, after all, it was the first time she had performed such a major operation.