Chapter 1 Doctors
Gangcheng Municipal Hospital, operating room.
The shadowless lamp brightened the operating table, and the young doctor under the light took the hemostat from the nurse's hand, and the progress was orderly.
"After spinal decompression, the blood loss is about 1000ml, and the patient is conscious under hard anesthesia, and now 2U of suspended red blood cells are transfused, and the condition is ......."
The nurse hung up the plasma, Tang Cheng put down the tools, and quietly watched the scarlet liquid dripping from the infusion tube.
The patient on the stage was brought in two hours ago, and was completely unconscious in his lower limbs due to a burst fracture of his vertebral body caused by an accidental fall from a building.
This spinal decompression and internal fixation surgery is a crucial assessment for Tang Cheng's career.
At this moment, the chief physician of his department was standing not far behind him, staring at him with deep eyes.
If there is a change in the process, the director will take over the operation. If Tang Cheng can complete it independently, then he will complete a big step forward in his career.
But the road to advancement is not always smooth.
It had only been a few moments since the plasma hung up, and the patient began to react uncomfortably, shaking his head incessantly, as if in some pain.
"Give dexamethasone 10mg!" Tang Cheng gave instructions without any waves.
The nurse followed the instructions and after a few minutes, the patient stabilized.
However, this smooth process did not last long, and the patient reappeared in condition, and it was more serious than the previous one.
At the request of the family, the operation is performed with hard anesthesia, which is commonly known as "semi-anesthesia". Under this type of anesthesia, the patient's consciousness is awake during the operation, and only the lesion site is unconscious.
But now the patient's lips are purple, his consciousness is beginning to drift, and he can't respond to the nurse's call.
At this time, the chief physician standing in the back had a gloomy face.
"Director, look at this ......" The female assistant next to her sweated.
"Wait." The experienced chief physician frowned slightly, looked at Tang Cheng, who was silently counting the plasma drops, and said softly.
"Dr. Tang, the patient is not very good!" The nurse anxiously glanced at the instrument next to her and reminded loudly, "The blood oxygen is below 70, and the heart rate has dropped rapidly to 30!" ”
About two seconds later, Tang Cheng reacted, quickly turned off the infusion, and then pulled it through the anesthesia machine to plug it in, and glanced at the nurse at the same time, "Don't be stunned, the mask gives oxygen to assist breathing!" ”
"Ming...... Understood!" Some of the panicked little nurses cooperated with all their might.
The cases of vertebral burst fractures are rare, and they are unstable, which can easily cause spinal cord injury, and the paralysis rate is as high as 70%.
Therefore, the risk of surgery is also huge, and once it is missed, the patient will face high paraplegia and lose his mobility forever.
And Tang Cheng's career will also come to a halt here and be repatriated to continue his studies.
But he didn't look too flustered, just adjusted the anesthesia and oxygen supply with a blank face.
When he was done, he stepped aside and handed the towel to the sweaty nurse.
Usually the nurse wipes the sweat of the chief surgeon, Tang Cheng suddenly handed over the towel, and the little nurse couldn't help but be a little embarrassed and timidly caught it.
"Don't worry, he's fine." Tang Cheng said calmly, "The decompression of the spinal canal has been completed, and now it is changed to general anesthesia, observation for five minutes, and the final internal fixation is done." ”
"Doctor Tang, if you really can't do it, don't force it." The assistant physician chief who was standing in the back said, and there seemed to be an overtone in his words.
Tang Cheng didn't pay attention to her, but glanced at the director on the side, and nodded slightly.
After about five minutes, the value displayed by the instrument returned to normal levels.
"Blood oxygen is 100, heart rate is 80, and the patient is breathing well on his own." The little nurse's eyes couldn't hide her excitement, and the burden in her heart was finally put down, "Doctor Tang, you are amazing!" ”
Tang Cheng hooked the corners of his mouth lightly and took the mask back, "Continue the operation." ”
The subsequent surgical steps went as smoothly as Tang Cheng expected, and when the patient returned to the ward, his vital signs were stable, and he did not feel any discomfort after waking up.
At the end of the postoperative follow-up, the chief physician called Tang Cheng aside and patted him on the shoulder with a smile, "The operation was completed very well, and the emergency treatment in the middle was also very proper, congratulations on your successful completion of the professional assessment!" ”
"Thank you, Director!" Tang Cheng smiled knowingly.
"This surgery is too long, let's get off work early and rest." Although he smiled the whole time, the exhaustion on his face could not escape the old doctor's eyes.
"Okay, I'll see you tomorrow."
Tang Cheng said goodbye to the director, went to the locker room, and changed the surgical gown on his body into casual casual clothes.
When he looked up into the eyes in the mirror, his somewhat tired face gradually stretched.
The person in front of him is long, and his facial features are three-dimensional and marked. Especially those narrow eyes, sharp and wise.
Young and promising, high-spirited. This is Tang Cheng's evaluation of himself.
But when he missed the last train home ten minutes later, he silently retracted his earlier self-worship.
Fortunately, it was not far from home, so he chose to walk back on foot.
The city lights are beautiful, the moonlight is as clear as water, and the rare night, Tang Cheng feels that this is the right time to take a walk to dissipate the fatigue of the day.
In just two years from graduation to now, Tang Cheng's level has almost improved by leaps and bounds. Compared with pure academics, there is a lot of intentional or unintentional competition in the profession, but Tang Feng doesn't want to be disturbed by those miscellaneous things to interfere with his current good mood.
He took out the headphones from his pocket and stuffed them into his ears, and at the same time opened the audiobook app and continued to listen to the audio novel "Reasoning Plan" that he was chasing recently.
In addition to being a medical practitioner by profession, Tang Cheng is also a senior mystery fan.
He has read hundreds of mystery novels at home and abroad, and it is difficult to find a favorite book now.
Hearing the key clues, Tang Cheng couldn't help but slow down and make deliberations as the plot unfolded.
He was so immersed in that wonderful world that he didn't notice anything behind him.
A business vehicle that had been following him for a long time suddenly accelerated, copied from the sidewalk, and then stopped at Tang Cheng's side with a sudden brake.
Before Tang Cheng could react, he was forcibly dragged into the car by several powerful arms.
In the process of struggling, Tang Cheng's headphones fell to the ground, and the chaotic sound surged. Before he could see the other man's face, a black cloth bag was placed on his head again.
Tang Cheng "chuckled" in his heart.
Of course he knew what was going on, and he had seen too many similar scenes in suspense novels, but this time it happened to him suddenly, and he was a little overwhelmed.
He subconsciously asked loudly, "Who are you?" Did you catch the wrong person? ”
But no one answered him.
Just as he was recalling in his mind whether he had offended someone, a slap suddenly fell.
Tang Cheng's eyes darkened, and then he didn't know anything......