This is the last first aid method, if it doesn't work, then it's really useless!

Cheng Kai hurriedly installed the instrument and immediately pressed the start button.

Multiply!

There is no movement~

Multiply!

No response!

Multiply!

Everyone has no temper!

Multiply!

Just when Hou Quanhai and the others thought they had no chance, suddenly the ripples in the straight line on the heartbeat detector suddenly fluctuated slightly!

"Alive, alive!" Cheng Kai said excitedly.

In the end, they managed to save the old man from the hands of death.

After saving this patient, Hou Quanhai had the opportunity to go to Chafan after he walked out of the operating room.

Just after coming back from dinner, he was pulled by Cheng Kai to see Liu Zhenyang in the No. 5 operating room.

At this time, Deputy Director Liu was doing a total colectomy in the operating room, which was a fourth-level operation!

"Dr. Hou, will you have decompression surgery for abdominal space syndrome?" Liu Zhenyang asked without raising his head while doing the operation.

"Ah......?" The sudden question made Hou Quanhai a little puzzled, what are you doing?

He really can't do this!

"Hou Quanhai, will you be able to? I'm in a hurry! Cheng Kai next to him was anxious.

"Yes!" Hou Quanhai nodded violently, isn't it just a matter of krypton!

"Are you sure?" Liu Zhenyang raised his head and asked seriously.

"Hmm." Hou Quanhai also nodded seriously.

"Okay, there is a patient in Intensive Care Unit 4 who has abdominal space syndrome and needs surgical decompression, and you and Dr. Cheng will go over to deal with it." Liu Zhenyang breathed a sigh of relief. Because he can't leave at all now! Otherwise, he wouldn't have asked Cheng Kai to ask Hou Quanhai for help, after all, he was Director Jiang's person. Originally, he wanted Cheng Kai to deal with this matter, but he hesitated, and at first glance it was half a bucket of water, where did he dare to hand it over to the other party?

As for Hou Quanhai, since Hou Quanhai showed a brilliant cholecystectomy, Liu Zhenyang still agrees with Hou Quanhai's surgical skills, at least several times stronger than this uncompetitive Cheng Kai! He regretted that when the director of the door threw Hou Quanhai to Jiang Yan, why didn't he leave Hou Quanhai silently? Woo ho, there is no way to regret it!

"Director, then I'll find you an intern to come and be your assistant?" Cheng Kai asked. He was an assistant to Liu Zhenyang for this operation just now.

"Intern? No way! At least get me a resident doctor. Liu Zhenyang shook his head, the total colectomy he did was very complicated, and many of the surgical procedures needed assistants to help him, and he was really not at ease when he found an intern. As for why he didn't let Cheng Kai stay, because the abdominal space syndrome over there was not simple, and he didn't worry about letting Hou Quanhai deal with it alone.

"Director, I can't find a free resident doctor outside, I'm so busy!" Cheng Kai said with a bitter face, all the attending doctors are doing surgery. The director of the door did a radical thyroidectomy, which was a fourth-level operation, and it was estimated that it would not be possible to do it in four or five hours, and he also took an attending physician to help.

Jiang Yan has a pancreaticoduodenectomy, which is more difficult, because pancreaticoduodenectomy is a fourth-level operation in general surgery, which is one of the top ten difficult surgeries in the world, and if the situation is complicated, it will not be possible to get down in six or seven hours! I also took an attending physician and went in to help.

The emergency department is severely understaffed!

"Damn! How did I find out that our emergency department is short of people every day! Liu Zhenyang muttered, but could only sigh and said, "Then find an intern to come in." ”

"Okay."

After walking out, Hou Quanhai hurriedly asked, "What is the situation with that patient with abdominal space syndrome?" ”

"Hi~ You didn't go to work yesterday You don't know, that guy is in his thirties, and he seems to be a qigong master. What kind of abdominal qigong top steel bar is performed during the commercial performance! The effect of the show is to use the abdomen to bend the two-meter-long steel bar, but unfortunately the steel bar is not bent, and the steel bar at the end of the abdomen directly penetrates his abdomen. Fortunately, it was delivered in time, and a life was saved after rescue. But the steel penetrated his large intestine and kidneys. Cheng Kai explained.

"it...... This qigong master is fake, right? Hou Quanhai suddenly smiled, he was really interpreting the true qigong with his life.

"The ghost knows if it's fake, anyway, his assistant said that the quality of the steel bars bought by the merchant was too good......"

"Poof~ Okay." Hou Quanhai almost burst out laughing.

When he came to the ward, Hou Quanhai saw this bald-headed qigong master lying on the hospital bed, his body full of pipes of various instruments. At this time, he had not yet woken up from his coma.

Intraperitoneal space syndrome is a non-physiological acute increase in intra-abdominal pressure, affecting visceral blood flow and organ and tissue function, and further causing a series of pathophysiological changes, mainly manifested as increased respiratory resistance, decreased lung compliance, and even progressive hypoxia, decreased cardiac output, increased peripheral circulation resistance, oliguria or even anuria.

The abdominal cavity is a closed cavity in which the intra-abdominal pressure averages zero or close to zero in the physiological state. Any increase in intra-abdominal volume can cause an increase in intra-abdominal pressure. In particular, when the patient has undergone abdominal surgery, the intestinal tube has been edematous, increased in size, and the intestinal flexure is obviously bulging above the incision level, and the abdominal wall incision is forcibly closed at this time, which will cause the intra-abdominal pressure to rise rapidly.

Hou Quanhai took the examination report and looked at it and asked, "When did this coelo-abdominal space syndrome appear?" ”

"During the rounds this morning, the nurse said it started at 2 a.m. last night."

"It seems that the situation is serious now." Hou Quanhai nodded. In fact, when the intra-abdominal pressure is at grade I, there is no need to deal with it. In grade II, close monitoring is required, and if oliguria, anuria, hypoxia, or elevated airway pressure have occurred, decompression can be performed conservatively or differently depending on the specific situation. Grade III usually requires surgical decompression. Grade IV requires immediate abdominal decompression.

For example, correcting the imbalance of water, electrolytes and acid-base imbalance to the patient, appropriate infusion of colloidal solution, the use of sedatives and muscle relaxants, the use of strong diuretics, external application of skin nitrate, traditional Chinese medicine, and rhubarb are also effective treatments.

But today, it seems that conservative treatment is useless!

"It's not~ Conservative treatment doesn't work, his condition is more serious, and it's to blame him for being too hard, poking the steel bar too deep, and the kidneys are seriously damaged." Cheng Kaidao.

"The intra-abdominal pressure is already higher than 25mmHg, so I have to do decompression surgery immediately!" After reading the latest inspection data, Hou Quanhai shook his head and said.

Generally, intra-abdominal pressure is higher than 25mmHg as an indicator for choosing laparotomy and decompression, and the other party is 26 up!