Chapter 19 Self-reliance

"And what about the first one?" The woman asked hurriedly.

"The first traditional open cholecystectomy has an incision of about 15 centimeters, and the wound is relatively large, the trauma is relatively large, the postoperative recovery is relatively slow, and there are many postoperative complications. But the price is the lowest, and the operation costs more than a thousand can be done. Hou Quanhai could also see that this woman was dressed ordinarily, and it was estimated that she was also an ordinary working family. To be honest, it is indeed hesitant to take out tens of thousands of yuan for treatment at once.

The women were also a little hesitant after hearing this, although the first one was cheap. However, the recovery time is long, and the wound is relatively large. Maybe it will affect her husband's work and heavy work in the future.

"What about the second one?"

"Although the second small incision cholecystectomy is also a traditional laparotomy, it has a small incision, the incision is only 4~6 cm, the trauma is small, and the recovery is not as fast as laparoscopic surgery, but it is much faster than the first one, and the safety factor is also very high! The cost of this operation is 4,000. Hou Quanhai introduced.

Small incision cholecystectomy is developed in traditional surgery, which is a combination of minimally invasive concept and high technology, which is not only reflected in the small incision, but also in the accuracy of every step of the operation inside the cavity and abdomen.

Because it is modified, there is no need for general anesthesia and artificial pneumoperitoneum, no need for gastric tube and urinary tube, and the recovery is faster than traditional surgery!

"Doctor, then use this!" After hearing this, the woman immediately made a decision. The cost of laparoscopic surgery is 20,000 yuan, and her family is indeed unbearable.

This small incision cholecystectomy sounded like a good recovery and a high safety factor, so she directly chose this surgical plan.

"Okay, there may be accidents during the operation, and I need to make this clear to you. After all, the surgical process is full of unknowns. If you agree, sign it. Hou Quanhai handed over the consent form for surgery.

"I know." The woman resulted in a consent form for surgery, and the brush was signed.

"Director, the family has signed, and she said that she hopes to use a small incision for gallbladder surgery." Hou Quanhai walked up to Jiang Yan and said.

"Well, you come in with me and be my assistant." Jiang Yan said.

"Okay."

But just as the two of them were about to enter the operating room, suddenly four or five people outside the door brought in a patient. One of the middle-aged women cried and shouted, "Save my husband, save my husband!" ”

"What's going on?" Jiang Yan hurriedly walked over.

A traffic policeman sighed and said, "Drunk driving, car accident." ”

Hou Quanhai glanced at the middle-aged man lying on the stretcher, only to see that his eyes were half-closed, and his right arm was reversed and deformed. The face is severely swollen, the forehead is twice rampant, the mouth is slightly open, the pupil reflex to light disappears, and the whole body exudes a strong smell of alcohol.

Jiang Yan immediately conducted a simple examination and said solemnly: "There is no breathing, and there is a faint heartbeat!" ”

"Huh? Breathless? Woowoo...... I told him not to drive after drinking, but he just didn't listen, he just didn't listen...... Woo woo woo ...... "The middle-aged woman cried even more devastated.

"Send it to the operating room immediately!" Jiang Yan's tone was unprecedentedly serious. She knew very well that the patient's condition was precarious, and she didn't know whether she could be rescued. Because the injury is too bad!

"Hurry, hurry, hurry!"

After being carried into the operating room, Jiang Yan preliminarily judged that the first emergency cardiopulmonary resuscitation should be tried first!

Hou Quanhai hurriedly moved the patient to the bed in the emergency room with a few people, and the nurse Xiaojing placed the automatic cardiopulmonary resuscitation massage machine, set the parameters and started the machine.

"Hou Quanhai, you immediately establish a venous channel, Bai Ruoxi will place ECG monitoring, and Yang Xuan, you will help with tracheal intubation!" Jiang Yan was performing cardiopulmonary resuscitation on the patient while facing the three.

For the establishment of venous access, Hou Quanhai is naturally handy, after all, it is an expert-level phlebotomy!

Yang Xuan on the side was anxious: "I, I ......"

As soon as Jiang Yan saw Yang Xuan's attitude, he knew that the other party was probably not confident enough in himself.

"You come to perform CPR on the patient, and I will insert the patient's trachea!" Jiang Yan said in a deep voice.

"Good!" Yang Xuan was amnesty, and cardiopulmonary resuscitation was still very stable.

The next moment, when Jiang Yan was training the patient to intubate, she found that her throat was full of blood, but although the patient's oropharynx was full of blood, after being suctified, she was still successfully intubated quickly, not to be an old driver.

The trachea was successfully inserted to allow the patient to breathe, and Hou Quanhai also successfully established intravenous access at this time.

2 minutes to complete!

Jiang Yan was slightly surprised, this speed, the thief is fast!

"Give him 3 units of plasma, 1 unit of epine!"

"Okay." Nurse Xiaojing was busy using it for the patient.

"How much does your heart beat?"

"Just 23, now 30!" Bai Ruoxi Road.

Things are getting better, and that's hope!

"Oh no, no one went to the acute cholecystitis patient who was in shock just now?" At this time, Nurse Xiao Jing remembered this and hurriedly said.

"Now I can't leave here, why don't you go to the inpatient department and call a surgeon to come down." Jiang Yan frowned. Obviously, this patient here will die at any time, or this one is more important!

"Ding-dong...... Temporary task of the system: self-reliance, self-reliance to perform acute cholecystitis surgery on the patient, and 1000 points will be rewarded for successful operation. ”

With the system task echoing in his mind, Hou Quanhai immediately spoke: "Director, shall I go?" ”

"Can you have cholecystitis surgery?" Hou Quanhai had said that most of the second-level surgeries would be done before, but she still asked hesitantly.

"Absolutely! I have done more than 20 cases in my original hospital. Hou Quanhai nodded very seriously.

Yang Xuan on the side of "......" was stunned for a moment. Will you do this secondary surgery too? For Mao Laozi, he also came to study in a small county hospital, and he couldn't even perform appendicitis surgery, which was more difficult in the first-level surgery. Have you had a cholecystectomy more than a dozen times in your secondary surgery?

Everyone is in the county hospital at the same time, why is the gap so big?

In fact, Hou Quanhai had never had a cholecystectomy at all, but if he didn't say so, Jiang Yan would definitely not worry about letting him do it. So, I can only pretend to be forced.

"Okay, then you can go. It's just you this time, no problem, right? ”

"No problem!" Hou Quanhai nodded and walked out of the operating room quickly.

Outside, the wife of the acute cholecystitis patient was already anxious like an ant on a hot pot. None of the doctors have one!

Seeing Hou Quanhai coming out, he immediately rushed forward: "Doctor, my husband ......"

"I'm sorry, I delayed a little just now, but I'll go for your husband's surgery now. Don't worry, it's okay! ”