Chapter 381: Dentist and C-section
Wang Lu said to Qian Zhengang: "This is Xi Jiachao, a graduate of the epidemic prevention major, a doctor from the original health center, Xiao Qian, you cooperate with him and make every effort to rescue Lao Feng's son-in-law." //*.*//”
Qian Zhengang knew this "person", not long ago when the health center was defending, he had seen him, in private, he had asked Shen Mugu about the details of this "person", but Shen Mugu flickered, just emphasized that "listening to Brother Wang's affairs, it will not be wrong." Qian Zhengang is reluctant to delve into it, just like he has a zombie mother, everyone has their own secrets.
Qian Zheng raised his eyebrows and locked deeply: "Is it a professional in epidemic prevention?" Dr. Xi Jiachao, have you ever had surgery before? ”
Xi Jiachao said in a hoarse voice: "Like you, I haven't done it before." Okay, don't talk about this nonsense, let's get to work. But I can't do anything, so I'll give you some ideas on the side. ”
Qian Zhengang nodded, yes, now it's just a duck on the shelf, no matter whether he has experience before or not, he has to play shirtless.
Qian Zhengang cheered up, pushed Xi Jiachao's wheelchair, walked to the side of the operating bed, and pointed to the patient: "As you can see, the patient is about 25 years old, and he was stabbed in the left abdomen. The patient is currently in a state of shock, and according to the results of ultrasound examination, there is internal bleeding, and abdominal exploration must be performed immediately. ”
Xi Jiachao stared at the patient on the operating table: "How is blood pressure, pulse, and breathing?" ”
Qian Zhengang sighed: "Blood pressure and pulse can't be measured, and breathing is only 24 times per minute." ”
Xi Jiachao closed his eyes and pondered for a moment: "I'll talk about the treatment plan first, and then you can add it." Anti-shock therapy such as oxygen inhalation and volume expansion is performed first, and after the blood pressure rises, a laparotomy is performed after anesthesia to remove a large number of clots and blood in the abdominal cavity. At the same time, be prepared for intra-abdominal infection. ”
Qian Zhengang's face changed: "Yes, if the intestines are punctured, the stool inside will definitely contaminate the abdominal cavity, no wonder the patient's body temperature is so high now." ”
Qian Zhengang said to the crowd around him: "Immediately call all the people to take blood tests to find out the matching blood type and prepare for surgery!" ”
said to Chen Wei again: "Sister Chen, please give me a hand." ”
Chen Wei was stunned, did she let herself participate in laparotomy? This, this is not comparable to the sewing of Wang Lu's thigh, the thought of seeing Feng Haiqi's son-in-law's stomach being dissected, Chen Wei's face turned white all of a sudden, and she even had the urge to vomit, and after barely suppressing her fear and nausea, Chen Wei gritted her teeth and said, "I know, what medicines and surgical instruments do you want me to prepare?" ”
Wang Lu suddenly said next to him at this time: "I'll also come to help with the operation." ”
Qian Zhengang said impatiently: "Brother Wang, you haven't received a little training, this kind of thing is not just a matter of many people, you will only help more and more!" ”
Wang Lu said seriously: "Xiao Qian, you must be short of manpower for surgery, believe me, I can help you." ”
Qian Zhengang gritted his teeth: "Okay, but you must listen to me in all your actions, and you must not make your own decisions." ”
Zhou Chunyu immediately drove a farm truck to Mingfeng Villa to pick up Mrs. Cui, the old man Chen, now every piece of blood is precious, Qian Zhengang and Xi Jiachao discussed the instruments and medicines needed for the operation, Chen Wei was nervously recording next to him, and from time to time he heard professional terms that he was not familiar with, and he had to ask again.
Shen Mugu and Wang Bi'an stood aside and couldn't help for a while, Shen Mugu cried and said with a sad face: "It seems that he wants us to donate blood, this Lao Feng's son-in-law is so seriously injured, the blood to be donated is indispensable, but don't draw it on my head, I am most afraid of drawing blood, in the past, every time I volunteered to donate blood in the unit, I deliberately caught a cold and hid." ”
Wang Bi'an snorted disdainfully: "Uncle Shen, you are always so cowardly, if my blood is worthy, I will definitely donate blood, isn't it just a little blood?" When my dad used to kill zombies to protect me and my mom, he didn't even want his life. ”…,
Shen Mugu snorted: "But it's not your father who is lying on the operating table now." ”
Wang Bi'an said seriously: "Uncle Feng can save my father's life and teach me kung fu, I should help a little." **Uncle Shen, if you take care of yourself, who will come to help you in the future. ”
Shen Mugu smiled bitterly: "Okay, okay, my surname Shen can't be worse than you Wang Bi'an primary school student, I didn't say it, I don't frown how much blood I draw." ”
Wang Bi'an protested: "How many times have I said it, I'm a middle school student!" If it weren't for Resident Evil, I'd be in my first year of junior high school right now. ”
After a while, Zhou Chunyu came with Mrs. Cui, the old man Chen, and the old couple had heard on the way that they were going to draw blood to save Feng Haiqi's relatives, and they all agreed, despite this, Qian Zheng still explained again and again, considering that the two old people are old, this blood is mainly used as a backup, and it is really not enough, so their blood will be drawn.
The blood type was quickly tested, and Shen Mugu, Zhou Chunyu, Chen Wei, and Xie Ling were all qualified.
Xie Ling hurriedly said: "Don't draw my sister's blood, let's draw more of mine, my sister will help with the operation later, her physical strength must be guaranteed first." ”
Shen Mugu cried with a sad face, he had said a big thing in front of Wang Bi'an before, he was really embarrassed to retreat, and when he heard that Xie Ling wanted to draw more blood, he gritted his teeth and said stubbornly: "Let's draw more of my blood, I'm a big man, and it's not bad for this blood." ”
As a result, Shen Mugu's blood was only half drawn, this guy rolled his eyes and fainted, Qian Zhengang hurriedly pulled his needle down, fortunately Shen Mugu was not in a serious coma, after applying a cool towel, he woke up, and asked him how he was in a coma, Shen Mugu cried and said with a sad face: "I have a little faint bloodsickness, and I really don't deliberately avoid donating blood." ”
Zhou Chunyu also finished drawing blood at this time, and said with a smile: "I didn't see you faint blood when I killed zombies before." ”
Shen Mugu argued: "What comes out of this zombie is corpse fluid, it is black, can it be the same as red blood?" Gritted his teeth: "Sister Chen, you blindfold me, and smoke more." ”
Xie Ling smiled: "Come on, you don't need to pretend to be a hero, when you were in a coma just now, my sister had already drawn a little of her own blood for backup." ”
The blood was ready, and the surgery could finally begin.
The door of the operating room closed behind Chen Wei, Chen Wei took a deep breath, and looked at Qian Zhengang and Wang Lu, who were standing on the side of the operating bed wearing white coats and gloves, the shadowless lights were on, and their faces were very heavy.
Chen Wei was also very depressed in her heart, this is the first operation she has experienced, if there is a little mistake, Feng Haiqi's daughter will become a widow, everyone doesn't know yet, Guan Xin and Feng Shiqi have never held a wedding at all, and the two have only shook hands at most, and they have not even experienced kissing
Chen Wei walked to the operating table, and Qian Zhengang nodded: "Let's start." ”
Qian Zhengang commanded: "No. 22 and No. 18 indwelling needles, I want to establish intravenous access in the cephalic vein and the saphenous vein. ”
Chen Wei was stunned for a moment, and it was easy to understand that Qian Zhengang was actually talking about infusion and blood transfusion, so this guy couldn't use words that our people could understand, if it weren't for the fact that he had learned some medical knowledge with him before, he really didn't understand what he was talking about.
In fact, Qian Zhengang can't be blamed for this, he is now full of memories of the knowledge in medical books, you know, he studied dentist, and the difference between thoracotomy and abdominal surgery is more than 108,000 miles, and in the operating room, he is the most nervous.
The similar surgery that Qian Zhengang can refer to now is a caesarean section, anyway, everyone is opening the stomach and pulling out things, which is more or less the same.
Chen Wei finally remembered the No. 22 and No. 18 indwelling needles, took them and handed them to Qian Zhengang, who gave the patient fluids and blood, and asked Chen Wei to closely observe blood pressure, breathing and heartbeat while preparing for anesthesia. …,
Such an operation should have been under general anesthesia, but there was no professional anesthesiologist at the moment, Qian Zhengang only dared to use local anesthesia, he used ketamine compound local anesthesia, this anesthesia method is mostly used in caesarean section, which is an anesthesia method that Qian Zhengang is relatively familiar with.
Qian Zhengang said to Xi Jiachao while preparing the medicine: "Chlorone is used at a dose of 23 millimeters per kilogram of body weight, what do you think?" ”
Xi Jiachao said: "No problem, but the intramuscular injection site should not be too close to the upper chest muscle so as not to affect the breathing with anesthetic." ”
Qian Zhengang said: "Understood." ”
After the anesthetic injection, Chen Wei reported blood pressure, breathing and heartbeat every 10 seconds, and with the effect of drugs such as atropine, as well as the infusion of blood, the patient's blood pressure and heartbeat began to recover.
Wang Lu watched from the side, the first thing that came out of the knife was not the imaginary blood, but yellow fat, and there was something like a membrane under the skin, which should be the peritoneum, and then, under the effect of intra-abdominal pressure, the intestines suddenly gushed out.
Chen Wei saw this scene next to her, her face turned white, her legs bent, and she almost fell, but Wang Lu hurriedly supported her in the back. It's no wonder that Chen Wei lost her temper, this kind of scene is disgusting even when students from medical universities see it for the first time, not to mention Chen Wei, a female primary school class teacher. And Chen Wei donated some blood just now, although the amount was not much, but she was also a little dizzy.
Wang Lu helped Chen Wei and said in a low voice: "I'll help Doctor Qian, you can help hand over the instruments." ”
Chen Wei nodded hurriedly, it was better to face a cold instrument than to face an open belly.
Qian Zhengang didn't notice that Wang Lu and Chen Wei had changed hands, and he was now staring at the opening of the abdominal cavity and gritting his teeth: "Damn, the intestines are really broken." ”
Wang Lu also saw it on the side, in addition to the red coagulation in the abdomen, there was also feces floating, and it seemed that Feng Haiqi's son-in-law had stabbed the large intestine with this knife.
Xi Jiachao said in a deep voice: "Don't panic, suck the fluid in the abdominal cavity, prepare normal saline, and clean." ”
Chen Wei immediately handed Wang Lu something like a household vacuum cleaner straw, and Wang Lu handed it to Qian Zhengang, who was burying his head, and Qian Zhengang turned on the machine and sucked it up. At the same time, Chen Wei handed over a large bottle of normal saline to clean the contaminated abdominal cavity.
To put it bluntly, it is actually a technique of washing the intestines with salt water, which is similar to washing the large intestines of pigs in restaurants.
Qian Zhengang quickly found the broken intestines, and immediately asked Chen Wei to hand over the needle and thread and sew it up.
Xi Jiachao asked beside him, "Is there any adhesion in the intestines?" ”
Qian Zheng said in a sullen voice: "I haven't seen it yet." ”
Xi Jiachao said: "It's better to inject anti-adhesion medicine appropriately." ”
Qian Zhengang sewed up the hole in the intestine, cleaned up the fluid in the abdominal cavity, and made a drainage strip in the right iliac fossa, and then began to suture the surgical wound.
After less than two stitches, Qian Zhengang was dizzy, the operation had lasted for an hour unconsciously, he had been maintaining a high level of tension, and now seeing that the operation had ended smoothly, his heart was relieved, and fatigue suddenly surged.
Wang Lu saw it clearly beside Qian Zhengang, and hurriedly held his hand holding the needle and thread, and said, "Doctor Qian, take a rest, let me come." ”
Qian Zhengang said: "Okay, listen to my instructions, you can sew." ”
Qian Zhengang used the traditional suture method to suture the subcutaneous adipose tissue with No. 1 silk suture, and the skin was sutured with No. 4 silk suture.
Qian Zhengang looked at it from the side and nodded slightly, Wang Lu's technique was extremely clumsy, it was not much different from sewing clothes, but his hands were very stable. If the average person has a skin stitch for the first time, his hands are already shaking because of panic.
Qian Zhengang glanced at Chen Wei, who was pale next to him, but unfortunately, although Chen Wei learned some nursing knowledge from him, these knowledge were too shallow, and there was a lack of practical application exercise, especially Chen Wei's psychological quality. Qian Zhengang pointed and said: "Brother Wang, yes, just pass under this fat layer, good, very good, slowly draw the thread, yes, Brother Wang, your hands are very steady." ”…,
Wang Lu was wearing a mask, he couldn't see his expression, but he knew his own family affairs, and Wang Lu knew why his hands were not steady, but his hands felt sluggish.
Wang Lu was in the Dragon King Temple during this time, and he was not really idle, since he practiced the "command" ability with the intelligent corpse that occasionally went up the mountain, he was obsessed with this ability, and from time to time he slipped into the cave of the back mountain and practiced with the intelligent corpse locked in the pit. Now, that intelligent corpse is symmetrically forbidden.
However, with such frequent use of special abilities, the after-effects soon became apparent, that is, the feeling of Wang Lu became more and more dull. Just like a person who sits with his legs bent for a long time will have numb legs, Wang Lu sometimes finds that when he does not use his special abilities, he feels suddenly gone.
One day, Wang Lu made milk powder for the pear head, and his fingers accidentally soaked in the hot water, the hot water had just been poured out of the kettle, and it was steaming, but Wang Lu didn't feel it at all, until he dripped a drop of hot milk on his wrist in order to test the temperature of the milk for the pear head, and found that he didn't feel it.
Needless to say, Wang Lu knew that this was what Qian Zhengang had warned, and the blood clot in his brain was gradually increasing, further compressing the prefrontal lobe of the brain.
For a moment, Wang Lu's heart was sad to death, and he didn't feel anything, what the fuck does it mean to be a human being, it's really a walking corpse, it's just a breath of heat more than a zombie.
But he quickly calmed down, the matter has come to this point, it is impossible to go back, in fact, as early as when he was infected with a second-degree biochemical virus and came back from the dead, he had already faintly thought that he would embark on this road sooner or later.
However, seeing that the IQ of the intelligent corpses and zombies is gradually awakening, and the speed is getting faster and faster, in order to protect Chen Wei, Wang Bi'an, and Xie Ling, he does not have as superb force as Feng Haiqi, and his special ability is his only reliance.
And with the increase in the number of people in Yashan, although he saved a lot of heart, like this action to close Yinjiang Town, even if he was not present, Zhou Chunyu and his people could do it properly, but it was becoming more and more difficult for him to hold the first place steadily.
The only ones in the biochemical apocalypse are on top, and the incompetent don't need to be eliminated by others, and the smart corpses and zombies will kill you.
How did the contradiction between Wang Lu and Zhou Chunyu and others finally subside? It wasn't Wang Lu who showed his hand in the defense of the health center, which made Zhou Chunyu and others back down. Although I dare not say "convincing", there are still "oral".
Wang Lu had to use special abilities, he had to use special abilities, knowing that there was an abyss in front of him, he could only go down step by step, just hoping to keep Chen Wei, Wang Bi'an, and Xie Ling safe before he fell to pieces.
As for his father and mother marrying after his death, everyone should take care of their own people.
Well, the only thing that comforts me a little is the words in the lower body, which still work.
Now, Wang Lu took over Qian Zhengang's sewing knife, precisely because he felt sluggish, but he could not be interfered with by the outside world, and exert his full strength, of course, because he had no feeling, so he could not distinguish the severity, but fortunately, he could observe with his eyes, as long as he slowed down the motion, he was not afraid of accidents, just treat himself as a robot now, in modern medicine, there are more and more surgeries that replace human hands with robots, in the final analysis, cold and ruthless machines are more stable than flesh and blood.
The incision was finally stitched up, the anesthetic was still working, Feng Haiqi's son-in-law walked quietly on the operating table, Qian Zhengang observed his heartbeat, blood pressure and breathing, and was greatly relieved, all indicators were normal.
Xi Jiachao said in a tone that had not changed for 10,000 years: "Infusion to increase the dose of antibiotics to prevent peritonitis and intestinal adhesions." ”
Qian Zhengang nodded and glanced at Chen Wei, who was counting the gauze used in the operation, which had been used to stop bleeding and clean up dirt in the abdominal cavity, but it was not possible to pull one or two pieces in the stomach as reported in the news. Fortunately, Chen Wei had already thought of this, and she silently remembered it in her heart with a few pieces of gauze, and was counting them one by one at this time to ensure that they were correct.
Qian Zhengang saw that Chen Wei was busy, so he went to dispense medicine by himself, to be honest, he was a little proud in his heart, he was a dentist, with two assistants who had not been to medical school for a day, and he had completed the operation that only a professional surgeon could do.
With the experience of this surgery, my future treatment of external injuries will greatly leap to a new height.
Qian Zhengang knew that the reason why he, a dentist, was able to stay in Yashan was mostly out of Wang Lu's respect, and others didn't look at his two knives, even a villain like Shen Mugu could call him around.
After all, who needs a dentist in Yashan.
But after today's operation, everyone in Yashan had to admit their medical skills, and they also had a foothold.