Chapter 0270 Old Driver
"I'm coming?"
Director Mei was unceremonious, on opening the uterus, who in the hospital was familiar with him.
Director Ke has only opened a few hundred, and Director Mei has to open an average of a few a day, and accumulating more than 10,000 cases is not bragging.
The hand was raised and fell, the skin of the abdomen was cut, and the blood flowed out in a loud voice, because of the coagulation dysfunction, the blood came out a little violently.
Double-click electrocoagulation! It can only be relied on, although there is an autologous recovery blood transfusion machine, and sufficient allogeneic blood is prepared, but there is too much bleeding, a large amount of coagulation factors are consumed, and it is easy to cause disseminated intravascular coagulation.
The two directors are experienced old surgeons, and the double-click electrocoagulation is very flexible in their hands, and with the sound of Zizi, a small spark is occasionally released, and the bleeding of the skin is stopped.
The two brothers haven't worked together for a long time, and when Director Ke first carried out fetal surgery, he was not very familiar with entering the uterus, so he always pulled Director Mei on stage together.
Later, I slowly became proficient, and the cooperation was much less, and now this patient is special and the risk is too high, so the two brothers cooperate again.
Director Mei is one of the few male obstetricians and gynecologists, who looks like the current popular flower men, if he is not a few years older, he can try to enter the entertainment industry.
He has slender fingers on both hands, plays the piano well, and at the hospital's annual New Year's party, Director Mei's piano performance is still a traditional program.
"Don't rush, stop the bleeding."
Director Mei stopped the bleeding from the skin and under the skin and began to cut the deep fascia.
Through Director Mei's hands, more than 10,000 babies were dissected, from the abdomen into the womb, just a few levels, and this is the most done thing in this life.
But Director Mei is still cautious, the technique is very light and light, every time he does a cesarean section, he always has to take out the baby with his own hands, for fear that others have a lot of strength in their hands and hurt the little guy.
The assistant was always puzzled, and once asked him why every time he took out the baby and the sacred ceremony, Director Mei said: "Young people, you don't understand, what I take out now is not an ordinary baby, every one of them may become a Nobel Prize winner, a head of state or a figure who influences history in the future, these people are likely to change the world, so yes, you have to be responsible for history!" ”
Although the coagulation function is dysfunction, the human blood self-coagulation function is weakened, but the double-click electrocoagulation in the hand makes up for this defect, and the broken end of the blood vessel is carbonized and wrinkled with heat to complete physical hemostasis.
The skin of the abdomen, subcutaneous, deep fascia, muscles, peritoneum, and uterus, Director Mei stopped: "Calculate the amount of bleeding, how much is it now." ”
"Six hundred milliliters!" The itinerant nurse counts the blood pads, looks at the suction bottle, calculates a little, and then counts.
It's a bit much, the fetus hasn't been revealed yet, Director Mei frowned: "Be careful when this uterus opens, don't let the amniotic fluid soak into the knife edge!" ”
"It's not a birth, it's not stressful." Director Ke has been assisting Director Mei.
"The mechanism of amniotic fluid embolism has not yet been figured out, so it is better to be careful."
"Well, there's a high risk."
"I'm open?" Director Mei said loudly to get the anesthesiologist to pay attention to the vital signs of the pregnant woman.
Director Mei carefully cut open the uterus, and then stopped the bleeding, and the little guy hid inside, curled up, and kept his hands touching the posture of his neck, just touching the tight hoop on his neck, this is to save himself.
"We can't do it without our help, don't be afraid, baby, we're here." Director Mei's distressed tone.
He touched the fetal heart with one finger: "There is also a fetal heartbeat, it is a little slower, and the operation is going to be accelerated." ”
"Lao Ke, I'll leave the rest to you, I'll just drive in and take it out." Director Mei completed the task.
Director Ke caught Director Mei's hand, not because of anything else, Director Mei is engaged in obstetrics and gynecology, and what he does every day is to open the uterus and take out the fetus, for fear that he will get used to the action and take out the fetus directly.
"Don't move, I'll come!" Director Ke is very cautious.
The microscope was pushed over, Director Ke adjusted it, and started to operate under the microscope, but after a while, the speed could not be raised, for fear of making a mistake.
"Xiao Yang, you can try!"
Director Ke is really human, and he wants to see who is faster between him and Yang Ping, so as to improve the safety factor.
Director Han was beside him: "Xiao Su, what about Xiao Su, let Xiao Su come up with the stage!" ”
"Xiao Su has something to do today, I'm going to pick up his uncle and aunt." Yang Ping hurriedly said.
Director Han sighed and began to personally direct the instrument nurse to hand over things to ensure the rhythm of the operation.
Yang Ping had already made a draft in his heart, and the small blade was gently cut around the neck, tightening along the ring, making an oblique sixty-degree intersecting incision, and arranged in parallel at equal distances, around a circle.
Director Mei fixed the posture of the fetus with both hands, allowing the head to make necessary changes with Yang Ping's operation, so that the knife could complete the incision layout for a week.
Although the Z-shaped transformation is simple, it contains the geometric wisdom of human beings, it does not cut anything, does not add anything, but uses a circle of incisions to form a circle of triangular flaps, these triangular flaps are intertwined with each other, rearranged once, and the tight hoop is dismantled and magically disappears.
The scalpel is like a paintbrush in the artist's hand, and each flap is cut until it reaches the deep fascia, and the nerves and blood vessels under the deep fascia are probed to see if they are broken or occluded, and confirm that there are none.
The triangular flaps are paired in successive staggered pairings and then sutured with a fine absorbable suture needle.
Director Ke just wanted to point out to the young man, but the young man's hands and feet were too nimble.
"This--be careful--slow down--oops-don't be so fast!"
Director Ke was sweating in his heart, staring at the eyepiece of the microscope, the knife in his field of vision was too fast, young man, take it easy, it was scared to death.
"Xiao Yang, slow down, my heart has been hanging, it's a little scary, blood pressure is high, don't operate like this in the future, it's easy to have problems!" Director Ke took a breath.
Director Mei didn't know what Director Ke meant by this, because he didn't see the operation process, Lao Han laughed on the side: "Old Ke, you have a lot of guts." ”
"I said how can orthopedics develop so fast, Lao Han, your subordinates are like clouds, trauma orthopedics is now going to compete with the attached one, sports medicine is now about to be done, and the rest is to get the spinal joints up, you can build an intermediate hospital." Director Mei has nothing to do, and specializes in fixing the position of the fetus.
"You rest, I'll come?" Director Ke wanted to help fix the fetus.
"You can't, I'll do this job." Director Mei didn't let go.
The Z-shaped shape of the neck was completed, the strap was untied, and the fetus was out of danger, Director Ke looked at the time, the operation had just started for half an hour, and the limbs in the back were more relaxed.
The loosening of the bands in the limbs is similar to that of the neck, and the risk is lower. The straps of the limbs are solved, and it is the turn of the fingers and toes, and the fingers and toes should be reshaped, and the fingers should be divided.
The whole fetus is less than 30 centimeters long, and the fingers and toes are the same as rice grains, and they have to move knives on them, which is similar to rice carving.
If you are a little careless, your hand shakes, and one finger is missing, you have to go to the amniotic fluid to find your finger, and you are not in a hurry.
The blade is replaced with a thinner pointed knife.
"Slow down, slow down!" Director Ke became nervous again.
People who have never driven fast cars suddenly sit in the passenger seat of a racing driver, and the racer stomps on the accelerator and races wildly.
"Don't shout, let him do it, he won't be able to do it." Lao Han was shocked when he saw Director Ke, but it was not good, interfering with Yang Ping's operation.
After doing the fingers, there was also lymphedema at the distal end of the toe band, which was several times larger than normal, Yang Ping extracted the lymphatic fluid inside, and then reshaped the enlarged toe to reduce it to the normal range.
"Xiao Yang, it's the first time to do fetal surgery, so skilled?" Director Ke couldn't believe that Yang Ping had this operation for the first time.
No matter how you look at it, it's not like the first time, the technique is so old and skilled, or the kind that is ripe, how can it be without decades of experience, but how old is he?
"How can there be any fetal surgery for him in the orthopedics department, he, he belongs to the old driver who gets in the car!" Director Mei spoke interestingly.
"A natural veteran driver!" Director Ke agreed.
"And this kind of person, born to be an old driver? I took the driver's license test, and the second subject test twice, both of which were hung at a right angle, and now I don't dare to take the test. "The itinerant nurse went out to get something, just came in, heard talking about driving, and was very interested.
Director Ke said solemnly: "Then you invite Dr. Yang to take you to drive a car, and you will be proficient." ”
"Really, Dr. Yang, the old driver will take me to drive it once one day." The itinerant nurse has found the master.
There was laughter in the operating room, which made the itinerant nurse confused, what are you laughing at?
"It's okay to drive, you have to ask Nurse Su if she agrees?" The instrument nurse answers.
"It's just a car, you can't be so stingy, right?" The itinerant nurse still doesn't get it.
Director Mei's critical tone: "The enlightenment education of young people has not been done well, and who is the superior teacher must be held accountable." ”