Chapter 937: Balloon Man
When the fish bones were seen filtered out of the liquid in the suction bottle, the doctors and nurses in the entire operating room cast adoring glances.
A man of God is a man of God, how do you know that the bones of a fish are not in the body, but in the bottle of attraction?
In fact, Yang Ping didn't know if the fish bone was still in the body or had left the patient's body, but he didn't worry about trouble and decided that he should deal with this matter so rigorously.
This is no longer a question of level, but of whether the attitude is rigorous.
Director Zhuo and Director Zhou felt that their case had taught a lesson vividly, if the fish bone had not been found just now, Director Zhou thought that the fish bone was still in the body, and the operation could only be hastily ended.
Then all the next arrangements are based on the fish bones still in the body, such as difficult conversations with patients and their families, and even patients and their families do not understand.
In order to find this fish bone, the patient is inevitably tossed, and the whole body CT is indispensable, and when the whole body CT does not find the fish bone, everyone will rack their brains to think about how to check next to find the fish bone.
In the end, after many examinations, the fish bone could not be found, and this fish bone became an unsolved case, and both doctors and patients must have hung in their hearts about this matter.
Doctors will think that where the fish bones are hiding will cause heavy bleeding, infection, embolism and other dangers in the future.
And the patient has been worried in his heart, even the thoracotomy has been done, and in the end he did not find the fish bones, and the fish bones are still in the body, how can he live with a time bomb all day long.
It seems that Professor Yang is not only of high level, but also has a serious attitude that ordinary people can do, and the analysis of a fish bone is also leaky.
The fish bone has been found, the operation is finally successfully completed, and Director Zhou is also relieved, this matter is actually not difficult from a technical point of view, the difficult thing is to have a drip-proof way of thinking.
In fact, Yang Ping doesn't know whether the fish bone is in the patient's body or has been brought out, but if you want to comprehensively analyze and deal with this matter, you must do so, because this is a possibility, and this possibility cannot be ignored.
Director Zhou couldn't help but think of his classmate's case, he had a swollen lymph node in his neck, and he went to a doctor to see a doctor. The patient studied medicine on his own, so he found a well-known hospital and asked for an examination, and the doctor performed a lymph node puncture for pathological examination, indicating inflammation. The doctor said rest assured, pathology is the gold standard.
The classmate is still not at ease, he is a doctor himself, and he knows that there must be a problem with this lymph node, not as simple as inflammation. So I found a very strict old professor in a top hospital in the country through contacts, and the old professor touched the lymph nodes for a long time and said that it was definitely not inflammation and suspected that it was a tumor, but it was likely that the lesion could not be removed by puncture in the early stage, and it was best to perform multiple multi-point punctures, so that the probability of getting the lesion was much greater. So this classmate performed five multi-point punctures, the first four found no problems, the last examination was malignant lymphoma, but fortunately early, so the patient immediately underwent surgery to remove, and then re-examined nothing.
So whether you have a rigorous attitude or not, the outcome of things will be completely different.
Originally, Yang Ping planned to go back to eat, but now he has an operation, which is just delayed to the time of eating, and he is hungry, President Chen has a treat, and he must leave Yang Ping to eat in the Municipal People's Hospital, and eat lunch in a restaurant near the hospital.
In fact, when Yang Ping was in the Municipal People's Hospital, he was just a small resident doctor, and later left the Municipal People's Hospital shortly after he was promoted to attending the hospital.
Not long after leaving the Municipal People's Hospital, Yang Ping came to the Municipal People's Hospital in the form of a distinguished expert to guide the operation, and he was a young man, and he was ready to participate in the academician, and he also published 13 CNS articles and founded the journal "Medicine".
These newly appointed section directors used to be "good money" and had been squeezed out by "bad money" in the past, but now they have finally seen the light of day, and when they are eating, everyone gathers together and complains about their previous situation.
As a listener, Yang Ping felt that it was good to listen to these complaints.
Halfway through the meal, Director Zhuo received a phone call at this time, I heard that the emergency department received several patients in car accidents, one of whom had multiple fractures all over the body, which was quite serious, and the whole body was swollen very large.
Director Zhuo saw what the situation was, the whole person, especially the head was like a balloon, he had never seen such a swollen patient before, Director Zhuo immediately showed the photo to Yang Ping, Yang Ping took a look, and decided to hurry over to take a look.
Dean Chen is a little embarrassed that he hasn't eaten this meal yet, but everyone is a doctor, so how can he not understand.
"Let's go, let's see!" Yang Ping immediately got up.
Saving lives and helping the injured is a matter of racing against time, who cares about what to eat or not, Yang Ping immediately went to the emergency department of the Municipal People's Hospital with everyone, and the hotel is quite close to the hospital.
The emergency department of which hospital is almost the same, noisy, the emergency department of the Municipal People's Hospital is not as wide as Sanbo Hospital, and the director is not as tall as Xiong Sihai, so it looks a little uncontrollable, unlike Xiong Sihai, tall and strong, one stop to the emergency hall, plus that fierce look, can calm the emergency department, if someone makes trouble, you have to weigh how many pounds and taels you have.
Yang Ping is very familiar with the emergency department of the city's people's medicine, and he often went to the emergency department when he was hospitalized in the past, and several doctors in the emergency department were also very familiar, and everyone came to the emergency room.
The patient was swollen bigger than in the photo, his chest, neck and head were swollen like a balloon, especially his head, which was very exaggerated, and the inpatient station of the orthopedic department didn't know what to do there, and he had never seen this kind of swelling, so he had to stand by and call Director Zhuo.
Yang Ping asked for a pair of gloves and pressed the swollen area, which was full of air sac-like feeling, and Director Zhuo also put on the gloves and touched them.
"Subcutaneous emphysema?" Director Zhuo immediately realized.
Yang Ping nodded.
Director Zhuo is still experienced in this kind of situation, if it is subcutaneous emphysema, it is easy to deal with, I am afraid that it is not subcutaneous emphysema, but other reasons for such a big swelling, then Director Zhuo has never seen it.
"Sharp blades, quick!"
Director Zhuo shouted.
The nurse in the emergency department immediately opened a debridement kit, and the orthopedic resident quickly loaded the knife handle with the blade and handed it to Director Zhuo, who poked more than a dozen holes in his chest, neck and head to deflate.
The gas leaked out of the poke hole, like a balloon deflated, making a gurgling sound, Director Zhuo pressed the bulging skin like a leather ball with the palm of his hand, and gently squeezed the gas down.
"Slow down!" Director Zhuo took the hand of the orthopedic inpatient officer.
The squeeze must be gentle, otherwise it is easy to cause air embolism, and once it causes air embolism, it can be fatal.
"It's safer to ask the thoracic surgeon to do a thoracostomy drainage, how to do the thoracic surgery, why don't you come to the person." Director Zhuo complained while ordering the emergency doctor.
Director Zhou, the director of the Department of Thoracic Surgery, stood by and watched: "Oh! I'm here. ”
"Prepare the thoracic written test drainage kit, and I'll do a closed drainage." Director Zhou immediately put on gloves.
It was just swollen like a balloon, and a large amount of gas entered under the skin, and the more the gas accumulated, it was similar to blowing up a balloon, and the more it was blown, the bigger it became. This is the patient himself blowing himself into a balloon.
The patient should have a rib fracture, the rib puncture punctured the lungs, and also punctured the chest wall, pierced the chest wall all the way to the subcutaneous, but the skin was not broken, and then a flap was formed on the chest wall, when the patient exhaled, the gas in the lungs was blown out of the hole, blown into the hole in the chest wall, and entered the subcutaneous through the hole, because the chest wall has a one-way valve, the gas only goes in and out, so the gas gathers under the skin, more and more, the skin is stretched out little by little, and finally blows into a balloon, which looks like an exaggerated swelling from the outside.
If this kind of patient is not treated in time, the whole person will eventually blow up into a balloon, which is life-threatening.
The patient later underwent an emergency CT scan and found multiple fractures throughout the body, multiple rib fractures, pelvic fractures, lumbar fractures, multiple fractures of the limbs, and intracranial subdural hematoma, although the amount of bleeding was not very large.
Director Zhuo dealt with these things without a problem, Yang Ping felt that there was no need for him to stay here, so he said goodbye to them and came back to Sanbo Hospital, and it was already more than two o'clock when he came back.
Song Zimo took everyone to do the operation, Xia Shu did not go to the operation, his father was hospitalized in the Department of Gastroenterology, did a gastroscopy, there was an ulcer in the stomach, the bleeding was quite obvious, the gastroenterologist gave hemostasis treatment under the gastroscopy, and then took a specimen for pathology, Wen Ruzheng was helping to see that the pathological section was stomach cancer, and now he had to do a full body examination to see if there was any metastasis.
Xia Shu was quite shocked when he heard the news, he had just graduated from his doctorate, and before he could give his parents happiness, his father was diagnosed with stomach cancer, so he felt very uncomfortable, and his mind was inevitably a little messy.
Nurse Cai had just delivered food to Xia Shu and his parents in the Department of Gastroenterology, and then helped to tell the nurses in the Department of Gastroenterology to take care of Xia Shu's father.
Because the whole body examination has not been completed, Yang Ping is not sure to draw conclusions now, so he is ready to wait for the results of the examination to come out and then help see what the situation is and how to deal with it.
As for Xia Shu, with the care of Nurse Cai, Yang Ping is very relieved, Nurse Cai is very shrewd and capable, she knows how to comfort Xia Shu.
Dashun reported to Yang Ping that the department has recently found a lot of computer Trojans, and even several computers used in laboratories also have Trojans, which are found out by Dashun's routine safety inspections of departments and laboratories.
Because there are always people secretly plugging and unplugging the USB flash drive, it is very common for the computer to be infected with viruses, but the computer in the laboratory is isolated from the outside world, neither networked, nor can I insert the USB flash drive or anything, and there is no connection port, so it should be difficult to be infected with the virus.
Although the computer is isolated, the laboratory is open to people, and there is never a limit to the communication of people.
And these Trojans are very professional, because the top experts of a large security company are in charge of this computer equipment inspection, they are very good at all kinds of network attack and defense, according to experts, these Trojans are lurking inside the computer and have sent a lot of files.
For the sake of security, there is an expert who stays and is dedicated to cybersecurity here.
However, Yang Ping said that there are no documents on the laboratory computer that need to be kept secret, these are all public in the paper, so Dashun does not have to worry, the real core files will not be put on these computers casually, so Yang Ping is not very worried.
In the afternoon, Yang Ping entered the system space for a walk, although the system can provide a powerful scientific research platform, a collection of massive resources, but can not provide rich imagination, Yang Ping feels that imagination, curiosity, desire to explore, these are very valuable.
After the modification of a batch of K factors, Yang Ping analyzed the reasons for the failure and continued the laboratory, hoping to quickly modify the appropriate K factor.
Under the guidance of Yang Ping, Su Nanchen and Robert's project 3D printing cartilage has made a breakthrough, using stem cell cultivation technology and biological 3D printing technology to combine the printed articular hyaline cartilage for structural analysis, which is no different from the human articular cartilage and can be transplanted.
But this is only the first step of the experiment, which is followed by animal experiments, and then clinical trials.
It seems that everyone has learned how to use WeChat, which is an instant messenger is very convenient compared to email.
The transplantation in the international WeChat group is very lively, Yang Ping looked at the content of everyone's chat, in addition to some academic discussions, often also talk about some things in life.
Robert is showing off his Chinese proficiency, Tang poems and Song words and Yuan songs, they have all memorized them, he has also finished reading the idiom dictionary, the after-break language dictionary, and the colloquial dictionary, and now he is starting to read Chinese, the three-body problem has been finished, and he is trying to read Journey to the West.
This guy has worked hard to learn Chinese, no wonder the level of Chinese is so high.
He was followed by Auguste, who had recently been studying the interpretation of Chinese characters, the rules of Chinese word formation and word formation.
Woodhead is still struggling for level four, every time it is always a little worse, every time it seems to have touched the threshold of level four, but after the exam, there is always a difference of one or two points, it seems that there is no hope of applying for further study in the short term, but it can be used as a short-term academic exchange, such as a two-week academic exchange, Woodhead feels that he can't learn anything in two weeks, and still hopes to obtain a qualification for at least three months.
This reminded Yang Ping of when he was in college, and some of his classmates were worried about English level 4, which was similar to this.
Yang Ping checked the email in his mailbox, and one of them was from Maninstein.
Maninstein was originally a Nobel Prize and a judge of the Nobel Prize, and he is familiar with recommending the Nobel Prize, and he has already prepared and perfected the recommendation materials.
The first is the latest.