Looking at the patient who had been just moaning and screaming, Nurse Liu also let go:

"Okay, I'll believe you once, NND, if you are punished, my mother will not be finished with you!"

Chen Qi smiled: "I promise that Sister Liu will not be punished, and I will be able to eat all kinds of snacks and fruits sent by the patient's family tomorrow." Lijuan, why are you standing stupidly, hurry up and prepare the equipment. ”

"Oh oh", Lan Lijuan is going crazy, she directly served as an assistant when she first entered the operating room, or as an assistant to her classmates, she was anxious and worried.

Did Chen Qi tell her that he was already an old driver, so he wasn't afraid?

Fortunately, the patient patronized and cried out in pain, and did not hear the three people muttering in the corner, if he knew that it was an intern doctor who came to operate on him, it is estimated that he would rather die of pain than be scared to death.

The first step in surgery is anesthesia.

Anesthesia methods can be used for appendicitis surgery, including general anesthesia, epidural block anesthesia, combined lumbo-epidural anesthesia, intravenous combined anesthesia, local infiltration anesthesia, etc.

But now Chen Qi has no anesthesiologist in his hands, so he can only do it by himself.

So he prepared epidural anesthesia, which was the most common anesthesia for appendicitis surgery in the eighties.

Later doctors often chose general anesthesia for the sake of making the surgery easier, no matter what the disease.

Chen Qi asked the patient to lie on his side first, holding his knees to expose the spine as much as possible, and then selected a puncture point between the 12th thoracic vertebra and the 1st lumbar vertebrae, picked up lidocaine and began to anesthetize layer by layer, and finally pulled out a puncture needle.

In the nervous eyes of Nurse Liu and Lan Lijuan, Chen Qi successfully inserted the needle into place, injected the anesthetic, and the anesthesia was successful.

Nurse Liu and Lan Lijuan breathed a sigh of relief at the same time,

The two of them found that Chen Qi's positioning preparation and puncture were successful when they were anesthetized, and their hands did not shake, and it really didn't look like they were getting started for the first time.

After making all the preparations, Chen Qi once again stood in the main knife position, even though it was only a small appendicitis, which also made his heart surge.

That familiarity of the muscles of the previous life is back.

With the "chess knife" in hand, who has it in the world? One knife and one person seem to have telepathy, and some people are born to be the material of a surgeon, not to be a second-hand dealer.

"Lijuan, are you ready?"

Lan Lijuan stood opposite and nodded firmly.

"Sister Liu, are you ready?"

The little nurse took a deep breath: "Ready, ready to die." ”

"Hehe, let's get started."

Chen Qi took a deep breath and made a knife at the patient's Mai point, and the incision was only about 2cm.

Lan Lijuan couldn't see that Nurse Liu was experienced, so she immediately snorted softly: "Chen Qi, the knife edge is too small, right?" ”

Generally, the incision of appendicitis is about 3~6cm, and sometimes the incision will be enlarged under special circumstances, such as the last time Yi Zewen could not find the appendix, it was expanded to 10cm.

Chen Qi snorted lightly: "Is it small?" Not small, enough. ”

With the incision of the knife, there began to be bleeding, and it was not popular to use an electric knife to stop bleeding these days, Lan Lijuan kept handing over the hemostat, and Chen Qi was skillful while stopping the bleeding, separating the fat and cutting the omentum.

The whole process went smoothly without a pause.

Finally, with a hook of his fingers, he touched the top of the cecum without three colonic belts, and immediately found the appendix, and quickly lifted the appendix to the outside of the knife with appendicetric forceps.

Lan Lijuan and Nurse Liu exclaimed at the same time.

It was the first time that Lan Lijuan exclaimed when she saw a living appendix, while Nurse Liu sighed that this classmate Chen Qi moved so quickly, much faster than other doctors.

Chen Qi was also glad to look at this swollen appendix, because he could already see the white "pus".

If this is a little later, it will either be perforated or suppurated, and then the patient will be really dangerous, this is 1982, there are no advanced antibiotics, and it is easy to cause systemic toxic shock and death.

While feeling emotional, I didn't forget to introduce Lan Lijuan, including the surgical steps just now, as well as the possible development trend of this appendix.

This is also a hand-in-hand teaching, this is a boyfriend and girlfriend, Chen Qi is reluctant to say more.

In his previous life, when he was a teacher, he would answer when students asked, but he generally didn't open his mouth if students didn't ask, just had surgery on his head.

After successfully cutting off the appendix, Chen Qi hurriedly said to Nurse Liu:

"Sister Liu, please help take out the appendix and show it to the family, and freeze it immediately after reading it, and if someone investigates it tomorrow, let everyone take a look, I will cut it off completely."

Nurse Liu was completely relaxed at this time:

"Good boy, do things in a measured manner, and it's not in vain for my sister to help you, Mom, my legs are still soft now."

Hehehe, all three laughed.

The appendix is cut out, the mesangial appendix is treated, and after ligation, it is buried in the cecum wall with a purse suture, and the abdomen is closed.

Lan Lijuan looked at the clock in the operating room, from the beginning of anesthesia to the completion of the stitches, the whole process was less than 1 hour, the key is that the surgical incision is very small, and there is less bleeding.

With a small incision of 2cm, Chen Qi only had one stitch, and finally Nurse Liu counted the surgical instruments, and the operation was very successful.

Nurse Liu is still a little incredible:

"Obediently, Chen Qi, you are the first intern I have encountered in all these years of work, it is too powerful, it would be a pity if you don't do surgery in the future."

Lan Lijuan also looked at Chen Qi with a little admiration: "Squad Leader Chen, I really didn't expect that there would be so many surprises you brought to people. ”

At this time, the patient was no longer in pain because of anesthesia, and when he saw several doctors in the operating room rejoicing, he couldn't help but ask:

"Doctor, is my appendicitis cured?"

"Okay, okay, the operation was successful, your family has seen the appendix just now, and now I'm going to push you to the ward, remember not to eat or drink, and wait until you fart."

The patient breathed a sigh of relief: "Oh my God, I finally saved a life, just now I thought I was going to die, the technology of the People's Hospital is really good." ”

Nurse Liu and Lan Lijuan glanced at each other, almost not laughing, thinking that if you knew that it was an intern doctor who operated on you, would you still be grateful?

The patient was just about to be pushed out, and Chen Qi was about to take off his surgical gown, when suddenly a nurse on duty came in outside the door:

"Are you done with this appendicitis? So fast? Hurry up, there is also an appendicitis that has just been sent here and needs to be operated on immediately, who is the chief surgeon? ”

Chen Qi was wearing a surgical gown, a mask and a hat, and his appearance was not visible at all.

Before she could answer, the little nurse was also furious: "No matter who it is, you take over immediately, and I'll push the patient over." ”

Yes, you either don't do it, or if you do it, it will be a succession of surgeries.