47 Cavernosal puncture (medium)
Gu Lao shook his head and signaled that he had no choice.
It is true that he is a medical expert, but the patient is a burn wounded, and Gu Lao can't do anything. Take a look, it's a good idea.
"Do everything you can to save it, no matter how many difficulties there are, even if it is a big one, it will last for at least 3 days!" The one in the city said in a cold voice with a cold face.
Dean Chen didn't speak with a bitter face.
Medicine is a branch of science, and objective science is science, but it is not so obedient.
What are the patients like, still 3 days?
Dean Chen felt that he couldn't bear it for 3 hours.
It's really unlucky to wait to be scolded after that, Dean Chen's heart is gloomy.
He is from a clinical background, and at a glance at the patient's condition, he knows that the patient has entered the ghost gate, which is even more thorough than the death of cardiac arrest, even if he is still breathing, heart rate, blood pressure, and can still cry out in pain.
Extensive burns caused a lot of oozing, and the fluid could not be replaced, and soon the person was gone.
Miracles are unlikely to happen in patients like this.
"Gu Lao."
Ji Xiang came to Gu Lao's side and bowed slightly.
"Doctor Xiaoji, you are also here to participate in the rescue." Gu Lao shook his head, "It has nothing to do with our urology, let's go back." ”
"I just glanced at the patient from a distance and had an idea, you can see if it's okay." Ji Xiang said in a low voice.
Idea?
Gu Lao frowned slightly, Dean Chen's eyes lit up, but when he saw that it was a young man who spoke, his face suddenly darkened.
If it weren't for the people in the city, he would have kicked this boy into the corner.
"This is an emergency rescue, not a ......" Gu Lao said halfway, glanced at Ji Xiang, and then walked out.
Ji Xiang followed Gu Lao's side, "Gu Lao, cavernous puncture, liquid can enter the venous sinus from the cavernous body and then enter the systemic circulation." ”
Gu Lao's footsteps paused and stumbled slightly.
This line of thinking ......
Gu Lao heard a similar report from another big bull in the circle at an academic meeting, but he didn't actually operate it.
I didn't expect to hear similar words from the mouth of a regular trainee.
"Don't talk nonsense!" Professor Zhou reprimanded.
"Doctor Xiaoji, tell me." Gu Lao stopped, raised his hand to stop Zhou Tianbo's words, and looked at Ji Xiang intently.
Professor Zhou was stunned.
What Ji Xiang said is just a theory, it only exists in theory, and he is also an expert in urology, and he has never heard of anything like this.
What's wrong with the boss! Professor Zhou wondered.
"Be careful when piercing, especially ......," Ji Xiang said the main points that the system NPc taught himself in the system operating room.
"This ......" Gu Lao hesitated a little.
However, the whole process that Ji Xiang said is quite consistent with the report made by another person in his memory at the society, and he should be able to try it.
"Have you ever done it?" Gu Lao asked.
After asking, Gu Lao was dumbfounded.
I haven't done urology for 40 years, so why should a small pearson do it!
I must be dizzy, I must be!!
But Ji Xiang can't, you can try it yourself.
Try?
Gu Lao was a little hesitant. After all, I am very old, and I have never done the operation of cavernous puncture, so what if there is a problem.
But this is not the most critical, I drank tonight, and Gu Lao was worried that his hands would slip during the operation.
"Old Gu, I can try." Ji Xiang said softly.
"Huh?"
"You're going to do a circumcision and you're going to swell?" Professor Zhou's face was quite ugly, "You don't even have the qualifications to practice medicine, get out of the way." ”
Ji Xiang didn't move, he automatically filtered Professor Zhou's swearing, but looked straight at Gu Lao.
Gu Lao and Ji Xiang looked at each other.
Be a doctor, be brave!
Gu Lao's ears suddenly remembered what an old doctor said to him when he was young when he met a patient who was bitten by a dog.
After a few seconds, Gu Lao nodded, "Be steady, you just take out half the level of circumcision." The piercing is very simple, with me watching, it's fine. Try it! ”
Professor Zhou was stunned, his face bruised.
"Dean Chen, I'll take someone to try it and see if we can establish intravenous access." Gu Lao turned around and said to Dean Chen of the Second Affiliated Hospital.
"Old Gu, what are you going to do?" Dean Chen had already lost all his thoughts and began to think about how to shirk his responsibilities and make the leaders think that he had done his best.
As for Gu Lao, a urologist, what can he do!
But out of respect for the old-timers, Dean Chen still asked.
"Do a cavernosis puncture." Gu Lao just greeted Dean Chen, and then took Ji Xiang into the rescue room.
The patient is exactly the same as the simulator, but the people around him have changed from system NPCs to Gu Lao.
Ji Xiang concentrated and began to prepare the items for piercing.
"Gu Lao, Gu Lao." Dean Chen chased in, "Did I hear me right, cavernous puncture?" And this technique?! ”
"Behind the corpora cavernosa are the venous sinuses, which allow for rehydration."
“!!!”
Everyone in the rescue room was stunned.
In the emergency rescue, except for the ruptured kidney and ureter, urology is rarely seen.
And through the cavernous body rehydration, is it possible to find a tube to pour the liquid into the urethra?!
That's not serious, isn't it?
"Teacher Gu, what are you doing?" Director Xu of the anesthesiology department asked nervously and anxiously with the sterile cap on his head soaked with sweat.
"Give it a try, a dead horse as a live horse doctor." Gu Lao said a word.
Director Xu stepped aside with interest and looked at Gu Lao very puzzled.
Soon, Ji Xiang finished preparing things, he stood in the position of the sorcerer, while Gu Lao stood in the position of the assistant.
When Professor Zhou saw this scene, his heart was a little blocked.
This young man is too arrogant, although it is only a small operation, not an operation, but he stands in the position of the surgeon next to his boss!
This undoubtedly made Professor Zhou dissatisfied.
"Gu Lao." Ji Xiang turned sideways slightly and made a gesture of invitation very politely.
"Rescue." Gu Lao said seriously, "You come, pay attention to the feeling of frustration when you puncture the white membrane." ”
Ji Xiang sighed in his heart, he was really an old doctor and an old expert.
Obviously, Gu Lao has never done a similar operation, but people can tell the key points of the operation when they open their mouths.
"Old Gu, then I'll start."
After Ji Xiang finished speaking, he began to prepare the skin in the operation area.
The patient was diagnosed with very severe burns, 35% of the third degree, 50% of the second degree, and burn shock.
In a similar situation, Gu Lao knew that it was difficult to survive, in addition to infection, mainly because the venous access could not be established.
With cavernosa infusion, it's logically fine, but this path is too wild!
He watched Ji Xiang's operation intently, and if there was anything he was not satisfied with, Gu Lao was ready to interrupt immediately.
But after just one glance, Gu Lao's brows tightened, and his eyes narrowed into slits.
The patient's remaining little intact skin is his hope for survival, and skin grafting or anything else will depend on this in the future.
When preparing the skin, any small damage is a major mistake.
However, Ji Xiang Beipi's movements were gentle and did not require too much neatness, which seemed to be a problem. But from Gu Lao's point of view, Ji Xiang did just right.
No matter how much the child moves, it may hurt the skin; No matter how little, if the skin is not prepared, it may cause infection.
Appropriately, these four words are easy to say, but it is extremely difficult to do.
Gu Lao thought that he could do it ten years ago, but now, hehe.
Ji Xiang simply cut off the hair residue, disinfected the skin around the surgical area, lifted the surgical area with the index finger and thumb, fixed the posterior corpora cavernosa, and took the right side of the corpora cavernosa and the side of the stem without subcutaneous veins.
Gu Lao wanted to help, but Ji Xiang's movements were done in one go, as if he had done countless similar trainings, which made Gu Lao's eyelids jump.
That's awesome, isn't it?
The next step is the key point, Gu Lao didn't have time to sigh, and continued to watch Ji Xiang's operation.
Ji Xiang didn't look at it, and picked up the No. 6 syringe needle with his hand.
"Who's that?"
"It seems to be Gu Lao from the urology department."
"No, I said the young man who did the operation."
Behind him, someone began to talk.
Although the rescue scene was chaotic, everyone paid attention to this most important patient.
Even the director of the anesthesiology department was defeated, who else dared to go up!
But when a young man stood in front of the operation area and began to operate, almost all eyes were attracted.
People were surprised and couldn't help but mumble quietly.
"What is he doing here? The small veins on it are so thin that you can only try it with a scalp needle. No. 6 needle, can't get in. ”
"I don't know, I just heard the director say that I want to find an interventional department to see if it can be done."
"Can the interventional department do it, and the infusion port is not like this."
"Didn't the leaders say that they must live."
"Listen to them! Cut, if that's the case, send him to stand at the door of the funeral parlor, and everyone can come back from the dead. ”
"You keep quiet, Chen Yuan will definitely be scolded, don't bump into his muzzle."
Ji Xiang was engrossed in it, not listening to what the people around him were talking about, he pinched the needle of the No. 6 syringe and placed it at the side at a 45° angle.
It's really possible, Gu Lao thought about it, but didn't find any mistakes in Ji Xiang's operation, and kept silent,
If there's anything wrong, this young man is as skilled as if he has done at least a hundred cases, and it's really weird to look at.
"What is he doing? Shouldn't I really be ready to prick it with a needle, and then I can infuse it? ”
"yes, will that thing work? It's not blood vessels. ”
"Why didn't a director speak?"
Seeing Ji Xiang pinching the No. 6 syringe to pierce it, everyone was stunned.
Nowadays, the medical system is very finely classified, and it can be said that each department is separated by a mountain.
It's not a blood vessel, you can get an infusion with a needle?
The people did not believe.
"Dean Chen, I'm not engaged in medical treatment, but I also know that infusions need to be in the blood vessels." The leader of the city had a serious expression, "Isn't this nonsense!" It's used to urinate, it's out of the place, you bully me and I don't understand! ”
Dean Chen also complained.
"I'll take a look, leader."
Separately from everyone, Dean Chen came behind Ji Xiang, and an evil fire suddenly rose in his heart.
Originally, Dean Chen thought that Gu Lao and the young doctor were looking for small arteries or veins.
No matter how fine it is, as long as the liquid goes in, it is easy to explain it yourself.
Can!
Can!!
Can!!!
The No. 6 needle in Ji Xiang's hand perfectly avoided all the blood vessels and pierced it directly.
Is this a rescue?
Could it be that he is really going to connect a water pipe and pour the liquid into it retrograde?
A rookie who doesn't know a little about medical knowledge!