The changing rooms in the emergency department are very large, but a large area is unused.

Li Xiyang picked a position on the side and changed into a white coat printed with the words 'Renhe'.

"Is this the imperial capital..."

Li Xiyang is still a little unreal.

After changing his clothes, Li Xiyang walked out of the room.

At this time, a little nurse ran out of the bed area not far away, and shouted anxiously, "Oh no, no, the patient in bed room No. 3 has a seizure!" ”

Li Xiyang ran over quickly, "Take me to see!" ”

"Huh?"

"Oh oh oh!"

The bed nurse was obviously stunned, but she still walked into the ward with Li Xiyang.

In the room, an old man was anxiously wiping tears from his eyes.

"Son, what's wrong with you?"

"You can't do anything!"

"Don't worry, family, I'll take a look!"

Li Xiyang quickly walked to the bed, only to see a very obese patient lying on the bed.

He is about forty years old and not tall, but he definitely weighs more than 200 pounds.

At this moment, his hands are holding his neck, and breathing seems to be very laborious.

maxillofacial redness and swelling,

hyperpyrexia

chill

dehydration

These are... Symptoms of infection poisoning.

At the same time, the light screen flickered.

[Appendix: Brothers, today I am destined to take the first step]

[Cecum: Woo, although you are reluctant, you better hurry up]

[Appendix: ......]

Li Xiyang frowned, this person has more than one emergency.

At this moment, three more people ran in from the door.

The little nurse on the hospital bed suddenly seemed to see a savior, and said excitedly, "Doctor Zheng! ”

The woman at the front nodded and asked quickly, "What's the situation!" ”

The little nurse in the hospital bed shook her head, "The patient who just came in is still waiting for the results." ”

At this time, Li Xiyang spoke,

"The patient had an acute episode of appendicitis with a maxillary space infection."

Zheng Xiaoyu noticed Li Xiyang at this time, but he was very raw.

"You're... Yuncheng came over? ”

"Hmm!"

"So young?"

Zheng Xiaoyu frowned slightly, and then looked at the patient on the bed again.

"Don't wait, push the patient to the emergency room first and prepare for endotracheal intubation."

"Yes!"

The two female medical staff behind Zheng Xiaoyu also acted quickly.

……

In the rescue room,

"Xiaoyue, push a force Yuexi!"

"Good!"

"Laryngoscope ready!"

Another girl hurriedly handed over a medical device in the shape of a sickle.

Zheng Xiaoyu took the laryngoscope and slowly inserted it into the patient's throat.

As the situation in the patient's airway appeared on the screen, Zheng Xiaoyu was secretly surprised,

It's really a maxillary space infection.

Maxillofacial refers to the face below the bun above the neck and before the tragus.

Maxillofacial space infection is a general term for bacterial inflammation that occurs in the oral cavity, maxillofacial and upper neck in the underlying fascial spaces.

When purulent inflammation diffuses, it is called cellulitis.

Infections are secondary, often odontogenic infections, caused by the spread of glandular infections, and are injurious, iatrogenic, and hematogenic.

"The Ronin Who Started from Douluo"

Infections are usually caused by a mixture of aerobic and anaerobic bacteria, often with an increase in the total number of white blood cells and an increase in the proportion of neutrophils.

This condition usually requires laboratory bacteriological experiments before it can be diagnosed.

How did this guy guess?

Although I had doubts in my heart, I obviously didn't have time to think about it now.

Because it can be seen on the screen, the abscess in the patient's airway is severe, severely blocked, and there is a possibility of suffocation at any time.

really

Bad news always comes so fast.

"Dr. Zheng is not good, and the patient's oxygenation is getting lower and lower."

Zheng Xiaoyu hurriedly said, "Prepare for an emergency air cut!" ”

"Good!"

Two female assistants hurried to prepare.

During the whole process, Li Xiyang kept standing on the side and watching.

He found that the cooperation of these three people was extremely tacit, and such efficiency was also at the middle and upper level in the Yuncheng emergency.

Is this the strength of the imperial capital?

Glancing at the badge.

The chubby girl is called Qian Min, and the taller one is called Lin Yue.

Both are hospital residents.

And that Zheng Xiaoyu is the attending doctor.

Just when everything was progressing steadily, Qian Min next to the monitor hurriedly shouted: "Oh no, the patient's intra-abdominal pressure is increasing rapidly, dangerous!" ”

"How so?"

Why does an intra-abdominal hypertension be caused by a maxillary space infection?

At this time, Li Xiyang spoke, "The appendix is perforated!" ”

"What!?"

Zheng Xiaoyu glanced at Li Xiyang in surprise, could it be that he was right again?

At this time, the door of the emergency room was pushed open, and the little nurse in the hospital bed just now hurriedly ran in.

"Dr. Zheng, the results of the examination are out, it is acute appendicitis, accompanied by jaw space infection!"

At this moment, everyone in the room looked at Li Xiyang in unison.

The results didn't come out, how did he see it?

At this time, the patient on the hospital bed suddenly screamed in pain, and several people hurried back to their senses.

"The appendix perforation must be operated on immediately, otherwise the patient's life will be in danger!"

"And both surgeries have to be done at the same time!"

"Huh?"

Qian Min and Lin Yue both panicked.

How is it possible for a person to have two surgeries at the same time?

"Teacher, why don't you wait for Dr. Huang?"

Zheng Xiaoyu shook his head, "Doctor Huang's operation is not easy to do, and the patient's condition can't wait for him to come down!" ”

"What then?"

Both girls were about to cry.

Originally, Renhe Hospital was fine, but suddenly it went bankrupt and closed down, and almost all the doctors in Corey were gone.

Only a few of them were left to hold on.

They've been in this situation too many times like today.

I really can't hold it anymore!

Then

"I can do an appendix."

"You?"

Li Xiyang suddenly spoke, attracting everyone's attention again.

Zheng Xiaoyu stared at Li Xiyang and said, "This appendix is not easy to do?" ”

Li Xiyang smiled slightly, "I think I can!" ”

Li Xiyang's confident smile made Zheng Xiaoyu slightly stunned.

"Good!"

"I'll leave the appendix to you!"

Turning his head, Zheng Xiaoyu quickly shouted, "Push the patient into the operating room!" ”

……

on the operating table.

"Lin Yue and I will do airway opening surgery, Qian Min, you assist..."

Zheng Xiaoyu opened his mouth, only to realize that he didn't know the other party's name.

Li Xiyang smiled slightly, "Li Xiyang! ”

"Li Xiyang?"

Zheng Xiaoyu was stunned, as if he had heard this name somewhere.

But now is not the time to think about this, so he hurriedly said, "Qian Min, you assisted Dr. Li in completing the appendectomy operation!" ”

"No problem!"

"Alright, let's start the operation!"

……

Doctor Global Network.

As soon as a room was opened, a large number of people poured into it in an instant.

"Haha, front row, front row!"

"Dafa, the anchor Oba is finally on the air again."

"It's really like not seeing, like every three autumns!"

"I don't know what kind of surgery the anchor has today?"

"It's coming, it's coming, it's coming!"

Moments later,

"Oops, what's appendicitis again!"

"I've been around several rooms, and all of them have appendicitis, so don't there be any other surgeries?"

"Young man, you are not rampant, the last one who spoke like you is now kneeling and watching the live broadcast."

"Who?"

"Raise your claws!"

“+1”

“+1”

“+1”

“……”

Soon the barrage was swiped.

The first generation of old fans are all smiling.

The newcomers were confused.

Truth or falsehood aside, there is no one in this live broadcast room.

The popularity of 3500 is not high on the global network of big doctors.

But this activity is too scary.

Quante Niang is a live fan.

Xiao Meng's new sentence was directly ridiculed by the group.

"Mom sells batches, this anchor must have bought it!"

"The operation is not hard, Lao Tzu's backhand is a report."

A group of little cute new people opened a small pop-up window for private chat in the room.

This is a privilege that is only available at V5 or above.

It can be seen that these little black fans are still high-consumption groups.

There are several V10 elders in the group, and there are golden dragon cars in and out of the room.

But at this moment, these people are all extremely low-key, and they only dare to secretly pull a private chat group.

Because the eldest brother who sits at the top of the list, 'Wanderer', is the top 100 elder in the whole network.

You must know that such a big brother usually only appears in the rooms of the world's top magicians, how could he run to this small room with only 3,500 people?

I don't understand.

This also makes newcomers more curious about what is so good about the anchor!

Isn't it just an appendicitis operation?

Can you still play with flowers?

Wait a minute

"Take a closer look at the cases!"

"What's wrong?"

"Oh my God, the patient is 163cm, 260 pounds."

"This special mother is a mountain of meat!"

"Rub, there is still a jaw space infection, isn't he afraid that the patient will die suddenly on the operating table?"

"Who the hell is this anchor, this kind of patient dares to touch it!"

trembling in the small private chat group,

The old sailors are not surprised one by one.

"Hehe, the anchor really likes to do high difficulty as always!"

"I just ordered a fat intestine rice noodle, and I have to work hard."

"Brother, the taste is strong enough!"

"Hahaha..."

Seeing that everyone in the room didn't seem to realize the seriousness of the matter, a V10 couldn't help but jump out.

"This patient is 163 tall, weighs 260 pounds, and his fat layer is at least 7-12cm, if his appendix is a little further back, it is difficult to complete the operation even with laparoscopy!"

The V10 elder from Busan Simin Hospital told everyone about his personal experience.

At that time, a patient came to the hospital, and the patient was diagnosed with appendicitis three years ago.

Although the infection was severe, the patient was 1.7 meters tall and weighed more than 240 pounds, and his severe obesity forced him to give up surgery.

In the past three years, appendicitis has been frequent, and the pain is unspeakable.

But the attending doctor looked at the thick abdominal wall and looked away one by one.

The patient had to be treated conservatively.

However, in the past three years, appendicitis has frequented frequently, and the endless anti-infective infusions have devastated the patient.

In the end, the patient went to Sinmin Hospital in Busan, and this time the appendicitis attacked again, and the anti-infection treatment did not improve for a week, and the condition gradually worsened, and the patient could not hold on.

After detailed examination and physical examination in the hospital, appendicitis was clear that there were purulent manifestations.

In the end, the hospital decided to give it a try.

But on the operating table, the thick abdominal wall makes the puncture device of more than 10 centimeters difficult to enter the abdomen after several twists and turns.

During the operation, it was found that due to repeated infections, the appendix was severely adhered and the appendix was hidden behind the cecum.

As a result, the hospital had to hastily stitch up the patient and transfer him to Professor Dae Park in Seoul.

It is said that the operation was successful later, but the patient's postoperative fat liquefaction was severe.

It took more than two months just to change the dressing.

Hearing Professor Park of Seoul University, even the old sailors in the room dared to ridicule at will.

That's a real old man.

The field of surgery is definitely on the list of the top 100 surgeons in the world.

For a moment, the room fell silent.

At this moment,

"Soga, the anchor is worthy of becoming the number one man on the whole network sooner or later!"

Fifty big rockets dominate the screen in an instant.

"Damn, the Rogue Elder is out!"

"Worship!"

"Worship!"

"Worship!"

……

in the operating room.

The continuous epidural anesthesia has just been completed, and Zheng Xiaoyu is ready to go under the knife.

However, Li Xiyang suddenly opened his mouth to stop, "Wait a minute! ”

Zheng Xiaoyu looked puzzled, "What's wrong?" ”

Li Xiyang didn't have time to explain, and quickly shouted at Qian Min, "Pull the defibrillator quickly!" ”

"Huh?"

Not only Qian Min, but also Zheng Xiaoyu and Lin Yue, and even the anesthesiologist sitting in the corner looked puzzled.

What the hell is this kid doing?

However, the next second.

"Dididi~"

The ECG monitor suddenly sounds an alarm.

No way!

Really ventricular fibrillation!

The hearts of these people at this moment have become indescribably complicated.

Ventricular fibrillation can also be predicted in advance??

Big brother, you don't think you have any superpowers!

Seeing why these people were suddenly stunned, Li Xiyang had no choice but to turn over and get on the operating table.

Then press your right hand and your left hand on the patient's chest to do CPR.

one time

Twice,

Three times,

……

When he came back to his senses, Zheng Xiaoyu hurriedly motioned to Lin Yue and Qian Min to pull the defibrillator.

"Dr. Li, the defibrillator is here!"

Li Xiyang's hand kept moving, and at the same time said quickly, "Defibrillation for the first time, charge two hundred joules!" ”

The patient was an unusually obese man, and Li Xiyang struggled to straddle the other party, and chest compressions were the first difficulty so far.

[Heart: Little brother, you are not strong enough]

[Fat: You know a fart, this is called a horse killing a chicken]

Faced with the ridicule of the organs, Li Xiyang was angry and helpless.

With such a thick layer of fat, it is very difficult to accurately press it to the heart, not to mention whether the strength is enough.

Because the fat in the chest slides, the displacement is very large.

Damn it!

At this time, the defibrillator was charged, and Li Xiyang quickly jumped off the operating table.

Zheng Xiaoyu hurriedly picked it up and pressed it on the patient's chest.

Thump!

The patient's body shook violently, but the heart rate did not return to normal.

There was no way, Li Xiyang jumped on the operating table again.

At the same time, he shouted, "Second defibrillation, charge 300 joules!" ”

After charging again, Li Xiyang quickly flashed away.

"Plop!"

This time the patient was finally bounced,

The whole person is like a huge shaking mountain of meat.

But the patient's heart rate still hasn't recovered.

It seems that there is no way out.

At this moment, everyone saw Li Xiyang jump on the operating table again.

While performing chest compressions on the patient, he continued to shout, "Third defibrillation, charge 360 joules!" ”

"Good!"

Zheng Xiaoyu charged again.

"That's it!"

Li Xiyang hurriedly jumped off the operating table.

"Plop!"

The patient was bounced up again, and his stomach was going to swing like a wave.

It looks funny, but no one is in the mood to laugh during the operation.

Because the patient's heart rate still hasn't recovered.

There's no way to continue!

The International Medical Association stipulates that defibrillation can be performed up to three times.

Frequent defibrillation treatment can lead to damage to the heart muscle, and it will also affect the normal function of the heart muscle, which will lead to serious damage to the heart.

Defibrillation is usually 200 joules for the first treatment, and after the treatment, the need for a second and third defibrillation sessions can be determined according to the patient's physical condition.

In general, after the first defibrillation treatment, if the heart rate does not return, it can be increased to 300 joules.

The 3rd can be increased to 360 joules.

After three times, if the heart rate has not recovered, you can basically be declared dead.

Alas!

Everyone sighed in frustration.

Then

Li Xiyang actually jumped on the operating table again.

"Dr. Lee!"

Zheng Xiaoyu shouted, but Li Xiyang was unmoved.

As long as he can still hear the voice of his heart, Li Xiyang will not give up.

one time

Twice,

Three times,

……

Before you know it, 20 minutes have passed.

But these 20 minutes are more tiring than any chest compression Li Xiyang has ever done.

Sweat continued to drip down his cheeks, but his eyes were always resolute.

This scene touched everyone in the operating room.

But is there any need to continue?

Lin Yue turned her head to look at the teacher, but suddenly found that the teacher seemed to be stunned, staring closely at Li Xiyang's movements, and his face was full of shock.

"Teacher, what's wrong with you?"

Zheng Xiaoyu muttered, "I know who he is." ”

This technique...

That's right

He's really the guy with the extra long CPR on top of his neck!

Zheng Xiaoyu has watched that video more than once, and every time he is shocked.

At this moment, the two figures overlapped,

"That's right, he's that Li Xiyang!"

Oh my God, that guy actually came to Renhe.

Zheng Xiaoyu could not hide the shock and excitement in his heart.

At the same time, Li Xiyang heard a voice in his ears.

[The great doctor is sincere, and the host quasi-national medical grade 'manual defibrillation' is rewarded]