The first step of surgery is anesthesia.

Arterial catheterization manometry→ venous quick induction→ internal jugular vein catheterization...

Li Xiyang watched Dong Hua's operation for a while, and his movements were orderly and orderly.

It shows its skill.

At this point, Li Xiyang is also relieved.

Turning to Qian Min and asking, "Is the laparoscope ready?" ”

Laparoscopic equipment includes monitors, camera systems, pneumoperitoneum machines, etc.

Each of these plays a vital role in the operation and cannot be overlooked.

After Qian Min checked it carefully, he nodded, "Everything is ready!" ”

waited for a while, until Dong Hua nodded, Li Xiyang did not speak.

"Make an air bag and build a posterior abdominal cavity!"

An incorporating is made 2cm above the iliac crest of the midaxillary line, and a homemade balloon is inserted.

Start injecting...

Stop injecting...

Take out the airbag...

"This surgery is a three-hole method!"

The first puncture hole, for observation, is 2 cm above the iliac crest in the midaxillary line.

The second and third puncture holes are operation holes, which are respectively under the 12 costal margins of the anterior axillary line and 12 costal margins of the posterior axillary line.

Electric knife...

Incision of lateral conal fascia, quadratus lumbar fascia...

Entering the anterior space of the psoas muscle, the ultherapy separates below the diaphragm...

Opening of suprarenal and perirenal fat sacs...

Pincers...

Free adrenal area, isolated to find adrenal gland and tumor...

Got it!

In the surgical field, an irregular tumor with a diameter of about 3 cm appeared.

At this time, the little nurse on the side suddenly exclaimed, "It's not good, the patient's blood pressure has soared!" ”

At the same time, the patient's body suddenly experienced a slight tremor.

Li Xiyang's face changed, he was dissociating from the diseased tumor, and if the tumor rupture, the entire abdominal cavity would be infected.

However, Dong Hua's voice sounded lightly and heavily, "The operation continues, and the blood pressure is handed over to me!" ”

As he spoke, he saw that he had opened two intravenous passages in the patient's arm.

The patient was given two different drugs at the infusion.

Li Xiyang saw the name of the medicine, and Tong Kong shrank.

Is that...

Phentola, dilsus!

The former is dedicated to intraoperative hypertensive crises, which play a role in dilating arteries and veins, and is a decrease in arterial pressure and pulmonary pulse pressure.

The latter is a drug designed to reduce the release of catecholamines in the tumor tissue and directly dilate the arterioles and coronary arteries.

These two drugs were used at the same time, and Li Xiyang noticed that the patient's high pressure really went down.

The body also quieted down again.

Since then, all the medical staff in the operating room have breathed a sigh of relief.

"Yes, Xiao Huazi!"

Qian Min opened his mouth to joke and gave him a thumbs up.

Li Xiyang also nodded at him.

The other party prepared phenotola, which Li Xiyang could understand.

Because that's the medicine that every anesthesiologist will always have before surgery.

Cerdil Shuzhuo is specially used to reduce the internal catecholamines of tumor tissues, which is an unpopular drug, which shows that Dong Hua has already thought about the patient's anesthesia as soon as possible after receiving Qian Min's news.

Li Xiyang couldn't help but admire Dong Hua a lot.

It is precisely because of the other party's professionalism that Li Xiyang's surgery has reduced a lot of trouble.

Li Xiyang did not delay and immediately removed the tumor.

Scissors...

Separation of the adrenal glands, and the tissues around the tumor...

Expose and cut the adrenal arteries and veins...

Li Xiyang lamented Dong Hua's professionalism, and the latter was equally surprised by Li Xiyang's surgery.

As the vice president of the Imperial Capital Anesthesia Association, Dong Hua not only operated in Renhe, but also often received invitations from the three hospitals.

He had seen too many surgeries on the elders of the imperial capital.

But only on laparoscopy, Dong Hua was shocked to find that there was no one in his memory who could compare with the guy in front of him.

How long has it been since it started?

Less than 10 minutes!

To say that laparoscopic appendix removal takes less than 10 minutes, Dong Hua is acceptable.

But this is a tumor removal operation.

Throughout the process, Dong Hua has been paying attention to Li Xiyang's operation.

It's like flowing water, which is pleasing to the eye.

Every time you leave, you can enjoy it to the fullest.

It was as if it was not a diseased tissue, but a work of art.

This guy is so strong!

Just when Dong Hua was stunned, the patient's adrenal glands had been completely removed and taken out.

Looking at the time, only 12 minutes have passed.

A tumor-to-tumor removal operation took only 12 minutes.

Dong Hua was secretly speechless!

But he was also glad that this patient was extraordinary.

The adrenaline suddenly spiked during the operation, and the consequences were extremely serious, giving Dong Hua less than ten seconds to react.

Under normal circumstances, adrenaline is used to rescue patients, but after this thing is more, the organs of the whole body will be affected.

Especially during surgery, the patient's abdomen is uncovered, and once damaged, the adenaline soars, and the heart rate will definitely increase, and it is almost inevitable that there will be heavy bleeding during the operation.

Therefore, when he saw Li Xiyang completely remove the patient's adrenaline, Dong Hua also breathed a sigh of relief.

Li Xiyang and Dong Hua looked at each other and smiled, this was a perfect surgical cooperation.

The rest of the abdominal work and disinfection and bandaging will be handed over to Qian Min.

"You must do it carefully, otherwise the peritoneal inflammation will leave an acute abdomen."

"Don't worry!"

Qian Min happily picked up the sutures.

Li Xiyang took off her sterile gloves and walked out of the operating room, because the patient's mother was still waiting anxiously outside.

As soon as he saw Li Xiyang come out, his family immediately greeted him and asked nervously, "Doctor Li, I... My child she..."

The family's voices trembled, for fear of hearing some bad news.

After all, that's how her father left.

Li Xiyang took off his mask and said with a smile, "Don't worry, Auntie, the operation was very successful!" ”

"Really?"

"Great, great, thank you Dr. Lee!" The family members shed tears of excitement.

Holding Li Xiyang's hand, he thanked him vigorously.

Looking at such a happy family member, Li Xiyang hesitated slightly, but still told the family about the patient's boyfriend.

The family shook their heads and sighed, "I knew about them for a long time, but I owe my daughter, so I didn't ask too much, I didn't expect that person to hurt my daughter so deeply!" ”

Li Xiyang said, "Auntie, your daughter's adrenal glands have been removed, and there will be no radical behavior in the future, but I am afraid that the knot in her heart will be difficult to untie for a while, so let's know the phone number of a psychiatrist.

When your child is discharged from the hospital, you can take her there for a consultation! ”

Noting down the phone, the old man was grateful.

After that, he explained some of the things that patients need to pay attention to after postoperative recovery, and Li Xiyang left.

……

Back to the office.

Li Xiyang smiled at Zheng Xiaoyu, "Thank you!" ”

The psychiatrist was a friend of Zheng Xiaoyu's, and the phone was also taken from her.

Zheng Xiaoyu sat in her position and waved her hand, she had already heard about the patient's condition.

Three years,

A woman's three people are so blind to a scumbag,

In the end, he ended up with mental illness.

It's sad!

"By the way, Dr. Li, you can do me a favor!" Zheng Xiaoyu seemed to suddenly remember something.

Li Xiyang asked, "What's wrong?" ”

Zheng Xiaoyu said, "In the afternoon, a patient entered the ward, a high paraplegic! ”

So serious?

Well, I said that I was doing yoga at home, and I didn't grasp the center of gravity, and I fell headfirst.

As he spoke, he picked up a CT ray from his desk and placed it on the developing board.

Li Xiyang took a closer look and couldn't help but wonder, "That's no problem!" ”

There is no injury in the film at all.

Zheng Xiaoyu nodded, "Yes, I didn't understand it either, obviously the film was fine, but the patient said that he couldn't move from the neck down, and he didn't feel it." ”

So...

Li Xiyang thought for a while and said, "Could it be multiple sclerosis?" ”

Multiple sclerosis is a demyelinating disease of the central nervous system.

In the acute active phase of the disease, there are multiple inflammatory demyelinating plaques in the white matter of the central nervous system, and the old lesions form calcified plaques due to glial fiber proliferation, which are characterized by multiple lesions, remission, and recurrence course, and are more likely to occur in the optic nerve, spinal cord, and brainstem.

It is more common in young and middle-aged people, and it is more common in women than men.

If it is multiple sclerosis, there is also a possibility of the situation that Zheng Xiaoyu said.

However, Zheng Xiaoyu shook her head and said, "I asked the patient, and she had no other symptoms before she fell. ”

I even went out early in the morning and ran three kilometers.

Li Xiyang nodded, that shouldn't be.

Multiple sclerosis is not a sudden disease, but has a long onset process.

Li Xiyang thought for a while and asked, "Did you do an MRI?" ”

Zheng Xiaoyu said that it has been done and is still waiting for the results.

In addition, I also asked Lin Yue to do electromyography on the patient.

Electromyography...

Li Xiyang nodded.

Many patients may not be able to express their feelings correctly, which may not be a problem with the spinal cord, or it may be a muscle change.

An electromyography (EMG) is a good way to do it.

But while the two were chatting, the office door was suddenly pushed open.

I saw Lin Yue said with a worried face, "Master, go and see the patient, the puncture needle can't be pierced!" ”

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