Soon, Xia Xiaoyu sent the patient in.

Zhao Heng saw that the patient who was sent in was a middle-aged uncle, and when he came in, Zhao Heng smelled a smell of wine, mixed with a rancid smell.

Looking at the uncle's face again, it was already very pale, and his lips were already blue and purple.

It's just that in a daze, the uncle is still muttering.

"Drink! Done! ”

It's all here, and I'm still thinking about drinking.

Zhao Heng couldn't help but shake his head, this kind of drunk patient is still relatively common in the hospital, especially in the emergency department.

Smelling the smell of alcohol on the patient's uncle, Gao Jun couldn't help frowning.

The most taboo thing about this anesthesia is that the patient has drunk alcohol.

Anesthesia medication is originally very accurate, and if there is more, the patient may not wake up, and if there is less anesthesia, the anesthesia will not be enough, and it will affect the operation of the surgeon.

The patient drank alcohol, and the alcohol in the human body is metabolized by the liver, which will seriously affect the metabolism of anesthetic drugs in the body.

In general, such drunk patients must wait for the alcohol in the body to be metabolized before they can use anesthetics.

But this patient is an acute abdomen, which is troublesome.

"How much did you drink?"

Gao Jun stood up and asked Xia Xiaoyu.

"His family said that he drank two catties, but the details are not very clear."

Xia Xiaoyu shook his head and said, this is on the wine table, and it is impossible to quantify how much you have drank.

The amount of alcohol consumed is different in the eyes of different people.

It can't be quantified, which is even more troublesome.

Gao Jun's face also began to become solemn.

And, if this patient is a chronic alcoholic, it's even more troublesome.

In general, patients who have been drinking for a long time need a larger dose of anesthetic when receiving preoperative anesthesia, and the onset time of anesthetic drugs is also shorter, because the globulin in the blood of alcoholics will increase, and globulin can bind to anesthetic drugs, so the effect of anesthetic drugs will be reduced.

Patients with alcoholism are not easy to wake up after surgery, and it takes longer than ordinary people to wake up, which makes it difficult to assess their health after surgery. In addition, ethanol also has a great impact on the nervous system, endocrine system, and heart and blood vessels.

"Does the patient have a history of chronic alcohol abuse?"

Zhao Heng asked Xia Xiaoyu with a normal expression.

"Yes, a history of severe alcoholism for ten years."

Xia Xiaoyu nodded.

"What is the initial diagnosis?"

Zhao Heng asked again.

These situations must be clearly understood.

"Stomach bleeding, estimated to be at least 600ml."

Xia Xiaoyu replied quickly.

"I see."

Zhao Heng nodded.

"Teacher, increase the dosage by at least 50%."

Zhao Heng thought for a moment and said to Gao Jun who was standing next to him.

"Yes, you can."

Gao Jun nodded, he was already about to remind Zhao Heng, but before he could say it, Zhao Heng thought of the impact of drunkenness on anesthetic medication, and listening to the question he asked Xia Xiaoyu, Zhao Heng also basically grasped the key points of anesthesia for drunk patients.

Thinking of this, Gao Jun's frowning brows stretched a little, and he sat down again, watching Zhao Heng continue to operate.

It was the first time he had encountered such a highly perceptive student.

"Junior brother, this time you anesthetize yourself?"

Xia Xiaoyu saw Gao Jun stand up and sit down again, and couldn't help but ask Zhao Heng with some surprise.

This junior, will be able to take charge on his own so soon?

She's still following the boss as a little attendant?!

"It's not particularly complicated, the anesthesia is pretty much the way I'm able to do it now."

Zhao Heng nodded and said indifferently.

"Junior brother, you're too powerful."

Xia Xiaoyu looked at Zhao Heng with some envy, she got started so quickly, and was affirmed by Gao Jun to operate it herself, this ability was what she longed to have the most.

Truth be told, no one wants to be a doctor every day.

But in fact, it takes at least ten years to go from intern to attending doctor.

I was a follower in the first ten years, and I can be a teacher in the last ten years!

"Why are your eyes red?"

At this moment, Zhao Heng suddenly saw that Xia Xiaoyu's eyes were red and bloodshot, and it seemed that he hadn't had a good rest for a long time.

"Don't mention it, I stayed up for a 24-hour commute, and I can't rest until I finish this operation."

Xia Xiaoyu said helplessly.

This is the norm in the emergency room!

Hearing Xia Xiaoyu say this, Zhao Heng also felt something, but he didn't say anything, but continued the anesthesia operation.

After a while, Li Yang came in, and he saw Zhao Heng operating, but Gao Jun was sitting next to him and watching, and he was immediately a little surprised.

"Old Gao?"

Li Yang asked tentatively.

"It's okay, Xiao Zhao can do it."

Gao Jun gave Li Yang a reassuring look.

"Okay."

Li Yang also nodded, since Gao Jun said that it was okay, it must be okay.

Gao Jun is also very demanding.

It can be said that in Dongfang Hospital, as long as it is anesthesia, all surgeons, the most wanted anesthesiologist, is Gao Jun.

Clinically, the operation process and key points to pay attention to are written in textbooks, but the actual application still depends on the individual's talent.

The human body is complex, and the individual differences are also very significant, if you follow the textbook completely, then I don't know how many medical accidents will occur.

To put it bluntly, textbooks are not a golden rule, and they are completely applicable to every patient.

The operations and knowledge written in textbooks are only the result of statistical probability, and can only be applied to most people within a certain range.

"Xiao Zhao, you have made great progress."

Looking at Zhao Heng's various skillful operations, Li Yang couldn't help but say.

The young doctor who has progressed so fast, he dares to say, is definitely the first time he has seen it.

No wonder the director often mentions Zhao Henglai.

However, when he thought of Yin Jian, who had already reported to the department today, he couldn't help but shake his head slightly.

In Li Yang's opinion, Zhao Heng is a little unlucky.

The competitor is too strong, and there is no way!

"It's all taught by Teacher Gao."

Zhao Heng said very humbly.

To a certain extent, he is also telling the truth, and his current experience is indeed from Gao Jun's drop.

Li Yang looked at the life monitor, blood pressure, breathing, heart rate and carbon dioxide content were all very stable, which showed that Zhao Heng's anesthetic medication was very accurate.

Emergency anesthesia for drunk patients has always been the most troublesome operation for young anesthesiologists, and in general, it takes at least several years to fully master this anesthesia in a drunken state.

This anesthetic medication does not mean that the dose is not enough, you must know that the impact of anesthetic on various parts of the human body, especially the brain, is very large.

Originally, the brain cells of long-term alcoholics will be damaged to a certain extent, and if too much medication is used, it is very likely to cause large-scale damage to brain cells.

"The afterlife is terrible."

Li Yang couldn't help but praise again and again.

He looked at Xia Xiaoyu with hatred, why didn't he have such an excellent young doctor under him.

Seeing Li Yang's eyes looking at him, Xia Xiaoyu subconsciously shrank and said weakly: "Teacher Li, I will work hard." ”

Ahem!

Li Yang was choked by Xia Xiaoyu's words.

Will you work hard?

It means that the previous efforts were not serious?!