Chapter 4 Director, I've found the cause of the shock

A red light and lightning pushed the patient into the operating room.

"Director Liu, morning! Seniors, morning! ”

Zhou Can saw that there were already seventeen or eighteen people standing inside, one by one in surgical protective suits, masks, and hoods. Seriously, it's easy to identify the wrong person without careful identification.

Say hello, he now has experience.

Director Liu, who has the highest position, greets him alone, and the other doctors are replaced by a senior doctor.

In the past, Director Liu would usually go to the outpatient clinic in the morning.

Today's surgery is ahead of schedule, and it is estimated that there is a temporary itinerary.

"In the afternoon, I will go to the Provincial Medical Association to attend a symposium and leave after the operation on this patient. Hurry up and get started! ”

Director Liu's qualifications are actually quite old, but his academic achievements are a little worse, and he has been stuck at the level of deputy chief physician. Removing that subphrase was what he longed for most before he retired.

From his recent frequent participation in various academic conferences, you can see how urgent he is.

The patient was lifted onto the operating table by Heli.

The patrol nurse asked the patient to take off his shirt and did another skin cleaning. Then the anesthesiologist comes to do a pre-anesthesia examination for the patient, and after confirming that the indicators are met, he begins to install various life monitoring probes on the patient, wear a breathing mask, and so on.

For a major operation, the anesthesiologist is not less important than the chief surgeon.

He is responsible for the monitoring of the patient's vital signs throughout the process and gives timely advice.

This is a cervical lymph node tuberculosis resection operation, which is a tertiary surgery.

Major surgeries at this level are at least performed by surgeons at the deputy director level.

Even the attending doctors, who are experienced in surgery, can only mix one or two helps.

The dangers of surgery are self-evident.

Zhou Can is just an intern, so he has a momentary highlight moment when he sends patients into the ward. Now that the patient is on the operating table, he doesn't even have a chance to pull the hook.

You can only stand in the back and watch and learn.

In fact, this kind of large-scale surgery, it is still novel to observe once or twice. If you watch it a few times and don't get started yourself, you will learn very limitedly.

Interns often mock themselves with 'looking at the flowers'.

I can't remember what tools were used in which part of the operation and how to operate it.

Only in some sudden emergencies is the use of rescue drugs impressive.

"Mr. Gao, can you hear me?"

The anesthesiologist administers anesthesia to the patient through breath anesthesia. The patient's eyes were closed weakly.

Call out to the patient, with the aim of testing the patient's response.

The patient acted as if he was asleep and did not respond.

The anesthesiologist examined the patient's limb again and turned his head to look at the indicators on the vital monitoring screen.

"The anesthesia is successful, the patient's vital signs are stable, and the operation can be started."

This was clearly said to the main knife.

Director Liu asked the instrument nurse to help put on gloves, and the first, second, and third assistants were all in place.

The formation was very much like a charge before the battle began.

It's just that the enemy that the warriors want to destroy is disease.

"Open the skin!"

The main sword said to Ichisuke.

For this important surgery, the surgeon will generally only do the most critical part of the operation.

It is also the most difficult part.

I saw that the knife was held by Ichisuke and fell into the marked knife position, and slowly cut through the cortex of the patient's neck calmly and freely.

There are dense blood vessels and many lymphatic here, and Zhou Can's scalp is numb for a while.

If he was replaced by the skin, he didn't dare to go under the knife at all.

With the work of opening the skin and free space in place, the second assistant and the third assistant are also working hard to pull the surgical wound with a hook to increase the surgical field of view and create favorable operating conditions for the main knife.

You can see a lymph node the size of an egg, surrounded by multiple lymph nodes of different sizes. The carotid arteries are throbbing suddenly.

It is extremely difficult to remove these diseased tissues in areas densely populated with blood vessels and nerves.

The surgeon was engrossed in peeling off the largest lymph node.

The expression is focused, and the movements are calm, delicate and dexterous.

Ichisuke's cooperation is also very in place.

As long as there is a bleeding spot anywhere, electrocoagulation is immediately used to stop the bleeding. It's as precise and fast as whack-a-mole.

Zhou Can looked at it with admiration.

Just halfway through the operation, the patient suddenly had convulsions and his vital signs dropped dramatically.

Immediately afterward, the monitoring instrument beeped an alarm.

"Not good, the patient's blood pressure plummeted below 60, his breathing was abnormal, and his heartbeat was 160...... Mr. Liu, did you hurt the patient's carotid artery? ”

The anesthesiologist asked nervously.

"Nope!"

Director Liu has seen all kinds of dangerous scenes, and he has always remained calm in the face of danger.

"It's also very unlikely that it will hurt important nerves. There are no respiratory nerves in this area. ”

Ichisuke followed.

The residents in the back were at a loss one by one. The performance of the interns is even worse, panicked and masterless.

In this very short period of time, the anesthesiologist once again told everyone the bad news that the patient's condition had deteriorated sharply and he had entered a state of shock.

Shock and death are very close together.

The sweat on Liu Lao's forehead came out all of a sudden.

"Wipe the sweat!"

The handwashing nurse hurriedly stepped forward to wipe Director Liu's sweat.

Panic spreads rapidly in the operating room.

If the patient dies on the operating table for unknown reasons, Liu Lao I's reputation will be ruined, and those who participated in the operation will also be disgraced.

Zhou Can took a deep breath and exhaled to adjust his nervous mood.

Force yourself to calm down.

At this moment, he actually felt an invisible responsibility pressing on his shoulders.

It is the mission of every doctor to protect the life and health of patients.

Even though I know that my abilities are small, I still want to make a difference.

This patient happens to be in charge of the bed and surgery, so he knows the patient's condition, symptoms, and various examination results very well.

He began to ponder the patient's medical records, medical history, and various examinations.

At this time, he inadvertently caught a glimpse of red rashes on the surface of the patient's skin.

He seemed to have something in mind.

"Yes, it must be!"

Zhou Can suddenly said a clueless sentence at this time, which surprised everyone.

"Xiao Zhou, don't make a sound. Don't you see that Director Liu and the attending doctors are thinking? The hospitalist reprimanded him coldly.

"Director Liu, I have found the cause of the patient's sudden shock."

Zhou Can ignored the warning of the hospitalization, but looked at Director Liu excitedly.

This time, everyone was shocked.

They all turned their heads to look at the intern standing in the back row.

Even the experienced Director Liu and the attending staff couldn't find the reason, but he, an intern who usually behaves very ordinarily, could find the cause of the patient's shock?

They don't believe it.

"Tell me about it!"

After the initial surprise, Director Liu decided to listen to the intern's opinion.

But there was not much hope.

He has been teaching for many years, and what he has seen the most is the kind of young junior whose heart is higher than the sky and whose life is thinner than paper. I thought that after reading for a few days and learning some medical knowledge, I was pretentious, thinking that there were many cows.

The analysis of various pathologies is also very unrealistic and based on subjective assumptions. In the end, it was ridiculous.