190 No diagnostic aids, no problem
"Hello Professor Lei."
Luo Hao ignored the strangeness in Professor Lei's words, nodded honestly, and greeted him very kindly.
Mr. Ma Liu Feifei frowned and glanced at Professor Lei.
"Professor Luo, let's go together." Professor Lei continued to greet with a smile.
"Harm, the patient's family knows few people, so they know me as a marginal person, it's a lot of trouble, I'm just here to stand for a while and explain to my friends." Luo Hao squinted his eyes and explained.
Professor Ray was a little overwhelmed.
This temper is too good!
He was watching his relative's surgery, and the bypass was successfully completed, and he was flushing, and if there was no bleeding, his chest would be closed.
When he was watching the stage, he heard that the patient's family did not look for a doctor from gastrointestinal surgery, but found Luo Haolai, and Professor Lei was very unhappy.
So Professor Lei was ready for Luo Hao to brush his hands on stage, and he wanted to give Luo Hao a vicious shot.
In this matter, Professor Lei felt that he had taken possession of the righteousness.
Unexpectedly, Luo Haogou was in the corner, and he mocked slightly, Luo Hao was not angry at all, and answered and explained humbly.
It's good now, it didn't happen to be angry, Professor Lei's chest was suffocated, so he could only brush his hands and go on stage.
Otherwise, you will not be able to meet in the future if you do too much.
Fighting without breaking is the essence, and Professor Lei feels that he has fully mastered these four words.
It's just an appendectomy, and it's done in a few minutes, so you don't delay your own business.
Watching Professor Lei brush his hands, Mr. Ma Liu Feifei raised his eyes to look at Luo Hao, "Professor Luo, your temper is too good." ”
"Harm, it's not good-tempered, it's fine. Friends and relatives, let me take a look, otherwise I don't worry, I can't help it. Luo Hao smiled.
"How good it is to find Director Chen!" Mr. Ma Liu Feifei said.
"There's no need, just an appendectomy, and Director Chen can't do it."
Liu Feifei still wanted to say something, but felt bored, yawned, sat in front of the ventilator and began to snooze as she looked at the steady and boring vital signs.
It's good to be steady, no one wants to be rescued with an adrenaline rush.
Professor Lei quickly brushed his hands back and got dressed on stage.
The surgery was done quickly.
It was just a minor operation like appendectomy, and with Luo Hao standing behind him watching, Professor Lei was engrossed and played 120% at his level, and the operation was almost perfect.
The appendix was cut off smoothly and was rolled out in a bag.
Professor Ray turned around, "Sewn it." ”
After speaking, he tore off the sterile suit on his body.
Mr. Ma Liu Feifei yawned loudly.
Professor Luo doesn't look like a martial artist at all, he is weaker than a scholar.
As for what Professor Lei said just now, he wanted to smoke him, but Professor Luo was able to hold back.
If she were to change herself, Liu Feifei felt that she would definitely grab Professor Lei's neck and ask him-Who are you yin and yang!
Ke Luo Hao...... Swallowing a glass of water is really boring, not lively and boring.
Mr. Ma Liu Feifei didn't want to be busy, she just wanted to squat on the side to watch Luo Hao vs. Professor Lei, and watch Luo Hao press Professor Lei to the ground and rub it.
It's a pity.
Luo Hao doesn't look like a martial artist at all, and his temper is not like that.
Professor Lei turned around, kicked open the airtight door of the operating room, and walked out directly.
The moment the airtight door opened, a sharp alarm sounded.
Mr. Ma Liu Feifei was stunned for a moment, and subconsciously glanced at the ECG monitoring and ventilator in front of her.
The numbers on the ventilator and monitor are stable and normal.
It's okay, it's not your business.
The operating room next door!
Professor Lei was also stunned for half a second, but recalled that when he came out, the coronary artery bypass surgery had been completed, and he was checking whether there was active bleeding.
He glanced at Luo Hao slowly, and was just about to leave with the style of an expert, when he suddenly saw Luo Hao frowning and striding over.
In the upper right corner of Luo Hao's vision, a countdown to death appeared again.
[Emergency Mission: Fleeting Opportunity.]
Task content: Some rescues are only in a moment, and it is not only the disease that increases the difficulty of rescue, but also people.
Mission duration: 10 minutes.
Quest Reward: Action Skill - One to Say. 】
Luo Hao didn't care what the task reward was, but strode out of the operating room with the voice.
The name of the mission already says it clearly - fleeting timing.
And the time limit for this task is also extremely short, 10 minutes!
What this means Luo Hao knows in his heart.
Walking into the operating room next door, Luo Hao suddenly discovered an extremely fucked thing.
The diagnostic assist AI does not rotate, there is a hint on it, and the energy is used to generate active skills [there is a saying].
Luo Hao wanted to scold his mother.
What the hell!
In this case, the faster the diagnosis, the higher the probability of successful rescue. However, in order to generate active skills, the system has turned off the diagnostic auxiliary AI.
What could be more outrageous?
in the operating room.
The blood pressure on ECG monitoring has dropped to 50/30 mm Hg, and the anesthesiologist is frantically pushing the tee to remove nail + adrenaline.
But even so, the patient's blood pressure is only maintained at a level that can be displayed, and does not return to zero.
The sharp alarm echoed in the operating room, and Luo Hao felt that there was an invisible hand pushing adrenaline for himself, and now the adrenaline and dopamine in his body had exploded.
Calm down!
Calm down!!
Luo Hao admonished himself in his heart.
There is no diagnostic assistance AI, and he is a doctor of Concord and a professor of Concord!
Taking a deep breath, Luo Hao squinted his eyes and observed the messy scene.
The surgeon and assistant are closing the chest, and the sternum has begun to twist the wire and bone wax.
The instrument nurse was counting with the itinerant nurse, but now she looked at the monitor with a blank face, not knowing what was happening.
The itinerant nurse also looked at the anesthesiologist in a daze, with a hint of fear in her eyes.
She's experienced and knows what's wrong. But just now the operation went smoothly, why did the monitor suddenly alarm during the chest closing process!
The itinerant nurse was stunned for 3 seconds, then got under the sterile sheet and began to check the line.
Could it be acute anaphylactic shock caused by blood transfusion?
Luo Hao thought of a few examples, but eliminated this possibility in an instant.
No way.
This is not the case with allergies caused by blood transfusions.
Differential diagnoses rose one after another in Luo Hao's mind.
And the "countdown to death" suddenly appeared.
00:02:12:26!
!
Didn't you say ten minutes!!
Luo Hao's bilateral pupils narrowed sharply.
00:02:10:04!!
The number on the countdown to death is rapidly decreasing.
And Luo Hao was helpless about the situation in front of him.
Luo Hao's calm heart began to waver a little, and impatient emotions welled up in his heart.
Wrong!
Luo Hao immediately realized that he was not in the right state, and he was so anxious that his thinking was affected.
00:02:01:11。
After wasting a few seconds, Luo Hao calmed down again and immediately turned on the [Flow] state.
This is the first time that Luo Hao has started his flow in a non-surgical situation.
Everyone in front of them was moving slowly, almost in slow motion.
Luo Hao took advantage of the [flow] state to re-examine what had happened and what he had seen.
Coronary artery bypass surgery, splitting the sternum, the operation went smoothly, so Professor Lei had the leisure to come to the operating room next door to play with himself and everyone to find fault.
According to Professor Lei, he had already completed the bypass surgery when he was in the past, and was checking for bleeding, and if he was fine, he would have to close his chest.
I didn't see the cardiopulmonary bypass machine, and the heart kept beating bypass, ruling out a series of complications caused by cardiac arrest and ice sludge.
What is the problem that arises in the moment?
Allergic?
Or is it punctured to the heart when the wire is pierced, resulting in cardiac tamponade?
Several diagnoses arose in Luo Hao's mind, but each diagnosis seemed to have problems, and Luo Hao was constantly making identifications.
But even if the [flow] state was turned on, Luo Hao still did not give a quick diagnosis.
Damn it!
Damn it!
Luo Hao angrily wanted to punch the system with his fist, how could he drain the energy of the diagnostic auxiliary AI at this critical moment!
"Director, the patient's stomach is bulging!" 3Suke's voice suddenly appeared.
Well?
Belly?!
"Abdominal aortic dissection ruptured? Professor Lei, hurry up and have a physical examination. The chief of cardiothoracic surgery yelled.
Professor Lei had already panicked, and in a panic, he went under the sterile sheet to percussion.
"Drum or solid?"
“……”
The sterile single was trembling, and Professor Lei drilled into it for at least 10 seconds before the sound of percussion was heard.
It's weird, Luo Hao's brain CPU was running at high speed after hearing the sound, and he almost didn't burn out.
00:01:32:02。
Gan!
"Upper abdomen sound!" Professor Ray exclaimed, "The aneurysm is broken!" ”
It is estimated that the patient should have an abdominal aortic aneurysm on preoperative examination, but does not require special management.
Could it be that it was broken during the operation?!
Possibly, or why blood pressure and other vital signs fell off a cliff.
But!
Just now, Luo Hao vaguely heard Professor Lei's percussion voice, which was wrong.
It is estimated that they are all panicked, Luo Hao does not dare to delay any longer, the patient's condition is extremely bad, and there will be a big incident if there is a slight delay.
With a flash of thought, Luo Hao raised his hand, grabbed Professor Lei's clothes, and forcibly pulled the person out and threw him aside.
Then Luo Hao drilled into the sterile single and percussion.
It's not a solid sound, but it's not just a drum sound of abdominal percussion.
It is a solid upper abdominal sound caused by a downward shift of the diaphragm.
Diaphragm downward?
Luo Hao was stunned in the sterile sheet for 2 seconds.
"Drum sound! Diaphragm downward!! Luo Hao shouted loudly.
After drilling out the sterile sheet, Luo Hao's eyes fell on the ventilator.
The blood oxygen is reduced, which can only be maintained at about 70%, and countless lights flashing and alarming the entire interface.
"I can't keep my blood pressure going!" The anesthesiologist roared hoarsely.
Wait a minute!
Luo Hao, who was in the state of [flow], suddenly thought of a case - the death discussion record in the medical record of Xiehe.
Airway pressure!
The patient's airway pressure is increased!!
Diaphragm downward movement + abdominal distension + high airway pressure + sudden precipitous drop in vital signs, all of this points the finger at a diagnosis - tension pneumothorax!
Luo Hao's gaze finally fell on the position that had been screwed on the wire and tightly sealed by bone wax.
Pregnant!
"Open your chest!"
Luo Hao roared in a deep voice.
“???”
“???”
Luo Hao knew that they didn't believe it, or they had fallen into a state of confusion and didn't know what to do.
And the countdown continues.
00:01:16:22!!
Cardiothoracic surgery has begun to suture the skin, and it is impossible to open the fixed sternum in more than a minute.
It would take a few minutes just to detoxify the vise.
Luo Hao had no distractions, and calculated everything in an instant. I turned around and took a 50ml syringe and hit it on the instrument table.
"Piercing!"
"What piercing?" Sansuke asked subconsciously.
"You're a cardiothoracic doctor, the second intercostal puncture, release the tension pneumothorax first!"
Luo Hao scolded.
"......"
"Are you a chest doctor, wouldn't you have a closed drainage if you caused a pneumothorax!!"
They were all stunned, including the surgeon and assistant.
The wretched cries of ventilators, monitors, and all sorts of frightening vital signs short-circuited everyone's brains.
Luo Hao was helpless, quickly tore open the sterile gloves, and picked up the needle after putting it on.
"What are you doing!" Professor Lei was just thrown to the ground by Luo Hao, and he barely stood up, and when he saw Luo Hao wearing sterile gloves and about to go on stage, he subconsciously scolded him.
This is not in accordance with aseptic practices!
The aseptic operation norms have already penetrated into the hearts of every doctor, and Professor Lei subconsciously asked loudly.
"Get out!!" Luo Hao raised his foot and kicked on Professor Lei's leg who was blocking the way, kicked him to a stumble, and hit his head on the airtight door, making a "bang" sound.
Then Luo Hao hit the director of the cardiothoracic surgery department with his shoulder.
The sterile environment was completely destroyed.
Luo Hao broke into the thunder pool like a crazy bison.
"...... you" Director Fang was also dumbfounded, is Luo Hao crazy?
Director Fang was about to question, but before he could speak, a violent "hiss" sound came from the 50ml needle in the next second.
At the same time, the countdown to death in the upper right corner of Luo Hao's vision began to be recounted.
00:09:26:27!
Sigh......
The diagnosis was correct, and Luo Hao breathed a sigh of relief.
Nine and a half minutes, all of a sudden, there was plenty of time.
"Tension pneumothorax, open chest!"
Although the time became "abundant", Luo Hao still urged sharply.
His voice was like a whip, snapping on the backs of everyone present.
Director Fang of the Department of Cardiothoracic Surgery carefully distinguishes the sound made by the needle of the 50ml syringe.
The hissing of gas means that the pressure in the chest cavity is extremely high.
At the same time, the patient's vital signs recovered.
Tension pneumothorax, judgment is correct!
"Open your chest!" Director Fang didn't have time to think of anything else, so he explained in a deep voice, and then began to percussion.
Both the left and right ribcages have a tympanum, not a unilateral tension pneumothorax, but a bilateral pneumothorax!
Another 50 mL syringe needle is inserted into the second intercostal space on the other side near the midclavicle line.
Similarly, a "hissing" sound appears at the needle.
00:13:22:54!
The countdown to death has been extended again.
Luo Hao saw that the diagnosis was clear, and the rest could take his time, so he came out of the [flow] state.
A tidal wave of tiredness came up.
Although the negative effect of [Flow] had been weakened, Luo Hao was still sore after using it, and he barely supported himself to walk to the stool in the corner of the operating room and sit down.
With his back against the wall, Luo Hao squinted at Director Fang and his assistants busy.
They opened the sternum again, where the wire had been wrapped and fixed.
The moment the sternum opened, all sounds dissolved into nothingness and disappeared to the other side of the sky.
Blood pressure, heart rate, blood sample, airway pressure, etc. instantly return to normal values, and the alarm sounds as if they have never appeared.
The sound of ticking sounded peacefully, like an unremarkable operation.
diagnosis
Correct!
Director Fang didn't speak, everything proved Luo Hao's right, and he began to look for the location of the breach.
"Ding Dong~"
There was a crunch.
[Emergency Mission: The Fleeting Moment has been completed.]
Task content: Some rescues are only in a moment, and it is not only the disease that increases the difficulty of rescue, but also people.
Mission duration: 10 minutes.
Quest Rewards: Action Skills have one × one one. 】
What the hell is there to say?
Luo Hao was tired and abnormal, but he couldn't expose his weakness for the time being.
He leaned his back against the wall of the operating room and began to ponder "there is one thing to say".
[There is one thing to say - everyone has the idea of wanting to find out each other's secrets, maybe this little thing has the effect of surprising you.] 】
It's a yarn!
Luo Hao was stunned for a moment, it didn't seem to be of any use, but Luo Hao immediately thought of Chen Yong.
Chen Yong's goods shouldn't really accumulate merit points in the hospital.
Try?
Luo Hao was only interested in Chen Yong's merits, and as for his and the girls' privacy, Luo Hao didn't have the slightest idea.
Professor Lei covered his legs with his hands, and looked at the monitor and ventilator with a sad face.
With all the values normal, Professor Lei also knew that Luo Hao's judgment was right - his relatives did not know why bilateral spontaneous pneumothorax appeared after the chest was closed.
Because of the constant blowing of air from the ventilator and the lack of air outlet after the chest is closed, the spontaneous pneumothorax quickly evolves into a tension pneumothorax, which then rapidly leads to the deterioration of the patient's vital signs.
The rest of the story, Professor Lei can also understand.
The amount of gas in the chest increases, the pressure increases, the diaphragm moves downward, and the pressure on the circulatory system almost stops.
Without a ventilator, tension pneumothorax can last for a while. But there is a ventilator that keeps blowing into the lungs, which is the most severe form of tension pneumothorax.
It's so good, why is it tension pneumothorax?!
Professor Ray sat on the ground, crying without tears.
His relatives have been brought back from the death line by Luo Hao, so I want to express my gratitude.
But less than a minute ago, Luo Hao scolded himself, and then kicked himself away.
I hit my head on the door and am still a little dizzy.
At that time, Luo Hao's subtext, Professor Lei, knew in his heart that good dogs would not stand in the way.
But at this time, I want to find Luo Hao and say......
Professor Ray couldn't pull this face.
After all, saving people is like fighting fire, and if you get in the way, you are not a good dog.
But don't you look for Luo Hao to say? Do you still want to have a face!
Aggrieved, aggrieved!!
Professor Ray sat on the ground in a daze, pondering countless things in his mind.
I belong to the beaten party, what if I sue Luo Hao? Will there be fifteen days of detention?
It doesn't seem to be, Luo Hao kicked himself, the damage was not high, but the insult was extremely strong.
I didn't even have a chance to pretend to be sick.
Besides, this is the operating room, and everyone is watching.
Professor Lei was full of thoughts in his heart, and suddenly a hand reached out.
Luo Hao showed favor to himself? Professor Lei's heart suddenly relaxed.
That's it, you hit me, although it was because of the rescue, but it can't be too much. I was in a hurry, so I made up for it afterwards, and I went down the stairs.
Professor Lei was still thinking about it, and suddenly heard the voice of Mr. Ma Liu Yiyi.
"Old Lei, what are you doing sitting on the ground?"
Then Mr. Ma Liu Yiyi's hand grabbed Professor Lei's isolation suit and lifted him up from the ground.
"What's the matter, your frightened legs are weak? Did you pee? Mr. Ma asked reluctantly.
"......" Professor Lei was stunned.
"It's cold on the ground, don't really pee for a while, the nurse still has to clean it. How old a person is, I don't know how to pay attention. Anyway, your old prostate has already calcified,"
Depend on!
Professor Lei heard that Mr. Ma Liu Yiyi was helping Luo Hao speak, for fear that he would have "bad thoughts", so he picked himself up from the ground and then diverted the topic.
It is you who is beaten, and you are the victim!
Professor Lei really wanted to hold Mr. Ma's neck and tell her the truth.
But......
Professor Lei knew that he couldn't beat Liu Yiyi.
Just now, Mr. Ma Liu Yiyi picked himself up from the ground with one hand, like a little chick.
"Why are you crying with a sad face, it's a little episode, isn't this solved?" Mr. Ma Liu looked at Professor Lei with disdain, "Come, give Uncle a smile." ”
The joke is not funny at all.
But Director Fang still smiled very eloquently, "Xiaoliu, why are you here?" ”
"The surgery patient next door woke up, and I didn't have anything to see." Mr. Ma Liu Yiyi said, "Director Fang, what's going on?" ”
In fact, Mr. Ma and Liu Yiyi can see it clearly, especially Luo Hao raised his foot and kicked it, he is indeed a practitioner.
At this time, Luo Hao was sitting with his back against the wall, as if he had entered the moment of the sage after the rescue, unscrupulous.
Professor Luo is really.
Mr. Ma Liu Yiyi admired it.
This person is really not afraid of trouble, and he doesn't care what will happen if Professor Lei has bad intentions, and his eyes are full of contempt for Professor Lei.
Mr. Ma's Liu Yiyi's inner drama was full of drama, and he didn't know that Luo Hao was in a weak period after the state of [flow], so he just guessed Luo Hao's thoughts according to what he thought.
"Professor Luo, awesome!" Mr. Ma Liu Yiyi gave a thumbs up and praised.
Luo Hao struggled to raise his head and squinted his eyes.
Seeing that Luo Hao didn't speak, there was a faint hint of weirdness in his eyes, and his heart suddenly jumped.
It's over, Professor Luo is very angry, and probably wants to beat Professor Lei.
If it were to change himself, he would probably have to do this, Liu Yiyi guessed.
"Lao Lei, you said that you are too, a veteran professor of gastrointestinal surgery, and you can't understand percussion." Mr. Ma Liu Yiyi hurriedly picked up a basin of dirty water and splashed it on Professor Lei.
Just scold two sentences and hit twice, don't really make a big fuss, Mr. Ma Liu thought in his heart.
Professor Lei's eyes were so red that he almost didn't cry.
Wronged.
Professor Lei also knew that he could only bow his head and endure it at this time, no matter what happened, as long as he was strong, he would be despised by everyone.
The bigger the trouble, the more you will not be able to gain a foothold in the future.
Professor Lei's mind is clear.
"You're awesome." Mr. Ma Liu Yiyi said disdainfully, "If I were you, I would have gone to thank Professor Luo by now, otherwise your relatives would be cold by now." ”
“……”
"Ma, you're a big girl in the cave room."
Luo Hao sighed deeply in his heart.
He knew Liu Yiyi's thoughts, but he really didn't have much strength.
Fortunately, the negative effects have been weakened.
"I'll watch it for a while, and I'll get off if it's okay." Luo Hao said softly.
Professor Lei hesitated and hesitated, so he could only swallow back his tears and come to Luo Hao.
"Professor Luo, thank you."
(End of chapter)