In the provincial capital, Jiamei's large-scale plastic surgery hospital stands in the night, as if it is carved from crystal, revealing a high-end atmosphere.

Unlike the busy and noisy large tertiary hospitals, Jiamei looks more like an ideal hospital. Quiet, beautiful with a hint of indifference.

In the night, Ren Haitao began to come to the parking lot with a little polo, and found a random parking space and hurriedly got out of the car.

A friend of his, Li Qinghua, who is also an anesthesiologist, resigned a few years ago to work at Jiamei. Ren Haitao just received a call from Li Qinghua, saying that there was a patient who was not in a good state after surgery and wanted to come to him for a look.

There is a difference between private and public hospitals in the handling of postoperative medical malpractice.

Although most of the leaders of public hospitals are not human, the management of private hospitals is even more reluctant, and they are definitely less human than the leaders of public hospitals who are not people.

But after all, it's a money-making business, and everyone understands it. Because of this, the pace of doctors resigning and going to private hospitals is not so fast, otherwise there would have been no public hospitals in the country, and private hospitals would have been everywhere.

Jiamei is quite good in private hospitals, unlike many small private hospitals that mainly use hedging as the main profit model. Jiamei has a big capital behind it, and at the beginning of its establishment, it transferred several plastic surgery and beauty masters from the magic capital to sit in charge, and soon occupied most of the beauty market in the provincial capital, and it was booming.

And Ren Haitao's classmate was poached by a high salary.

Ren Haitao doesn't know how much money he earns in a month or every year, but it must be a lot of money.

Otherwise, Li Qinghua is already in the position of deputy director of the Provincial Cancer Hospital, and it is possible to sit on three or even one, and he will definitely not resign and go to a private hospital with little money.

When the two went to school, they lived in bunk beds, had a good relationship, and often met for a drink.

Li Qinghua also persuaded Ren Haitao to resign, public hospitals have no future, and they have to be pointed at to earn some money. Look at how well the advertisements of private hospitals are doing - earn money under the sun, and go straight to the peak of life.

Ren Haitao also knows this, but he is the kind of person who is not naturally sensitive to money. In conditions that guarantee life, he prefers to "play".

Improving technology is a kind of entertainment for Ren Haitao, and the happiness he gets from it far exceeds making money. In terms of technology, Ren Haitao's level is very high, so much so that Director Xu of the Second Hospital of the Medical University has always been wary of him.

And when Li Qinghua encountered a tricky matter, the first thing he thought of was to find Ren Haitao to take a look.

In this kind of life and death, no matter how nice it sounds, what is needed is to find someone to solve the problem.

Ren Haitao didn't care how luxurious Jiamei's inpatient department was, nor did he care that it was actually a large money printing machine, and the annual profit was not even worse than that of several affiliated hospitals of the Medical University.

He has been pondering the situation that Li Qinghua said.

The patient is a 19-year-old girl who has been living up since she was a child.

Dental envelope refers to the mislocation of the upper anterior teeth behind the lower anterior teeth, the anterior teeth have no occlusal function, and the upper alveolar and upper lip are retracted, commonly known as "Toutou" or "Toudou Tooth", which is one of the more common deformities of dental and jaw development.

As girls get older, it's important to have an impact on their aesthetics.

Even if you have to endure the pain of surgery, you must eliminate this unsightly form.

In fact, the ground does not have much impact on people, except for the problem of occlusion of the front teeth, but compared with the aesthetics, it is not a problem to take a few stabs after surgery.

It's hard to imagine that those delicate girls dare to bear the pain of scraping bones and healing, just to look good.

Today the patient was performed under general anesthesia - maxillary Lefort I. osteotomy rotational swing anterior migration, bilateral mandibular ascending sagittal split swing retraction, bilateral mandibular partial resection, left maxillary partial resection, nasal septum correction, bilateral anterior nostrilplasty, upper lip frenuloped.

With so many techniques, you can imagine how many knives you have to use and how much suffering you have to endure.

For a bad old man like Ren Haitao, there is no point in doing this kind of surgery. But then again, this kind of surgery is so high-end that no one in the province's top hospitals in the first, second, third, and fourth medical universities in the provincial capital can do it.

Jiamei's technical level is really high, and Ren Haitao also wants to see what the situation of patients after this kind of major surgery in stomatology is.

After contacting Li Qinghua, Ren Haitao got on the elevator.

Siemens' elevator is quiet and fast, and there are no people, like Jianxie Hospital.

Out of the elevator, Li Qinghua had a gloomy face and said with a wry smile, "Lao Ren, I'm sorry, I'm sorry to toss you." ”

"I glanced at the information, what is the patient's current situation?" asked Ren Haitao.

"I sent you the surgical procedure, the operation was done for 8 hours, and the intraoperative bleeding was 500ml, urine was 3150ml, and rehydration was 4000ml. ”

The patient was transferred back to the anesthesia recovery room at 18:40, and the patient was evaluated after entering the room: Steward's wake score was 3 points, the patient was able to respond to breath and responded to stimulation, the airway was patencious, the nasopharyngeal airway was preserved, the nasal cannula was oxygenated, 4L/min/L, pulse oximetry was 89%95%, the breath sounds of both lungs were auscultated, the breath sounds of the left lung were rougher than those of the right lung, the ECG showed that the rhythm was neat, the waveform was normal, and the heart rate was 118127 beats per minute. ”

"I had a slight laryngospasm when I was extubated, but it wasn't a big problem, I thought it was transient, and now the condition has stabilized. ”

Li Qinghua walked into the ward briskly and talked to Ren Haitao about the patient's situation.

"After returning to the ward, the patient shivered severely, his body temperature was 35.9 °C, his limbs were cold, and his limbs were pale.

At 17:10, the patient's SpO2 suddenly dropped to 80%, and he was immediately given a ventilator to assist oxygen with an oxygen flow rate of 8L/min/L.

The patient's SpO2 increased to 97% to 99%, blood pressure was 24.125.1/11.712.5kPa, respiratory rate was 36 breaths/min, and a little pink bloody fluid was aspirated from the patient's mouth and bilateral nasal cavity. ”

"Lao Ren, the patient did not have heart failure before the operation, which I think is a manifestation of acute pulmonary edema. But the amount of inflow and output is about the same, and I don't give a lot of liquid. I have always paid attention to this. ”

Ren Haitao nodded, it really didn't look like a complication caused by too much fluid.

In some surgeries, the anesthesiologist and the nurse in the operating room are not attentive or do not force the count at all, and give the liquid directly to the maximum, and then ...... There is no then. It is normal to experience heart failure in an older patient, but the patient in front of you is not in a similar situation.

At the age of 19, the body function is at its best, and how much fluid does it have to be given to have heart failure.

"Lao Ren, you help me, I really don't know what's going on. Now only symptomatic treatment can be given, but fortunately, the patient's condition looks stable. But I'm afraid that the patient's condition will suddenly deteriorate, and I don't know how to treat it. Li Qinghua lifted his glasses and said in an almost pleading tone.

"I'll take a look. Ren Haitao frowned and pondered.

Cough up sputum, heart and lung problems, 19 years old......