"Mr. Wu, the patient's blood pressure dropped suddenly. Ren Haitao hurriedly reported the situation.

"Well, it's fine. Wu Mian was still doing vascular anastomosis steadily, without any change, as if the alarm of the monitor did not exist at all.

"......" Ren Haitao and everyone in the operating room were stunned.

A drop in blood pressure means that the patient's body condition has undergone special changes.

"What's your blood pressure?" Wu Mian didn't look up, but asked softly.

"Blood pressure 70/40mmHg, heart rate 108 beats/min, a total of 1220ml of crystalloid and 530ml of colloid. Ren Haitao immediately reported the situation.

"Intravenously push to norepinephrine 20ug. Wu Mian said while doing the operation in an orderly manner.

Norepinephrine 20ug pushed in, and after 20 seconds, the blood pressure still did not rise, and Ren Haitao immediately reported the situation without making the decision on his own.

"After intravenous norepinephrine 50ug, a continuous micropump is pumped in, and a blood gas is checked. ”

Seeing that Wu Mian was unhurriedly doing microscopic anastomosis, ignoring the alarm sound of the monitor, Ren Haitao and the others were in a trance.

Director Xu of the anesthesiology department asked in a low voice, "Teacher Wu, why don't we pause the operation first?"

This is a decent piece of conscience advice.

"No, it's fine. Wu Mian replied, "The surgical trauma caused the toxins under the blood scab to seep into the blood, and there was infection and toxic shock." ”

Infect......

Moderate ......

Shock......

That's it?

After Director Xu heard Wu Mian's words, his jaw almost didn't drop. are all infected with poisoning and shock, why is Mr. Wu not in a hurry!

If it were someone else, Director Xu would definitely go up and kick him aside.

However, seeing that Wu Mian was full of confidence, he also questioned again, but stood aside and watched Ren Haitao busy.

“pH 7.35，PaO2 497mmHg(FiO2 100%)，PaCO2 47mmHg，Hct 28%，HGB 95g/L，Lac2.6mmol/L。 ”

Ren Haitao reported the blood gas analysis values.

"Combined pump of norepinephrine, epinephrine, and dobutamine. ”

"Hydrocortisone 100 mg intravenously. ”

"Rapid infusion of hydroxyethyl starch 1000ml, suspension of red blood cells, fresh frozen plasma. ”

Wu Mian said.

If usually, the monitor in the operating room emits a sharp alarm, everyone will inevitably find the cause of the blood pressure drop first, solve the problem and then perform the operation.

However, Mr. Wu Mian Wu's calm and calm emotions overwhelmed everyone, and he just quickly implemented it according to his doctor's instructions.

After 14′12", the high pressure returns above 90 mm Hg and the alarm is lifted.

Wu Mian had already expected this situation, and of course it was not a 100% happening situation. In Wu Mian's speculation, there is only an 18% chance of toxic shock from infection, but there are no other rarer cases, and Wu Mian is not dissatisfied.

In the short time since he came to the Second Hospital of the Medical University, Wu Mian has been taking care of Bai Dalin. At the same time, he had a preliminary idea of what had changed in himself.

Hyperamnesia still exists, but like an upgraded supercomputer, it can handle the memories of hyperamnesia's constant flashbacks, and it is easy to do so.

And when his head no longer hurts and is not troubled, Wu Mian found a benefit.

I can speculate on various changes that may occur based on various objective examination data before surgery and based on my solid clinical basic knowledge.

Speculating on changes in the condition is a basic clinical skill. What Wu Mian can do now is to digitize all kinds of changes, and the probability is not more or less dependent on Meng, but a real possibility.

Like Bai Dalin's situation, Wu Mian already had a plan for rescue and treatment. It's just toxic septic shock, quickly replenish fluids, and give some rescue medication.

There is no panic, no accidents, everything is under control, this feeling makes Wu Mian have a sense of detachment from things.

This is the so-called control, not the desire to control, but the real control of surgery and disease treatment. Like a god, he controls everything on the operating table, and avoids any accidents as much as possible.

Bai Dalin's blood pressure slowly returned to normal, and Wu Mian's surgery was already halfway done.

The rest is simple and repetitive work, Director Li looked at it from the beginning very seriously, and still did not understand the technique of Wu Mian's operation.

Some things depend on talent, Director Li knows this. If you don't have enough talent, you can't help it.

There was no wave next, Wu Mian and Chu Zhixi cooperated tacitly, and they didn't see the two communicate, but there was never a situation where anyone was waiting for whom.

Basically, a piece of skin is removed, and a piece of skin is transplanted, and the time is tight, and there is no error.

After 58 minutes, the last piece of skin was grafted, and the wound was covered with gentamicin gauze, which was covered with petroleum jelly gauze and thickly bandaged.

Wu Mian moved his cervical spine, and his vertebral bodies rubbed against each other, making a creaking sound.

The surgery was done very well and he was a little happy. Bai Dalin's problem is solved, and the burns will definitely be fine. If you are not satisfied with the scar after the operation, you can also do plastic surgery on him.

But a man, what plastic surgery you do, it's a man's medal.

"Teacher Wu, is there anything special about going back?" asked Director Li.

"Nope. Wu Mian said, "You don't need to go to the serious illness, just go back to the burn ward." I'll look at it for another day, and I'll trouble you with changing the dressing or something later. ”

"Mr. Wu, you are too polite. Director Li had a stomach full of words that he wanted to ask, but he didn't know where to start.

And there is also a thoracic surgery, so let's wait until dinner.

Wu Mian was not careless, he took over the next patient, he went out of the operating room first, told his old man and Bai Dalin's family about the operation, and then personally sent Bai Dalin back.

On the second stage, Wu Mian completed the operation in only 22 minutes.

Thoracoscopic resection of small lung nodules is not inherently difficult, the only problem is the surgeon's familiarity with the association between imaging and anatomy.

Small nodules do not look like large tumors and are visible to the naked eye.

The surgery requires single-lung ventilation, and the lungs on the operative side are deflated. The test is whether the surgeon can accurately find the location of the small nodules in the lungs, and as for the resection, even an ordinary thoracic surgeon can complete it well.

After cutting out the lung tissue, Wu Mian asked Director Fang Jinshui to rinse and close his chest, while he used gauze to pad it, dissected the lung tissue, and saw the small nodules with his own eyes.

If you want to accurately find 2 small nodules of about 5mm, you can imagine the difficulty. But the scalpel in Wu Mian's hand was like having undergone an unknown number of operations, and it was a small nodule when it went down.

Tumor-like changes have already developed within the small nodules, which is to be expected. But there was no metastasis, and after the surgery, the patient can be said to be cured from a certain point of view.

The two surgeries were completed before 11 p.m.

Wu Mian squatted in the burn department to take care of Bai Dalin until the anesthesia was completely awake, and he chatted with Bai Dalin for a few words, and then went to eat.