godfather of surgery

Chapter 319
The patient will be sent to the trauma ICU, and everyone will follow.

The endotracheal tube could not be pulled out, so Fatty Liang connected her to a portable ventilator to ensure breathing safety during the transfer.

The door of the operating room opened, and the patient came out. His husband was already waiting anxiously with the child. When he saw the patient coming out, the husband immediately came up to meet him. Father's clothes corner, eyes have been in a state of panic.

The patient's body was covered by the white quilt in the operating room, and the missing lower body was not so dazzling.

"Yu Shuilian's husband, right? Your wife has been rescued, but she's not out of danger yet. I'll talk to you about her injury in detail later." Seeing that the child was there, Yang Ping couldn't say too much.

The man saw that the lower part of the quilt was empty, and he had already prepared in his heart. The doctor talked to him before the operation, and he explained it very thoroughly. There is a high probability that he will not be able to save it. When a person is alive, he accepts any state.

It's good to be alive, it's good to be alive!

Yu Shuilian's husband, Fu Xiayang, looked at his wife with tears streaming down his face. He kept wiping his tears with his sleeves, and tried to lift the quilt with trembling hands. Song Zimo pressed his hand and said softly, "The child is here!"

Fu Xiayang understood the meaning, and withdrew his hand, his facial muscles twitched, his lips trembled, and he grabbed his wife's pale hand with both hands: "The doctor said it's all right, don't be afraid! Don't be afraid! I'm here—"

The husband didn't know what to say, so he followed the flat car and kept repeating this sentence.

"She can't hear it!" Fatty Liang told Fu Xiayang.

Song Zimo touched the child's head: "Your mother is fine, don't worry, don't be afraid, there are so many uncles and aunts here, she will be fine—"

The little boy nodded sensibly, and his frightened eyes gained a little stability.

When he arrived in the ICU, Yang Ping explained to Director Pan that he wanted Song Zimo to take charge of this patient. According to the rules, this is not acceptable. How could it be possible for doctors from other departments to take care of the ICU patients, but Yang Ping must give him face.

"Dr. Yang, no problem. Let Dr. Song take care of it. The doctors and nurses in our department will be at his disposal." Director Pan agreed.

When the patient passed the bed, Song Zimo and Gao Qiao did it alone, and the others helped. With the help of the bed sheet, the bed transfer was very easy.

After getting over the bed, Song Zimo lifted the quilt, arranged more than a dozen drainage tubes, and connected the wires of various monitoring instruments. The doctors and nurses in the ICU saw this half-person.

All are shocking, and the sudden visual impact makes some people with poor tolerance, causing extreme discomfort.

No wonder Dr. Yang asked Song Zimo to be in charge of this patient. They were indeed inexperienced, and Director Pan was quite surprised.

After the monitoring instrument was connected, the blood pressure was re-measured, 105/62mmHg, and the blood pressure rose a little.

"Did you use dopamine?" Song Zimo was very satisfied when he saw the blood pressure.

The fat man is connected to the ventilator in the ICU: "No need for dopamine, natural blood pressure."

The level of hemorrhagic shock has been passed temporarily, but the next thing to face is infection and organ failure.

Severe abdominal cavity contamination, after such a large trauma and surgery, the body's immunity is like a thin piece of paper, which can be broken if poked. Once a serious infection is caused, it will be like an avalanche, and death will undoubtedly occur.

The double blow of trauma and surgery, especially the liver, the main right lobe of the liver is removed, leaving the left lobe, and liver failure may occur. Once liver failure occurs, even if it does not cause multiple organ failure, the mortality rate is extremely high. Multiple organ failure is inevitable.

The postoperative treatment is very complicated and tricky, and this state will last for a long time.

In the case of monitoring the central venous pressure, continue blood transfusion and rehydration, dual preventive antibiotics have been used, and broad-spectrum antibiotics for aerobic and anaerobic bacteria. At this time, it is no longer time to consider the side effects of antibiotics. Help is the only way is the most important.

"See if I can contact the psychology department and give the child some psychological counseling." Song Zimo told Tang Fei.

He just saw that the child was in a bad state, and Tang Fei knew in her heart that no one understood the child's mood better than Song Zimo.

"Leave the child to me, you stay here, come on, she will survive, for sure." Tang Fei encouraged Song Zimo.

Song Zimo stayed in the ICU, and Takahashi insisted on staying to take care of the patient together, but the ICU had broken the rules by agreeing to Song Zimo's stay, and it would be inappropriate for one more person to stay.

"Let Dr. Song stay alone. If you need it, you can help. Xiao Wu Zhang Lin goes to our operating room. There are still a few operations today." Yang Ping felt that the patient was sent to the trauma ICU, and Song Zimo was there. Don't worry, Corey still has a few surgeries to do, so it's inconvenient for me to stay for a long time.

After leaving the ICU, in the family waiting area, Yang Ping saw the patient's husband: "Let me talk to you about her condition."

"Little friend, let Dad talk to the doctor, can sister take you away for a while?" Tang Fei said gently to the little boy.

"Go with the doctor's sister. Dad will discuss mother's condition with the doctor." Fu Xiayang said to his son.

The little boy was very obedient and followed Tang Fei away.

Fu Xiayang leaned his head on the back of the chair and said to himself: "When I was young, I fell in love with her. My family was too poor, and her family disagreed. She stole the household registration book and issued a marriage certificate with me. We secretly married each other. When I came to the south to work, she and I didn’t have a good day, never used any cosmetics and skin care products, and the clothes were the cheapest. I’m not afraid of your jokes. If it weren’t for the guests, I wouldn’t go to the restaurant for a year We had a meal here, the two worked hard for many years, and finally owned a bakery of our own. We saved up a little money and planned to buy a house. Not long ago, we were going to make up wedding photos. Because of the price, she always disagreed, so it was undecided. When I got down, I secretly bought a ring, and before I could tell her, I had just finished my hard days, and I didn’t expect—”

Fu Xiayang burst into tears: "Doctor, I beg you, let her live, no matter how much it costs—"

thump!The man suddenly fell to his knees.

Yang Ping quickly helped him up: "We will definitely do our best—"

After he calmed down, Yang Ping explained Yu Shuilian's condition in detail and the difficulties he might face in the future. At this time, Song Zimo and the ICU doctor also came out to sign some informed consent documents.

Takahashi has not recovered from the operation just now. In the operation just now, the steps of several operations were completely disrupted and performed in a staggered manner. He has not quite figured out how the surgeon coordinates so many steps.

Just like writing an article, the author does not write one word at a time, but here and there. It seems that there is no structure, but when the last stroke is completed, you find that the article is actually completed, and every word is still very smooth. Pretty.

Takahashi has never seen anyone do this kind of operation, but it is indeed much more efficient. For example, the removal of the greater omentum is usually done separately, while Yang Ping is doing other operations at the same time, separating and removing the omentum. The viscera was inspected, and the omentum was separated and removed.

The reason is clear, but in actual operation, countless steps are disrupted under such a tense situation, scientifically coordinated, interlaced combination, how powerful thinking ability is required?

If you followed the procedure step by step, the operation would take three to four hours, but Yang Ping completed it in 35 minutes.

Yang Ping returned to the General Orthopedics Department, and Takahashi followed him all the time: "Dr. Yang, just now you broke down each independent operation into many steps. These steps were disrupted and interleaved, which saved a lot of time. Can you teach me , how can we achieve such high efficiency?"

Yang Ping pondered for a moment: "You are very careful and noticed the details of my operation, but you can't easily try this operation method, it is easy to get flustered, and instead prolong the operation time, I have a paper that will be published soon, specifically discussing treatment This kind of multiple severe trauma, to deal with this kind of trauma, we must have the concept of system engineering, start from the whole, make overall planning, and optimize the operation as a whole, but ordinary people can only conduct overall optimization of multiple operations, and cannot go deep into the details of each operation Therefore, my operation is not reproducible and has no learning value."

Takahashi's heart suddenly turned cold, meaning that Dr. Yang's level, no matter how hard he tried, he could not reach it, which was very heart-wrenching.

But Takahashi thought about it calmly, Dr. Yang was not unwilling to teach, he really couldn't do it by going deep into the operation steps, disrupting the steps and reorganizing them.

"In my thesis, I established a trauma treatment system engineering model. There is a scientific scoring formula, which is very simple. According to the model, patients are scored, and an optimized process can be automatically selected based on the score. This process has the shortest operation time and the highest success rate. , you can learn this decision-making model and use it—" Yang Ping suggested to Gao Qiao.

A person who is good at surgery is not a real master. He can sublimate and simplify his own surgery, and then turn it into a set of low-threshold surgery that is easy to master and popularize. He is a real master. This can benefit many doctors. Master it through training Finally, treat more patients.

"Gaoqiao understands that Takahashi must work hard to learn Mr.'s surgical thinking and methods, and then try his best to promote it so that his medical skills can be spread to a wider range."

Takahashi was relatively sober, and felt that Yang Ping was right. Instead of pursuing what he could not achieve, it was better to use the technology he could achieve to the extreme. In a moment of excitement, he even called Yang Ping Mr. according to the Japanese custom.

"Dr. Yang, I'm sorry, I was too excited just now—" Takahashi didn't know whether it was appropriate to address him as Mr.

Yang Ping looked at him nervously and submissively: "Gao Qiao, don't be so restrained. You can express your good opinions freely. We have academic freedom here, and you can express your opinions freely."

"Thank you, Dr. Yang, please accept student Takahashi's sincere apology. Last time Takahashi behaved like a frog in a well—" Takahashi immediately stood up and bowed.

Xiao Wu called and said that the patient had already prepared for the operation and was ready for surgery.

Yang Ping took Gao Qiao to the operating room. Graduate student Li Guodong had just been helping out in the ICU and just came back, so he went with him to the operating room.

In the locker room, Gao Qiao and Li Guodong got close: "Guodong, can you teach me how to shop online?"

Li Guodong thinks that this Japanese is very studious. An international professor is no different from a student. This kind of learning spirit is at least worth learning, so he doesn't hate him.

Li Guodong really doesn’t know the procedures for foreigners to register for Taobao and Alipay, and he is not very clear about recharging for shopping and whether to open an account in Bank of China.

"Do you want to buy something?" Li Guodong was very curious, he had only been here for a day.

"If it's not urgent, I'll buy it for you, what?" Li Guodong asked him.

Takahashi gestured: "I want to buy an electronic scale, the kind used in the laboratory, with an accuracy of 0.001 grams."

"This is easy to buy. May I buy it for you? It shouldn't be too expensive. Three to five hundred is fine, and it will arrive in a few days. Do you have any requirements for the price?" Li Guodong wondered what it was.

"I don't understand, you can buy it for me, and I'll transfer you [-] through WeChat first?"

"No, wait until the goods arrive."

Li Guodong didn't understand why the Japanese wanted to buy electronic scales, did they like to play with this thing?

An electronic scale with such a high precision, or what kind of experiment is it used for, such as weighing pills and powder?

　Two chapters per day will resume tomorrow, these two days are relatively busy, sorry!
　　
　
(End of this chapter)