godfather of surgery

Chapter 74 The professor is not called for nothing

The vital signs are stable, and the ICU is only for safety.

As long as the shock is corrected and blood pressure remains normal, the problem is not a big deal.

Director Tian and Yang Ping took off their surgical gowns, and the doctor next to them immediately came over to help undress.

"There are many fracture sites, beware of fat embolism and pulmonary embolism!" Director Tian explained to Dr. Tao.

Director Miao took off the surgical gown, and the hand-washing gown inside was almost half wet.

"It's all right." Director Tian comforted Director Miao.

He is also a major department director and a famous doctor in Shipo. The scene was really big just now.

Director Miao hummed: "It's really dangerous, I was fortunate to have you just now."

Surgery is like this. Although an accident is a low-probability event, if it falls on a specific patient, it is a life-and-death gamble.

"When you arrive in the ICU, you should pay attention to the situation of laryngeal edema. You can only extubate when the edema has subsided. If it does not subside, keep it. Even if it is extubated, a tracheal intubation and a tracheostomy bag should be prepared at the bedside, just in case. " Director Tian explained further.

He is the chief knife, and some things cannot be overemphasized.

Director Miao wrote down the professor's words and instructed Dr. Tao: "Xiao Tao, you have to remember it, and you have to explain it to the ICU doctor later, and follow closely."

Dr. Tao responded, and moved to a stool with several doctors, and Director Miao, Director Tian, ​​and Yang Ping all sat down.

The patient will be observed for a while and sent out after confirming that there is no problem.

"I have encountered this situation with Director Han. I have a deep memory. The patient was more serious than him. Even the heartbeat and breathing suddenly stopped. The operating table was performed CPR and defibrillation, and the patient was finally saved. This is also Well, the heartbeat and breathing have not stopped. The judgment of anaphylactic shock must be accurate, the rescue time is only a few minutes, and the rescue is correct within a few minutes, and the success rate of the treatment is very high.” Director Tian talked eloquently.

The doctors listened carefully. It was more serious and dangerous than this. The heartbeat and breathing stopped. Everyone had seen it and rescued him. No wonder he was able to deal with it calmly just now.

A professor is a professor, not for nothing.

"Professor Tian, ​​how did you judge that it was anaphylactic shock just now?" the anesthesiologist asked. He just followed Professor Tian's instructions for rescue, and he still hasn't figured it out.

"Yes, Professor Tian, ​​why did you make a judgment so quickly?" Director Miao was also very interested.

"With this sudden drop in blood pressure, first consider shock. There are several types of shock, cardiogenic, hemorrhagic, traumatic, allergic, infectious, neurogenic, and burn. Combined with this patient, burn, neurogenic Both sexual and infectious can be excluded; the acute phase of trauma has passed, and trauma can be excluded; hemorrhagic, surgical bleeding is very small, and it can be excluded; then there are cardiogenic and allergic, cardiogenic, and the ECG waveform on the monitoring screen There will be a reaction, I looked at the ECG waveform and ruled it out; it is allergic, and it can be caused by drugs or blood transfusion. The pipeline for the transfusion just went through the normal saline, and on the transfusion side, just after changing a bag of blood, Shock occurred immediately, so blood transfusion anaphylactic shock was considered. Whether it was caused by blood transfusion or drugs, it was all anaphylactic shock, and the treatment process was similar.”

Director Tian explained it clearly and clearly, like pulling a thread out of a cocoon, which is equivalent to giving a small lesson on the spot.

If you don't say a few words at this time, people will think that professors are conservative and don't teach real things.

During the operation, he still observed so much with his eyes. He knew the data on the monitoring screen and the nurse changed the blood bag.

Director Miao said with a smile: "You have received Director Han's true biography. Director Han always requires a monitoring screen for him to see clearly on the stage during surgery."

The doctor who observed it felt that his knowledge had increased. There were so many details in the operation, and he had no such concept at all before.

"Any emergency rescue is not to cut the mess with a quick knife, but to solve the mess with a quick hand. You have to know thousands of ways to tangle and tie the mess in order to quickly untie it, otherwise you can only solve the mess." Director Tian concluded.

"Suddenly encountering such a situation, my mind is messed up, usually I can only think briefly, I can't think of so much." Seeing that the professor is approachable and has no pretensions, there is a doctor who is more courageous and participates in the discussion.

Everyone is less restrained, the sense of distance is weakened, and they all spontaneously get closer to Director Tian. Director Tian said: "This is the usual training, special police rescue the hostages, just rely on the photos they have seen, rush into the room, people in a house can Make a judgment within a few tenths of a second, which is the hostage, which is the gangster, quickly shoot the gangster, and successfully rescue the hostage. This is the result of the training. Ordinary people will definitely be blinded when they enter at this time. There are several people in the room. It takes a long time to count, let alone identify the hostages."

Everyone laughed and felt that the professor's speech was humorous and humorous, but the reasoning was simple and easy to understand.

After more than ten minutes of observation, the patient's vital signs were stable and could be sent out.

"How many people should I take to take a break? It's hard work." Director Miao said.

"It's okay, let's go. Let's go to the ICU to see the patient together. I'll explain to the ICU doctor. Director Miao, please explain to the family members. Entering the ICU after the operation will easily cause panic among the family members." Director Tian reminded Director Miao.

"We talked about it before. For such a major operation, we should send it to the ICU for monitoring. It's safe." Director Miao took everyone to the dressing room to change clothes.

"That's good, let's go to the ICU together."

The door of the operating room opened, and the flat car with the patient was pushed out. The family members immediately gathered around, and the two elderly people were also supported.

"How is it, Director Miao." The patient's brother said.

This operation is very big. I didn't say that it should be done at night, and it only took more than three hours to get in and out. It won't be difficult. Give it up. The family is very worried.

"Director Miao, so fast? Is it not possible?" The family members were anxious.

"The operation was a success! Don't worry, the professor performed the operation quickly and well, with very little bleeding."

"An extremely rare accident occurred in the middle, anaphylactic shock, which is dangerous and fatal in a few minutes, but luckily, I met Professor Tian. Professor Tian has a lot of knowledge and can judge at a glance. Quick rescue and success. The danger is saved, the patient is safe at present, and the operation is quite beautiful-"

In short, the person was pulled back from the gate of hell by the professor, and the operation was too perfect.

Director Miao's voice and emotion are rich and expressive, and he assists body language from time to time. The patient's expression changes with it, and his mood is ups and downs when he hears the last sentence.He immediately held Director Miao's hand firmly: "Benefactor, benefactor pulls, if it weren't for you, I'm afraid this level would be-"

Finding that this was not auspicious, he swallowed the last few words abruptly.

The family remembered that there was Professor Tian to thank, and Professor Tian was the protagonist.

Immediately he took Professor Tian's hand again: "Savior, thank you! Thank you!"

Too excited, the grip is a little tight, and the handshake is a little too big.

"This is Professor Tian from the provincial capital. The professor who gave the second child a knife is amazing. The second child has a small hole in his heart. The second child didn't tell the doctor. The professor can see it at a glance. It's too serious, I was allergic to it just now, and I almost went over, and Professor Tian dragged the person back from the gate of hell." The patient's brother followed the flat car and explained it vividly to the second elder and other family members, with a proud tone.

The patient's brother was in a good mood. At the beginning, these relatives talked a lot, some said they were sent to the provincial capital, some said they were sent to the imperial capital, but they all stood and talked without back pain. Just go in.You can shut up now.

Hmph, the person in charge of the family is still the person in charge, who can see the fire and look far ahead, how can you understand that, the patient's brother thinks so.

The flat car was pushed towards the ICU.

　Thank you for playing badminton, Satan's old ba, and Lulu gang leader for the reward.Thank you for your recommendation tickets and collections. We have advanced to the third round of recommendation. It is all thanks to your strong collections and recommendation tickets that we have achieved such a little achievement, bow!

　　
　
(End of this chapter)