The Godfather of Surgery

Is Qin Peiling your daughter? Professor Liang asked suddenly, as if there was something in her words.

When asked about this, Professor Qin had no choice but to nod, um, the girl came to the movie last time, and she was obsessed, and this time she had to come to see the operation.

Professor Su was still unmoved, but he noticed Professor Qin's slight embarrassment from the corner of his eyes.

Reluctant to let the child catch the wolf, is this really a trick?

Things are not so simple, it seems very complicated, this old Qin fox.

Professor Liang is about to retire from the position of the National Orthopaedic Chairperson, and to succeed him, Professor Qin and Professor Su are the most promising.

These two professors can be said to be representatives of the north-south competition, and academically, neither agrees with the other.

Director Han was quite surprised when he heard the news. Nurse Qin, who came with the 301 Doctor Corps, was actually Professor Qin's daughter. Professor Qin didn't mention a word.

To be honest, Lao Qin's daughter, beautiful and tall, can compete with Xiao Su.

Especially the last time he wore a military uniform, he was really heroic, and his gestures had a unique charm.

Thinking about it, Lao Han snickered in his heart, laughing that he had such rich associations.

Director Han held back his laughter and glanced at Professor Su secretly. He was sitting firmly on the Diaoyutai, as if he didn't hear anything.

——

When the subclavian artery is divided, the aorta begins to stretch and no longer coil.

This was a pleasant surprise, meaning that the patient was truly saved, not a humanitarian effort.

As an assistant, Professor Li was immediately excited.

He didn't have much hope for this patient. The anatomical relationship was too chaotic, and it was too difficult to find the original building structure from a pile of mud.

Continuing to separate, the arteries and veins stick together, making it impossible to tell who is who.

It would be nice to have them entwined like this if not necessary, the risk of separation is simply too high.

However, this twisted love affair between arteries and veins is doomed to have no good results. It will seriously affect the heart function and eventually be fatal.

It will increase the resistance of the heart to pump blood, reduce the blood recovered, and over time, make the heart muscle fatigue and failure. At that time, only artificial or allogeneic hearts can be replaced to maintain life.

Different from the previous scoliosis correction, this surgery is not only a correction, but also a life-saving.

No matter how difficult it is, the operation will continue. The reason why the doctor's job is sacred is because he faces life and controls life, and there is a very fine dividing line between life and death.

——

What's the matter today, why do you keep urinating?

Zhang Lin had already gone back and forth to the bathroom and made several trips. It is estimated that his mother-in-law had prepared a large pot of chicken soup in the morning. There were also traditional Chinese medicines such as coix seed in it, which had a diuretic effect.

Wait for the one who is going to come on stage, or, wait for a catheter to be inserted? Xiao Wu suggested.

Zhang Lin shook his head and inserted the catheter. No matter how good the technique was, he was afraid of damaging the urethral mucosa. The urethral mucosa was like the rifling of a gun. Once damaged, the urine line would be scattered or the beautiful parabola would be lost.

Sometimes there is no way. Now, who is healthy and healthy, who wants to insert a urinary catheter and hang a urine bag.

However, the effect of this chicken soup is estimated to last for several hours, and the bladder will not be able to bear it in case of going on stage.

This is the most taboo of surgeons. The life of the operation is at stake. You always twist your butt irritably, and then say that you can't hold back and want to pee?

But at the current frequency of urination, it is estimated that there will be no chance of taking the stage.

Insert! Zhang Lin sighed.

Xiao Wu waved for help, Zhou Can immediately took time to come over, and Xiao Wu whispered, Where is the catheterization kit?

Nurses know best about the supplies in the operating room.

Zhang Lin originally wanted to sneak up on himself to find a catheterization kit, and then unknowingly ran to the locker room to intervene, but now Xiao Wu is exposed.

What's the matter in the material warehouse? Zhou Can looked at Zhang Lin who was blushing beside him.

Xiao Wu said: Director Zhang has frequent urination and urgent urination. He will have to go to the stage for surgery later, so he can help you find a suitable catheter and plug it in.

Zhou Can couldn't help covering his mouth and laughing: Really, fake?

Really? Hurry up and get me a catheter kit and a pair of sterile gloves! Zhang Lin said angrily.

What size urinary catheter? Zhou Can asked.

What number, just take one! Zhang Lin was impatient.

Xiao Wu said seriously: You are a doctor on your first day? The urinary catheter is too big and can't be inserted, and it leaks urine when it is too small.

How the hell do I know the size of my urinary catheter, and I usually don't insert it? Zhang Lin was a little annoyed by Xiao Wu's deliberate adjustment, but there was no way, he was right.

You don't know your own model? Xiao Wu smiled at him.

I'll pick it myself. Zhang Lin blushed immediately, got up and went to the warehouse to find a catheter kit by himself.

Zhou Can immediately grabbed him: Do you want me to help you in?

Yes, let him insert it himself, you come, no matter how thin it is, you can't insert it. Xiao Wu told Zhou Can to ignore him.

Zhang Lin came out of the operating room, touched the material warehouse, looked for the label of each storage compartment, found the urine tube, and then looked at the sizes of various models through the transparent packaging, and picked one that seemed suitable. He also grabbed a pair of sterile gloves, a syringe, and slipped into the men's locker room.

Insert the catheter yourself. Usually, the work of inserting the catheter is done by the nurse. Although the doctor will insert the catheter, the chances of inserting the catheter are relatively small.

Usually this simple job is really a bit difficult to use on myself. Zhang Lin wanted to ask Xiao Wu to help, but he was afraid that the kid would make a joke, so he just felt stubborn and really inserted himself.

After opening the catheterization kit, Zhang Lin disinfected himself, then put on gloves and spread the sheets.

As soon as I gritted my teeth and inserted it into the urethra, it was a little painful, and I couldn't insert it. I knew earlier that I would get a tetracaine glue, and I would do a topical anesthesia before inserting it.

A closer look, a nervous, forgot a step - lubricating oil.

Zhang Lin smeared a layer of lubricating oil on the urine tube again. This time, it went smoothly. The urine tube was easily inserted, the urine came out, the balloon was filled with air, pulled back, fixed the urine bag, and pinned it to the bottom of the pants.

Don't worry this time, you can operate with peace of mind.

Zhang Lin returned to the operating room, sat down, and Xiao Wu glanced at the urine bag hanging on his trousers and the exposed urine tube.

Really plugged in?

Don't be cruel to yourself, how can it be a big deal? The first operation of the Institute of Surgery, as the main member of the department, the gold and silver double hooks under Dr. Yang, how can I not participate?

Enough! Xiao Wu had to give a thumbs up.

It's normal. Zhang Lin said nothing.

Is your urine tube a good size? Size 20? Xiao Wu picked up the urine tube and looked at it.

Don't touch it, it's much thinner than yours. You probably need a No. 22 catheter. Zhang Lin opened Xiao Wu's hand.

Zhang Lin sat calmly on the chair in the corner, no longer had to worry about holding back his urine, and felt relieved for a while.

——

Professor Li followed Yang Ping and became more and more confident that the separation had reached the supraclavicular artery, the adhesions between the aorta and the vena cava were separated, and the adhesions with the surrounding ones were also separated. Fortunately, the three-layer structure of these blood vessel walls was not bad. Intact, or artificial blood vessels need to be implanted to prevent the formation of aortic dissection.

Proficiency in anatomy, proficiency in this abnormal anatomy, and calmness in the operation, Yang Ping made Professor Li admire him. Yang Ping's performance gave Professor Li a feeling that he was very skilled in any operation, and he was confident in the young doctor in front of him. Respect.

Further down, the aorta and vena cava are glued together, and they are glued together with the anterior longitudinal ligament of the spine, and other doctors must be helpless.

Another blade was replaced, and I don't know how many blades have been replaced.

Anyway, the curved plate specially equipped with blades is already full of round knives and sharp knives.

Vital signs are stable!

Fatty reported to Yang Ping from time to time that he had Erlang's legs crossed, and the short trouser legs seemed even shorter, and the lower half of the entire calf was exposed.

This was the first surgery that Nurse Qin saw Yang Ping perform with her own eyes, and Yang Ping's calmness on the stage convinced her.

At 301, the surgeons she performed on the stage were all first-class experts in the country, but they also lacked this aura. Standing there, Yang Ping seemed to be able to control the whole situation.

Indeed, every time Yang Ping has an operation, he will have a wonderful feeling that he can control the world.

Higher blood pressure!

Yang Ping ordered that if the blood pressure is higher, the aorta will be more filled, which is more conducive to the surgical separation.

From the indwelling tube, Fatty pushed forward some medicine decisively, and soon his blood pressure rose.

In some adhesive tapes, there are messy blood vessels growing, which cannot be ligated in advance. They must be cut off during separation, and then double-click electrocoagulation to stop the bleeding.

Beyond the aortic arch, of course, for Zheng Baosheng's anatomy, there is no real aortic arch, because the blood vessels are all backlogged together, and the tortuous pipeline makes it very difficult for the heart to pump blood. If it is not operated, it will not survive for long. reason.

At present, he is still young, and the remaining normal cells in the heart muscle can barely work overtime. Slowly, after all the heart muscle cells are fatigued, the whole heart enters the end-stage. At that time, there is no other way except heart transplantation.

Do you want to take a break? Yang Ping asked Professor Li.

Professor Li was sweating on his forehead, and his excessive tension consumed a lot of energy. Although he had learned from his tutor that he was not afraid of pressure and danger, the operation still left him in a state of embarrassment.

Now he is only an assistant. If he is the main surgeon, he must not be able to do one-third of it, and the patient will die on the operating table.

No, it's okay!

Professor Li's head was moved out of the sterile area, and the roving nurse wiped the sweat from his forehead with a white tissue to prevent the sweat from gathering and falling into the patient's chest, increasing the chance of infection.

continue!

Professor Li is very firm, he can't hold back the chief knife because of himself.

That year, one of his patients died on the operating table, and after the operation, he curled up in a chair in the dressing room.

The mentor said to him: Throw away your empathy, forget your grief, what you do is not grief, but learn from your failures and avoid them again.

Now he has to forget his fear and continue to follow Yang Ping.

The aortic arch has been exposed, and the corresponding vena cava has also been successfully separated from the aorta, and there is no break in the separation. From beginning to end, Dr. Yang protects the intact three-layered blood vessel wall, which is very important, which means whether the separated blood vessel is healthy or not. , whether to leave a dangerous hidden danger.

The scalpel has already begun to explore downwards, where the great blood vessels form a curve and bend, and then pass through the diaphragm and enter the abdominal cavity. The anatomy is dangerous and complicated.

——

Can I come on stage to help? Nurse Qin summoned the courage to ask when Yang Ping took a break.

Thank you, no need! Yang Ping refused decisively.

Now one instrument nurse on the stage is enough, and one more person will only add to the chaos.

Sometimes too many people can't improve efficiency, but will disrupt the inherent rhythm and reduce efficiency.

Nurse Qin didn't feel unhappy when Yang Ping refused straightforwardly.

It's just that she really wants to participate in such a difficult and high-risk operation like Xiao Su.

But she thought about it carefully, she would only add to the trouble when she came to power, because she was not well prepared for this operation and regretted her rashness just now.

Zhang Lin's urine bag had accumulated at least 200 milliliters of urine, so he decided to change it.

Because he doesn't know when he will be called to the stage, he has to play lightly.

Zhang Lin?

The fat man beckoned.

Zhang Lin stopped and walked around Fatty.

What's the matter? The fat man pointed to the urine bag hanging on his trouser legs.

I drank a large pot of chicken soup in the morning, and it is estimated that there are traditional Chinese medicines with diuretic effect in it. I urinate frequently and urgently! Zhang Lin carried the urine bag, because the heavy urine bag had pulled his pants down.

Fatty said easily: Don't tell me sooner, brother will give you a shot to antagonize the diuretic effect, and I will take care of you for a few hours.

Forget it, the urine tube is inserted.

Zhang Lin knew that when the dead fat man was over, he would definitely use cigarettes as a bargaining chip.