Quan Xiaocao closed her book. Recently, she had been learning about ESD techniques.
If Boss Zheng took her to surgery and she didn't even know the most basic knowledge, it would be very awkward! Just thinking about it made her want to die.
Of course, basic knowledge was only part of it. Micromanipulation was also extremely important. Professor Feng borrowed a microscope for her. Every day, Quan Xiaocao fought with pig intestines.
When she watched Boss Zheng perform the surgery, she didn't think it was particularly difficult. It was very stable and accurate.
However, when Quan Xiaocao tried it herself, she realized that micromanipulation was extremely difficult.
It was already 12 o 'clock. She should sleep well and hope that nothing happened tonight. Quan Xiaocao went to wash up. In her mind, she was still thinking about the anatomy of the intestine and the things to pay attention to during microsurgery.
While she was brushing her teeth, the phone at the nurse's station rang frantically.
Even the ringtone of the call at this hour revealed a sense of impatience and panic.
It must be an emergency!
It must be an emergency!
"Doctor Quan, the emergency department said that 120 received a patient with rectal trauma and hemorrhagic shock!" the night nurse said hurriedly.
It was already so late, yet they came to the emergency department. It would be another sleepless night.
Both Quan Xiaocao and the night nurse felt somewhat helpless.
When Quan Xiaocao heard that it was a rectal trauma, she immediately determined that it was definitely not something she could handle. She called the chief resident, who didn't hesitate and directly called the second-string doctor, Professor Feng.
Quan Xiaocao was a little apprehensive.
The rectum was the last part of the digestive tract. Because there was a very rich connective tissue space around the middle and lower rectum, the chance of the rectum being affected was relatively low.
However, once the rectal trauma perforated, it could lead to a very serious infection around the rectum and a series of related complications. Therefore, rectal trauma was not only difficult to handle, but also difficult to recover from after surgery.
Also, the rectum was not elastic enough, similar to the esophagus, so blood supply was very important after surgery.
For example, anastomotic leakage after rectal cancer resection was a very serious complication. If this complication occurred, it was impossible to repair it. The only way was to remove the anus and discharge the fistula.
If that happened, the patient's quality of life would be greatly affected.
According to the description of the patient received by the emergency department, the injury was very serious. It was very likely that the intestines would need to be left open for a period of time to prevent anastomotic leakage.
This kind of surgery was very high-level, so the chief resident definitely wouldn't try it easily. It was still possible for the patient to be diagnosed slowly, but for the emergency … it was better to call the second-string doctors.
It could be considered a rare disease. Should he ask Boss Zheng to take a look? Quan Xiaocao glanced at the time. It was already past 12 o 'clock, so she decided to forget about it.
Asking Boss Zheng to perform surgery in the middle of the night and asking him to perform surgery during the day were two completely different concepts.
Things like waking up in the morning can be very fatal when it erupts. Besides, Boss Zheng was not a second-tier professor.
When Quan Xiaocao thought of this, she didn't even have the time to make a phone call.
The first-aid team first pulled the patient to the emergency department. After various emergency measures were taken, they sent him to do an X-ray to provide guidance for the surgery.
When Feng Jianguo arrived, the patient had just been sent to the Gastrointestinal Surgery Department.
His blood pressure was 60/40 mmHg. The fluid from the venous catheter was dripping into the patient's body. The emergency department had already collected a blood sample and sent it to the blood transfusion department for matching.
The injured had no family members accompanying him. He was alone. The emergency department said that they had already reported to the medical administration division and that their people would arrive soon.
Feng Jianguo glanced at the radiographic films first.
His rectum was ruptured, and it seemed like his colon was ruptured as well. His stomach also seemed to have a problem. How big of an impact was it to cause so many serious injuries?
Feng Jianguo felt helpless.
The key was that there was a pelvic fracture and a large area of retroperitoneal hematoma.
This was troublesome …
He did not hesitate at all. He picked up his phone and called Zheng Ren directly.
"Boss Zheng, we've accepted a patient with lower body trauma, severe pelvic fracture, retroperitoneal hematoma, rectum, and colon rupture."
"Okay, I'll go on stage first to anesthetize him and make preparations."
After hanging up the phone, Feng Jianguo shouted, "Send him up to the hybrid operating theater!"
"Okay!" The chief resident replied. He, Quan Xiaocao, and the nurse pulled the injured and ran.
Feng Jianguo did not wait for the people from the medical administration division to come. After giving them some instructions, he ran up to change his clothes.
After changing his clothes in a hurry, he chased the chief resident away.
There was still a lot of procedures at the medical administration division, so he let the chief resident handle them. Soon, Boss Zheng would be able to rush over. He was not afraid that there would be no one to do the surgery.
The 912 was still very professional in emergency treatment. To be able to complete the preoperative preparations in such a short period of time and send the patient to the operating table was almost a race with the god of death.
Feng Jianguo changed his clothes and had just left the changing room when he heard the door open.
F * ck … Boss Zheng came so quickly?
He turned around and shouted, "Boss Zheng?"
"Yes, we're here." Zheng Ren's voice came.
"I'll go take a look at the patient and disinfect him first. You can change your clothes first," Feng Jianguo said politely.
This was definitely not the time to exchange pleasantries. There was still a patient whose life was in danger waiting to be treated.
Every minute and every second was extremely precious.
After entering the operating theater, Feng Jianguo saw that the anesthesiologist had already completed the tracheal intubation and started to use a ventilator to assist in breathing.
"Old Feng, why are your intestines out? What kind of trauma? "the anesthesiologist asked after he was done.
"The 120 people said that it was received at the Carnival Square. The trauma was caused by the biggest fountain."
"The biggest fountain …" The anesthesiologist was stunned for a moment and smiled bitterly.
This kind of trauma was very rare, but it was not unique. Usually, it was children who played in the fountain square and were accidentally injured.
If it was a little crooked and was thrown out, it might cause a bloody nose and swollen face.
Like this …
It was better to hurry up and perform the surgery. His intestines were all out!
30 seconds later, Feng Jianguo felt that there was something strange about the patient.
Blood pressure? He could not accurately grasp the thought in his mind and began to search bit by bit.
Traumatic shock. Blood pressure was very low, but compared to when he first saw it, it was still a little higher. The circulating nurse had already gone to get the blood. As long as the blood transfusion started, it should not be a big problem.
Then what was it that made him feel strange?
Feng Jianguo looked at the patient in a daze.
"Old Feng, what's wrong?" The anesthesiologist saw that he was stunned, so he asked with a smile, "Could it be that you can't perform the surgery?"
"Do you think something is wrong?" Feng Jianguo looked at Ren Ling, who was lying on the operating table, and was a little surprised.
"There's nothing wrong. Let me tell you, the patient's airway is a little abnormal. If it weren't for my rich experience, an ordinary anesthesiologist wouldn't even be able to insert a tracheal intubation," the anesthesiologist said with a smile.
When Feng Jianguo heard this, he immediately began to look at the patient.
When he saw Ren Ling's stomach bulge, it was as if a basin of cold water had been poured over his head.
"F * ck!" He cursed, "Did it get inserted into the esophagus?!"
..
..
Note: In 2007, one of my patients had an airway malformation. After anesthesia, the stomach bulged first. Fortunately, I invited Teacher Chen to perform the surgery and observed this. In the end, it was a close call. Now, 12 years after the surgery, the patient's lung cancer has been cured, but there is a slight problem with his heart.
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