Boss, aren't you being a little too serious? "Su Yun asked.
"Hmm …" Zheng Ren's mind was thinking about countless situations. He only intentionally or unintentionally dragged out a very long response to Su Yun's question.
Then, there was nothing else.
Su Yun was also very helpless. However, Zheng Ren insisted on thinking about this small matter. He felt that he had nothing to do.
If he wanted to think about it, then so be it. Seeing that the patient was fine, Su Yun ran to chat with the ICU nurses. Zheng Ren had always been very curious about this. Why did he have so much to say to strangers?
If it were him, he would definitely chat awkwardly for a while. He would not even know what to say for the third sentence.
However, looking at Su Yun, he was chatting excitedly with the two ICU nurses. The little girls were smiling beautifully. Taking a break from a busy day was also considered a benefit?
At that time, Chief Qian of Sea City General Hospital had even quarreled with Old Chief Physician Pan about Su Yun going to the emergency department.
However, when it came to being unreasonable, Old Chief Physician Pan was good at it. Chief Qian was not good enough.
As long as Su Yun was there, the nursing team would not disperse. Zheng Ren thought of the conclusion that Old Chief Physician Pan had said at that time and felt that it was ridiculous.
"Boss Zheng, do you have any suspicions? I'll go check it right away, "the ICU chief resident asked.
"No need for now. I'll think about it." Zheng Ren stood in front of the hospital bed and did not look at Su Yun. Instead, he began to recall the process of his reception yesterday.
He did not receive the patient himself. When he received a call saying that there was an emergency patient with a pelvic fracture, he ran over.
When he entered the operating theater, he saw …
Wait!
Zheng Ren was stunned. What he was thinking about just now suddenly became clear.
It was a problem with anesthesia!
The anesthesia intubation was inserted into the esophagus. When he entered the room, he saw that the patient's stomach was slightly swollen and his limbs were beginning to show cyanosis.
Yes!
That must be it.
After general anesthesia, the smooth muscles of the gastrointestinal tract relaxed. At this time, a large amount of gas was pressed in, causing the stomach to expand extremely. A part of the small intestine also showed similar behavior.
The high tension caused the gastrointestinal wall to thin. From a microscopic point of view, the endothelial cell space widened, and the permeability increased, causing the fluid to seep out.
Peritoneal effusion was actually the same as the effusion when there was a serious intestinal obstruction. It was just that there was no infection factor.
Therefore, the liquid drawn out from the drainage bag was light yellow. There was no precipitation or blood seeping out.
Thinking about this, Zheng Ren immediately picked up his phone and made a gesture. He found a slightly quiet corner and called Lao He.
"Old He, it's me," Zheng Ren said.
"Boss Zheng, is there an emergency?" Lao He's voice was a little excited.
"No." Zheng Ren said, "Let me ask you something. Have you ever encountered an intubation error and inserted a tube into the esophagus?"
The person on the other end of the line immediately turned solemn.
On this topic, Zheng Ren could almost hear Lao He's heartbeat speeding up through the phone.
"Boss Zheng, please wait a moment. I'll find a quiet place to talk to you." Lao He's voice became cautious.
Zheng Ren did not know whether to laugh or cry. He knew that Lao He must have misunderstood.
But he was too lazy to explain to Lao He. Anyway, he wouldn't be able to wait for long.
After dozens of seconds, Lao He's voice came.
"Boss Zheng, did something happen to you in the emergency department?" Lao He asked in a low voice.
"No," Zheng Ren replied with a smile.
The person on the other end of the line heaved a sigh of relief.
"The day before yesterday, the General Surgery Department received an emergency patient. When I rushed over, I saw that the patient's stomach was bulging. Then, I used the fiberoptic bronchoscope to re-intubate the patient. The surgery is done and the patient is recovering well. I'm in the ICU looking at the patient, "Zheng Ren explained.
"You scared me to death," Lao He said.
"I want to ask you, have you seen this kind of patient before?"
"Boss Zheng, this is one of the biggest medical accidents in the Department of Anesthesiology. It's the same as the intraoperative sobriety caused by an operating error," Lao He said. "It's even more serious than that. I've encountered it a few times, but I've saved it all. "
"Have you followed up on the postoperative conditions of these patients?" Zheng Ren asked.
"No, but I can ask in the group. They're all old anesthesiologists in the country," Lao He said.
"Help me ask if they've seen the postoperative abdominal drainage that draws out a large amount of light yellow liquid," Zheng Ren said.
"Okay!" Lao He replied.
Zheng Ren hung up the phone. Seeing that there were more and more girls around Su Yun, the Chief Resident's expression began to turn ugly.
It really affected his work. Could it be that what he said about wearing two layers of masks was true? Zheng Ren thought about it carefully and felt that it was a little ridiculous.
This guy did not have any serious business at all.
"Boss Zheng, are you consulting your teacher?" The ICU's Chief Resident asked with a smile when he saw that Zheng Ren had finished his phone call.
At Boss Zheng's age, it would only be logical for him to have a particularly powerful teacher.
"Uh …" Zheng Ren smiled and returned to the bedside to look at the patient's drainage bag.
The light yellow drainage fluid was very clear. Occasionally, there would be some turbidity, but there was not much. Zheng Ren recalled the process of the surgery and calculated the amount of drainage in his heart. He became more and more convinced of his judgment.
The Chief Resident saw that Zheng Ren did not say anything and thought that his teacher might have passed away. This was a sad matter. He should not expose Boss Zheng's scars.
More than ten minutes later, Lao He called.
"Boss Zheng, someone has encountered it before. They said that there will be a medium amount of exudate after the surgery," Lao He said. "I'll send you the chat records now. Your judgment is correct."
Zheng Ren took a look at the chat records. The anesthesiologist said a lot. It seemed that this patient had left a deep impression on him.
It was a patient who had been stabbed by a knife. After discovering that he had inserted the wrong tube, it was the same. He immediately performed artificial respiration and used a fiberoptic bronchoscope to re-intubate the tube.
After the surgery, the anesthesiologist was worried that something would happen. The patient had symptoms of cerebral hypoxia, so he followed him for three days.
He still remembered the situation of the drainage after the surgery.
The light yellow drainage fluid, 500-1000ml, gradually decreased every day. In the later stage, there were no symptoms of cerebral hypoxia. After he was transferred out of the ICU, he no longer paid attention to it.
The situation described by the anesthesiologist was the same as what Zheng Ren had seen. Zheng Ren smiled.
The level of clinical skills was improved little by little.
This time, he had no experience and thought for half an hour. However, if he encountered it again in the future, he would not be troubled by the fact that there was too much drainage.
"Su Yun, let's go." Zheng Ren stood up and called out to Su Yun.
"Have you figured it out?"
"Yes, I think so. Tomorrow, the drainage volume will be around 200ml. It will decrease in turn and it will get better soon, "Zheng Ren said with certainty.
Su Yun raised his eyebrows but there were too many people here, so he could not ask in detail.
After informing the nurses, Su Yun followed Zheng Ren out of the ICU.
..
After Lao He completed the task that Zheng Ren had given him, he felt that something was wrong and looked for the surgery records.
That night, it was Cui Zhiying's shift. Lao He pondered for a moment and ran to the operating room to look for him.
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