Chapter 2250
Words:1938Update:22/08/10 20:41:46
Su Yun was stunned for a moment. His first thought was that the oxygen pipe had exploded.
However, the sound was not like it. It was a little muffled. The sound of the oxygen pipe exploding could not be so soft. His mind raced. 0.2 seconds later, he saw Zheng Ren stride toward the operating room at the back.
Su Yun quickly followed Zheng Ren. He did not have time to ask what was going on. He would know at a glance.
If something big happened in the operating theater, the doctors and nurses would not be injured. The patient would be lying on the operating table after anesthesia and would not even have a chance to run.
It was said that a certain hospital had caught fire and the patient had died on the operating table. This matter had caused quite a lot of public opinion at that time.
Fire and power failure. Even if the doctors and nurses stayed where they were, so many instruments could not be operated at all …
It was better to pray that this kind of thing would not happen.
The door of the operating room where the sound came from was open. Zheng Ren strode in.
The few people in the operating room were very confused. The patient was in the lithotomy position. Looking at the position and the patient's System panel, Zheng Ren knew that it was a transurethral resection of the prostate.
Zheng Ren saw that the patient was also looking around in panic. The "bang" had scared him. The patient's face was blank and terrified. His hands kept waving as if he was trying hard to get up.
However, his upper body was strong and his lower body had no strength at all. His posture looked very strange.
"Lie down. It's okay." Zheng Ren was the first to wake up. He strode to the patient's side and restored his position.
If Zheng Ren had not reacted in time, the patient might have fallen off the operating table in a few seconds.
This kind of falling off the operating table … gave him a headache just thinking about it.
Looking at the patient's System panel, Zheng Ren pondered for a few seconds. Until the circulating nurse reacted, stopped tapping the surgical instruments, and came over to help fix the patient.
"Don't worry, it's okay." Zheng Ren tried to make his tone a little gentler.
Seeing that the circulating nurse had arrived, Zheng Ren let go of the patient. "It's normal. What if you fall down?"
"Doctor, are you okay?" the patient asked worriedly.
"It's okay. Don't worry." Zheng Ren comforted the patient. Although it was a lie, Zheng Ren treated it as the truth.
Zheng Ren was almost at the level of a Master when he lied with his eyes closed.
The patient had coronary heart disease. If he really told him the truth, what if he was nervous and excited and had a heart attack?
"What's going on?" Zheng Ren asked in a low voice as he approached the dumbfounded Chief Yu.
Chief Yu stood in the assistant's position. The surgeon, Zheng Ren, looked like a mosaic.
"It's rare for Chief Liu to personally remove the prostate," Su Yun said with a smile.
When they saw that the readings on the ECG monitor were stable, everyone became less nervous. Not only could they ease the tense atmosphere in the operating theater, but they could also calm the patient down.
Director Liu? He was the new chief after Chief Miao retired. Zheng Ren gave a fake smile as a greeting. His eyes then looked at Chief Yu.
"The surgery was about to be completed. Suddenly, there was a loud bang," Chairman Yu replied in a low voice. He did not lose his rationality.
"It's fine," Chief Liu said calmly.
Zheng Ren glanced at the things around him and immediately realized that the surgery had completed the steps of Ellik irrigating the electro-resection tissue and completely stopping the bleeding.
There was only one to two minutes left until the end.
However, something happened at this moment. Chief Surgeon Liu looked really calm. At this time, he slowly regained his senses and began to continue to stop the bleeding.
"Boss Zheng, why are you here?" Chief Yu was a little flustered. He tried his best to make small talk to calm his heart, which had already reached 130.
"I did a pneumothorax caused by endometriosis with the Thoracic Department." Zheng Ren looked at the patient and a possibility appeared in his mind. He casually gave a perfunctory reply.
"…"
Chief Surgeon Liu and Chief Yu were stunned.
Thoracic Department? Pneumothorax caused by endometriosis? That was too rare.
How did endometriosis get into the chest cavity? Chief Yu had countless gossips in his heart, but he immediately suppressed them.
There was a problem with the patient in front of him. What was that muffled sound just now? This was enough to worry about. How could he have the mood to care about other people's business?
Zheng Ren had a guess. It was not difficult to guess that muffled sound. Whether it was Su Yun, Chief Surgeon Liu, or Chief Yu, they should all be clear about it — considering that the mixed flammable and explosive gas in the bladder caused the bladder to rupture.
Gas explosion in the bladder was a rare complication of prostate electrotomy. There had been cases reported in China in recent years. There were more reports abroad. Some doctors had even done a large-scale sample survey, and the incidence was about 1 in 1500.
Experiments showed that the hydrogen produced by electrolysis of intracellular water accounted for about 30% to 50%, while oxygen only accounted for about 3%. It was widely believed that hydrogen mainly came from intracellular water electrolysis.
When the volume of hydrogen in the air accounted for 4% to 74.2% of the mixed volume, an explosion would occur when it was ignited.
The "bang" that Zheng Ren had heard earlier was probably due to various explosive gases produced by the vaporization of the prostate tissue during the TURP process. During electrotomy and electrocoagulation, the electrolysis of intracellular water produced hydrogen exploded in the bladder.
The fuse of the explosion was the spark that triggered the contact between the hot metal loop of the electrotomy scope and the tissue.
The reason for the combustion or explosion of oxygen during the surgery was probably due to the perfusion of air into the bladder during ELLIIK irrigation.
The consequences of the gas explosion in the bladder varied from no obvious injury to multiple bladder ruptures in severe cases.
Zheng Ren looked at Chief Surgeon Liu's confident expression and tone. He was in a daze as he was still doing the last bit of bleeding control.
Could it be that Chief Surgeon Liu had encountered something similar? Or did he also have the System and check on the patient's bladder early in the morning, confirming that the patient was fine?
With these doubts in mind, Zheng Ren entered the System again, selected the surgical training time, and entered the System's operating theater.
The simulation mannequin lay on the operating table after the lithotomy, much more docile than patients in real life.
Zheng Ren glanced at it with the electrotomy scope. The bladder wall had collapsed and there was bleeding. Upon closer inspection, the rupture was only a few millimeters wide. It should be fine.
No wonder Chief Surgeon Liu was so calm.
However, the explosion could cause one or more bladder ruptures. Zheng Ren left the electrotomy scope and began to perform a puncture on the patient.
The peritoneal puncture was punctured with clear fluid. The bladder ruptured due to the mixture of flammable and explosive gases in the bladder.
The amount of urine was not much, only about 40 milliliters.
Zheng Ren frowned. If it were him, he would have immediately explained the situation to the patient's family and switched to open surgery.
The safest option was to open it and have a look. An FR22 three-lumen balloon catheter was placed under the guidance of a metal stent to draw out the pale red liquid.
There must be a problem. Zheng Ren confirmed his point of view.
Fortunately, he was in the System. Without hesitation, Zheng Ren began to lay out the drapes and switched to open surgery.
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