Boss, you're very skilled in emergency treatment. " After suturing the heart, Su Yun glanced at the ECG monitor. Seeing that the ECG was sinus rhythm, he knew that the patient had been saved. Feeling confident, he joked.
"I can feel the pericardium with my finger. There's a lot of pressure, but I can't touch the heart muscle. The diagnosis is clear." Zheng Ren took the warm saline from Little Yiren and poured it into the chest. He returned it and asked for more.
"It's easy to open the chest in the emergency resuscitation room and perform chest compressions under direct vision. Most people don't have the guts to do that," Su Yun said.
This was the truth.
At that time, strictly speaking, the patient was already a dead person.
To save a dead person, it was not an operation like chest compressions that lasted for dozens of minutes. Instead, it was a very shocking operation of directly opening the chest, cutting open the cardiac tamponade, and spraying blood directly onto the roof. Most doctors would be terrified at that time.
Why?
Because the patient's chest was in a bacterial environment after the rescue. Postoperative atelectasis and lung infection were all trivial matters. Myocardial infection was also common.
There was a lot of trouble after the surgery.
If he could not be saved …
Hehe, then congratulations. There was a 50% chance of a major medical dispute. Doctors who dared to make a move would most likely end up here.
"I didn't think so much at the time," Zheng Ren answered honestly.
He did not think so much and focused on saving the patient.
As for success or failure, he did his best.
No matter what the final result was, he could not let his white coat down.
"But boss, you're usually so listless and not angry. Why are you like a different person when it comes to the rescue? "Su Yun asked.
"No, I'm calm and collected. There's definitely no chaos. Yanran, double-lumen ventilation. " As Zheng Ren spoke to Su Yun, he asked Chu Yanran to open the double-lumen tube to see if there was a breach in the lung.
"You're still denying it? In Imperial Capital, when we were trying to save Fang Lin, you kicked a doctor. Today, you actually dare to kick the patient's family member. "
"Time is tight. She hugged the stretcher trolley and refused to move. Who is to blame if the patient dies?" Zheng Ren replied calmly.
At that moment, there was no tension and passion from the rescue.
However, in retrospect, if he were to do it again, Zheng Ren would definitely kick the patient's family member away for delaying the rescue work.
Good intentions do bad things, it was probably something like this.
"Aren't you worried about a medical dispute?" Su Yun asked as he used an aspirator to remove the overflowing saline from his chest.
He carefully examined the saline in his chest cavity. There were no bubbles.
"I used to be worried, but didn't Little Six say that he had already chased away all the medical disturbances in Sea City General Hospital? Usually, the patient's family members were still reasonable. Besides, with Fan Tianshui around, there shouldn't be a problem. " Zheng Ren observed carefully and glanced at the bright red System panel on the upper right corner of his vision. There was no diagnosis of lung rupture, so he said, "Close the chest."
At the same time, Zheng Ren heard a 'ding dong ~' sound, signifying the completion of the mission.
[Emergency Mission: Bring the Dead Back to Life, Heal the Bones completed.
[Mission Details: Rescue an emergency thoracic stab patient with cardiac arrest.]
Mission Reward: Emergency First Aid Master Skill Book, 1 Gold Treasure Chest.
[Time: 45 minutes. Remaining time: 2 hours and 15 minutes.]
There was a reward. Not bad. 'Master-level emergency first aid …' Zheng Ren pondered for a moment. He still wanted to perform surgery.
"This kind of surgery has no technical content at all." Su Yun pondered and complained, "Boss, I thought it was my turn to show off my skills today. Do you want to compete with me for thoracic surgery? "
"Huh? Weren't you the one who sutured the heart? "
"No one saw it," Su Yun said. "When I saw the wound, I knew it was a cardiac tamponade. I was ready to cut it open and perform chest compressions. I didn't expect you to compete with me for thoracic surgery. Can't you just be a general surgeon or an interventional surgeon? "
"I was in a rush and didn't have time to think. Since I know how to do it, I'll just do it. " Zheng Ren smiled and watched as Su Yun sucked the saline out of the chest cavity. He said, "Prepare eight antibiotics, cefoperazone tazobactam. Do a skin test first."
Since the surgery was already exposed, infection was necessary. The next step was to reduce the infection as much as possible.
The chest cavity was covered with warm saline gauze. Zheng Ren relaxed when he saw that the numbers and waveforms on the monitor were stable.
"Boss, you should think about how to explain to the patient's family first," Su Yun teased.
"There's nothing to explain. The dead have been saved. What else do they want? Heaven? "Zheng Ren chuckled.
The surgery was a success and everyone was relaxed. The atmosphere in the operating theater was joyous.
The circulating nurse began to give the patient a skin test. She had to wait for 15 minutes, so during this period of time, nothing happened at all.
Fifteen minutes passed as they chatted and laughed.
The skin test was negative. The circulating nurse opened eight cefoperazone tazobactam and poured them into a basin. Xie Yiren passed the basin to Zheng Ren.
The clean antibiotics were sprinkled and Zheng Ren and Su Yun began to close the chest.
It was an extremely simple surgery with a bright and spacious operative field. Zheng Ren was envious. The field of view of thoracic surgery was really good.
It was cool just looking at it!
Closed thoracic drainage, pericardial drainage, suture layer by layer, and closure of the chest cavity.
Chu Yanran's lungs were swollen, and gas was emitted from the chest cavity.
General anesthesia was not stopped. The patient would be sent to the ICU for a night after the surgery. If the patient's condition was stable, he would be extubated the next day and transferred back to the emergency ward.
"I'll go see the patient's family. There's a lot of paperwork to be done." Zheng Ren turned around and removed his gloves.
"Boss, can you be a little more humane?" Su Yun wailed. "It's just the two of us. If you leave, do you want me and Sister Yanran to carry the patient?"
"I'll call Lil Fugui." Zheng Ren walked out of the operating theater.
It was not that Zheng Ren was lazy. It was because it was the most urgent surgery, so too many steps were skipped.
Just like what Su Yun had said, the troublesome things were yet to come.
Zheng Ren found his phone and called Professor Rudolf Wagner to ask him to come to the operating theater to help. Then, he walked out of the door.
When he opened the door, a figure as heavy as a mountain appeared in front of him.
Zheng Ren was stunned. Then, he saw Fan Tianshui's honest smile.
"Chief Zheng, how was the surgery?" Fan Tianshui asked.
"It's good. The patient is going to be sent to the ICU," Zheng Ren said. "Patient's family. Who is the patient's immediate family?"
A group of people swarmed over.
"Those who can sign and pay. Don't join in the fun. Where's the patient's lover?" Zheng Ren shouted.
"Excuse me. Who are you? Those who are watching the fun, move aside." A few women supported the patient's lover and came to Zheng Ren.
Her body was limp and she could not move at all. The women tried their best to carry her in front of Zheng Ren.
Zheng Ren smiled bitterly and quickly said, "Go, help her to the chair."
After a few minutes, the patient's lover sat on the hard red plastic chair. Her eyes were empty as she waited for Zheng Ren to announce the final death.
"Are you the patient's lover?" Zheng Ren asked.
The woman was unconscious and did not seem to hear Zheng Ren.
"Yes, she is. Doctor, how is Old Hai? "someone asked hurriedly.
"The rescue was successful. He needs to stay in the ICU for a while. If everything goes well, he can be transferred to a general ward tomorrow. "
His words were like a clap of thunder.
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