Back to the Republic of China as a doctor

Chapter 118 116. Don't Favorite (Seeking Monthly Ticket Subscription)
In the operating room, Supervisor Jinsen has been anesthetized.

After Jiang Lai finished brushing his hands, he disinfected the patient's abdomen, and Yu Wen just came in after brushing his hands, smiling, "I will remove this set of sterile and sterile things when the time comes."

"Hmm." Jiang Lai responded. In this era, surgery is rough and aseptic surgery has not yet formed a unified rule. It is the best if it can be popularized.

"Suddenly I'm quite reluctant." Yu Wen sighed, "To be honest, the atmosphere here is very good."

"Better than the military hospital?" Jiang Lai asked.

"It's so much better." Yu Wen replied, "Colleagues are small now, but when it grows up, it will inevitably be divided into factions. This is the case in hospitals outside, let alone military hospitals. There are many factions, fighting constantly, and High self-esteem...”

Jiang Lai frowned, "So serious?"

"It's only more serious than you imagined." Yu Wen shook his head, "For a new thing to be really implemented...it needs to go through layers of discussions."

Jiang Lai frowned even deeper, "Let's go with fate."

"Hey..." Yu Wen sighed, seeing that Jiang Lai had finished disinfecting, he helped Jiang Lai spread the towel.

After Xie Er came in, he changed into a surgical gown, "What are you talking about?"

"Some chores." Yu Wen smiled, "I heard that you are going to invite us to the dance hall tomorrow night to have fun?"

"Hahaha, yes, yes!" Shell nodded earnestly, "It's free! Watch beautiful ladies sing and dance!"

Yu Wen couldn't help but laugh. In the past month, of course, he also knew about Xie Er's hobbies, and it was his wish, so it was hard to refuse. In fact, he didn't have much affection for foreigners, except for his colleagues, except for some foreigners.

"it is good."

Jiang Lai laughed too. After packing up the disinfected things, he put on the surgical gown and gloves.

Yu Wen and Xie Er had already had their abdomens opened. Fortunately, they had been prepared for a long time, and the suction device was in place in time, sucked up most of the ascites, and then took the retractor to seriously expose the surgical field.

At this time, Jiang Lai also stood beside the operating table, wet his gloves with salt water, and began to pull his intestines until...he reached a section of intestines that had turned dark red, sighed slightly, and continued to pull along this section of intestines.

"Why is there ischemia?" Shell didn't understand. "Did the blood vessel also be blocked when it was blocked?"

"Or...is the obstruction caused by ischemia?" Yu Wen asked.

"This section of intestinal tube has been necrotic. Depending on the situation, it should be the obstruction caused by ischemia, and it may be the embolism of the mesenteric artery." Jiang Lai explained that in this era, angiography has not yet appeared, and the term vascular embolism is not so clear yet. Popular, "ischemia causes this section of intestinal tube to be unable to peristalsis, resulting in obstruction."

The equipment nurse for this operation is Mia. Watching Jiang Lai tear out the patient's intestines, section by section, she felt that the picture was too exciting. In the past, colleagues would do upper abdominal surgery or orthopedics There are a lot of operations, and it is rare to pull out the intestinal tube in circles...

But these intestines pulled out, without exception, are almost all dark red.

"Like a pulmonary embolism?" Yu Wen asked.

"Well, smooth blood vessels and blood circulation throughout the body are the foundation of our human body." Jiang Lai nodded, "However, whether it is an artery or a vein, whether it is a main branch or a branch, there is a possibility of thrombus. Arterial thrombosis like this directly leads to ischemic necrosis of the blood-supplying intestinal tube...Of course, it is also possible that it was a simple mechanical intestinal obstruction first, and then developed into ischemic one."

"Then it can only be cut off?" Shell asked.

"Well, it's not a big problem to cut off a part... However, for Mr. Jinsen, this part is just a bit long." Jiang Lai shook his head, man, there is really no way to predict when you will get sick.

For this inspector, he is considered number one in the French Concession and holds real power, but now, he is still lying on the operating table.

……

Jiang Jikai rushed to his colleagues after breakfast. Originally, Gu Ya planned to come together, but it was so cold, he was reluctant, and Supervisor Jinsen was his boss, and it was business...

"Mrs. Jinsen." Outside the operating room, Jiang Jikai saw Jinsen's wife.

"Inspector Jiang." This lady also knew Jiang Jikai.She heard her husband say many times that this detective is very capable, and his background is not weak. He just solved the explosives case a while ago, which is a great achievement.

"Check him..."

"Doctor Jiang, that is, Inspector Jiang's younger brother, said he needed an operation, so he pushed in. It's been almost two hours now."

"That's it...Madam, don't worry too much." Jiang Jikai comforted her.

"Ah."

Then, the two waited together.

Not long after, the door of the operating room opened. Jiang Lai was wearing a mask and hat, and was holding an iron tray...on top of the tray was a...no, a large section of intestines...

"Mrs. Jinsen." Jiang Lai nodded to the female relatives.

Mrs. Jinsen turned pale, "Oh... this is... oh..."

Then, he turned around and backed away, almost vomiting with nausea.

Jiang Lai was silent, looked at Jiang Jikai, and continued speaking in English, "This is a part of Inspector Jinsen's small intestine. The reason for Inspector Jinsen's stomachache is that there is a problem with the arterial blood supply to this part of the intestine, which caused the intestine to lose its function. And abdominal inflammation, and this part of the intestine that loses its function can only be resected."

Jiang Jikai looked at the seemingly complete intestine, "How do you judge that it is ischemic?"

Jiang Lai picked up one end of his intestines and said, "Did you see it?"

Jiang Jikai looked at the top part of this end, and a small section of intestines that looked pink and tender, "Color?"

"Hmm. Necrotic intestines are usually dark red or blue-purple, which is easier to distinguish with the naked eye. Of course, the part on the head is pinker and tender, and it will change after a while."

"Oh." Jiang Jikai felt that he had learned, "Then this paragraph..."

"If the patient's family members don't keep it, the hospital will help to dispose of it." Jiang Lai's voice was obviously aimed at Mrs. Jinsen.

"Don't collect it, don't collect it..." Mrs. Jin Sen still didn't turn around, she quickly waved her hand, and said behind her back.

"Okay." Jiang Lai responded, "Inspector Jinsen's surgery is over, and he will be pushed to the ward at that time, and he will have to stay in the hospital for a while."

"How long?" Jiang Jikai asked.

"See how it recovers." Jiang Lai retracted the tray and kept holding it. He was actually quite tired. Of course...the smell is not good. After all, it's the lower digestive tract, not... the upper digestive tract.

"Okay." Jiang Jikai said that there is no doubt, the operation is successful, that's good.Although he did not like his boss, overall, this one was not too bad.

Jiang Lai nodded and entered the operating room again.

　Chapter 2.

　　As the title.

　　Tomorrow is Sunday...but still at work.

　　I haven't had a full weekend since this month.

　　On rest days, most of them are diverted. On weekends, they are either on duty or going to work...

　　It feels unceremonious.

　　
　
(End of this chapter)