Doctor Peerless
Chapter 98, Operation 2
Chapter 98 The Second Operation
outside the operating room.
The two newly sent patients were already in place, and the faces of the two black men were extremely pale.
The most urgent critically ill patients are the first to undergo treatment, and the rest can only bear the pain abruptly. Pain is not the most important thing, but fear is the greatest psychological torture.
No one is afraid of death.
In the process of waiting for treatment, I am afraid that they have thought about the gains and losses of the first half of their lives several times, and how to carry on with the life of their parents and family after death...
Dr. Jack has obviously checked the patient's status and is reading the film.
Seeing the arrival of Zhou Sheng and Silan, he immediately handed out the inspection and test sheet after he watched it...
Then Silan was 'very sensible' and took the lead in handing over the list to Mr. Zhou for review.
Zhou Sheng is very helpless, but he is also putting this helpless emotion behind him. He needs to focus on the next first aid. As for the worries about the aftermath... Just as he thought just now, if you do it once, you don't care about the second time up.
Breaking cans and falling is indeed an act of dementia.
But often people always like to commit crimes knowingly, whether it is due to luck or driven by a certain purpose.
At the very least, Zhou Sheng is ready to face the consequences...
No excuses, no reasons.
If you want to blame, you can blame yourself for having a "young impulse" that is much more arrogant than ordinary people.
"The two cases are similar..."
"Zhou, you choose a more confident patient for the operation, and I will hand over Slan to you. If there is something that cannot be handled, we can change the position of the chief surgeon at any time."
After watching the abdominal radiography, Jack gave the film to Zhou Sheng.
Zhou Sheng, who was born in clinical imaging, is very familiar with films, but no matter what he can't compare with experienced front-line doctors, and systematic scans are more reliable than images.
After performing the A-level scan detection function on two patients, he had already made a decision in his heart——
"Just him."
Hearing Zhou Sheng's choice, Dr. Jack Scott and Dr. Slan were taken aback. They didn't expect Zhou Sheng to choose a patient with dense bleeding points in the angiography.
Silan didn't dare to say more, he thought he was not as good as Yisheng Zhou, but Jack absolutely had to be considerate: "Are you sure? This patient has dense bleeding spots, and there is no traumatic abdominal bleeding after the abdominal impact. The condition of the internal intestine should be It will be very bad!"
Zhou Sheng said straightforwardly: "But at least the injured part is far away from the main blood supply system. You know that I can't suture blood vessels yet. I am more sure about this patient."
"Okay." Jack agreed, "If a small blood vessel ruptures, please notify me as soon as possible, and I can come here to help you complete the treatment. The conditions are difficult, so please do your best!"
As Zhou Sheng said, the patients he selected did not have a ruptured blood supply center.
As for the poor suturing of blood vessels, is it possible to suture the intestines?
No, you can learn now...
Zhou Yisheng browsed the exchange column of the system as early as the first time. [Intestinal mattress suture method] just needs 10 medical achievement points. With the current situation, it is not the time to save achievement points. The freshly released medical achievement points must To use it.
The current two patients were pushed out of the operating room, and the cleaning and disinfection of the operating room began immediately.
Zhou Sheng and the others only rested for 5 minutes before the operating room lights were turned on again.
Nurse Mir continued to be in place, and besides Dr. Slan, there was also an anesthetist who was frightened to the scene... The anesthesiologists in the hospital were completely insufficient. The experience of the anesthetists who were present was still very new, but at least they assisted in completing over a hundred operations. , she knows all the basic procedures.
It is impossible for such a grassroots team to appear in China, and no matter how critical the situation is, they will not be so rash.But here is Africa with poor medical conditions, and it is also the main position for the treatment of patients in major car accidents.
"Are you ready?" Zhou Sheng asked.
Dr. Silan is actually the calmest: "I'm fine."
Mir and the anesthetist nurse looked at each other and nodded.
"anaesthetization!"
Anesthesia was injected, heart rate and blood pressure were monitored, and the patient gradually fell asleep from the painful struggle, and finally got a little relief. The anesthesia nurse asked the patient as usual, checked his consciousness, and announced that the anesthesia was completed after confirmation.
"let's start."
Zhou Sheng did not back down when the incision was made. Even though Dr. Slan’s real technical level was higher than his, the system’s power was unsurpassed. The precise incision was like a dynamic perspective process, revealing the visual field of the wound, and selecting it through system calculation. The best cutting position and route.
Holding a bow and holding a knife, after deduction of the system's terrible imaging function, a dotted line is naturally formed on the skin of the patient's abdomen.
Even when the knife is falling, there is a strength display on the interface distinguished by the brightness of the red grid, which prompts the selection position of the best strength.
Fall knife.
After slashing in one go, the fat layer just appeared on the wound, and the second slash followed, the fat layer was like melted butter slashing along the blade, soft and collapsed towards the sides.
Silan was stunned, this kind of one-time incision is too rare, no matter the grasp of power or precision, it has reached a terrifying level.
Not to mention, Zhou Sheng chose a very long opening...
The current situation is not a simple appendectomy. The bleeding points on the angiography are for reference only. Seeing is believing after laparotomy for real examination. Therefore, the choice of opening should be maximized within the healing range.
If you let him do the cutting, it will take at least four or five intermittent times to complete it.
But how long has it been since now?
three seconds?five seconds?
Absolutely less than five seconds!
Even if he was dazed, Silan moved quickly, and the hook opened up the skin and fat tissue. It was not until he finished his work that Zhou Sheng made the third cut and successfully cut the fascia tissue.
At the same time, several people in the operating room frowned at the same time, just because of a foul smell coming from their nostrils...
The stench comes from the smell of the patient's peritoneal fluid, the blood, the mucus naturally secreted by the outer membrane of the intestine, and the dirt from the damaged intestine. The smell is definitely worse than shit.
Under normal surgical conditions, it is not unreasonable to fast the night before. Impurities in the intestinal tract are the most important source of pollution.
"Clean up!"
Zhou Sheng commanded, Mir took over the hook, and Si Lan injected a large amount of normal saline to start the abdominal cavity washing and continuous suction.
At the same time, on the system interface——
【Exploration of abdominal tissue bleeding points】
【start up…】
A small window is suspended on the field of vision, and after the deduction is successful, it is enlarged, and the blurred image completely covers the surgical field of view after laparotomy, overlapping with the patient's abdominal cavity, and several small bright spots determine the exact location of bleeding.
The scan result of the A-level scan detection function is in the upper right corner.
[Seven intestines are slightly ruptured, and three are necrotic and sticky. It is recommended to resect the sticky parts during the operation and perform end-to-end anastomosis. If there is a slight rupture, basic intestinal anastomosis should be used. Pay attention to the degree of abdominal fluid cleaning to avoid postoperative infection...]
[Pollution rate: 75% (continue to clean up)]
【Assessment of patient signs: B】
(End of this chapter)
outside the operating room.
The two newly sent patients were already in place, and the faces of the two black men were extremely pale.
The most urgent critically ill patients are the first to undergo treatment, and the rest can only bear the pain abruptly. Pain is not the most important thing, but fear is the greatest psychological torture.
No one is afraid of death.
In the process of waiting for treatment, I am afraid that they have thought about the gains and losses of the first half of their lives several times, and how to carry on with the life of their parents and family after death...
Dr. Jack has obviously checked the patient's status and is reading the film.
Seeing the arrival of Zhou Sheng and Silan, he immediately handed out the inspection and test sheet after he watched it...
Then Silan was 'very sensible' and took the lead in handing over the list to Mr. Zhou for review.
Zhou Sheng is very helpless, but he is also putting this helpless emotion behind him. He needs to focus on the next first aid. As for the worries about the aftermath... Just as he thought just now, if you do it once, you don't care about the second time up.
Breaking cans and falling is indeed an act of dementia.
But often people always like to commit crimes knowingly, whether it is due to luck or driven by a certain purpose.
At the very least, Zhou Sheng is ready to face the consequences...
No excuses, no reasons.
If you want to blame, you can blame yourself for having a "young impulse" that is much more arrogant than ordinary people.
"The two cases are similar..."
"Zhou, you choose a more confident patient for the operation, and I will hand over Slan to you. If there is something that cannot be handled, we can change the position of the chief surgeon at any time."
After watching the abdominal radiography, Jack gave the film to Zhou Sheng.
Zhou Sheng, who was born in clinical imaging, is very familiar with films, but no matter what he can't compare with experienced front-line doctors, and systematic scans are more reliable than images.
After performing the A-level scan detection function on two patients, he had already made a decision in his heart——
"Just him."
Hearing Zhou Sheng's choice, Dr. Jack Scott and Dr. Slan were taken aback. They didn't expect Zhou Sheng to choose a patient with dense bleeding points in the angiography.
Silan didn't dare to say more, he thought he was not as good as Yisheng Zhou, but Jack absolutely had to be considerate: "Are you sure? This patient has dense bleeding spots, and there is no traumatic abdominal bleeding after the abdominal impact. The condition of the internal intestine should be It will be very bad!"
Zhou Sheng said straightforwardly: "But at least the injured part is far away from the main blood supply system. You know that I can't suture blood vessels yet. I am more sure about this patient."
"Okay." Jack agreed, "If a small blood vessel ruptures, please notify me as soon as possible, and I can come here to help you complete the treatment. The conditions are difficult, so please do your best!"
As Zhou Sheng said, the patients he selected did not have a ruptured blood supply center.
As for the poor suturing of blood vessels, is it possible to suture the intestines?
No, you can learn now...
Zhou Yisheng browsed the exchange column of the system as early as the first time. [Intestinal mattress suture method] just needs 10 medical achievement points. With the current situation, it is not the time to save achievement points. The freshly released medical achievement points must To use it.
The current two patients were pushed out of the operating room, and the cleaning and disinfection of the operating room began immediately.
Zhou Sheng and the others only rested for 5 minutes before the operating room lights were turned on again.
Nurse Mir continued to be in place, and besides Dr. Slan, there was also an anesthetist who was frightened to the scene... The anesthesiologists in the hospital were completely insufficient. The experience of the anesthetists who were present was still very new, but at least they assisted in completing over a hundred operations. , she knows all the basic procedures.
It is impossible for such a grassroots team to appear in China, and no matter how critical the situation is, they will not be so rash.But here is Africa with poor medical conditions, and it is also the main position for the treatment of patients in major car accidents.
"Are you ready?" Zhou Sheng asked.
Dr. Silan is actually the calmest: "I'm fine."
Mir and the anesthetist nurse looked at each other and nodded.
"anaesthetization!"
Anesthesia was injected, heart rate and blood pressure were monitored, and the patient gradually fell asleep from the painful struggle, and finally got a little relief. The anesthesia nurse asked the patient as usual, checked his consciousness, and announced that the anesthesia was completed after confirmation.
"let's start."
Zhou Sheng did not back down when the incision was made. Even though Dr. Slan’s real technical level was higher than his, the system’s power was unsurpassed. The precise incision was like a dynamic perspective process, revealing the visual field of the wound, and selecting it through system calculation. The best cutting position and route.
Holding a bow and holding a knife, after deduction of the system's terrible imaging function, a dotted line is naturally formed on the skin of the patient's abdomen.
Even when the knife is falling, there is a strength display on the interface distinguished by the brightness of the red grid, which prompts the selection position of the best strength.
Fall knife.
After slashing in one go, the fat layer just appeared on the wound, and the second slash followed, the fat layer was like melted butter slashing along the blade, soft and collapsed towards the sides.
Silan was stunned, this kind of one-time incision is too rare, no matter the grasp of power or precision, it has reached a terrifying level.
Not to mention, Zhou Sheng chose a very long opening...
The current situation is not a simple appendectomy. The bleeding points on the angiography are for reference only. Seeing is believing after laparotomy for real examination. Therefore, the choice of opening should be maximized within the healing range.
If you let him do the cutting, it will take at least four or five intermittent times to complete it.
But how long has it been since now?
three seconds?five seconds?
Absolutely less than five seconds!
Even if he was dazed, Silan moved quickly, and the hook opened up the skin and fat tissue. It was not until he finished his work that Zhou Sheng made the third cut and successfully cut the fascia tissue.
At the same time, several people in the operating room frowned at the same time, just because of a foul smell coming from their nostrils...
The stench comes from the smell of the patient's peritoneal fluid, the blood, the mucus naturally secreted by the outer membrane of the intestine, and the dirt from the damaged intestine. The smell is definitely worse than shit.
Under normal surgical conditions, it is not unreasonable to fast the night before. Impurities in the intestinal tract are the most important source of pollution.
"Clean up!"
Zhou Sheng commanded, Mir took over the hook, and Si Lan injected a large amount of normal saline to start the abdominal cavity washing and continuous suction.
At the same time, on the system interface——
【Exploration of abdominal tissue bleeding points】
【start up…】
A small window is suspended on the field of vision, and after the deduction is successful, it is enlarged, and the blurred image completely covers the surgical field of view after laparotomy, overlapping with the patient's abdominal cavity, and several small bright spots determine the exact location of bleeding.
The scan result of the A-level scan detection function is in the upper right corner.
[Seven intestines are slightly ruptured, and three are necrotic and sticky. It is recommended to resect the sticky parts during the operation and perform end-to-end anastomosis. If there is a slight rupture, basic intestinal anastomosis should be used. Pay attention to the degree of abdominal fluid cleaning to avoid postoperative infection...]
[Pollution rate: 75% (continue to clean up)]
【Assessment of patient signs: B】
(End of this chapter)
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