Surgical artist

Chapter 465 Rescue in time?No
Zhao Peiru directed an operation at Kangtai Hospital in Hunan Province.

Although he was also wearing a surgical gown, he did not do it himself. He just gave verbal instructions and "remotely controlled" several local doctors to perform the operation.

Even so, after listening to Zhao Peiru's key points, key points, and precautions, everyone felt that they had learned a lot. Every sentence was like a famous saying, which benefited them a lot.

After one operation, everyone respected and worshiped Zhao Peiru even more.

"Teacher Zhao", very kindly.

After the operation, everyone came out of the operating room, laughing and talking while walking along the corridor.

The chief of surgery at Kangtai Hospital, who accompanied Zhao Peiru the whole time, introduced his hospital to Zhao Peiru with a smile.

When everyone passed by the door of the emergency department, a transfer ambulance stopped at the door outside the emergency department.

A transfer ambulance is an ambulance that comes from an outside hospital, usually from a lower-level city or county hospital, to transport critically ill and urgent patients.

Looking at the word mark on the ambulance, it is indeed an ambulance from a county-level hospital in Hunan Province.

As soon as the ambulance stopped, a young doctor inside quickly pushed the hospital bed out, and said loudly and quickly, "Patients with acute obstruction of colon tumors are in urgent need of rescue!"

Inside, the doctors and nurses in the emergency department also rushed out to pick up the patients.

The director of the emergency department, after checking the patient's condition, his expression changed.

He quickly said to the people next to him: "Get operating room No. 1 ready. I want to start the operation immediately."

He said to the young doctor from the county who came to deliver the patient: "After the patient fell ill, how much time has been delayed?"

The young doctor in the county looked at his watch: "It's almost two hours."

The director of the emergency department looked a little ugly: "It's been too long."

"The last time this type of patient suffered serious complications such as intestinal wall ischemia, necrosis, and perforation because of insufficient rescue."

He said quickly: "We must hurry up and operate on the patient!"

The young doctor in the county suddenly said: "Director Deng, I think these complications may not be caused by the delay in rescue."

The county hospital and this provincial Kangtai hospital have obviously been connected for a long time, and they often send patients up.This young doctor in the county also knew the director of the emergency department.

"Huh?" Director Deng of the Emergency Department frowned and looked over displeased.

"Isn't it that the rescue was not timely? Xiao Li, what do you mean, there is something wrong with our Kangtai Hospital's treatment?"

Xiao Li, a young doctor in the county, quickly said: "No, Director Deng, there is nothing wrong with the treatment. The problem lies in the lack of sufficient and necessary preoperative preparation."

Chief of the Emergency Department Director Deng frowned deeply: "It makes no sense."

"Rescue should be timely and fast. The outbreak of complications is precisely because the disease has been delayed for too long, and acute obstruction has caused the patient's body to be destroyed for a long time."

He waved his hand and said: "I don't have time to talk about this now, first rescue the patient, if something happens to the patient because the rescue time is delayed, you and I will both be responsible."

Xiao Li, a young doctor in the county, was eager to say something to prove it, but no one gave him a chance.

He was originally soft-spoken and his words were meaningless, but what he said now did not make sense in medical science, so naturally he was not taken seriously.

At this moment, a voice suddenly sounded: "Wait a minute."

It was Zhao Peiru who was leading a group of Kangtai Hospital leaders over.

As soon as he made a sound, Director Deng of the emergency department and all the medical staff of the emergency department stopped.

Even though they didn't recognize Zhao Peiru's face, they all stopped their movements.

The battle around Zhao Peiru was really scary.

The director of the major surgery department, the director of the medical department, the director and deputy director of the gastroenterology department of the hospital were all accompanied on the left and right sides.

Director Deng of the Emergency Department was moved in his heart, "Are you... the dean of Jiangnan Province, Zhao Peiru?"

He remembered that today the hospital invited a famous doctor from Jiangnan Province to guide a case of Hirschsprung's surgery in the hospital. Judging by the situation, it should be the one in front of him, right?

Zhao Peiru nodded: "I think what this young doctor said makes sense. The rescue operation for this kind of colon tumor with closed-loop deformity obstruction really doesn't need to be so urgent."

He gestured to the young doctor and said, "Tell me, why do you need to prepare for the operation?"

The young doctor Xiao Li seized the opportunity and quickly replied: "Compared with the rescue time, the necessary pre-operative preparation is the key to ensure the safety of the operation and reduce various serious complications."

"For example, such patients often have water-electrolyte and acid-base balance disorders. Like this patient, they also have hyponatremia."

"Also, there is usually a large number of bacteria multiplying in the long section of obstruction, which leads to the dislocation of intestinal flora, which is precisely the cause of various serious postoperative complications, so I think that antibiotics should be used before surgery, at least, Antibiotics should also be given during the induction period of anesthesia later.”

He quickly said everything he knew.

I'm afraid that if I miss this opportunity, no one will listen to him.

This knowledge is the last time he sent a similar patient, who had various serious sequelae after treatment.After he returned home, he paid close attention to making up lessons, and spent half a year reading various domestic and foreign books and papers, and then gradually figured it out.

Zhao Peiru showed an expression of appreciation.

At this time, Director Deng of the emergency department couldn't help showing a look of thought.

Before, he just didn't agree with the young doctor's conclusion, but after hearing these in-depth analyzes now, he also felt that some measures might be acceptable.

Zhao Peiru nodded in praise and said, "It's true, this type of patient looks very anxious, but in fact, it's different from other rescue patients. This type of patient just needs two hours of full preparation before surgery."

"These two hours of preparation will not make the patient's condition worse, but it will make him healthier after the operation."

"Then... I will prepare the patient for the operation according to what Xiao Li said?"

Director Deng of the emergency department subconsciously looked at the director of the major surgery next to Zhao Peiru.

The Chief of Surgery nodded slightly.

The halo of "four batches of national funds" on Zhao Peiru alone is enough to prove that Zhao Peiru's achievements in the field of colon are beyond the reach of all the doctors in Kangtai Hospital combined.

It can be said that the current Zhao Peiru is an authority in the field of on-site colonization.

At this time, Zhao Peiru added: "It is not only necessary to correct water and electrolyte, acid-base balance and antibiotic treatment, but also to use somatostatin for drug-induced gastrointestinal decompression, which is effective in relieving obstruction and reducing intestinal wall edema. Reduce the burden of surgery."

Director Deng's eyes lit up when he heard these words!
Reducing intestinal wall edema, relieving obstruction, and early use of drugs to relieve symptoms at the affected site will certainly greatly reduce the difficulty of rescue operations.

He dare not say anything else, but he can judge this point.

(End of this chapter)