Doctor Zhao, help!

Chapter 18 Acute Abdominal Exploration
after an hour.

operating room.

At this moment, Wei Dahai was lying on the operating table. The people operating on him were Zhao Sheng, general surgeon Ning Hao, instrument nurse Qi Ling, and anesthesiologist Ji Tao.

A chief surgeon, an assistant, an instrument nurse and an anesthesiologist are the standard configuration for an ordinary emergency surgery.

"Old Zhao, you haven't had lunch yet, have you?"

Ning Hao looked at Zhao Sheng and said.

He and Zhao Sheng are also very familiar with each other. After all, the relationship between emergency medicine and general surgery is relatively close.

Therefore, he also knew that Zhao Sheng was very pursuing in food.

"I couldn't help it. I was just about to go to the canteen, and as soon as I left the door of the consulting room, this guy rushed towards me."

Zhao Sheng said slightly helplessly.

That's what it's like to be a doctor. You have to be ready to roll up your sleeves and get going at any time. There is no fixed time for commuting to and from get off work.

"No, I've heard about it. I met you all the way back from Belarus. Do you think it's a coincidence or not?"

Ning Hao said with a slight smile.

"What's so strange about this? The Russian blond girl who took the initiative to add Mr. Zhao on WeChat is truly connected by fate."

Anesthesiologist Ji Tao also joked.

In the emergency room, a tall Russian blonde girl took the initiative to add Zhao Sheng on WeChat. Such a strange thing spread almost throughout the hospital in a short time.

"Why aren't there any Russian beauties adding my WeChat account? Not talking about Russian beauties, but domestic beauties, that's okay too."

Ning Hao also said with regret.

Ning Hao, who has been single for thousands of years, actually longs for love in his heart.

In fact, as doctors, especially surgeons, they are still very popular in the dating market, but Ning Hao is so busy that he doesn't even have time for a blind date.

"Dr. Zhao, if you don't seize the opportunity quickly and develop it well, maybe it will happen."

Ji Tao then smiled and said.

The people in the operating room, Zhao Sheng, Ning Hao, and him, were all older single and unmarried young men. In fact, it was not that everyone had not thought about solving their personal problems.

But at the age of thirty-something, it is a bit unrealistic to find someone to fall in love with. The only reliable way is to go on a blind date.

But when it comes to this blind date, it's really hard to describe.

"Okay, I just have good intentions. Besides, the aesthetics are so different."

Zhao Sheng explained helplessly and said.

He really didn't think that much about it.

"This is not necessarily the case. I dare not say that for other countries, but the aesthetics of Sister Mao Xiong are not necessarily much different from ours. After all, we were all brotherly countries in the past and we had such close contacts."

Ji Tao said nonchalantly.

Next, several people took the opportunity to tease Zhao Sheng, making Zhao Sheng very helpless.

15 minute later.

"The patient's blood pressure and heart rate are normal, and the operation can begin."

Anesthesiologist Ji Tao looked at the life monitor and told Zhao Sheng and Ning Hao that the anesthesia had taken effect and their vital signs were stable, so they could start the operation.

"Received." Ning Hao nodded.

"Old Zhao, although the diagnosis is relatively clear, the patient always has to fly for dozens of hours to come back. Look at this slab-shaped abdomen. This is the first time I have seen such a hard slab-shaped abdomen in all my years in general surgery. It really looks like a brick."

After a pause, Ning Hao said to Zhao Sheng again.

"You can't be careless."

Zhao Sheng nodded.

"Let's make a paramedian abdominal incision."

After pondering for a moment, Zhao Sheng said to Ning Hao.

"What's wrong? Lao Zhao?"

Ning Hao was a little surprised when he heard what Zhao Sheng said. The incision for acute peritonitis is usually a mid-abdominal incision.

This abdominal paramedian incision is generally used for complex situations where peritonitis and suppuration involve multiple abdominal organs.

"It's just a precaution. Although the test result was only gastric perforation, the patient endured dozens of hours and took a plane. On the one hand, no treatment was done when the disease occurred. On the other hand, I am worried that changes in the air pressure on the plane will cause Changes in the patient's abdominal pressure cause colonocele."

Zhao Sheng explained.

Since his awakening, Zhao Sheng has been in a clear-headed state all the time, and even his clinical thinking has improved to a higher level.

How can I describe this refreshing feeling? It's like a machine that already has a lot of memory junk and a lot of junk software has been forcibly installed. The CPU is already a little overwhelmed and can't spin.

But now it's like restoring to factory settings, clearing out all the trash, deleting all bundled software, changing the CPU from two cores to four cores, and the graphics card to a 3090.

Therefore, when facing patients, Zhao Sheng can consider problems from multiple directions, that is, multiple threads, and can think deeply in each direction.

This is why Zhao Sheng could so easily discover that the abdominal mass in Yu Ning's aunt was caused by fish bones, not malignant tumors.

"Well, Lao Zhao, it's okay. It's up to you."

Ning Hao nodded. Zhao Sheng's words were well-founded and very convincing. However, in the past, Ning Hao had only seen such a perfect combination of experience and thinking in director-level doctors.

Could it be that Lao Zhao is secretly working hard behind everyone's back?
Otherwise, why does it feel like he has improved a lot in recent times?

Ning Hao couldn't help but think in his heart.

After a while, according to what Zhao Sheng said, Ning Hao made a paramedian incision on the abdomen. Just after opening the peritoneum, a section of black and purple colon came out along with dark red plasma.

Seeing this scene, Ning Hao was stunned for a moment, and then said to Zhao Sheng: "Old Zhao, thank you, otherwise this operation would be very troublesome."

The paramedian incision on the abdomen chosen by Zhao Sheng perfectly exposed the purulent and bulging colon. If the midline incision was made according to the routine, then in order to remove the purulent colon, the incision would have to be expanded from the side.

The incision for acute peritonitis is already large enough. If it is expanded further, coupled with the patient's severe abdominal infection, the incision will most likely have healing problems after the operation.

If not, the abdominal surgery incision will not heal and form a big hole or something, which will be a real big trouble.

Therefore, regardless of just a choice of incision location, in clinical practice, sometimes subtle choices can lead to completely different results.

This is why senior doctors are more valuable, because their experience is the most valuable.

The real skills are revealed in the subtleties. No matter what industry or industry, in the most advanced fields, the competition is actually about the details.

The gap between the general attending doctor and the deputy chief doctor, or even the chief doctor, is actually experience and details.

In fact, everyone learns the same about treatment in the general direction.

(End of this chapter)