Rebirth in the medical world
Chapter 218 Complicated Surgery
Chapter 218 Complicated Surgery
When Ouyang Chenhui received the call, he felt a little dumbfounded. Could it be that these doctors in Jingdu Hospital regarded themselves as omnipotent supermen?
Although Ouyang Chenhui has been developing by leaps and bounds in the direction of omnipotence, as far as he is concerned, he still positions himself as an ordinary clinician, but he has more eyes than others that can see through. Experience, even a little distance from those experts!
"Ouyang, if someone invites you, it means that they think highly of you, so don't hesitate, go and have a look! Human life is at stake!" Seeing that he was still hesitating, Wang Yi hurriedly said.
Considering that my clairvoyant eye can see the exact position of the fishbone, it seems that only I can help with this task!Therefore, he didn't refuse any more, and simply handed over the work in hand to Wang Yi, and then he went straight to the operating room!
At the door of the operating room, the family members of the patient waited anxiously. Originally, the doctor said that the operation could be completed in at most two and a half hours. It has been more than three hours since I went in, and there is still no news.
So when the family members saw Ouyang Chenhui running into the operating room wearing a white coat, they grabbed him!
"Doctor, how is my husband? Why hasn't the operation been completed yet?"
Seeing the anxiety of the patient's family members, Ouyang Chenhui could only smile gently at them: "I don't know the situation, but the doctor will do his best! Don't worry!" Then he pressed his finger print on the sensor door, The door of the operating room opened silently!
As soon as Ouyang Chenhui entered the operating room, he saw that the nurse in the operating room, Xiao Miao, was already standing there anxiously waiting for him!
Seeing Ouyang Chenhui, Xiao Miao grabbed him involuntarily, "Ouyang, you are here, go and wash your hands quickly! The patient's chest has been open all the time, and now he is hesitating whether to extend the incision, waiting for you to make up your mind !"
Ouyang Chenhui was pushed by Xiaomiao, and when she heard her say this again, he was startled again: "Wait for me to make up my mind? What does this mean? I'm just an intern doctor, and logically speaking, I'm not even qualified to be the chief surgeon! "
"Okay, okay, I see, you have said this several times, but you still have several operations? Please explain that you are capable! This is something that many people can't ask for. Yes! So, Doctor Ouyang, please wash your hands quickly and get ready to go on stage!" Xiao Miao is a quick-talking little nurse, and when she speaks, it's like a bamboo tube pouring beans, so although Ouyang Chenhui dare not agree, but I can't speak!
Under Xiao Miao's supervision and urging all the way, Ouyang Chenhui finally made preparations!
The directors and deputy directors who were helpless on the operating table also lowered their figures at this time, seeing Ouyang Chenhui was like seeing a savior!
"Ouyang, come quickly!" Yin Kesheng, director of the Thoracic Surgery Department, waved at him, signaling him to go to the chief surgeon's position!
Although Ouyang Chenhui has never dealt with doctors in the thoracic surgery department!But everyone in the hospital does not know that the most famous doctor in Jingdu Hospital is an intern, and he is an intern at a university that has only been in the university for less than half a year!
Although they only listened to the rumors, they didn't know much about Ouyang Chenhui's true abilities. They only knew that he was the doctor appointed by the commander of the Kyoto Military Region to treat his grandson, and that he was also friends with the famous Professor Bruce. !But in an emergency, they are also in a hurry to go to the doctor!
Under everyone's gaze, Ouyang Chenhui walked to Director Yin's side.
Yin Kesheng introduced the progress of the previous operation to him. Since he couldn't find the foreign body in his body for a long time, he was worried that the long operation time would affect the patient's postoperative recovery, so the situation fell into a stalemate for a while, and he wanted to hear his opinion. Opinion!
Ouyang Chenhui carefully observed the patient's vital signs. It is still stable, the extracorporeal circulation is running normally, and the wound in the chest cavity has been properly treated. At present, they have searched the range that the surgical incision can reach. No foreign objects were found!If you continue to search, it is bound to extend the surgical incision!And this is a great damage to the body!If it continues to be extended and the foreign object is still not found, it will be difficult to explain to the family members!
This is indeed a troublesome problem. It is not an easy task to find a fishbone in a body cavity of Nuo Da!Muscle fat, blood vessels and nerves, tissues and organs in the body cavity are densely clustered, and any inconspicuous corner may be a hiding place for fish bones!If there is no CT location, it is really difficult to find it!But stop here, suture the body cavity, and then do CT positioning, even if CT can give a more accurate position, but after the patient recovers for a period of time, when the body can withstand the blow of another operation, it is estimated that the fishbone will not be Know where you've moved!
Therefore, the current situation is really not easy to handle!
"Director Yin, CT can also be done during the operation. Why don't you do a CT for the patient urgently?" Ouyang Chenhui squinted his eyes for a long time, but he didn't see any fish bones, so he stopped temporarily and turned to the patient. And want to seek the help of CT machine!
"Ouyang, the doctors in the CT room have just left, and they have been tossing for a long time, but they haven't found any trace. Could it be that they have been excreted?" Yin Kesheng guessed.
"Impossible!" Ouyang Chenhui resolutely vetoed his inference, because yesterday he vaguely saw the trace of the fishbone, S-shaped, stuck between the esophagus and the aorta, so he said It must still be hidden in a hidden part of the body, it's just hard to see with a CT machine!
"Then what should we do next?" Yin Kesheng asked cautiously, as if asking an authoritative expert!
"Let me take a look first!" Ouyang Chenhui took a pair of vascular forceps and continued to search slowly within the wound area. At the same time, his eyes adjusted their angles, and slowly penetrated layer by layer. read on!
But until his eyes were dazed, he still didn't see the fishbone!
At this time, he also felt that the fish bones must have moved to other positions!
So, after staring for a while to rest, he narrowed his eyes again and expanded his range of gaze. This time, he was not disappointed. Finally, at the lower end of the aorta, he saw the S-shaped fishbone again!
The positioning is roughly done!He turned to the anesthetist and said, "Increase the dose of anesthetic, I plan to extend the incision!"
Ouyang Chenhui's words shocked every doctor present. Where did he have such courage?How dare you make such a big decision within a few minutes of taking the stage!Is he really capable, or is he ignorant and fearless!
The anesthesiologist didn't know whether he should follow his instructions or not. After all, he was still an intern. If something went wrong, he would be responsible for it himself!Therefore, he turned the head of the inquiry to Yin Kesheng, director of the Thoracic Surgery Department.
Yin Kesheng didn't dare to take such a big risk, so he turned to the director of the Cardiac Surgery Department!
The director of the Cardiac Surgery Department is even more unassuming!In the entire hospital, apart from the Department of Traditional Chinese Medicine, the Department of Cardiac Surgery has the least right to speak!
Seeing that the anesthesiologist didn't seem to act according to his own wishes!Ouyang Chenhui stopped, and said to the two directors very seriously: "Since you don't trust me, then I have nothing to say. My department is also very busy. You should handle this patient yourself!" Take off your gloves!
Ouyang Chenhui was indeed a little annoyed, since he didn't trust him, he shouldn't call him here, he was afraid of wolves and tigers after calling him, in fact, he also knew in his heart that these directors, on the one hand, wanted others to solve the problem for him , On the other hand, he dare not take responsibility, after all, he is just an intern!There are many responsibilities that cannot be borne!
"Don't worry, Ouyang, since you're here, let's give it a try. After all, you have been personally instructed by Professor Bruce! You can definitely handle it well!" At this time, Yin Kesheng was also in trouble, so he had to take a gamble!
"Xiao Ma, get anesthetized quickly!" Yin Kesheng explained to the anesthesiologist.
The anesthetist, Xiao Ma, began to increase the dose of anesthesia for the patient!
Ouyang Chenhui made a rough estimate, then calmly picked up the scalpel, and extended it downwards and backwards from the patient's original incision until he felt that he could basically reach the fishbone. Just stop!
But at this time, the entire incision had been drawn from the chest to the back along the patient's ribs!Almost cut the whole person out of it!
The doctors onlookers dared not make a sound. Some of them have been practicing medicine for more than [-] years, even if it is short, it is almost ten years, but no one has the guts to open such a big hole in a patient!
Ouyang Chenhui can't do anything, the fishbone must be taken out, otherwise the fishbone will continue to move down, and his life will be in danger immediately. According to the speed of the fishbone sliding, if there is no operation today, it is very likely that he will die tomorrow. I can't make it through!
The incision was opened, and two assistants held it open with large retractors. Ouyang Chenhui quickly moved over to the position he had hoped for before!
It didn't take much effort this time. When his hand stretched out from the inside for the third time, he pinched an S-shaped fishbone about three centimeters long!
Seeing this fish bone, everyone sighed!
After a while, everyone cast admiring glances at Ouyang Chenhui!
If it weren't for the operating room where everyone was wearing surgical gowns, everyone might have thrown Ouyang Chenhui into the air!
"Okay, now urgently sew up the wound!" This is not the time to celebrate victory, such a long button, it will take a while to sew up!In addition, the patient is on extracorporeal circulation, and various toxins will be produced over time!Therefore, Ouyang Chenhui calmly directed everyone to start stitching up the wound.
At this time, these directors and deputy directors also obeyed a lot, and followed Ouyang Chenhui's arrangement with peace of mind, and cooperated with him in the final stitching of the seal in an orderly manner!
It wasn't until the last stitch was finished that Ouyang Chenhui heaved a sigh of relief!
(End of this chapter)
When Ouyang Chenhui received the call, he felt a little dumbfounded. Could it be that these doctors in Jingdu Hospital regarded themselves as omnipotent supermen?
Although Ouyang Chenhui has been developing by leaps and bounds in the direction of omnipotence, as far as he is concerned, he still positions himself as an ordinary clinician, but he has more eyes than others that can see through. Experience, even a little distance from those experts!
"Ouyang, if someone invites you, it means that they think highly of you, so don't hesitate, go and have a look! Human life is at stake!" Seeing that he was still hesitating, Wang Yi hurriedly said.
Considering that my clairvoyant eye can see the exact position of the fishbone, it seems that only I can help with this task!Therefore, he didn't refuse any more, and simply handed over the work in hand to Wang Yi, and then he went straight to the operating room!
At the door of the operating room, the family members of the patient waited anxiously. Originally, the doctor said that the operation could be completed in at most two and a half hours. It has been more than three hours since I went in, and there is still no news.
So when the family members saw Ouyang Chenhui running into the operating room wearing a white coat, they grabbed him!
"Doctor, how is my husband? Why hasn't the operation been completed yet?"
Seeing the anxiety of the patient's family members, Ouyang Chenhui could only smile gently at them: "I don't know the situation, but the doctor will do his best! Don't worry!" Then he pressed his finger print on the sensor door, The door of the operating room opened silently!
As soon as Ouyang Chenhui entered the operating room, he saw that the nurse in the operating room, Xiao Miao, was already standing there anxiously waiting for him!
Seeing Ouyang Chenhui, Xiao Miao grabbed him involuntarily, "Ouyang, you are here, go and wash your hands quickly! The patient's chest has been open all the time, and now he is hesitating whether to extend the incision, waiting for you to make up your mind !"
Ouyang Chenhui was pushed by Xiaomiao, and when she heard her say this again, he was startled again: "Wait for me to make up my mind? What does this mean? I'm just an intern doctor, and logically speaking, I'm not even qualified to be the chief surgeon! "
"Okay, okay, I see, you have said this several times, but you still have several operations? Please explain that you are capable! This is something that many people can't ask for. Yes! So, Doctor Ouyang, please wash your hands quickly and get ready to go on stage!" Xiao Miao is a quick-talking little nurse, and when she speaks, it's like a bamboo tube pouring beans, so although Ouyang Chenhui dare not agree, but I can't speak!
Under Xiao Miao's supervision and urging all the way, Ouyang Chenhui finally made preparations!
The directors and deputy directors who were helpless on the operating table also lowered their figures at this time, seeing Ouyang Chenhui was like seeing a savior!
"Ouyang, come quickly!" Yin Kesheng, director of the Thoracic Surgery Department, waved at him, signaling him to go to the chief surgeon's position!
Although Ouyang Chenhui has never dealt with doctors in the thoracic surgery department!But everyone in the hospital does not know that the most famous doctor in Jingdu Hospital is an intern, and he is an intern at a university that has only been in the university for less than half a year!
Although they only listened to the rumors, they didn't know much about Ouyang Chenhui's true abilities. They only knew that he was the doctor appointed by the commander of the Kyoto Military Region to treat his grandson, and that he was also friends with the famous Professor Bruce. !But in an emergency, they are also in a hurry to go to the doctor!
Under everyone's gaze, Ouyang Chenhui walked to Director Yin's side.
Yin Kesheng introduced the progress of the previous operation to him. Since he couldn't find the foreign body in his body for a long time, he was worried that the long operation time would affect the patient's postoperative recovery, so the situation fell into a stalemate for a while, and he wanted to hear his opinion. Opinion!
Ouyang Chenhui carefully observed the patient's vital signs. It is still stable, the extracorporeal circulation is running normally, and the wound in the chest cavity has been properly treated. At present, they have searched the range that the surgical incision can reach. No foreign objects were found!If you continue to search, it is bound to extend the surgical incision!And this is a great damage to the body!If it continues to be extended and the foreign object is still not found, it will be difficult to explain to the family members!
This is indeed a troublesome problem. It is not an easy task to find a fishbone in a body cavity of Nuo Da!Muscle fat, blood vessels and nerves, tissues and organs in the body cavity are densely clustered, and any inconspicuous corner may be a hiding place for fish bones!If there is no CT location, it is really difficult to find it!But stop here, suture the body cavity, and then do CT positioning, even if CT can give a more accurate position, but after the patient recovers for a period of time, when the body can withstand the blow of another operation, it is estimated that the fishbone will not be Know where you've moved!
Therefore, the current situation is really not easy to handle!
"Director Yin, CT can also be done during the operation. Why don't you do a CT for the patient urgently?" Ouyang Chenhui squinted his eyes for a long time, but he didn't see any fish bones, so he stopped temporarily and turned to the patient. And want to seek the help of CT machine!
"Ouyang, the doctors in the CT room have just left, and they have been tossing for a long time, but they haven't found any trace. Could it be that they have been excreted?" Yin Kesheng guessed.
"Impossible!" Ouyang Chenhui resolutely vetoed his inference, because yesterday he vaguely saw the trace of the fishbone, S-shaped, stuck between the esophagus and the aorta, so he said It must still be hidden in a hidden part of the body, it's just hard to see with a CT machine!
"Then what should we do next?" Yin Kesheng asked cautiously, as if asking an authoritative expert!
"Let me take a look first!" Ouyang Chenhui took a pair of vascular forceps and continued to search slowly within the wound area. At the same time, his eyes adjusted their angles, and slowly penetrated layer by layer. read on!
But until his eyes were dazed, he still didn't see the fishbone!
At this time, he also felt that the fish bones must have moved to other positions!
So, after staring for a while to rest, he narrowed his eyes again and expanded his range of gaze. This time, he was not disappointed. Finally, at the lower end of the aorta, he saw the S-shaped fishbone again!
The positioning is roughly done!He turned to the anesthetist and said, "Increase the dose of anesthetic, I plan to extend the incision!"
Ouyang Chenhui's words shocked every doctor present. Where did he have such courage?How dare you make such a big decision within a few minutes of taking the stage!Is he really capable, or is he ignorant and fearless!
The anesthesiologist didn't know whether he should follow his instructions or not. After all, he was still an intern. If something went wrong, he would be responsible for it himself!Therefore, he turned the head of the inquiry to Yin Kesheng, director of the Thoracic Surgery Department.
Yin Kesheng didn't dare to take such a big risk, so he turned to the director of the Cardiac Surgery Department!
The director of the Cardiac Surgery Department is even more unassuming!In the entire hospital, apart from the Department of Traditional Chinese Medicine, the Department of Cardiac Surgery has the least right to speak!
Seeing that the anesthesiologist didn't seem to act according to his own wishes!Ouyang Chenhui stopped, and said to the two directors very seriously: "Since you don't trust me, then I have nothing to say. My department is also very busy. You should handle this patient yourself!" Take off your gloves!
Ouyang Chenhui was indeed a little annoyed, since he didn't trust him, he shouldn't call him here, he was afraid of wolves and tigers after calling him, in fact, he also knew in his heart that these directors, on the one hand, wanted others to solve the problem for him , On the other hand, he dare not take responsibility, after all, he is just an intern!There are many responsibilities that cannot be borne!
"Don't worry, Ouyang, since you're here, let's give it a try. After all, you have been personally instructed by Professor Bruce! You can definitely handle it well!" At this time, Yin Kesheng was also in trouble, so he had to take a gamble!
"Xiao Ma, get anesthetized quickly!" Yin Kesheng explained to the anesthesiologist.
The anesthetist, Xiao Ma, began to increase the dose of anesthesia for the patient!
Ouyang Chenhui made a rough estimate, then calmly picked up the scalpel, and extended it downwards and backwards from the patient's original incision until he felt that he could basically reach the fishbone. Just stop!
But at this time, the entire incision had been drawn from the chest to the back along the patient's ribs!Almost cut the whole person out of it!
The doctors onlookers dared not make a sound. Some of them have been practicing medicine for more than [-] years, even if it is short, it is almost ten years, but no one has the guts to open such a big hole in a patient!
Ouyang Chenhui can't do anything, the fishbone must be taken out, otherwise the fishbone will continue to move down, and his life will be in danger immediately. According to the speed of the fishbone sliding, if there is no operation today, it is very likely that he will die tomorrow. I can't make it through!
The incision was opened, and two assistants held it open with large retractors. Ouyang Chenhui quickly moved over to the position he had hoped for before!
It didn't take much effort this time. When his hand stretched out from the inside for the third time, he pinched an S-shaped fishbone about three centimeters long!
Seeing this fish bone, everyone sighed!
After a while, everyone cast admiring glances at Ouyang Chenhui!
If it weren't for the operating room where everyone was wearing surgical gowns, everyone might have thrown Ouyang Chenhui into the air!
"Okay, now urgently sew up the wound!" This is not the time to celebrate victory, such a long button, it will take a while to sew up!In addition, the patient is on extracorporeal circulation, and various toxins will be produced over time!Therefore, Ouyang Chenhui calmly directed everyone to start stitching up the wound.
At this time, these directors and deputy directors also obeyed a lot, and followed Ouyang Chenhui's arrangement with peace of mind, and cooperated with him in the final stitching of the seal in an orderly manner!
It wasn't until the last stitch was finished that Ouyang Chenhui heaved a sigh of relief!
(End of this chapter)
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