Back to 1999: From operating surgeon to becoming a top doctor

"Director Xiao, you are here."

This voice is like the sound of nature to Sun Chengwu now.

The uncertainty of the surgical patient made him panic.

The intestinal explosion that happens once in a century directly made this old doctor who has worked for decades fall into deep self-doubt.

Seeing Xiao Chenguang arrive, Sun Chengwu finally felt confident.

"Tell me about the condition, start the operation first, and wait for me to change clothes and go on stage."

Xiao Chenguang walked to the front of the stage and took a look at the patient's condition.

A distinct smell of burning drifted into his nasal cavity through Xiao Chenguang's mask.

The electric knife did not have this effect. As Sun Chengwu said, the intestine did explode.

"Patient, male, 66 years old..."

Sun Chengwu began to report the case of the surgical patient. Xiao Chenguang put on his surgical gown and came to the stage.

Seeing this, Sun Chengwu quickly gave up the position of the main surgeon.

"From your description just now, the patient has a history of intestinal obstruction?"

"That's right."

Sun Chengwu quickly came to the first assistant and began to assist Xiao Chenguang in the operation.

Xiao Chenguang put on sterile latex gloves, picked up a scalpel, and made an abdominal incision on the disinfected skin.

He bluntly separated and quickly opened the peritoneum.

The whole process was extremely smooth, without any pause at all.

"Come on, hook the abdominal wall."

As soon as he finished speaking, Sun Chengwu immediately placed the hook on the incision.

Xiao Chenguang gently scratched the milky white peritoneum, and the abdominal cavity structure suddenly came into view.

"Here."

According to the location of Sun Chengwu's operation, Xiao Chenguang quickly found the intestine with a hole in the jejunum.

The color of the ruptured intestinal wall has turned into black charcoal, forming a clear contrast with the ruddy intestinal wall above and below.

The thumb-sized rupture is still oozing blood and fluid.

This scene stunned everyone in the operating room.

"How could it explode like this? I just saw a flash of white light on the screen, and then the screen went black. Now it seems too serious."

"Now it's not just a serious problem. In addition to the visible wound now, there may be other small holes on the intestinal wall after the explosion."

The nurse's heart sank immediately when she saw the situation in the abdominal cavity.

Even Sun Chengwu, who originally led the operation, was shocked when he saw the scene in front of him.

"Why did the intestine suddenly explode? This is not in line with common sense!"

Sun Chengwu was puzzled. While assisting, he was reviewing the situation in his mind, looking for possible causes of intestinal explosion.

But no matter what, he still couldn't figure out the reason.

"Save people first, negative pressure suction."

"Warm saline with gentamicin, abdominal lavage."

"Cefoperazone sulbactam sodium 3.5g with 100ml normal saline, intravenous drip."

After listening to Sun Chengwu's case report, Xiao Chenguang had already thought of a possibility.

Although it is rarely encountered, it can also cause such a situation.

"Okay."

"Understood!"

Xiao Chenguang's medical instructions instantly pulled everyone's thoughts back.

Everyone immediately moved.

Two intestinal forceps were handed over.

Xiao Chenguang and Sun Chengwu each took one and first clamped the two sides of the most damaged intestine tightly.

Prevent the intestinal fluid inside from continuing to corrode the entire abdominal cavity.

"What did the blood transfusion department say about the red blood cells you just asked for?"

"Director Xiao, the blood transfusion department said that they will send someone to deliver them immediately after they are transfused."

The circulating nurse in charge of contact immediately reported the situation to Xiao Chenguang.

"How long?"

"15 minutes."

"Okay."

Xiao Chenguang nodded, and he continued to give medical instructions. At the same time, after stopping the bleeding in the intestinal cavity, he took the negative pressure suction tube handed over by the instrument nurse and began to clean the patient's abdominal cavity.

A large amount of blood and intestinal fluid were sucked out of the body in an orderly manner by the negative pressure suction device.

Seeing that the waste liquid collector was filled up for the most part in just half a minute, it seemed that the total output was about 1,000 milliliters.

"Increase the infusion speed, pay attention to the changes in the patient's pupils during anesthesia, and check his blood gas urgently to see if there is any acidosis."

"Okay."

The anesthesiologist immediately followed Xiao Chenguang's order and began to operate.

Here, after clearing the blood and fluid accumulation in the abdominal cavity, Xiao Chenguang began to explore the abdominal cavity.

He wanted to see if there were any other places damaged after the explosion.

Fortunately.

Except for the area clamped by the intestinal clamp, there was no damage to other areas.

At this time, the staff of the blood transfusion department also hurriedly appeared in the operating room.

He was panting, holding a blood collection box in his arms, which contained the red blood cells and plasma needed for this operation.

"Okay, you're here just in time. Give the blood to the patient. When the vital signs are more stable, the necrotic intestinal cavity can be removed."

Xiao Chenguang's words also made everyone present breathe a sigh of relief.

After the double check and confirmation of the patient's identity, the red blood cells marked with the patient's blood type were hung on the infusion pole.

In the dedicated blood transfusion device, drops of freshly dissolved blood were quickly transfused into the patient's body.

The originally abnormal blood pressure began to gradually rise, and the heart rate also dropped.

While waiting, Sun Chengwu couldn't help but ask.

"Director Xiao, what's going on?"

"I just reviewed it in my mind again. All operations were carried out step by step. Not to mention illegal operations, there was not even a little risk. How could such a thing happen?"

"It can't be that there is something wrong with my laparoscopic operation."

This incident has left an indelible impression in Sun Chengwu's memory.

If the cause is not found, he may fall into inexplicable panic when performing similar operations again.

After all, he has been doing surgery for almost a lifetime, and he has never encountered such a thing before.

Now, only a few months after doing laparoscopy, such an incredible thing has happened.

It's so scary.

Seeing Sun Chengwu's frightened eyes, Xiao Chenguang shook his head.

He took a look at the patient's vital signs.

Through measures such as fluid replacement and blood transfusion, blood pressure has gradually increased from the original 50 to 60 mmHg to 80 or 90.

Wait a little longer, and the operation can continue.

"Director Sun, the patient has a long-term obstruction. Did he tell you when he was admitted to the hospital what medicine he usually used to relieve constipation?"

"This was not told to me when the patient was admitted to the hospital." Sun Chengwu hurriedly recalled the situation at the time. He did not talk about taking medicine.

"Director Xiao, the patient's intestinal explosion, could it be related to the medicine he took?"

"It's possible, we need to wait for the patient to step down, or ask his family."

During the investigation just now, Xiao Chenguang felt that his judgment was correct.

"In this way, send someone to find his family and ask if he has taken laxatives in the past two days."

"Ask them in particular if they have seen the patient take mannitol orally at home."

As soon as these words came out, everyone present was stunned.

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