Start From Emergency Doctor

Chapter 478

Although Zhou Yuan is well-known, he is not as well-known as a household name.

Few people in the medical circle don’t know Zhou Yuan, but laymen don’t know much about Zhou Yuan, and they are not even as famous as a third-rate celebrity.

Jiang Mai’s father didn’t know Zhou Yuan and it is excusable.

Compared with the surprise of Jiang Mai’s parents, Zhang Yu and Doctor Xiaocheng are all happy~.

“Doctor Zhou, can you take the lead?!” Zhang Yu was a little surprised.

Zhou Yuan didn’t say much, just nodded slightly, and said, “Go and prepare. The operation will begin as soon as possible.”

…

The next day.

Jiang Mai’s body has been adjusted to the state most suitable for surgery.

There is no special operation for thoracentesis, so there is no need to consume additional intermediate treasure chests for surgical exchange.

The treatment of tuberculous pleurisy does not only require superb surgical techniques, but also requires comprehensive surgical capabilities.

Obviously, Zhou Yuan, who has mastered a large number of master surgeries, possesses extremely strong surgical capabilities.

“Anti-tuberculosis treatment generally takes six to twelve months. Thoracic puncture is also required, three times a week, supplemented by corticosteroids. I will try to shorten the treatment time to five months.”

Before the operation, Zhou Yuan again communicated the plan to Jiang Mai’s parents.

Five months is the limit Zhou Yuan can achieve.

Perfect surgery, perfect post-operative care, coupled with the ability to speed up Jiang Mai’s recovery, have the opportunity to be cured in such a short period of time.

It’s now December, five months of treatment, and the last month is enough to stabilize Jiang Mai’s condition and review high school knowledge.

Without much words, Zhou Yuan, Sun Meng and Wang Ziqiao entered the operating room.

Zhang Yu is the doctor in charge of the physical examination. His surgical ability is not enough, so naturally he can’t participate in this operation.

Although Dr. Xiaocheng has a certain basis for surgery, he is not a doctor in this hospital. When an accident occurs during the operation, the sharing of responsibilities will be very troublesome. Therefore, doctors from outside hospitals are generally not allowed to join the operation.

Chief Sword Zhou Yuan, first help Sun Meng, second help Wang Ziqiao, no third help.

The difficulty of the operation is not too high, but the accuracy is extremely demanding. In fact, even Zhou Yuan alone is enough, but Sun Meng and Wang Ziqiao took the initiative to follow.

“The operation begins.”

After checking the surgical instruments and finishing the anesthesia, Zhou Yuan’s voice sounded again.

Standing next to Zhou Yuan, Sun Meng felt a sense of stability in her heart.

It’s been a long time since I heard this sentence…

These days, there are many opportunities for Sun Meng to come to the stage for surgery.

As the chief resident, Sun Menglai performed many minor operations in the hospital. Without the participation of a higher-level doctor, she was the authority in the operating room.

Sun Meng, who has been performing operations next to big doctors like Zhou Yuan and Wang Huimin, has never been independent, and is somewhat nervous.

Fortunately, they were overcome.(Read more @ wuxiax.com)

Sun Meng is finally the only doctor.

“Open your chest, draw fluid.”

Zhou Yuan’s voice sounded again.

Sun Meng quickly passed the surgical forceps and opened a small hole in his chest, allowing Zhou Yuan to put the suction device into the chest cavity of the patient.

Zhou Yuan began to pump fluid slowly.

The first pumping volume cannot exceed 700 ml, otherwise accidents are prone to occur.

After getting used to it, every time I draw a liquid, I can increase it slightly, maintaining about 1,000 ml, but at most 1,500 ml.

Seven hundred milliliters of liquid is already a lot, and the large bottle of Coke is only more than 1,000 milliliters. It is hard for ordinary people to imagine that the human chest can store so much liquid…

“Light yellow effusion.” Zhou Yuan glanced at the pleural fluid sucked out of the needle and said.

At this time, it can be determined that it is a pleural effusion caused by tuberculous pleurisy.

Yellowish pleural effusion is usually caused by inflammatory diseases, such as tuberculous pleurisy.

Mycobacterium tuberculosis, autolysates, and metabolic waste have entered the pleural cavity of the super-sensitive body, causing inflammation, which leads to fluid infiltration and light yellow pleural effusion in the later stage.

“Fortunately, it is not blood red, otherwise it will be in trouble.” Sun Meng said.

Zhou Yuan nodded.

Blood-red pleural fluid may also be tuberculous pleurisy, but this time is often accompanied by chest bleeding.

Inflammation, infection, another chest bleeding at this time… This means that it is very likely to cause further systemic infection, which is naturally very dangerous.

After almost ten minutes, 700 milliliters of liquid was finally drawn out and put into the beaker next to it.

Zhou Yuan paused for a while and began to observe Jiang Mai’s state.

“Blood pressure is stable. Other signs are also normal.” The anesthesiologist reported.

Zhou Yuan nodded, and the anesthesiologist stepped forward and touched Jiang Mai’s arm.

As the chief surgeon, his hand cannot leave the surgical area, otherwise it may cause unnecessary pollution. These things can only be done by other people.

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“The body temperature is normal, the temperature of the limbs is normal, the pulse changes slightly, and the intensity is moderate.” The anesthesiologist reports.

Zhou Yuan was relieved and inserted the aspirator into Jiang Mai’s chest cavity again, preparing for pleural fluid extraction.

Seven hundred milliliters is just a reference value, not applicable to every patient.

Doctors are not very experienced, and generally you can’t make mistakes according to 700ml. But for experienced doctors, it is far better to observe the changes of patients than to perform operations based on standard values.

If Jiang Mai’s complexion is pale, or the pulse is weak, sweating, or cold limbs, it means that he has reached the limit, and if he draws it again, he will enter a dangerous state.

Jiang Mai did not have the above-mentioned conditions, so he could naturally draw the fluid again, which would also shorten his treatment time.

. … 0

Zhou Yuan didn’t stop until he felt Jiang Mai’s breathing became a little faster.

“It’s okay.” Zhou Yuan breathed a sigh of relief and drained the pleural fluid from the aspirator into the beaker.

One thousand milliliters.

The pleural fluid of a normal person is three to five milliliters in total, while Jiangmai, only this time, the amount of pleural fluid has reached 1,000 milliliters.

According to Zhou Yuan’s estimation, the amount of pleural fluid in Jiangmai’s body is about 5,000 ml, or five liters.

On the other hand, a bucket of water is only about 18 liters in an ordinary water dispenser, and the pleural effusion of Jiangmai is close to one-third of the bucket…

“This can be sustained.” Sun Meng was shocked.

Most people will not develop to this level at all, and they should feel it when they accumulate to about 1,000 ml.

Five thousand milliliters…Don’t you feel water dangling in your chest when you are running?

“The shocking waves hit the shore…” Sun Meng suddenly thought of this word.

Zhou Yuan was stunned for a moment and looked at Sun Meng silently.

I haven’t seen you for a few days now!

Sun Meng, who used to dare not speak much in front of him, now dares to make jokes with him…

Zhou Yuan shook his head helplessly. After finishing the aftermath of the operation, he left the operating room.

After a while, Zhang Ling ran over, ready to take over Jiang Mai.

Zhou Yuan is in charge of the operation, and Zhang Ling and other nurses are in charge of postoperative care. This is a traditional habit.

Just as Zhang Ling was about to push Jiang Mai to the intensive care unit, she couldn’t help but exclaim.

“It’s still Zhou Yuan’s operation done well…” Shao.