The system takes me for surgery
Chapter 426: Zhang Jiayue
Liang Yi said: "I have seen more than 50 cases of this operation, and found that the effect of drugs to prevent intestinal adhesion is not accurate, and it should not be used in intestinal thinning operations with infection and bleeding. The disadvantage of Noble's intestinal alignment and fixation is that the intestinal tube must be sutured. Or mesentery, forming many small intervals between intestinal climbing is not conducive to drainage, and there is a possibility of acute twisting and re-obstruction at the corner of intestinal climbing."
"What about the intestinal catheter?" Zhong Yubo asked.
"It is said in the literature that the fixed arrangement of the intestinal cannula has a good effect and has no disadvantages of external fixation arrangement. It has achieved good results in clinical application. Now this is basically the case in clinical practice. I don't know if there is a better way in the future. .”
"So it is."
Liang Yi washed the patient's abdomen with a large amount of normal saline.
Zhong Yubo asked: "Why do you say it only uses salt water instead of antibiotics?"
Liang Yi said: "This operation comes from an experiment in Germany. This experiment mentioned that when the amount of saline flushed reaches 150ml per kilogram of body weight, the number of bacteria in the peritoneal fluid can be reduced from 10.6/ml to 10.2/ml, which can significantly reduce postoperative blood loss. The incidence of intra-abdominal infection. So now we often have a saying in surgery that a bottle of saline solution is more effective than ten catties of antibiotics after surgery.”
This guy's brain is probably a computer, he can even remember such detailed experimental data so clearly, Zhong Yubo gave a thumbs up in admiration, and then proceeded to close the abdomen with intermittent full-thickness extraperitoneal tension-reducing sutures.
Zhong Yubo asked: "Isn't ordinary abdominal closure not enough? Why is the full-thickness extraperitoneal intermittent tension-reducing suture?"
Liang Yi explained: "The closure of the abdominal wall incision in the intestinal fistula operation is special. Because most patients with thin intestines have undergone more than one abdominal operation, there are many scars on the abdominal wall. There are intestinal fistula openings on the abdominal wall, infection or serious pollution, and some of them are still alive." There is a defect. Therefore, after the peritoneal incision is sutured, the full-thickness extraperitoneal intermittent tension-reducing suture is usually used, and the suture and ligation should not be too tight, so as to facilitate the outflow of incision exudate and reduce infection.”
Zhong Yubo said with admiration: "Your theory and surgery are really amazing and basically impeccable."
Liang Yi smiled: "Then it's just that you didn't ask about my blind spots. I also don't understand a lot."
For a young doctor with such excellent operations and such invincible theories, if a girl performs surgery with him, she will be fascinated by him in no time. Zhong Yubo said: "If I were a girl, I would probably give her body."
"Don't... I'm a straight man."
In the short [-] days that followed, Zhong Yubo asked Liang Yi to perform more than [-] surgeries.
Under Liang Yi's guidance, Zhong Yubo's progress is very fast. It turns out that he tends to wander off during surgery and often wanders. After this period of attention training, he is now basically holding the scalpel, and he can quickly go through it in his mind. The entire surgical process, and the key points and difficulties of each surgical process are particularly clear.
He used Liang Yi's "Map Key Marking Method" to solve the problem of inattention.
One day, Liang Yi was sorting out the shift handover documents in the office.
Zhong Yubo came in, and he secretly handed a salted duck in a gift box to Liang Yi, saying, "I'll give you a try, don't take it out, you and the duckling are the only ones in our department."
Liang Yi let out a hey voice and said, "Why did you bribe me back today? Are you tricking me?"
Zhong Yubo smiled and said, "Yes." I used to have a sense of presence in the emergency department.Since you came here, I have no sense of existence. "
"That's why you thought of this dirty trick and wanted a routine, but I won't fall for it."
"Take it, don't let others see it, what kind of routine is a salted duck, this little thing is not enough for a sentence."
"Where did you get the salted duck?" Liang Yi said no, but he acted very honestly, and silently put the salted duck into the cabinet.
"My wife asked someone to buy it."
"Look at your smiling face, is there something you are hiding from me?
Zhong Yubo chuckled and said, "Is it so obvious? You just saw it."
"The mouth is almost grinning to the ear, do you think I can't see it? What's the matter? Tell me." Liang Yi asked.
Zhong Yubo said with a smirk on his face, "I took care of Zhang Jiayue last night."
"Damn it! You didn't say anything, you two started fighting last night."
Zhong Yubo put his index finger against his lips and said: "Hush! Keep a low profile, because Zhang Jiayue lost to Qin Hanyun last time, so he didn't choose to open up to the outside world, and I don't know if I will win, so I don't have the face to see you to see, me and him We discussed it in private."
"It's really not interesting." Liang Yi said displeased, seeing that Zhong Yubo was about to slip away, he said: "Come and sit and tell me how the battle went that night?
"I'm still busy, I still have medical records to write."
"If you don't tell me about your salted duck, take it back!" Liang Yi threatened.
"You kid still dare to threaten me."
Liang Yi dragged the salted duck to the table and said, "I'm not threatening you."
"Okay, okay, let me say, I compared the gastrectomy with him yesterday."
"What is the process like?"
Zhong Yubo said: "In the beginning I had a lot of lead, but after about ten minutes, I was bitten tightly by it, and finally won by 1 minute."
"Did he speed up his schedule again?"
"Yeah, he got really quick in the second half."
"Seeing his speed so fast, I was a little dazed at the time, and then I remembered what you said about grasping the key points. I closed my eyes and paused for about ten seconds before continuing to complete the rest of the operation. To be honest, my mentality was almost overwhelmed." He broke."
This kid must have used the system again. Because he lagged behind too much in the early stage, he still failed to win against Zhong Yubo.
"But this kid cried loudly after losing, isn't he a little bit sorry for losing?" Zhong Yubo said.
"It's not possible." Liang Yi couldn't figure it out for a moment, paused, and suddenly realized, could it be that he cheated repeatedly and was kicked out of the system by Andy?Do not rule out the possibility of this!
Zhong Yubo said proudly, "We made 4000 this time."
"It's so big! No wonder you are so generous. It seems that I want two salted ducks."
"This is my hard-earned money. I won it under great pressure. One is enough for you to eat. Don't push your nose on your face."
At this time, a black jeep appeared outside the emergency room. The car was so huge that when it parked outside the emergency room like a giant, the sunlight was blocked.
When most people see this kind of car, they will mistakenly think that there is a burly man sitting in this car.
Liang Yi poked his head around and saw that it was a girl in sportswear who was a little limping when walking.
Zhong Yubo said: "I'll leave this young female patient to you. I'll go and have a good rest."
"Okay, go and rest."
It was obvious that he was a traumatized patient. Liang Yi walked over calmly, and saw the girl in sportswear with a ponytail, her thigh was pressed with a white towel, and the white towel in her hand was stained with blood. .
"What about the intestinal catheter?" Zhong Yubo asked.
"It is said in the literature that the fixed arrangement of the intestinal cannula has a good effect and has no disadvantages of external fixation arrangement. It has achieved good results in clinical application. Now this is basically the case in clinical practice. I don't know if there is a better way in the future. .”
"So it is."
Liang Yi washed the patient's abdomen with a large amount of normal saline.
Zhong Yubo asked: "Why do you say it only uses salt water instead of antibiotics?"
Liang Yi said: "This operation comes from an experiment in Germany. This experiment mentioned that when the amount of saline flushed reaches 150ml per kilogram of body weight, the number of bacteria in the peritoneal fluid can be reduced from 10.6/ml to 10.2/ml, which can significantly reduce postoperative blood loss. The incidence of intra-abdominal infection. So now we often have a saying in surgery that a bottle of saline solution is more effective than ten catties of antibiotics after surgery.”
This guy's brain is probably a computer, he can even remember such detailed experimental data so clearly, Zhong Yubo gave a thumbs up in admiration, and then proceeded to close the abdomen with intermittent full-thickness extraperitoneal tension-reducing sutures.
Zhong Yubo asked: "Isn't ordinary abdominal closure not enough? Why is the full-thickness extraperitoneal intermittent tension-reducing suture?"
Liang Yi explained: "The closure of the abdominal wall incision in the intestinal fistula operation is special. Because most patients with thin intestines have undergone more than one abdominal operation, there are many scars on the abdominal wall. There are intestinal fistula openings on the abdominal wall, infection or serious pollution, and some of them are still alive." There is a defect. Therefore, after the peritoneal incision is sutured, the full-thickness extraperitoneal intermittent tension-reducing suture is usually used, and the suture and ligation should not be too tight, so as to facilitate the outflow of incision exudate and reduce infection.”
Zhong Yubo said with admiration: "Your theory and surgery are really amazing and basically impeccable."
Liang Yi smiled: "Then it's just that you didn't ask about my blind spots. I also don't understand a lot."
For a young doctor with such excellent operations and such invincible theories, if a girl performs surgery with him, she will be fascinated by him in no time. Zhong Yubo said: "If I were a girl, I would probably give her body."
"Don't... I'm a straight man."
In the short [-] days that followed, Zhong Yubo asked Liang Yi to perform more than [-] surgeries.
Under Liang Yi's guidance, Zhong Yubo's progress is very fast. It turns out that he tends to wander off during surgery and often wanders. After this period of attention training, he is now basically holding the scalpel, and he can quickly go through it in his mind. The entire surgical process, and the key points and difficulties of each surgical process are particularly clear.
He used Liang Yi's "Map Key Marking Method" to solve the problem of inattention.
One day, Liang Yi was sorting out the shift handover documents in the office.
Zhong Yubo came in, and he secretly handed a salted duck in a gift box to Liang Yi, saying, "I'll give you a try, don't take it out, you and the duckling are the only ones in our department."
Liang Yi let out a hey voice and said, "Why did you bribe me back today? Are you tricking me?"
Zhong Yubo smiled and said, "Yes." I used to have a sense of presence in the emergency department.Since you came here, I have no sense of existence. "
"That's why you thought of this dirty trick and wanted a routine, but I won't fall for it."
"Take it, don't let others see it, what kind of routine is a salted duck, this little thing is not enough for a sentence."
"Where did you get the salted duck?" Liang Yi said no, but he acted very honestly, and silently put the salted duck into the cabinet.
"My wife asked someone to buy it."
"Look at your smiling face, is there something you are hiding from me?
Zhong Yubo chuckled and said, "Is it so obvious? You just saw it."
"The mouth is almost grinning to the ear, do you think I can't see it? What's the matter? Tell me." Liang Yi asked.
Zhong Yubo said with a smirk on his face, "I took care of Zhang Jiayue last night."
"Damn it! You didn't say anything, you two started fighting last night."
Zhong Yubo put his index finger against his lips and said: "Hush! Keep a low profile, because Zhang Jiayue lost to Qin Hanyun last time, so he didn't choose to open up to the outside world, and I don't know if I will win, so I don't have the face to see you to see, me and him We discussed it in private."
"It's really not interesting." Liang Yi said displeased, seeing that Zhong Yubo was about to slip away, he said: "Come and sit and tell me how the battle went that night?
"I'm still busy, I still have medical records to write."
"If you don't tell me about your salted duck, take it back!" Liang Yi threatened.
"You kid still dare to threaten me."
Liang Yi dragged the salted duck to the table and said, "I'm not threatening you."
"Okay, okay, let me say, I compared the gastrectomy with him yesterday."
"What is the process like?"
Zhong Yubo said: "In the beginning I had a lot of lead, but after about ten minutes, I was bitten tightly by it, and finally won by 1 minute."
"Did he speed up his schedule again?"
"Yeah, he got really quick in the second half."
"Seeing his speed so fast, I was a little dazed at the time, and then I remembered what you said about grasping the key points. I closed my eyes and paused for about ten seconds before continuing to complete the rest of the operation. To be honest, my mentality was almost overwhelmed." He broke."
This kid must have used the system again. Because he lagged behind too much in the early stage, he still failed to win against Zhong Yubo.
"But this kid cried loudly after losing, isn't he a little bit sorry for losing?" Zhong Yubo said.
"It's not possible." Liang Yi couldn't figure it out for a moment, paused, and suddenly realized, could it be that he cheated repeatedly and was kicked out of the system by Andy?Do not rule out the possibility of this!
Zhong Yubo said proudly, "We made 4000 this time."
"It's so big! No wonder you are so generous. It seems that I want two salted ducks."
"This is my hard-earned money. I won it under great pressure. One is enough for you to eat. Don't push your nose on your face."
At this time, a black jeep appeared outside the emergency room. The car was so huge that when it parked outside the emergency room like a giant, the sunlight was blocked.
When most people see this kind of car, they will mistakenly think that there is a burly man sitting in this car.
Liang Yi poked his head around and saw that it was a girl in sportswear who was a little limping when walking.
Zhong Yubo said: "I'll leave this young female patient to you. I'll go and have a good rest."
"Okay, go and rest."
It was obvious that he was a traumatized patient. Liang Yi walked over calmly, and saw the girl in sportswear with a ponytail, her thigh was pressed with a white towel, and the white towel in her hand was stained with blood. .
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