The system takes me for surgery

"Oh, so that's how it is." Li Muyun finally understood why he appeared here.

Bai Qiuyi and her father Bai Yutian glanced at each other, full of doubts, is Liang Yi going to perform surgery on our team leader today?
He is still so young, the dean and Director Lu are not joking, are they?
Although they have indeed seen Liang Yi's superb skills, but this age really makes people feel incredible.

Wen Duhe asked with a smile: "Muyun, do you know this young Dr. Liang?"

Li Muyun laughed and said, "Yes, why don't you know me? I was in poor health before, and my entire throat was about to rot. It was this doctor who used his wonderful medicine and superb surgery to save me from the gate of hell."

Wen Duhe knew that Li Muyun was suffering from illnesses before, and he was healed after the young doctor's wonderful hands. Otherwise, given his previous physical condition, it would have been very difficult for him to move around by himself, and it would be impossible to take care of him personally.

"What a coincidence...Wen Duhe laughed and said, "Muyun, you met this doctor before, and I have met this doctor now, what a coincidence! "

Li Muyun asked: "You and Director Lu performed the operation on the team leader together?"

Lu Chenhao and Liang Yi nodded.

Lu Chenhao said: "Yes, the two of us will cooperate with each other, because the operation is difficult and it is difficult for one person to complete it."

Wen Duhe looked at Liang Yi for a while, and said appreciatively: "People say that heroes are born in youth, and you can perform surgery with the technical backbone of the hospital at a young age. It seems that your skills are quite good."

Liang Yi said modestly: "The dean and the director love each other."

Medicine is a discipline that is very particular about seeking truth from facts, and there is no room for falsification. Wenduhe can have such a reputation, which is naturally beyond ordinary people's thinking. Although the young man in front of him is so young, he is sure that this young man is absolutely extraordinary. place.

Lu Chenhao said: "Mr. Wen, I need to give you a comprehensive physical examination before the operation."

Wen Duhe said: "Don't use the title of Mr. Sir, I am here to see a doctor, not to teach, and I don't know anything about medicine, so I can't teach you. My name is Wen Duhe. My parents gave me this name for People called."

Lu Chenhao smiled and said, "Then I'll call you Mr. Wen, so I'm more used to it."

"That's all, call it whatever you want..." Wen Duhe said with a smile.

So Lu Chenhao and Liang Yi gave him a detailed and comprehensive physical examination.

After the physical examination, both Lu Chenhao and Liang Yi frowned. His current physical condition was worse than the previous examination report and medical records.

Surgery in such a physical condition is extremely dangerous, but due to the particular industry and status of this patient, Liang Yi and Lu Chenhao have no choice but to meet the illness and fight against the knife.

Liang Yi and Lu Chenhao decided to adjust the previous operation plan.

At noon, Wenduhe developed a severe cough, vomiting, chest pain, shortness of breath and other symptoms.

Liang Yi and Lu Chenhao hurried through the emergency special channel, and immediately performed esophageal diatrizoate meglumine angiography on Wenduhe: it can be seen that a large amount of contrast agent entered the left chest cavity through the lower esophagus.

Chest CT: left pleural fluid pneumothorax, and large high-density shadows can be seen, combined with esophagography, it is considered as a contrast agent,
Preliminary diagnosis of esophageal rupture!

Every second counts in a critical moment
Wen Duhe was irritable, repeatedly complaining of chest and back pain and shortness of breath.

Liang Yi thought of his medical history. Wen Duhe had undergone coronary stent implantation 5 years ago, and he took aspirin and clopidogrel for a long time after the operation. This may be the cause of the massive bleeding.

Another physical examination revealed that Wenduhe's extremities were clammy and cold, mottling was visible on local skin, his breathing was shallow and fast, his blood pressure was 89/52mmHg low, his heart rate was 141 beats per minute, and his oxygen saturation was 87%. A chest drainage tube was placed in the left chest cavity, and brown effusion was seen.

This is too dangerous!
Lu Chenhao urgently improved the relevant inspections and actively replenished fluids to resist shock. "Immediately set up an emergency rescue team in the department consisting of Lu Chenhao, Liang Yi and the nurses on duty, and the emergency department immediately assisted. Once the shock occurred, defibrillation and cardiopulmonary resuscitation were performed immediately.

Time is life, race against time between life and death.

In this case, all the previously scheduled operations had to be overturned.

They re-evaluated the preoperative assessment and considered that the esophageal rupture was located in the left anterior position of the lower esophagus, and surgical repair must be performed immediately.

Fifteen minutes later, I entered the operating room. After general anesthesia, a gastroscopy was performed, and a gastric tube and a jejunal feeding tube were placed under the guidance of the gastroscopy.

The results of gastroscopy were basically consistent with the preoperative judgment, so it was immediately decided to open the left chest.

Due to the urgency of the situation, Liang Yi didn't have time to inform Ouyang Ping An of the change in the situation. When he heard the noise in the corridor, he came out to take a look, and only then did he know that this "special patient" who came today was being rescued.

Oops, can this operation still be done?Ouyang Ping'an was beating his heart.

Liang Yi didn't know what to do, because it was very difficult to save his life under such circumstances.

In the operating room, Liang Yi and Lu Chenhao cooperated tacitly to explore and clean up during the operation, and further explored: the esophageal tear was located in the left front part of the lower esophagus.

Gastric juice and food residues can be seen in the chest cavity, and the end-to-end anastomosis of the esophagus.

Liang Yi first sutured the mucosa and submucosa with 5-0 silk sutures intermittently, while Lu Chenhao sutured the muscular layer of the esophagus with 2-0 silk sutures intermittently.

These anastomotic sutures further close the varicose veins.After the treatment of various links, a "grenade" drainage tube was placed at the suture of the mediastinal esophagus, and a drainage tube was routinely placed in the chest cavity.

Half an hour after Wen crossed the river, the vital signs gradually stabilized.

Do you want to have the planned surgery?

No one dared to make this decision arbitrarily. Just when everyone was hesitating, Wen Duhe woke up. He asked in detail about the rescue process just now, and finally he decided to carry out the operation according to the original plan. Very worried, but no one dared to object.

Decided to proceed with surgery as planned!

Liang Yi looked at the time. It was 03:30 in the afternoon. He frowned. Now the rhythm is out of order. I don't know if Ouyang Ping An knows about this?There is no way to go out now, a gloomy cloud flashed across Liang Yi's face at this time.

Lu Chenhao saw it and said, "Liang Yi, what's the matter? Are you uncomfortable?"

"No..." Liang Yi looked at it, and Lu Chenhao's face was livid, even worse than when he had the operation with him before.

Anesthesiologist Lao Hong gave Wen Dujiang a second anesthesia. During the rescue just now, everyone was so emotionally focused on rescuing the patient that they forgot their nervousness. Now that the sense of crisis was relieved, they became a little nervous instead. Lao Hong’s hands trembled slightly, more than before. Anesthesia is much slower.On the one hand, general anesthesia with double-lumen endotracheal intubation and unilateral lung-healthy ventilation are time-consuming. Another reason is that Lao Hong is also nervous.