I'm a god of medicine

Chapter 111 Ask Yang Xi to come back to save Taiwan

Whether it is caused by mechanical trauma or gastric perforation caused by stress ulcer, it will be accompanied by bleeding.However, when Gao Chao checked the negative pressure drainage bag in which the patient left the gastric tube, he found that there was only some clear gastric juice in the drainage bag.

"Bring a syringe, the biggest one."

Li Xingzhou hurried to the nurse's station to get a 50ml disposable syringe.

Gao Chao didn't even wear gloves, and put the indwelling gastric tube on the syringe with his bare hands, first drew back, the resistance was extremely high, and then pushed the air in, but it didn't move at all.

"The stomach tube is blocked, go get a new one."

Li Xingzhou obeyed again and went to the nurse's station quickly.

A new stomach tube was brought, and Gao Chao had already pulled out the blocked indwelling stomach tube. Sure enough, the head of the stomach tube was covered with blood clots.

Gao Chao frowned again, and asked in a low voice, "Have you checked the blood coagulation of this patient?"

Li Xingzhou shook his head indifferently, he was busy rescuing him, so he couldn't care about various inspections.

Gao Chao removed the gastric tube for the patient again, then used a syringe to pump a tube of normal saline into the gastric tube, and then drew out the stomach content...

At this moment, the patient suddenly became restless, and then vomited a lot of blood mixed with blood clots from his mouth.

"Send it directly to the operating room!" Gao Chao's tone became urgent, and his voice became much louder: "Call the operating room and ask them to prepare for the operation. What about the family members of the patient? Pick someone who can take care of the family and wait for me in the office. Everyone else should not be idle." Hurry up and find the cart, there is no time to wait for the operating room to pick up the patient!"

Based on experience, Gao Chao judged that this patient should not have stress bleeding, but traumatic bleeding. The former could still try to stop the bleeding by air bag compression, but the latter could only be treated with surgery because the stomach wall may have been torn.

Twenty minutes later, Gao Chao brought a young doctor who had just graduated to the operating table.

The proposed subtotal gastrectomy is not too difficult for Gao Chao. Three years ago, when he was studying in the city hospital, he could easily complete it with an intern. What's the matter, that Gao Gao felt a little uneasy in his heart.

The anesthetist Li Ying's level is not bad, and the effect of the anesthesia performed is completely satisfactory. After the test, Gao Ming took a deep breath and said: "Start."

The little doctor who served as the first assistant was quite clever. Although he hadn't had a few operations, his personal understanding was quite good. Although he couldn't help Gao Ming much on stage, he could barely complete the basic cooperation.

The abdomen was successfully opened, Gao Chao cleaned up the residual blood in the abdominal cavity with a suction device, and then checked the stomach body, he couldn't help but gasped.

The stomach wall was very thin, and a hole about two centimeters long was torn at the bottom of the stomach.

There is absolutely no way to mend it, and it can only be subtotal gastrectomy according to the planned operation. This is not the reason for Gao Ming to take a breath of air, after all, these are all foreseen before coming to the stage.

The problem is that the patient's stomach wall is not only much thinner than ordinary people, but also, due to the stimulation of pesticides and repeated gastric lavage, the stomach wall tissue showed inflammation and severe edema.

In this way, the impact on the resection is not great, but the requirements for the subsequent anastomosis are quite high.When suturing, a little more force may cause tissue avulsion, and if the force is not in place, anastomotic leakage will inevitably form.As for this patient, the first time he entered the operating room, he was already dancing on the palm of death. If an anastomotic fistula had formed and he had to enter the palace for the second time, it is estimated that the probability of survival would not exceed 5.00%.

Gao Chao secretly sighed, asked Fang Chang, the equipment nurse, for a needle and a suture, found a random place on the stomach wall, and sewed a stitch. When tying the knot, his hand shook slightly, and the suture tore the stomach wall apart. Take a sip.

This level of difficulty has already exceeded Gao Chao's ability. Fortunately, Gao Chao is not the grand army, and he knows that surgery is not a child's play, and being aggressive on stage is tantamount to killing someone.

"Here..." Gao Chao almost blurted out Director Qin's three words, realizing that he was actually embarrassing Director Qin by asking Director Qin to save the stage at this moment, so he changed his words: "Call Dean Lin , I can't take this surgery."

Dean Lin was drinking, when he received a call from the operating room, he put down his glass and rushed back without saying a word.This old man is a sensible person, and he was thinking along the way, he, Lao Lin, should not think too much about the operation that Gao Chao couldn't get off, he should think carefully about which director in the city should come to rescue Taiwan.

When we came to the operating room, Dean Lin briefly asked about the situation, and then put forward a suggestion that was beyond everyone's expectations as if asking for opinions: "Why don't we call Yang Xi back for this operation? I feel, This kid should be able to take it down."

This is not Dean Lin's whim, but the result of his thinking all the way.

This kid Yang Xi looks a bit messy and foolish, but in fact he has a very meticulous mind, he is rarely seen impulsively, and he never does anything he is not sure of. It is not an exaggeration to call him a dog brother.

When you call him, you can exaggerate the difficulty of the operation. It is best if he is sure. If he is not sure, he will definitely drag Director Gao over. can play another role.

The sudden emergence of Yang Xi was obviously unacceptable to Gao Chao, Dean Lin could see that Gao Chao held back all his energy during these days, and only wanted to get Yang Xi out of the town hospital.

This is obviously contrary to Dean Lin's development strategy for the entire hospital.

Gao Chao is narrow-minded and values ​​personal interests. Dean Lin understood this a long time ago, but without the existence of Yang Xi, his shortcomings are not very obvious, but now Yang Xi has shaken his position in the department. It forced him to lose his composure, which magnified his flaws.

However, the flaws are not concealed, and Dean Lin still believes that Gao Chao is a good doctor who is serious and responsible in his work, and his surgical skills are no less than his.

Since he is a good doctor, for Dean Lin, he must do everything possible to keep him, not only to stay, but also to make him have a good mood when working.

Call Yang Xi to perform this operation. If he is not sure, invite Director Gao to perform the operation. Needless to say, it is a great achievement to solve the patient's operation problem.If Yang Xi can win this operation alone, Gao Ming must have seen it with his own eyes, and he will change his opinion of Yang Xi. If he can live in peace, it will be a huge benefit to the department and the hospital.

On the stage, after listening to Dean Lin's suggestion, Gao Chao couldn't help but thump in his heart.

Tell Yang Xi to come back to save Taiwan?
You Lao Lin can afford to lose this face, but I Gao Ming can't!
(End of this chapter)