Rebirth 90: I opened a hospital in Shencheng

Chapter 604: 360 There Are Difficulties in Every Action!

Inside the office.

Nie Chen was a little silent.
Yu Zhongcai asked, "How are you with the interns?"

"The level of interns is much lower than that of the previous batches of interns. I wonder if they came to our Aihua Hospital purely because of connections." Nie Chen shook his head and said.

Yu Zhongcai smiled: "Do you think everyone is like you? Let me tell you, most medical students only understand some theoretical knowledge after graduation. If they can explain their illness clearly, it is already very good! Don't ask too much .”

Nie Chen was startled and said, "But when I was studying, I didn't memorize it by rote like they did."

"There are very few practical opportunities for interns, and it is enough to memorize the theory."

Nie Chen nodded helplessly.

Emergency.

As soon as he put on his white coat, he saw Ai Mingmei and Zou Jiaqi standing at the door of the office.

Nie Chen looked at them in surprise and asked, "What are you doing?"

"Doctor Nie, we finished our homework yesterday." Ai Mingmei handed over a notebook.

Nie Chen blinked, took it over and glanced twice and said, "Theoretically, there is no problem, but do you know the patient's condition?"

Zou Jiaqi said: "Yesterday you said the patient had pseudomembranous colitis."

"What if there are other diseases? Theories alone are empty talk. A doctor's practice is more important than theory. You have rich experience and can prescribe the right medicine for any disease just by looking at it."

"Yes, Dr. Nie, I remember."

Ai Mingmei and Zou Jiaqi nodded.

around one o'clock.

Nie Chen stood at the door of the emergency room and waited.

An ambulance came and stopped.

Nie Chen hurriedly said, "Bed car."

"Yes!"

"what happened?"

The doctor followed the car and said: "There is an open wound on the right neck with active bleeding!"

"Send to the emergency room!" Nie Chen said.

"it is good."

Just as Nie Chen was about to leave, he saw another woman in the ambulance. She was a little obese, weighing at least [-] pounds. She was crying with red eyes and covering her waist with one hand.

"What's wrong with you?" Nie Chen asked.

"Doctor, can you help me, I can't stand up..."

"Come on, slow down." Nie Chen got on the car, supported the fat woman, turned to Ai Meiliang and said, "Go get the wheelchair, the big one!"

"oh oh!"

"Doctor, I'm fine, but I can't straighten my waist." The fat woman said.

Nie Chen asked, "How did you do it?"

"It's all, it's all my fault... We are actors from the acrobatic troupe, I didn't hold back underneath, and then he was stabbed by the debris." The fat woman cried.

"Oh, don't worry, we will try our best to rescue you. Does your back hurt?"

"Well, a little bit, but I'm fine, doctor, please go and save him."

"Zou Jiaqi!" Nie Chen shouted.

"Hey, Doctor Nie."

"You and Ai Mingmei took her to shoot a film." Nie Chen said.

"Huh? What film are you making?" Zou Jiaqi asked.

Nie Chen sighed and said, "She may have a dark wound on her waist, so take an X-ray of the lumbar spine and a CT scan of the abdomen!"

"oh oh."

"Doctor, I don't take pictures, I'm going to wait for him..."

Nie Chen said: "He has a doctor to rescue him, so it's useless for you to stay at the door, understand?"

"You take her away."

Nie Chen hurried to the rescue room.

I saw Yin Susu and Wei Ting busy intubating the patient.

Nie Chen came to the patient's bedside and asked, "What's the blood pressure?"

"Blood pressure 60/40, heart rate 150, respiration 30, blood oxygen 70.00%!" Yin Susu replied.

Nie Chen saw that the patient's neck was wrapped in gauze, but other parts seemed to be unharmed.

Convenience: "Hemorrhagic shock, open another vein to dredge the collaterals."

"Yes, a vein to open the collateral." Zhou Xuezhen replied.

Nie Chen continued: "Take a blood sample and mix it with [-]ml of low-molecular dextrose."

"Yes!"

"Notify the blood bank again, [-] blood and [-] plasma!"

"Okay, I'll go right away." Lin Xuan replied.

"Prepare for endotracheal intubation!"

"Yes." Wei Ting replied.

Nie Chen took out the flashlight and took a picture of the patient's pupils.

"Contact the operating room and operate immediately!"

"I'll contact you," Yin Susu said.

After Wei Ting and Nie Chen completed tracheal intubation on the patient, they also opened another venous channel and infused low-molecular-weight dextran into the patient's veins.

"Send it to the operating room."

A group of people pushed the bed cart and ran towards the operating room.

Nie Chen said on the way: "Inform Director Yu that the patient with pseudomembranous enteritis in the third bed needs to be re-examined."

"Yes." A nurse nodded.

"Ouyang and Yin Susu followed me into the operating room and informed Director Jiang to come to the operating room."

"it is good."

"Doctor, how is Yuan Guosheng?" a balding middle-aged man asked.

Ai Mingmei and Zou Jiaqi supported the fat woman to get up.

Nie Chen paused, and frowned: "Why haven't you checked yet?"

Ai Mingmei said: "She, she insists on waiting for this patient to finish the operation?"

"Nonsense! With your current state, you must have a waist injury. If you miss the best time for diagnosis, you will be responsible for the consequences!" Nie Chen said.

The middle-aged man was stunned: "She is also injured?"

Nie Chen nodded: "It is preliminarily estimated that there may be a problem with the lumbar spine."

"Xiaoyu, hurry up and check, Yuan Guosheng has me." The middle-aged man persuaded.

"cocoa……"

Ai Mingmei bared her teeth and waved her claws: "Don't do it! Let's go, or Dr. Nie will be murderous again!"

When she saw that Nie Chen was still there, she stuck out her tongue, a little embarrassed.

Nie Chen said, "Send him for an examination. This patient is going to undergo surgery. Are you a family member? Can you sign?"

"Yes, yes!" The middle-aged man nodded.

Nie Chen nodded, and then asked Lin Xuan to get the consent form for the operation, and waited for the middle-aged man to sign it.

"Don't worry. We'll do our best," he said.

"thanks, thanks."

When Nie Chen walked into the operating room.It so happened that Jiang Luoyan also came over.

She asked anxiously, "What's going on?"

Nie Chen said: "The patient has an open wound on the right neck with active bleeding. The patient has been given a blood transfusion and now needs to undergo neck repair surgery."

"Okay, I'll be your deputy?"

Nie Chen said, "Yes."

"Prepare for local anesthesia."

"Give oxygen!"

"The patient's airway is not blocked."

If the airway is not blocked, there is no need to cut the trachea in advance.

Jiang Luoyan cut the gauze wrapped around the patient's neck and found that there was still a piece of tile left on the wound on the neck. It seemed that this thing was the culprit that stabbed the patient.

"There is a foreign object remaining on the neck." Jiang Luoyan said.

Nie Chen nodded and said, "How about blood transfusion, rehydration, and blood pressure?"

"Blood pressure 50/38."

"Debride the patient and then..."

"Doctor Nie!"

Jiang Luoyan yelled.

Nie Chen hurriedly came over and asked, "What's wrong?"

"The foreign object fell."

Nie Chen breathed a sigh of relief, seeing the foreign object fall, but the neck did not bleed profusely, which means the artery was not completely cut by the foreign object, otherwise the patient would have died.

"Tray creation."

Jiang Luoyan used tweezers to pull out the foreign objects and put them on the tray.

"Debride the patient immediately!"

"kindness!"

Jiang Luoyan immediately stood aside, Wei Ting came over and poured normal saline, rinsed the wound, and then disinfected the skin with thimerosal.

Nie Chen removed the excess tissue from the patient's neck with a scalpel, and then checked the blood vessels, esophageal mucosa, and large blood vessels...

Moreover, Nie Chen kept the vocal cords, false vocal cords and other structures in their original positions, in order to maintain the basic functions of the larynx!
This is the point of neck revision surgery.

After carefully examining the blood vessels in the neck, Nie Chen said, "The suture."

Then straighten the suture segments and tie them at the needle entry and exit points to align the skin edges of the incision naturally!

"The operation is over." Nie Chen straightened up and said with a sigh of relief.

"The operation took 1 hour and 42 minutes!" said Yin Susu
Jiang Luoyan: "It's amazing. Apart from Dr. Nie, even the best surgeon in the United States can't do this operation. It's Dr. Nie!"

"It's too much." Nie Chen smiled.

Yin Susu and Wei Ting looked at each other and smiled, but did not speak.

Nie Chen took off his gloves and said, "1500 tetanus antitoxin, one injection of antibiotics."

"Okay." Yin Susu nodded.

(End of this chapter)