Big Doctor Live Room

Chapter 204 General Worries of Hospitalization
Chapter 2 Hospitalization General Concerns
"Endoscopic endoscopy..."

Before Chen Qun issued the first instruction, the door of the operating room suddenly opened and two doctors wearing masks walked in.The man didn't speak, but stood at the edge of the corner, watching them quietly.One of them also made a please continue gesture.

Qi Hong glanced at the two doctors and recognized that it was the hospital chief who had stopped them outside just now and asked about the situation.Looking at Chen Qun from the side, he saw that he didn't have any expression on his face. He was taking the instrument from Zhao Xue, and slowly inserted the endoscope into the esophagus of the little girl's throat.

The female schoolmaster Bingxue is smart and immediately understood.This is not so much dissatisfaction with Mr. Huang, as it is a requirement of one's own duties.After all, the two of them are too young to be recognized by most doctors.In addition, endoscopic surgery is easy to make mistakes. If she were the head of the hospital, she would come and take a look to make sure there would be no problems.

Now Chen Qun didn't care, and he still operated with peace of mind, which showed that he was mentally prepared, and he didn't mess up because of the sudden addition of two "supervisors" in the operating room.

At that moment, Qi Hong calmed down, fixed her gaze on the monitor screen of the colonoscope, and quietly watched the catheter enter the stomach along the esophagus.

I don't know whether it's an illusion or vertigo, Qi Hong saw that the endoscope was entering the narrow part of the gastric cardia, it seemed that the speed was slightly slowed down, the front end was slightly bent, and then entered the stomach from the narrowest central passage.It was as if the endoscopic catheter had turned into a small spiritual snake and entered the digestive tract without any damage.

This is just an almost negligible detail, but Qi Hong suddenly understood that Chen Qun's thoughts were as gentle and considerate as a girl's. He was afraid that his actions would cause additional damage to the little girl, so he had been carefully manipulating the catheter all the time. Endoscopy down.

Where is this first operation?Could it be that Chen Qun has directly mastered the larger endoscopic technique through the operation of a finer guide wire through the interventional surgery practice these days, and has made some innovations?Or did he have done a lot of endoscopic surgery before?Maybe it's both.

The same problem also appeared in the mind of Jin Zhensheng, the hospital chief who appeared in the operating room. This is the second time he has served as the hospital chief. Surgical operation ability, strive to become one of the backbones of the emergency department.

Although he is not considered to be a direct descendant of Liu Yang, the emergency center has developed rapidly. The director of subjective medical surgery, Liu Yang, treats all doctors equally and works according to one principle.It can be said that whoever does what goes best is very fair and does not favor anyone.Instead, many doctors who did not have a mountain top voted under his command one after another, and laughed at themselves, thinking that they were recruited miscellaneous troops.

For Jin Zhensheng, he didn't come here to see Chen Qun's jokes, he was more concerned about whether the operation could be completed smoothly.After all, it's about his bonuses and promotions.His plan is also very simple, if the two daring "Heaven's Proud Sons" mess up, he can immediately take over the operation with his assistants to prevent things from slipping into a bottomless abyss.

Especially for those young people who are going smoothly, without any setbacks during the operation, when they are full of confidence, they suddenly encounter Waterloo, especially when they suddenly make a mistake in a new operation, at least two-thirds of the young people will be immediately stunned Forced, and one-third of them can be rescued barely, but more mistakes will be made in the chaos, and the more rescues, the more damage will be caused.

Jin Zhensheng knew that the Chen Qun in front of him was extremely lucky.The operations he participated in were always smooth sailing.Of course, this has a lot to do with his solid basic surgical skills, which gives him a high error tolerance.

But now it has been replaced by another type of endoscopic surgery. Once this kid makes a mistake, he cannot rely on his surgical operation to save the day. It is more likely that he will make mistakes after mistakes, turning a minor injury into a serious injury, and finally lead to The patient died.Sometimes, it only takes a few seconds for a big crash to occur.

As soon as he entered the operating room, he kept looking at the images captured by the endoscope on the screen. After only a few glances, his heart was hanging in his heart.

Chen Qun, who performed the operation, was very fast, and the speed of the endoscope entering the stomach and intestines was not like that of a novice.But the more so, the more dangerous it means.Because endoscopic surgery is most likely to hesitate to operate too fast, resulting in rupture of various blood vessels, or directly penetrating the inner wall, resulting in various hemorrhages.

Faster means greater risk.

In a blink of an eye, the endoscope entered the duodenum from the pylorus. It seemed that the speed had slowed down a little bit, but it still slowed down a little.Coupled with the slightly clumsy way, Jin Zhensheng raised his heart to the throat more and more.

The most incomprehensible thing happened to him.Just when the endoscope reached the huddled wrinkled part, and the young man's NBI dye marking was completed, it was heard that the young man did not continue the following operation, but did a strange thing.

"Two liters of saline at twenty degrees Celsius!"'

What is this for? Did he think that the staining of the markers meant that the operation was completed and the stomach and intestines were cleaned?A large needle of normal saline was quickly injected into the duodenum by Chen Qun. With the washing of the saline, the narrowest and squeezed part of the duodenum was suddenly inflated by the water flow, like a long balloon .

What on earth is this for?
Jin Zhensheng pondered in his mind for two or three seconds, and he knew that the young man wanted to expose more vision, but the space revealed under the endoscope could completely cut the small intestinal polyp in front.

Is it because young people want to be on the safe side?

However, if he pays attention to this detail, it means that this young man is actually very cautious, and he does not correspond to his previous actions at all.

What's more, after being washed with salt water, the stained part has become a little lighter.

Something happened that Jin Zhensheng couldn't figure out, Chen Qun quickly made an allophycocyanin mark on the intestinal polyp, and then he directly used the endoscope to incise without waiting for the pathological lift to a very ideal position , at a position outside the mark, begin to incise the mucosal layer of the intestinal wall.

All places where bleeding is encountered are immediately stopped by electrocoagulation instead of electrocautery, which is more harmful.In particular, electrocoagulation for hemostasis is done just right.It didn't burn through the mucous membrane layer, but it just stopped the blood from all the wounds.

In less than 2 minutes, the blocked intestinal polyp was cut off, leaving only a white electrocoagulation layer at the wound site.

Then the most surprising thing happened to Jin Zhensheng. A small nodule of artificial duodenum appeared in the endoscope, sticking to the bulging intestinal wall of the patient, and began to be fixed on the intestinal wall, just like a surgical duodenum in a heart operation. Like a bracket, every move is done with care, lest there be any damage.

What is the purpose of inserting an artificial intestine into the duodenum without disease?
Jin Zhensheng felt more and more that he couldn't understand the young man's behavior.However, judging by his technique, it can be said that it is impeccable. Compared with him, a doctor who has done a lot of ESD operations, he is a level higher.

No wonder these two guys said it was a minor operation.

For the first time in his life, Jin Zhensheng felt that his hospitalization seemed useless.The young man in front of him definitely never worked as a hospital chief, and he never went through the half-year hell torture, walking in the operating room every day and performing various operations.

Why was his surgery one or two levels better than mine, and even the thought of comparison was completely gone.

This is not scientific at all!
Could it be that this kid has been undergoing endoscopic surgery since he came out of his mother's womb?

(End of this chapter)