Back in 2002 as a doctor

The sound is more annoying than the department's phone, like a needle stuck in the body, causing a large amount of adrenaline to be secreted.

"Xiao Zhou, you are on duty." The anesthesiologist didn't seem to realize what happened. He looked at the ECG monitoring with a frown. "The blood oxygen saturation can't go up. Let's see what's going on."

"..." Zhou Congwen sighed.

This requirement is simply too much, and it is not in the scope of diagnosis and treatment of chest medicine.But when a blind cat encounters a dead mouse, the patient's luck seems to be good.

Chapter 0241

Zhou Congwen strode in, stared at the ECG monitor and asked, "What's going on?"

"It's weird today." The senior doctor of general surgery said.

He once told Zhou Congwen after Zhou Congwen beat Wang Zhiquan that if Wang Chengfa couldn't stay, he would come to general surgery and take surgery to remove the gallbladder.

Zhou Congwen won't go, but he will accept this favor.

"Simple." Zhou Congwen said in a deep voice.

There was majesty and a vague murderous look in his voice, Dr. Gao was stunned for a moment, the situation was not that urgent, why did Zhou Congwen look wrong.

"I just had my gallbladder removed, and the ECG monitor called the police. Later, the operation was suspended and the insufflation was relieved, and the ECG monitoring was fine." Dr. Gao said doubtfully, "Later, the insufflation was started again, and the alarm was still issued. Is it a problem with the leads? How could this happen? Damn it. The anesthesiologist said it wasn’t about the intubation, you can see if it’s a problem with your chest department.”

Zhou Congwen reached out and grabbed the stethoscope next to the anesthetist, and put the stethoscope in from the top, so as to avoid polluting the operation area, he must listen to both lungs and heart.

"Xiao Zhou……"

"Prepare the deep vein puncture kit!" Zhou Congwen said while performing auscultation in an awkward posture.

He didn't even have time to explain anything.

I don't know how much time was wasted on the operating table before. If it was the first... No if, Zhou Congwen had already heard the moist rales of the patient's lungs.

Auscultating breath sounds, there was a beeping, beeping, cracking sound from the patient's chest, as if there were countless small blisters in the lungs, which were constantly bursting, bursting, bursting, and never ending.

"Stop the operation, stop pneumoperitoneum, and prepare for rescue. Where's the deep vein puncture kit!" Zhou Congwen took back the stethoscope and said in a deep voice.

"..." The anesthesiologists, nurses, Dr. Gao and his assistant in the operating room were all stunned, and no one moved.

"Pulmonary embolism caused by carbon dioxide insufflation!" Zhou Congwen said coldly, "Rescue, no fucking hear!"

No one moved, and in an instant, Zhou Congwen's evil fire burst out from the bottom of his heart, transforming from a docile little doctor into a tyrant in the operating room.

"Tour!" Zhou Congwen roared sharply, and a stethoscope flew over with the sound.

At the same time, the blood pressure on the ECG monitor began to drop rapidly and returned to zero in an instant.

"Bang~" The itinerant nurse was hit on the shoulder by the stethoscope.

She was just about to lose her temper when she suddenly saw her blood pressure drop to zero, and a layer of white sweat suddenly appeared on her back.

"what would you like?"

"Deep Venipuncture Kit!"

"..." The itinerant nurse said tremblingly, "No...no more."

There was a "buzz" in Zhou Congwen's mind, and the light of the shadowless lamp dimmed a bit.

Damn, it's 2002 now, and the deep vein catheterization before the operation has not yet formed a habit, so that the operating room does not have a lot of goods.

It was impossible to pump out the gas from the right atrium like last time. Zhou Congwen recognized the reality and prepared another way to rescue.

Damn 2002!

To be reborn, at most 20 years.

Even if it was only 20 years ago, I still experienced various inadaptable situations. I really don’t know how other people survived the days when they were reborn thousands of years ago. What a bunch of poor people.

Zhou Congwen was so focused that a strange thought popped into his mind.

Thoughts did not disturb his rescue, the muscle memory was still there, and the rescue was engraved in his blood, without thinking at all.

"Pneumoperitoneum decompression, anesthetist!"

Zhou Congwen's voice rose an octave, and the roar echoed in the operating room. At the same time, the clip of the medical record hit the anesthetist assistant's shoulder.

Everyone was taken aback by Zhou Congwen's tyrant-like attitude, but the numbers on the monitor made them even more frightened, and they ran subconsciously.

"Head down, feet up, left side lying position."

"Epinephrine 1mg intravenously! Dopamine should be faster!"

The anesthesiologist was also surprised when the patient's position changed immediately. What is the reason for this position?

Doctor Gao asked in a daze, "Xiao Zhou..."

"Get ready for chest compressions!" Zhou Congwen said coldly.

Doctor Gao almost didn't cry.

For chest compressions, the patient should at least be in the supine position. What should I do in the left lying position with the head down and feet up?

But Zhou Congwen just yelled at him, and didn't expect Dr. Gao, who had fallen into a petrified state, to do anything.

The right hand fixed the patient's back, and Zhou Congwen's left hand pressed down on the patient's chest.

Zhou Congwen performed non-standard chest compressions in an extremely uncomfortable position, watching the waveform on the ECG monitor while pressing.

Because there is a ventilator, artificial respiration is not required. After every five compressions, he will pat the patient's chest with his hands.

This is……

In Dr. Gao's eyes, Zhou Congwen was babbling like a witch doctor who was casting a spell, so he almost groaned and said words that others could not understand.

Has anyone done chest compressions?

No, neither Dr. Gao nor the anesthesiologist or nurse had seen it.

In addition, Zhou Congwen slapped the patient's chest like tapping his back to expel phlegm... The atmosphere in the operating room became extremely strange.

Although everyone couldn't understand it, Zhou Congwen's tyrant-like expression made everyone move, and no one dared to delay.Regardless of whether he is right or not, the patient's blood oxygen saturation is directly reset to zero, which must be a big deal.

"Epinephrine 0.1 mg, intravenous injection."

"Methylprednisolone 500mg intravenous infusion."

"Nitroglycerin……"

"I'm going to push the ambulance." When the roving nurse heard the name of nitroglycerin, she turned around and ran out immediately.

The tyrant's face was gloomy and cold, while performing non-standard chest compressions, he continued to give emergency medical orders.

"Sodium bicarbonate, 100ml, intravenous infusion."

"Speed ​​up! Hit to the max."

"Furosemide 10mg, push it in now."

Numerous doctor's orders raindrops were generally mixed with the sound of "knocking on the back and expulsion of phlegm", and the operating room was already overwhelmed.

After all, it is not a team, and it is not well-trained.Under Zhou Congwen's whip, everyone could only run and mechanically complete his doctor's orders.

"What happened to the patient?"

A familiar voice came in, and Li Qinghua and three doctors from the People's Hospital appeared at the door of the operating room.

But no one has time to answer his questions, everyone is busy.

Li Qinghua was taken aback for a moment. He passed through Zhou Congwen's body and saw the values ​​on the ECG monitor for the first time, and immediately understood what happened.

At the second glance...he saw Zhongwen's left hand slightly bent, the palm was hollow, and he was slapping the patient's chest in a posture of knocking on the back.

But knocking on the back, shouldn't it be knocking on the back?What Zhou Congwen hit was the precordial area of ​​the patient.

"Is there such a rescue? This is not nonsense..." Lu Tiancheng couldn't help nagging.

But what greeted him was only a cold sentence - "Get out!"

In the face of pulmonary embolism caused by carbon dioxide, Zhou Congwen turned into a tyrant and could not tolerate any doubts.

Chapter 0242 today's quality is not bad

roll……

out……

go……

The tyrant's icy voice pressed down on Lu Tiancheng's heart like a mountain, and his lips trembled from anger.It's simply too impolite and unruly. Is there anyone who talks like that!

But after all, he is an old doctor for many years, Lu Tiancheng saw several details in an instant.

The operation is laparoscopic, and pneumoperitoneum is established, and the patient's blood pressure is now very low, almost equivalent to zero.The blood oxygen saturation cannot be measured at all. If it is not a machine failure, it is easy to guess what happened.

Lu Tiancheng thought of a medical accident in the People's Hospital a few months ago.

During the operation, the patient died inexplicably, without even a chance to be rescued.The doctors and nurses on the operating table didn't realize what happened, and the patient just disappeared.

The patient's family members could not accept it, and the final autopsy found that the pulmonary embolism was caused by carbon dioxide.

There is nothing to say, admit your mistake and lose money.

Afterwards, the vice president in charge of the clinical department of the People's Hospital went to the general surgery department in person, scolded the doctor, suspended the doctor involved, and in the end all laparoscopic operations were forcibly stopped.

Pneumoperitoneum can lead to pulmonary embolism, which is the final conclusion of medical malpractice accidents.

The laparoscopy technology that has just been developed has fallen into silence again. Not only laparoscopy in general surgery, but also laparoscopy in gynecology and even thoracoscopic surgery in thoracic surgery have been hit hard.

Until now, Director Zhu Junzhu often brings up this matter.His conclusion is that the technology is immature, and it is extremely irresponsible to use patients for experiments.

Is this wrong?

Yes, absolutely.

The thoracic department puts thoracoscopy equipment in the warehouse, and all operations are performed with a big knife. Even the thoracoscopic bulla resection, which has begun to appear clinically intermittently, has been abandoned.

Why bother, waiting for others to explore and mature the new technology before using it will not be worthwhile for your own career. This is the thinking of all the doctors in the People's Hospital.

The patient in front of him should have pulmonary embolism caused by carbon dioxide. When Lu Tiancheng thought of this diagnosis, his face turned into a bitter gourd.

"Urgently check the blood gas analysis, urge the laboratory, and get the results as soon as possible."

"If you want one unit of platelets, ask the blood transfusion department to prepare two more units."

"Epinephrine 0.1 mg intravenously."

The doctor's order was still being issued, but Li Qinghua, Lu Tiancheng and others had already fallen into the ice cave.

Pulmonary embolism, in their view, has no cure at all, and can only depend on fate.

The life is good, and they can come back with a ventilator for a few days, but the vast majority of patients have bad "life".

It is estimated that the patient has already arrived at Naihe Bridge, and I don’t know if there is a queue on that side. If there are many people in the queue, they may be able to catch their breath for a while, but the rescue is just a little effort.

"Ulinastatin 20 units intravenously, hurry up!"

"Adrenaline, another shot."

"Dopamine goes a little faster."

The tyrant's voice was very cold, and he didn't even care about the department director Li Qinghua standing behind him, but concentrated on the rescue.

In the square inch near the operating table, at the critical moment of rescuing patients, Zhou Congwen is the only king here.

tyrant.

The patient's blood pressure gradually rose after a sound of knocking, a shot of epinephrine, and the execution of doctor's orders.

Seeing this scene, Lu Tiancheng's mouth grew bigger and bigger. If he hadn't been wearing a sterile mask, he might have hit his foot.

The vital signs on the monitor meant one thing—the rescue seemed...as if...could have been successful!

why?

Lu Tiancheng's eyes fell on Zhou Congwen's strange gesture.

Tapping the patient's precordial area and thoracic cage like tapping the back to expel phlegm, is this thing useful?

More than 20 minutes later, the patient's blood pressure returned to 80 mm Hg, and the emergency test was also reported by phone.

PT 16.7S, APTT 69.1S, TT 17.2S, FIB 1.65g/L, Hb 134g/L, Plt 83×109/L.

Zhou Congwen let out a long breath.