Back in 2002 as a doctor

After changing their clothes, the two walked in.

"Professor Chen, the double-lumen tube can be used."

"The director of the anesthesiology department came to anesthetize in person, so there is no need to consider the issue of the double-lumen tube."

"That's good."

What Zhou Congwen was more worried about was anesthesia. If the double-lumen tube, which is still considered a high-tech intubation method in the Third Hospital, is not done well, thoracoscopy cannot be performed at all.

When I came to the operating room, the anesthetist was using a laryngoscope to deliver a double-lumen tube. There were two anesthesiologists around to help pass things. At first glance, it was the director of the anesthesiology department. It would not be such a good treatment for another person.

Zhou Congwen was not in a hurry, he quietly found a place to watch the operation of the director of the anesthesiology department of the Second Hospital of the Medical University.

A 10cm high pillow is placed under the patient's head, and the supine sniffing position is taken, and the body position is standard.

The laryngoscope exposes the glottis, and the tip of the bronchial segment of the double-lumen bronchial catheter goes upward. After passing through the glottis, the stylet is pulled out, continues to enter the catheter, and is inserted counterclockwise by 90°.

Not bad, skillful technique, considered a top-notch anesthesiologist.

The importance of anesthesia is very important to doctors, especially neurosurgeons and thoracic surgeons.

There was once a great surgeon who failed to compete for the dean, went to another city to be the dean and continued to perform operations every day.He has his own royal anesthetist, and if the anesthetist has something to do, he would rather anesthetize the patient himself than let other anesthetists touch the patient.

Although this kind of behavior is somewhat obsessive-compulsive, it shows the importance of anesthesia from the side.

Zhou Congwen saw that the director of the anesthesiology department used the standard five-point method to auscultate the breath sounds of both lungs, and carefully observed the end-tidal carbon dioxide waveform on the monitor, confirming that the double-lumen bronchial tube was located in the trachea.

After confirming, he clamped the lumen on the side of the trachea, opened the overflow cap, and inflated the bronchial cuff.

Seeing this, Zhou Congwen turned to watch the movie.

The anesthesia was fine. The director of the anesthesiology department was very old-fashioned, and he did not relax at all during the anesthesia. He followed the standard procedures throughout the whole process, which was almost a textbook-like operation.

The film was inserted into the film reader, and Zhou Congwen put his hand on top of his head, and rustled his small crew cut through the sterile cap.

This is Zhou Congwen's habit. When he encounters a problem, he always puts his hands on his flat head.

The image is a very standard right side pneumothorax, and a slightly high-density image can be seen in the chest cavity, which is a blood clot. If it is not removed by surgical means, even if the patient survives, it will affect the future lung function.

Zhou Congwen looked at the film while tucking his haircut. Unfortunately, the patient's pericardial cyst was located outside the right ventricle, at the lower right of the mediastinum.

Because there was a large amount of pleural effusion and blood clots, part of the image of the pericardial cyst was blocked, but Zhou Congwen couldn't help it.

Zhou Congwen didn't consider the status of the patient's family members either. In his eyes, there was only disease.

It's not that he doesn't know how to be afraid, but because Zhou Congwen worked in the commander's mansion for a while in his previous life, the one from the province really doesn't rank high in his heart.

The cause of the disease originated from a pericardial cyst. If thoracoscopy is used to stop the bleeding and the cyst is not removed, even if the operation successfully stops the bleeding and the patient resigns, the estimated survival time is only 3-6 months.

If I used to plan the operation myself, I would definitely cut off the pericardial cyst "by the way".

But can the old man's body bear it?Zhou Congwen moved his fingers slightly, feeling the texture of his small crew cut through the sterile cap.

The level has recovered a bit. Although it is not comparable to the peak state of the previous life, it should be fine.If Professor Chen believes in his own words.

Chapter 0094

What Zhou Congwen worried about was that doctors in 2002 would consider themselves heretics.

Judging from the current technical level, if the bleeding can be stopped, it will be auspicious.As for pericardial cysts, they didn't even dare to think about it.

identity!

identity! !

identity! ! !

Zhou Congwen was a little helpless.

If he was still an academician, no one would dare to question his decision.But now I am just a treating doctor, talking like farting.

Farting still has a stink, and I don't even have a smell when I speak now, so it is very likely that I will be ignored directly.

There are countless thoughts, and I can only look at the situation after going on stage.

There are still some details. Zhou Congwen will carefully watch the film over and over again before each operation.

In the past, he was three to seven points. Since he developed this habit, he directly shaved his hair into a small crew cut.It's better to be flat-headed and worry-free if you don't look good on yourself, just like now.

As for whether it looks good or not, does it affect the operation?Don't think about it at all.

"Old Chen, are you sure?" A trembling female voice came.

The voice sounded very familiar, but Zhou Congwen didn't look at it. He had already thought of who it was—Teng Fei, director of the circulation department of the Second Hospital of Medical University.

Director Teng should have done the chest piercing himself, but it turned out that there was such a big mistake, it's normal for her to be afraid.

The reason why Zhou Congwen is familiar with Director Teng Feiteng's voice is because Director Teng instigated the heart stent surgery in the previous life, and it is precisely because of this that she is very familiar with Professor Chen.

As an upstream department, as long as the mouth is crooked, it can determine the amount of cardiac surgery.And Teng Fei has already started coronary interventional surgery, and if something goes wrong, he will also need to be covered by cardiac surgery.

There is a close relationship between the two.

This is the advantage of large hospitals, but it depends on human effort, and specific problems need to be analyzed in detail.Now is the time when the cardiothoracic surgery department needs to wipe the ass of the circulatory department, but this pot is a bit big, so big that Director Teng can't handle it.

Professor Chen hesitated for a moment, then whispered, "Director Teng, I will do my best."

"Old Chen, you..." Teng Fei's voice trembled, "You must let the patient settle down safely."

Chen Houkun glanced at the ECG monitor, and under the premise of continuous blood transfusion, the patient's high blood pressure has dropped to 58 mm Hg.

"Do your best, try your best."

After speaking, Professor Chen installed the handstand himself and seized the time to start the stage.

"Old Chen, why are you... alone?" Teng Fei was a little surprised, she asked in surprise.

"There's an assistant." Chen Houkun glanced at Zhou Congwen, who was concentrating on watching the movie, and was holding the sterile cap on his head with his right hand, wondering what it was like.

"He's from the imperial capital?" Hope rose in Teng Fei's heart.

"No, the... little doctor from the Third Hospital of Jianghai City."

"..." Teng Fei almost stopped crying for a moment.

When the doctors from the Third Hospital of Jianghai City came to the provincial capital, what else could they do, it must be advanced studies.

A trainee doctor doesn't even have this kind of vision. Here, Chen Houkun installed the hand frame and head frame by himself, and he watched movies there like a big hand.

Dare you be a little more unreliable!

Teng Fei knew that the quality of doctors varied, but the fellow doctor in front of him, Ke Nima, was too varied.

For such an important operation, Chen Houkun actually brought in a trainee whose quality was beyond description, so uneven that he couldn't stand it...

"Old Chen, I beg you." Teng Fei pulled Chen Houkun's isolation suit, "I know your current situation, but it's too... Tell me, I'll find someone to help you. If he doesn't Come on, I'll fight him hard!"

"Director Teng, I invited this person."

"..." Teng Fei stared blankly at Chen Houkun, and after a few seconds turned back to look at Zhou Congwen's back.

This shit is too weird, is Chen Houkun crazy?Chen Houkun was tricked by Zhang You, is he already insane?

"Old Chen, look at our friendship for many years, give me a hand." Teng Fei wept and grabbed Chen Houkun's hand and begged, "You know the situation. We cooperated well in the past. If you need patients, I will introduce them to you." Here you go, never ambiguous.

This time I encountered trouble, you must give me a hand. "

Chen Houkun was speechless.

"A trainee doctor in Jianghai City, you still say please? I know you feel wronged, but I can't get involved in your chest department. It's all Director Zhang's fault, you can't give up on yourself."

Teng Fei kept persuading.

"Director Teng, one minute earlier, the patient will be safer. I didn't give up on myself, don't worry." Chen Houkun pushed Teng Fei's hand aside, and seized the time to make preoperative preparations.

Teng Fei had no choice but to step back and watch Chen Houkun busy.

The real Nima is unreliable. No matter how old Chen is, he still holds the title of deputy director of the thoracic surgery department. He has fallen to this level, and he probably has to follow in his footsteps.

Teng Fei stood in the corner in a daze. She knew the rules of the operating room.

Director Cui of the anesthesia department finished the anesthesia and asked his anesthesiologist to watch and stood beside Teng Fei.

"Director Teng, you are too anxious."

"Director Cui, do you think I can take it easy? It's all about." Teng Fei said helplessly, wiping away tears.

"Do you still remember that academician Chu met a young doctor who came to refer him here, and he was moved to take in apprentices?"

"Uh……"

"It's him." Director Cui said in a low voice, "Last time, there was an operation on a Fasi, Master Chen... Chen Houkun insisted on finding an assistant, Director Zhang personally went to Jianghai City to pick him up."

"..." Teng Fei looked sideways.

"To be honest, I don't know why Chen Houkun is so optimistic about a small doctor in Jianghai City. But since Chen Houkun also likes it, and Academician Chu also likes it, there must be a reason for him."

"Oh, young man, it's not stable. Look, Lao Chen is busy, and he doesn't know how to help. It's as if he is a professor and Lao Chen is his student." Teng Fei whispered.

"Yes, I don't know what Lao Chen thinks." Director Cui stared at Zhou Congwen's back.

"Xiao Zhou, come and help me position myself." Professor Chen greeted.

"Hmm." Zhou Congwen touched his small crew cut for the last time through the sterile cap, rustling.

"A recent blood routine test showed that hemoglobin was too low, down to 49g. Problems with coagulation also started to occur, and I'm worried after surgery..." Professor Chen whispered.

Zhou Congwen knew that Professor Chen was also a bit messy, after all, he was responsible for it.

The patient is 88 years old. To put it bluntly, he can tremble three times when the wind blows. When he encounters hemorrhage and hemorrhagic shock, even if he can survive the operation, it is difficult to recover after the operation.

Director Zhang didn't know when he had come in, and he instructed the others in the thoracic surgery department to position themselves.Zhou Congwen glanced at Zhang You, and took Professor Chen to brush his hands.

"Xiao Zhou, are you sure?"

Professor Chen asked this question again and again. He looked calm, but he was already panicking in his heart.

"Professor Chen, I will be a good assistant." Zhou Congwen explained a fact calmly.

I'm just an assistant, are you sure? You don't know what to do as a magician.

Chapter 0095

As an assistant, Zhou Congwen was always just an assistant, so it seemed a little unreasonable for the surgeon to ask the assistant.

Professor Chen sighed, and prayed in his heart that Zhou Congwen would behave as he did when the meat ball was removed under the gastroscope just now!As for the fact that I imagined that there would be no omissions when I watched Xiao Zhou undergo surgery next time, Chen Houkun didn't dare to think about it.

Brush hands, sanitize, and go on stage.

Without delay.

The patient was lying on the left side at 45°. Zhou Congwen began to spread the sheet directly after brushing his hands, and soon he and Chen Houkun stood on the right side of the patient at the position of the surgeon and the first assistant.

A skin incision about 4 cm long was made in the fourth intercostal space on the right anterior axillary line, and blunt dissection was performed quickly to enter the chest cavity.

The long-headed suction device was inserted, and there was a continuous hissing sound, and the black and red non-clotting blood was drawn out, seemingly endlessly.

Chen Houkun felt guilty.

After all, the patient has already taken off the chest bottle, and there is still so much non-coagulated blood in the chest cavity.

After sucking out 1200ml of non-clotting blood, switch to the left lateral position, make a skin incision about 7cm long in the seventh intercostal space on the right midaxillary line, and put it into the thoracoscope for exploration.

Zhou Congwen operated the laparoscopic head, looked at the opposite TV screen without blinking, and skillfully used the laparoscopic probe with his right hand to find the position he needed.

One of the more difficult aspects of laparoscopic surgery is the field of vision, because the surgeon needs to operate, so the job of finding the operative field is done by the first assistant.

A good assistant must understand the operation process and what the operator is going to do. The vision always follows the operator's intention and never delays the operation schedule.

This is the so-called "holding mirror".

Without the training of hundreds of surgeries, there is no way to hold the mirror like a hand.

Without a tacit cooperation with the operator, it is difficult to hold the mirror properly.

Director Cui and Director Tengfei of the Anesthesiology Department stood behind and watched the operation. As soon as the mirror entered, Director Cui nodded slightly.

"Director Cui, how is the operation going?" Teng Fei was even more confused than Chen Houkun, her voice was very low and trembling slightly, she asked Director Cui, hoping to get some good news.

"It's not bad." Director Cui looked along the field of view of the laparoscopic lens and gave a pertinent answer.

After all, he has just entered the chest cavity, even with Zhou Congwen's level, he can't make it feel like a hype.

If you say more, it can make people's eyes shine.