Back in 2002 as a doctor

While enjoying themselves, a voice broke the happiness and reunion.

Chapter 0108

why?

Liu Di was also taken aback, desperately looking for knowledge about young people's room speed in his mind.

"Could it be caused by a heart injury?" the anesthesiologist suddenly added.

"Bring me the film and let me take a look." Wang Chengfa said in a deep voice.

The anesthetist immediately came over with the chest X-ray and held it up to the light outside the sterile area outside the operation.

Wang Chengfa took a closer look, "No, the patient's heart looks big. Is it caused by contusion?"

"Yes, it may be a heart contusion!" Liu Di immediately added, "Most heart contusions will cause sinus bradycardia, but a more dangerous clinical manifestation is supraventricular tachycardia."

Wang Chengfa frowned, staring closely at the ECG monitor.

The patient's heart rate has dropped from 150-160 beats/min to 115 beats/min.

"See you soon on room speed." The anesthetist whispered.

His voice was not loud, because the electrocardiogram was messy, like a ball of twine.He doesn't quite understand his level, so he can only make a rough idea.

It is necessary to have professional training to read the electrocardiogram. Generally, clinicians will look at a sinus heart rate and know that the electrocardiogram is not right. The wave changes.

Wang Chengfa stared blankly at the electrocardiogram, then looked back at the plain film, hesitating for a few seconds.

"Xiaoguan, single-lumen tube?" Wang Chengfa asked.

"Well, it's on the operating sheet..." the anesthesiologist had just explained something before Wang Chengfa interrupted him, "Turn the chest open."

On the operating table, Wang Chengfa more or less had the aura of saying nothing.

In fact, it is not difficult to change the surgical method to achieve this level of surgery, as long as the pleura is opened.

No one remembered what happened to the discussion initiated by Zhou Congwen before. After Wang Chengfa finished speaking, he didn't move, but stared at the patient's ECG monitoring all the time.

The patient's heart rate did not drop like a cliff, but the downward trend was extremely firm. After 2 minutes of observation, it had dropped from 115 beats/min to 92 beats/min.

At the same time, the oscillographic ST segment of the ECG monitor was raised, and then became a mess, and Wang Chengfa couldn't understand what it meant.

Open your chest!

Rich clinical experience tells Wang Chengfa that patients must have a major heart problem, and there is no need to think too much about the specific problem.

The heart was contused, there was a lot of oozing fluid, and the enlargement of the heart shadow that I had neglected on the film because of the broken ribs was so glaring at this time.What is the specific disease, do you need to ask?

Cardiac tamponade for sure!

Wang Chengfa stopped hesitating and opened his chest directly.

The automatic chest opener stretched the ribs. Because the patient had multiple rib fractures, the ribs were not removed, and the screw was directly screwed to expose the surgical field.

Although Wang Chengfa moved quickly, the monitor suddenly started screaming when his hands were on the patient's lungs.

The sound of the alarm is like a pair of invisible hands, pressing on everyone's heart.

Wang Chengfa's hand reached into the chest cavity, pressing the lungs down, and suddenly saw the huge pericardium beating weakly.

The beating rhythm of the heart is getting slower and slower, and the strength is getting weaker and weaker.

Wang Chengfa picked up the knife and cut open the bulging pericardium.

Similar rescues were all stab wounds. Wang Chengfa has done no less than dozens of similar rescues, so he has rich experience.

But this time there was plenty of time, after the pericardium was cut, a suction device was inserted, and a large amount of fluid in the pericardium was sucked out with a hissing sound.

Wang Chengfa directly pressed it twice with his hand, and as the pressure decreased, the patient's heart returned to normal beating.Feeling the strong beating of the heart, Wang Chengfa let out a long breath.

A catastrophe disappeared invisible, Wang Chengfa was very proud.

He quietly watched the patient's ECG monitoring, and the patient's heart rate returned to about 110 beats per minute, and there was no change.

call...

never mind.

Wang Chengfa was finally relieved.

The patient's heart had a large area of ​​dark red on the side of the rib fracture, and the myocardial contusion was severe.

However, for the Jianghai Third Hospital in 2002, there was no special treatment, as long as the pericardial tamponade caused by a large amount of exudate after contusion was prevented, and the rest of the patients could rest on their own.

"Master, it's amazing." Liu Di said with admiration from the bottom of his heart as Wang Chengfa cut open his pericardium.

In a similar situation, circulatory medicine can only judge from the inspection values ​​and various indicators, and it is definitely not as shocking as the surgery.

Liu Di was really shocked, his tone was full of sincere admiration.

Satisfied, Wang Chengfa's eyelids drooped, the corners of his mouth turned up, and the mask was pulled out of shape.

This kind of rescue is a small matter for me!

"Director Wang, awesome!" The anesthetist was dumbfounded and exclaimed.

"It's nothing, normal rescue." Wang Chengfa suppressed the pride in his heart, and said calmly, "Observe for 5 minutes, and continue the operation if there is nothing wrong."

"Master, you walk like flying on the basketball court, I can't even defend against you. You are so good on stage, even stronger than playing basketball!" Liu Di almost cast his body in admiration.

Wang Chengfa could tell if someone's flattering was sincere. Liu Di's heartfelt praise made him so ecstatic that he didn't notice that the suction device inserted into the pericardial cavity had been withdrawn.

Zhou Congwen also heaved a sigh of relief, and calmly solved a big problem, which is definitely more tiring than presiding over the rescue from the beginning to the end.

What a hassle, Zhou Congwen thought to himself.

It's fine if he didn't understand in the previous life, what Wang Chengfa said was what.

But now that the map is fully open, I have predicted that the patient may have pericardial tamponade due to pericardial effusion. It is really tiring to guide Wang Chengfa to prepare early.

Zhou Congwen felt that his heart was also injured, severe heart contusion, chest tightness, shortness of breath, and weakness.

so tired,

I'm so heartbroken.

However, this hurdle was over for the patient, Zhou Congwen relaxed and began to fish on the operating table.

Amidst the sound of flattery, Wang Chengfa spent nearly 4 hours completing the two procedures of rib fracture fixation and pericardial incision and drainage.

But unlike usual, he didn't step off the stage after closing his chest, but turned around and left after sewing the skin all the way.

The overall difficulty of the operation was not that great, and Wang Chengfa was in a particularly good mood, humming a little song and finishing the last stitch, "Xiaoguan, take the tube down."

"Okay, use a ventilator for two days, and the patient's cardiopulmonary function will improve."

After speaking, Wang Chengfa turned around, took off the sterile gloves and sterile gown, and left the operating room with big strides.

"Zhou, Master's level is really high."

After Wang Chengfa left, Liu Di was still full of praise.

It can be seen that Wang Chengfa's "decisive" chest opening just now, and the action of opening the pericardium to solve the cardiac tamponade looked like a heavenly man to Liu Di.

Chapter 0109 has not completed the system task

Is the level high?Zhou Congwen smiled, and held the tweezers against the skin.

Although he has been paddling for fish, Zhou Congwen spent a lot of effort on this operation.That is to say, Liu Di was powerful, and at that time he followed up with a "casual" question of his own, which saved a lot of trouble.

Zhou Congwen had a good impression of Liu Di in the first place, and he made a great contribution today, so he said with a smile, "Use the ventilator."

"I have learned it, but I can't use it well." Liu Di replied cautiously.

"Go back and ask Director Wang, and don't be vague." Zhou Congwen warned, "If you have any questions, call and report immediately. Changing the mode of the ventilator is different from other treatments, so don't be embarrassed."

Knowing that Zhou Congwen was doing it for his own benefit, Liu Di nodded quickly.

After sending the patient off stage, Zhou Congwen went back to the locker room to change clothes.

He was sitting in the locker room with a white ganoderma lucidum in his mouth, staring at the system panel on the upper right of his field of vision in a daze, without even lighting a cigarette.

The operation was successfully completed, but the system did not remind me to complete the task, the damn task is still there.

Zhou Congwen was a little confused.

It is not surprising that many continuous tasks in the previous life have been suspended for a long time, even for several years.

But this time the system issued an urgent task.

Although the patient in front of him is critically ill, in his opinion, it is relatively simple. Multiple rib fractures, heart contusion, and cardiac tamponade. Everything that needs to be treated has been cured. What else does the little guy in the system want?

Doesn't it count if you don't do it yourself?

Zhou Congwen complained in his heart.

If this is the case, I'm afraid I have to go to the Second Hospital of Medical University to join Professor Chen Houkun early.In the Third Hospital of Haicheng City, I had no chance of surgery at all.

But thinking about it carefully, it seems that this is not possible.

If the task fails, the system will also prompt.But this time the system doesn't say it's going to work, and it doesn't say it won't work, so it just hangs around.

Could it be that this guy is broken?

After thinking for a long time, Zhou Congwen didn't get a clue, so he could only let it go.He comforted himself, as long as the mission didn't fail, nothing else mattered.

……

……

The next day, Zhou Congwen finally knew why the system had not sent out the message to complete the task.

At 16 o'clock in the afternoon, Wang Chengfa came to the small intensive care unit for rounds before get off work. Liu Di never got off work and has been taking care of her until now.

He reported the latest test report, rigorous and serious, and Wang Chengfa was very satisfied with it.

"Prepare to extubate." Wang Chengfa waved after checking the patient's pupils and consciousness.

At this moment, Zhou Congwen finally knew why the system did not tell him that the task was completed—the patient's heart function was very poor. In Zhou Congwen's opinion, the ventilator would take at least 3-5 days to work.

However, Wang Chengfa wanted to directly extubate and go offline.

It will be offline in less than 24 hours. Even if the patient is strong, he may not be able to bear such a toss.

"Director Wang, I'm afraid the patient's body won't be able to accept it. And the blood gas analysis of the postoperative reexamination..." Zhou Congwen didn't have time to find a way, so he took a step forward and said directly.

"Huh?" Wang Chengfa squinted at Zhou Congwen with a cold expression on his face, "Are you questioning my doctor's order?"

"Director Wang, the patient..."

"If you have the ability to be the director yourself, otherwise shut up."

In front of the patients and their families, Wang Chengfa did not swear, but his tone was very firm, and he did not leave any face to Zhou Congwen.

This is the right of the department director, and Zhou Congwen has nothing to do.If every little doctor could question at will and not carry out the director's doctor's order, I'm afraid the medical order would collapse early.

Zhou Congwen could only swallow a bad breath in his throat.

Wang Chengfa glanced at Zhou Congwen contemptuously, and said contemptuously, "Didn't you always say to write a medical history record? Remember every word I said, I decided to extubate."

I bear it, Zhou Congwen lowered his head and frowned.

Wang Chengfa triumphantly extubated the patient as if he had won a decisive victory.

"Whoo~"

The patient coughed a few mouthfuls of phlegm, took a deep breath, "I'm so sick."

Intubation must be uncomfortable, Zhou Congwen also knows.

But now is not a good time to extubate.He silently watched Wang Chengfa talking and laughing with the patient's family members, and glanced at himself from time to time. Before leaving, Wang Chengfa asked Liu Di to turn off the ventilator. Zhou Congwen could only sigh deeply.

After they were all gone, Zhou Congwen moved a chair and sat on the patient's bedside.

"What is he looking at?" a patient's worker asked in a low voice.

"Who knows, just now I said that the director did something wrong. Young people these days really don't know the heights of the heavens and the earth."

"I don't understand anything, and I was afraid of accidents, so I had to move a chair to sit in the room. Director Wang said that he is fine, and he can be moved out of the intensive care unit tomorrow."

There were voices of discussion from the patient's family members outside, Zhou Congwen's heart was calm, and he didn't care what others said.

Although the patient was intubated, the chest wall pain was severe when breathing due to multiple rib fractures, and the blood oxygen saturation was not ideal.