Back in 2002 as a doctor

The relationship between him and Wang Chengfa is pretty good, mainly because only Liu Wei can do single-chamber ventilation, so Wang Chengfa can rush to make friends with him.

If there is no Liu Wei, all thoracoscopic surgery will be stopped directly, and there is no way to do it.

Liu Wei actually didn't like Zhou Congwen's aggressive and disrespectful attitude towards veteran comrades.

But what Zhou Congwen described was terrible, and Liu Wei didn't think it was possible.How much effort would it take to break the spleen?

So he went to get the blood gas analysis results of the second review.

The objective test results in black and white are always the basis for diagnosis, which is more decisive than the guesses of Wang Chengfa and Zhou Congwen.

After getting the test sheet, the anesthetist glanced at it and was dumbfounded.

Hb62g/L, Hct19.6%!

In a short period of time, hemoglobin has dropped from 76g/L to 62g/L!

It would be hell if there was no internal bleeding!

Liu Wei knew the seriousness, no matter how much he despised Zhou Congwen, Zhou Congwen was right and Director Wang Chengfa was wrong in this matter.

If the patient moves back, he has to come up again within a few hours, and there is no way to explain to the patient's family.

He walked quickly back to the operating room, and saw Wang Chengfa pointing at Zhou Congwen's nose and was about to curse, but the anesthetist quickly blocked Zhou Congwen.

"Director Wang." The anesthesiologist said while handing the test sheet to Wang Chengfa.

……

……

"Wang Zhiquan." The middle-aged man with bald head and colorful arms patted his belly proudly, his fat shivering wildly.

"Then I'll call your father, don't worry, as long as you are your own father, your father will not beat you to death. If you are beaten to death, you don't complain, anyway, it is not your own father, and you are an outsider if you lose everything. Brother, what I said makes sense."

Wang Zhiquan looked at the middle-aged man with a mournful face, wanting to cry but no tears.

The bald-headed, flower-armed man took out his mobile phone, saw that Wang Zhiquan was about to grab it, and kicked Wang Zhiquan in the face.

"I gave you a face with paralysis, didn't I!"

Chapter 0134

"Brother, I beg you!" Wang Zhiquan begged, kneeling in front of the bald man and hugging his leg, ignoring the bleeding from his nose and mouth.

"Shame on you, I remember you were very happy when you won the money, and you invited everyone to drink beer." The bald man shook his legs impatiently, but Wang Zhiquan was stuck on his body like a big snot, which made him very upset. bother.

He picked up a folding chair and smashed it directly on Wang Zhiquan's back. With a muffled bang, the bald man kicked Wang Zhiquan away.

"Don't make me do it."

The bald man dialed the phone, and when he heard the beeping sound coming from the phone, Wang Zhiquan felt as if a knife had been stuck in his heart, making a puffing sound.

beep~

puff puff~

beep~

puff puff~

Wang Zhiquan lay on the ground panting like a dog in water, and even the oily baldness on his bald head dimmed.

He didn't even dare to think about what would happen next, his mind was blank.

……

……

In the operating room, Wang Chengfa took a glance at the values ​​of blood routine and blood gas analysis.

He doesn't understand blood gas analysis, but he can understand blood routine.

He knew exactly what the crazy drop in hemoglobin in a short period of time meant.Either the obstetric operation was wrong or something went wrong, and there was no other option.

But he has been watching the obstetric surgery from behind, and Wang Chengfa doesn't think there is any problem.

Did you really break your spleen during laparoscopic surgery? !

impossible!

Wang Chengfa immediately recalled the anatomical structure of the human body, and based on years of accumulated experience, he believed that the possibility of such a thing happening was very low.

Back then, the division of departments in the hospital was not so detailed. In fact, Wang Chengfa is best at general surgery.

But with the development of the hospital, and he drove many old directors to the farm to feed the rabbits, which completely offended people to death, so he was later kicked out to the chest department where few people do it.

Before that, Wang Chengfa even had his liver cut, so it can be said that he has a deep understanding of general surgery.

Even if Zhou Congwen suddenly became enlightened and learned various operations in thoracic surgery, he has never been in contact with advanced operations in general surgery. Wang Chengfa is sure of this.

According to the rules, after graduating, there are rotations of departments, but the third hospital does not have so many departments, so the young doctors who have just graduated are assigned to their own departments.

Zhou Congwen didn't have a chance to touch the splenectomy. Why did he say that he broke his spleen? !

After the spleen has been cut, he is just beeping here, probably because he read in the book that the spleen is more fragile and prone to injury and bleeding, so he said it to scare himself.

The more Wang Chengfa thought about it, the more certain he became, and he squinted at Zhou Congwen, full of anger.

"Director Wang, no matter how small the patient's matter is, it is a major matter. I suggest on-stage consultation." Zhou Congwen said word by word, especially the last four words on-stage consultation were extremely serious.

His manner of speaking was not like a little doctor talking to an old director, but there was a kind of contempt and dissatisfaction in his tone, faintly like a majestic big director scolding the little doctor.

The anesthetist was dumbfounded, he must be dreaming today.

Wang Chengfa gritted his teeth, but did not speak to Zhou Congwen. He turned to look at Shen Lang, "Shen Lang, call the obstetrics department and general surgery department for consultation on stage."

Shen Lang kept his head down and performed without physical objects. After listening to Wang Chengfa's arrangement, he immediately took off his sterile gloves and took out his mobile phone from his trouser pocket.

Zhou Congwen looked at Wang Chengfa coldly, turned off the recording, and made a call.

"Are you kidding me? The spleen I cut is no less than that of Lao Yu." Wang Chengfa squinted at Zhou Congwen and snorted contemptuously.

Director Yu of the General Surgery Department, like Wang Chengfa, both came from the People's Hospital, with a good level, and the relationship between the two is also good.It's not that Wang Chengfa is boasting about moving the old Director Yu out. It's not difficult to cut the spleen, and Wang Chengfa's level is naturally sufficient.

So he especially despised Zhou Congwen's arrogance.

However, due to Zhou Congwen's mobile phone recording, falling blood pressure, and various past experiences, Wang Chengfa gave up at the last moment.

Deep down in his heart, Wang Chengfa had identified Zhou Congwen's insidiousness and hostility towards him. Whenever he found a problem, he would press on his surgery immediately, and even recorded it!

Tolerable or unbearable!

"B-ultrasound? I, Zhou Congwen, Department of Thoracic Surgery. I need an on-stage consultation in the operating room. Please hurry up, the patient's blood pressure is low." Zhou Congwen said while holding his mobile phone.

Wang Chengfa was even more unhappy, really using himself as a director as a decoration?He didn't say to find a B-ultrasound, Zhou Congwen made his own decision.

Just as he was about to scold Zhou Congwen, Wang Chengfa's cell phone rang.

The operating room was a bit chaotic, and the anesthetist looked helplessly at the busy work of the chest department, and was at a loss with the test sheet in his hand.

"Who is it?" Wang Chengfa asked coldly, squinting at the ECG monitor without looking at Zhou Congwen.

A rough and loud voice came from the phone, and Wang Chengfa immediately moved the phone away from his ear.

Not only Wang Chengfa, but everyone in the operating room could vaguely hear the words on the phone.

The man laughed happily while talking, and Wang Chengfa's complexion became more and more unsightly, turning black and translucent.He briefly told what happened, and the voice on the phone was even more proud.

"Zhiquan borrowed money from me without repaying it, and used the real estate as collateral. Director Wang, come to handle the transfer procedures. When do you have time?"

"Hahaha, I always say I'm looking for you for dinner. After the transfer is over, you will give me a face, and we two will have a drink together. The transfer is a joke. I want cash, cash!"

"Hahaha~~"

Arrogant, triumphant laughter came from the phone.

Wang Chengfa's burly body swayed, and he wanted to turn around and leave with a sullen face, but he paused when he put away the phone, looked back at the patient, hesitated for a few seconds, and then stayed.

Seeing Wang Chengfa's expression was unkind, and the others were silent, the anesthetist asked in a low voice, "Director Wang, what's going on at home?"

"Hmph!" Wang Chengfa snorted coldly, "A group of local ruffians are talking nonsense. They told me to transfer accounts. I will talk to them when the patients step down."

"When I went to the northern market a few days ago, I saw Zhiquan watching the ball..."

When Wang Chengfa heard the word qiu, his face became even more unsightly.

"Zhiquan, he..." The anesthesiologist peeked at Wang Chengfa's face, saw that his old face was dark and blue, and swallowed all the remaining words.

Wang Zhiquan cried intermittently on the phone, and he said something intermittently, and Wang Chengfa guessed what happened.

Wang Cheng's face darkened, and he said angrily, "I was cheated, I was cheated! I even bought South Korea to win. It's embarrassing to say it."

"Ah?! The Korean team lost."

A frustrated and frustrated voice came from Zhou Congwen.

Um?Hearing Zhou Congwen's frustrated tone, Wang Chengfa seemed to be in a better mood.

As long as you have a good time, I am happy.

"Xiao Zhou, you too..." the anesthesiologist asked in surprise.

"The sports lottery I bought is legal." Zhou Congwen sighed, "Why did I lose? Impossible."

"How much did you lose?" the anesthetist was curious.

"2 yuan." Zhou Congwen said lightly, and stabbed Wang Chengfa in the heart again.

"..."

Blue veins appeared on Wang Chengfa's forehead "suddenly".

Chapter 0135 as stable as an old "dog"

After Zhou Congwen stabbed Wang Chengfa in the heart, he stopped paying attention to him, but stood by the operating table and looked at the numbers on the ventilator and monitor.

Theoretically speaking, Wang Chengfa did not have a particularly serious fault in handling this matter. Even Zhou Congwen couldn't be sure whether it was Wang Chengfa's operation error or the patient's spleen had ruptured when he was transferred from a lower-level hospital.

Because thoracoscopic splenic rupture is a very rare complication.

In Zhou Congwen's memory, there are only 3 similar case reports found in domestic and foreign literature.

These 3 cases were discovered after the patients woke up, and were further confirmed by abdominal CT or B-ultrasound. Among them, 2 cases were treated with splenectomy, and the other case was treated conservatively.

All three cases were considered to be blunt injury to the left diaphragm caused by surgery-related instruments during thoracoscopic surgery, resulting in rupture of the spleen below the diaphragm, and no obvious damage to the diaphragm was found in all patients.

Who knows what's going on, Zhou Congwen doesn't bother to talk about this kind of medical accident.

For the sake of Wang Chengfa, the bad relationship between doctors and patients will not deteriorate early.

Soon, staff on duty from the general surgery department and obstetrics department came to the operating room for on-stage consultation.In addition, Zhou Congwen asked for a bedside B-ultrasound, and soon came to the conclusion that the spleen had ruptured.

The head of the general surgery department stayed behind directly. After asking about the situation, he did not directly communicate with the patient's family, but looked at Wang Chengfa.

"Director Wang, why don't you go and say something?"

Wang Cheng nodded with a dark face.

Although he was unwilling, he knew that the doctors in the general surgery department were for his own good.If you have something to say by yourself, you can still favor yourself.

Wang Zhiquan had already lost the house over there, and this was the reason why he still didn't dare to leave.

Everything depends on how it is said.

Although there is nothing to do in the chest department, even a ruptured spleen is the job of the general surgery department.But Wang Chengfa didn't dare to leave, he was afraid that someone would talk nonsense behind his back and stir up the dissatisfaction of the patient's family members.

At this time, no matter who came to put out the fire, Wang Chengfa was worried, except himself.

Even if the head inpatient in the general surgery department refused to let him explain, Wang Chengfa would follow suit.

Zhou Congwen felt relieved when he saw that the general surgery department had begun to lay out the sheets and make preoperative preparations.He said to Shen Lang, "I'll go back first."

"Ah? Let's go now?" Shen Lang was still a little confused. The operation was quite complicated, and it even got so troublesome that Zhou Congwen recorded it with his mobile phone, forcing Director Wang to invite someone to come for a consultation.

With such an uproar, Zhou Congwen actually said he wanted to leave?

"It's okay to stay here, I'm going back." Zhou Congwen narrowed his eyes and gave Shen Lang a smile.

"Go back, I hope the patient will go directly to the general surgery department after stepping down." Shen Lang muttered in a low voice.

"Don't dream." Zhou Congwen patted Shen Lang on the shoulder, "If you step down, you must go back to our ward, just watch carefully."

"Why!" Shen Lang objected.