My medical skills are a billion points

"Director Xiao, your medical ethics is really very high, I admire it very much!"

"But to be honest, you said that this pennant is just a piece of cloth, it's not worth eating or drinking, so what's the use of it?"

"Can the pennant represent your life-saving grace? How can money represent your heart!"

The more the man talked, the more excited he became, and he wished he could show Xiao Chu his heart.

Xiao Chu hastily stopped his eloquence.

"Sir, you see, I've taken your wish. The pennant you sent can represent your wish. Don't think about other messes."

"Your daughter is recovering very well now, and she can be discharged from the hospital after the stitches are removed in a few days."

As soon as he mentioned his daughter, the man immediately stopped talking.

"Okay, Director Xiao, I'll let you worry about it."

Xiao Chu was finally freed, and he let out a sigh of relief.

This middle-aged man is so enthusiastic that people don't know why.

When Xiao Chu returned to the office, Gao Yingjun laughed and said, "Xiao Chu, did the patient's family give you a red envelope again?"

Because the family member just now was standing in the hospital corridor, giving Xiao Chu a red envelope.

Moreover, the passing medical staff and other patients, of course, also saw clearly.

Some melon eaters even stood at a distance, watching how Xiao Chu would deal with it.

Gao Yingjun peeked out from the door of the office, and of course saw this scene.

Xiao Chu smiled helplessly.

"This family member has already sent a pennant, but I didn't expect him to do this again."

Gao Yingjun smiled and said: "It's not that the family members thought the pennant was worthless, so they gave you some red envelopes."

Xiao Chu shivered all over.

"Pull it down, I won't touch red envelopes anymore, I didn't suffer enough last time!"

To be honest, it was quite common in the past few years for patients' family members to give doctors, especially surgeons, red envelopes.

It's just that in the past one or two years, the phenomenon of giving red envelopes has gradually decreased.

This also has a certain relationship with the relevant regulations issued by the health department.

Of course, the most important thing is that the economic situation has improved in recent years. When there are more patients, the main income of doctors is to pay bonuses based on the number of patients they see.

With a lot of bonuses, doctors will naturally no longer accept red envelopes from patients.

What's more, after receiving the red envelope, I will feel uneasy.

It's better to treat diseases and save lives honestly, and get bonuses to be more comfortable.

While several people were chatting, the sound of an ambulance sounded outside the emergency room.

Xiao Chu, Gao Yingjun and others rushed to see the patients.

The patient was a young man in his thirties.

Because of a rear-end collision and not wearing a seat belt, the whole person hit the steering wheel.

Now the man's consciousness is clear, but his face is a little pale.

After Xiao Chu gave him a physical examination, he asked, "What's wrong with you?"

Pointing to his upper abdomen, the man said in pain: "I mainly have a stomachache, dizziness, and a little nausea."

The man's pulse is relatively fast, and his complexion is a little pale, and he is sweating, and his blood pressure is 85/50mmHg.

This is a symptom of shock.

It shows that the man's abdominal cavity is estimated to have bleeding.

Gao Yingjun took over the patient and arranged the man in the ward.

A series of blood tests were carried out on him, mainly to prepare for the operation.

After all, the man's injury is relatively clear. According to his symptoms, the possibility of abdominal organ rupture is extremely high.

Sure enough, after checking the color ultrasound, it indicated that the spleen had ruptured and peritoneal effusion.

Abdominal viscera are ruptured and there will be more bleeding.

The patient will soon go into shock and even coma.

In this case, emergency surgery is required.

Gao Yingjun explained the situation to his family members in detail, and the family members signed the consent form for the operation.

Soon, the patient was lying on the operating bed, anesthetized.

The anesthesiologist made an OK gesture, and the operation can begin.

This time, of course, it was Gao Yingjun who performed the surgery.

Such an operation that he can take, of course, does not need Xiao Chu to do it.

And Xiao Chu was the second assistant, and Wang Panpan was the first assistant.

After all, Wang Panpan is a doctor in training, so it is impossible to always ask her to pull the hook to sew the skin, and she has to be slowly started to do the work with technical content.

If you can't learn anything, it's not easy to go back to their hospital.

Xiao Chu became the second assistant, basically in the state of escort.

Exploratory laparotomy + splenic rupture repair (splenectomy) is only a secondary operation.

For Gao Yingjun, it was easy.

Wang Panpan has already done the preliminary work such as disinfection and laying towels.

I saw that Gao Yingjun took the left upper rectus abdominis incision, and cut through each layer of the abdominal wall in sequence.

Just entered the abdominal cavity.

"Goo!"

A stream of blood gushed out.

"Quick, autologous blood recovery!"

It is known that the patient has a ruptured spleen, and intra-abdominal hemorrhage is certain.

Gao Yingjun had been prepared for a long time, and hurriedly ordered the recovery of the intra-abdominal hemorrhage so that it could be treated and infused back to the patient.

The amount of bleeding was about [-] milliliters, which is considered massive bleeding.

If he hadn't come to the hospital and given measures such as blood transfusion, rehydration, and pressurization in a timely manner, the patient would have died long ago.

The bleeding in the abdominal cavity was almost recovered, so Gao Yingjun carefully explored the abdominal cavity.

"The middle pole of the spleen was lacerated, about 3 centimeters long and 2.5 centimeters deep. The damage was so severe that it could not be repaired. Splenectomy was planned."

Gao Yingjun described the situation while probing.

This is for Wang Panpan to write the operation record after the operation.

Wang Panpan opened the stomach and transverse colon with a retractor, and Gao Yingjun cut open the avascular area of ​​the gastrosplenic ligament, entered the omental sac, and exposed the upper edge of the pancreas.

Find the splenic artery at the upper border of the pancreas, cut the capsule on its surface, and separate the splenic artery.

The splenic artery was double ligated with double 7-gauge wire.

The spleen and stomach ligament was separated, and the short gastric blood vessels were separated and sutured until the bottom of the stomach.

The spleen is gently lifted out of the incision to expose the splenorenal ligament.

Separate, cut, and ligate the spleen-renal ligament.

Expose the splenocolic ligament, separate, cut off, and ligate the splenocolic ligament.

To expose the spleen pedicle, clamp the spleen pedicle with two curved forceps, and cut off the spleen pedicle between the two forceps.

Wang Panpan took out the severed spleen with both hands and put it in a curved plate.

The freshly cut spleen is dark red, soft and steaming.

Everyone is used to visceral removal.

The stump of the spleen pedicle was ligated by Gao Yingjun with double No. 7 sutures, and then sutured through with No. 7 sutures.

Carefully check that there is no bleeding, and suture the peritoneum of the splenic bed with No. 1 thread.

At this point, [-]% of the operation has been completed.

Chapter 293 Have You Seen Tetanus?This is

It took Gao Yingjun nearly two hours from entering the abdominal cavity to ligating the spleen pedicle.

From Xiao Chu's point of view, his operation was quite satisfactory, with no shortcomings or bright spots.

If this operation is performed by him, it can be completed in less than an hour.

For Gao Yingjun, the result of this second-level surgery is not bad.

He also knew that with his ability, he couldn't compare with Xiao Chu, let alone the operation time.

All he has to do is to perform the operation steadily, and the slow time is not a problem.

Do not seek success, but seek no fault.

The technique is developed slowly.

Not overnight.

Anyway, he felt that as long as he followed Xiao Chu, sooner or later his operation speed would be improved.

After this operation was completed, it was already past the noon off-duty time.

The hospital cafeteria has also been closed long ago, and several people had to order takeaway.

Anyway, every Monday in the hospital is the time when there are the most patients.

Whether it is an outpatient department or an inpatient department, patients will do it specially.

As the gatekeeper of the hospital, the emergency department has the most patients.

No, a few people had just eaten half of the takeaway, and the urgent siren of the ambulance sounded outside the door again.

The three of them didn't bother to finish their meal, wiped their mouths casually with paper towels, and hurried out of the hall to receive patients.

The patient is a 25-year-old young man who works in a construction site.

In the past two days, he felt a little cold, so he took some cold medicine, but it didn't work.

Today, I suddenly developed a high fever, and my body temperature reached 39 degrees.

I was about to come to the hospital for an examination, but suddenly my whole body convulsed.

Workers on the construction site called 120 and brought him to the emergency department.

According to emergency physicians, the patient is in the ambulance and has returned to normal.

Unexpectedly, in the process of Gao Yingjun's examination on this patient, his whole body twitched suddenly.

As a last resort, he was injected with diazepam and sedation before completing the relevant examinations.

The patient had intermittent convulsions, so Gao Yingjun arranged him in the ICU.

Gao Yingjun has already got the chest X-ray for examination.

Putting the film on the reading light, Gao Yingjun looked at Wang Panpan: "What do you think of this patient?"

Wang Panpan hesitated for a moment.

"The patient had cold symptoms and high fever in the early stage, and now the chest X-ray shows inflammatory exudation. I think it is a lung infection!"

Gao Yingjun asked again: "Then what's the matter with his convulsions? Will convulsions appear due to lung infection?"

Wang Panpan sneered.

"Is the convulsion caused by a febrile convulsion?"

"Or if necessary, let's check him with a head MRI to rule out the possibility of epilepsy!"