My medical skills are a billion points

Xiao Chu carried the little boy to the operating room, ready to wash his hands and go on stage.

Emergency surgery, anesthesia quickly.

Surgery can begin!

Small bowel volvulus reduction is only a secondary operation in general surgery.

For Xiao Chu, it was as simple as drinking cold water.

Xiao Chu picked up the scalpel, made a central incision beside the right abdomen, cut each layer layer by layer, and opened the abdominal cavity.

Wang Panpan, who was very nervous all the time, looked at Xiao Chu, and saw that Xiao Chu opened his abdominal cavity very skillfully.

While heaving a sigh of relief, he also secretly admired Xiao Chu's technical level, which is extraordinary.

Fortunately, after listening to Xiao Chu's words, the little boy was hospitalized for observation, otherwise the consequences would be disastrous.

Xiao Chu continued to do his own operation, so naturally he didn't worry about Wang Panpan's reaction.

After entering the abdominal cavity, it can be seen that the intestinal loop is stagnant, and there is bloody ascites.

Xiao Chu lifted a section of intestinal loop with his left hand, and probed along the mesentery with his right hand to the root of the mesentery.

From the root of the transverse mesocolon or the lower abdomen, locate the root of the twisted mesentery.

After identifying the direction of twisting and confirming that it is twisted clockwise, restore the entire small intestine to the opposite direction of twisting.Rotate 360° to return to normal position.

Xiao Chu carefully observed the color of the intestinal tube.

It was found that the intestine and mesentery did not have serious congestion and bleeding points; the color of the intestinal serosa layer was relatively normal, and intestinal peristalsis existed.

There was no thrombus in the mesangial vein, and there was no foul smell in the abdominal cavity.The most important thing is that the mesangial artery and the marginal intestinal artery have pulse.

All this shows that the boy's intestines are not necrotic and only need to be repositioned.

And after observing for a while, the blood supply of the small intestine has been restored.

Xiao Chu sucked up the exudate in the abdominal cavity and washed it with warm salt water.

Mainly to avoid infection.

After the treatment, a drainage tube was placed in the abdominal cavity, and Xiao Chu began to close the abdomen layer by layer.

After the whole operation, Xiao Chu only took less than an hour.

Chapter 330 The Bizarre Car Accident

Seeing Wang Panpan as an assistant, he was taken aback for a while.

Xiao Chu's surgical skills have far exceeded her imagination.

However, Wang Panpan was soon relieved.

The volvulus reduction operation is only a second-level operation, so it is only natural that Xiao Chu can do it.

Otherwise, Xiao Chu would not be asked to do all the difficult operations in the emergency department.

After the little boy had the operation, he was not placed in the intensive care unit, but went to the general ward.

Because after the boy wakes up, seeing his parents will not affect his emotions, and it will also benefit his recovery.

After the little boy's parents settled him down, they both came to the office and found Xiao Chu.

"Dr. Xiao, thank you very much. If you hadn't dissuaded us in time and let us be hospitalized for observation, if we returned home,

The child suddenly appeared in this situation, and we really didn't know what to do.You saved my child's life! "

The little boy's parents are very humble now, and they are very grateful to Xiao Chuna.

In their hearts, they felt that Xiao Chu gave their child a second life.

Xiao Chu smiled and said: "You don't have to be polite, it is my duty as a doctor to cure diseases and save lives.

Based on my clinical experience, I can judge that your child is potentially dangerous, so I strongly discourage you from being hospitalized for observation. "

"You don't understand this situation. It's justifiable. You don't need to blame yourself. The child's operation was successful. The intestines were not necrotic, and the intestines were not cut off. It was just that the twisted intestines were reset. The child will be normal in the future. You don’t have to worry about growing up healthy.”

Hearing what Xiao Chu said, the boy's parents felt completely relieved.

After the boy's parents left, Wang Panpan finished the work at hand, walked over with his head down, his hands had no place to rest, and he was at a loss.

"Mr. Xiao, I want to apologize to you."

Xiao Chu looked up a little surprised

"You didn't do anything wrong, so what are you apologizing for?"

Wang Panpan still lowered his head, and whispered: "I'm sorry, Mr. Xiao, I always thought that there was nothing wrong with the little boy before, and I wanted him to go home and observe.

Or my lack of clinical experience, observation is not in place.If I were to deal with this little boy, I would probably let him go home.

I made a mistake at work, so I apologize. "

Xiao Chu smiled gently: "You didn't do anything wrong, and you don't need to apologize, you just judge the child's condition based on your clinical experience.

Just learn more and observe more in the future, don't put any psychological burden on yourself. "

"Oh, thank you, Teacher Xiao. I will definitely study hard with you in the future."

Wang Panpan was also relieved to express his thoughts.

She thought Xiao Chu would think about her wrong judgment.

The result is that I think too much.

Xiao Chu didn't care about it at all.

Because this operation was performed by Xiao Chu and Wang Panpan, Xiao Chu did not ask her to write the operation record.

Instead, spend 2 minutes in person to write a complete surgical record.

As soon as he finished writing the operation record, Wang Panpan walked in and shouted, "Mr. Xiao, a car accident patient came in the ambulance, go and have a look."

Xiao Chu walked out of the office quickly and came to the gate of the emergency room.

The emergency doctor has already pushed the injured person out of the car.

While pushing the patient with Xiao Chu, they walked in and introduced the patient's condition.

"Director Xiao, this patient rear-ended a car parked on the side of the road while driving by himself.

The patient is now in a coma, and there is a wound about six or seven centimeters long on the top of the forehead, which I have simply bandaged. "

"There was no vomiting on the way. His family is on their way."

After the emergency doctor introduced the patient's situation, several people had already carried the patient to the bed in the emergency room.

This patient is relatively fat, weighing about 90 kilograms, and looks about 25 or [-] years old.

At this time Xiao Chu called him a few words, but the patient still did not respond.

Physical examination revealed a six-centimeter wound on the top of the forehead, reaching deep to the galeal aponeurosis.Not much bleeding so far.

The bilateral pupils are two millimeters in diameter, equal in size and round in shape, and have a slow response to light.

And the man's heart and lungs have no problem.

After Xiao Chu's preliminary examination, except for the head trauma, the man found no obvious positive signs for the time being.

However, because the man is in a coma, the wound on his head cannot be stitched temporarily.

After a simple bandage, he went through the emergency hospitalization procedures first, and then hurriedly pushed him to have a head CT.

For patients injured in such a car accident, as long as they are unconscious, they must have a head CT scan as soon as possible.

See if there is intracranial hemorrhage. If the intracranial hemorrhage is severe, emergency surgery is required.

Soon head CT results came out.

Results showed the man had only a minor brain contusion, as well as a small amount of subarachnoid hemorrhage.

Judging from the film, his head injury was not serious.

Logically speaking, the degree of his injury would not cause a coma.

But the man couldn't wake up all the time, Xiao Chu was also a little puzzled.

Since the patient is in a coma and his family members have not yet arrived, he can only be placed in the intensive care unit for further observation and treatment.

Of course, before entering the intensive care unit, Xiao Chu had asked Wang Panpan to debride and suture the wound on his head.

With such a small injury, Xiao Chu naturally wouldn't do anything.

Since the patient's craniocerebral injury was not serious, Xiao Chu only gave him mannitol once.

Then he took some drugs to nourish the cranial nerves and protect the gastric mucosa, temporarily fasted food and water, and asked him about the details when he woke up.

Moreover, Xiao Chu specifically told the intensive care doctor that when the man wakes up, he must be notified first.

Half an hour later, the critical care doctor on duty called and said the man was awake.

Xiao Chu hurried to the intensive care unit.

He will ask the patient if he remembers the injury and if he has any previous medical history.

The emergency doctor said that when the ambulance went to the rescue, the people who ate melons talked about it, saying that there were no other vehicles on such a wide road, so why did this man hit the rear of someone else's car?

Although the man is sober, his spirit is relatively poor.

After all, there was a trauma to the head, even if it was not serious, there would be a slight concussion.

Xiao Chu came to his hospital bed and asked softly, "What's your name?"

"My name is Zhao Qiang."

"How old is this year?"

"25 years old!"

……

The patient answered fluently and his thinking was normal, indicating that he was indeed awake.

Xiao Chu asked again: "Do you still remember how you got into a car accident?"

The man shook his head slightly. "

"Doctor, I don't remember."

Then his expression became a little dull, and his voice also increased.

"Doctor, I want to take medicine, quickly bring my medicine."

Chapter 331 My Son Is Not Sick

Ok?

As soon as you wake up, you need to take medicine!

What medicine do you take?

On the wide road, there were no cars around, and he bumped into someone else's car.

Could it be drug driving?

Xiao Chu suddenly raised his vigilance.

Even the doctor on duty next to him suddenly opened his eyes wide.

He looked for medicine when he woke up, and his expression was a little dull, combined with some bizarre car accidents.

This patient seems to be in trouble!

Xiao Chu thought for a while, and said to the man: "Don't worry, what medicine do you want?"

"Carbamazepine and Sodium Valproate!"

The man finally said the name of the medicine.

Hearing the two medicines, Xiao Chu and the doctor on duty breathed a sigh of relief at the same time.

The heart that had just been mentioned was also completely let go.

Because these two drugs are drugs for the treatment of epileptic seizures, they are not contraband at all.