Medical road Qingyun
Chapter 17
Zhao Yuan and Sun Liang went to the outpatient clinic together, and happened to meet Dr. Sun's resident doctor in the same year on the way.
The resident doctor quickly swept over Zhao Yuan's body, and joked with a smile, "Hey, Dr. Sun is taking
interns with you?" Although many interns are assigned to Tianhua every year, most of the interns are assigned to the attending doctor.
A low-seniority resident doctor like Sun Liang is unlikely to be assigned to an intern unless he is particularly good.
Dr. Sun smiled awkwardly, "Our new intern in the Department of Emergency Surgery, his instructor is Director Tong. The
resident doctor seemed to have guessed a long time ago, and nodded to Dr. Sun, "I'm going to have surgery, we'll talk later." "
Surgery for junior residents is like the Chinese New Year, this guy is indirectly showing off.
When the other party walked away, Dr. Sun finally breathed a sigh of relief.
The relationship between himself and Zhao Yuan can't contain the fire, and it will soon spread all over Tianhua Hospital, but it can be hidden for a day.
Zhao Yuan remained silent throughout, not embarrassing himself, and Dr. Sun felt that he was not difficult to get along with.
Arrive at the emergency surgical clinic.
When Deng Yunlun saw Zhao Yuan appear, he excused himself to go around the ward and gave up the position of receiving the patient.
Like a student, Dr. Sun moved a stool and sat behind Zhao Yuan.
Not long after, a drunk, bleeding male patient arrived.
He was accompanied by two male companions, who smelled of alcohol.
"What's going on?"
Zhao Yuan saw that the male patient's face was covered with blood, and his face was solemn.
"I drank too much, and I was going to send it to the hospital to hang a drip, but I didn't expect to fall at the door of the restaurant, and my forehead hit the iron railing, cutting a big hole. Hurry up and give him a few stitches. The
escort with slightly curly hair spoke with a sloppy look, as if drunken injuries were common, and he didn't take it seriously.
The male patient was in a state of coma due to alcohol paralysis, and in this case, it was no longer possible to obtain information through examination, and a more detailed physical examination was required.
Zhao Yuan started the examination from the head wound, and the debridement was synchronized during the examination.
Dr. Sun carefully studied Zhao Yuan's techniques and was meticulous in every step.
Zhao Yuan stayed in the patient's abdomen for a long time.
The patient is unconscious and has no way to respond to percussion, so Zhao Yuan needs to make inferences by observing the instinctive reactions of muscles and nerves.
Five minutes, the inspection is over.
Zhao Yuan's expression became extremely serious, "Hurry up and give the patient an
abdominal CT!" "Head injury, why do you need to do abdominal CT?" Curly felt that the situation had become serious, and he instantly became a lot more sober.
"The patients are already in shock! To do a more comprehensive examination, you should immediately notify the family members to come to the scene quickly, and then the operation will be confirmed and signed. "
Trauma to intoxication can be very difficult to diagnose.
The average person can't even tell whether the cause of the patient's coma is alcoholism or something else.
Dr. Sun also stepped forward to examine the patient, and with his ability, he could not see any problems with the patient except for the forehead wound.
He beat a drum in his heart and reminded Zhao Yuan, "If the CT is no problem, will these people get drunk and make trouble, and the consequences will be unimaginable."
Zhao Yuan glanced at Dr. Sun and knew that he had good intentions, so he didn't explain too much, "Let the nurse arrange a flat car to take the patient to do abdominal CT." It
didn't take long for Dr. Sun to get the film.
The results made him dumbfounded
! The report showed that the patient had a crushed liver rupture!
It was simply amazing! His
admiration for Zhao Yuan was like a surging river.
If you change to a general doctor, there is a high probability that the diagnosis will be misdiagnosed, and a simple suture will be done for the patient.
As a result, the patient may die in the hospital due to massive abdominal hemorrhage due to liver rupture, which becomes a serious medical accident.
It has to be said that this patient was lucky.
He was lucky to meet Zhao Yuan, so that he would not fall after drinking and lose his life.
The two people who drank with him were completely sober.
"Well, I mean, he's not that bad at drinking. I used to hang a few bottles of water, but today I sleep like a pig.
"Alas, unlucky! None of us can escape from drinking and having an accident, and we have to pay for the medical expenses."
"What are you afraid of, there are so many people who drink, and there are not many people who spread it evenly. The
drinking friends were chattering, and the patient's family finally arrived.
"Doctor, is my husband's condition serious?"
"Immediate surgery is needed. You quickly confirm the signature, and then go to the window to pay the fee.
Deng Yunlun heard that Zhao Yuan met a patient who needed liver rupture repair, and rushed back to the clinic from the ward.
Zhao Yuan explained the patient's situation to Deng Yunlun, and after Deng Yunlun reported to Xie Changtian, he arranged for surgery in the No. 4 operating room.
"Xiao Sun, this is an operation between the second and third grades, and you will be the second assistant and give Zhao Yuan a hand, mainly responsible for the suturing of the head wound and the suturing of the abdomen!" Deng Yunlun and Sun Liang commanded.
"Ahh
The depression not long ago suddenly brightened up at this moment.
He figured it out thoroughly.
What about being Zhao Yuan's deputy?
As long as he can have surgery every day, he can be a cow and a horse for him.
When he entered the operating room, Sun Liang's heartbeat began to accelerate.
Before that, he had had only a handful of surgeries.
There is no experience in liver rupture repair surgery.
What to do if he makes a mistake.
The shadowless light turned on, and Zhao Yuan stood in front of the patient, calm and relaxed.
Sun Liang suddenly felt a strong sense of security.
I was too worried, the protagonist of this operation was Zhao Yuan, and he was just a green leaf.
Even if something goes wrong, the main knife and Ichisuke will give themselves a cover.
The moment the patient's abdominal cavity was opened, the audience was shocked.
Deng Yunlun sighed, "The injury is more serious than expected, and there is at least 3,000 milliliters of blood. His
words fell.
Zhao Yuan has already used gauze tamponade to compress and stop bleeding, blocking the first liver gate, and the wound bleeding is instantly reduced.
"The patient's luck was good, but the marginal liver tissue was inactivated. Zhao Yuan rejoiced.
The ruptured part needs to be repaired, and the inactive part is removed.
If the excision part is particularly large, the difficulty will increase.
Sun Liang observed Zhao Yuan's surgery for the second time, the roles were different, the perspective was different, and the feeling was more intuitive.
Zhao Yuan's operation is coarse and detailed, and the steps will be different from those in textbooks, but careful study will clear the clouds and fog, and let out a "I see" admiration.
Time passes.
The operating room was as quiet as a classroom after the bell rang.
There was only the sound of instruments rubbing against flesh and blood.
The bleeding from the liver wound finally stopped, and the blood pressure and heart rate gradually stabilized.
During the whole operation, the patient suffered more than 4000ml of bleeding, and 900ml of concentrated red blood cells, 800ml of plasma, 1300ml of autologous blood and 2500ml of infusion were transfused during the operation.
Zhao Yuan's efficient performance in finding the damaged part and stopping the bleeding opened Deng Yunlun's eyes.
On the operating table, he has the magic to make everything complicated simple.
Tong Zheng didn't know when he was standing behind Deng Yunlun, and Deng Yunlun was about to say hello when he found out, and Tong Zheng put his finger to his mouth to silence.
The light hit Zhao Yuan's face, and his face was particularly white.
"It's so handsome!"
"The male protagonist in the doctor drama can't compare with Dr. Zhao at all. The
nurses thought silently, no one wanted to disturb the atmosphere of the scene, and purely appreciated the beauty of the operation!
Before they knew it, two hours had passed.
"It's time to stitch up!" Zhao
Yuan handed the finishing touches to the "tool man".
Sun Liang and Zhao Yuan exchanged places, he took a deep breath, and went in and out with a needle.
Sun Liang is more serious than ever, he must ensure that this operation starts perfectly, performs perfectly, and ends perfectly with himself.
When Sun Liang cut off the sutures, Deng Yunlun couldn't help but applaud and cheer for Zhao Yuan and Sun Liang.
"The operation is over!"
Sun Liang handed the scissors to the instrument nurse with relief.
He turned around and found that in addition to Deng Yunlun, Tong Zheng also came to the operating room at some point.
"You're doing a good job!" Tong Zheng nodded approvingly at Sun Liang.
Sun Liang couldn't hold back anymore and cried with joy.
"Hmm, why did Dr. Sun cry?"
"I was moved by myself!" "It's
the first time I've experienced such a perfect surgery, and it's worth crying." "
......
Several people walked out of the operating room, and the family members couldn't wait and took the initiative to meet them.
The patient's wife asked nervously, "Doctor, how is my husband?"
Sun Liang smiled lightly: "Don't worry, the operation was successful, but the patient still has to be observed in the intensive care unit for twenty-four hours." The
patient's wife was relieved and tearfully thanked.
A drinking friend called out for luck: "It's a shame to send people directly to Tianhua Hospital, if you go to other hospitals, it is estimated that there will be no people."
"You have to thank Director Tong and Dr. Zhao, if you change to other doctors, your luck will not be so good.
Sun Liang took the opportunity to pat Tong Zheng and Zhao Yuan on the back.
turned around and found that Zhao Yuan and Tong Zheng had already gone away.
He laughed to himself and hurried after him.
There is an endless stream of patients, and the doctors in the emergency department walk with the wind.
When Sun Liang chased him to the outpatient clinic, Zhao Yuan and Tong Zheng had already started watching the film.
Zhao Yuan's expression was solemn, "The CT examination showed that there was a large amount of fluid in the abdominal cavity.
Tong Zheng also showed a tricky expression, "The blood pressure is only 55/23mmHg, but the heart rate is as high as 130 beats per minute
!" The two looked at each other and said in unison: "Ectopic * pregnancy rupture and heavy bleeding!" "Ectopic * pregnancy rupture and heavy bleeding,
the mortality rate is very high.
Of vital importance.
"Dr. Sun, hurry up and inform the family and prepare to sign the surgical agreement.
Sun Liang took a deep breath.
The joy of a successful operation vanished.
Instead, it is replaced by a tense and dull mood.
In this situation, he no longer has to worry about the volume of surgery.
Instead, he has to think about how to keep his body healthy under intense work pressure.
During the year he became a resident doctor, his hair began to fall out like crazy, and he began to pay attention to his health.
According to the current situation,
it is definitely not enough to rely on an apple every day to supplement vitamins!
The resident doctor quickly swept over Zhao Yuan's body, and joked with a smile, "Hey, Dr. Sun is taking
interns with you?" Although many interns are assigned to Tianhua every year, most of the interns are assigned to the attending doctor.
A low-seniority resident doctor like Sun Liang is unlikely to be assigned to an intern unless he is particularly good.
Dr. Sun smiled awkwardly, "Our new intern in the Department of Emergency Surgery, his instructor is Director Tong. The
resident doctor seemed to have guessed a long time ago, and nodded to Dr. Sun, "I'm going to have surgery, we'll talk later." "
Surgery for junior residents is like the Chinese New Year, this guy is indirectly showing off.
When the other party walked away, Dr. Sun finally breathed a sigh of relief.
The relationship between himself and Zhao Yuan can't contain the fire, and it will soon spread all over Tianhua Hospital, but it can be hidden for a day.
Zhao Yuan remained silent throughout, not embarrassing himself, and Dr. Sun felt that he was not difficult to get along with.
Arrive at the emergency surgical clinic.
When Deng Yunlun saw Zhao Yuan appear, he excused himself to go around the ward and gave up the position of receiving the patient.
Like a student, Dr. Sun moved a stool and sat behind Zhao Yuan.
Not long after, a drunk, bleeding male patient arrived.
He was accompanied by two male companions, who smelled of alcohol.
"What's going on?"
Zhao Yuan saw that the male patient's face was covered with blood, and his face was solemn.
"I drank too much, and I was going to send it to the hospital to hang a drip, but I didn't expect to fall at the door of the restaurant, and my forehead hit the iron railing, cutting a big hole. Hurry up and give him a few stitches. The
escort with slightly curly hair spoke with a sloppy look, as if drunken injuries were common, and he didn't take it seriously.
The male patient was in a state of coma due to alcohol paralysis, and in this case, it was no longer possible to obtain information through examination, and a more detailed physical examination was required.
Zhao Yuan started the examination from the head wound, and the debridement was synchronized during the examination.
Dr. Sun carefully studied Zhao Yuan's techniques and was meticulous in every step.
Zhao Yuan stayed in the patient's abdomen for a long time.
The patient is unconscious and has no way to respond to percussion, so Zhao Yuan needs to make inferences by observing the instinctive reactions of muscles and nerves.
Five minutes, the inspection is over.
Zhao Yuan's expression became extremely serious, "Hurry up and give the patient an
abdominal CT!" "Head injury, why do you need to do abdominal CT?" Curly felt that the situation had become serious, and he instantly became a lot more sober.
"The patients are already in shock! To do a more comprehensive examination, you should immediately notify the family members to come to the scene quickly, and then the operation will be confirmed and signed. "
Trauma to intoxication can be very difficult to diagnose.
The average person can't even tell whether the cause of the patient's coma is alcoholism or something else.
Dr. Sun also stepped forward to examine the patient, and with his ability, he could not see any problems with the patient except for the forehead wound.
He beat a drum in his heart and reminded Zhao Yuan, "If the CT is no problem, will these people get drunk and make trouble, and the consequences will be unimaginable."
Zhao Yuan glanced at Dr. Sun and knew that he had good intentions, so he didn't explain too much, "Let the nurse arrange a flat car to take the patient to do abdominal CT." It
didn't take long for Dr. Sun to get the film.
The results made him dumbfounded
! The report showed that the patient had a crushed liver rupture!
It was simply amazing! His
admiration for Zhao Yuan was like a surging river.
If you change to a general doctor, there is a high probability that the diagnosis will be misdiagnosed, and a simple suture will be done for the patient.
As a result, the patient may die in the hospital due to massive abdominal hemorrhage due to liver rupture, which becomes a serious medical accident.
It has to be said that this patient was lucky.
He was lucky to meet Zhao Yuan, so that he would not fall after drinking and lose his life.
The two people who drank with him were completely sober.
"Well, I mean, he's not that bad at drinking. I used to hang a few bottles of water, but today I sleep like a pig.
"Alas, unlucky! None of us can escape from drinking and having an accident, and we have to pay for the medical expenses."
"What are you afraid of, there are so many people who drink, and there are not many people who spread it evenly. The
drinking friends were chattering, and the patient's family finally arrived.
"Doctor, is my husband's condition serious?"
"Immediate surgery is needed. You quickly confirm the signature, and then go to the window to pay the fee.
Deng Yunlun heard that Zhao Yuan met a patient who needed liver rupture repair, and rushed back to the clinic from the ward.
Zhao Yuan explained the patient's situation to Deng Yunlun, and after Deng Yunlun reported to Xie Changtian, he arranged for surgery in the No. 4 operating room.
"Xiao Sun, this is an operation between the second and third grades, and you will be the second assistant and give Zhao Yuan a hand, mainly responsible for the suturing of the head wound and the suturing of the abdomen!" Deng Yunlun and Sun Liang commanded.
"Ahh
The depression not long ago suddenly brightened up at this moment.
He figured it out thoroughly.
What about being Zhao Yuan's deputy?
As long as he can have surgery every day, he can be a cow and a horse for him.
When he entered the operating room, Sun Liang's heartbeat began to accelerate.
Before that, he had had only a handful of surgeries.
There is no experience in liver rupture repair surgery.
What to do if he makes a mistake.
The shadowless light turned on, and Zhao Yuan stood in front of the patient, calm and relaxed.
Sun Liang suddenly felt a strong sense of security.
I was too worried, the protagonist of this operation was Zhao Yuan, and he was just a green leaf.
Even if something goes wrong, the main knife and Ichisuke will give themselves a cover.
The moment the patient's abdominal cavity was opened, the audience was shocked.
Deng Yunlun sighed, "The injury is more serious than expected, and there is at least 3,000 milliliters of blood. His
words fell.
Zhao Yuan has already used gauze tamponade to compress and stop bleeding, blocking the first liver gate, and the wound bleeding is instantly reduced.
"The patient's luck was good, but the marginal liver tissue was inactivated. Zhao Yuan rejoiced.
The ruptured part needs to be repaired, and the inactive part is removed.
If the excision part is particularly large, the difficulty will increase.
Sun Liang observed Zhao Yuan's surgery for the second time, the roles were different, the perspective was different, and the feeling was more intuitive.
Zhao Yuan's operation is coarse and detailed, and the steps will be different from those in textbooks, but careful study will clear the clouds and fog, and let out a "I see" admiration.
Time passes.
The operating room was as quiet as a classroom after the bell rang.
There was only the sound of instruments rubbing against flesh and blood.
The bleeding from the liver wound finally stopped, and the blood pressure and heart rate gradually stabilized.
During the whole operation, the patient suffered more than 4000ml of bleeding, and 900ml of concentrated red blood cells, 800ml of plasma, 1300ml of autologous blood and 2500ml of infusion were transfused during the operation.
Zhao Yuan's efficient performance in finding the damaged part and stopping the bleeding opened Deng Yunlun's eyes.
On the operating table, he has the magic to make everything complicated simple.
Tong Zheng didn't know when he was standing behind Deng Yunlun, and Deng Yunlun was about to say hello when he found out, and Tong Zheng put his finger to his mouth to silence.
The light hit Zhao Yuan's face, and his face was particularly white.
"It's so handsome!"
"The male protagonist in the doctor drama can't compare with Dr. Zhao at all. The
nurses thought silently, no one wanted to disturb the atmosphere of the scene, and purely appreciated the beauty of the operation!
Before they knew it, two hours had passed.
"It's time to stitch up!" Zhao
Yuan handed the finishing touches to the "tool man".
Sun Liang and Zhao Yuan exchanged places, he took a deep breath, and went in and out with a needle.
Sun Liang is more serious than ever, he must ensure that this operation starts perfectly, performs perfectly, and ends perfectly with himself.
When Sun Liang cut off the sutures, Deng Yunlun couldn't help but applaud and cheer for Zhao Yuan and Sun Liang.
"The operation is over!"
Sun Liang handed the scissors to the instrument nurse with relief.
He turned around and found that in addition to Deng Yunlun, Tong Zheng also came to the operating room at some point.
"You're doing a good job!" Tong Zheng nodded approvingly at Sun Liang.
Sun Liang couldn't hold back anymore and cried with joy.
"Hmm, why did Dr. Sun cry?"
"I was moved by myself!" "It's
the first time I've experienced such a perfect surgery, and it's worth crying." "
......
Several people walked out of the operating room, and the family members couldn't wait and took the initiative to meet them.
The patient's wife asked nervously, "Doctor, how is my husband?"
Sun Liang smiled lightly: "Don't worry, the operation was successful, but the patient still has to be observed in the intensive care unit for twenty-four hours." The
patient's wife was relieved and tearfully thanked.
A drinking friend called out for luck: "It's a shame to send people directly to Tianhua Hospital, if you go to other hospitals, it is estimated that there will be no people."
"You have to thank Director Tong and Dr. Zhao, if you change to other doctors, your luck will not be so good.
Sun Liang took the opportunity to pat Tong Zheng and Zhao Yuan on the back.
turned around and found that Zhao Yuan and Tong Zheng had already gone away.
He laughed to himself and hurried after him.
There is an endless stream of patients, and the doctors in the emergency department walk with the wind.
When Sun Liang chased him to the outpatient clinic, Zhao Yuan and Tong Zheng had already started watching the film.
Zhao Yuan's expression was solemn, "The CT examination showed that there was a large amount of fluid in the abdominal cavity.
Tong Zheng also showed a tricky expression, "The blood pressure is only 55/23mmHg, but the heart rate is as high as 130 beats per minute
!" The two looked at each other and said in unison: "Ectopic * pregnancy rupture and heavy bleeding!" "Ectopic * pregnancy rupture and heavy bleeding,
the mortality rate is very high.
Of vital importance.
"Dr. Sun, hurry up and inform the family and prepare to sign the surgical agreement.
Sun Liang took a deep breath.
The joy of a successful operation vanished.
Instead, it is replaced by a tense and dull mood.
In this situation, he no longer has to worry about the volume of surgery.
Instead, he has to think about how to keep his body healthy under intense work pressure.
During the year he became a resident doctor, his hair began to fall out like crazy, and he began to pay attention to his health.
According to the current situation,
it is definitely not enough to rely on an apple every day to supplement vitamins!
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