Medical road Qingyun
Chapter 2
Human lives matter.
In order to treat the patient, the train changed its stop plan and made a temporary stop in Qingnan County, where the ambulance was already waiting on the platform.
Although there is a hospital in Qingnan County, it is impossible for a county-level hospital to have a doctor to perform this operation, and experts must be deployed from Qingzhou People's Hospital.
As an expert in thoracic surgery, Zhou Guangchen did not escape from the battle, and took the initiative to go to the hospital to participate in the treatment, and the rest of the students also accompanied him.
Qingnan County Central Hospital.
The lights are on in the operating room.
The patient's granddaughter waited anxiously outside.
In the operating room, Zhou Guangchen put on a surgical gown and was about to undergo thoracotomy surgery.
"Chen Shuai, Zhao Yuan, you two are my assistants, Chen Shuai is the first assistant, and Zhao Yuan is the second assistant. "
Chen Shuai has performed well in school, with excellent grades, and has assisted Zhou Guangchen as an assistant before. Zhao Yuan's calm and calm adaptability in the carriage left a deep impression on Zhou Guangchen.
As an assistant, under the guidance of the chief surgeon Zhou Guangchen, he had to undertake most of the operations of the operation, including opening the chest, finding the bleeding point, stopping the bleeding, and finally suturing.
Chen Shuai offered to be responsible for the thoracotomy surgery.
He considers himself to be the best among this group of medical students, and is very confident that he will stay in Tianhua Hospital after his graduation internship.
Zhao Yuan's performance in accurately diagnosing and treating women on the train exceeded everyone's expectations, and also gave Chen Shuai a sense of crisis.
Zhao Yuan didn't care about Chen Shuai's careful thoughts, and focused on the patient's body.
Judging by the amount of blood oozing from the patient's wound, this will be a highly variable operation.
While observing each of Chen Shuai's operations, Zhao Yuan analyzed the possibility of the patient's internal appearance and the corresponding remedy.
Chen Shuai first used scissors to cut the surgical line, and then used the scalpel to carefully separate the original knife edge, with precise position and skillful movements, all in one go.
Everything seems to be going in order.
As the patient's chest cavity gradually opens, the condition changes abruptly.
Bean-sized beads of sweat poured out of Chen Shuai's forehead.
"Professor Zhou, it's not good... The amount of bleeding suddenly increased!"
Chen Shuai's voice even trembled a little, and he cast a pleading gaze towards Zhou Guangchen.
Zhou Guangchen pushed away Chen Shuai, who was at a loss.
Zhao Yuan was secretly shocked, sure enough!
There will be new changes in the operating room at any time, the human body is the most sophisticated instrument, and no one can predict what will happen in the next moment.
Massive bleeding!
Any surgery is afraid of the situation, but I didn't expect it to appear here.
Zhou Guangchen immediately took over the operation and began a series of remedial measures.
Zhao Yuan took the initiative to stand beside Zhou Guangchen, handed him the designated instruments, and executed orders such as debridement and drug injection.
Zhou Guangchen could feel Zhao Yuan's tacit understanding, and every request could be responded to by Zhao Yuan in a timely and accurate manner.
After more than 10 minutes, the bleeding has slowed down, but the situation is still not optimistic.
Zhou Guangchen's expression became extremely serious.
If you are in the hospital where you work, with the detection equipment there, you can find the location of the hemorrhage in time, and now in the county-level hospital, rashly trying, there is a high probability that it will lead to another hemorrhage... After trying a number of special hemostasis schemes, Zhou Guangchen finally made a reluctant decision.
"Zhao Yuan, you are in charge of the chest stitching!" Zhou
Guangchen did not want to save this patient.
He had tried everything he could.
Zhao Yuan stood in front of the operating table. He thought there was still a chance
!"Zhao Yuan, what are you doing? I'll let you close your chest! Did you hear that?"
Zhou Guangchen found that something was wrong with Zhao Yuan, he didn't take a needle and thread, but made an amazing move.
"I'll it!"
everyone was stunned!
Zhao Yuan put his hands into the patient's chest.
Without the help of Shuye's camera, Zhao Yuan's move was too bold!
Chen Shuai was so frightened that he shuddered.
The biggest difference between a military doctor and a general doctor is that every wounded person survives on the battlefield at all costs.
"He's... "
Stopping bleeding with bare hands, generally for external wounds, is he going to use it on organs?"
"He's going to... Pressing the cardiovascular aorta?"
Unbelievable and incredible!
This not only requires control of strength, but also needs to be combined with heart rhythm and blood flow rate!
Although Zhou Guangchen understood Zhao Yuan's approach, he still felt that he was completing something that was absolutely impossible.
Zhao Yuan was immersed in his own world, and his attention was highly concentrated.
Stop the bleeding with one hand, and take the scalpel with the other hand to enlarge the incision.
Judging by his experience, there were many bleeding spots in deeper locations.
The skin, subcutaneous tissue, muscles, and peritoneum are cut layer by layer.
The situation inside has also become clearer.
The chest cavity is full of blood, and there are more than a dozen bleeding spots that can be observed by the naked eye, and there are some that are difficult to see with the naked eye!
"The patient is in shock!" "
When the hospital was in emergency, the patient's shock was classified as a first-class endangered.
Everyone's heart in the operating room was in their throats
!"Can you squeeze such a fragile and important cardiovascular system without accidents?
"It's really messy!"
A second passes, two seconds, three seconds...
For a full minute, the amount of bleeding decreases significantly.
"The shock symptoms are gone. "
The patient's ECG returned to normal. "
Everything is starting to go for the better...
"Electrocoagulation to stop bleeding!".
Zhao Yuan took the electric knife.
until the bleeding point visible to the naked eye is completely closed.
The layman looks at the bustle, and the insider looks at the doorway.
Zhou Guangchen took a long breath, the most crucial step: stop the bleeding, it was successful!
The operation continued, and Zhao Yuan began to suture the tear located in the heart valve.
Muscle memory is like spring returning to the earth, reviving! The
right hand is dexterous like a dragonfly dancing.
The left hand is steady, like a rock containing a thousand pounds.
What is a good military doctor?
When there are no conditions, in order to let the patient survive, the technique may be very rough, and when the conditions are sufficient, it can also be very delicate.
For 1 minute, acupressure cardiovascular, bare hands to stop bleeding, both at the same time.
For 2 minutes, all bleeding openings are closed and sutures are started to close the tear.
10 minutes to complete the tear suture.
Close the chest cavity for 15 minutes.
20 minutes, the operation is over.
The biggest difficulty is that in the first two minutes, you can do two things at a time - the left finger is pressed to stop the bleeding, and the right hand is sutured.
This shortens the operation time and reduces the patient's blood loss during the procedure.
Every move was decisive and there were no mistakes.
Perfect surgery beyond the textbook level! Medical
students can only get a glimpse of the leopard, and Zhou Guangchen, as a top expert, can hardly calm down his mood for a long time.
The sterile cap was wet with sweat and the underside of the sterile gloves was wet and greasy.
Who could believe that a perfect surgery would be staged in such a demanding surgical environment and by the hands of a medical student.
When Zhao Yuan put down the scalpel, various instruments showed that the patient's vital signs remained stable.
In order to treat the patient, the train changed its stop plan and made a temporary stop in Qingnan County, where the ambulance was already waiting on the platform.
Although there is a hospital in Qingnan County, it is impossible for a county-level hospital to have a doctor to perform this operation, and experts must be deployed from Qingzhou People's Hospital.
As an expert in thoracic surgery, Zhou Guangchen did not escape from the battle, and took the initiative to go to the hospital to participate in the treatment, and the rest of the students also accompanied him.
Qingnan County Central Hospital.
The lights are on in the operating room.
The patient's granddaughter waited anxiously outside.
In the operating room, Zhou Guangchen put on a surgical gown and was about to undergo thoracotomy surgery.
"Chen Shuai, Zhao Yuan, you two are my assistants, Chen Shuai is the first assistant, and Zhao Yuan is the second assistant. "
Chen Shuai has performed well in school, with excellent grades, and has assisted Zhou Guangchen as an assistant before. Zhao Yuan's calm and calm adaptability in the carriage left a deep impression on Zhou Guangchen.
As an assistant, under the guidance of the chief surgeon Zhou Guangchen, he had to undertake most of the operations of the operation, including opening the chest, finding the bleeding point, stopping the bleeding, and finally suturing.
Chen Shuai offered to be responsible for the thoracotomy surgery.
He considers himself to be the best among this group of medical students, and is very confident that he will stay in Tianhua Hospital after his graduation internship.
Zhao Yuan's performance in accurately diagnosing and treating women on the train exceeded everyone's expectations, and also gave Chen Shuai a sense of crisis.
Zhao Yuan didn't care about Chen Shuai's careful thoughts, and focused on the patient's body.
Judging by the amount of blood oozing from the patient's wound, this will be a highly variable operation.
While observing each of Chen Shuai's operations, Zhao Yuan analyzed the possibility of the patient's internal appearance and the corresponding remedy.
Chen Shuai first used scissors to cut the surgical line, and then used the scalpel to carefully separate the original knife edge, with precise position and skillful movements, all in one go.
Everything seems to be going in order.
As the patient's chest cavity gradually opens, the condition changes abruptly.
Bean-sized beads of sweat poured out of Chen Shuai's forehead.
"Professor Zhou, it's not good... The amount of bleeding suddenly increased!"
Chen Shuai's voice even trembled a little, and he cast a pleading gaze towards Zhou Guangchen.
Zhou Guangchen pushed away Chen Shuai, who was at a loss.
Zhao Yuan was secretly shocked, sure enough!
There will be new changes in the operating room at any time, the human body is the most sophisticated instrument, and no one can predict what will happen in the next moment.
Massive bleeding!
Any surgery is afraid of the situation, but I didn't expect it to appear here.
Zhou Guangchen immediately took over the operation and began a series of remedial measures.
Zhao Yuan took the initiative to stand beside Zhou Guangchen, handed him the designated instruments, and executed orders such as debridement and drug injection.
Zhou Guangchen could feel Zhao Yuan's tacit understanding, and every request could be responded to by Zhao Yuan in a timely and accurate manner.
After more than 10 minutes, the bleeding has slowed down, but the situation is still not optimistic.
Zhou Guangchen's expression became extremely serious.
If you are in the hospital where you work, with the detection equipment there, you can find the location of the hemorrhage in time, and now in the county-level hospital, rashly trying, there is a high probability that it will lead to another hemorrhage... After trying a number of special hemostasis schemes, Zhou Guangchen finally made a reluctant decision.
"Zhao Yuan, you are in charge of the chest stitching!" Zhou
Guangchen did not want to save this patient.
He had tried everything he could.
Zhao Yuan stood in front of the operating table. He thought there was still a chance
!"Zhao Yuan, what are you doing? I'll let you close your chest! Did you hear that?"
Zhou Guangchen found that something was wrong with Zhao Yuan, he didn't take a needle and thread, but made an amazing move.
"I'll it!"
everyone was stunned!
Zhao Yuan put his hands into the patient's chest.
Without the help of Shuye's camera, Zhao Yuan's move was too bold!
Chen Shuai was so frightened that he shuddered.
The biggest difference between a military doctor and a general doctor is that every wounded person survives on the battlefield at all costs.
"He's... "
Stopping bleeding with bare hands, generally for external wounds, is he going to use it on organs?"
"He's going to... Pressing the cardiovascular aorta?"
Unbelievable and incredible!
This not only requires control of strength, but also needs to be combined with heart rhythm and blood flow rate!
Although Zhou Guangchen understood Zhao Yuan's approach, he still felt that he was completing something that was absolutely impossible.
Zhao Yuan was immersed in his own world, and his attention was highly concentrated.
Stop the bleeding with one hand, and take the scalpel with the other hand to enlarge the incision.
Judging by his experience, there were many bleeding spots in deeper locations.
The skin, subcutaneous tissue, muscles, and peritoneum are cut layer by layer.
The situation inside has also become clearer.
The chest cavity is full of blood, and there are more than a dozen bleeding spots that can be observed by the naked eye, and there are some that are difficult to see with the naked eye!
"The patient is in shock!" "
When the hospital was in emergency, the patient's shock was classified as a first-class endangered.
Everyone's heart in the operating room was in their throats
!"Can you squeeze such a fragile and important cardiovascular system without accidents?
"It's really messy!"
A second passes, two seconds, three seconds...
For a full minute, the amount of bleeding decreases significantly.
"The shock symptoms are gone. "
The patient's ECG returned to normal. "
Everything is starting to go for the better...
"Electrocoagulation to stop bleeding!".
Zhao Yuan took the electric knife.
until the bleeding point visible to the naked eye is completely closed.
The layman looks at the bustle, and the insider looks at the doorway.
Zhou Guangchen took a long breath, the most crucial step: stop the bleeding, it was successful!
The operation continued, and Zhao Yuan began to suture the tear located in the heart valve.
Muscle memory is like spring returning to the earth, reviving! The
right hand is dexterous like a dragonfly dancing.
The left hand is steady, like a rock containing a thousand pounds.
What is a good military doctor?
When there are no conditions, in order to let the patient survive, the technique may be very rough, and when the conditions are sufficient, it can also be very delicate.
For 1 minute, acupressure cardiovascular, bare hands to stop bleeding, both at the same time.
For 2 minutes, all bleeding openings are closed and sutures are started to close the tear.
10 minutes to complete the tear suture.
Close the chest cavity for 15 minutes.
20 minutes, the operation is over.
The biggest difficulty is that in the first two minutes, you can do two things at a time - the left finger is pressed to stop the bleeding, and the right hand is sutured.
This shortens the operation time and reduces the patient's blood loss during the procedure.
Every move was decisive and there were no mistakes.
Perfect surgery beyond the textbook level! Medical
students can only get a glimpse of the leopard, and Zhou Guangchen, as a top expert, can hardly calm down his mood for a long time.
The sterile cap was wet with sweat and the underside of the sterile gloves was wet and greasy.
Who could believe that a perfect surgery would be staged in such a demanding surgical environment and by the hands of a medical student.
When Zhao Yuan put down the scalpel, various instruments showed that the patient's vital signs remained stable.
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