Surgeons dressed as poor people in the Republic of China

"Doctor Ye! Doctor Ye! Word! Word! Signed!" Nurse Xiao Zheng quickly ran in.

"Blood pressure, pulse, abdominal circumference."

"Blood pressure 70/38, pulse, pulse can't be touched!"

"Abdominal circumference... 52!"

"2% procaine, I'll go to the operating room next door to see if there is a 50ml syringe!"

The doctors in the operating room were busy running around. The head nurse Zhou checked the abdominal puncture kit, syringes, and disinfection supplies twice, then turned to Ye Yibai and said, "Doctor Ye, the inspection of the equipment is complete."

Ye Yibai made an OK gesture to her, and rubbed his temples at the same time, "You spread the disinfectant towel, and I'll wash my face."

The cold water was slapped directly on the face, and the cerebral cortex was stimulated by the low temperature, and it returned to a state of excitement in a short time. Ye Yibai took a deep breath, and patted his face hard to drive away sleepiness.

Dry it with a sterile towel, and return to the operating room with your hands raised.

"Surgical gown."

Putting on a mask, hat, and gloves, he stood in front of the operating table again.

"The anesthesia is over." Richard said to him sideways.

Ye Yibai nodded, "The puncture needle."

With his left hand wearing a sterile glove, he found the child's navel and pubic bone 1 cm to the left, fixed it with the index finger and middle finger, and punctured it vertically with the needle in his right hand.

The needle resistance changes from strong to weak, and finally disappears slowly. Gently pull the piston rod, and the liquid slowly appears in the syringe.

All eyes in the operating room were fixed on the syringe in Ye Yibai's hand. When the dazzling red color appeared in the syringe, everyone felt complicated.

Looking at the state of the extracted fluid, it was already confirmed that it was intra-abdominal hemorrhage, and felt helpless, but at the same time, all the white coats secretly breathed a sigh of relief. No matter what, at least the extent of the bleeding could be determined, which was better than looking like a headless cat. Fly around like a good fly.

"Report your blood pressure again."

"Blood pressure 80/54."

In fact, Feng Ran's blood pressure did not reach the standard for surgery, but with the child's current state, he had to fight shock first before surgery.

"Get ready to open your stomach."

Without Ye Yibai's words, all the white coats had already taken their positions, and even the two little doctors sat obediently in their positions, pressing the breathing bag hard in turn.

"Knife."

An incision was made in the middle of the abdomen, and the surface layer of the skin was cut. The slightly bluish peritoneum made everyone's hearts tense. Ye Yibai kept moving, and the peritoneum touched the surgical incision, making a sound like whipping cream.

"Suck."

As soon as the abdominal cavity was opened, Ye Yibai saw obviously more blood clots on the left side. Taking advantage of Richard's suction to clean up the abdominal cavity, he directly lifted Feng Ran's spleen with his hands, and sure enough...

Quickly pinch the spleen pedicle with the left hand.

"Curved Vessel Clamp!"

Dr. Ma quickly took the curved blood vessel clamp handed over by head nurse Zhou, and clamped it at the pedicle of the spleen.

Abdominal exploration does not require too much technical content, only patience and proficiency. Because the location of the injury cannot be determined, the doctor must pick up the organs in the abdominal cavity one by one and carefully examine them. This process is all done with bare hands.

Liver, spleen, stomach, kidney, mesentery, pancreas... There are many organs in the abdominal cavity. It is very particular about which one to check first and which one to check according to the condition of the abdominal cavity.

Just like Ye Yibai opened the abdominal cavity and saw that there were too many blood clots on the left side, he would subconsciously lift out the spleen. A skilled surgeon can open the peritoneum completely, and at a glance, he can know which organ is acting as a monster.

Ye Yibai's left hand slowly loosened the spleen pedicle. After he took a look, he made sure that the curved hemostat had temporarily stopped the bleeding, then moved his right hand slightly, and turned the splintered side towards himself, and then stretched out his left hand to break it off...

A break?

Break it! !

With a "poof", the spleen snapped, and Ye Yibai threw the part of the spleen that had been broken off and lost its vitality into the treatment tray.

"Needle holder."

Head nurse Zhou originally predicted that the scalpel should be handed over, but Ye Yibai directly broke off the shattered part of the spleen with his hands, so the scalpel was naturally unnecessary.

"Oh, good." Head nurse Zhou said hastily, and then replaced the scalpel with a needle holder and handed it over.

While sucking and cleaning up the blood and broken tissues in the abdominal cavity, Richard glanced at the broken spleen part on the treatment tray not far away, it was broken off... He suddenly felt a little cold in his abdomen.

The faces of the two little doctors who pressed the breathing bag were also a little pale, and they were crushed... Oh no, the scene of breaking the internal organs was actually staged in front of them. shocking.

In particular, the breathing sac looks a bit like a spleen from a certain angle. When they pinch it, they always have the feeling that their internal organs are about to shatter in their hands.

"silk."

In fact, for a mature and experienced surgeon, there is nothing more trustworthy than his own hands. Ye Yibai dares to accept it. Although the aesthetics of breaking it with his hands will be worse than blunt removal of the handle, However, it can preserve the spleen tissue to the greatest extent and better preserve its physiological functions.

The vascular branches of active bleeding in the splenic section were ligated, and the branches of the extrasplenic arteries at the injured site were ligated.

"Omentum."

Gently cover the omentum on the sutured opening of the section, and then reset the spleen.

Next is the left lobe of the liver, the left kidney, the right lobe of the liver, the lower line of the liver, the duodenum of the liver, and the right kidney. Gently slide your hands on the exposed surface of the liver and kidney, touch its flexibility, and observe whether there is any damage. The little guy is lucky, his liver and kidneys are intact.

However, the amount of intra-abdominal hemorrhage did not significantly decrease, Ye Yibai frowned, and then pushed the entire small intestine to the left.

As soon as he touched the small intestine, Dr. Ye knew that Feng Ran's small intestine must be damaged, and the intestinal fluid showed obvious signs of outflow. He reached into the root of the small intestinal mesentery with his left hand and pinched the superior mesenteric artery and vein.

Here it is.

By pinching the superior mesangial blood vessels, the bleeding in Feng Ran's abdominal cavity was obviously tending to be controlled. Ye Yibai knew that the source of the bleeding had been found.

"Vascular clamp."

Clamping the artery and vein, Ye Yibai let out a soft breath.

Richard, who was sucking blood, was the first to notice the reduction in the amount of bleeding, and his blue eyes were clearly showing a look of excitement, "God bless this child, my life is saved."

As soon as these words came out, the atmosphere in the operating room instantly relaxed a lot. Everyone's sleepiness and depressed emotions were swept away together, and the two little doctors squeezed the breathing bag hard.

As for the shadow of crushing the internal organs... The two young generals said that since they put on this white coat, they will have a day to break their spleen with their hands. When they go back today, they will go to the vegetable market to buy some pig spleen and see if they break too much. got used to!

"It's not over yet, don't be too happy."

Dr. Ye inspected the rupture in the small mesentery, which is responsible for the blood supply and return of almost the entire intestinal tract, so he must be very careful in handling it, otherwise it will leave sequelae.

"Knife."

"Needle holder."

The damage was too severe to be repaired and partly removed, and those that could be saved were slowly repaired. When the last vascular branch was sutured and ligated, Nurse Xiaozheng clapped her hands hard twice with joy.

Of course, this untimely behavior caused her to immediately receive the death stare from head nurse Zhou.

Nurse Xiaozheng put down her hand awkwardly, then tiptoed to wipe Ye Yibai's sweat.

The next step is to live patiently.

The average length of the human small intestine is five meters, and the small intestine is rolled over section by section. When you see a perforation, you take it out and clamp it with tissue forceps.

And some mixture of intestinal fluid, blood, and... feces, oh, it's okay, the white coats are wearing masks, and compared to adults, the child's feces are still relatively clean.

"Salt water rinse. I'll change my gloves."

The child's life was no longer in danger, and the mood of the white coats improved a lot, and they became interested in joking.

Dr. Ma watched Ye Yibai changing his gloves, and said with a smile: "Your skills are superb, Dr. Ye, but you still lack experience. This abdominal cavity is already very clean. I think I opened one back then, and the feces leaked out. It's a small septic tank."

"I didn't change my face and my heart didn't beat. I went inside the glove. After washing it, I can continue to use it. Anyway, I haven't finished it, and it will still leak. When I sew it, it will leak directly on my hand..."

A group of white coats: ...

Time passed by, and with the "dangdang" sound of the tram outside the hospital, a new day came.

Outside the operating room, Aunt Gui sat withered all night, her eyes stared blankly at the door of the operating room, and her eyes slowly became tinged with despair.

Director Pei...

For some reason, Pei Zebi couldn't sleep well at night, so he had to get up every hour to take a look. He walked from the ward to the toilet, and "by the way" looked at the door of the operating room.

His frequency made the nurse on duty at the nurse desk hesitant to speak. If it weren't for the uniform, the nurse would probably directly suggest that he go to the urology department.

Last night, the ones delivered by Zhangjin Restaurant were left alone on the nurse's table. Dean Shen went in to see them last night, and wanted Ye Yibai and the others to take turns filling their stomachs. Yes, even if I want to go to the toilet, I have to endure it.

In other words, the bladders of the surgeons are quite good. After such two consecutive operations, except for the two little doctors who went to the toilet in turn, no one else seemed to have the desire to release it.

Of course, it is also possible to hold back... After all, the two little doctors can take turns pinching the breathing bag, Richard and Dr. Ma sucking and flushing a retractor, which can't be moved.

As for Doctor Ye...

"Richard, I'll leave it to you."

"Okay, Ye, but let me go to the bathroom first." Richard pulled a forced smile on his face.

Dr. Ma kept pulling the hook, and looked at Richard's back, his eyes filled with envy.

7:42 am

A group of people in white coats were staggering around in the operating room. This time they didn't even sit against the wall. They were bold and unrestrained like Richard, and lay down directly on the floor of the operating room. wall clock on room wall.

Because the intubation has not been pulled out and the breathing bag cannot be stopped, the two little doctors are awake, but they are young, and they can take turns, and their condition is much better than the other white coats who are about to fall into a coma. .

"Teacher, go to sleep. I'll call you after the anesthesia passes."

One of the little doctors said cautiously, and then he received the most admiring eyes from the senior doctors in his career.

8:16

"The patient's spontaneous heartbeat and spontaneous breathing resumed, and the heartbeat rate was 54 times per minute..."

Head nurse Zhou looked at her watch and reported such a number.

54 ah, the heart rate is slower than that of the average elderly, but it will not reach the level of vegetative cortex death.

"Feng Ran, Feng Ran, can you hear our voices?"

"Feng Ran, Feng Ran..."

Nurse Xiao Zheng yelled in Feng Ran's ear, while slapping the child's cheek hard... Well, it was really hard.

5 minute later.

"After the craniotomy, there are patients who regain consciousness in two to three months. The family members should wait and push them out first."

"Don't look dejected. If you can't smile, you will be sullen. The family members will be nervous." Dr. Ma saw the two dejected little doctors and patted them on the shoulders.

"It's already very good. The head and spleen are broken. Whoever wants to die, at least the child's life is saved, and the chance of waking up is also high."

operating room

Aunt Gui was sitting on the seat next to the corridor. She didn't sleep all night, and she didn't even close her eyes. After one night, there were obviously red bloodshot eyes in her eyes.

"It's open, the door of the operating room is open."

The little nurse on the operating table not far away was also paying attention to the situation here. When the door of the operating room was opened, she immediately picked up the list on the table and ran to the door of the operating room.

People in white coats pushed the trundle out one after another.

Aunt Gui suddenly stood up from her seat, she was a little dizzy when she stood up too quickly after a whole night without eating or sleeping, but she didn't care about this now, and walked towards the crowd with a pale face.

"Doctor..." She looked at Ye Yibai, her vocal cords almost trembling, "My son..."

Dr. Ye took off his mask, "The operation was considered a success. The child's vital signs have basically stabilized, but what he injured was the head, the most complicated organ in the human body. Next, his own willpower is more important than ours."

Aunt Gui looked at Ye Yibai with some confusion, "Doctor, I'm sorry, I haven't read a book, I don't quite understand, why is his own willpower more important?"

Doctors can’t just tell the patient’s family members good things. Even if they can’t bear it, they must tell the family members of all possibilities. In some cases, in order to avoid unnecessary risks, conflicts and misunderstandings, doctors have to go to serious lengths. Li said.

"Feng Ran's spontaneous heartbeat and spontaneous breathing have recovered, that is to say, his body is ready to wake up, but when he wakes up depends on the recovery of his brain. It should take a while." Ye Yibai Consider the sentence and say.

"A period of time?" Aunt Gui lowered her head and repeated, "How...how long?" She asked cautiously.

"Maybe tomorrow, maybe a week, maybe two to three months, maybe... a lifetime."

Aunt Gui felt dizzy for a while, "Forever? Forever...doctor, that is to say, but for the rest of my life, I can only lie down?"

Aunt Gui couldn't tell what she was feeling at the moment, she just felt that her head was empty, as if her emotions had left her in an instant, there was no sadness or despair, and the whole world was terribly empty.

"Feng Ran's mother, what I'm talking about is only the worst possibility. Based on my experience, Feng Ran's brain damage has not been serious enough to become a vegetable. At this time, the company of family and friends is particularly important. Human will Strength is a very miraculous thing, if you are more optimistic, maybe he will wake up tomorrow."

"Yes, yes, maybe I'll wake up tomorrow, tomorrow..." Aunt Gui muttered to herself, and walked to her son with her eyes closed, tears streaming down her face.

"Push it to the intensive care unit." Ye Yibai said to the little nurse who ran over to hand over.

The little nurse nodded, and greeted several colleagues to push her towards the intensive care unit.

"Oh, God, Dean Shen, you came just in time. I asked for leave in the morning, and I need to go to sleep, otherwise I will die suddenly." While talking, Richard rushed up the stairs, as if he was a second late It's really like performing sudden death on the spot.

Shen Lai looked at the agile appearance of this foreign boy, and shook his head, "Everyone, rest today, I will go to the dormitory to call you if I have something to do, oh, yes, there is something to eat on the nurse's table, everyone didn't eat dinner last night, just go straight to the dormitory. Going to sleep is not good for the stomach, so put a cushion first."

Everyone exclaimed when they heard the words, and then rushed towards the nurse's desk one after another. In the lobby where people were coming and going, they showed a story about a beggar in a white coat.

Ye Yibai also wanted to go to the nurse's desk, but when he got halfway there, someone grabbed his arm.

"The things there were delivered last night. They were cold. I have a hot breakfast."

If the owner of Zhangjin Restaurant doesn't have a little foresight, he can't climb the big tree of the police station. After knowing that Pei Zebi was in the hospital last night and was going to stay with him all night, he sent someone to deliver breakfast early this morning. portion... But Xie Yang is still awake, and the salt water is hanging, so the nutrition will not be lacking.

hot?

"Xiao Long Soy Milk Fried Tiao Wontons are available."

Dr. Ye's eyes lit up, he silently turned his body ninety degrees, and said with a smile, "Then thank you Chu Pei."

Xie Yang's ward was a spacious double room. Xie Yang lay on one bed, and Pei Zebi slept on the other bed last night.

There was only one stool in the ward, and Ye Yibai was about to move him over. Pei Zebi pointed to his bed and said, "There are a lot of things sent by Zhangjin Hotel, and the bedside table is not enough. The wontons and fried noodles have to be placed on the stool. You sit on it." Let's go to bed."

Ye Yibai glanced at the big food box on the bedside table and nodded.

After drinking the hot soy milk, Ye Yibai felt his stomach relax a lot. He looked at the obvious dark circles on Pei Zebi's face, "Didn't sleep well? Xie Yang's problem is not serious, he should be able to wake up today , don’t do strenuous exercise, avoid excessive emotional ups and downs, I’ll teach you cardiopulmonary resuscitation later, take care of children with heart disease, you have to learn this.”

Pei Zebi smiled and nodded, "Eat more, Xie Yang hasn't woken up, it's a waste if I can't finish it all by myself."

"You eat too." The food box was intact just now, that is, Pei Zebi had never eaten it, Ye Yibai handed him a bun, and the moment Pei Zebi took it, Doctor Ye felt a little embarrassed.

It's not because of anything else, although he was wearing gloves when he first treated the upper abdominal cavity, and he had washed and disinfected his hands before leaving the operating room, but it was still a bit weird to touch the food so directly.

Steamed stuffed buns...he wouldn't eat them himself, he would just eat them with a spoon.

The two talked while having breakfast, and after eating a bowl of wontons, Ye Yibai's upper and lower eyelids began to fight.

"Doctor Ye, you can rest here for a while, the bed is empty anyway."

Rest here?Ye Yibai's only remaining brain cells that have not yet been dormant conveyed the signal to the master, rest, um, let's rest, the conditions here are better than his four-person dormitory...

"Then I won't be polite to you. I'm so sleepy. Tell the nurse's desk that you can wake me up if there is something urgent." After speaking, he lay on his side, closed his eyes and fell asleep.

Pei Zebi got up and closed the curtains and door of the ward. Looking at Ye Yibai who fell asleep almost immediately, he shook his head with a smile, and pulled out the cup to cover it for others.

When pulling the quilt, a black undershirt fell out of the quilt and landed on Ye Yibai's chest. Pei Zebi's hand paused for a moment. He took it off because he was too hot in the morning, and threw it directly on the bed. There was a rare blush on the face of Director Da, he picked up the coat and quickly stuffed it into the drawer of the bedside table, his heart beating fast.

He had frequent urination last night and a tachycardia today. Could it be that he is really sick?

at the same time

9:15 am

A green leather train let out a roar of "Woooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo" and slowly stopped under the expectant gazes of people who came to pick up people on the platform.

Passengers poured out of the train doors, quickly found their relatives and friends, and there was a joyful reunion on the platform.

"Teacher, we're here." A man in his forties knocked on the compartments and said softly outside the door at the same time.

"Well, let the common people go down first." The compartment door opened, and a hale and hearty old man with gray hair in his 80s and [-]s came out of the compartment, "Let that brat wait a while, and you, take all your clothes It’s changed, I’m a bad old man, what’s going on with your outfits.”

A group of men in military uniform standing guard subconsciously looked at the middle-aged man.

The middle-aged man waved his hand, "Listen to the teacher and change clothes."

"Yes!" Everyone saluted, then trotted away.

The old man took out a cigarette from his pocket, and the man in the middle hurriedly took out a lighter to light it for him. The smell of nicotine began to permeate the compartment. The old man took off his gloves and stretched out his hand to hold the cigarette. There are only four fingers.

"Shanghai... let's go, let's go down too."

A group of people filed out, and when they reached the platform, the old man looked left and right.

"I don't have good eyesight, old man, Xiao Qu, have you seen that brat?" The old man wondered while smoking a cigarette, "Isn't that brat's ostentation so big before? Could it be that this demotion has really affected him?" It’s so big, you don’t even care about the arrangement?”

however

10 minutes later

The old man's complexion was dark, and the middle-aged man's complexion was also a little embarrassed. The people below had searched everywhere, but there was no sign of Director Pei.

"Teacher, did you tell Zebi the wrong time?"

The old man snorted heavily, "Wrong time? I will tell the wrong time. That bastard just didn't take me seriously. Let's go to Pei's mansion. If you don't come to pick me up, I'll go myself!"