Sleepless Doctor
Chapter 161: Can't make it up
"When did Mr. Wu leave?" Professor Tang felt better, and asked with a long breath.
"3 minutes ago, Professor Tang left when you started sewing." Ren Haitao's assistant said.
Professor Tang was sure that Teacher Wu had already left, and suddenly felt that his whole body was weak, and he almost sat on the ground.
This operation was done, and it was an old sin.
Do evil!
Wang Chengfa of Dog Day! He must have given himself eye drops on purpose!
Professor Tang gave Wang Chengfa a vicious look, and vowed in his heart that if he had a chance in the future, he would make good use of this old guy.
Teacher Wu is here. Don't run to Bajingzi if you have nothing to do in the future. Whoever wants to come and who comes, doesn't come by himself.
"What should I do after the patient?" Professor Tang didn't even take off his surgical gown, and he sat down on a stool to catch his breath.
"Ms. Wu said that there is nothing wrong, so please call him if there is something to do." said the itinerant nurse.
"Well, it's okay." Professor Tang was finally relieved this time.
It's a blessing to say that it's all right if there is such a big Yaozi.
"Hai Tao, how did you do this?" Professor Tang asked.
"Oh, don't mention it." Ren Haitao's mood is obviously not high. He originally wanted to "by the way" ask about the methods and methods of rehydration under B-ultrasound positioning, rescue methods, and the most precious experience, but he did not expect to encounter such a thing. .
How many elderly patients outside the chest undergo lobectomy, all of them have a clear history of asthma, they struggle to go upstairs, and they have to panic for a long time. But for so many years, Silent Lung has not encountered it herself. But I didn't expect to encounter it in a place like Bajingzi.
Life is really unreasonable.
Ren Haitao was worried about sending the patient back, and watched for another half an hour.
Seeing that the patient was completely awakened from general anesthesia, without any signs of asthma, and obviously nothing happened, he was depressed.
It's not because the patient is completely okay and depressed, it's an unclear emotion, in short, he is in a particularly bad mood, quite bad.
"Hai Tao, let's go, let's have dinner." Professor Tang greeted.
"I...I'm afraid that the patient is at risk." Ren Haitao said depressedly, "I'll watch it for a long time, it's okay, I'll go back by myself."
Seeing Ren Haitao's dejected, like a **** that was defeated in a fight, Professor Tang felt distressed.
"Mr. Wu said it's all right, don't worry." Professor Tang said, patting Ren Haitao on the shoulder, "Besides, you see that the guardianship is so stable. If you have anything to do, you will be back in ten minutes. Bajingzi is not like ours. , There is no traffic jam here."
Ren Haitao thinks about it, too. He rushed over early in the morning and didn't eat breakfast. The hormones in the body had not been metabolized in the emergency rescue. If he didn't eat something, he was afraid that he would not be able to carry it.
In case of hypoglycemia and fainting in the ward, it would be ashamed to be thrown at grandma's house. Don't make trouble, Teacher Wu has to come back to rescue herself. If this happens, you will have no face to see Teacher Wu again.
Walking out of the ward with Professor Tang, Ren Haitao sighed long.
"Don't be depressed, isn't it all right? Fortunately, Teacher Wu is here." Professor Tang smiled, "If you rush to anesthetize, I will stop the patient before I open the channel. Guess what will happen in the end?"
In a word, Ren Haitao's sweat was frightened again. It wasn't that he was shocked by his poor psychological quality, but that this hypothesis was really too scary.
In the sophomore year of medical school, there is still a medical department covered. The group of people in the medical office usually consists of five people and six people, but when something goes wrong, Director Ma can help himself. Director Ma is pretty reliable in doing things, and the sophomore doctors and nurses all admit this.
But if something goes wrong with the operation privately, it is not requested by the patient's family... all kinds of bad thoughts appear in Ren Haitao's mind. He never expected that if Wu Mian was not in the Bajingzi Hospital of Traditional Chinese Medicine, he would not come.
"Brother Tang, don't scare me anymore." Ren Haitao smiled bitterly and said, "I was frightened today. If you touch it, my calves are all soft now."
"Don't be nonsense, at your age, you are soft except for a hard mouth. It's okay, it's over." Seeing that Ren Haitao's face was wrong, Professor Tang made a small joke and urged him to change his clothes.
After returning to the ward, he observed for another half an hour. The patient was awakened from anesthesia and everything was normal. Ren Haitao then left nervously.
When I came to the hotel arranged by Wang Chengfa, I sat down and ate two bites of food to avoid the risk of hypoglycemia. Professor Tang asked, "Haitao, I heard Teacher Wu ask you the batch number and manufacturer of the medicine during the rescue. What's the meaning?"
Ren Haitao made a wait gesture, and drank a bottle of Coke. After feeling the blood sugar came up, he said, "I am not very clear about the specifics. I listened to my teacher when the Emperor was following the B-ultrasound rescue."
"Huh?" Dean Xue was also interested, looking at Ren Haitao.
"Very few patients in the operating room will experience anaphylactic shock. This stuff comes and goes without a trace, and you can't do a skin test in advance. So far, there are many things in the world's top hospitals that have not been studied, so let's not think about it."
"My teacher, some manufacturers have special reactions to certain products. Once an anaphylactic shock occurs in the operating room, even the drugs produced by the world's major multinational pharmaceutical companies will be scrapped at one time. Even if they are not scrapped, no one dares to use it."
This is the same rule as the Second Hospital of Medical University. It's just that the rules are rules, not on the surface, but hidden rules.
"I don't know how specific it is. I will ask Teacher Wu when I have time." Ren Haitao said. When I came back to Bajingzi for the operation, I didn't ask clearly about the B-ultrasound. On the contrary, there was one more thing to ask Teacher Wu.
"Hai Tao, can Silent Lung be avoided? I've vaguely heard of it before, but I haven't encountered it." Professor Tang asked.
"Generally, I don't think about this kind of thing." Ren Haitao shook his head and sighed, "I really pondered today. The percentage of eosinophils in the patient's laboratory test sheet is 6.2%, which is slightly higher. I also asked in detail. Both the patient and the patient’s family said there was no history of asthma."
"This disease usually refers to patients with bronchial asthma due to intubation irritation, leading to strong bronchial spasm or extensive mucus plugs, resulting in wheezing and a significant decrease or disappearance of breath sounds."
"Oh, it's also bad luck. We have at least ten thoracoscopic lobectomy operations outside the chest every day. Most of them are over 70 years old. Asthma is a normal problem. As long as you can climb to the third floor, you can't breathe without being tired. Pulmonary function is considered to pass. Who can consider silent lungs to go up, if that's the case, surgery doesn't need to be done."
Professor Tang thinks about it, it seems the same is true.
"I think the increase in eosinophils should be compared to the patient's recent mild cough and sputum. But it is not serious, and the patient and the patient's family ignored it. The patient is in a state of high response... Forget it, I really can't make it up. Go down."
Ren Haitao looked depressed.
"Hahaha."
Ren Haitao's words amused everyone present.
Does everything really depend on weaving? There are many things clinically that modern medicine cannot explain. Ren Haitao can say so many in one breath, which is considered as a solid basic skill.
"Seriously, I don't understand why this patient has a silent lung. It can only be attributed to my bad luck. I said that I must wash my hands three times before going to the operating table. If I am in a hurry, I wash it again." Ren Haitao Complained.
"You are feudal superstition ~www.wuxiaspot.com~ You can't say that, Lao Tang." Ren Haitao smiled bitterly, "Patients...put it this way before surgery. I think this is an extremely rare situation, if all patients are like this. When eosinophils are slightly higher, silent lungs appear, and the amount of surgery in our operating room has to be reduced by more than half."
"Some anesthetics can induce the occurrence of "quiet lungs" during the perioperative period. For example, muscle relaxants such as atracurium and mevecurium have a histamine release effect, so they are not suitable for asthma patients.
For patients with specific allergies, such as allergic rhinitis, drugs that release histamine are more likely to induce bronchospasm and even "silent lungs." "
"But I asked about these before the operation. The patient's family members said that they had no allergies and had never used medicine, and they were in good health."
As he said, Ren Haitao sighed deeply.
It's hard to be a doctor, but it's even harder to be a qualified doctor; it's even harder to be a qualified doctor without accident.
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