Start From Emergency Doctor

Chapter 304

On the operating table.

The old man quickly entered a state of general anesthesia. At this time, the chief physician picked up the scalpel and carefully opened the chest cavity.

Because the patient has an aortic dissection, the sternum must be opened for treatment of the aortic dissection.

However, after the thoracic cavity was opened, the chief physician of thoracic surgery found a very serious problem… the patient’s right lung was stuck on the breastbone.

This leads to damage to the bullae of the patient’s right lung, which is a very difficult problem.

The so-called bullae is a typical feature of patients with chronic obstructive disease, that is, air-filled cysts appear in the body. And now this sac has been pierced by the breastbone.

If left untreated, the damaged bullae will be infected and will continue to swell, and can even occupy 70% to 100% of the volume of the thoracic cavity, causing squeezing of other organs, respiratory distress, internal bleeding, etc. symptom.

“One help, you remove the right lung from the breastbone.” The chief physician said.

To be honest, this is the first time he has encountered this situation.

There are so many weird cases in the clinic, even President Fang dare not say that he has seen them all.

Boo.

A slight voice rang.

The chief physician’s complexion changed, and it is often not a good thing to have extra voices during the operation.

At this time, Ichisuke’s complexion was extremely pale. When he tried to remove the right lung from the sternum, he accidentally punctured one of the bullae, and the bullae began to slowly leak air.

“Director, switch to pure oxygen immediately!”

The chief physician nodded, “The anesthesiologist also quickly inject anesthetics!”

During the operation, in order to prevent the lungs from being filled with fluid and drowning due to insufficient oxygen inhalation, the anesthesiologist needs to pump a lot of anesthetics into the patient’s body. At the same time, he needs to switch the airflow of the ventilator to 100% pure oxygen.

“It’s stabilized.” Ichisuke breathed a sigh of relief.

The chief physician nodded, picked up the medical electrocautery, and carefully cut the skin tissue.

Because of the mistake just now, the next one was still in a daze, eager to express himself, so he picked up the dry collection bag to be used in the next step, and prepared to treat the chest cavity after the skin tissue was all opened.

But the moment the electric cautery started. The spark suddenly flashed.

Under normal circumstances, this little spark has no effect on the human body, nor will it affect the operation, but… but this little spark fell on the dry surgical bag that was sent to the chest by a helper.

In addition, the ventilator delivers 100% pure oxygen.

With the gas exchange effect of the lungs, pure oxygen will enter the human body and will not spread to the chest cavity.

But… the patient has chronic obstructive pulmonary disease!

And there was a bullae pierced by Yisuke before!

boom.

Pure oxygen entered the chest cavity through the leaking pulmonary bullae. With such a high oxygen concentration, the chest cavity instantly caught fire!(Read more @ wuxiax.com)

Dry surgical kits are combustible materials, rising oxygen concentration, electrocautery equipment, and lung disease causing gas leakage in the alveoli.

If any one of these links is missing, it is impossible for such a thing to happen, but now it happens to be all together!

The chief physician’s complexion changed drastically.

Surrounded by flammable disinfectants like alcohol!

He immediately blocked the oxygen and covered the gauze stained with sterile water.

Fortunately, only the surgical kit was on fire, and there was no large-scale fire, otherwise the patient might burn and die.

The fire was quickly extinguished.

“Damn it, how could it catch fire…” The chief physician encountered this situation for the first time.

When the panic was still undecided, he was still a little scared.

Fortunately, 100% pure oxygen is delivered. If the oxygen concentration is lower, the patient’s chest may explode…

It’s not just the patients who are at risk.

These doctors may also be affected.

“Immediate rescue!” He glanced at the instrument, and the patient’s condition had become dangerous.

It’s impossible to blame a helper at this time, the most important thing is to save the patient’s life first.

The patient is a relatively dangerous type A aortic dissection. The blood in the aortic lumen flows into the aortic media from the tear of the aortic intima, causing the media to separate, resulting in a true and false two-lumen separation state in the aortic wall .

Therefore, surgery must be performed under cardiopulmonary bypass. The key to surgery is to find the location of the intimal rupture and prevent blood from continuing to flow out of the rupture.

But soon, the chief physician’s face became heavy.

The previous fire in the chest cavity caused the patient’s internal surgical field to become very poor, and many of the originally clear structures became a little scorched.

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There are even some organizations that are intolerant to fire have melted…

In this case, if you want to perform an operation, the chance of finding the location of the breach is too small, and it will inevitably take a long time, but now the patient’s own condition is very bad, and the operation must be completed within half an hour.

The chief physician looked at the worrying chest, his face became serious.

He was not sure of finishing it in half an hour!

He is the chief physician and he can’t do it. Who else can?

“director……”

Ichiko who had made two mistakes next to him suddenly spoke.

The chief physician’s complexion was a bit unpleasant, and he looked over coldly.

“It’s useless to say an apology, now you must…”

Before the director could finish speaking, Yisuke said, “I heard that Dr. Zhou had performed an aortic dissection aneurysm operation…”

0. …

The chief physician frowned: “Doctor Zhou? What does he have to do with an aortic dissecting aneurysm…wait!”

There was surprise in his eyes: “The Doctor Zhou you said… is Zhou Yuan?!”

“Yes… Dr. Zhou is my idol, so I paid special attention to him. When Dr. Zhou went to Renhe Hospital for further study, he had performed an aortic dissecting aneurysm operation, and the operation was very successful!”

The chief physician looked a little excited.

Aortic dissecting aneurysm can be done, so it is no problem to complete an aortic dissection!

Although the current situation is very complicated, but… the man who even Dean Fang can only sigh beyond his reach and shock the entire medical world, isn’t he who specializes in solving this kind of difficult surgery? !

He walked all the way, every operation was extremely difficult, and many of them couldn’t even be handled by the chief physician!

Hope rekindled in the chief physician’s eyes. He glanced at the time, and at nine o’clock…

This time is exactly when Zhou Yuan is preparing for surgery. This is a sensation in the whole hospital, even the chief physician of thoracic surgery has heard of it.

Will he be on the operating table now? If the operation has already started and he cannot come, the patient on the operating table may end here…

“Quickly, go and invite Zhou Yuan over!” The chief physician no matter what so much, he directly ordered.

Hearing the order, Yisuke rushed out and ran to the hand surgery. Spoon.