Quan xiaocao closed her book. Recently, she had been learning about the relevant knowledge of the electrical discharge technology.
Once boss Zheng brought him to the surgery, if he did not even have the most basic knowledge, how awkward would that be? He simply didn’t want to live.
Of course, the basic knowledge was only a part of it. Microoperation was also extremely important. Teacher Feng had lent her a microscope. Every day, Quan xiaocao would be fighting with pig intestines.
When he watched boss Zheng perform the surgery, he felt that there was no special difficulty. It was very stable and accurate.
However, when Quan xiaocao tried it herself, she realized that the microscopic operation was simply too difficult.
It was already 12 o’ clock. He wanted to have a good sleep. He hoped that nothing would happen tonight. Quan xiaocao went to wash up. In her mind, she was still thinking about the anatomy of the intestine and the things she needed to pay attention to when performing microsurgery.
As she was brushing her teeth, the phone at the nurses ‘station rang wildly.
The phone call at this time, even the ringtone, revealed a sense of impatience and panic.
It must be an emergency!
It must be an emergency!
“Dr. Quan, the emergency department said that 120 has received a patient with rectal trauma and hemorrhagic shock!” The night nurse said hurriedly.
It was already so late, and the patient was in the critical emergency room. It would be another sleepless night.
Whether it was Quan xiaocao or the night nurse, both of them felt helpless.
When Quan xiaocao heard that it was a rectal injury, she immediately determined that it was not something she could handle. She woke the chief resident up, and the chief resident did not hesitate to call the second – String doctor, professor Feng.
Her heart was filled with apprehension, and she was rather flustered.
The rectum was the last section of the digestive tract. Due to the rich connective tissue gaps around the lower and middle rectum, there was a lower chance that the rectum would be affected by external injuries.
However, once the rectum had a perforated external injury, it could lead to an extremely serious infection of the space around the rectum and a series of related complications. Therefore, rectal trauma was not only difficult to handle, but it was also difficult to recover after surgery, and there were many complications.
Moreover, the rectum was not elastic enough, just like the esophagus. Postoperative blood circulation was very important.
For example, a leak in the anastomosed area after rectal cancer surgery was a very serious complication. If such complications were to occur, it would be impossible for the repair to last long. The only way was to remove it, perform an anal resection, and make a fistincision.
If that were to happen, the patient’s quality of life would be greatly affected.
The patient who was admitted to the emergency department seemed to be seriously injured. It was very likely that the intestines would need to be left empty for a period of time to prevent a leak from the rectum’s anastomosed area.
The level of this surgery was very high, and the chief resident would definitely not try it easily. It was still possible to provide a slow diagnosis, but for the emergency department … It was better to call the second – String doctors.
It’s a rare illness. Should I ask boss Zheng to take a look? Quan xiaocao took a look at the time. It was already past 12 o’ clock, so she decided to forget about it.
Looking for boss Zheng to perform surgery in the middle of the night and looking for him to perform surgery in the day were two completely different concepts.
It was very deadly to have a morning temper when it exploded. Besides, boss Zheng was not a second – tier professor.
As Quan xiaocao thought of this, she immediately ran away before she could even make the call.
First, the patient was taken to the emergency department. After various first aid measures were taken, he was sent for an x – ray to provide guidance for the surgery.
When Feng Jianguo arrived, the patient had just been sent to the Department of Gastrointestinal Surgery.
His blood pressure was 60/40 mmHg, and the liquid from the deep vein puncture tube was dripping into his body. The emergency department had already collected blood samples and sent them to the blood transfusion department for blood matching.
The victim was alone, without any family members. The emergency department said that they had already reported to the hospital administration Department and that their people would arrive soon.
Feng Jianguo glanced at the film first.
His colon seemed to be ruptured as well, and there seemed to be something wrong with his stomach. How big of an impact did it have to be to cause so much damage?
Feng Jianguo felt helpless.
The key was that his pelvis was fractured, and there was a large area of edema in the posterior peritoneum.
‘This is troublesome …
Without any hesitation, he picked up his phone and called Zheng Ren.
“Boss Zheng, we’ve received a patient with a lower body injury. He has a severe pelvic fracture, retroperitoneum swelling, rectum, and colon rupture.”
“Alright, I’ll go on the operating table to administer anesthesia and make preparations.”
After hanging up the phone, Feng Jianguo shouted,”send him to the hybrid operating room!”
“Alright!” The chief resident responded and ran away with Quan xiaocao and the nurse, pulling the injured person along.
Feng Jianguo didn’t wait for the hospital administration Department to come. He just gave some instructions and ran up to change his clothes.
He quickly changed his clothes and chased the chief resident out.
There were still a lot of procedures at the hospital administration Office, and the chief resident could handle them. Boss Zheng would be here soon, and there was no need to worry about no one performing the surgery.
Emergency first aid was something that 912 was very professional in. To be able to complete the preoperative preparation in such a short time and send it to the operating table was almost like a race with the god of death.
Feng Jianguo had just changed his clothes and left the changing room when he heard the door open.
What the … Boss Zheng came so quickly?
“Boss Zheng?” he turned around and shouted.
“Yes, we’re here.” Zheng Ren’s voice was heard.
“I’ll go take a look at the patient and disinfect. You can change your clothes first. ” Feng Jianguo said politely.
This was definitely not the time for small talk. There was still a dying patient waiting to be treated.
Every minute and every second was extremely precious.
After entering the operating room, Feng Jianguo saw that the anesthetist had finished the tracheal intubation and started the ventilator to assist breathing.
“Old Feng, why are your intestines out? What external injuries?” The anesthetist asked after he finished his work.
“The people from 120 said it was at the carnival square. The injury was caused by the biggest fountain.”
“The biggest fountain …” The anesthetist was stunned for a moment before he smiled bitterly.
This kind of external injury was rare, but it was not unique. It was usually children who were playing in the Fountain Square and accidentally got injured.
If he was a little slanted and was thrown out, he might have a bloody nose and swollen face.
For this kind …
‘I should hurry up and do the surgery, my intestines are coming out!’
30 seconds later, Feng Jianguo felt that something was wrong with the patient.
Blood pressure? He couldn’t accurately grasp the thought in his mind and began to search bit by bit.
Traumatic shock. Blood pressure was very low, but it was still a little high compared to when he first saw it. The circulating nurse had already taken his blood. As long as he started the blood transfusion, there should not be a big problem.
Then what was it that made him feel strange?
Feng Jianguo looked at the patient in a daze.
“What’s wrong, old Feng?” The anesthetist saw that he was stunned, so he smiled and asked, “Don’t tell me you can’t perform the surgery?”
“What do you think is wrong?” Feng Jianguo looked at Ren Ling, who was lying on the operating table, and was a little surprised.
“There’s nothing wrong with it. Let me tell you, the patient’s respiratory tract is a little deformed. If it weren’t for my rich experience, an ordinary anesthetist wouldn’t even be able to insert an tracheal tube. ” The anesthetist said with a smile.
As soon as Feng Jianguo heard that, he immediately started to treat the patient.
When he saw Ren Ling’s stomach bulging, he felt as if a bucket of cold water had been poured over his head.
“MD!””Did it go into the esophagus?!” He cursed.
……
……
[Note: in 2007, one of my patients had a respiratory tract deformity.] After anesthesia, the patient’s stomach bulged. Fortunately, when he asked professor Chen to perform the surgery, he noticed this. In the end, it was a close call, and the patient had recovered from lung cancer 12 years after the surgery. However, there were some minor heart problems.
