Chapter 216 November
"Director Zhang, it should be about the same. You should deal with the liver noodles first."
Start processing now!
Zhang Xuewen was stunned for a while. Wu Xiaofu had confidence in himself, but now he had so much confidence in him. Well, he was really a little vain. Facing Wu Xiaofu's eyes, Zhang Xuewen felt inexplicably relieved. .
Maybe Wu Xiaofu didn’t have confidence in him, but just in himself.
"Okay."
Without any further hesitation, Wu Xiaofu started to process the liver noodles. Wu Xiaofu also smiled as he looked at it.
Not long after, the patrol nurse came back.
"Clear edges."
Phew!
Not only Zhang Xuewen breathed a sigh of relief, but Yuna and the others also breathed a sigh of relief, amazing, this really works.
"Awesome, Director Zhang."
Facing the praises from everyone, Zhang Xuewen couldn't help but curl up the corners of his mouth. He couldn't suppress it even if he wanted to. Every progress the doctor makes is worth it. Although Zhang Xuewen was praised and happy, he was also happy for himself. His progress was a good thing for both him and the patients.
"It is better to be taught by Director Wu. If I had to do this myself, I would not dare to do it."
Everyone laughed even more. If Wu Xiaofu dares to teach, there must be someone who dares to listen. What's more, apart from Wu Xiaofu's vocal guidance at the beginning, he didn't say anything later. After all, it was Zhang Xuewen who had the experience. At most, it was Wu Xiaofu who helped break through the bottleneck.
"Director Zhang, don't be humble. If you have the first time, there won't be any problems later."
Listening to Wu Xiaofu's words, Zhang Xuewen also made up his mind. Yes, with this success, he will dare to do it next time. Come again, and you will feel better. Medicine is like this. The difficult thing is to take the first step. As long as you take the first step, everything will fall into place.
Now that the pieces of liver have been cut off, there will naturally be nothing going on below.
The operation ended successfully.
There are only two machines today. After all, it is still the initial stage. The volume of surgeries cannot be increased yet. Under normal circumstances, the surgeries of their group should continue until after get off work hours, or even the next day. It's the right time to work.
Although there are only ten beds now, Wu Xiaofu is definitely not as busy, but it is still necessary for a group of people to take over the work, that is, this week, and starting next week, this should be the procedure.
Time passes very quickly, more than three weeks have come to an end quickly, and November has arrived as promised.
Performing surgeries, writing articles, doing my own scientific research, and then communicating with parents and girlfriends. Time flies really fast. In the past three months, the rhythm of Wu Xiaofu’s group has finally reached That’s what Wu Xiaofu thought.
The rhythm of the surgical rotation has been mastered, and the people in the team have to spend most of their time in the operating room every day.
The number of patients is also continuing to rise.
Every Friday, Wu Xiaofu goes out to the outpatient clinic, and the number of people increases. There are not only 60 people, but also many people who come to add people. Not to mention, Wu Xiaofu thought before that this extra number should be rejected, because once it starts Plus sign, then you can only keep adding, there is no reason to stop adding.
After all, if you start to increase the dosage and suddenly stop, many patients will be disappointed. If the condition is serious and emotional, conflicts are almost inevitable. Therefore, Wu Xiaofu had not recommended it to those experts before. Plus sign.
But when I encountered it myself, I realized that it was too difficult not to add a number.
Although many patients cannot call you, their illnesses are really serious. Some are even so serious that if they don’t see you quickly, it is very likely that they may not have the chance to call you next week. If you encounter What should you do with such a patient?
Reject the plus sign? Or, let him call someone else's number.
Wu Xiaofu must have asked him to register someone else's number first, but when the patient said: Doctor Wu, I believe you, and I just want you to see it, Wu Xiaofu knew that this number must be added.
The patient is unwilling to register with other people. No matter how he understands it or how others understand it, Wu Xiaofu can only show it to him because he can't watch the patient because he is waiting for something to go wrong.
So, from the beginning, then two, and gradually, until now, the number of patients Wu Xiaofu has seen has reached one hundred.
It is common to have lunch in the clinic and work overtime until eight o'clock in the evening.
Peng Xia saw that Wu Xiaofu was working so hard, and sometimes complained for Wu Xiaofu, but Wu Xiaofu just smiled bitterly, "I can only blame myself, no one can blame me, it's just one day anyway, just work harder if you are young. Come on, if I’m over fifty, I definitely won’t do this anymore.”
Hearing what Wu Xiaofu said, Peng Xia also laughed.
In fact, he was quite willing for Wu Xiaofu to see more patients. In just one month, Peng Xia saw more special cases and serious cases than before when he joined the emergency department. He was so professional. This is very helpful for his learning and progress.
In addition to work, Wu Xiaofu also has another gain.
Second runner-up in the Principal’s Cup.
The Principal Cup football match started three weeks ago, and they were all played at night. Wu Xiaofu was almost in decline. There is a balance between work and rest. There is a difference between the tiredness of playing football and the tiredness of going to work.
However, these PhD students are all older after all.
I have all the skills. At the beginning, I kicked well and could basically keep up. But by the end, I was so tired that I couldn't run anymore. Therefore, I ended up in third place.
However, after all, I got a medal, and everyone was quite satisfied.
Wu Xiaofu is also quite satisfied. They, a group of old, weak, sick and disabled people, can achieve this result, so what else can they ask for?
Sunday.
Wu Xiaofu went for a morning run and had a meal, and then immediately turned to research on the genetic theory of pancreatic cancer.
During this period, Wu Xiaofu was also very fascinated by this. There were too many things that needed to be added, and there were also many things in Wu Xiaofu’s head. It would be boring if he didn’t write. Wu Xiaofu wanted to complete the framework as soon as possible. come out.
As soon as I lowered my head, it was already noon when the phone rang, and my stomach rebelled in time.
"Hey, Sister Ling, what's wrong?"
"Boss, there is a patient that I can't handle. Can you come over?"
Wu Xiaofu didn't waste any time and went out directly.
This is the advantage of being close to the hospital. Within a few minutes, Wu Xiaofu ran to the hospital.
Emergency Department.
"How is it?"
Feng Lingling is on duty today. It has been half a month. In fact, the situation is not bad. Feng Lingling and others are on duty and usually do not call Wu Xiaofu. Most of them If the time is uncertain, I will call Director Zhang and Chen Zhendong first.
Now it has hit him directly, which shows that the patient must be in trouble to a certain extent.
“Injured in the car accident, liver rupture, spleen rupture, intestinal rupture is also very serious, the pancreas also seems to be damaged, and the bleeding is heavy. We are currently undergoing emergency rescue.”
Hmm!
Listening to Feng Lingling's words, Wu Xiaofu didn't even bother to change his clothes. He went directly to check on the patient. His blood pressure was almost gone and his heart rate was also dropping. The bleeding might have reached more than 3,000. Well, with such a severe trauma, it was amazing that he could wait until Wu Xiaofu came over.
“Has the operating room been arranged?”
"It's ready."
"Okay, go directly to the operating room, you help me, let Yuna go on duty for you, let's go."
Wu Xiaofu did not delay, and went directly is said.
Green channel, entering the operating room, which takes less than a minute.
Wu Xiaofu washed his hands directly. In the operating room, Wu Xiaofu did not need to say anything. He had already begun to work in an orderly manner. His clothes had been torn. The anesthesiologist directly anesthetized. Feng Lingling quickly finished washing her hands and disinfected and spread the sheets. .
"Is the mirror ready?"
Mirror!
The patrol nurse was startled when she heard this. In this case, use a mirror? Fortunately, this emergency operating room is always equipped with mirrors, and it was Wu Xiaofu who asked the question. The patrol nurse knew that the situation was urgent, so she didn't ask any more questions and started to connect directly.
Feng Lingling and Deng Yimin cooperated urgently to drill holes and place mirrors.
Wu Xiaofu's movements were very fast, a bit confusing, at least in the eyes of Feng Lingling and Deng Yimin, which made them very confused and unable to keep up with Wu Xiaofu's speed.
However, this is normal, after all, they do not have a divine perspective like Wu Xiaofu.
“Clamp.”
Wu Xiaofu directly grabbed the mirror that was still being held by Feng Lingling, and aimed directly at the bleeding spot in the liver. The equipment nurse hurriedly handed over the blood vessel clamp. Feng Lingling was still confused. What's going on? Wu Xiaofu has already gone up with four clips.
Before he could take a closer look, Wu Xiaofu had already moved the mirror to the position of his spleen.
It’s over! Become a tool man!
Feng Lingling sighed in her heart. To be honest, she felt a little guilty, and it was not the first time she blamed herself. In the past three weeks, Wu Xiaofu often took them to the operating table, and it was not the first time that Feng Lingling served as Wu Xiaofu's assistant, but I feel like I can’t keep up every time. The progress was obviously rapid, but Feng Lingling and the others' progress seemed to never reach the level required by Wu Xiaofu.
Just like now, the operation has obviously begun, but it can't keep up with Wu Xiaofu's rhythm at all. He can only be passively led away by Wu Xiaofu. Being a tool man is actually useless. Not only she feels this way, but also Yuna, Deng Yimin, Lu Xu and others.
Even Chen Zhendong and Zhang Xuewen began to study nervously, so naturally, this group became extremely busy.
The more this happens, the more they have to make progress quickly, otherwise, they are afraid that one day they will be really disliked by Wu Xiaofu and kicked out of the group. It is true that they cannot keep up, but they are also making rapid progress. , at this age, who doesn’t want to make progress faster.
Therefore, although they work hard, they are still very happy.
Moreover, Wu Xiaofu did not blame them, which made them even more embarrassed to hold them back forever.
In fact, Wu Xiaofu also knows the progress of Feng Lingling and the others. If they were given a God's perspective, they would definitely be able to keep up. But who told God not to cheat everyone, so there is no need to blame, As long as they can save people, it is enough for them, as long as Wu Xiaofu can see their desire to make progress and the actions they have been working hard on.
“Clamps.”
There are six clamps directly on the spleen, which basically reduces the bleeding a lot.
"The rate of blood pressure drop has slowed down."
The anesthesiologist, who was nervously maintaining blood pressure, also shouted in surprise at this time. His eyes looking at Wu Xiaofu were full of admiration. After all, the mirror was in his stomach for a minute or two. In a matter of seconds, Wu Xiaofu was able to achieve this level.
This is no longer something that doctors can do. At least, it didn’t happen before. In the future, it may only be Wu Xiaofu.
Being able to determine the approximate location of the patient's bleeding before opening the abdomen and clamp it directly requires such rich experience, skillful operation, and powerful analytical ability.
Let me ask you, who doesn’t want to cooperate with such a surgeon, and who doesn’t feel at ease if he cooperates?
The patrol team and the equipment also breathed a sigh of relief. They naturally knew what the anesthesiologist's words meant. This meant that Wu Xiaofu had already pulled out the patient who had already stepped into the gate of hell.
As for whether they can be completely pulled back, that is all for later. Now, at least, they have a chance to save their lives.
Feng Lingling and Deng Yimin were even more surprised.
When the two of them came down to see the patient, their hearts dropped at first sight. The patient was in such bad condition that they started resuscitating her as soon as she came in. Even after seeing the patient’s examination results, they I can’t imagine how the patient is holding on until now.
The rescue operation did not dare to stop for a moment, emergency blood was used, and various life-saving drugs were used vigorously to raise the patient's various indicators, but the speed of death was still much faster than them, until Wu Xiaofu is here, and until now, it is the first time that they have walked in front of death.
Then the mirror was pulled to the pancreas again. The bile duct was severed and the pancreas was bruised. Wu Xiaofu frowned when he saw it. After rescuing so many patients, Wu Xiaofu had to admit that this must be the most serious one.
Just because the bleeding in the liver and spleen has stopped does not mean that the patient is really given time to continue rescuing them.
You still have to hurry, death is still chasing you.
Pancreatic contusions, to be honest, are really rare. It’s not that pancreatic injuries are rare, but it’s just that there are very few pancreatic contusions that doctors can see alive.
You must know that the pancreas is the best protected organ in the abdominal cavity. It has the spine behind it and the stomach and abdominal wall in front. It is not easily injured in general closed abdominal injuries. Nowadays However, with the damage in front of him, one can imagine how much external force the patient suffered at that time.
Moreover, when a car accident occurs, the injured are usually unprepared. At this time, the abdominal wall muscles often contract involuntarily. At this time, if the violence can be directly transmitted to the pancreas, it is very likely that the pancreas will be in front of the vertebral body. Damaged by direct compression.
Fortunately, it was just a contusion. If there was a laceration or something, Wu Xiaofu and the others might not be able to wait for rescue. But the current situation is not good either. The mirror moved up and the duodenum was ruptured.
There is also the superior mesenteric artery.
With his brain moving and his hands moving faster, Wu Xiaofu had already asked for another clamp. He almost didn’t have to look for it. He could directly identify the bleeding spot and clamp it directly with a clamp. Anyone who knows how to do this can really understand this ability. .
Feng Lingling and Deng Yimin could not stop being shocked and admired no matter what.
Not to mention that Wu Xiaofu was able to directly locate the bleeding site. The bleeding was serious and the bleeding blood vessels could not be seen clearly. In this case, the blood vessels were usually clamped with tweezers to see if they were suitable. Use a vascular clamp, or check where the vascular clamp is placed.
After all, this is a blood vessel clamp. It does not mean that if you put it up, it will be 100% able to be clamped. On the contrary, in most cases, the blood vessel clamp will fall off regularly. Therefore, this thing is really not a clamp. Hair tweezers are not that easy to operate.
But watching Wu Xiaofu’s operations always gives people a feeling of going against the textbook.
It seems that the difficulty is only for other people. For Wu Xiaofu, it has never been difficult. Any operation that others think is difficult to complete is so easy for Wu Xiaofu.
Can you blame them for their blind confidence in Wu Xiaofu?
Everyone is the same, okay?
The ruptured large blood vessels were quickly clamped one by one. Even the parts that were not suitable for clamping were quickly anastomosed by Wu Xiaofu, and soon the blood pressure was completely stabilized.
At this time, ten blood bags were thrown away. After the bleeding was under control and blood and fluids were replenished, the blood pressure and heart rate were barely maintained. At this time, the anesthesiologist was relieved of most of his worries.
"Doctor Wu, how much time will it take?"
Time, for anesthesiologists, this is really important, it is related to their subsequent medication and their overall If it were anyone else, the anesthesiologist would not be so nervous to ask this question.
After all, in such an emergency situation, the surgeon had just stabilized the situation, and his mood had not calmed down. A fire was possible, but Wu Xiaofu was different. This was not the first time they had cooperated.
Wu Xiaofu himself is from the emergency department. For such a long time, the anesthesiologists in the operating room are basically familiar with Wu Xiaofu. Stability is the first factor. They have never seen it on Wu Xiaofu’s face. Ever panicked.
This is the same even for dangerous patients. He can always resolve the crisis step by step in an orderly manner. Regarding time control, Wu Xiaofu is stricter, faster and faster than the anesthesiologists like them, so that the patient can be relieved as soon as possible. Escaping from a life-or-death crisis has almost become Wu Xiaofu’s surgical creed.
At the beginning, some people were still worried about quality, but now no one has such boring thoughts. Wu Xiaofu’s quality can always be trusted, and his speed is only because he is good enough.
A month ago, hepatobiliary surgeons like Zuo Hui and Mao Qi had little contact with Wu Xiaofu, and they would be dissatisfied verbally and even more dissatisfied. But it is different now. With a strong success rate of surgery, With a strong rescue success rate, Wu Xiaofu has conquered the hepatobiliary surgery department with his performance in performing level 4 and beyond level 4 surgeries.
Surgery data cannot lie. If Wu Xiaofu had performed too few surgeries in the emergency department to be convincing, then now they have no other ideas about Wu Xiaofu.
Even Mao Qi stopped saying anything and even started to take the initiative to learn from Wu Xiaofu. He even took the difficult cases in the group and took the initiative to ask Wu Xiaofu for advice, let alone others.
Many people thought that Wu Xiaofu's work in hepatobiliary surgery would not go smoothly, but Wu Xiaofu's performance once again let them know what genius is, and the performance of genius is enough to make everything reasonable.
“It will be done in two hours.”
Two hours!
The anesthesiologist looked happy. He originally thought that such a degree of damage would take eight or nine hours. There had been similar cases before. The most recent case was two weeks ago. It was a pull-out in the B area of the hepatobiliary surgery department. In the operating room, the condition was actually much better than in this one, and the rescue was successful, but it took a full nine hours, and he has not yet left the intensive care unit.
This patient's condition was so serious that for two hours, Wu Xiaofu really dared to speak.
If other surgeons said this, the anesthetist would not believe it even if it matched the punctuation mark. But when Wu Xiaofu said it was two hours, it was two hours. It could only be ten minutes faster, and it could not be slower. Ten minutes.
"Remove the spleen first."
In fact, the liver is more urgent, but urgent is urgent. In terms of priority, it must be the spleen. After all, the spleen is too damaged. If it is not done quickly, Even if the blood vessels are clamped, the spleen will bleed heavily, causing the patient to be in danger again.
Therefore, the spleen was removed first, and the spleen was the easiest to remove. For Wu Xiaofu, it basically didn’t take much time.
After suturing the spleen pedicle, remove the spleen and solve the problem directly within ten minutes.
Feng Lingling moved the mirror toward the liver. As the operation progressed, Feng Lingling had already caught up with some of the rhythm. After all, she had done so many operations with Wu Xiaofu, and she definitely knew Wu Xiaofu’s operation rhythm best. .
It's just that many times I can't keep up, but now Wu Xiaofu has slowed down, which allows Feng Lingling to slowly adapt to this rhythm, and she works very hard.
Liver damage is also serious, especially in the lower half of the liver.
Compared with the pancreas, the degree of protection of the liver is seriously insufficient, but its position in the abdominal cavity is definitely not lower than that of the pancreas. When abdominal injury occurs, the liver is often hit and becomes the main cause of death.
Moreover, the liver is too fragile, and once it is damaged, it will basically not be minor.
Just like this, the lower half of the liver was so shattered that Wu Xiaofu didn’t even think about suturing it, so he cut half of the liver directly. The upper half of the liver was also bruised. Wu Xiaofu then showed off the perfect fit. Skills, start tinkering.
The speed must be fast. The faster the operation is completed, the greater the patient's vitality will be, and the shorter the stay in the intensive care unit will be.
Seeing Wu Xiaofu cutting the liver so decisively, Feng Lingling and the others felt that their livers hurt. If they, even if the liver was unlikely to be repaired, they would have to take a closer look. In fact, besides wasting time , nothing can be earned.
But this is an individual's ability. This is the liver. Without careful examination and comprehensive analysis, how can it be cut immediately? Over the years, Feng Lingling has seen someone so decisive in cutting the liver, that is, Wu Xiaofu.
Hemihepatectomy, hemihepatectomy.
It was done within half an hour, and half of the liver was taken out along the previously expanded incision.
It only lasted more than half an hour, including the liver and spleen. The patrol officer and the anesthesiologist looked at the progress and knew that Wu Xiaofu’s two hours was really not bragging at all. However, after this, Two mountains, and two more mountains.
Didi didi!
(End of this chapter)