Chapter 345 The first interventional surgery
999!
Wu Xiaofu was shocked when he heard this, and without a trace of hesitation, he went straight to the CT room.
In the entire hospital, only the outpatient CT room will be directly called the CT room. If it is in the inpatient department, a prefix will be added.
To be honest, this is the first time Wu Xiaofu heard the code name 999 in the hospital, because generally, the code name is rarely used in hospitals to indicate a case. If it is used, it is an emergency. .
During pre-job training, some important things will be mentioned emphatically, such as numbers like 999, and the teachers will ask them to keep them in mind.
When the hospital broadcasts "999", it usually means that a patient has an emergency and needs immediate rescue or rescue. In this case, the hospital will quickly activate the emergency plan, and the medical staff will also respond quickly to the patient. Carry out emergency treatment.
In addition, "999" may also represent an emergency communication code within the hospital. Within the hospital, different numerical codes represent different emergencies, such as emergencies in the operating room, emergencies in the intensive care unit, etc. Paramedics send and receive these codes through the intercom system to quickly respond and handle a variety of emergencies.
In some cases, "999" may also be used in the broadcast system to inform other personnel in the hospital of emergencies and remind people to take necessary measures, such as evacuation, finding first aid equipment, etc.
This method of broadcasting ensures that in the event of an emergency, everyone can receive timely information and take appropriate action.
In short, no matter what the situation is, when the hospital broadcasts "999", it means that an emergency situation has occurred, which requires rapid response and handling by medical staff and other personnel in the hospital. The existence of this emergency reporting system is designed to protect patients' life safety and medical quality to the greatest extent.
When faced with this kind of emergency report, both medical staff and ordinary patients and their families should remain calm and follow the hospital's instructions.
Now on the radio, since 999 is broadcast, there is a high probability that a patient is in a critical condition. It is too late to call someone specifically. The only way is to use this method to rescue the patient nearby.
Wu Xiaofu rushed to the door of the CT room. He was quite close to the CT room at this time, so he came very quickly.
When he arrived, he saw a circle of people surrounding him, but most of them were patients or their family members.
"Come, give way, don't crowd around. This will affect the air circulation and delay rescue. Come on, evacuate the patients and their families quickly."
When Wu Xiaofu saw this situation, he hurriedly shouted, and the onlookers When the family members saw Wu Xiaofu approaching and shouting, they subconsciously moved out of the way, but they still wanted to continue to gather around and watch.
Everyone is curious and it is instinctive to join in the fun. However, when rescuing, do not crowd around, because once the patient is in a critical situation, the breathing will inevitably be affected. At this time, if there are people in a circle, the air Circulation will be affected, which is very detrimental to patients.
Moreover, if medical staff want to come for rescue, they will also become an obstacle. Therefore, when this happens, it is very necessary for people to cooperate in evacuating irrelevant personnel.
There were actually security guards nearby, but it was obviously their first time encountering such a situation, and they didn’t even think of evacuating the crowd.
After hearing Wu Xiaofu's words, he quickly began to cooperate and guide the patients and their families to leave.
At the door of the CT room, several doctors and nurses are doing cardiopulmonary resuscitation, and a doctor is still auscultating the patient. The whole scene seems urgent and chaotic. The other doctors should not have come yet and are carrying out rescue operations. The medical care should all be from the imaging department.
"What's going on?"
Wu Xiaofu came closer and asked quickly. While asking, he was also observing the patient's condition.
His face was blue and purple, and he looked like he was hypoxic. Although he was undergoing cardiopulmonary resuscitation, the fluctuations of his heart could hardly be seen. This was probably because his heartbeat and breathing had stopped.
After looking at the patient's pupils, they shrank urgently, which was obviously accompanied by craniocerebral injury. I am afraid that the nerve center has been affected.
Seeing Wu Xiaofu, the doctors and nurses in the CT room became happy and rescued the patient. They were not professionals after all. They all knew Wu Xiaofu. With Wu Xiaofu here, their pressure was reduced.
“The patient is a thoracic tumor patient with extensive metastasis. This time he came for a CT examination. Just after injecting the contrast agent, he suddenly fainted. His heartbeat and breathing stopped very quickly. Now the preliminary reason is , we are still not sure whether it is an allergy.”
This situation happened just after the contrast agent was injected, so the doctor in the imaging department couldn’t help but not panic, and he couldn’t help but treat the patient’s sudden illness and illness. Contrast agents are linked together, and there are still many cases of contrast agent allergies. However, in the patient's case, it should not be the first time he has been injected with contrast agents. This sudden onset does not rule out other circumstances.
“What’s going on?”
At this moment, many more doctors and nurses came running over. The ones at the front were the doctors and nurses from the emergency department and the RRT team from the emergency department.
This is an emergency response team specially formed to deal with emergencies and severe cases. They are all composed of experienced medical staff.
The current emergency rrt team is led by Su Ruohua, deputy director of the emergency department. Su Ruohua happened to be on duty today. After hearing the broadcast, he rushed over directly. At this time, his professionalism was reflected.
After these medical staff came over, they immediately started to open the channel, put in monitoring, and brought over automatic cardiopulmonary resuscitation machines.
“Little Rich!”
"Director Su, prepare for tracheotomy."
Tracheotomy!
Su Ruohua was shocked when he heard this. He glanced at the patient and then at Wu Xiaofu. Although he was surprised, he didn’t say much and just asked the nurse to prepare things. They are a professional RRT team and should be led by this kind of rescue team. Everything is clear. Tracheotomy is a method that is often used in emergency and critical situations. Naturally, they will not forget the relevant equipment.
However, although tracheotomy is commonly used, it must be used with caution. After all, it is an invasive operation. After tracheotomy, a series of risks are not small, and there are strict indications. If it is done afterwards, If you find that the indications are not consistent, you perform a tracheotomy on the patient, and the family will make a fuss, which will not be easy for the doctor.
It’s just that Wu Xiaofu is speaking now, and even Su Ruohua will not doubt Wu Xiaofu’s professionalism.
Since Wu Xiaofu said he wanted a tracheotomy, he must have an indication for a tracheotomy.
"Get things, lift the patient, and get on the machine."
Su Ruohua explained, and the emergency medical staff hurriedly started to take action. A team of people came over, gently lifted the patient, and went directly to the machine. When you get out of the cart, not even a second may pass. This is professionalism.
The cardiac compression machine is also ready and can be arranged directly for patients.
Wu Xiaofu took the gloves and scalpel from the nurse, put on the gloves, and started to operate directly. Tracheotomy is not a common operation. For many doctors, it may not be done a few times in a lifetime. Usually Most of the operations are performed by anesthesiologists, who do more.
This was Wu Xiaofu's first time doing it, but he had practiced it on a dummy many times, and now he was able to do it with ease.
The principle is very simple. Cut the cervical trachea and put in a metal tracheal cannula and a silicone cannula to form another breathing channel. This can solve the difficulty breathing caused by tracheal obstruction and can also cause problems in the respiratory center. In the case of suppression, breathing is not affected.
The reason why Wu Xiaofu performs tracheotomy on the patient is mostly for the latter purpose.
"Blood pressure two hundred and two, one hundred and three."
Hiss!
With such high blood pressure, everyone almost understands why the patient suddenly fell into coma. It is most likely that the blood pressure suddenly increased and cerebral hemorrhage occurred. If this is the case, then everything is correct.
“Let me take a look.”
At this time, a doctor came to the front. He was newly arrived. Wu Xiaofu took a look and hurriedly asked someone to get out of the way. It turned out to be a neurosurgery doctor. Xiong Hongye, Xiong Hongye was still wearing a white coat at this time, he should be nearby, and he just arrived.
No, Wu Xiaofu remembered that today should be Xiong Hongye’s outpatient class. He came here from the outpatient clinic.
Not only Xiong Hongye, Wu Xiaofu soon saw a group of directors, including directors from various subjects.
Neurology, cardiology, respiratory medicine, gastroenterology, orthopedics, hepatobiliary surgery, etc.
It seems that they all rush here from the outpatient clinic. This is the meaning of 999. With one broadcast, all doctors who do not have emergency or critical patients will rush over. The outpatient clinic is naturally included in this, and the outpatient clinic is naturally included. It's on the second, third, fourth and fifth floors. It didn't take long from hearing the announcement to rushing over.
Phew!
"Breathing has returned!"
"Heartbeat has returned!"
At this moment, a nurse shouted, and everyone couldn't help but heave a sigh of relief. The recovery of heartbeat and breathing meant that the patient's fate had been restored. Although the patient was still in a coma, there would be time for subsequent rescue.
"The patient fell? I'm afraid there's a lot of bleeding inside the skull, cerebellum, and thalamus."
Xiong Hongye checked the patient and said, this is not done without the help of machines Based on the judgment made, people nowadays say that Western medicine doctors will not be able to treat patients without machines, but in fact this is not the case.
In fact, Western medicine mainly relies on consultation and physical examination. Through these two methods, some common diseases can be diagnosed almost exactly. The reason why examinations are done is actually to increase the probability of this to 100%. , one is to provide precise treatment to the patient, and also to have evidence afterward in case of any eventuality.
The cost of Western medicine examinations, especially some examinations, is indeed high, but there is no doubt that these examinations are used to save lives. It is precisely because these examinations can reduce too many misdiagnoses and misdiagnoses, and can distinguish the patient's condition. Mortality rate reduced.
This is also the biggest difference between ancient times and modern times. Compared with ancient times, the mortality rate of modern patients has been greatly reduced.
Just like now, the possibility that Xiong Hongye said is actually close to ten, so just treat it accordingly.
However, right now at the door of the CT room, whether it is for the patient's benefit or for insurance, it is necessary to have a CT scan and then proceed to the operation.
Because it is still unknown whether there will be other injuries in the brain and the amount of bleeding.
After the examination, the success rate of the patient's operation can be higher, and the possibility of disputes afterwards can be minimized.
"The patient fell suddenly, and even his family members were unprepared. The patient hit the back of his head directly."
The doctor in the imaging department suddenly said, Xiong Hongye nodded, "Carry out a CT examination immediately and notify the operating room to prepare. ”
“Give me a dose of furosemide!”
“Give me...”
……
Examinations were required, but other methods also needed to be kept up. The directors of each department hurriedly prescribed medicine based on their own judgments to buy time for the surgery and improve the patient's current symptoms and signs.
The blood pressure must be lowered, otherwise, there may be other bleeding at any time.
Gastric mucosal damage is almost inevitable when a patient suddenly becomes ill. It is also necessary to give some drugs for emergency protection.
The patient's primary disease was a thoracic tumor, accompanied by vascular tumors, and many other metastases. No one knew whether there was rupture at this time. Emergency intervention and preventive medication were also necessary.
Advancing to the CT room, a wave of owners also followed into the operation room. The director of the imaging department also came to perform the operation in person. The other directors talked about the faults they wanted to see. Since then, they have moved quickly. To be sure, there are almost no hidden dangers that will be missed.
However, the situation seems to be more serious than they imagined.
The patient's tumor showed traces of brain metastasis, and thalamic hemorrhage and cerebellar hemorrhage were also diagnosed. The amount of bleeding was still quite large, and surgery was necessary. However, if the tumor metastasized to the brain, the difficulty of surgery would be increased.
While saving lives, Xiong Hongye also needs to consider the safety of the brain tumor, or whether to remove the brain tumor at the same time.
Not only that, the patient's thoracic tumor was accompanied by a vascular tumor. At this time, there was also a rupture, which required emergency treatment. Therefore, when dealing with brain surgery, thoracic surgery must also be performed at the same time.
There are also tumors with liver metastasis, which are also affecting the patient's vital signs. It is best to deal with them together.
In so many cases, to be honest, it would be a miracle if the patient could be saved.
"Let's enter the operating room." Xiong Hongye nodded and said, which means that he already knows what he is doing, at least he is somewhat sure. He is a dead horse and a living doctor. If the operation is not performed, the patient's condition will be... Basically, it’s just about getting through today.
This is not a night shift, as long as the patient's vital signs are maintained until tomorrow.
No one will give up that glimmer of hope if it can save lives.
"I have no problem here."
The director of thoracic and cardiac surgery also nodded, which means they can perform the operation together. Wu Xiaofu also nodded when he saw this. After you finish here, prepare the interventional room, and I will handle the liver. The tumor should not affect subsequent recovery.
Liver tumors mainly affect the patient's recovery. Don't underestimate this. No matter how good the surgery is, liver tumors that affect blood supply and blood pressure may ruin the previous surgery.
This tumor at the edge of the hepatic aorta is really suitable for interventional treatment.
“We will cooperate with you in planning the postoperative treatment plan.”
The other directors also nodded along. Since there is no problem, let's send him directly to the operating room. Director Xiong decided that the people from the operating room had already arrived and took the patient directly into the operating room through the green channel.
Although the patients and their families were evacuated, they were still watching from a distance. I have to say that the scene that just happened really shocked them. Just one broadcast, so many People came, and they were directors of various departments.
Rescue, treatment, examination, etc. are all carried out quickly.
They seemed to see the Lord of Hell staring at the gate of hell, waiting for the patient's other foot to step in, but the doctor just pulled out the patient's other foot. , I don’t know why, at this time, they couldn’t help but have the urge to cry.
Patients and family members can see that these doctors are really doing their best to save patients. At the same time, they are also lucky that they or their relatives are also visiting this hospital. If they once If something goes wrong, there will definitely be a group of doctors and nurses who will rescue them and fight for their lives and that of the Lord of Hell.
They had a vague feeling about the doctor's inaction before, but now they know that there is a group of people who are really willing to fight for them.
The whole process actually didn’t take long, only about ten minutes.
Wu Xiaofu called the interventional room and asked him to prepare. The operation at Xiong Hongye’s place will not be too fast. It is estimated that it can be completed in eight hours. However, the interventional room must prepare in advance so that the patient can leave the operating room. , can arrange interventional surgery for patients as soon as possible.
The nurse in the operating room has already said hello. When the operation is almost over, she will call Wu Xiaofu.
Wu Xiaofu went home directly. Eight hours later, when he received a call from the operating room, Wu Xiaofu had fallen asleep, got up and walked to the hospital.
After the patient leaves the operating room, he is sent directly to the interventional room.
Wu Xiaofu immediately started the interventional surgery. This time the patient was really lucky, because when Xiong Hongye was dealing with the patient’s intracerebral hemorrhage, he actually peeled off the patient’s brain tumor as well. Although it was not necessarily completely peeled off, It can definitely significantly extend the patient’s survival period.
The patient's thoracic tumor originally needed to be treated, and the examination done today was also to prepare for surgery.
The thoracic surgery performed at the same time also completed the treatment of the patient's thoracic tumor.
In other words, theoretically, the only remaining tumor residue in the patient's body is the part of the tumor at the edge of the hepatic aorta.
If Wu Xiaofu had dealt with it through intervention, this day's efforts would be tantamount to giving the patient a radical treatment.
"Doctor Wu, you are ready."
In the interventional room, strictly speaking, this is the first interventional surgery performed by Wu Xiaofu. Although the patient's physical condition is bad, the patient's The tumor is the best in terms of location and indications for intervention.
So, in terms of symptoms alone, this surgery is actually very simple.
Starting from the femoral artery, at this moment, Wu Xiaofu felt that operating the guidewire was as simple as using his arms and fingers. He reached the hepatic aorta without much obstruction.
People in the observation room of the interventional room were a little shocked to see how smoothly Wu Xiaofu's surgery went.
If intervention were so simple, intermittent retardation would not develop.
But Wu Xiaofu has only started ablation for a few minutes now, and he has already started ablation.
Use the ablation needle to adjust the temperature of the tumor to kill the tumor. Wu Xiaofu operates it so easily that no one can notice the slightest bit of discomfort. No one would guess that Wu Xiaofu is a novice and this is his first time performing an operation. Interventional surgery.
This level of proficiency can only be possessed by veterans.
Fourteen minutes later, the operation was over.
The doctors and nurses in the interventional observation room all have dull eyes. Okay, at this speed, let alone any damage caused by the interventional surgery, Wu Xiaofu has already finished the surgery, not to mention the damage caused by the radiation. Maybe eating a meal and taking a nap would solve the problem.
You can really see such strong proficiency just by looking at it.
The resentment of Wu Xiaofu being dragged into surgery in the middle of the night was gone. When Wu Xiaofu came out, they looked at Wu Xiaofu with surprise in their eyes.
"Director Wu, what kind of freak are you? Are you sure you have never done interventional surgery in other hospitals before? How come I can see you doing it more skillfully than Director Feng?"
In the First Affiliated Hospital, Wu Xiaofu must have never been a surgeon. After all, they are in charge of the interventional room. They must know who does what.
So they could only have reason to suspect that Wu Xiaofu had performed interventional surgeries in other hospitals and practiced as a surgeon secretly.
Otherwise, it would be a bit appalling to be so skilled.
"Which hospital's interventional room allows me to cause trouble at will? Okay, I drag you to do surgery so late. I'll treat you to dinner next time. Let's go."
The surgery is very difficult. It was successful, but the patient still couldn't wake up for a while.
After leaving the interventional room, he will be sent to the Neurosurgery Intensive Care Unit. The patient's family members also followed him all day and are still waiting outside the interventional room. They were happy when they saw Wu Xiaofu coming out and heard Wu Xiaofu say that the operation was successful. cried out.
If you want to ask what kind of night shift is the most devastating, Cheng Shi and Jiang Bei may have the answer at this time.
Cheng Shi and Jiang Bei have not worked night shifts before, and they have both had surgeries in one night.
But it was at this time that they discovered that a night of surgery without sleeping was better than just going to bed, where the patient had a condition and could afford it, and then lay down again and watched. About to fall asleep and get up again.
Going back and forth like this all night is simply too torturous.
"Hey, what a big black eye, you guys deserve a little injury!"
Wu Xiaofu couldn't help but smile when he saw the two of them. Their eyelids were fighting at this time, "Boss, we I underestimated the night shift. It doesn’t matter if it’s a big deal. It’s just a small matter. But I won’t let you sleep. I didn’t fall asleep several times a night. It only took three or two minutes to fall asleep. It was so tortured. "
"Then you can't spend the first half of the night and the other half of the night?"
"Ah! That's right!"
"Two idiots are usually quite smart. Yes, there will be no changes at this time.”
There are so many little things at night. In fact, Peng Xia and the others are used to this. They basically have their own way of being on duty and can get through it. However, Cheng Shi and Jiang Bei are different. It is the first time they have adapted to such a rhythm. Even Peng Xia will The consultation tasks were taken away and they were left to deal with small matters, which also made them very exhausted.
Wu Xiaofu originally said that although it was the first time for the two of them to work the night shift in the First Affiliated Hospital, there shouldn't be much problem if they were together. Who would have thought that these two couldn't adapt and had to work together? Value, not even separated.
A person can actually stay energetic for a few hours.
"Then in your current state, you can still go to the outpatient clinic with me. Don't make the wrong order. I'd better ask someone else to come with me."
Although the outpatient service is just asking them to make an appointment Forms and so on, but if you are careless, it is also very troublesome to open the wrong order, write the wrong medical record, etc.
"Uncle Master, I'll go with you."
You Zhiyi quickly raised his hands when he heard this. Cheng Shi and Jiang Bei, who were still looking tired, suddenly became energetic.
"No, we can do it. Don't worry, boss, we are young. This strength is nothing, we will go with you."
Looking at the two people with strong spirits, Wu Xiaofu couldn't help but feel He shook his head. To be honest, if the outpatient training hadn't helped their assessment on the weekend, he would have had to find someone else to go. Now that he could only go out to the outpatient clinic, he would have to provide snacks by himself.
However, in order to make it easier, "Xiaoyi, you will come with me."
At first looking at Cheng Shi and Jiang Bei who didn't give them any space, You Zhiyi thought they had no chance again, but now he saw that his uncle still loved him.
"Okay, uncle."
Cheng Shi and Jiang Bei became more energetic when they saw this. If something goes wrong today, they may be usurped at any time.
When Wu Xiaofu was out of the clinic, deputy director Zhang Xuewen took care of the morning meetings and ward rounds in the department, so he usually just walked around the department and then went directly to the outpatient department.
“Boss, you became famous again yesterday!”
The hospital's 999 service is destined to be low-key. Feng Lingling pointed to her cell phone and said to Wu Xiaofu. It seems that the rescue of the patient yesterday made the news.
However, it is indeed news, just fast.
“What did you say?”
“It was from Donghai TV station. It was quite touching. It promoted our hospital and even gave you a close-up, boss. See 999 again. It not only describes the whole process of our rescue, but also popularizes science about what hospital 999 is. It is very popular now."
Wu Xiaofu nodded with a smile. This is also a popular science. It benefits both the hospital and the patient.
"By the way, how is the patient? Is there any news?"
"The current condition is stable, um, it is written in the report. How about I go over and take a look later?"
"You After checking the ward, I went over to see the interventional surgery I performed. You have to keep an eye on it."
"Okay, boss, you can really intervene and don't tell me, otherwise, I would have to go check it out even at night."
"You'd better sleep on your beauty sleep."
Outpatient clinic.
With You Zhiyi and the others, Wu Xiaofu should be more relaxed. He basically doesn't need to worry about the computer, he just cares about the patients.
The six interventional patients scheduled for today also arrived. Wu Xiaofu took a look at the examination and saw that there were no problems, so he asked Jiang Bei to be admitted to the hospital. After the operation yesterday, Wu Xiaofu became more confident. These six operations After that, the newly transferred neuroendocrine cancer patients should be able to be easily removed.
(End of this chapter)