Chapter 397: Everyone has their own concerns
But now that things are like this, the cardiac surgeon doesn’t dare to slow down, and the feeling of oppression in his heart is also rising.
People are so good at holding the steel bars, how can they slack off?
As for whether to make a substitution, of course you can't. Substituting someone would risk causing the steel bar to move. If Wu Xiaofu can continue to support him, that will be the most stable.
However, at this time, the importance of a surgical robot is reflected.
If a surgical robot is placed here and the robot is responsible for Wu Xiaofu's work, then there is no need to worry too much. As we all know, the robot will not feel tired.
It's a pity that no one will specialize in researching a robot. It's a waste of resources just to stick it here as a stake and grab the steel bars.
However, having Wu Xiaofu do just this kind of work seems to be a waste of resources.
The operation is in full swing.
During this period, the monitor beeped more than once. After all, after such a major injury and such a major operation, no matter how healthy the patient is, various problems will occur, such as acid-base balance imbalance, excessive blood loss, heart disease, etc. Reflux problems, various organ function problems, and other problems will appear one after another.
Not to mention that the patient also has the underlying condition of syphilis, and various organs in the body have already been damaged to a certain extent. For such an operation, the ability to withstand it is relatively worse.
Fortunately, standing behind the patient is the entire hospital’s professional team.
The surgery will be performed by Wu Xiaofu and the others, but Wu Xiaofu and the others do not need to worry about adjusting the physical signs. It will naturally be performed by the internal medicine doctors.
I have to say that this is definitely the patient's luck. No one usually has such good luck.
"Ready to pick up."
The doctors at the cardiac surgery department were almost done with the procedure at this time. It had already been an hour. After they stepped up their time, it was obvious that their efficiency was not as good as usual.
Carefully holding the patient's heart, he said to Wu Xiaofu.
Wu Xiaofu nodded and began to slowly take out the steel bars. This speed could not be too fast. Firstly, he was afraid of hurting his heart. Secondly, he had to stop at any time in case of sudden emergencies. Down.
Didi didi!
Sure enough, the monitor’s alarm sounded late.
Although everyone was not panicked, they expected that something would go wrong. After all, the heart was being compressed. When the steel bars came out, the heart would inevitably be affected. However, the cardiac surgery department also had a second plan, which was to directly use extracorporeal circulation.
Originally, they wanted to see if they could complete the operation without extracorporeal circulation. But now it seems that it is not possible. The heart is obviously damaged. Even if the steel bars are removed, the operation must be done. Heart surgery.
Extracorporeal circulation is a life support technology that uses a series of special artificial devices to drain the returning cardiac venous blood to the outside of the body. After artificial gas exchange, temperature adjustment and filtration, it is returned to the arterial system in the body.
In the process of extracorporeal circulation, because artificial devices replace human body functions, it is also called "cardiopulmonary bypass". The extracorporeal circulation machine used is also called an artificial heart-lung machine.
The purpose of extracorporeal circulation is to maintain the blood supply to tissues and organs throughout the body during open heart surgery.
Of course, with the development of clinical medicine, the scope of application of extracorporeal circulation is constantly expanding. It is not only limited to the heart, but is also used in liver, kidney, lung and other large blood vessel surgeries, as well as in tumor treatment, There are also great achievements in life support for patients with cardiopulmonary failure.
The reason why cardiac surgeons do not use extracorporeal circulation from the beginning is because everything has its pros and cons, and extracorporeal circulation is not without its flaws.
For example, metabolic acidosis and respiratory alkalosis, and the destruction of formed components in the blood.
Especially the destruction of formed components in the blood, because the number and function of platelets decrease after perfusion, and fibrinogen decreases, which may lead to the occurrence of hemoglobinuria, hemolytic jaundice and progressive anemia.
Recovery from coagulation dysfunction takes 1 to 7 days.
Then there are electrolyte imbalances, decreased kidney function, decreased circulatory system function, respiratory function impairment, brain damage, etc.
People are more worried about brain damage. They think that after extracorporeal circulation, people will become stupid after the operation is over.
It is natural that you will not become stupid, whether it is anesthesia or extracorporeal circulation. Brain damage caused by extracorporeal circulation is more worrying about intracranial edema, bleeding, etc.
Therefore, if the operation can be completed under normal circumstances, the hospital will generally not perform extracorporeal circulation on the patient.
But in a situation like this, it would not be possible without extracorporeal circulation.
First, the patient's condition is adjusted, and then the patient is directly put on extracorporeal circulation.
This time, there were not many scruples. Wu Xiaofu quickly pulled out the steel bars. The reason why extracorporeal circulation was not performed at the beginning was actually because he wanted to see the steel bars. Whether there is any damage to the heart, just like now, knowing that the steel bar has damaged the heart, the next treatment plan can be better formulated.
However, Wu Xiaofu does not need to participate in the next step.
After handing the steel bar to the nurse, Wu Xiaofu took off his surgical gown and stepped off the stage. He held the steel bar for an hour without moving. Even though Wu Xiaofu's physical fitness was strong, he still couldn't bear it. To be honest, when the time came, Later, everything was supported by will. Wu Xiaofu's mental power was strong and he could control his body to operate overloaded.
However, this overloaded state cannot be used too much, otherwise, the damage to the body will undoubtedly be huge.
Especially the hands. Surgeons rely on only one pair of hands, so nothing can go wrong. It's okay once in a while, and they'll recover in a few days.
"Director Wu, that's amazing!"
......
Everyone praised Wu Xiaofu, but Wu Xiaofu only thought it was because they thought he had great skills and good health. He waved his hand indifferently, saying it was all trivial. However, what he didn't notice was that the eyes of some female doctors and nurses had changed. This endurance made them too fanciful.
“Boss, tell me quietly, how long can you last in this regard?”
Um!
When he came to the back, Wu Xiaofu was about to take a rest, but he heard Jiang Bei suddenly say. Wu Xiaofu was also stunned when he heard the words. He looked at Jiang Bei, first he was confused, and then he understood something. Suddenly he was a Rolling eyes, I have become familiar with each other during this time. Normally, this girl and Wu Xiaofu are not so restrained, and they just treat her like brothers.
Northeastern girls have such a straightforward personality. At this time, I was curious and asked directly.
To be honest, even if Wu Xiaofu came from the grassland, he still couldn't stand it at this time.
“Think more about your internship and less about what you have, or I’ll beat you up.”
Jiang Bei was not afraid when she saw this. She knew that Wu Xiaofu was just trying to scare her. Who didn't know that Wu Xiaofu rarely even cursed people, let alone hit them.
However, Wu Xiaofu said so, and Jiang Bei did not dare to say anything more. She could only mutter secretly: We are all brothers, there is nothing to be shy about. Cheng Shijiang heard this murmur clearly.
Brother!
He sometimes blushes because of this brother. How about we just be sisters?
The operation has lasted four hours until now.
That's right, that's four hours.
The big head is still in the cardiac surgery department. With the assistance of extracorporeal circulation, the cardiac surgery department is no longer so intimidated when it comes to surgery. It goes directly to the familiar cardiac surgery process, which speeds up a lot. , however, even so, the difficulty of the operation itself made it impossible for them to complete it without a few hours.
Fortunately, the blood transfusion at this time stabilized the patient's condition a lot.
Four hours and twenty minutes, the operation officially ended.
In the operating room and the observation room, there were sounds of applause and surprise. After four hours and twenty minutes, the operation was completed perfectly. A life, in their hands, once again blossomed. opportunity.
For doctors, this is the most important thing, the meaning of the profession.
Of course, this is also an operation that can be the focus of publicity of the First Affiliated Hospital.
Rongqiao was also very happy to see that the combined operation from various disciplines achieved such a brilliant success. This is not only the success of the doctor, but also the success of the hospital.
Turn around and look at the colleagues at the propaganda gate.
“Go back and post the article as soon as possible.”
"Okay, you will be able to see it within two hours."
The leader has spoken, and they also know the timeliness of the article. As for the success of this operation, the news must not be hidden. If they don't publish it quickly, I'm afraid the media will publish it faster than they do.
Although you are promoting the hospital, you have first-hand information and have the right time, place and people to promote the hospital. If the media did not come quickly, it would be a bit of a joke. , so useless?
Sure enough, two hours later, the article came out, colleagues were envious, patients felt at ease, and the reputation of the First Affiliated Hospital suddenly increased a lot.
Don’t underestimate this success. The First Affiliated Hospital will not lack this success, but the reputation of the First Affiliated Hospital and the trust of patients are built up over and over again. If the First Affiliated Hospital is The hospital has such successful and difficult surgical cases to report every day.
Then this is not necessarily who owns the number one hospital in the country.
Wu Xiaofu naturally didn't care about this anymore. After the operation, he went home to catch up on his sleep. The sky was huge and he had the most rest. There was still one day of outpatient service tomorrow.
The emergency department at this time.
Cheng Shi and the others gathered together and were still reviewing the situation during the day happily. After all, they had just done an internship and saw such a wonderful operation. They gathered the chief professors from various departments of the hospital, and even more so. Combined surgeries from departments such as thoracic and cardiac surgery, hepatobiliary surgery, orthopedics, etc.
They stood there and watched, their hearts boiling with excitement. If they had not known that their skills were not good, they might not have wanted to replace them.
At this time, they thought about the wonderful things they saw during the operation, and they were still a little unfinished. If they could see such operations every day in the future, they might not be able to make rapid progress in technology, especially during this review.
The more they review the review, the more they feel which operation is better. If they can learn it, they will be able to do surgeries in the future like a fish in water. The focus of the discussion is Wu Xiaofu’s Wu’s manual occlusion surgery, but there are so many For a few moments, they felt that they had seen a lot of operations.
I have an illusion in my heart that I can do it myself, and I wish I had a patient now who could make it happen.
"Come, two patients have come to the operating room and need sutures. Who is going?"
"Okay, here they are."
Hearing the words of the nurse outside, Fu Yuanhang and Pan Ying hurriedly responded, "Well, they returned directly to reality. Now they can only do small tasks such as disassembly and suturing."
The number of emergency patients in the First Affiliated Hospital continued to flow until three o'clock in the evening, when there were slightly fewer patients.
As soon as Cheng Shi and the others relaxed, they only felt sore all over. Their legs, feet and arms no longer seemed like their own.
However, they were not sleepy at this time.
“Tomorrow is Friday.”
Jiang Bei's words caused everyone to fall into silence. Friday, you must know that this is already the Friday of the fourth week. After Friday, it will be the fourth stage of assessment. When the assessment is over, their internship career will also be over. .
In other words, they are about to face their final judgment.
At that time, at most three of the eight people will stay, and the others will have to leave. It obviously took a lot of effort to stay here, and it was even more like working hard during the internship, but in the end, Most people still can't stay and can only leave.
Regret?
Of course. Thinking about the experience of this month, although they are tired, they are so fulfilling and desirable. They feel that this is the value of their lives. Once they really leave here, they will really Can you adapt?
"Even if I can't stay, I'm going to find a hospital in Donghai to work. Not to mention anything else, it's close to here and I have something to pursue. One day, I'll have the opportunity to come back."
Pan Ying suddenly spoke, surprising everyone else.
Because Pan Ying has always given them the impression that he is a bit out of tune. He seems to be more passionate about makeup than work. He also has some minor flaws in his character. He is the kind of person who has no set goals. Of course, Pan Ying will follow later. It is true that my temperament has changed a lot and I have started to work hard.
Not to mention anything else, the time spent on makeup every day has been reduced a lot. For example, this week, Pan Ying basically wore no makeup.
Of course, for boys, bare makeup seems to be the norm, but Pan Ying has to match the standards of girls.
Now that Pan Ying said such words, it seemed that he suddenly had a goal in his heart, and he was no longer the dandelion in the wind.
"Okay, let's find a companion together. I want to stay here and work hard, and my buddy will accompany you."
Jiang Bei put her hand on Pan Ying's shoulder and suddenly spoke He said with a loud voice that startled the others.
“What about you?”
Jiang Bei looked at the others again, of course, mainly focusing on a few other than Xun Qi, Cheng Shi and Song Chan. After all, judging from the results and performance , I am afraid that there is no suspense for the last three left, so only a few others are left who should have plans.
(End of this chapter)