Chapter 319 cannot be copied
The patient is sent to the trauma ICU, and everyone goes with him.
The endotracheal intubation could not be pulled out yet, so Fatty Liang connected her to a portable ventilator to ensure her breathing safety during the transfer.
The door of the operating room opened and the patient was pushed out. His husband and his child were already waiting anxiously. When he saw the patient coming out, the husband immediately came to greet him. The little boy of four or five years old hid beside the man, shivering and dragging him. Dad's clothes were in a state of panic.
The patient's body was covered by the white quilt in the operating room, and the missing lower body did not appear so dazzling.
"Is Yu Shuilian's husband? Your wife has been rescued, but she is not out of danger yet. I will talk to you about her injury in detail later." Yang Ping saw that the child was there, so it was inconvenient to say too much.
The man saw that the lower half of the quilt was empty, and he had been prepared for it. The doctor told him thoroughly in the pre-operative conversation that there was a high probability that he would not be able to be saved, and even if he could be saved, he would only be half alive. Now he saw As long as a person is alive, he will accept whatever state he is in.
Just stay alive, just stay alive!
Yu Shuilian's husband, Fu Xiayang, looked at his wife and burst into tears. He kept wiping his tears with his sleeves. He tried to lift the quilt with his trembling hands. Song Zimo held his hand down and said softly: "The child is here!"
Fu Xiayang understood the meaning and withdrew his hand. His facial muscles twitched and his lips trembled. He grabbed his wife's pale hand with both hands: "The doctor said it's okay. Don't be afraid! Don't be afraid! I'm here -"
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The husband didn't know what to say, so he kept repeating this sentence as he followed the flat car.
"She can't hear it!" Fatty Liang told Fu Xiayang.
Song Zimo touched the child's head: "Your mother is fine, don't worry, don't be afraid, there are so many uncles and aunts here, she will be fine -"
The little boy nodded sensibly, and his frightened eyes gained a little peace.
When they arrived at the ICU, Yang Ping explained to Director Pan that he wanted Song Zimo to take charge of this patient. According to the rules, this was not possible. How could doctors from other departments take care of the patients in the ICU, but Yang Ping's face had to be given.
"Dr. Yang, no problem. Let Dr. Song take charge. The doctors and nurses in our department are at his disposal." Director Pan agreed.
When the patient is crossing the bed, Song Zimo and Gao Qiao do it alone, and others help. With the help of the sheets, it is easy to move the bed.
After getting into bed, Song Zimo opened up the quilt, arranged a dozen drainage tubes, and connected the wires of various monitoring instruments. The doctors and nurses in the ICU saw this half-person.
It's all shocking, and the sudden visual impact makes some people who can't bear it feel extremely uncomfortable.
No wonder Dr. Yang asked Song Zimo to take charge. They were indeed inexperienced with this patient, and Director Pan was also quite surprised.
After the monitoring equipment was connected, the blood pressure was measured again, 105/62mmHg, and the blood pressure increased a little.
"Have you used dopamine?" Song Zimo was very satisfied with the blood pressure.
The fat man is connecting to the ventilator in the ICU: "No more dopamine, natural blood pressure."
Hemorrhagic shock is temporarily over, but infection and organ failure will soon follow.
After severe intra-abdominal contamination, such a major trauma and surgery, the body's immunity is like a piece of tissue paper, which breaks when you poke it. Once a serious infection occurs, it will be like an avalanche, and death will be inevitable.
The double blow of trauma and surgery, especially in the liver. If the main right lobe of the liver is removed, leaving the left lobe, liver failure may occur. Once liver failure occurs, even if it does not cause multiple organ failure, the mortality rate is extremely high. If it causes Multiple organ failure, death is inevitable.
The postoperative treatment is very complicated and difficult, and this state lasts for a long time.
While monitoring the central venous pressure, continue blood transfusion and fluid replenishment. Two prophylactic antibiotics have been used, broad-spectrum antibiotics targeting aerobic and anaerobic bacteria. At this time, it is no longer time to consider the side effects of antibiotics. Save your life. is the most important.
"See if we can contact the psychology department to provide psychological counseling for the child." Song Zimo told Tang Fei.
He had just seen that the child was in a very bad state, and Tang Fei knew in her heart that no one understood the child's mood at this time better than Song Zimo.
"Leave the child's affairs to me. You stay here. Come on, she will survive, for sure." Tang Fei encouraged Song Zimo.
Song Zimo stayed in the ICU, and Takahashi also insisted on staying and taking care of the patient together. However, by agreeing to Song Zimo's stay in the ICU, it had already broken the rules. It would be inappropriate for one more person to stay.
"Let Dr. Song stay alone. If necessary, please help me. Xiaowu Zhang Lin will go to our operating room. There are still a few operations today." Yang Ping felt that the patient was sent to the trauma ICU and Song Zimo was there. Don't worry, Corey still has a few surgeries to perform, so it's not convenient for him to stay for a long time.
After leaving the ICU, Yang Ping saw the patient's husband in the family waiting area: "Let me talk to you about her condition."
"Kid, can you let dad talk to the doctor and sister take you away for a while?" Tang Fei said to the little boy gently.
"Go with the doctor sister. Dad will discuss mother's condition with the doctor." Fu Xiayang said to his son.
The little boy was quite obedient and followed Tang Fei.
Fu Xiayang leaned his head on the back of the chair and said to himself: "When I was young, I fell in love with her. My family was too poor and her family did not agree. She stole the household registration book and got a marriage certificate with me. We secretly When she came to the south to work, she and I never had a good life at that time. We never used any cosmetics or skin care products, and the clothes were the cheapest. She was not afraid of your jokes. If it weren’t for the guests, she would not go to the restaurant for a year. We had a meal together. After years of hard work, they finally owned a bakery of their own. They saved a little money and planned to buy a house. Not long ago, we were going to take additional wedding photos. Because of the price, she always disagreed, so we didn’t decide. When I came down, I secretly bought a ring. Before I had time to tell her, the hard days had just ended, and I didn’t expect that——” Fu Xiayang burst into tears: “Doctor, I beg you, let her live, no matter what the price is——”
thump! The man suddenly fell to his knees.
Yang Ping quickly helped him up: "We will do our best——"
After he calmed down, Yang Ping explained Yu Shuilian's condition to him in detail and the difficulties he might face in the future. At this time, Song Zimo and the ICU doctor also came out and wanted to sign some informed consent documents.
Takahashi has not yet recovered from the surgery just now. In the surgery just now, several surgical steps were completely disrupted and performed staggered. He has not yet figured out how the surgeon can coordinate so many steps.
It's like writing an article. The author doesn't write word by word, but one stroke here and one stroke there. It seems to be unorganized, but when the last stroke is completed, you find that the article is actually completed, and each word is still very detailed. pretty.
Takahashi has never seen anyone do this kind of surgery, but it is indeed much more efficient. For example, when removing the omentum, it is usually done separately, while Yang Ping separates and removes the omentum while doing other surgeries. Finally, The organs have been explored and the omentum has been separated and removed.
The principle is clear, but in actual operation, countless steps are disrupted in such a tense situation, scientifically coordinated, and interlaced combinations. How much powerful thinking ability does this require?
If you follow the procedure step by step, this operation would have taken three or four hours, but Yang Ping completed it in thirty-five minutes.
Yang Ping returned to the Department of Comprehensive Orthopedics, and Gao Qiao has been following him: "Dr. Yang, just now you broke down each independent operation into many steps. These steps were disrupted and staggered, which saved a lot of time. Can you teach me , how can we achieve this efficiency? ”
Yang Ping thought for a moment: "You are very attentive and noticed the details of my operation. However, you cannot try this kind of surgery easily. It is easy to get into panic and prolong the operation time. I will publish a paper soon, specifically discussing the treatment. To deal with such multiple and severe traumas, we must have the concept of systems engineering, start from the overall perspective, make overall plans, and fully optimize the operation. However, most people can only coordinate and optimize multiple operations, and cannot go into the details of each operation. The steps are optimized, so my surgery is not replicable and has no learning value.”
Takahashi suddenly felt a chill in his heart, meaning that no matter how hard he tried, he could not reach Dr. Yang's level, which was very heartbreaking.
However, Takahashi thought calmly and realized that it was not that Dr. Yang was unwilling to teach. He went deep into the surgical steps and disrupted and reorganized them. He really couldn't do it himself.
"I built a trauma treatment system engineering model in my thesis. There is a set of scientific scoring formulas. It is very simple. Patients are scored according to the model. Based on the scores, an optimized process can be automatically selected. This process has the shortest operation time and the highest success rate. , you can learn this decision-making model and use it -" Yang Ping suggested to Gao Qiao.
A person who is good at surgery is not considered a true master. A person who can sublimate and simplify his surgery and turn it into a set of surgeries with a low threshold, easy to master and popularize is a real master. This can benefit many doctors and can be mastered through training. Later, more patients were treated.
"Takahashi understands that Takahashi must work hard to learn his surgical thinking and methods, and then try his best to promote his medical skills to a wider range."
Takahashi was relatively sober and felt that Yang Ping was right. Instead of pursuing what he could not achieve, it was better to maximize the skills he could achieve. In a moment of excitement, he actually called Yang Ping sir according to Japanese custom.
"Dr. Yang, I'm sorry, I was so excited just now-" Takahashi didn't know whether it was appropriate to call him sir.
Yang Ping saw his nervous and submissive look: "Takahashi, don't be so formal. If you have any good opinions, you can express them freely. We have academic freedom here, and you can express your opinions freely."
"Thank you, Dr. Yang. Please accept student Takahashi's sincere apology. Last time Takahashi behaved like a frog in a well -" Takahashi immediately stood up and bowed.
Xiaowu called. The patient was ready for surgery and the surgery was ready.
Yang Ping took Gao Qiao to the operating room. Graduate student Li Guodong had just been helping in the ICU and happened to come back, so he went to the operating room with him.
In the locker room, Gao Qiao got close to Li Guodong: "Guodong, can you teach me how to shop online?"
Li Guodong thinks that this Japanese is very studious. An international professor is no different from a student. This kind of learning spirit is at least worth learning, so he doesn't hate him.
Li Guodong really doesn't know the process for foreigners to register for Taobao and Alipay. He also doesn't know how to recharge and make purchases. It's not clear whether he should open an account at the Bank of China.
"You want to buy something?" Li Guodong was curious. He had only been here for a day.
"If it's not urgent, I can buy it for you. What is it?" Li Guodong asked him.
Takahashi gestured: "I want to buy an electronic scale, the kind used in laboratories, with an accuracy of 0.001 grams."
"This is easy to buy, let me buy it for you? It shouldn't be expensive, maybe three to five hundred, and it will arrive in a few days. Do you have any price requirements?" Li Guodong thought it was something.
"I don't understand. You can buy it for me. I'll transfer one thousand to you via WeChat first?"
"No, let's wait until the goods arrive."
Li Guodong didn't understand why the Japanese wanted to buy electronic scales. Do they like to play with them?
Is an electronic scale with such high accuracy used for some kind of experiment, weighing tablets, powder, etc.?
Tomorrow I will resume two chapters a day. I have been quite busy these two days, sorry!
(End of chapter)