1986: Old Stories in Northeast China

"Old Fang, give your judgment." Chen Tiezhu said in a deep voice.

"The patient's pneumothorax has developed very seriously, and I judge that the place where his fractured ribs are punctured will not be very large." Fang Zhiyong said.

"The difficulty of the next operation is that after opening the chest to deal with the problem of pneumothorax, the damaged part of the alveoli must be sutured. Without anesthesia, it is very difficult."

Chen Tiezhu nodded, "What do you think? Are you a little bit stubborn?"

Fang Zhiyong smiled bitterly and looked at him, "It's true that I am a little stubborn. But I saw a life about to pass away, but I did nothing. I can't get over myself."

"The disagreement with this comrade just now is also here. Even if he is a suspect and has killed and injured several people, we are doctors."

"Isn't our job to save people? He should get the trial he deserves and explain his crimes clearly in court."

"Old Fang, how sure are you?" Han Zhenwen asked who came over.

"30%, at most 30%. But if I have the guidance of Teacher Chen, I can..., I can do 60%." Fang Zhiyong said with courage.

"Old Fang..."

"Zhenwen, prepare for on-site thoracotomy." Chen Tiezhu interrupted what Han Zhenwen was about to say.

"Brother Jiang, we still need the cooperation of our comrades. Use military coats to form a circle outside to block the wind and dust."

"Okay, leave it to us." Jiang Chaoyang nodded.

"Comrades, listen to my orders, follow Tiezhu's instructions, form a circle. Divide into two rows, take off your coats, block the wind, and act immediately."

"Yes."

After hearing the order, the comrades from the surrounding county bureaus started to act directly.

"Director Hu, this is nonsense. That is still a working lung, how can it be so easy to sew. And it is sutured on the spot. Even if the operation is successful, there will be problems of secondary infection." The white coat next to him came to Director Hu.

"I really don't understand this situation." Director Hu said.

"But Director Fang has such considerations, that is, he has his own ideas. Otherwise, you can help transport other injured people to the county hospital first?"

He was also very confused. He didn't expect that the city hospital and the county hospital would quarrel. He could think of some reasons, which might have something to do with Director Hu of the Health Bureau who was to be dealt with.

"Director Hu, I really can't leave. Otherwise, if there is a mistake, who will clean up the mess? And according to the current situation, we can basically foresee what the result will be." The white coat hugged his shoulders and said.

It was obvious that he wanted to watch the show.

"Comrades, do you still have flashlights? Send me a few, I need to use them for lighting." At this time, Chen Tiezhu in the crowd looked at it again.

There is really no shortage of this thing. If you chase at night, you can't do without flashlights. In a short while, Chen Tiezhu gathered a large bundle.

"Teacher Chen, how should I do it? Tell me."

When the time came, Fang Zhiyong hesitated.

"As for this problem, as long as you are calm and steady, it will be fine." Chen Tiezhu said with a smile.

"In fact, the difficulty lies in the suturing of the damaged alveoli, so you have to master his breathing frequency and insert the needle when the alveoli shrink due to air outflow."

"Let's see what the situation is like in the surgical field later. After all, we are now opening the chest on the spot, and the smaller the wound, the better. From the current situation, the wound should be at the lower edge of the left lung."

Fang Zhiyong nodded, "Teacher Chen, if I can't sew it well, you have to help."

"Don't worry, I've seen your suturing. Although this is a new challenge for you, you are fully capable of it." Chen Tiezhu said with a smile.

"In fact, what we doctors fear most is being afraid of wolves in front and tigers behind, looking ahead and behind. If this happens, we will definitely slap our thighs."

"But as long as we make up our minds, we must carry it out unswervingly. This is responsible for ourselves and the patients."

"Zhenwen, you should listen to me. In the future medical practice, or more precisely, in the process of surgery, you will face many choices."

"For example, a tumor patient needs to undergo tumor resection surgery. But after opening it, it is found that the adhesion is very serious. What should we choose in this situation?"

"My personal opinion is that if there is no clear indication of expansion or metastasis, the tumor needs to be removed. Even if the adhesion is very complicated, you must do your best and deal with it as quickly as possible."

"Because as long as you can do such a surgery, it means that your basic skills are very solid and you are competent for such adhesion treatment."

"When conservative approachOf course, after closing the hospital, they will discuss with the patient or his family, but has anyone thought about the suffering of the patient? The suffering he suffered is not only the physical pain, but also the psychological pain. "

"Okay, just do it, I will be responsible for lighting you. Although the light is worse than the shadowless lamp, this condition is the best we can create for you now."

Fang Zhiyong nodded seriously and strengthened his confidence at the same time.

Just as he said, if he does nothing, it will definitely become a hurdle in his heart.

In fact, Director Hu nodded in approval when he heard Chen Tiezhu's words.

Even if he doesn't understand medical skills, he knows that no matter what he does, he is afraid of hesitating. In that case, he will miss the opportunity and actually do nothing.

"Teacher Chen, should we also take out the bullet first?" Fang Zhiyong, who was ready, asked.

"Haha, isn't that right. Otherwise, how do you deal with the broken bones? You can't just pull it out and throw it away. "Chen Tiezhu said with a smile.

The people around him felt relieved after hearing his tone.

"Your name is Xiaobai, right? I know you are conscious now. It will hurt a little, bear with it, this is saving your life after all." Chen Tiezhu spoke again.

"If you are a man, just stay single and don't think about other messy things. With me here, you can't get into any trouble. "

Chen Tiezhu's words startled everyone. Did the suspect wake up?

The suspect opened his eyes at this time. Although his face was cyanotic due to pneumothorax, he nodded slowly.

Fang Zhiyong took a deep breath and cut directly.

After cutting the tissue, he used a little force to grab the edge of the ribs with both hands.

It was painful enough, but the suspect was also very strong and just groaned.

The tip of the broken rib was piercing the alveolus.

Fang Zhiyong breathed a sigh of relief. At least the current situation was better than expected.

First, the bullet fragments that broke the suspect's ribs were taken out, and after taking a deep breath, the ribs that pierced the alveoli were pulled out.

"Teacher Chen, two stitches are needed." Fang Zhiyong gave his judgment.

"Be steady and feel his breathing rate. He is in pain now, so his breathing is a little rapid. After you sew the first stitch, his breathing rate will change. "

Chen Tiezhu reminded him.

"Exhale..., inhale..., exhale..., inhale..."

Listening to Chen Tiezhu's instructions, Fang Zhiyong slowly adjusted his breathing frequency.

Han Zhenwen looked at Chen Tiezhu in shock. This frequency was sometimes fast and sometimes slow, which actually matched the suspect's breathing frequency.

Under the guidance of Chen Tiezhu's command, Fang Zhiyong sewed the first stitch and quickly tied the knot.

Seeing that the patient's alveoli swelled a little and the suture did not break, he also gained confidence.

"Exhale..., inhale..., exhale..., inhale..."

Chen Tiezhu's command reached his ears again.

After the second stitch, Han Zhenwen's eyes were wide open.

"Good, good, sewed, sewed. "

After seeing the alveoli resume their normal work, he couldn't help but shout.

The people who listened were jubilant, except for those from the city hospital who looked livid.

Such a difficult on-site operation, a young doctor from the county hospital actually managed it?

How is it possible?

"Not good, Teacher Chen, the patient seems to have pericardial tamponade and respiratory distress again."

Before everyone finished being happy, Fang Zhiyong shouted anxiously.

Everyone's heart was lifted again. They didn't know what the disease was, but it must be very fatal.

On the contrary, those from the city hospital relaxed their faces at once, and they must have killed the suspect.

"Director Hu, this time it's really a big deal. Yellow mud fell into the crotch, it's not shit, it's shit."

The white coat who had a conflict with Fang Zhiyong said with gloating.