I Spent Those Years In the Operating Room Fighting Monsters

The next morning, when Lu Cheng arrived at the department with breakfast, he found that Fang Nixin was already in the doctor's office in the department.

It's only 7:25 now, and it's still quite early for the shift.

"Senior Sister Fang, why did you come so early? Did something happen last night?" Lu Cheng asked.

Logically speaking, today's emergency class is not in the fifth ward of the Orthopedics Department, but only in the general hospital in the third ward. Now that she is hospitalized for six days and one emergency class, Fang Nixin doesn't need to come so early.

"At two o'clock in the morning, a postoperative patient from Professor Wu's side had a sharp drop in blood oxygen level, developed a pulmonary embolism, and was transferred to the ICU. Later, another patient's electrolytes were disturbed, and he has been dealing with it. Blood potassium levels are finally back to normal."

"I didn't go back to rest." Fang Nixin returned a bit tired, and then her eyes were still fixed on a patient from admission to the current test results.

It should be the patient with electrolyte imbalance.

"Low-potassium or high-potassium?" Lu Cheng pushed the breakfast in front of Fang Nixin, two steamed buns and a cup of soy milk, he had already eaten his own breakfast.

The current fifth ward of Orthopedics is not the department that stayed at the end of the previous season, so there is no so-called breakfast mutual aid group.

"Low potassium, the patient had mild diarrhea, it should be that the digestive tract and exudate caused fluid loss at the same time, resulting in hypokalemia. Later, potassium supplementation was followed by high potassium supplementation. I looked at the previous doctor's order set , there is nothing wrong with potassium supplementation, and I don't know what's going on." Fang Nixin still clicked on the computer with the mouse in her right hand, but she naturally took the breakfast from Lu Cheng with her left hand.

Then after flipping up and down for a while, he said, "I'll take it away first, and go wash my face."

After standing up, Fang Nixin said that although she is currently hospitalized, when there is a certain amount of time, you should apply the basic things you need to wash your face in the morning and apply on your face, such as lotion, otherwise, your skin will also be affected. Can't afford to toss, unless there is really no time, then there is no way.

"Oh, okay." Lu Cheng nodded, moved his chair slightly, and made room for Fang Nixin.

Then Lu Chenggong looked at the examination results of several patients who were preparing for surgery today, and checked it again to avoid any changes before the surgery.

Not long after watching it, Cao Xiaohe came, with three breakfasts in his hand.

After seeing Lu Cheng, he said, "Lu Cheng, I brought breakfast, have you eaten?"

While talking, he opened his own bowl of noodles, started to open the outer packaging bag of rice noodles, and then tapped the disposable chopsticks.

"I've already eaten, thank you senior brother. Are you here so early?" Lu Chengdao, then continued to look at the test results.

"Well, I'm going to see the patient who will have surgery tomorrow in advance, and then follow up with the test results."

"But if I had known you were in the department earlier, I wouldn't have to worry about it." Cao Xiaohe said very naturally.

There is no need for so many people to check the results of the preoperative examination. Under the circumstances of Lu Cheng, he will definitely do these things. It's just that he wakes up early every day to see the situation of his group of patients, which is a habit he developed in Kyoto, and his biological clock wakes him up at more than six o'clock, and he has not adjusted yet.

Lu Cheng smiled slightly, changed the subject and asked, "Senior Brother Cao, did you come into contact with similar patients when you were studying in Kyoto?"

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"Senior sister Fang and I were with Professor Cao Mengda. Most of the patients we contacted were sports medicine. It's so complicated that we rarely meet."

Yesterday, when Professor Qu Hongsheng called Lu Cheng and the three to discuss the condition and surgical arrangements, Lu Chengcheng noticed that Cao Xiaohe didn't talk much, as if he was not unfamiliar or complicated with the situation in the department.

Cao Xiaohe took two bites of fans and said, "Actually, I don't know what to say."

"Where I went to study, although there are some patients who need simple joint replacement surgery, the development of joint replacement in Kyoto is relatively advanced, and even secondary hospitals can do simple joint replacement very well. ."

"So the patients I usually encounter are mostly troublesome patients that cannot be solved in various parts of the country. These patients in our department are also one of the routines there."

"Speaking of which, my instructors are envious of where I am now. Most of the patients' conditions are simple and not particularly complicated. The complicated ones can also be pushed to the Magic Capital and Kyoto. It's good, and you don't have to worry about the number of patients."

"But although there are many patients in Kyoto, the quality is not very good."

Lu Cheng nodded. Lu Cheng had never encountered this problem with Professor Cao Mengda before, mainly because the sub-specialty of sports medicine, the higher the number of people in the city, the higher the incidence rate, especially now many people Both like to exercise.

Gymnastics, fitness, basketball, runners, mountaineers and other enthusiasts and practitioners are all backup patient reserves in sports medicine.

Therefore, when I was in the capital, the sports medicine patients I encountered were not particularly complicated.

"Then Senior Brother Cao, do you have any thoughts on the patients who will be operated on today?"

"If it was in Kyoto, how would the surgery and treatment for these patients be arranged?" Lu Cheng was a little curious.

Life is full of multiple-choice questions. If Lu Cheng went to the magic capital, he would not be able to go to other places at the same time and see different scenery.

Cao Xiaohe said with a wry smile, "Where can you be so amazing as you think? In fact, in clinical medicine, there are just a bunch of principles that say death. Surgery is surgery and medication, but the process and details of surgery are slightly different."

"For example, joint infection is relatively well done. Kyoto and Modu are one, but the other is Xinjiang. There are many infected patients there, and the reimbursement ratio is also very high, and patients hardly need to spend much money."

"But no matter how you say it, it also falls to the part of complete debridement. It's not good to say that the debridement operation is done well, which can reduce the number of operations."

"The dose and variety of antibiotics used are well-chosen, and the course of anti-infective treatment can be reduced. But these are all issues that professors should consider. Our lower-level doctors can only think about it slowly based on experience."

"I was fortunate enough to have operated one in Kyoto, and it was the only one for simple debridement of patients with arthritis. It's just that the procedure was not very pleasant."

"In the end, the patient's postoperative efficacy after debridement was average." Cao Xiaohe did not brag about himself, but rather laughed at himself.

Lu Cheng glanced at Cao Xiaohe, and found that Cao Xiaohe has become a lot calmer since he went to Kyoto. Although there are still a few funny attributes, his competitive spirit is still a bit strong, but he is stronger than before. Back then, it was much better.

It should be that his knowledge has increased a lot, and his temperament has been tempered more smoothly.

"Then what do you think Professor Qu? Can it be done?" Lu Cheng continued to ask.

"Not necessarily. Orthopedics and joint surgery and trauma are three different sub-specialties. I can't say that Professor Qu can't perform surgery. I can only say that there are definitely no professional professors in joint surgery and trauma surgery. Be professional."

"Of course, when Professor Qu was clinical in the Department of Orthopedics, he must have encountered joint infections and solved them by himself. There is no doubt about his strength." Cao Xiaohe said objectively.

Lu Cheng nodded.

...

Because all the patients were examined in detail yesterday, and they had a general understanding of the basic situation, the ward round was soon over today, and Qu Hongsheng took his group to the operating room early.

The operating room this time is the operating room of the surgical building. Lu Cheng has been here before, so he is familiar with it.

After going in and quickly changing clothes, the anesthesiologist is still anesthetizing the patient, and it will take a while before the surgery can be officially started. Xie Jian and Pang Lin watched in the operating room.

Qu Hongsheng, Lu Cheng and other "superior doctors" all went to rest in the lounge.

It was not until 8:42 when Pang Lin and Xie Jian had finished disinfecting and draping towels for the three patients before they called Lu Cheng and others up.

For the 3-bed patient who underwent sinus tract resection, there was a lot of exudate from the wound every day after returning to the ward from the last operation. And the amount of seepage did not decrease, so it was decisively arranged to be the first one today.

Qu Hongsheng and the others washed their hands, changed into sterile surgical gowns, and each wore two pairs of gloves before the formal operation began.

Qu Hongsheng stood at the main knife position, Lu Cheng was the first assistant, Fang Nixin was the second assistant, Pang Lin was the third assistant, and Xie Jian was the fourth assistant.

There were enough people on the operating table, so Cao Xiaohe didn't go there, but went to the best viewing operating position where the anesthesiologist was at the bedside and began to check.

Before sterilization, the gauze on the patient's wound was cleaned. The patient's wound was a surgical wound of no more than 3-4cm, and there was a drainage tube wound below the surgical wound, but now whether it is a surgical incision or a drainage tube opening , there is a small amount of pale pink turbid liquid oozing out.

It looked like it was filled with pus.

The patient had undergone surgery in other places before, and after having a sinus tract about half a year after the operation, he came to Fu Er for treatment.

Qu Hongsheng said: "This patient, the sinus tract connected to the right hip joint before. The last surgery was a total hip replacement. During the last surgery, although the sinus tract was connected to the right hip joint, the inside of the hip joint was not. There was no accumulation of pus, so I didn't remove the joint prosthesis."

"But I estimate that this time, the prosthesis may be removed together, and the joint cavity is debridement together. Only in this case, the original joint replacement surgical incision has to be opened again."

The location where the patient's sinus tract is located is on the inner side of the thigh. The total hip replacement uses a posterolateral approach, which is in two different directions. After coming to the hospital, the sinus tract is cleaned and removed, and the sinus tract is naturally taken, because the previous MRI The result shown is that the sinus tract belongs to the semi-blind sinus tract.

The current total hip prosthesis, even the metal cup and metal handle, is an inert metal and can be used as a material for magnetic resonance.

Before the operation, Qu Hongsheng discussed with Lu Cheng and others whether to open the original joint replacement opening. After all, the sinus opening is too far from the original surgical incision.

The result of everyone's negotiation is to open it and take a thorough look at the situation in the joint cavity.

However, now that Qu Hongsheng said this, Lu Chengcheng suggested: "Mr. Qu, why don't we clean up the inside a little bit first. Otherwise, wait for the joint cavity to connect with the wound on the inside, and then deal with the wound here. When the time comes, there will be a lot of fluid accumulation.”

"Okay! That's fine." Qu Hongsheng thought about it and felt that it was also advisable to deal with the inner side first. Although the last step is still to the inside, but sometimes the extra steps are necessary. Otherwise, the inner side is treated last, which may cause the pus to be poured into the opening treated on the outer side again, which will be troublesome.

Now the outer side is still the blind end, which can pass through the original sinus opening to form a certain degree of drainage.

Qu Hongsheng then saw that Lu Cheng was going to change positions with him, and said: "Don't bother, Xiao Lu, you can do it in your position. When dealing with the inner side, you will be the main swordsman. I will deal with the outer side later. It was a hassle to walk around."

Lu Cheng stepped back only half a step. Hearing Qu Hongsheng's words, he nodded politely.

In fact, he is also very curious about the difficulty of dealing with this lv81 monster. This is the first time Lu Cheng has encountered, and it is an epic monster composed of orthopedic diseases.

Infection after right hip replacement lv72* epic monster: sinus formation, infection after sinus resection, extensive muscle cavity infection, muscle necrosis, prosthesis loosening, osteoporosis, muscle atrophy. Features: Disabled Chance: 20%! Unique feature: 1% chance of direct death.

Although Pang Lin on the side looked expressionless, when he saw that Lu Cheng had no stage fright in the face of such a complicated patient, his heart tumbled a little again.

The complexity of this patient is not comparable to those of the simple fracture patients encountered in the emergency department. He also had vascular surgery with Lu Cheng, but Pang Lin had no concept of the level and difficulty of vascular surgery.

Cao Xiaohe and Fang Nixin both looked at Lu Cheng. They both wanted to know, where is Lu Cheng's bottom line and upper limit now~www.wuxiaspot.com~ Anyway, when Cao was in the trauma center before, Cao Xiaohe was abused by Lu Cheng.

Soon, Lu Chengcheng took the sharp knife for the operation, and then opened the outermost suture, and at the same time used a saline pad to stick it to the lower edge of the wound, the suture of the wound was opened, and then the inside After the sutures were also cut, it was found that there was a lot of liquid gurgling out under the fat layer, which was very thick.

The color is also an ugly thick yellow, and it is sticky, but there is no foul smell.

Pang Lin quickly put the negative pressure suction device in, and then:

"呲呲呲!"

"bububu!"

It makes a turbulent sound when the air is not completely blocked.

After watching Pang Lin **** away the sticky pus little by little, Lu Cheng steadily opened the sutures under the skin, including the sutures on the muscle layer, one by one.

Then I found that there was still a lot of thick liquid in the inner layer of the wound, even more than the previous fat layer. Only this time the color is not dark yellow, but light green.

"Tourist teacher, open two bacterial culture tubes and send one for microscopic examination and bacterial culture. Thank you." Lu Cheng's voice was very decisive and calm, but it was very heavy.

If the entire cavity is filled with such a large number of bacteria, then the scale of this operation will not be simple.

Extensive muscle cavity infection, muscle necrosis!

Looking at the description of the disease, and after the sutures were opened, the exposed pale white muscles were mixed with dark red dead fish flesh, and Lu Cheng's heart was very restless. Click to download this site APP, massive novels, free to read!