Rebirth begins in the operating room
Chapter 18 Restoration of the East and the West
The surgery begins.
The two of them performed an operation at the same time.
Li Anjian is responsible for the abdomen, and Ye Li is responsible for pericardial repair.
"Electric cutter...."
Ye Li chose to use an electrosurgical knife this time, which mainly uses the high-frequency and high-voltage current generated by the effective electrode tip to heat the tissue when it comes into contact with the body, so as to separate and coagulate the body tissue.
This serves the purpose of cutting and stopping bleeding.
Of course, the surgical tools used depend on the surgeon.
The same applies to the need for surgery.
At this time, Chen Ming, as his assistant, directly used the suction tube to suck away the smoke caused by the electric cutter.
He was afraid that the smoke would affect Ye Li's technique.
A few actions made Ye Li feel that Chen Ming was a very discerning person.
As everyone knows, Ye Li's vision is not affected by smoke.
Li Anjian used a spreader to open the peritoneum. Following Ye Li's suggestion, he used a laparoscope to find the splenic artery and blood vessels and suture them.
Ye Li took a look at Li Anjian's technique, and there were only four words to describe him.
The four suturing steps of needle insertion, needle withdrawal, needle removal, and needle clamping are very skillful.
It can be seen that when Li Anjian was young, his basic skills were very solid.
At the same time, the other person’s eyes were full of love and persistence for the surgery.
There is no such feeling in Wang Hongbo.
Li Anjian uses the continuous horizontal mattress eversion suture method that he is best at.
It is a suturing technique that allows the blood vessel walls to anastomose.
Ten minutes passed in the blink of an eye.
After Li Anjian successfully cut the sutures, he sighed in his heart.
It was the easiest suturing ever, very smooth.
This is the best time he has faced on various operating tables in decades.
Somewhat satisfied.
Seeing Li Anjian preparing to put on the surgical magnifying glass, Ye Li said, "Uncle Li, don't you think using the surgical magnifying glass will affect the surgical field?"
Li Anjian didn't get angry and smiled, "There's nothing I can do about it, people get dazzled by old age."
Ah!
He also became humble.
Ye Li stopped talking and focused on himself.
However, the next second, Li Anjian's expression tensed up, and his newly sutured spleen began to hemorrhage.
He was breathing a little quickly and looked at Ye Li with surprise on his face.
This is the first time he has encountered such a thing.
When Ye Li heard this indicator, he frowned and immediately asked the nurse: "What's the injured person's blood pressure!"
The nurse looked at the monitor in panic. His blood pressure was rising rapidly. He didn't know what was going on, so he hesitated, "The blood pressure is 85...no, 90..."
90!
"The blood pressure is 90. The injured person is in hypovolemic shock. How could he have such high blood pressure? Huang Ning, you must have used cardiotonic drugs!"
Cardiotonic drugs are drugs that are injected into muscles to enhance the contractile function of the heart and restore the central nervous system.
Ye Li quickly found out the reason.
Huang Ning wanted to end it as soon as possible, but now he realized that he had done something stupid and hesitated, "Manager Ye, just now I saw that the blood pressure was less than 60..."
"Who allowed you to make the decision without authorization! This injured patient underwent puncture because of cardiac tamponade. If you give him cardiac tamponade, it will cause another cardiac tamponade."
Ye Li was a little angry. He hated those who thought they were smart and were being clever.
"Sorry, Manager Ye, it was my dereliction of duty..."
"Your apology is useless..."
Huang Ning was shouted sternly by Ye Li, and his body began to tremble.
After a while I was afraid.
Afraid that my career is over.
"Ding, you will get 50 conflict points in time because you discovered the error."
"It's not good, Director Ye, the pericardium has started to accumulate fluid, and there are signs of rupture of the left pericardium..."
Chen Ming discovered that pericardial effusion was occurring again, and he reported the situation promptly.
But the situation is not optimistic.
If Ye Li hadn't been there, the injured would have died, and Li Anjian would have torn Huang Ning into pieces long ago.
But Li Anjian has been patient and has not lost his temper. The most important thing now is to save people.
He believed that Ye Li had a solution.
Others table
My emotions were tense, my breathing was heavy, and I felt that the atmosphere in the operating room was like a Shura field, as if it was about to explode at any moment.
"Boy, what should we do now?"
"Due to the anesthetist's fault, the operation became more difficult. Uncle Li, you can stop the bleeding in the spleen, and then continue to suture the large intestine and pancreas. Leave the rest to me..."
"Director Li, Director Ye's heart is about to burst..."
Chen Ming saw that the left atrium of the heart began to swell.
When the other medical staff heard this, they all thought it was over now.
Even Huang Ning's face turned pale, his legs went weak, and he collapsed on the ground.
The body trembles more violently.
"Dr. Chen! Give me a sterile glove right away..."
Ye Li urged.
"Give!"
Ye Li took the sterile glove and immediately cut off a part to cover the ruptured heart.
Everyone was dumbfounded by the next operation.
I saw Ye Li sewing part of the sterile gloves on the surface of the heart.
This method can last up to ten minutes, if the tissue inside the heart has been severely torn.
So!
When I saw that the left pericardium was bulging and about to rupture.
Ye Li used his own ability to find the location of the perforation and quickly drained the pericardial effusion to reduce the burden on his heart.
Once the pericardium is perforated, there is a small chance that it will close on its own.
Therefore, the perforated area should be repaired through thoracotomy as soon as possible.
It would be difficult for other surgeons to find the same perforation location in the shortest possible time.
Especially if the heart ruptures.
Very tight schedule.
.....
Just when the words "I'm going to die" came to everyone's mind, a miracle happened.
The small bulging blood bag where the sterile glove was sewn on the heart gradually flattened back under the naked eye.
This scene shocked everyone.
It was Ye Li who prevented the heart from rupturing after draining out 10 ml of fluid in the pericardium.
Li Anjian, who was the calmest, saw this method for the first time and was secretly relieved.
He has always believed in Ye Li's judgment and medical technology.
Phew~
Ye Li was also sweating profusely and breathed a sigh of relief. He didn't know what the consequences would be later.
Thanks to a foreign report he had read, this method was used to prevent small-area rupture of the heart.
I didn't expect to use it today.
...
Morning, 9:50.
The operation lasted for more than an hour.
This operation can be said to be a near miss.
Ye Li and Li Anjian successfully helped the injured person get out of danger completely.
Until the anesthetic wears off and the injured person regains consciousness.
The two of them left the operating room with peace of mind.
Li Anjian was still full of ideas, "This operation is really yours. It allowed me to see what it means to tear down the east wall to repair the west wall. Although there was a problem in the middle, it was still solved smoothly. It also allowed me to experience the sense of urgency in the operating room, which showed that I still have the ability to do it."
Not old."
At the critical moment, Ye Li prevented the heart from rupturing. He also used other muscles on the surface of the myocardium to free up and cover the heart rupture site for suturing.
And remove foreign objects from sterile gloves.
This alone conquered everyone.
Ye Li took off his surgical clothes and said, "Uncle Li, you have said so much. Remember to reimburse the fare for me."
Li Anjian cursed, "You brat, are you short of money? You still want me to reimburse you for the fare!"
"Of course I don't have it...I didn't even eat breakfast, and the bus fare cost me more than 20 yuan to rush to the hospital. Also, my salary is only 2,000 yuan, which is not enough to buy practice materials."
Ye Liyin didn't say anything about the money he spent on rent and visiting Su Yiyi's house last night.
Usually two thousand yuan is really too little for him. He has to pay rent and buy practice materials.
Totally not enough.
Moreover, this system upgrade did not release any tasks, so Ye Li always felt a bit shortchanged.
Li Anjian frowned and winked, "Okay, don't rely on me. I'll sign it up for you. There's also a Fuyuan food stall at six in the evening. I've reserved a seat. Don't be late..."
"good...."
"
By the way, I have one more thing to ask you, kid."
"What's up!"
"I remember the operation in Zhengzhou State the day before yesterday, wasn't your kid also there?"
Ye Li did not expect that Li Anjian would become concerned about this matter.
So he nodded, "Yeah, what's the matter?"
Li Anjian was curious, "Then Zhengzhou Guo doesn't have a leaf valve malformation!"
"Mr. Zheng's disease is not a leaf valve deformity at all, but degenerative leaf valve calcification in the elderly."
"So that old guy Wang Hongbo made a misdiagnosis!"
"Not only was it a misdiagnosis, but the most irritating thing was that it almost resulted in a death if the grassroots doctors didn't question it."
As soon as Ye Li said this, Li Anjian's expression became more exciting.
Li Anjian almost found it strange. There were rumors that an intern was fired by Wang Hongbo.
It was also due to misdiagnosis.
But this leaflet valve replacement surgery is considered a major surgery, and no one in the hospital knows how to do it.
How could that little rascal Zhang Rui do that!
Of course, Ye Liyin did not mention Wang Hongbo's heart attack, the surgery he performed himself, and the replacement surgery he performed for Zheng Zhouguo.
Seeing Li Anjian thinking about something, Ye Li asked: "Uncle Li, you also found something wrong!"
Li Anjian nodded, "I don't even believe that that old guy's student knows how to perform leaflet valve replacement surgery."
Ye Li smiled and said, "Anyway, the thoracic surgery department is about to face a disaster, so just wait and see the good show!"
"What a show! Boy, do you know the inside story?"
When Li Anjian finished speaking, a person appeared in front of them.
It was Huang Ning from the anesthesiology department, with a sad face.
"Director, please forgive me for this mistake!"
Ye Li's smile gradually faded. An anesthesiologist like this, who only cares about his own comfort, will not remember a lesson if he doesn't learn a lesson.
"Uncle Li, you take care of this matter... I have an appointment and I'll leave first."
"By the way, this is your dormitory key. Go take a look when you have time..."
After receiving the dormitory key card thrown by Li Anjian, Ye Li's heartbeat accelerated.
In the last life, Wang Hongbo took back his own dormitory, so he went out to rent a house.
Moreover, the one I have now is better than the average doctor's dormitory.
It is a dormitory for high-level residents of the hospital.
Just next to the hospital.
Ye Li also didn't expect that the grumpy Li Anjian would actually win for him.
If I had known Li Anjian earlier in my previous life, maybe I would have had a different fate!
"Thank you...Uncle Li..."
This thank you was Ye Li's heartfelt thanks.
.....
At the same time, Su Yiyi arrived at the door of the hospital ahead of schedule, and her appearance became a sight to behold.
It attracted the attention of many young men and women.
It was as if a sick person was cured when they saw Su Yiyi.
Su Yiyi wore a beige hollow sun hat and a white embroidered dress.
Like a princess walking out of a fairy tale.
However, at this time, a figure appeared at the gate and hurriedly walked towards Su Yiyi.
He frowned and looked angry.
This person is none other than Zhang Rui. He had a lot of fun at the KTV last night and spent the night there.
After waking up, I found that there were more than a dozen missed calls on my phone.
Among them is Wang Hongbo.
Nurse Su!
Just as Zhang Rui was thinking about how to deal with Wang Hongbo, he noticed the woman not far away.
Recognize each other at a glance.
Su Yiyi noticed Zhang Rui walking towards her, she immediately avoided it and walked into the hospital.
"Hey! Are you Su Yiyi?"
Zhang Rui, smelling of alcohol, saw Su Yiyi entering the hospital gate, and he also quickened his pace to catch up.
He found that he couldn't catch up with a woman.
Frustrated.
Just when Su Yiyi arrived at the inner door of the hospital, she was only avoiding Zhang Rui, not paying attention to what was in front of her, and ended up bumping into someone.
"Ah! I'm sorry..."
"Beauty, watch the road!"
.....
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