Since 1981 Health School

Seeing the patient who was just moaning and screaming, Nurse Liu also went all out:

"Okay, I'll trust you once, NND, if you are punished, I will never end with you!"

Chen Qi chuckled: "I promise that Sister Liu will not be punished, and tomorrow I can eat all kinds of snacks and fruits sent by the patient's family. Lijuan, what are you doing standing there, hurry up and prepare the equipment."

"Oh, oh", Lan Lijuan was going crazy, she was the first assistant directly in the operating room for the first time, and she was still the first assistant for her classmates, she was anxious and worried.

Could it be that Chen Qi told her that he was already an old driver, so he wasn't afraid?

Fortunately, the patient complained of pain and didn't hear the three people muttering in the corner. If he knew that it was an intern doctor who came to operate on him, he would rather die of pain than scared to death.

The first step in surgery is anesthesia.

Applicable anesthesia methods for appendicitis surgery include general anesthesia, epidural anesthesia, combined spinal-epidural anesthesia, combined intravenous anesthesia, local infiltration anesthesia and so on.

But now Chen Qi doesn't have an anesthesiologist on hand, so he can only do it by himself.

So what he prepared was epidural anesthesia, which was also the most commonly used anesthesia method for appendicitis surgery in the 1980s.

Later doctors often chose general anesthesia no matter what the disease was to make the operation easier.

Chen Qi asked the patient to lie on his side first, hugging his knees to expose the spine as much as possible, then selected a puncture point between the 12th thoracic vertebra and the 1st lumbar vertebra, picked up lidocaine after disinfection and started anesthesia layer by layer, and finally pulled out a puncture needle .

Under the nervous eyes of Nurse Liu and Lan Lijuan, Chen Qi successfully inserted the needle into place, injected the anesthetic, and the anesthesia was successful.

Nurse Liu and Lan Lijuan breathed a sigh of relief at the same time,

The two of them discovered that when Chen Qi was under anesthesia, he was positioning and preparing, and when he was puncturing, he succeeded at the first time without shaking his hands. It really didn't look like it was his first time.

After doing all the preparations, Chen Qi once again stood at the chief surgeon's position. Even though it was only a small appendicitis, it also made him feel excited.

The familiarity of that previous life muscle is back.

"Chess knife" in hand, who in the world has it? One knife, one person seems to have telepathy, some people are born to be surgeons, not to be second-hand dealers.

"Lijuan, are you ready?"

Lan Lijuan stood opposite and nodded firmly.

"Sister Liu, are you ready?"

The little nurse took a deep breath: "Get ready, get ready to die."

"Hey, let's start then."

Chen Qi took a deep breath, and made a cut on the patient's Mai's point, the incision was only about 2cm.

Lan Lijuan couldn't tell that Nurse Liu was experienced, so she immediately called softly, "Chen Qi, isn't the incision too small?"

Generally, the incision of appendicitis is about 3~6cm, and sometimes the incision is enlarged under special circumstances. For example, the last time Yi Zewen couldn't find the appendix, the incision was enlarged to 10cm.

Chen Qi snorted lightly: "Is it small? Not too small, enough."

As the incision was made, he began to bleed. It is not popular to use an electric knife to stop the bleeding these days. Lan Lijuan kept passing over the hemostat, while Chen Qi was skilled at stopping the bleeding while separating the fat and cutting the omentum.

The whole process was smooth and flowing, without any pause.

Finally, with a hook of the finger, he touched the top of the cecum without the three colonic bands, and found the appendix at once, and quickly lifted the appendix out of the incision with appendix forceps.

Lan Lijuan and Nurse Liu exclaimed at the same time.

It was the first time for Lan Lijuan to exclaim when she saw a living appendix, while Nurse Liu lamented that Chen Qi moved so quickly, much faster than other doctors.

Looking at the swollen appendix, Chen Qi felt lucky, because the white "purulent moss" could already be seen.

If it was later, it would be perforation or suppuration, and the patient would be really dangerous. This was 1982, an era when there were no advanced antibiotics, and it was easy to cause systemic toxic shock and death.

While feeling emotional in my heart, I did not forget to introduce Lan Lijuan, including the operation steps just now, and the possible development trend of this appendix.

This is also a hand-in-hand teaching. This is a boyfriend and girlfriend, so Chen Qi doesn't want to talk about it.

When he was a teacher in his previous life, he would answer students' questions, but he would not open his mouth if students didn't ask questions, and would just do the surgery silently.

After successfully cutting off the appendix, Chen Qi hurriedly said to Nurse Liu:

"Sister Liu, please help take out the appendix and show it to the family members. After reading it, freeze it immediately. If someone finds out about it tomorrow, let everyone have a look. I cut it off completely."

Nurse Liu was completely relaxed at this moment:

"Good boy, do things properly, and it's not in vain for my sister to help you. Oh my god, my legs are still weak now."

Hehehe, all three of them laughed.

The appendix is ​​cut off, the mesoappendix is ​​treated, ligated and then buried in the cecum wall with a purse string suture, and the abdomen is closed.

Lan Lijuan looked at the clock in the operating room. From the start of anesthesia to the completion of stitches, the whole process took less than an hour. The key point was that the surgical incision was very small and the bleeding was less.

For the small 2cm incision, Chen Qi only sewed one stitch. In the end, Nurse Liu counted the surgical instruments and the operation was very successful.

Nurse Liu is still a little unbelievable:

"Hey, Chen Qi, you are the first intern surgeon I have encountered in all these years of work. You are too good. It will be a pity if you don't do surgery in the future."

Lan Lijuan also looked at Chen Qi with admiration: "Squad Leader Chen, I really didn't expect you to bring so many surprises to people."

At this time, the patient was no longer in pain due to anesthesia. Seeing the joyful doctors in the operating room, he couldn't help asking:

"Doctor, is my appendicitis cured?"

"Okay, okay, the operation was a success. Your family members have seen the appendix just now, and now I'm going to push you to the ward. Remember not to eat or drink, and wait until you fart."

The patient breathed a sigh of relief: "My God, I finally saved a life. I thought I was going to die just now. The technology of the People's Hospital is really good."

Nurse Liu and Lan Lijuan glanced at each other, and almost didn't laugh out loud, thinking that if you knew that an intern doctor performed the operation on you, would you still be grateful?

The patient was just about to be pushed out, and Chen Qi was about to take off the surgical gown, when suddenly another nurse on duty came in outside the door:

"Your appendicitis is ready? So fast? Hurry up, there is another appendicitis just delivered here that needs to be operated on immediately. Who is the chief surgeon?"

Chen Qi was wearing a surgical gown, a mask and a hat, so his face couldn't be discerned at once.

Before waiting for an answer, the little nurse was also in a hurry: "No matter who it is, you take over immediately, and I will push the patient over."

Yes, or don't do it, once you do it, you will have to perform multiple surgeries.