Since 1981 Health School
Chapter 366
Dean Guo looked at Chen Qi carefully, his mind running fast.
For example, so far, the success rate of Chen Qi's surgery has reached an astonishing 100%, without a single mistake.
In addition, this kid often had flashes of inspiration. He remembered that when the deputy magistrate of Yu County had pancreatic head cancer, he happened to encounter Zhu Huoyan's gastric perforation and couldn't hold on.
Maybe there is a kind of genius in this world, let's know it from birth.
Thinking of this, Dean Guo decided to give Chen Qi some trust.
After all, try it now, the little wounded may still be alive;
If she didn't try, the ruptured liver would not be able to stop the bleeding, and she would definitely die.
In the worst case, the operation failed, and he, the chief dean, came forward to take all the responsibilities and protect the junior dean Chen Qi, so he said:
"Okay, Chen Qi, are you sure?"
There was no doubt or envy in Zhu Huoyan's eyes, but he asked sincerely, "Can you talk about the theory, what is pinching?"
Chen Qi pointed to a part of the liver and said:
"Hand pinch method is to pinch the hepatoduodenal ligament with fingers, at about this position, to temporarily block the blood supply of the liver, and then tie the hepatic pedicle with the hepatic porta control belt to remove accumulated blood, so that it is convenient to detect and determine the injury Extent of liver resection."
Dean Guo asked: "Liver ischemia should not exceed 20 minutes, otherwise it will cause necrosis of liver cells. How do you control this?"
Chen Qi seriously replied:
"There are two solutions. One is to move the surgeon quickly, and the other is to block for 15 minutes and relax the fingers for 5 minutes. With this intermittent portal-hepatic block, the cycle can be repeated."
The operating room is full of professional doctors who have become major directors, and they are all proficient in anatomical knowledge. After listening to Chen Qi's explanation, they know that it is feasible.
Dean Guo also laughed when he heard this:
"You boy, don't talk about one thing, but doing it is another. Then what are you waiting for? You should block the blood supply, Lao Zhu, and you should hurry up and perform liver resection."
Suddenly, Dean Guo glanced at the curious Lu Yue, and there was something in his heart:
"Old Lu, what are you still doing stupidly? Hurry up and go back to the operation just now. The patients over there are also in urgent need of you. Don't worry, I'll keep an eye on it here, nothing will go wrong."
When Lu Yue heard this, he was about to spit out a mouthful of old blood.
I thought to myself, I also want to watch this rare liver resection, especially the hand pinch method to stop bleeding. This is Professor Wu's unique skill, a very valuable experience, and I can't learn it even if I want to learn it.
As a doctor, who doesn't want to learn a few more housekeeping skills?
But Dean Guo is careful. You, Lu Yue, know that this is a rare trick, and he, Guo Yuanhang, knows the secret of this trick even more, so you, a competitor, should not be allowed to learn it.
The People's Hospital and the Second Hospital are deadly rivals among urban hospitals, and they are in competition.
The arm couldn't twist the thigh, and Director Lu walked out of the operating room cursing in his heart.
As soon as the door was closed, Dean Guo couldn't wait to shout: "Hurry up, hurry up, operate quickly, I didn't see the little wounded's blood rushing."
Chen Qi changed a pair of gloves again, and he wasn't nervous at all. He took a deep breath, or looked serious.
He casually flipped open the covered liver, pinched a part of the portal of the liver, and the bleeding at the ruptured liver stopped, stopped...
Dean Guo and Zhu Huoyan looked at each other, "Is this all right?"
"Okay, Mr. Zhu, hurry up and cut it."
In fact, when Chen Qi performed liver surgery in his previous life, he liked to use a No. 8 urinary catheter to bypass the hepatoduodenal ligament, and then put a short suction tube on it.
When blocking, tighten the urinary catheter, and clamp a small curved forceps behind the tube of the suction device, so that it is very convenient when the blockage is released.
However, this method was used when he was the main surgeon. Now he does not use the main knife, but only an assistant, so he directly squeezes it with his hands, so that he can better control the strength and is more convenient.
When Zhu Huoyan saw that the bleeding had stopped, he didn't think about anything else. He cooperated with Dean Guo and began to remove the central liver lobe.
Three hours later, when the last stitch on the abdomen was completed, the operation was over.
Because the internal bleeding had stopped and the little girl's blood pressure had also stabilized, as long as she passed the infection test, her life could be considered saved.
This is the first time that Zhu Huoyan has successfully completed liver resection by the chief surgeon. This mood is not to mention how beautiful it is, and the eyes that look at Chen Qi, the most heroic hero, are not to mention how gentle.
Of course, he still has more questions that he wants to ask Chen Qi. Professor Wu's "hand pinching" liver cutting technique alone is worth studying.
It is impossible to say that he is not envious, not everyone has the opportunity to consult with "Wu Dashen" face to face, let alone spend together day and night for a week, this kind of opportunity is too rare.
But now is not the time to chat. As the dean, Chen Qi has too many things to deal with when facing such a big accident.
When Chen Qi walked out of the operating room, the patient's mother, Bao Nanhua, rushed forward:
"Doctor, how is my daughter, is she still alive?"
Chen Qi quickly helped the family members up:
"Don't worry, Director Guo and Director Zhu of the People's Hospital took action. The operation was successful, but she has not passed the critical period, and she will be given the best antibiotics. It is still very sad to be infected, and there is too much blood loss. Recovery will be slower."
Du Li, the clerk of the nearby medical department, was in a hurry:
"Family, hurry up. The operation is successful, and the subsequent treatment is still complicated. Go back and raise money. It's not just a few dozen yuan, but at least a thousand."
When Bao Nanhua heard that it would cost thousands of dollars to save her daughter, she sat on the ground and couldn't get up.
Rural women, when they encounter problems, they cry loudly: "Oh, my poor daughter, how can my family get so much money~~~"
Bao Nanhua was crying loudly, and other family members not far away were frightened:
"What's the matter? Another one died?"
"Ah, it's really pitiful, my colleague is also in the rescue, the Bodhisattva bless you~~~"
"Isn't he dead? Didn't I hear that he didn't have money to see a doctor?"
"Hey, the current hospital is really immoral. If you don't have money, you don't have money. If you don't have money, you still have to see a doctor and take medicine."
"That's right, the current hospitals don't serve the people at all!"
The crowd was discussing a lot, Chen Qi had more or less listened to it, and fell into a dilemma for a while.
On the one hand, Director Yu said that the family's conditions are not good, and they usually rely on selling some vegetables for a living, let alone a few thousand, probably not even a few hundred.
On the other hand, small wounded patients are in critical condition. Even if the operation fee can be reduced, the follow-up medication cannot be saved. This is all costly. The hospital can't help pay for it, right?
You must know that the financial situation of the four courtyards is also in jeopardy, unable to make ends meet.
Just when Chen Qi didn't know what to do, Zhou Liuxin, chief of medical affairs, ran over again:
"Dean Chen, the statistics have been calculated. Among the 25 people, except for the two dead people who were not claimed, the identities of the other wounded and the dead have been investigated clearly. Those who have units have found units, and those who have no units have also been found. family."
Those who can take a long-distance bus these days will not be ordinary people, nor will they be literary youths wandering around with bags on their backs.
After all, for a long-distance bus trip, the ticket price of more than ten or twenty yuan is not affordable for ordinary people.
Passengers are either on a business trip, or their families are in good condition, or they go out to do business. The poor will always be confined to their own one-third of an acre of land.
"Section Chief Zhou, you need to find out again. For patients with units or with good economic conditions, the medical expenses cannot be reduced. If the wounded are really in difficult conditions, in addition to the medical expenses, other surgical expenses and treatment expenses can be reduced. Then help reduce it."
Zhou Liuxin moved his mouth, but in the end he didn't try to persuade him, so he nodded and left.
But at this time, Bao Nanhua was still holding Chen Qi's leg on the ground and crying loudly, "Doctor, doctor, you can't just ignore death, you have to save my daughter."
Chen Qi was also helpless, and quickly comforted him:
"Okay, okay, save people first. I don't have enough money. I will pay for your daughter myself. Don't cry, go and bandage yourself."
"Benefactor, great benefactor, you are the Bodhisattva who saves the suffering, I thank you, I thank you~~~"
When Bao Nanhua heard this, she knelt down and wanted to kowtow to Chen Qi, so scared that Chen Qi quickly hid aside.
He doesn't dare to accept this gift, it's a custom in Yuezhong, if someone kneels down and kowtows to you, it will shorten your lifespan.
When the crowd onlookers heard it, they praised repeatedly: "Wow, this is definitely a good doctor!"
"Yes, yes, the doctor pays for it himself. I've never heard of it. A good guy has a few thousand yuan for one operation. You can buy a color TV from Taiwan University."
"You don't know, this is the dean of the fourth courtyard. Do you want to be the dean, and you need money?"
"Yes, it's not short of money, haven't you heard? The dean has performed several operations in foreign countries, but he has earned millions of dollars."
"Really or not? Doing a few surgeries can make millions of dollars? Is he a fairy hand?"
"Yes, yes, I also heard from my little aunt's daughter-in-law's third cousin that he is a doctor from the Fourth Hospital, so there is no way he could be false."
"Hmph, so rich, what's the point of paying for some medical expenses?"
"It's just..."
Chen Qi still doesn't know how much trouble his promise will bring him in the future.
At this time, his mind was full of rescuing the wounded, comforting the family members, doing a good job in the aftermath of the accident, and at the same time carefully observing the behavior of the staff of the Fourth Hospital in the emergency.
Those who are active should be paid attention to in the future, and those indifferent doctors who have nothing to do with themselves should be considered in the future when they go out for further studies, salary ratings, and professional title selection.
After Dean Guo and Zhu Huoyan came out of the operating room, they were a little more worried when they heard that Chen Qi would bear the patient's medical expenses all by themselves.
Dean Guo frowned and said:
"This kid is still inexperienced. If he said in front of so many people that he would pay for it himself, he must be in trouble later..."
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