Sleepless Doctor

"Section Chief Wu..." Dean Zhou had finished the operation, but he was still wearing a surgical gown, standing in front of the stage to observe Wang Chengfa's situation.

He heard footsteps and saw Wu Mian coming in, and said quickly.

Wu Mian didn't say a word, first glanced at the ventilator and monitor, saw that the values ​​were stable, and then glanced at Wang Chengfa who was lying on the operating table.

Wang Chengfa has changed to general anesthesia, with a ventilator plugged in, and his chest is falling with the rhythm of the ventilator.

On his lips and the corners of his mouth, there were blood stains that had just been wiped off and had not been wiped off in a hurry.

"Section Chief Wu, Director Wang is in a stable state." Dean Zhou knew Wu Mian was angry, and said sly.

Wu Mian opened the sterile sheet, glanced at Wang Chengfa's abdomen, and asked, "Did the incision on the pubic bone?"

"Yes, it is ~www.wuxiaspot.com~ Welfare gives you a cash red envelope! Follow the vx public book friend base camp to receive it!

"Dean Zhou." Wu Mian said in a deep voice, "It's not that I blame you. You are also an old urologist. You have performed at least a few hundred prostate surgeries. How can you not even know the resection syndrome?"

"..." Dean Zhou looked like a child who had made a mistake, lowered his head, and said in a serene manner, "I usually do suprapubic incisions, and the patients with bladder openings are very stable. Who knows what happened this time."

Wu Mian sighed and said, "Tell me about the specific situation."

"Pharaoh's blood routine: hb96g/L, renal function: creatinine, urea nitrogen, blood sugar 9.2m per l/L, abnormal renal function, considering long-term post-renal obstruction, the catheter should be retained, and renal function: creatinine will be rechecked 1 week later Preoperative diagnosis of urea nitrogen: 1. Prostatic hyperplasia. 2. Chronic urinary retention. 3. Chronic renal insufficiency."

As Dean Zhou said, he peeked at Wu Mian, for fear that he hadn't said anything right, Chief Wu slapped himself on the wall.

The blood splattered by the traffickers is still vivid, and Dean Zhou believes that he is in good health, but he definitely can't hold Chief Wu's feet.

But Wu Mian didn't comment after listening to these medical histories, and Dean Zhou could only bite the bullet and continue talking.

"Electric resection of the prostate was performed through a suprapubic incision under hard anesthesia. During the operation, 5% mannitol was used for irrigation. About 35 minutes after the operation, Lao Wang had a cough. At that time, I asked him if he had any special feelings. uncomfortable.

During the operation, the vital signs were monitored smoothly, the operation went smoothly, and there was not much bleeding. About 45 minutes later, when the operation was about to end, Lao Wang suddenly began to restless.

Asking him not to speak, he was unconscious, and pink blood foam spurted out of his mouth and nose. "

The medical history reported... Wu Mian resisted his unhappiness and asked, "How much salt water was used for washing?"

"Uh..." Dean Zhou was taken aback.

Wu Mian glanced at the itinerant nurse.

"Chairman Wu, 5000ml saline." The nurse was still brighter, and gave ten bottles of 500ml saline. It was not difficult to calculate.

"How much is it out?" Wu Mian continued to ask.

Dean Zhou and the nurse both looked dumbfounded. Chu Zhixi hurried to the bucket of the suction device and said after calculating, "Brother, take out about 3150ml."

"Dean Zhou, do you know what is prostate resection syndrome?" Wu Mian asked.

"..." Dean Zhou was speechless.

Wu Mian didn't explain, she moved a chair and sat next to the ventilator, and said, "Check blood gas for analysis, are there serum ions?"

"No……"

"Check, call the laboratory, let them get the results as soon as possible. Give 250ml of mannitol, and then give a bottle of sodium bicarbonate. Match the blood, hurry up and give 200ml of plasma." Wu Mian whispered.

The itinerant nurse just relaxed, but when he saw Section Chief Wu's expression on his face, he also beat the drum in his heart. She tried hard to remember the various medical instructions that Section Chief Wu had just said. She ran straight up and began to take blood without touching the ground.

The venous blood was drawn out smoothly, and the needle could not get in when the arterial blood gas was collected.

Chu Zhixi whispered, "I'll come."

The nurse gratefully looked at Chu Zhixi, and saw that she was proficient in touching the position of the femoral artery, disinfecting, inserting the needle, and drawing out the arterial blood in one go.

"Xiao Chu, you are so skilled," the nurse whispered.

"Hurry up and send the blood and tell the laboratory to get the results as soon as possible." Chu Zhixi urged.

"Oh oh oh." The patrol nurse ran out immediately, and Dean Zhou was worried, and called the clinical laboratory to do it quickly.

After 20 minutes, the results returned.

Electrolyte blood gas analysis indicated that after a series of treatments, Wang Chengfa's consciousness recovered and he was able to open his eyes.

Peripheral blood oxygen saturation was maintained above 95%, and the heart rate on ECG monitoring was 97 beats per minute reported in the re-examination. Breath 1 was maintained for another day with a ventilator. "Wu Mian frowned and said, "Is there a nurse below who understands ventilators?" "

Dean Zhou shook his head.

"Girl, call Li Qiong and ask her to help." Wu Mian said.

"good."

After speaking, Wu Mian stood up and said, "Dean Zhou, this test should be over. Transurethral resection of the prostate syndrome, also known as dilutional hyponatremia.

Refers to the dilutional hyponatremia caused by the large and rapid absorption of the flushing fluid through the surgical wound during and after transurethral resection of the prostate, and hypervolemia is the main clinical symptom. "

"Yes, yes." Dean Zhou didn't know whether he understood Wu Mian's words, but he responded repeatedly.

"Pulmonary edema, cerebral edema, heart failure, and disturbance of consciousness are the main complications. Watch it carefully." Wu Mian thought for a while. "Girl, ask Wei Dabao what he is doing, and let him come and see him one day."

"Tomorrow, if the re-examination results are okay, just extubate it." Wu Mian said, "Dean Zhou, do an operation..."

Wu Mian wanted to say a few words, but when she turned around, she saw Dean Zhou lowered his head, seeming to be listening carefully to what he said, and couldn't help feeling triumphant.

He sighed.

It is inappropriate to leave at this time, at least we have to wait for Wei Dabao and Li Qiong to arrive.

He picked up the medical record on the anesthesia flat car, turned around and sat down ~www.wuxiaspot.com~ while looking through the medical record, said, "Dean Zhou, go back and read the book first, and ask me if you don't understand."

"Yes, yes, I know Section Chief Wu." President Zhou still said yes again and again like his third grandson.

As soon as he finished speaking, Dean Zhou suddenly felt that the surrounding air was stagnant, and the sound of freezing creaking and creaking could be faintly heard.

This is... Dean Zhou raised his head suspiciously, not knowing what happened.

Sitting on the stool in the operating room, Wu Mian turned around, holding the medical record in his right hand, and the pre-operative signed paper appeared in front of Dean Zhou.

"Dean Zhou, why didn't you sign before the operation?!" Wu Mian asked tightly.

A blast of thunder fell on Dean Zhou's head, rumbling, blind sounds in his ears.

There was no sign for the operation, and the patient had an accident. Isn't it a leak in the room that rains all night long!

how come? It should be impossible!

Dean Zhou quickly recalled everything in the past.