Start as an Emergency Physician

Zhou Yuan came a few more times, and the hearts of the little doctors in my obstetrics and gynecology department flew away.

Wei Lili sighed.

If only I had been in my twenties younger.

Lu Chenxi continued to report: "During this time, the doctor of the first obstetrics department invited the thoracic surgeon to come for consultation, and in controlling the patient Sun Lele's pulmonary hypertension, and carried out comprehensive treatment such as cardiac, diuretic, and vasodilation, etc., Sun Lele's new function has been improved to a certain extent..."

Patients who undergo heart valve replacement surgery again generally have poor heart function and need to improve heart function.

"What is the patient's wishes?" Zhou Yuan asked, as if he was a master knife.

Some patients or their family members often refuse surgery because they are worried that it will be dangerous and cause more damage to the heart, delaying the best time for surgery.

"Patients and their families have expressed their trust in us. Lu Chenxi said.

This is thanks to the ** joint operation that Zhou Yuan participated in before, which not only saved the child, but also saved Sun Lele.

Otherwise, few people would dare to accept asking them to have a valve replacement operation just after a caesarean section.

Lu Chenxi continued: "Moreover, because the patient himself also has other heart problems, in addition to improving heart function, we also provided nutritional support to the patient, alternating the use of fresh blood, plasma and albumin to adjust Sun Lele's physical state. "

Zhou Yuan nodded, silently opened the system, and looked at his two primary treasure chests.

You might just come across a mitral valve replacement.

"Open the Beginner Chest!Obtain!Energy Elixir*1!"

"Open the Beginner Chest! Get! Master Circumcision!"

Zhou Yuan: ???

"System, mom sells batches, didn't I just fuse a circumcision last time, and you gave me another one?"

Forget about hemorrhoid surgery, and now you still give me circumcision?!

"System, speak, don't speak, I'll ring you. "

"I'm not a man. The sound of the system finally rang out.

“......"

"Why did you give me circumcision? I can do this kind of surgery with my current skills, and you give it to me..."

"Before you get Master Circumcision, you can make a chicken, and after Master Circumcision, you can make a Phoenix. "The analogy of the system is apt.

Zhou Yuan: ?

"What's the use? Isn't it going to let him go back and compare with the others to see who looks better?"

System: "Yes." "

Zhou Yuan was silent.

"Zhou Yuan, why are you starting to change your face again?" Lu Chenxi looked at Zhou Yuan worriedly.

With a smile and a black face for a while, it can't be a psychopathy...

Zhou Yuan came back to his senses, "It's okay, the operation that suddenly had an epiphany just now." "

Closing his eyes, sure enough, all kinds of details about Baoshu flashed repeatedly in Zhou Yuan's mind like a movie.

What traditional circumcision, one-time circumcision anastomosis and one-time circumcision suture, etc., you can't forget it.

"What kind of surgery?" Lu Chenxi and He Jing asked expectantly at the same time.

Regarding Zhou Yuan's "epiphany", the two naturally thought they were joking.

Zhou Yuan was silent for a few seconds and said, "Circumcision." "

“......"

Lu Chenxi and He Jing both blushed and lowered their heads.

"Director Wei, you can help me pay attention, if your department needs to do circumcision, notify me, you don't have to go to the urology department, just find me." "

Zhou Yuan was thinking about the task of the system.

Last time, I did ten hemorrhoids removal surgeries, and I was rewarded with an intermediate treasure chest.

Although circumcision is a minor operation, it is much more high-end than suturing, and the reward is not bad.

This operation is also easy, and it is also a serious operation to save a small life, so Zhou Yuan will naturally not let it go.

Perhaps, ten foreskins can be exchanged for an intermediate chest.

Wei Lili said with an embarrassed face: "We are the first obstetrician... The men who come here are basically born children, how can there be a foreskin for you to cut..."

Zhou Yuan: "Then you pay attention to their children." "

“......"

Lu Chenxi coughed, "Zhou Yuan, we're here for mitral valve replacement..."

Zhou Yuan reacted, "Which way are you going to use?"

In general, the non-stop heartbeat or non-blocking of the aorta technique can be used, which does not require cardiopulmonary bypass and can prevent reperfusion damage to the myocardium. Cardiopulmonary bypass is the direct cessation of heart function and the temporary replacement of the heart with an artificial machine.

Lu Chenxi said: "Isn't this waiting for you to discuss..."

"I think it's better to have cardiopulmonary bypass. Cryogenic cardiopulmonary bypass. Zhou Yuandao.

Sun Lele's physical condition is not optimistic. Heart failure, caesarean section, pacemaker placement surgery, etc., any of these are factors that are not conducive to surgery, and if the autologous heart is used to support the end of the operation, it is a great burden for Sun Lele.

Lu Chenxi nodded and said, "My plan is also to carry out low-temperature extracorporeal bypass. If the heart is not stopped, there will be a large amount of blood return in the left atrium during the operation, which will affect the surgical vision, and the operation time may be much longer at that time, which is not good for the patient. “

Zhou Yuan and the others discussed for a while, simulated the surgical steps several times, and then began to prepare for the operation.

The patient, Sun Lele, was quickly wheeled into the operating room.

Sun Lele's family is still anxious at the moment.

Shortly after the operation, I had to have another operation, and everyone would be in a hurry!

"It's okay!Mom, these doctors only saved Lele and the baby not long ago, and this time they will definitely save our Lele!"

"Yes, I have inquired, this mitral valve replacement surgery, the mortality rate of the operation is only 5%, we are so lucky, we will definitely come out safely!"

Sun Lele's husband's sister also comforted: "The doctors here have good medical skills and are good-looking, especially that Doctor Zhou, who is handsome and alive, my sister will definitely get better!"

While everyone outside the operating room comforted each other, the operating room was quiet.

Zhou Yuan glanced at Sun Lele who was lying on the operating table, and said, "Why are you squinting, are you sleepy?"

Sun Lele raised his hand to block his eyes: "Doctor, the light above your head is dazzling..."

Zhou Yuan was stunned for a moment, adjusted the shadowless light, brighter, and said intimately at all: "The operation needs good light, you will be numb for a while, and it will be fine if you are dazzling." "

Sun Lele simply closed his eyes.

"The inventory of the instruments is complete. The instrument nurse said.

The anesthesiologist nodded as well, signaling that he was ready.

So, the whole operating room fell silent.

For seven or eight seconds, Zhou Yuancai looked at Lu Chenxi with a confused expression, "You are the chief surgeon, announcing the start of surgery!"

Lu Chenxi suddenly realized: "I said why didn't you announce the start yet, it turns out that I am the main knife..."

Sun Lele's eyes widened when he heard the knife: "Doctor, don't use the knife, I haven't anesthetized yet..."

Feilu reminds you: there are three things to read - collection, recommendation, and points