Start as an Emergency Physician

on the operating table.

The old man soon entered a state of general anesthesia, at which time the chief physician picked up the scalpel and carefully opened the chest cavity.

Because the patient has an aortic dissection, the sternum must be opened for aortic dissection.

However, after dissecting the chest cavity, the chief physician of the thoracic surgery department found a very serious problem ... The patient's right lung is stuck on the sternum.

This resulted in damage to the bullae in the patient's right lung, which was a tricky problem.

The so-called bullae are a typical feature of patients with chronic obstructive disease, in which air-filled sacs appear in the body. And now this cavity has been pierced by the sternum.

If left untreated, the damaged bullae will become infected, and they will continue to enlarge and even occupy 70% to 100% of the chest cavity, causing squeezing of other organs, and symptoms such as respiratory distress and internal bleeding may occur.

"Ichisuke, you remove your right lung from your sternum. The chief physician said.

To be honest, this is the first time he has encountered such a situation.

There are too many strange cases in the clinic, even Dean Fang dare not say that he has seen them all.

Kiss.

A slight voice rang out.

The chief physician's complexion changed, and it is often not a good thing to have an extra sound during surgery.

At this point, Ichisuke's face turned pale, and as he tried to remove his right lung from his sternum, he accidentally punctured one of the bullae, and the bullae began to slowly leak.

"Director, switch to pure oxygen immediately!"

The chief physician nodded, "The anesthesiologist also quickly injected anesthetics!"

During the operation, in order to prevent drowning due to insufficient oxygen and filling the lungs with fluid, the anesthesiologist needs to pump a lot of anesthetic into the patient's body, and at the same time, it is necessary to switch the ventilator's airflow to 100% pure oxygen.

"Stabilized. Ichisuke breathed a sigh of relief.

The chief physician nodded, picked up the medical electrocautery, and carefully cut open the skin tissue.

Ichisuke next to him was still a little distracted at the moment because of the mistake just now, and he was anxious to express himself, so he picked up the dry schoolbag that needed to be used next, and prepared to treat the chest cavity when all the skin tissue was opened.

But at the moment when the cauterizer starts. Electric sparks flashed.

Under normal circumstances, this small spark has no effect on the human body and will not affect the operation, but... But this little spark landed on the dry surgical bag that Ichisuke delivered next to his chest.

In addition, the ventilator delivers 100% pure oxygen.

There is a gas exchange effect in the lungs, and pure oxygen enters the body and does not spread to the chest cavity.

But...... Patient has chronic obstructive pulmonary disease!

And before there was a bullae that was pierced by Ichisuke!

Bang.

Pure oxygen enters the chest cavity through the leaky bullae, and at the oxygen concentration, the chest instantly catches fire!

The dry surgical kit is combustible, liters of oxygen concentration, and electrocautery equipment, as well as lung disease that causes gas leakage in the alveoli.

Without any of these links, it would not have happened, but now it is all together!

The chief physician's complexion changed drastically.

Surrounded by alcohol, these flammable disinfectants!

He immediately blocked the oxygen and covered it with gauze stained with sterile water.

Fortunately, it was only the surgical kit that caught fire, and there was no widespread fire, otherwise the patient could have died of cauterization.

The fire was quickly extinguished.

"Damn, how can it catch fire..."The chief physician also encountered this situation for the first time.

When he was frightened, he was still a little afraid.

Fortunately, 100% pure oxygen is delivered, and if the oxygen concentration is a little lower, the patient's chest cavity may explode...

It's not just the patients who are at risk.

These doctors may also be affected.

"Rescue immediately!" he glanced at the device, and the patient's condition had become dangerous.

At this time, it is impossible to blame Ichisuke, and it is most important to save the patient's life first.

The patient is also a more dangerous Aortic dissection, and the blood in the aortic lumen flows into the aortic media from the aortic intima tear, which separates the media, resulting in the formation of a true and false lumen separation state in the aortic wall.

Therefore, surgery must be performed under cardiopulmonary bypass, and the key to the operation is to find the location of the intimal break and stop the blood from continuing to flow out of the hole.

But soon, the chief physician's face became heavy.

As a result of the previous chest fire, the patient's anterior intraoperative field became extremely poor, and many of the previously clear structures became somewhat charred.

There were even some tissues that were intolerant to fire that melted...

In this case, it would take a long time to find the location of the incision in order to perform surgery, but now the patient is in a terrible condition and must complete the operation within half an hour.

The chief physician looked at the chest that was in a worrying situation, and his face became serious.

Half an hour he was not sure to finish!

He's the chief physician, he can't finish it, who else can?

"Director..."

Ichisuke, who had made two mistakes next to him, suddenly spoke.

The chief physician's face was a little unpleasant, and he looked at it coldly.

"It's useless to apologize, you have to..."

Before the director could finish speaking, Ichisuke said, "I heard that Dr. Zhou once had surgery for an aortic dissection aneurysm..."

The chief physician frowned: "Doctor Zhou, what does it have to do with us that he has had an aortic dissection aneurysm... Wait!"

There was surprise in his eyes: "What you said about Doctor Zhou... Is it Zhou Yuan?!"

"Yes... Dr. Chow is my idol, so I paid special attention to him, and when Dr. Chow went to Jen Hoa Hospital for further study, he once performed an aortic dissection aneurysm operation, and the operation was very successful!"

The chief physician's face was a little excited.

Aortic dissection aneurysms can be done, so it is no problem to complete an aortic dissection!

Although the situation is complicated now, but... Isn't that man who even Dean Fang can only sigh beyond his reach and make the entire medical community shake, is not the one who specializes in solving this kind of difficult surgery?!

Along the way, every operation was extremely difficult, and many of them couldn't even be handled by the chief physician!

Hope was rekindled in the chief physician's eyes, and he glanced at the time, nine o'clock, eleven o'clock...

This time happened to be the time when Zhou Yuan was preparing for surgery. This was a sensation in the hospital, and even the chief physician of the Department of Thoracic Surgery had heard about it.

Will he be on the operating table now, if the operation has already started and he can't make it, the patient on the operating table may be dead here...

"Quick, go and invite Zhou Yuan over!" The chief physician didn't care so much, and ordered directly.

Hearing the order, Ichisuke rushed out and ran to the hand surgery. _

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