Start with the emergency physician
Chapter 014
“Report the patient!” He Jianyi is preparing for surgery.
Ichisuke Zhou Yuan, who was kicked to the poor ocean of Ersuke, is also seriously washing his hands.
Zhou Yuan reported: “The teacher, the patient’s female, thirty-two years old, caused blood in the stool after violently injuring her lower body. ”
Haiyang added: “All the preoperative preparations have been completed, we have done B-ultrasound, pelvic CT, X-ray detection…”
He Jianyi interrupted the ocean: “Directly say the diagnosis results.” ”
“Ruptured rectum.”
On the operating table.
The shadowless lamp provided a good view, and since Zhou Yuan’s medical skills and medical ethics were recognized by He Jianyi, Zhou Yuan also took the place of Ichisuke, in the best place besides the main knife.
Haiyang didn’t have any resentment, but observed how Zhou Yuan learned, and he couldn’t understand how this little old brother was even better than himself, a resident doctor.
“Anesthesia.” He Jianyi took a deep breath.
“The operation time is 21:07.” He Jianyi glanced at it and said.
“Start the operation.”
He Jianyi’s speech speed was not fast, but everyone felt a sense of urgency.
“The patient suffered bleeding from a ruptured rectum, and the situation could not be delayed.” Ocean explained.
In the face of life, there is no need for grandiose words, everyone will be solemn.
“Vascular forceps.”
“Interrupt blood flow.”
This time, the operation Sansuke was replaced by He Jianyi’s own resident Wang Ziqiao.
Sun Meng is a person on Liu Huimin’s side, the last operation was because of insufficient manpower, urgently transferred over, and has been using Sun Meng, I am afraid that Liu Huimin will have an opinion.
“Teacher, you said before, the more urgent the patient, the more you have to choose a longitudinal incision, this patient with a ruptured rectum has lost a lot of blood and the situation is very critical, why did you choose a transverse incision instead of a longitudinal incision?” Prince Bridge asked puzzled.
He Jianyi said unhurriedly: “First of all, I am sure. I make a transverse incision faster than some doctors can make a longitudinal incision. Second, the patient is still very young, the scar caused by the longitudinal incision is too large, and after the transverse incision heals, it is a line, hidden in the fold and cannot be seen. ”
A few minutes later, He Jianyi’s hand stopped.
“Okay, let’s suture the wound. Still is…… Zhou Yuanlai? He Jianyi asked.
Zhou Yuan had already taken the needle tongs and prepared them on the side, which made He Jian stunned for a moment.
“You go on.”
He Jianyi gave way to the position of the main knife, opened the ocean that wanted to run to the position of Ichisuke, and watched Zhou Yuan’s suturing technique in the good Ichisuke position of the shuye.
Ocean: ……
He Jian reminded while watching Zhou Yuan’s operation: “Remember, I can open a horizontal incision, it doesn’t mean that you can too.” The safety of the patient’s life is always the first priority! ”
“Remembered!”
Zhou Yuanmu did not squint, holding the hand holding the needle tongs and flying.
Continuous seam suturing, continuous intermittent suturing, and sometimes a complex pressing and squeezing is legal, but no matter which one, He Jianyi can’t fault anything, all are the most suitable methods for suturing the part.
“Look, look!”
He Jianyi raised his chin: “Look at this posture, this thread, this stitching method, it is simply a work of art!” When you have half the effort of Zhou Yuan, I, the teacher, will be happy! ”
Haiyang smiled and pushed the prince bridge: “What are you doing stunned!” Take the small book and remember it! ”
As soon as he talked about the small book, Wang Ziqiao remembered the medical record and touched his head: “Eh, you guys say, why do I have so many medical records on my desk?” ”
“Aren’t these medical records supposed to be given to interns? Why did I become a resident and have more work than when I was an intern? ”
Ocean shook his head: “I don’t know. ”
He Jianyi: “I don’t know. ”
A few minutes later, Zhou Yuan also recovered from his state of concentration, put down the needle clamps, and breathed a long sigh of relief: “It’s done!” ”
Although it is not the first time to dry stitch, the sense of achievement is still the same as when I first started.
“I said, how did you practice this stitching, why can’t you pick out any fault?” The ocean approached the suture wound and looked closely.
The distance between needles and threads, as well as the force, the depth of the needle, the knotted suture points, any of these can become textbooks.
This made Zhou Yuan curious.
The master-level butt seam legality has reached this point, but what about the perfection-level seam legal?
“Can it be stitched with air?” Zhou Yuan thought brilliantly and muttered.
He Jianyi took Zhou Yuan and the four out of the operating room together.
Outside, a young man lingered at the door of the operating room, his expression solemn.
“How’s it going! Doctor! Is my wife okay? As soon as the man saw He Jianyi, he immediately rushed up, held He Jianyi’s hand, and asked eagerly.
He Jianyi looked at him deeply: “The operation went smoothly. Pay attention to postoperative maintenance, there is no big problem. ”
“Thank you so much! Thank you! ”
He Jianyi smiled: “It should be.” ”
Before leaving, Zhou Yuan patted the man’s shoulder and whispered, “Don’t play around in the future.” The wife is used for pain. ”
The man was stunned and nodded embarrassedly, “I’m sorry!” I won’t be like this in the future! ”
He Jianyi walked a few steps faster.
The young man’s thinking and play, he really can’t keep up.
————
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