Surgeon: I can hear the cells

Chapter 79 Acute intestinal perforation, complicated by septic shock!!

“The patient is, acute intestinal perforation, complicated by septic shock!”

Ye Feng, facing the surgical members present, said one by one.

“Doctor Ye, don’t you have to make films?”

Some nurses were stunned.

“No, these are very easy to diagnose.”

Ye Feng shook his head.

“This situation is very dangerous, if you are not careful, it will be the lives of two people, is Dr. Ye sure?”

Dr. Chu was nervous.

In fact, he can also perform surgery, but he thinks that his strength is not enough, and this disease is too critical, he dare not take it.

“Try it!”

“I can only do my best!”

“Doctor, this is an existence that changes his life against the sky, just do your best!”

Ye Feng said lightly.

“No time, anesthesiologists, obstetrician-gynecologists, have they all arrived?”

“Let me emphasize that once the patient enters general anesthesia, the obstetrician-gynecologist must remove the child within five minutes! Otherwise, the child’s life is in danger. ”

Ye Feng instructed.

“Understood!”

Obstetrician and gynecologist, Dr. Yang, who is in his thirties.

Dr. Yang was surprised, this Ye Feng was so familiar with obstetrics and gynecology?

What else don’t you understand, this is still a young guy in his twenties!

Ye Feng looked at the electrocardiogram, and the vital signs of the pregnant woman gradually stabilized.

Anesthesiologist, start anesthesia.

Wait for the anesthesia to succeed.

The anesthesiologist timed, and when the time came, he immediately said: “Anesthesia is okay, you can start the operation now.” ”

“Start the operation now!”

Ye Feng said seriously.

After the application site is determined, the assistant cleanses, shaves, disinfects, and anesthetizes according to the routine, and first makes an arc-shaped incision.

Dr. Yang, an obstetrician, then began to cut the dermal muscles, external obliques, internal obliques, transverse abdominis muscles and their fascia in layers.

How similar this scene is.

Another caesarean section for pregnant women!

Hopefully, this time, there are no surprises.

Ye Feng only wanted this.

The patient has no emergencies, normal blood pressure, but this obstetrics and gynecology doctor Yang, the technique is a little raw.

“Doctor Yang, are you nervous?”

Ye Feng looked at such a progress, five minutes was definitely enough.

“Sorry, I just became the attending doctor.”

“I don’t have enough experience with surgery, although the theory is known.”

Dr. Yang took a deep breath and was indeed nervous.

“I’ll do it!! That’s definitely not a good idea for five minutes. ”

Ye Feng did not dare to delay.

Ye Feng directly took the scalpel.

After opening the abdomen, when there are blood vessels, Ye Feng’s experience is still very sufficient, and he can avoid it skillfully, and then cut the peritoneum, and use tweezers to clamp and cut a small mouth when cutting the abdomen.

Precise and fast.

These surgical members were stunned.

Who is an obstetrician-gynecologist?

Why was this twenty-something Ye Feng so skillful and accurate, without the slightest panic.

Ye Feng inserted the middle or index finger of his left hand into the hole, and cut the peritoneum to an appropriate length under the guidance of his left hand, exposing the rumen.

His eyes were gathered and he proceeded meticulously.

This is a step that cannot be missed.

After success, Ye Feng began to pull out Zigong.

After the peritoneal incision, Ye Feng’s arm needed to be re-disinfected and rinsed with normal saline, and then reached into the abdominal cavity to examine the child, fetus and nearby organs, and began to detect whether there were ruptures and adhesions.

“Fortunately, everything is normal, this time there is no emergency.”

Ye Feng breathed a sigh of relief.

At the moment began to move on to the next step, all the members were a little dignified and quickly cooperated.

Ye Feng asked an assistant to move the rumen forward, exposing the Zigong.

Now he lifted the sub-worker out of the incision.

The action of pulling the sub-man-hour becomes extremely slow and presses at a certain angle.

After determining the big bend of the sub-worker corner, avoid the sub-worker fu and cut through the sub-worker wall with one size. After the bleeding point of the sub-wall incision has been fully ligated, the fetal membranes near the incision are carefully separated.

When taking the fetus, grasp the appendages of the fetus or the wrist of the forelimbs along the incision of the fetus, and slowly pull out the fetus in the most suitable direction and angle.

Coherent! The fetus is successfully removed directly.

Have the nurse take it out on one side.

Ye Feng needs, stripping off the fetal clothing and sewing the child!

The whole process, eighteen minutes, takes only four and a half minutes to remove the baby!

Soon!

I was also delayed by Dr. Yang for some time halfway, otherwise it would have been faster.

“Doctor Ye! Newborn room rest! ”

The nurse was a little panicked.

Obviously, it is not enough to face such a scene.

“Do CPR right away!”

Ye Feng had expected it.

This is the negative effect of anesthetics.

The cardiopulmonary resuscitation of the newborn is naturally not the palms, the baby cannot withstand it, it is pressed with two fingers.

After a while.

A cry shouted out.

“Wow!”

The cry of a baby finally aroused the doctors’ relief.

The nurse finally breathed a sigh of relief and gave a thumbs up to Ye Feng, this is really a historic moment!

At least the baby was saved.

However, sadness and joy struck together.

“Doctor Ye! The patient’s blood pressure has dropped and needs to be operated on! ”

Dr. Chu noticed bad signals.

“Whew-”

“The patient’s intestinal perforation time is too long, the intestinal inflammation and edema are terrible, I will do it as soon as possible!”

“Be sure to maintain the patient’s blood pressure.”

Ye Feng exhaled, this was already his fourth operation today.

If he hadn’t slept for a while, he really wouldn’t have been able to carry it.

“Intubation! Decompress the patient’s gastrointestinal tract! ”

Ye Feng dropped a sentence and began to deal with it, and found that there was already a wound infection.

“Anti-inflammatory drugs are needed, the wound is infected, but the area is not large!”

Ye Feng was quickly able to accurately judge it.

After anti-inflammatory treatment, Ye Feng began to repair the intestinal perforation.

The stitching technique is extremely skillful.

Constantly alternating various instruments with the instrument nurse.

Generally, the needle is inserted along the first line of the longitudinal axis of the intestine from the serous membrane on the ulcer side, and the needle is passed through the submucosa of the perforamen, and three to four stitches can be sutured.

During this period, gauze is constantly needed to stop bleeding.

Ye Feng constantly commanded the overall situation, and there was no slowdown in his hand.

After the patch is complete, make sure that nothing is missing.

“How’s your blood pressure?”

Ye Feng.

“The patient’s blood pressure has risen back and is normal!”

Dr. Chu said excitedly.

Ye Feng nodded and didn’t say more.

“Rinse the wound with saline!”

Ye Feng, it has been carried out until the last moment.

After rinsing, suture the abdominal wall.

Coherent!

“Done! Safe mother and child! The operation is over! ”

Ye Feng breathed a sigh of relief.

“Doctor Ye, it’s not right!”

A nurse shouted.