When doctors have a simulated operating room
Chapter 27
The patient was taken to hospital.
"What's the situation?"
"The patient complained of abdominal pain that worsened for a month, and worsening with dizziness and fatigue for a day."
Several people quickly sent the patient to the emergency room.
Oxygen, ECG monitoring, and intravenous access were all prepared.
Blood routine, blood biochemistry, B-ultrasound, and abdominal CT are definitely necessary.
Maybe an enhanced CT scan will be required.
Chen Fang immediately gave instructions.
On the bed, the girl lay there with a pale face.
Zhang Yi took her ID card to help register the information, but he didn't expect to see her age. Born in 1992?
Almost 30?
Why does she look so young?
At first he thought she was a girl in her early twenties.
After a while, all the checkup sheets came back.
Chen Fang glanced at it, and his expression was not right.
"Zhang Yi, can you take a look?" Chen Fang subconsciously handed the sheet to Zhang Yi.
Zhang Yi naturally knew why Chen Fang reacted this way.
It's a pity that she has endometrial cancer at such a young age.
But fortunately, she found it early, and the disease has not begun to spread.
As long as the surgery is clean, the chance of survival is very high.
"Let's do an enhanced CT scan, and notify the gynecologist to come and take a look."
"Okay, I'll listen to you." Chen Fang nodded and did it.
The woman on the bed opened her eyes and looked at the two of them in confusion.
Why did the attending doctor still hear what Dr. Xi said?
Did these two artificial cards go the wrong way?
"Doctor, what's wrong with me?" the woman asked.
"Well... where are your family members? Let's ask your family members to come first."
Zhang Yi did not answer her question for the time being.
Wait for the results of the enhanced CT scan to come out, and then see if the gynecology department needs to do another biopsy.
Let's wait until all the results are confirmed before telling her.
After all, she got cancer when she was less than 30 years old, and the surgery required the removal of the entire uterus.
Think about it, no woman can accept it.
A trace of panic flashed in the woman's eyes: "Doctor, you are so handsome and look so kind, don't lie to me, just tell the truth."
"I can bear it."
Okay, in this case, Zhang Yi will tell the truth.
"Preliminary suspicion is endometrial cancer, and a biopsy may be required for specific details."
"What...what?!"
"Cancer? Endometrial cancer?!"
"Impossible...I am still so young...Impossible!"
"Doctor, is there any cure for this disease? Can it be cured?"
The woman's series of questions revealed her helplessness and panic.
Zhang Yi had to comfort her: "You are in the early stage, and no spread has been found so far. As long as the surgery is done well, the survival rate is very high, don't worry."
The woman pursed her lips tightly, and her eyes gradually became red.
At this time, the gynecologist also came over.
After reading the checklist, it was said to be endometrial cancer, which was almost certain.
The woman broke down and cried, thinking that she had worked hard for so many years, but she didn't expect to get cancer before she was 30.
No one could bear it.
Zhang Yi took out a pack of paper from his bag and gave it to her.
Soon the woman was pushed to do a gynecological examination, and after further diagnosis, the surgical plan could be discussed.
…
It was the morning of the third day when I received the call from the obstetrics and gynecology department.
"Is there a doctor named Zhang Yi in your emergency department? Ask him to come to the No. 1 operating room as soon as possible!"
The gynecologist's tone was a little impatient on the phone.
Zhang Yi frowned, thinking that he was asked to be the surgeon again.
He didn't expect to find out that he was not asked to be the surgeon as soon as he entered the operating room.
It was the female patient who insisted on asking him to come to the operating room to accompany her!
"Doctor Zhang, I think you are very handsome... Please help me, come up and accompany me, please!"
"If I don't see a handsome face next to me, I will be very nervous and scared to death!"
Zhang Yi: -_-!
I was speechless. I thought that being handsome could have this effect?
The surgeon was Huang Meiying, the deputy director of the Department of Gynecology.
"You can talk to her. Intern doctors are not busy anyway."
"I..."
Okay, Zhang Yi couldn't refute it.
He was indeed not busy at the moment.
The operation was performed under spinal anesthesia, which is epidural anesthesia.
The whole patient below the waist was unconscious, but the mind was very clear.
The patient could even hear the doctors' communication clearly.
The operation was performed through vaginal hysterectomy and total annex resection.
This can avoid scars on the abdomen.
Zhang Yi looked at the nervous patient in front of him and sighed helplessly.
Just accompany her.
It is also the doctor's responsibility to help patients relax
did.
"Did you give birth to a child?"
"Yes, I have a daughter, very cute."
The patient finally smiled when she mentioned her daughter.
"That's good, otherwise you would have to remove your uterus during this operation, and you would lose your fertility in the future."
Zhang Yi regretted it a little after saying that.
This is not a pot that is not open...
"Uh... I mean... at least you saved your life, and you also have a daughter."
Who knew that the woman would smile gently.
"Look at you nervous, I don't mind at all, I only planned to have one child in this life."
Seeing that the patient was completely relaxed, Zhang Yi was relieved.
They were chatting casually.
There seemed to be a problem with the operation.
"Bring the forceps, hurry up!"
Hearing Huang Meiying's nervous voice, Zhang Yi also looked over there.
Zhang Yi could see the blood vessels flowing through the patient's entire body.
At this moment, he found that the internal iliac artery on the side close to the cervical wall was actually cut!
Blood is pouring out of there!
If the artery is cut, it may be fatal!
Zhang Yi stopped talking and walked to the best position in the surgical field.
He took a look and it was quite white.
"Get the hemostatic forceps! 14cm curved forceps!"
Everyone around was stunned when Zhang Yi gave this order.
Who are you? !
Our director is still here? Do you need to remind me? !
"I accidentally cut the internal iliac artery when I was removing the uterus, right, Director Huang!"
Because the patient was here, Zhang Yi whispered to Huang Meiying's ear.
Unexpectedly, Huang Meiying looked up at Zhang Yi with a shocked face.
How did he know?
He just took a look!
Could it be that he knew that the internal iliac artery was bleeding with just one look? !
When she was removing the uterus just now, the knife was a little faster...
Suddenly, blood was flowing...
Even Huang Meiying herself found it difficult to determine which artery it was!
I didn't expect this guy to be able to tell instantly? !
At the same time, the anesthesiologist suddenly said, "What's going on? The patient's blood pressure suddenly dropped!"
"It has dropped to 80/58mmhg!"
And the patient's side.
The head began to become dizzy, and the body began to become weak.
Even breathing was almost impossible.
"Doctor... I... What's wrong with me..."
The woman asked in confusion.
Seeing the people in the operating room standing still like idiots.
Zhang Yi had to do it himself.
He quickly took the 14CM curved forceps.
Then, in full view of everyone, he reached in with one hand holding the curved forceps.
Find the right position and then jam it!
"Quickly suction and clear the surgical field, the bleeding has stopped, but the blood vessels must be sutured immediately!"
Zhang Yi gave a command, but unfortunately no gynecologist listened.
"It's all right now? You... you just put your hand in and it's all right?!"
An assistant asked doubtfully.
At this time, the anesthesiologist suddenly said, "He succeeded! His blood pressure and heart rate are stable!"
Now, everyone in the operating room looked at Zhang Yi as if he were looking at a ghost!
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