Chapter 26
meeting room.
When Lin Feng came to the conference room of the consultation, the entire conference room was almost full.
As soon as he came in,
Brush the eyes of all the doctors~~~ look at it together.
Staring at Lin Feng.
Lin Feng, an emergency intern, has long heard of his name!
Because of Zhou Guorong, the director of the emergency department, the black tiger drew his heart and became famous in the first battle!
The picture of the “black tiger digging his heart” was widely circulated in the hospital, and it also calmed many arrogant doctors.
It is said that during the last pancreatitis operation, I was watched by the surgeon at the Provincial Duck Hospital. After the operation, he madly praised Lin Feng and invited Lin Feng to practice and work at the Provincial Duck Hospital.
That’s the Provincial Duck Hospital!
First in Lingnan Province!
Ranked sixth in the country!
A hospital in my own city, it would be nice to be able to shoot the top 100.
I heard that the hospital was afraid that other hospitals would rob talents. In order to retain Lin Feng, it also gave Lin Feng a high salary.
How high this high salary is, I don’t know yet.
Therefore, many people have always wanted to meet Lin Feng, an intern who has been ‘hidden for a long time’ and ‘hidden’.
now……
Look at the real person,
Damn it!
Too handsome, too young, right?
Combined with Lin Feng’s various ‘deeds’,
Suddenly there is an illusion of watching a TV series male lead.
Many people are even thinking, if Lao Liang rushes to the street during the operation, and then Lin Feng tops it, it will be fine. You can see if Lin Feng’s strength is as powerful as the legend.
(Liang Guomin: “…” I have a sentence mmp I don’t know if it should be said or not!)
Lin Feng found a place to sit down.
Triage continues,
·Pulmonary ventilation function is ok
·Kidney function, A function, liver function ok
·Cerebrovascular disease
·do not smoke
· No diabetes.
·Mri and ct images, all through, Lin Feng silently remembered.
Half an hour later,
After the consultation, a detailed plan was discussed.
·The solution “simple blocking method”: Block the descending aorta at the upper and lower ends of the aneurysm at room temperature, excise or incise the aneurysm, and transplant artificial blood vessels.
·Notes: After blocking the aorta, it increases the burden on the left heart, and at the same time causes the aorta to block the important organs at the distal end, such as spinal cord, liver, kidney and other ischemia, especially the spinal cord
Tissues are most susceptible to damage from ischemia and hypoxia. The safe time to withstand ischemia after blocking the thoracic aorta at room temperature is 45 minutes for the kidneys, 30 minutes for the liver, only 20 minutes for the spinal cord, and 20 minutes for ischemia of the spinal cord tissue at room temperature. Over time, it will cause serious damage.
…
at this time,
The nurse is also preparing in an orderly manner.
The patient signs the consent form.
The patient was carried onto the operating table.
anaesthetization,
Disinfecting drapes…
All doctors put on surgical gowns and enter the operating room.
after an hour,
The patient opened his chest.
The chief surgeon Liang Guomin took the knife, made an incision on the posterolateral side of the left chest, and entered the chest through the sixth or sixth intercostal space.
Then open the sternum, cut off the back of the upper or lower rib, expand the incision, and expose the surgical field of vision.
Sure enough, the artery ruptured and massive bleeding occurred.
There is already a lot of pleural effusion.
Then there is freedom.
Be very careful in this step.
Because this artery is attached to the lungs, if it is broken, it will damage the lungs.
If the blood enters the lungs and then blocks the blood, it is an embolism, which can easily lead to death.
1 minute……
5 minutes……
10 minutes……
Liang Guomin was cautious and sweating profusely.
At this time, he suddenly found that his mind was a little dizzy.
He secretly said: No!
When he was eating at noon, he ate with the boss of an equipment company and drank a little wine.
On the one hand, he likes to drink, on the other hand, the CEO of the equipment company is too warm and polite and gives too much, so when the atmosphere came up, he couldn’t help but get a little touched.
He thought there was no problem,
But now, at the critical time of the operation, I suddenly feel dizzy.
“No, you must stick to it!”
Liang Guomin weighed it and felt that he should be able to do it, because he had done this kind of surgery seven or eight times, so there should be no problem in principle.
Then,
Sneer~~~~
Liang Guomin’s face changed.
He just shook his hands!
When he was free, he accidentally slashed his lungs.
The expressions of the first and second helpers changed.
The expressions of the other doctors outside the operating room also changed.
“Something’s wrong!”
“That’s it!”
A weird atmosphere began to permeate.
Fortunately, the free wound is not big.
“Xiao Li, you stitch it up.”
“Yes.”
Li Yuan sutured quickly and suturing the wound well. He was very skilled. This was the basic exercise.
Liang Guomin continued to free the aortic dissection and the adhesion of surrounding tissues.
Sneer~~~~
Shaking hands again!
Liang Guomin: “………………”
One help and two help: “………………”
Nurse:”………………”
Other doctors: “………………”
The atmosphere is even more weird.
But no one dared to say anything, quietly.
Liang Guomin’s face turned pale at this time. On the one hand, he was dizzy, and on the other hand, he had gone wrong twice in a row.
This is not the most important critical surgical moment. If it is time to block the blood vessels, it is a big trouble!
this moment,
His scalpel stopped.
He hesitated.
Do you want to stop this operation?
. .
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