Back in 2002 as a doctor

"Observe for an hour." Zhou Congwen turned around and saw Li Qinghua and three people standing at the door.

"Director, when did you come?" Zhou Congwen asked.

"..." Li Qinghua was speechless.

Lu Tiancheng really wanted to grab Zhou Congwen by the neck and ask him what the three words get out just now mean.

But seeing Zhou Congwen's expression, he could only remain silent.

"Pulmonary embolism caused by carbon dioxide, I don't have a central venous puncture kit yet, so I'm in a hurry." Zhou Congwen narrowed his eyes and seemed to be smiling, "I didn't curse just now, did I?"

"..."

It was quiet in the operating room.

The medical record folder and stethoscope lying on the ground were sobbing pitifully.

"No." The anesthetist was completely exhausted, and sat down on the stool and whispered a lie.

"Oh, my quality is not bad today." Zhou Congwen said with a smile.

Quality……

is acceptable!

Everyone was dumbfounded.

"It's almost done, and then disinfect. If the operation is not finished, wait for the patient to have a stable operation. If it is finished, take time to shut down the abdomen." Zhou Congwen turned and sat on the stool in the corner to watch the ECG monitoring.

"Congwen, how did you save him?" Li Qinghua asked.

As soon as he opened his mouth, Li Qinghua immediately found that his voice became hoarse and unpleasant, even he couldn't recognize it as his own voice.

Although he stayed out of the incident, Li Qinghua was still nervous and anxious, and the smell of adrenaline permeated his whole body.

Realizing that the patient might have a pulmonary embolism, the adrenaline was so much that the vocal cords contracted and the tone of his speech changed.

"Oh, it's rare to see a similar situation." Zhou Congwen said lightly.

Lu Tiancheng was scornful in his heart, a little doctor was like [-] million.

But without knowing the cause and effect, Lu Tiancheng did not refute Zhou Congwen directly, but asked, "Doctor Zhou, how did you diagnose gas embolism instead of thrombus?"

It involves differential diagnosis, which is the most difficult step clinically.

Li Qinghua glanced at Lu Tiancheng out of the corner of his eye, slightly dissatisfied.

"First, the partial pressure of oxygen and partial pressure of carbon dioxide decrease at the same time, and the changes in hemodynamics are secondary and closely related."

"Secondly, after the pneumoperitoneum was released, the partial pressure of oxygen and partial pressure of carbon dioxide rose rapidly. Repeating this twice can confirm that it is directly related to the CO2 pneumoperitoneum."

"And more importantly, the pressure and flow settings of the insufflation machine are higher than normal."

Zhou Congwen smiled, "There are more than a dozen other differential diagnoses, do you want to listen to Teacher Lu?"

"..." Lu Tiancheng heard a very straightforward differential diagnosis, and Zhou Congwen called his teacher "unkindly", so he immediately pretended to be dead obediently.

There was an accident in the People's Hospital a few months ago, and no one realized what happened until the autopsy gave the answer.

But Zhou Congwen actually reasoned to himself one by one, two by three, and there must be four, five, six, seven, eight after that, so don't make fun of yourself.

"Brother Wenbo, did I really lose my temper just now?" Zhou Congwen asked a little strangely, "I shouldn't, I didn't lose my temper in such an urgent rescue?"

Chapter 0243

The atmosphere in the operating room was once awkward.

Li Qinghua took a breath and asked curiously, "Congwen, I see you slap the patient's precordial area, why is that?"

"There are several points to establish rescue of pulmonary embolism caused by pneumoperitoneum."

Zhou Congwen said lightly.

"Immediately stop the pneumoperitoneum and place the patient in the left lying position with the head down and the feet up, so that the gas can stay in the right atrium and prevent gas embolism in the brain."

"Slapping the thorax and the precordial area to break up the large air bubbles, giving adrenaline to strengthen the contraction force of the heart to make the gas become foamy, and gradually enter the pulmonary circulation and be excreted from the body."

"Actually, the central venous catheter is directly inserted into the right atrium along the upper cavity, and it is better to pump out the gas, but the operating room is not even..."

Zhou Congwen paused, and everyone could hear the resentment in his words, and even some inexplicable hatred.

The roving nurse was a little ashamed.

She heard that the chest department rescued an air embolism, but she didn't expect the same principle of rescue for pulmonary embolism.

There are not many equipments for the night shift. It seems that I need to mention to the head nurse to prepare two sets of deep vein tubes, just in case it is useful.

"Third, the rapid establishment of central venous access for infusion of rescue drugs has accelerated the onset of effect."

"Fourth, correct the acidosis and give ulinastatin and methylprednisolone to protect the organs."

"Fifth, actively treat thrombocytopenia, FIB reduction, and coagulation factor deficiency after secondary DIC."

"sixth……"

"Do you remember?" Zhou Congwen almost snapped his fingers and said one, two, three, four, five, and Li Qinghua burst into tears.

Is this the teacher teaching the students?

No wonder Wang Chengfa didn't like Zhou Congwen in the past. There is no reason why the director likes others to sit and stand up to attend lectures.

But what Zhou Congwen said... is really awesome.

Not only Li Qinghua, but even Lu Tiancheng and the other three carefully tasted his words.

If it had been known early on that pulmonary embolism could be rescued in this way, patients a few months ago should still have the possibility of being rescued.

Unfortunately, there are no assumptions in the world.

"Director Li, why are you here?" Zhou Congwen asked suddenly.

"Just now we got a call from the operating room, and we rushed over." Li Qinghua smiled, "I'm having dinner at my house."

Zhou Congwen glanced at the three people beside Li Qinghua and nodded.

"I'm sorry, emergency rescue, please forgive me if I am not thoughtful."

After the emergency rescue was completed, Zhou Congwen returned from being a tyrant to a gentle little doctor. He smiled and apologized.

The stethoscope and medical record clips scattered on the ground let out a helpless groan.

"It's okay, Xiao Zhou, is Paida really useful?" the anesthesiologist asked curiously.

"It can only be a helpless solution. It is said that a deep vein puncture should be used to insert the tube into the right atrium, and then the embolized gas should be pumped out. But..." Zhou Congwen said half.

Everyone in the operating room felt ashamed.

What Zhou Congwen said just now is very clear, what shatters the big bubbles, coupled with the effect of adrenaline, can be excreted from the body.

It sounds like a fantasy, but the patient's symptoms indicate that the dangerous period has passed.

Facts have proved that the weird slapping technique is indeed useful, otherwise the patient would have started to feel cold by now.

"Xiao Zhou, thank you." Dr. Gao said politely in a sterile suit and gloves.

"Brother Gao, please be polite." Zhou Congwen smiled, "Be more cautious, more cautious. Especially when new technologies are developed, once a medical accident occurs, not only will the patient die, you will be in trouble, and the new technology will also has been postponed indefinitely."

Doctor Gao nodded and sighed.

He knew very well that if something happened, not only would he be in trouble, but even the newly developed new technology would be forcibly suspended.

No one cares how many benefits the new technology will bring, and the occasional accident is acceptable.Even with surgery, accidents are a matter of certain probability.

The responsibility will be placed on the new technology, it will become a heresy, and it may not be until the year of the monkey.

But he has an inexplicable love for new technologies and always feels feasible.

"Director Li, it's nothing. I'll take a look. Why don't you go back first?" Zhou Congwen said with a smile.

"Okay." Li Qinghua nodded, patted Zhou Congwen on the shoulder, "Thank you."

"fine."

Li Qinghua pulled a few people and turned around to leave. When he returned to the locker room, Lu Tiancheng couldn't help asking, "Qinghua, how did Zhou Congwen manage to rescue pulmonary embolism? This... is it a job that humans can do!"

"I don't know." Li Qinghua said the truth, but it sounded like perfunctory.

"It's awesome, it's the first time I know that pulmonary embolism can be rescued successfully."

"That's right, the central venous catheter he said was directly inserted into the right atrium. Is this reliable? Without fluoroscopy, who knows where the tube went."

"Why do I feel that I can't send it in during the rescue?"

Several doctors are experts, they are very clear about the difficulty of each rescue operation, and they started discussing as soon as they walked out of the operating room.

It is not difficult to insert a deep vein catheter, but it is not a little bit difficult to "poke" it directly into the right atrium during emergency rescue.

"During the operation, I told Zhou Congwen one thing. I want him to take care of me 24 hours a day until I wake up." Li Qinghua said softly.

"You have persecution paranoia." Lu Tiancheng smiled, "Are you afraid that someone will give you the wrong medicine? You think too much."

Taking the "wrong" medicine.

Li Qinghua smiled without saying a word, not answering the question.

"However, with such a person by my side, once an extremely rare situation arises, it can be resolved as soon as possible."

"Qinghua, how much does it cost to invite Teacher Chen to perform the operation?" Yuan Xiaoli asked straightforwardly.

Witnessing an impossible rescue further deepened his desire to come to the Third Hospital for surgery.

Is it important that Director Zhu's face has its own lungs?

Maybe some people still have to hesitate, but Yuan Xiaoli has already made a decision.

"3000."

"Okay, add me."

"Add me too." The other doctor didn't have so many worries, and said simply.

"Surgery on the weekend, and I will go through hospitalization procedures tomorrow. Although the problem is not serious, the preoperative procedures are troublesome."

"Go and ask for paid leave early in the morning, and come to the hospital immediately. You don't need to stay in the hospital, Qinghua, don't make things difficult for us on purpose." Yuan Xiaoli smiled.

"No, if it makes things difficult for you, why don't you eat me?" Li Qinghua said with a smile.

The operation matter was decided, and only Lu Tiancheng remained silent, like a stone.

He couldn't comment on right or wrong, and more importantly, the little doctor who opened his chest by himself two months ago but had to perform the operation under his own name... It seemed that he underestimated him.

A lot of thoughts piled up in his mind, and Lu Tiancheng was a little depressed.

Two doctors asked for leave all of a sudden, and they came to the Third Hospital for surgery. What would Director Zhu think?

Chapter 0244

Early the next morning, Zhu Jun locked himself in the office after giving Yuan Xiaoli a long vacation.

Occasionally, the sound of smashing things made all the medical staff shudder.

Director Zhu is in a bad mood, and no one dares to provoke him at this time.As for the reason, it quickly spread among the medical staff of cardiothoracic surgery.

The two doctors from the same family did not perform surgery in their own hospital, but went to the "clinic" next door for surgery. This was a slap in the face, no wonder Director Zhu was so unhappy.

After knowing the reason, no one spoke, and everyone was doing their work quietly, for fear that Director Zhu would find himself in trouble.

At the same time, they were wondering why Yuan Xiaoli and the others would do this. Could it be that they were going to the Third Academy to join Li Qinghua?

Not really...

The patients who were discharged from the third hospital and came to the People's Hospital for surgery sat on the bed, and there was still time for the preoperative examination, and the surgery was scheduled for next Monday.

The past few days have been boring, but early in the morning, my attending doctor, Yuan Xiaoli, did not explain things to him as usual, but was replaced by Dr. Lu Tiancheng Lu.

The little nurse came in to give the injection, and the family member of the patient asked out of boredom, "Nurse, has Dr. Yuan asked for leave?"

"Yeah, Brother Yuan asked for leave to go to the Third Hospital for surgery." The nurse said casually.

"What surgery?!" The patient and the patient were almost stunned.

"Lung nodules."

After the nurse finished speaking, she realized that she had said something wrong. How could she tell the patient this kind of thing?She immediately closed her mouth, and kept silent no matter how the patient asked.