Chapter 444 Insert a urinary catheter into yourself
"Is Qin Peiling your daughter?" Professor Liang asked suddenly, as if there was something in his words.
When asked about this, Professor Qin could only nod his head and said "Yeah", Yatou Pianzi came here last time and she was like a man possessed, so she insisted on coming to see the surgery this time.
Professor Su remained unmoved, but noticed Professor Qin's slight embarrassment from the corner of his eye.
Reluctant to let the child catch the wolf, is this really a trick?
Things are not that simple, it seems very complicated, this old Qin fox.
Professor Liang is about to step down as the chairman of the National Orthopedics Committee. Professor Qin and Professor Su are the most promising candidates to replace him.
These two professors can be said to be representatives of the North-South competition. Academically, neither one is convinced by the other.
Director Han was quite surprised when he heard this information. Nurse Qin who came with the 301st Doctor Corps was actually Professor Qin's daughter. Professor Qin didn't mention a word.
To be honest, Lao Qin’s daughter is beautiful and tall, and she can compete with Xiao Su.
Especially last time when I was wearing a military uniform, I looked really heroic and had a unique charm in every move I made.
Thinking about it, Lao Han snickered in his heart, laughing at himself for having such rich associations.
Director Han suppressed his laughter and secretly glanced at Professor Su. He was sitting firmly on the Diaoyutai and seemed not to have heard anything.
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When divided into the subclavian artery, the aorta begins to stretch and no longer twists.
This is a surprising thing, which means that this patient can really be saved, rather than doing the best of humanitarianism.
As an assistant, Professor Li immediately became excited.
He didn't have high hopes for this patient. The anatomy was too confusing, and it was too difficult to find the original building structure in a pile of mud.
Continuing to separate, the arteries and veins stick together, making it impossible to tell who is who.
If it is not necessary, it would be great to let them stay together like this. The risk of separation is too high.
However, this twisted "love affair" between arteries and veins is destined to have no good results. It will seriously affect cardiac function and eventually be fatal.
It will increase the resistance of the heart to pump blood and reduce the blood recovery. Over time, the heart muscle will fatigue and fail. At that time, only an artificial or allogeneic heart can maintain life.
Different from previous scoliosis corrections, this surgery is not only correction, but also life-saving.
No matter how difficult it is, the operation continues. The reason why the doctor's job is sacred is because he faces life and controls life. There is a very fine dividing line between life and death.
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"What's wrong today? Why do you keep peeing?"
Zhang Lin has already gone back and forth to the bathroom several times. It is estimated that his mother-in-law made a large bowl of chicken soup in the morning, and also put coix seed and other traditional Chinese medicine in it, which has a diuretic effect.
"Where are you going to go on stage later? How about inserting a urinary catheter later?" Xiaowu suggested.
Zhang Lin shook his head and inserted the urinary catheter. No matter how good his technique was, he was afraid of damaging the urethral mucosa. The urethral mucosa was like the rifling of a gun. Once damaged, the urine line would be scattered or the beautiful parabola would be lost.
Sometimes there is nothing we can do. Now that we are healthy, who wants to insert a urine catheter or hang a urine bag?
But the effect of this chicken soup is expected to last for several hours. If I have to go on stage, my bladder will not be able to bear it.
Surgeons are most taboo about this. Life is at stake during surgery, but you always wiggle your butt irritably, and then say that you can't hold it in anymore and want to go to the toilet to urinate?
But with the current frequency of urination, I probably won’t have the chance to go on stage later.
"Insert!" Zhang Linxin said horizontally.
Xiao Wu waved to help, and Zhou Can immediately took the time to come over. Xiao Wu whispered: "Where is the catheter bag?"
Nurses know the supplies in the operating room best.
Zhang Lin originally wanted to secretly find a catheter bag by himself, and then ran to the locker room without anyone noticing and intervened. Now Xiao Wu, the bastard, has been exposed.
"In the material warehouse, what happened?" Zhou Can looked at Zhang Lin next to him who was blushing from holding back.
Xiaowu said: "Director Zhang has frequent and urgent urination. He will be on stage for surgery later. Please help me find a suitable catheter bag and insert it."
Zhou Can couldn't help but cover his mouth and smile: "Really or fake?"
"Really? Get me a catheter bag and a pair of sterile gloves quickly!" Zhang Lin said angrily.
"What's the number of the urinary catheter?" Zhou Can asked.
"Whatever number, just take one!" Zhang Lin was impatient.
Xiaowu said seriously: "Is this your first day as a doctor? If the urinary catheter is too big, it cannot be inserted, and if it is too small, it leaks urine."
"How the hell do I know the size of my urinary catheter, and I never have it inserted?" Zhang Lin was a little annoyed when Xiao Wu deliberately punished him, but there was nothing he could do, he was right.
"You don't know any model yourself?" Xiao Wu laughed at him.
"I'll pick it myself." Zhang Lin immediately blushed, got up and went to the warehouse to find a catheter bag.
Zhou Can immediately grabbed him: "Do you want me to help you insert it?"
"Okay, let him insert it by himself. If you do it, you can't insert it no matter how thin it is." Xiao Wu asked Zhou Can to ignore him.
Zhang Lin came out of the operating room, touched the material warehouse, looked for the labels of each storage compartment, and found the urinary catheter. Then he looked at the sizes of various models through the transparent packaging and picked one that seemed suitable.
I also grabbed a pair of sterile gloves and a syringe, and then sneaked into the men's locker room.
I insert a urinary catheter by myself, and nurses usually do the job of inserting urinary catheters. Although doctors can insert urinary catheters, there are relatively few opportunities to insert urinary catheters.
It's a bit difficult to do this simple job on his own. Zhang Lin wanted to ask Xiao Wu to help, but he was afraid of that kid's joke, so he just decided to do it himself.
Opening the catheterization bag, Zhang Lin disinfected himself, then put on gloves and spread the sheets.
I gritted my teeth and inserted it into the urethra. It hurt a little and I couldn't insert it. If I had known better, I would have used tetracaine glue to give a topical anesthesia before inserting it.
When I looked carefully, I became nervous and forgot a step - apply lubricant.
Zhang Lin applied a layer of lubricant to the urinary catheter again. This time it went smoothly. The urinary catheter was inserted easily, urine came out, the balloon was inflated, pulled back, fixed the urine bag, and pinned it to the top of the pants. There is no need to worry this time, you can have the surgery safely.
Zhang Lin returned to the operating room and sat down. Xiao Wu glanced at the urine bag hanging on his pants and the exposed urinary tube.
"Really?"
"If you don't be cruel to yourself, how can it be a big deal? The first operation of the Institute of Surgery. As a main member of the department, Dr. Yang has both gold and silver hooks. How can he not participate?"
"That's cruel!" Xiao Wu had to give a thumbs up.
"Just like that." Zhang Lin said as if nothing had happened.
"Is your urine catheter a good size? No. 20?" Xiao Wu picked up the urine catheter and looked at it.
"Don't touch it. It's much thinner than yours. You probably need a size 22 catheter." Zhang Lin opened Xiao Wu's hand.
Zhang Lin sat calmly on the chair in the corner. He no longer had to worry about holding in his urine and felt relieved.
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Professor Li followed Yang Ping and became more and more confident that the separation had reached the supraclavicular artery. The adhesions between the aorta and the vena cava were separated, as well as the surrounding adhesions. Fortunately, the three-layer structure of these blood vessel walls was still intact.
Complete, otherwise artificial blood vessels need to be implanted to prevent the formation of aortic dissection.
Professor Li admired Yang Ping for his proficiency in anatomy, his proficiency in this abnormal anatomy, and his calmness during the operation. Yang Ping's performance gave Professor Li a feeling that he was very skilled and confident in any operation. He faced the young doctor in front of him.
Respect from the bottom of my heart.
Further down, the aorta and vena cava are adhered together, and they are adhered to the anterior longitudinal ligament of the spine. Other doctors will definitely be helpless.
Another blade has been replaced, and I don’t know how many blades have been replaced.
Anyway, the curved plate specially equipped with blades is already filled with round knives and sharp knives.
"Vital signs are stable!"
The fat man reported to Yang Ping from time to time that he crossed his legs, making the short trouser legs appear even shorter, and the entire lower half of his calf was exposed.
This was the first surgery that Nurse Qin had seen Yang Ping perform. She was impressed by Yang Ping's calmness on the stage.
In 301, the surgeons and surgeons she performed were all top-notch experts in the country, but they also lacked this aura. Yang Ping stood there as if he could control the entire situation.
Indeed, every time Yang Ping undergoes an operation, he has a wonderful feeling that he can control the world.
"Higher blood pressure!"
Yang Ping ordered that if the blood pressure is higher, the aorta will be more filled, which will be more conducive to surgical separation.
Fatty pushed some medicine decisively through the indwelling pipe, and soon his blood pressure rose.
There are messy blood vessels growing in some adhesion bands, which cannot be ligated in advance. They must be cut off during separation, and then double-clicked to stop bleeding.
Beyond the aortic arch, of course, according to Zheng Baosheng's anatomy, there is no aortic arch in the true sense, because the blood vessels are all backlogged together, and the tortuous pipes make it very laborious for the heart to pump blood. If it is not operated on, it will not survive for long.
Reason.
At present, we are still young, and the remaining normal cells in the myocardium can still barely work overload. Slowly, after all the myocardial cells fatigue, the entire heart enters the terminal stage. At that time, there is no other solution except heart transplantation.
"Would you like to take a break?" Yang Ping asked Professor Li.
Professor Li's forehead was covered with sweat, and his excessive tension consumed a lot of energy. Although he had learned from his instructor not to be afraid of pressure and danger, this operation still made him embarrassed.
Now he is just an assistant. If he were the chief surgeon, he would definitely not be able to perform a third of the job. The patient would die on the operating table.
"No, it's okay!"
Professor Li's head moved out of the sterile area, and the circulating nurse wiped the sweat off his forehead with a white tissue to prevent it from gathering into sweat beads and then falling into the patient's chest, increasing the chance of infection.
Continue!
Professor Li is very determined that he cannot hold back the surgeon because of himself.
Back then, one of his patients died on the operating table. After the operation, he curled up on a chair in the dressing room.
The instructor said to him: "Throw away your empathy and forget your sadness. What you are doing is not being sad, but summing up experience from failure and avoiding making the same mistake again."
Now he wants to forget his fear and continue to follow Yang Ping.
The aortic arch has been exposed, and the corresponding vena cava has been successfully separated from the aorta. No breach occurred during the separation. From beginning to end, Dr. Yang protected the complete three-layer wall of the blood vessel. This is very important and means whether the separated blood vessel is healthy.
, whether leaving dangerous hidden dangers.
The scalpel has begun to explore downwards, where the great blood vessels form bends and bends, and then pass through the diaphragm and enter the abdominal cavity. The dissection appears dangerous and complicated.
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"Can I come on stage to help?" Nurse Qin mustered up the courage to ask when Yang Ping took a break.
"Thank you, no need!" Yang Ping decisively refused.
Now one instrument nurse on the stage is enough, and one more person will only add to the chaos.
Sometimes too many people cannot improve efficiency, but will disrupt the inherent rhythm and reduce efficiency.
Being rejected outright by Yang Ping, Nurse Qin didn't feel unhappy at all.
It’s just that she really wants to participate in such a difficult and high-risk surgery like Xiao Su.
But when she thought about it carefully, she realized that going on stage would only cause trouble because she was not well prepared for the operation, and she regretted her rashness just now.
Zhang Lin's urine bag had accumulated at least 200 milliliters of urine, and he decided to change it.
Because he doesn’t know when he will be called on stage, he has to go into battle lightly.
"Zhang Lin?"
The fat man waved.
Zhang Lin stopped and walked around the fat man.
"What's going on?" The fat man pointed to the urine bag hanging on his trouser leg.
"I drank a large bowl of chicken soup in the morning, which probably contains diuretic Chinese medicine. I urinate frequently and urgently!" Zhang Lin was holding the urine bag, because the heavy urine bag had pulled down his pants.
The fat man said easily: "If you hadn't told me earlier, I would have given you a shot to antagonize the diuretic effect and keep you under control for a few hours."
"Forget it, the urinary catheter is inserted."
Zhang Lin knew that Fatty would definitely use cigarettes as a bargaining chip when he was finished.
