Chapter 74 The professor is not called for nothing
Vital signs are stable, sending ICU just to be safer.
As long as the shock is corrected and blood pressure remains normal, the problem won't be a big problem.
Director Tian and Yang Ping took off their surgical gowns, and the doctor next to them immediately came over to help undress them.
"There are many fractures, so be careful of fat embolism and pulmonary embolism!" Director Tian told Dr. Tao.
Director Miao took off his surgical gown, and the hand-washing gown inside was almost half wet.
"It's okay." Director Tian comforted Director Miao.
He is also the director of a major department and a famous doctor in Shipo. The scene just now was indeed a bit big. I couldn’t handle it. I’m still a little scared now.
Director Miao hummed: "It was really dangerous. I was lucky to have you just now."
Surgery is like this. Although an accident is a low-probability event, if it happens to a specific patient, it is a life-and-death gamble.
"You should pay attention to the laryngeal edema when you get to the ICU. The tube can be extubated only when the edema subsides. If it does not subside, keep it in place. Even if it is extubated, a tracheal intubation and tracheotomy bag should be prepared by the bedside, just in case.
"Director Tian explained further.
He is the chief surgeon, and some things cannot be emphasized enough.
Director Miao wrote down the professor's words and told Dr. Tao: "Xiao Tao, remember this. I will explain it clearly to the ICU doctor later and follow up."
Dr. Tao responded, and several doctors moved stools. Director Miao, Director Tian and Yang Ping all sat down.
The patient needs to be observed for a while and then sent out after confirming that there is no problem.
"Director Han and I have encountered this situation before, and I have a vivid memory. The patient was more serious than him, and his heartbeat and breathing suddenly stopped. CPR and defibrillation were performed on the operating table, and the patient was finally saved. This is even better.
Calculated, the heartbeat and breathing have not stopped. The diagnosis of anaphylactic shock must be accurate as soon as possible. The rescue time is only a few minutes. If the rescue is correct within a few minutes, the success rate of rescue is very high." Director Tian talked eloquently.
The doctors listened carefully. It was more serious and dangerous than this. The heartbeat and breathing stopped. Everyone had seen it and saved it. No wonder they were able to deal with it calmly and calmly just now.
A professor is a professor, not for nothing.
"Professor Tian, how did you judge that it was anaphylactic shock just now?" the anesthesiologist asked. He just followed Professor Tian's instructions for rescue, but he still doesn't understand it yet.
"Yes, Professor Tian, how can you make a judgment so quickly?" Director Miao was also very interested.
"For this sudden drop in blood pressure, first consider shock. There are only a few types of shock, cardiogenic, hemorrhagic, traumatic, allergic, infectious, neurogenic, and burn. Combined with this patient, burn and neurogenic
Sexual and infectious diseases can be ruled out; the acute phase of trauma has passed, and traumatic diseases can be ruled out; hemorrhagic diseases, with minimal surgical bleeding, can be ruled out; then only cardiogenic and allergic diseases are left. Cardiogenic, the electrocardiogram waveform on the monitoring screen
There will be a reaction. I looked at the ECG waveform and ruled out that it is allergic, and it can be caused by drugs or blood transfusions. The pipe for the infusion just now has been running through normal saline, and on the blood transfusion side, after changing a bag of blood,
Shock appeared immediately, so I considered anaphylactic shock due to blood transfusion. Whether it is caused by blood transfusion or drugs, it is anaphylactic shock, and the treatment process is similar."
Director Tian explained clearly and clearly, it was like giving a small lesson on the spot.
If you don’t say a few words at this time, people will think that the professor is conservative and does not teach real things.
During the operation, he still observed so much with his eyes. He knew the data on the monitoring screen and the nurse changing the blood bag.
Director Miao smiled and said: "You have learned from Director Han. Director Han always requires a monitoring screen so that he can see clearly on the stage when performing surgeries."
The doctor who was observing felt that he had gained more knowledge. It turned out that there were so many details in the operation, and he had no such concepts before.
"Any emergency rescue is not about cutting through the tangle with a quick knife, but untying it quickly. You have to know thousands of ways to twist and tie the tangle in order to quickly untie it, otherwise it will only become more and more messy." Director Tian concluded.
"When I suddenly encounter this kind of situation, my mind is confused. I can only think briefly. I didn't expect so much." The professor was approachable and had no airs. One doctor was bolder and participated in the discussion.
Everyone was less restrained and the sense of distance was weakened. They all spontaneously moved closer to Director Tian. Director Tian said: "This is the usual training. The special police rescue the hostages. They rush into the room only based on the photos they have seen. With a room full of people, they can do it."
Make a judgment within a few tenths of a second, which is the hostage and which is the gangster, quickly shoot and kill the gangster, and successfully rescue the hostage. This is the result of training. Ordinary people will definitely be blind when they go in at this time. How many people are in the room?
It will take a long time to count, let alone identify the hostages."
Everyone laughed and felt that the professor's speech was humorous but the truth was easy to understand.
After more than ten minutes of observation, the patient's vital signs were stable and he could be sent out.
"How many of you should I take to take a break? Thank you for your hard work," Director Miao said.
"It's okay, let's go and see the patient in the ICU together. I'll explain it to the ICU doctor, Director Miao, please explain to the family members. Being admitted to the ICU after surgery can easily cause panic among the family members." Director Tian reminded Director Miao.
"We discussed before that for such a major surgery, it is safe to send them to the ICU for monitoring." Director Miao took everyone to the locker room to change clothes.
"That's good, let's go to the ICU together."
The door of the operating room was opened, and the flat cart with the patient lying on it was pushed out. Family members immediately gathered around him, and two old people were also helped over.
"How's it going, Director Miao?" said the patient's brother.
This surgery is very big. I was not told that it would have to be done at night. It only takes more than three hours to go in and out. It is not difficult. Give up. The family is very worried.
"Director Miao, is it so fast? Is it impossible?" The family members were anxious.
"The operation was successful! Don't worry, the professor performed the operation quickly and well, with very little bleeding."
"An extremely rare accident occurred during the journey, anaphylactic shock. This is dangerous and can be fatal in a few minutes. But I was lucky. I met Professor Tian. Professor Tian was well-informed and judged it at a glance. He quickly rescued and succeeded.
The danger was saved, the patient is safe now and the operation was quite beautiful——"
In short, the professor forcefully pulled the person back from the gate of hell, and the operation was also perfect.
Director Miao's voice was full of emotion and expression, and he supplemented body language from time to time. The patient's expression changed accordingly, and his mood was ups and downs. After hearing the last sentence, he immediately held Director Miao's hand firmly: "Benefactor, benefactor, if it weren't for you,
I’m afraid this level is just——”
Realizing that these words were unlucky, I swallowed the last few words hard.
The family members remembered that they still had Professor Tian to thank, and Professor Tian was the protagonist.
He immediately took Professor Tian's hand and said, "My savior, I'm grateful! I'm grateful!"
I was so excited that my grip was a little tight and my handshake was a little too big.
"This is Professor Tian from the provincial capital. The professor who performed the surgery on the second child is amazing. There is a small hole in the second child's heart. The second child didn't even tell the doctor. The professor could see it at a glance. The second child's injury was really serious.
It was too serious, I was allergic just now, and I almost passed by, but Professor Tian pulled the person back from the gate of hell." The patient's brother followed the cart and explained it vividly to the elders and other family members, with a proud tone.
The patient's brother was in a good mood. At first, these relatives talked a lot, some said they would send him to the provincial capital, and some said they would send him to the imperial capital. They all stood and talked without pain in their backs. It seemed that all the hospitals in the provincial capital and the imperial capital were run by his family, and they wanted to enter.
Just come in. You can shut up now.
Humph, the one who is in charge of the family is still the one who is in charge. He has a clear vision and a far-sighted view. You can understand it. The patient's brother thinks so.
The flat car is pushed to the ICU.
***The author has something to say***
Thank you for playing badminton, Satan’s boss, and Lulu gang leader for the reward. Thank you for your recommendation votes and collections. I have advanced to the third round of recommendations. It is only because of your strong collections and recommendation votes that I am able to achieve this.