"If you were the attending physician, how would you handle it?" Xie Changtian looked at Zhao Yuan and asked.
"The patient was lucky. He turned his hand to the right. If it had turned to the left, there would be large arteries there, and the consequences would be disastrous. According to the images, the right lung was injured and the organ was bleeding at the moment, requiring immediate surgery."
Recognition flashed in Xie Changtian's eyes, and he asked Liu Juanjuan to arrange the operating room, "You will cooperate with Liu Juanjuan in doing this surgery later!"
On the first day of internship, he had to undergo surgery. The residents next to him all looked at Zhao Yuan with envy.
If you want to be promoted from a resident to a higher level, you must accumulate enough surgical volume.
This is a bit similar to being a pilot. In addition to passing technical standards, you also have to fly a certain number of miles.
Zhao Yuan knew that it was not luck that he got the surgery on the first day, but the first aid on the high-speed rail, which gave him a lot of points.
"Who is this kid? Why haven't I seen him before?"
"The intern who just reported."
"A surgery that interns can participate in? I'm afraid there is a backstage."
"Hey, don't be jealous. This surgery is too weird, there are many variables, and it's not easy to do."
"Are you ready?"
Standing under the light, Xie Changtian's expression became more serious, and his eyes were like daggers.
Liu Juanjuan was unsure: The female patient who inserted the spatula upside down...
Not only was it his first time, but it was also his first time meeting Xie Changtian.
Zhao Yuan didn't think too much and sorted out the entire treatment process.
The focus is on the first step!
How to try to remove the spatula.
The human esophagus is elastic, the shovel handle exceeds the width of the esophagus, and the esophagus tightly wraps the long handle.
Do not take out the shovel handle carelessly. If you use too little force, it will not be able to take it out. If you use too much force, it will cause secondary damage. You must use certain skills.
Liu Juanjuan used several tools, but the handle of the shovel seemed to have grown roots without any movement.
Zhao Yuan saw beads of sweat appearing on Liu Juanjuan's forehead and stepped forward to wipe it for her.
When she was about to increase her efforts, a piercing alarm sounded.
Instrument data showed that the bleeding was becoming more serious.
Liu Juanjuan quickly stopped moving, feeling at a loss.
Xie Changtian knew that Liu Juanjuan could no longer proceed.
"Liu Juanjuan, come down!" Xie Changtian was silent for a few seconds and said to Zhao Yuan, "Try it!"
Everyone in the operating room looked surprised.
No one expected that Xie Changtian would let the intern try to get the shovel.
Zhao Yuan was also a little surprised. He didn't expect Xie Changtian to make an exception and let him try.
"This kid has no backing. He has definitely offended Director Xie. Director Xie is putting on his shoes!"
"I'm just an intern, and I don't understand many things. If I do something wrong, please remind me, Director Xie, and correct it in time."
After previous emergency rescues, Zhao Yuan still learned a lesson.
The surgery must be done well, and you must not let others think that you are a stupid person who does not know what to do.
Zhao Yuan stood at position C on the operating table and could feel the complicated gazes around him.
Doubts, envy and so on.
Zhao Yuan's eyes were calm and his mind was not distracted.
Instead of touching the spatula in a hurry, you use the pad of your index finger to follow the path of the spatula handle.
The elasticity of skin and muscles is used to indirectly analyze the situation inside the esophagus.
His fingers paused on his abdomen.
At a position four inches away from your belly button, suddenly squeeze it harder.
The patient reacted instantly out of nervous system instinct and tried to vomit.
At the critical moment, Zhao Yuan used his strength instantly and pulled out the spatula.
Everyone, including Xie Changtian, was shocked.
One second ago, Zhao Yuan's performance made everyone feel that he had no confidence.
Who would have thought that Zhao Yuan would be so rude in the next second.
"What a mess! Isn't this the overlord forcing his bow?"
"The metaphor is inappropriate. It should be a goose pulling out the shovel!"
As the spatula was pulled out, a stream of blood spurted out from the patient's mouth.
"Such a huge amount of bleeding."
"Alas, as expected, the patient's condition has worsened."
"The interns have no experience. If they don't know how to deal with it, then they are just cowards. Why force themselves to come?"
Everyone thought that Zhao Yuan had an accident and the patient's condition worsened.
However, the instruments showed that the patient's vital signs were normal.
"No way, it's done just like that?"
"Did the blind cat hit the dead mouse?"
"There are no coincidences on the operating table? There is only strength! This intern is really strong, no wonder Director Xie dares to use him."
Xie Changtian took out the endoscope and entered the esophagus to check the situation.
He saw the clues.
Zhao Yuan's behavior seems rough, but there is another mystery behind it.
The location of the squeeze is the circular muscle of the digestive tract cavity wall.
When the circular muscles are squeezed, the digestive tract will have a sharp reaction and a physiological reaction of expansion and contraction will occur.
At the moment of expansion, Zhao Yuan pulled out the spatula, and the reaction interval was only 0.8 seconds. He needed to complete the precise retrieval at this time, which was very difficult.
As for the blood that spurted out, it was internal bleeding caused by the shovel handle piercing the esophagus and damaging the lungs. It had nothing to do with Zhao Yuan taking out the shovel.
Xie Changtian's brows relaxed, and the most critical step of taking out the spatula has been completed.
Even if you pick up the spatula yourself, it would take four or five hours.
Unexpectedly, Zhao Yuan finished it in just a few clicks.
If we were to rate Zhao Yuan, Zhao Yuan would have received almost full marks just now.
Xie Changtian still frowned, but his heart was filled with joy.
The emergency department welcomed a baby this time!
"Director Xie, the spatula has been taken out! However, the patient's condition is not optimistic. The esophageal mucosa is seriously damaged and the wound is 20 centimeters long. Resection surgery is necessary, and the sooner the better." Zhao Yuan reminded softly.
Xie Changtian saw Liu Juanjuan standing beside him blankly, and slapped his palm to remind his assistant.
"Why are you still dazed? Quickly notify the patient's family and prepare for the relevant pre-operative procedures."
Liu Juanjuan said "Oh" before coming back to his senses.
As someone who has experienced it, she knows better than anyone how difficult it is to "take out the spatula". Unexpectedly, the intern who joined the company on the first day could take it out perfectly, which made her feel frustrated.
Liu Juanjuan went to the patient's family to explain the patient's condition and asked them to sign the relevant procedures.
Zhao Yuan naturally participated in the esophagectomy surgery.
On the first day of reporting, I completed the gorgeous transformation of a rookie.
