Zhao Yuan and Sun Liang went to the outpatient clinic together, and happened to meet Dr. Sun's resident doctor of the same year on the way.
The resident doctor quickly scanned Zhao Yuan's body and joked with a smile, "Hey, Dr. Sun is bringing interns now?"
Although many interns are assigned to Tianhua every year, most interns are assigned to help the attending doctors. No matter what, only senior residents like Xiao Ke are qualified to supervise interns.
Unless a junior resident doctor like Sun Liang is particularly outstanding, it is impossible to be assigned an intern.
Dr. Sun smiled awkwardly, "Our new intern in the emergency surgery department, his instructor is Director Tong."
The resident doctor seemed to have guessed it a long time ago and nodded to Dr. Sun, "I'm going to have an operation. Let's talk later."
Performing surgeries is like celebrating the New Year for junior residents, and this guy is showing off indirectly.
When the other party walked away, Dr. Sun finally breathed a sigh of relief.
The relationship between him and Zhao Yuan cannot be sealed, and it will soon spread throughout Tianhua Hospital, but it will take a day to hide it.
Zhao Yuan remained silent from beginning to end and did not embarrass himself. Dr. Sun felt that he was not difficult to get along with.
Arrive at the emergency surgery clinic.
When Deng Lun saw Zhao Yuan appearing, he excused himself to walk around the ward and gave up his seat for treatment.
Like a student, Dr. Sun moved a stool and sat behind Zhao Yuan.
Not long after, a drunk male patient came in with blood all over his face.
He was accompanied by two male companions, all smelling of alcohol.
"what happened?"
Zhao Yuan saw that the male patient's face was covered with blood and he looked solemn.
"I drank too much. I was originally going to send him to the hospital for intravenous drip. Unexpectedly, he fell down at the door of the restaurant and hit his forehead on the iron railing, causing a big gash. You guys should give him a few stitches as soon as possible."
The escort with slightly curly hair spoke in a nonchalant manner, as if injuries after drinking were common and he didn't take it seriously.
The male patient is in a comatose state due to alcohol paralysis. In this case, it is no longer possible to obtain information through consultation, and a more detailed physical examination is required.
Zhao Yuan started the examination from the head wound and debrided it simultaneously during the examination.
Dr. Sun carefully studied Zhao Yuan's technique and was very particular about every step.
Zhao Yuan stayed on the patient's abdomen for a long time.
The patient lost consciousness and was unable to respond to percussion. Zhao Yuan needed to make inferences by observing the instinctive reactions of muscles and nerves.
Five minutes later, the inspection is over.
Zhao Yuan's expression became extremely serious, "Hurry up and do an abdominal CT scan on the patient!"
"If you have a head injury, why do you need an abdominal CT scan?" Curly felt that the situation had become serious, and he suddenly became more awake.
"The patient has gone into shock! For a more comprehensive examination, you should immediately notify the family members to arrive quickly. The operation confirmation will be signed later."
It is very difficult to diagnose drunken trauma patients.
Most people can't even tell whether the patient's coma is due to alcohol poisoning or other factors.
Dr. Sun also stepped forward to examine the patient. Based on his ability, except for the wound on his forehead, he could not see any problems with the patient.
He was beating a drum in his heart and reminded Zhao Yuan, "If the CT scan shows no problem, these people will get drunk and cause trouble, and the consequences will be disastrous."
Zhao Yuan glanced at Dr. Sun and knew that he meant well. Without explaining too much, he said, "Let the nurse arrange a flat car to take the patient for abdominal CT."
Not long after, Dr. Sun got the film.
The result left him stunned!
The report shows that the patient suffered from comminuted liver rupture!
Simply amazing!
My admiration for Zhao Yuan is like a torrential river.
If it were an ordinary doctor, there would be a high probability of misdiagnosis and the patient would be done with a simple suture.
As a result, the patient may die in the hospital directly due to liver rupture resulting in massive abdominal bleeding, which becomes a serious medical accident.
It must be said that this patient is lucky.
He was lucky enough to meet Zhao Yuan, so he didn't fall down while drunk and lose his life.
The two people drinking with him were completely sober.
"Let me tell you, his drinking capacity is not that bad. In the past, just hanging a few bottles of water was enough, but today he slept like a pig."
"Oh, what a bad luck! If something happens while drinking, none of us can escape. We will have to pay for the medical expenses."
"What are you afraid of? There are so many people drinking, and it won't be much if you spread it out evenly."
The drinking buddies who were traveling with him were chattering away, and the patient’s family finally arrived.
"Doctor, is my husband's condition serious?"
"I need surgery immediately. Please confirm your signature quickly and then go to the window to pay."
Deng Lun heard that Zhao Yuan had met a patient who needed liver rupture repair, so he rushed back to the clinic from the ward.
Zhao Yuan and Deng Lun explained the patient's condition. After Deng Lun reported to Xie Changtian, they arranged for the operation to be performed in operating room No. 4.
"Xiao Sun, this is a second-level to third-level surgery. You will be the second assistant later and help Zhao Yuan. You will be mainly responsible for the suturing of the head wound and the abdominal closure suturing!" Deng Lun and Sun Liang ordered.
.
"Ah good!"
It took Sun Liang a while to realize that he was going to undergo surgery!
The mood is like a roller coaster.
The depression I felt not long ago suddenly became clear at this moment.
He figured it all out.
What about being Zhao Yuan's deputy?
As long as he can perform surgeries every day, he can be a cow or a horse for him.
After entering the operating room, Sun Liang's heartbeat began to accelerate.
Before this, he had only performed a handful of surgeries.
I have no experience in liver rupture repair surgery.
What should he do if he makes a mistake.
The shadowless lamp turned on, and Zhao Yuan stood in front of the patient, calm and composed.
Sun Liang suddenly felt a strong sense of security.
I was worrying too much. The protagonist of this operation was Zhao Yuan, and I was just Luye.
Even if they make mistakes, the chief surgeon and Ichisuke will back them up.
The moment the patient's abdominal cavity was opened, everyone in the room was shocked.
Deng Lun lamented, "The damage was more serious than imagined, with at least 3,000 milliliters of blood accumulated."
He just finished speaking.
Zhao Yuan has used gauze packing to compress and stop the bleeding, blocking the first porta hepatis, and the wound bleeding was instantly reduced.
"The patient is very lucky, only the marginal liver tissue is inactivated." Zhao Yuan said thankfully.
The broken parts need to be repaired, and the inactive parts need to be removed.
If the resection is particularly large, the difficulty will increase.
Sun Liang watched Zhao Yuan perform surgery for the second time. The role was different, the perspective was different, and the experience was more intuitive.
Zhao Yuan's operation is rough and detailed, and the steps will be different from those in the textbook, but after careful study, you will be able to see through the clouds and say "that's it".
time flies.
The operating room was as quiet as a classroom after the bell rang.
There was only the sound of friction between instruments and flesh.
The bleeding from the liver wound finally stopped, and the blood pressure and heart rate gradually stabilized.
The patient's bleeding exceeded 4000ml during the entire operation. During the operation, 900ml of concentrated red blood cells, 800ml of plasma, 1300ml of autologous blood and 2500ml of infusion were transfused.
Zhao Yuan's efficient performance in finding damaged parts and stopping bleeding opened Deng Lun's eyes.
On the operating table, he has the magic power to make all complex problems simple.
Tong Zheng stood behind Deng Lun at some point. When Deng Lun noticed it, he was about to say hello. Tong Zheng put his finger to his mouth to express silence.
The light hit Zhao Yuan's face, making his face look particularly white.
"So handsome!"
"The male protagonists in doctor dramas are completely incomparable to Dr. Zhao."
The nurses thought silently, no one wanted to disturb the atmosphere of the scene, and they purely appreciated the beauty brought by the surgery!
Before I knew it, two hours had passed.
"It's ready to be stitched!"
Zhao Yuan handed over the finishing work to the "tool man".
Sun Liang and Zhao Yuan exchanged positions. He took a deep breath and moved the needle in and out.
Sun Liang was more serious than ever before. He had to ensure that the operation started perfectly, went on perfectly, and ended perfectly with him.
When Sun Liang cut off the sutures, Deng Lun couldn't help but applaud, cheering for Zhao Yuan and Sun Liang.
"The operation is over!"
Sun Liang handed the scissors to the instrument nurse with great relief.
He turned around and found that besides Deng Lun, Tong Zheng had also arrived in the operating room at some point.
"You performed well!" Tong Zheng nodded in approval towards Sun Liang.
Sun Liang couldn't bear it anymore and cried with joy.
"Huh? Why are Dr. Sun crying?"
"You must be moved by yourself!"
"Experiencing such a perfect surgery for the first time is worth crying."
…
When several people walked out of the operating room, their family members couldn't wait and took the initiative to greet them.
The patient's wife asked anxiously, "Doctor, how is my husband?"
Sun Liang smiled easily and said: "Don't worry, the operation was successful, but the patient still has to be observed in the intensive care unit for 24 hours."
The patient's wife was relieved and thanked her with tears.
A drinking friend kept saying it was lucky: "Thanks for sending the person directly to Tianhua Hospital. If he had gone to other hospitals, he would probably be dead."
"You have to thank Director Tong and Dr. Zhao. If it were another doctor, your luck would not be so good."
Sun Liang took the opportunity to flatter Tong Zheng and Zhao Yuan.
Turning around, he found that Zhao Yuan and Tong Zheng had already walked away.
He laughed to himself and hurriedly caught up.
There is an endless stream of patients, and the doctors in the emergency department walk in a hurry.
When Sun Liang chased him to the clinic, Zhao Yuan and Tong Zheng had already started watching movies.
Zhao Yuan's expression was solemn, "The CT examination showed that there was a large amount of fluid in the abdominal cavity."
Tong Zheng also showed a troubled expression, "The blood pressure is only 55/23mmhg, but the heart rate is as high as 130 beats/minute!"
The two looked at each other and said in unison: "Ectopic pregnancy rupture and massive bleeding!"
Rupture of ectopic pregnancy results in massive bleeding and a high mortality rate.
Lives are at stake.
"Dr. Sun, please notify the family immediately and prepare to sign the surgery agreement."
Sun Liang took a deep breath.
The joy of successful surgery disappeared.
Instead, it was replaced by a tense and dull mood.
According to this situation, he no longer needs to worry about the amount of surgery.
Instead, he has to consider how to ensure physical health under high-intensity work pressure.
The year he became a resident doctor, his hair began to fall out like crazy, and he began to pay attention to his health.
According to the current situation!
Just relying on an apple to supplement vitamins every day is definitely not enough!
