Chapter 1528 The chest and abdomen are opened at the same time
Liu Muqiao opened the intermediate treasure box while walking.
There are many intermediate treasure boxes, so many that he has not even counted them. There must be several hundred.
He usually doesn't want to open the intermediate treasure box, and only opens it when he needs liquid medicine.
The intermediate treasure box is confusing and anxiety-provoking.
It is no different from the elementary treasure box, you can just throw it away. The best skills are also low-level, so there is no need to worry about it. However, the intermediate treasure box is different, and the skills inside may be expert-level.
Expert level is so awesome in the eyes of ordinary people! Being an expert means you are authoritative.
However, Liu Muqiao plays at the master level, even the grandmaster level. In his eyes, the expert level is like a grandson and rubbish - or at least worthless.
It’s a waste if it’s useless.
To throw it away or not to throw it away, that is the question.
If he has this kind of entanglement too much, he won't want to open the intermediate treasure box. If he collects too many useless things, it will take up his brain capacity.
Liu Muqiao has always believed that the brain, like a U disk, has a total capacity. When the U disk is full, some files can be deleted. When the brain is full, how to delete it?
He tries to save space in his brain, so he tries not to put the skills of the intermediate treasure box into his brain.
There was nothing he could do today. He couldn't care about so many things. Intermediate skills in thoracic surgery were also needed. He opened 10 intermediate treasure boxes in a row, but he didn't hit any of them.
"Photography Technology - Expert Level", don't!
"Antique Appraisal - Expert Level", don't!
"Jade Appraisal - Expert Level", don't!
"Chicken and Duck Castration Technology - Expert Level", don't!
"Dental Implantation - Expert Level", no - no - no...
This is a medical skill, and dental implantation is also a very profitable skill. With one tooth, you can earn a mid-level joint venture car.
……
Liu Muqiao hesitated several times and opened 30 intermediate treasure boxes without asking for a single skill. Two of the skills were closest to what he needed. However, Liu Muqiao gritted his teeth and still didn't ask for it.
One is epidural anesthesia and the other is skin grafting.
The expert level of epidural anesthesia is not low anymore. He Qiao has been working for a lifetime, which is the expert level. Liu Muqiao has achieved this level for nothing, so why not?
Liu Muqiao didn't ask for it. He didn't intend to be an ordinary anesthesiologist.
There is also a book on skin grafting, which is from the burn department. Liu Miqiao is already a master and perfect in the field of plastic surgery. What does expert-level skin grafting mean to Liu Miqiao?
Skin grafting is definitely useful. This technology is incidental. Liu Muqiao's single skill is not very high. This skill was originally mastered by Yi Luxi and the others. Liu Muqiao did not need to do skin grafting himself, and he did not accept it. p>
Just like abdominal surgery, laparotomy and abdominal closure can be done by Liu Miqiao at a rookie level, and laparotomy and closure can be done by Jiang Weiwei and others. Do you need to do it yourself?
Skin grafting is an entry-level job that even interns can do, but Liu Miqiao did not accept this skill.
Of course, the word "expert" is a bit harsh - it's too low-level. If it's a master level, even if it's a small skill, Liu Muqiao will accept it.
For example, Liu Miqiao's three-knife laparotomy does not have much practical significance. Three-knife laparotomy and nine-knife laparotomy will not improve the quality of the surgery itself, but Liu Muchiao is still happy to use three-knife laparotomy.
At least you can get a round of exclamation.
Liu Miqiao, who is so awesome, also likes to hear screams.
When we arrived in the operating room, the chest had been opened.
Of all the surgeries, the scariest one is thoracic surgery. It’s bloody but a trivial matter. The key is that it’s brutal to open the ribs. Generally, people with weak strength can’t do this kind of work.
It doesn't work if you exert too much force. It is likely to stretch the ribs and deform them. You will not be able to recover for several years after the operation, or even never recover.
"Okay, the experts are here."
"Professor Liu, this patient's blood pressure keeps dropping. We suspect active bleeding, but we can't find it."
Liu Muqiao stepped forward and took a look at his chest.
Very clean.
I glanced at the monitor again, oh, typical hypovolemia, pulse 134 beats/minute, blood pressure 60/40mmHg, respirations 26 times/time, blood oxygen saturation 68, the electrocardiogram has a lot of interference, and I can’t see clearly at all. For patients who have had their chest opened, electrocardiogram cannot be performed.
Liu Miqiao pressed his abdomen several times with his hand. Something was a little abnormal. Could it be that there was bleeding in the abdomen?
For patients who have undergone a thoracotomy, it takes courage to open up the abdominal cavity, not to mention that you cannot be sure that there will be bleeding in the abdominal cavity.
"We suspect abdominal bleeding. It's hard to make this decision. Dean Li doesn't dare to make a decision either. I'll wait for you to decide."
Liu Muqiao fell silent.
He checked the abdomen again.
According to routine, if thoracic and abdominal surgeries are performed at the same time, the risk is too great, so the most important ones should be dealt with first.
This patient has a lung contusion, a hemopneumothorax, and a tension pneumothorax. If he does not perform a thoracotomy, he will die immediately. Therefore, it is right to perform thoracic surgery first.
However, now that the conflict has shifted, the tension pneumothorax has been resolved, and the main conflict has become hemorrhagic shock, then what should be done is to stop the bleeding.
The chest has been opened, are you giving up halfway?
The lungs will definitely need to be repaired for a long time. By the time the lung repair is completed, the patient's blood will have long been drained.
Today, your city's blood stations have gone all out. One hospital has already emptied four blood stations. In the past, a certain blood type was used up, but today all blood types are used up.
Even panda blood has been put to use.
It is unrealistic to pour blood desperately. The blood station said that it can provide 10 more for type A blood, 11 for type B blood, only 7 for type O blood, and only 1 for type AB blood.
It’s not that they don’t work hard, it’s that the four blood stations in your city only have so much blood, and it’s now snowy and icy, so it’s impossible to call for blood donations at short notice.
It took Liu Miqiao a full 10 minutes to press and inspect his abdomen. This was the longest time Liu Miqiao had ever examined his abdomen. He asked, "How long will the thoracic surgery last?"
"About an hour and a half."
"What's the fastest?"
"This is already the fastest."
"Well, I have made up my mind. Thoracic and abdominal surgeries will be performed at the same time. I will be responsible for the abdominal surgeries. I will notify your dean and send me two assistants, who may not necessarily be the chief physician, but will be the attending. I will try to complete the abdominal exploration in 15 minutes.
”
Completed in 15 minutes?
Everyone who heard it thought they heard it wrong.
"45 minutes?"
"15 minutes."
"Ah, appendicitis lasts longer than 15 minutes!"
"Don't worry, I only need 15 minutes. During these 15 minutes, you can arrange the thoracic surgery and don't compete with me for territory."
"Okay, in 15 minutes, we can give you the territory. We will repair the damaged lung."
"Okay, hurry up, I'll wait for the assistant."
The assistant came quickly.
Sure enough, there are only two attending doctors, one is a female doctor aged 28 or 29, and the other is a male doctor aged 31 or 32. They should not be senior attending doctors.
The staff is tight today, so it is difficult to send them out.
