Chapter 51 Critically ill patients
“There is a mass in the lower abdomen and the abscess around the appendix is enlarged.
Considering that it is caused by perforation, there is still a small amount of effusion in the pelvis, and the remaining negative is!”
This is the diagnosis report of this patient. Wang Yang frowned. The patient's condition is not optimistic and he must prepare for the operation immediately.
It was just because the patient was not sent by the patient's family, but a good person called 120 and accompanied him.
After seeing the doctor take the patient away, the good man left. Not everyone can do it when he sends Buddha to the West in the hospital.
Wang Yang asked the medical staff to send the patient to the emergency room and perform puncture and infusion first. Wang Yang picked up his cell phone and called Director Xiao.
The patient's condition is really special. If there are family members, Wang Yang can directly perform surgery after explaining to his family.
But this was an anonymous man, which made Wang Yang feel helpless, so he could only let Director Xiao make decisions. Director Xiao said he could do it, Wang Yang did it, Director Xiao said he couldn't do it, and Wang Yang did it.
Moreover, if an anonymous person has problems with the operation and the failure of the operation will lead to the patient being rescued, a group of demons and monsters will pop up, claiming that they are anonymous person's relatives and friends will cause trouble and pay for money in the hospital. The hospital can only find a doctor who has a knife.
The original kindness was regarded as a donkey's liver and lungs, and it has not received good rewards yet. How could the doctor not be heartless?
And there are too many such things, so many that it is like the old man is lying on the ground and no one dares to help him.
Now, the doctors in the hospital dare not rescue them easily. They need to report them layer by layer and are willing to take care of them when something happens. Then the doctors dare to do this surgery.
"Xiao Wang, is there anything wrong with calling me?"
Director Xiao answered the phone.
Wang Yang heard a little noise there. Director Xiao should be with the Dean and Director Xu, but now he doesn't care about disturbing Director Xiao.
"Director, an anonymous patient just came to the emergency room. He was considered to be acute gangrene appendicitis and acute fever shock caused by peritonitis, and he had no family."
Wang Yang briefly reported the patient's condition to Director Xiao.
Director Xiao was silent for a moment and said in a deep voice: "Preparing for the operation, I will let the medical department deal with the patient. Just save this person. If something happens, I will take care of it and I will come back soon!"
Wang Yang received a response from Director Xiao, and immediately hung up the phone and contacted Meng Yue, and then asked Meng Yue to indulge the gastric tube and urinary catheter for the patient.
The patient was pushed into the operating room, and Wang Yang did not go to the surgery directly, but waited for Director Xiao.
Because the patient has no family members and cannot communicate and sign preoperatively, if he wants to have the right to perform the surgery, he must obtain approval from the Medical Department.
Moreover, the person in charge sent by the Medical Department will record videos with legal effects. If the patient's family comes to make trouble later, the hospital has the right to drive him away and sue him in court.
This is also for the safety of the doctors in the hospital, and Director Xiao came very quickly.
When we arrived, Director Xiao had contacted the medical department. After the medical department was recorded with the equipment, he yawned and left.
"Director Xiao, I'm in trouble!"
Wang Yang apologized.
"This kid, what are you saying, is there any trouble? Are you sure about this surgery?
Do I need to take action?”
Director Xiao asked.
This is also the first time that Wang Yang faced shock surgery, and he was not sure, but the system light plate did not have a dangerous countdown, which proved that the patient's safety was still guaranteed.
There is currently no symptomatic drug for acute shock caused by peritonitis, so there is only surgery. Director Xiao is worried that Wang Yang cannot do it. After all, peritonitis shock surgery can only block the source by surgery, and a large amount of antibiotics are used to solve the problem after the operation.
"There is no problem with the operation, I'm just a little worried that the patient's body will not be able to withstand it."
Wang Yang remembered the patient just now, who was thin and lacked nutrition.
On the one hand, the operating room mainly depends on the patient's self-restoration ability. If the self-restoration ability is not good, there will be many postoperative complications in the later stage.
This is also the reason why there are many postoperative complications in the elderly, and the bodies of the elderly are completely incomparable to those of young people.
"We can only give advice on doing surgery with peace of mind and body conditioning. After all, surgery will damage the vitality and will take 100 days to damage the muscles and bones, let alone surgery."
Director Xiao patted Wang Yang on the shoulder and knew what Wang Yang was worried about. "In terms of the patient's expenses, I will report to the hospital and wait until his family comes to settle the settlement."
Wang Yang nodded, then turned to the operating room to change his clothes.
In the operating room, Meng Yue had prepared the equipment and the anesthesiologist was in place.
"Doctor Wang, it's really tiring to be your paired anesthesiologist. You've had three surgeries this day!"
The anesthesiologist smiled and prepared the anesthetic.
"When I'm free, I'll treat you to a midnight snack. Thank you for your hard work with me."
Wang Yangdao.
"Then I'm not polite!"
The anesthesiologist did not complain, but just lamented Wang Yang's hard work. Like their anesthesiologist, there are very few operations on the same stage with the same doctor a day, and most of the anesthesiologists run around.
After all, Tao City is not a big city, and the number of anesthesiologists in hospitals cannot be the same as the number of doctors. One department is equipped with three or four anesthesiologists.
When the anesthesiologist was performing anesthesia, Wang Yang disinfected, laid two layers of sterile sheets, turned on the shadowless light, and adjusted the direction.
Entering the training room, Wang Yang began to consume his skills and learn the peritonitis surgical procedure.
After consuming five hundred skill points, Wang Yang withdrew from the training room and gained a certain understanding of the patient's peritonitis. The situation was much more serious than what the system light board gave.
Not only acute peritonitis, but also infection.
Wang Yang took the scalpel that Meng Yue slapped, and the blade was very bright.
Instead of making a 5c and small incision like before, a 10cm incision was taken next to the patient's right rectus abdominal muscle.
Because the patient is thin and the fat layer is not thick, Wang Yang basically simply separates the subcutaneous tissue and muscles and can see the patient's peritoneal layer.
It is exactly the same as in the training room. The peritoneum is black, which is acute peritonitis caused by the perforation of appendicitis. Due to the long delay, the peritoneum will turn black.
Wang Yang admires this patient a little. The pain of appendicitis perforation is not something that ordinary people can tolerate. The perforation pain is not persistent, but indirect. I will give you some questions from time to time.
I feel so painful that I don’t want to eat.
Xinglin live broadcast room.
"The third surgery for the boss today is, will it be another gallbladder surgery?"
"No, the guy is opening the peritoneum. Is this the peritoneum infected?
It's been a while since I pierced it!"
"Boss or big guys, the surgery is difficult!"
Li Xunhuan just had an operation today and opened the live broadcast in the office. When he entered Wang Yang's live broadcast room, he saw Wang Yang's operation and frowned instantly.
The patient's condition for this operation is very serious! According to the degree of peritoneal infection, the patient is likely to be in shock. If a patient in shock undergoes surgery, the consequences are not something that ordinary people can bear.
Chapter completed!