Chapter 226 The problem is very big!(1/2)
When Qin Yuanwu first started working, the thoracic surgery department and vascular surgery department of Chang City First People's Hospital had not yet been separated. Step by step, he almost vomited from the thoracentesis, although he had not performed any thoracic surgery operations for several years.
But these basic operations have been integrated into the bones!
Although the general thoracentesis is to choose the side chest or the back chest, but since he chose to ask more questions, and Lu Cheng gave a targeted location, he still preferred to believe Lu Cheng.
After all, Lu Cheng brought him too many surprises!
Maybe another miracle will happen?
No, it shouldn't be said to be a miracle, but there is something wrong with Lu Cheng. He definitely belongs to that kind of extreme surgical genius, and he was born to eat this!
The puncture point is selected at the upper edge of the target intercostal space. The subcostal nerve and costal artery are both close to the lower edge of the upper rib.
The disinfection of thoracentesis does not need to be particularly strict, and no anesthesia is required!
So Qin Yuanwu quickly penetrated the puncture needle into the skin!
But at this moment, as soon as the skin was broken open, blood poured out from the puncture site.
At that time, Qin Yuanwu was dumbfounded. Although he had a vague idea in his heart that he hoped to find the bleeding point quickly, he never thought that he would find the bleeding point with just one puncture.
When a needle punctures the skin, there will be bleeding points. This is common knowledge that everyone knows.
However, although blood will ooze out from a simple broken skin, it will not be like this!
There are generally only two situations when a relatively large amount of blood will flow out. One is that there is an existing artery rupture, and the other is that the artery is directly punctured.
According to the anatomical structure and the direction of the posterior intercostal artery, most of the arteries run along the lower edge of the ribs. Although variations may occur, variations in the shape of the arteries are rare, and the probability of being punctured is low.
Even rarer.
Seeing this, Qin Yuanwu's energy suddenly rose up: "Wash your hands and give me the big knife!"
The broadsword is also another name for the round knife. The shape of the broadsword is very similar to the blade shape of the ancient Qinglong Yanyue knife, so a few surgeons will call it a broadsword.
Hearing this, Zeng Dewei's eyes immediately flashed, and then he looked over and saw the blood spurting. He frowned and asked, "What is this?"
Actually, what Zeng Dewei wants to ask is whether you have punctured an artery and need to stop the bleeding?
But Zhang Yuewei immediately answered him: "This is the bleeding point of the intercostal artery that has been found! If there is only one bleeding point, stop this bleeding point, and cooperate with blood transfusion and infusion, the blood pressure will start to rise steadily!"
When Zeng Dewei heard this, his expression changed several times, and then he said excitedly: "Director Qin is still okay."
Zhang Yuewei ignored him. What does this have to do with Zhang Yuewei?
Seeing this scene, although Fu Yu looked happy, he was actually a little depressed. The injection point was chosen in such an unclassic place. It seemed that Lu Cheng had expected this bleeding point.
How can this be seen? Could it be that Lu Cheng can still see through X-rays? Everyone has the same naked eyes, so why can you see bleeding spots?
But no matter what, the first priority now is to solve the problem.
Lu Cheng is on the operating table, and he cannot disturb Lu Cheng's thoughts and Qin Yuanwu's operations!
Qin Yuanwu also played with the intercostal artery many times, so he quickly peeled off the intercostal artery and found the bleeding point!
At this moment, there was a breach in the intercostal artery, and blood was gushing out happily, and the peritoneum of the wall wrapped by the hematoma at the breach was also breached, so the bleeding continued.
A blood vessel clip was used to temporarily clamp it on the spot. At this point, if there was only one bleeding point, then the operation to find the bleeding point would be over.
However, for the sake of safety, Qin Yuanwu still did not announce the completion of the operation on the spot. This operation was already the second time in the uterus. Not only to ensure that nothing goes wrong, at least to get the answer to stabilize the blood pressure!
If you only go out but not in, the circulating blood volume will definitely decrease. Once you go out and come in, you can barely maintain your blood pressure! If you only go in but not go out, your blood pressure will rise again.
After the anesthesiologist saw that Qin Yuanwu had clamped the artery, he immediately sped up the infusion a little!
Then it didn’t take long to see the response from Blood Pressure!
"It has risen a little, and the high pressure is now 75mmHg." He said very excitedly.
As long as his blood pressure can be maintained, his workload and stress will be much less.
Lu Cheng also looked at his blood pressure. It was indeed rising, but his blood pressure was still fluctuating up and down, and the rate of rise was slightly slower.
So Lu Cheng secretly touched Yue Nanji again...
Almost five minutes later, Qin Yuanwu had completed the drainage of the chest. Then Xue You from the Department of Thoracic Surgery arrived at the operating room. He washed his hands before entering, and explained to Zeng Dewei: "Zeng Dewei...
Dean, how is the patient's condition now?"
"I was still at home when I received your call, so I came a little late."
Today is the weekend, and it is normal for Xue You to be at home.
But after Xue Chu finished talking to Zeng Dewei, he saw Zhang Yuewei and Fu Yu standing next to him, and then he immediately stood up straight.
He said: "Professor Zhang, Professor Fu? When did you two come? Why didn't you say anything to me?"
When Zhang Yuewei and Fu Yu first studied for graduate school, they also practiced a combination of vascular surgery and thoracic surgery. Xue You mentioned that he and Fu Yu were both of the same generation, so he was very familiar with these two people.
Fu Yu said: "I was called here temporarily, but no one told me!"
Xue Yi understood after hearing this. On the way here, he heard that the patient's background was a bit dark, so he said to Zeng Dewei: "Dean Zeng, Professor Zhang and Professor Fu are both here, and you still call me to show your shame."
What are you doing? You called the wrong person."
Fu Yu immediately said: "Xue You, please don't put high hat on the two of us. We haven't been involved in thoracic surgery for at least thirty years. It's embarrassing for you to ask me to cut off lung segments now."
"Don't waste time here. Come on stage quickly. We have already found a bleeding point. You came here after Director Qin had done the chest drainage. This is not like your style. I remember when we first interned together, this
You are rushing to do this kind of thing." Fu Yu scolded with a smile.
Xue Xi is fifty-nine this year, and she is on the same level as Fu Yu, an old classmate. If Xue Xi goes to Shashi for a meeting, she will definitely go to Fu Yu for a drink. She has a strong relationship, so her speech is a little casual.
Zhang Yuewei couldn't answer this. He was younger than Fu Yu and Xue You.
So I can only say: "Brother Xue, this is your profession and territory, I don't dare to make mistakes."
Zeng Dewei immediately said: "Professor Zhang and Professor Fu are steering us! Xue Xi, come on stage quickly. Professor Zhang and Professor Fu haven't even eaten yet. They should finish their work early and go to dinner early. They come all the way to the stage."
The two professors didn't even give them food when they called, which is not the way our Changshi First People's Hospital treats guests."
At this moment, Lu Cheng suddenly frowned, then relaxed, and said quickly: "Director Tan, here, let's try wearing it?"
Qin Yuanwu didn't say anything, he just took the puncture needle and inserted it!
Then, Xue Xi was stunned.
Because Xue You saw that Qin Yuanwu, who had been in charge of vascular surgery for at least ten years, found the bleeding point of the intercostal artery in front of him, and blood was gushing out.
Xue Xi froze in the act of getting dressed, and kept thinking about this question in his mind: Was it a wrong decision when Director Liu asked Qin Yuanwu to take charge of the vascular surgery department? Is it wrong to take over the thoracic surgery department by himself?
What's holding back the development of the Thoracic Surgery Department of Chang City First People's Hospital?
When Qin Yuanwu saw the blood pouring out, he was not surprised. He immediately picked up the big knife and clamped the intercostal artery again in the same trick!
As a result, in less than a minute, the patient's blood pressure has been maintained above 80, and it is still rising steadily.
Seeing this scene, the anesthesiologist said: "That's right, that's it. There should be no bleeding points now, and the blood pressure has finally stabilized!"
After his blood pressure stabilized, he lowered the speed of the infusion pump, then slightly lowered the blood transfusion and infusion speed, and then slightly lowered the ventilation. The blood oxygen saturation also quickly increased from around 92
Back to 95, jumping between 95-96!
Tsk! Tsk!
Qin Yuanwu immediately cauterized the clamped artery to stop the bleeding, and then directly sutured the wound on his chest.
He said: "Dean Zeng, the patient's condition has stabilized now, the crisis has been resolved, and our operation can be completed."
Zeng Dewei breathed a sigh of relief and nodded: "It's good that it's lifted! We can rest assured!"
Then he gave his assistant a look that said, "Let's sew it up." The other person immediately understood and expressed that he understood.
But the assistant thought a little depressed, the bleeding point was in the chest, and we had to open the abdomen again. Isn't this a lonely experience? But he couldn't say this.
Xue You listened to Zeng Dewei and Qin Yuanwu's words, and silently took off the clothes he was wearing, thinking to himself: I haven't even put on my clothes, and you told me that the operation was over?
Then why did you call me here? I'm so lonely, I'll come.
Zeng Dewei, do you know that if you were not the dean, I would have to scold you, can you do that?
After all, Zeng Dewei is Xue You's junior, so Xue You can really scold Zeng Dewei. As long as it is not excessive or unreasonable, Zeng Dewei will not dare to reply.
But Xue Xi could only say: "The relationship is great. I ran over and took off my clothes. If my wife knew about it, she would think why I came here."
Being caught off guard like this, Xue You could only drive in front of people like Fu Yu. In the department, the age gap with the younger generation was too big, and it was easy for him to lose his respectable persona while driving, so he had to carry
live.
Fu Yu smiled and said, "That's because you often run out and put on some clothes before leaving. Xue Xi, your kidneys are good."
"Professor Fu, you don't sound like a professor when you talk like this. I'll try to wait for you next time, okay?" Who is Xue Xi? How could he be poked by Fu Yu, and he immediately pulled Fu Yu into trouble.
Then Zhang Yuewei immediately looked at Fu Yu and said, "Oh?"
"Last time I asked you to call Xue You and you said you wouldn't play with him, so we went without telling you." Fu Yu also immediately dragged Zhang Yuewei into the water.
When it comes to making dirty jokes, the surgeon has never been afraid of anyone.
…
After the operation, Xue You found Fu Yu alone and got into his car.
After driving out of the underground garage, he sincerely asked for advice: "Professor Fu, can you explain to me what Director Qin did to find the bleeding point just now? I don't understand what's going on."
To be continued...