Page 924
Page 924
Not to mention anything else, the photos alone can be used for many years at department reunions or class reunions.
"What are you doing?"
People in the operating room were busy taking pictures, and Huang Lao's voice came.
"Old Huang." Dean Wei stood up first.
Probably because of the excessive change in body position and the increase in blood pressure, Dean Wei's body swayed for a while.
"Xiao Wei, be careful." Huang Lao said lightly.
"Old Huang, I never expected you to be able to remove the thrombus completely."
"I didn't expect it either."
"Uh……"
"Try it. If you can't get it out, use a balloon to pull it out. In short, it can't stay in the blood vessel."
Huang Lao said nonsense, but Dean Wei felt a little sarcastic after hearing this sentence.
But isn't it sarcasm?
Dean Wei was speechless.
I have always wanted to send patients to Xiangjiang, and I understand all kinds of things here, so I have nothing to say.
But Mr. Huang always thinks about things from the perspective of a clinician, which is why Dean Wei feels a little uncomfortable.
Chapter 1589
"The angiography is all right, the patient should be sent back." Mr. Huang ignored what Dean Wei was thinking, and waved his hand directly after watching the angiography.
"Old Huang, send it to..."
"If you are worried, you can go to the ICU for 12 hours, and go back to the general ward if you are normal."
"Then let's go and observe it, be careful," said Dean Wei.
Mr. Huang didn't care about where the patient was going to be sent, he patted the technician's shoulder with a smile, sat in front of the operating table, and played back the radiography just now.
"Old Huang, what are you looking at?" Shen Lang approached Elder Huang and asked in a low voice.
"Such a long thrombus, from the tibial artery to the heart, is full of branch vessels. Although the time is relatively short, you still have to be careful of ischemic necrosis in other organs." Huang Lao explained to Shen Lang while watching the angiography Image.
He watched it once on the operating table, but he was not relieved, and continued to watch it frame by frame after he got down.
"Old Huang, have you ever seen such a long thrombus?" Shen Lang asked.
"In the past, a 13cm thrombus was taken out of the heart by surgical operation. I have never seen a thrombus of more than one meter." Huang Lao said indifferently, his eyes were fixed on the screen, the light and shadow flickered, and his face seemed to have a layer of roundness. luster.
"Excellent." Shen Lang murmured.
"Fortunately, the patient is at least conscious, and he knew before the operation that there should be nothing wrong." Huang Lao finally felt relieved after watching the radiography video, and chatted with Shen Lang.
"I have seen a patient who was very young. Trauma caused sudden arrest of breathing and circulation, and he was put on a ventilator." Huang Lao said.
"Later, he called me in the middle of the night and said that the patient was dying. I rushed to the hospital to see the situation."
"It shouldn't be the case. I think the patient's condition is controllable. Use a ventilator for three days to reduce the cardiopulmonary load. You can try to go offline when you recover." Mr. Huang chatted lightly while looking at the video of the patient just now.
Shen Lang pricked up his ears and listened to the gossip told by Huang Lao.
"I rushed to the hospital, and the inpatient and second-line professors had already given 3mg of epinephrine, and pushed the new triple combination twice and the double exhalation combination three times."
"Uh... I think it's very difficult to save the patients as long as they push and call Erlian." Shen Lang said.
"Indeed, Nicoshami + Luo Beilin is out of date." Huang Lao suddenly asked, "Little Shen Lang, let me ask you why Hu Erlian has gradually withdrawn from clinical practice?"
"I don't know." Shen Lang answered very simply, without any hesitation or embarrassment.
Mr. Huang did not explain, but continued, "When I went to the hospital, the second-line professor told me that the patient's sudden respiratory and circulation arrest was because the patient's mother was watching the ventilator assist breathing, and the patient felt uncomfortable because of the intubation in the respiratory tract, so I asked for help. A pair of scissors cut off the hose outside the endotracheal tube."
"!!!" Shen Lang's eyes widened, "Old Huang, is this okay?"
"No way, what to do." Huang Lao said, "The patient's family members don't understand, so after that, I went to the hospital to apply for 5 times, and only two years later, our 2 ICU was built."
"With the ICU, if the patient's family members can't get in, a similar situation won't happen. By the way, Mr. Huang, what happened to that patient?" Shen Lang asked.
"The patient's pupils are dilated on both sides, and the light reflex disappears. Even if he is rescued with difficulty, he is still a vegetable." Huang Lao sighed, "We doctors can't save lives for the sake of saving lives. What should we do if we are rescued as a vegetable? Do you want to take care of your family for the rest of your life?"
"In that case, ordinary families can't bear it." Shen Lang knew what Huang Lao said, and sighed.
"I personally explained it to the patient's family members. I couldn't bear to see the patient's mother crying and passed out. But I still have to advise them to give up, even though there is still a heartbeat."
"After half an hour of tossing around, the patient's family members signed and pressed their fingerprints. After returning home, I told the nurse to withdraw the drip." Huang Lao said lightly, "Guess what happened."
"Alive?" Shen Lang's eyes widened.
"I patted the patient and called out his name habitually, ready to make a final confirmation. But when the patient heard me call his name, he opened his eyes and glanced at me."
"Ah, I was taken aback." Shen Lang said.
"No." Huang Lao said with a smile, "It's too late to be happy, how can I be afraid. I just feel strange, it's obviously not working, why did I wake up again."
"It's really alive!" Shen Lang was also a little dazed.
"I asked for a flashlight and looked at the pupils. The pupils on both sides are sensitive to light reflexes. It must have recovered, not the electrophysiological response of the muscles." Huang Lao said, "I don't understand why, but it is a good thing that the patient is alive. "
"Old Huang, do you want to see more patients who may be in a vegetative state?"
"This is a special case, just like this patient who just had surgery, who can see it once or twice in a lifetime."
"One more time."
Shen Lang was taken aback for a moment, he felt that Mr. Huang today was different from usual.
Usually, although Mr. Huang can't be said to cherish his words like gold, he doesn't talk much, and Zhou Congwen talks more often.
But today Mr. Huang is very happy, watching Zhou Congwen's busy figure through the leaded glass.
Mr. Huang looked calm as water, and he took out the 1.1-meter-three large thrombus without compromising, but in fact he was very happy, Shen Lang guessed in his heart.
"I was sleeping at home in the middle of the night, and I received a call saying that a patient had been penetrated by a steel bar."
"I go, run through?"
"Insert from the inside of the left thigh, and go out from the right side of the liver." Huang Lao said.
"Then can you still live!"
"So, the doctor in the emergency department called all the surgeons in a panic to see if he could survive." Huang Lao Youyou said, "When he was on the operating table, the patient was still awake and said that he was definitely fine."
"Is it back to the light?" Shen Lang asked.
Although the example Huang Lao gave at this time should be the kind of example of saving a life, Shen Lang found it hard to believe that the patient whose torso was pierced could survive.
"I think so too, but the patient's blood pressure is not very low, and he doesn't even need a blood transfusion." Huang Lao said, "Anesthetized, opened it, and everyone was dumbfounded."
"What's going on?" Shen Lang asked hastily.
"The steel bar is a sensible steel bar. It goes in from the inside of the left thigh at a tricky angle, avoiding all important organs and blood vessels, and goes out from under the edge of the liver."
"..." Shen Lang was startled, "Is it such a coincidence?"
"Well, it's such a coincidence." Huang Lao said with a smile, "Don't believe it."
"letter."
"It's all very rare."
"What happened to the patient afterwards." Shen Lang asked.
"Simple hemostasis and debridement, I was discharged from the hospital and went home to recuperate within a few days." Huang Lao said, "Sometimes, this is life."
Chapter 1590 Sudden Death
Zhang You has been living a comfortable life recently.
He won the first place in the world, and his surgery video also appeared on the world stage and received the award in person, all of which gave Zhang You great benefits.
Not to mention anything else, just the photo of receiving the award is enough to explain everything.
The benefits are so great that Zhang You didn't expect it.
After a year of hard work, everything has been reported, and Zhang You is quite satisfied with this.
Zhang You's big dies seem to be studded with diamonds, and he hangs out every day, for fear that others will not know that he is "the number one in the world".
He combines knowledge and action, and Zhang You decided to do the same when he knew that the Baishui No. [-] Hospital where Xiao Kai worked was using a large publicity board to promote the world champion.
After winning the world championship, Zhou Congwen, an eyesore, also went to 912, and Zhang You did things even more unscrupulously.
Zhang You's "heroic deeds" were written on rows of bulletin boards on the entire floor of the cardiothoracic surgery department.
There is also a three-dimensional poster at the gate of the inpatient department, which can be seen at a glance as long as you walk into the inpatient department.
Zhang You's big teeth look so bright, and his smile is brilliant.
In this regard, although people from other departments pointed behind their backs, Zhang You never cared.
Is it wrong to say that I am number one in the world?Even if there is a mistake, Zhang You will never admit it.
For so many years, he has never been completely afraid of anyone except Zhou Congwen who has been pinched to death. Even Director Han, whom everyone is afraid of, is the same thing to Zhang You.
Zhou Congwen is not around, so what others have to say.
In winter, Zhang You was dressed in mink fur and a mink cap, walking into the hospital like a grizzly bear.
Seeing the publicity board, Zhang You still felt pleasing to the eye, and a big chrysanthemum bloomed on his face.Although more than half a year has passed, he never tires of watching it.
There are a lot of people going to work in the morning, and everyone is waiting for the elevator on the first floor.
Zhang You didn't mind standing in front of his promotional board, so he almost put the promotional board on his forehead and told everyone that he was number one in the world.
Although everyone in the Second Hospital of Medical University knew about it, Zhang You still repeated it over and over again.
For Zhang You, this is a great event for Guangzong Yaozu!
"Director Zhang, your clothes are quite distinctive."
"Hahaha, new one, warm!" Zhang You smiled, he shook his head, and the velvet hat moved, like a hungry bear.
The elevator came, and Zhang You's cell phone rang.
"Dean Chen." Zhang You was in high spirits when he received a call from Dean Chen.
After he was squeezed into the elevator among the crowd, the signal disappeared. Zhang You fed him a few times, and wanted to get off the elevator to answer the phone, but he couldn't squeeze in at all.
During the morning rush hour, the elevators in the hospital were as crowded as canned sardines, even worse than the subway.
Even before there were dedicated elevators, it took about half an hour to wait in line to send patients to surgery early in the morning.
When he got to the cardiothoracic surgery floor, Zhang You squeezed down in a panic. His velvet hat was crooked, and he was a little embarrassed.
He called back the phone, but President Chen's side was busy all the time.
Zhang You was a little apprehensive, but after thinking about it early in the morning, it shouldn't be a big deal.He walked into his office with his mobile phone, and as soon as Dean Chen called, he would pick it up immediately.
But after a full 10 minutes, the phone was still silent, and Zhang You was inexplicably nervous.
It's definitely not good to hang up the phone call of the dean. Although he didn't do it on purpose, Dean Chen doesn't care so much.
Who made people talk so loudly, Zhang You slandered and felt anxious at the same time.
He didn't wait for Dean Chen's call, but he waited for the sound of a flat car.
"Zhang You!" Dean Chen's voice came, and Zhang You's heart was raised in a hurry.
What the hell is going on? !
Zhang You ran out and almost missed the flat car head-on.
A doctor in the emergency department was kneeling on the flat car and doing heart compressions. Dean Chen's face was pale, like a dead person.He stared straight at the flat car, like a puppet.
"What's going on!" Zhang You asked hurriedly.
"Chen Yuan's son suddenly suffered a cardiac arrest at home early in the morning." The emergency doctor said while performing chest compressions.
The flat car was pushed into the emergency room, and the nurses in the cardiothoracic surgery department were well-trained, and all kinds of equipment were prepared immediately.
Mr. Chai replaced the emergency doctor and pressed for 2 minutes before he had a heartbeat.
"Injured?" Zhang You began to ask.
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