"Old Liang, how's it going?"
Chen Wenqiang asked expectantly.Director Liang shook his head: "I just vomited again."
Based on the current change in brain pressure, I don't think it's going to be able to survive tonight.Why don't you do it now?
”The child's mother also said, "I vomited just now like I did before I was admitted to the hospital." ”Chen Wenqiang hesitated for a moment and stepped forward to examine the child.After a while, he made up his mind: "Now go for surgery."
Xiao Li, you go to the operating room first, and Lao Liang and I will take her over later. ”A small child lies prone on the operating table in the left position.Chen Wenqiang intently drew a line on the back of his head and poured an L.It should be said that it is more like a slightly curved fishing hook.After finishing the painting, he took a step back and looked at it carefully before saying to Li Min, "Let's disinfect." ”Director Liang was wearing a hand-washing gown, holding his elbows and watching Li Min disinfect."
Xiao Li, how many craniotomy operations have you had?"
Li Min smiled and didn't answer.Director Zhou said on the side: "I see that Lao Chen has recently had a craniotomy, and Dr.
Li has all of them." ”Director Liu didn't leave, she looked at the disinfected Li Min and asked, "How to arrange the junior sister's holiday?"
Go home?
”"Can't go back."
Li Min began to lay out the surgical sheet."
Tomorrow night's night shift.No. 2 Big Round.The night of the 3rd was still my night shift. ”Director Zhou said, "Lao Liang, you guys are bullying newcomers."
Dr.
Li came to anesthetize us.Old nonsense says that you do a good job of waist wearing. ”Li Min pinned the towel pliers and laid the middle single."
What is that lumbar puncture, it's for patients with lumbar loss.The pharmacology of your anesthesia is too profound. ”Director Liang happily stinked Director Hu, "If you see a good one, you want to grab it."
Why is the face so big?
”Director Hu didn't think it was wrong, "It's not that your department is not authentic."
Seven or eight big men actually bullied a girl.Four days on two night shifts is too much.Arranged by Lao Chen?
”Director Liang pouted and didn't answer, Li Min didn't hear it, and went out to soak his hands.Director Liang saw that Li Min had gone out, and then said to Director Zhou: "Xiao Li has been transferred to our treatment group, and he will follow the three of us to work in the future."
It's not a big deal to be tired even if you work a night shift. ”Director Liu volunteered to be Director Hu's assistant, and said to Director Liang while making records: "Aren't you going to accept Xiao Li as an apprentice?"
How can you say such cold-blooded words. ”Chen Wenqiang came in, grabbed the surgical gown and shook it open, and Director Liang went over to help him tie the strap of the surgical gown."
I want to take Xiao Li as an apprentice.But look at the things that this old immortal has done, and he doesn't say anything about it. ”Chen Wenqiang smiled proudly: "What do you have to do outside, where is a girl doing it."
Follow me as a neurosurgeon to have a great future.Isn't it, Xiao Li?
”Li Min, who pushed the door in, listened to half of what she said, she smiled and didn't say anything, grabbed a surgical gown and shook it open.The patrol nurse went over to help her tie the belt, Li Min quickly put on gloves, rinsed with normal saline, and stood next to Chen Wenqiang."
Opened?"
Chen Wenqiang looked at Director Zhou."
Let's go."
Director Zhou replied in a deep voice."
Large round knife", "gauze", "mosquito pliers", "line 0", "wire cutter".Chen Wenqiang and Li Min kept reporting what they needed, and the instrument nurse accurately slapped the things they needed into the palms of their hands."
Xiao Li's knife skills are getting more and more beautiful."
Director Zhou praised it."
That's it.Otherwise, can I get her started?
”Chen Wenqiang smugly scolded Director Zhou."
Is that what you taught you how to go under the knife?
What are you proud of!
”Director Zhou ridiculed Chen Wenqiang."
I didn't teach it, did you teach it?"
Chen Wenqiang cross-examined."
I looked at what Lao Liang taught.The credit for the big fart, you are too embarrassed to grab it?
”"What am I robbing?
You asked Xiao Li to say, buy pig skin and go back to practice, did I teach her?
”Li Min worked with his head bored, turning a deaf ear to Director Zhou and Chen Wenqiang's grinding teeth and fart."
Sharp knives."
The instrument nurse slapped the handle of the small knife with the sharp knife into Li Min's palm.Li Min held the scalpel in the pen style, stood up and kicked the stool away, loaded with a three-legged leather round stool, and slid out several steps away.Li Min hunched his waist and hung his wrist to bring the tip of the knife close to the dura.Director Zhou held his breath nervously.M's, Chen Wenqiang is out of the woods?
Is this a hard fight with Lao Liang?
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Director Liang also held his breath, his eyes firmly fixed on the tip of the knife in Li Min's hand."
Okay."
Chen Wenqiang praised softly.I saw that Li Min only used the tip of the knife to enter a maximum of 0.2 mm, and the hanging wrist maintained such a depth, evenly cutting the meninges.She followed the guidance of the mosquito pliers in Chen Wenqiang's hand and drove to the expected position."
How does it feel?"
Chen Wenqiang and Li Min quickly deal with the bleeding spots on the meninges."
It's a lot softer than an adult, and it's a lot less tough.Adults should use ten points of force, and this one should use three points of force. ”Further down, Chen Wenqiang took it back.In the visual field, the tumor fills the angle of the right pontine cerebellum."
This is the cranial nerves."
Chen Wenqiang began to peel off the tumor, "The fifth pair has invasion. ”"How's the texture?"
Director Liang asked."
Okay, a little tough."
Li Min held mosquito-type forceps in one hand to stop the bleeding, and in the other hand held a suction ball, constantly squeezing a few drops of normal saline into the exposed surgical field."
Change the warm salt water again."
Every few minutes, Li Min would throw the suction ball back to the instrument table.The instrument nurse is under the supervision of the patrol nurse to ensure the temperature of the saline in the suction ball.After hanging up six Wen's hemostatic forceps, Chen Wenqiang raised his head: "Line 0." ”Li Min immediately followed: "Wire cuts." ”Chen Wenqiang personally ligated the bleeding point, "The zero line is stitched."
Prepare the silver clip. ”"Which artery is this supplying blood?""
Xiao Li, which one is it?"
Chen Wenqiang asked Li Min.Li Min hesitated, "It should be a branch of the posterior inferior cerebellar artery." ”The blood supply to the tumor is average, but the invasion is relatively widespread.Chen Wenqiang carefully dissociated the vertebral artery, then the posterior inferior cerebellar artery, the posterior cranial nerve, the facial nerve, and the auditory nerve, and pointed it to Li Min while doing it."
This is a branch of the anterior inferior cerebellar artery.""
Hmm."
Li Min basically responded to Chen Wenqiang with one word."
Here's the abducens nerve, the trigeminal nerve.M, this is too wide. ”Chen Wenqiang kept talking and talking, and Li Min cooperated with him to separate the tumor and remove it in pieces.Carefully and carefully, the two carefully removed the tumor along the interface between the tumor and the right side of the medulla oblongata.Chen Wenqiang straightened his waist, and Li Min also stood up straight."
You two don't sit on a stool, you deserve it."
Director Zhou kicked the leather triangular round stool to Chen Wenqiang.The instrument nurse had the insight to turn another round stool behind Li Min's leg."
Send it for pathology."
Chen Wenqiang pointed to the cut tumor and ordered."
Okay."
Director Liang took matters into his own hands and went out with the pathology sheet and the dark brown bottle containing the cut tumor.Outside, more than a dozen family members of the sick children immediately surrounded Director Liang when they saw him come out."
Director Liang, what's wrong with the child?""
The kid is fine.It's a cut tumor, and you send the list and the bottle to the pathology department. ”"Surgery done?""
It's coming.Wait a little longer. ”In the operating room, Chen Wenqiang had already explored the fourth ventricle.He and Li Min carefully examined the surgical field to see if there was active bleeding, and the two nurses began to check the number of instruments."
Dean Chen, how many Wen clans do you have on the stage?""
Four.""
That's logarithmic.""
The tumor is completely removed?"
Director Liang asked when he came in."
Hmm.The skull is closed. ”Chen Wenqiang adjusted the pressure of the diversion tube and handed over the work of closing the skull to Li Min.He repeatedly picked and chosen, and finally selected a silicone tube that was soft enough, and complained about the quality of the silicone tube while cutting the holes."
Why is it so hard.Is the purchase recovering the deduction again?
”But his attention was still on the hand of Li Min, who had sutured the dura mater."
Lao Chen, you can't just say this.Procurement has only been in office for a few days. ”Director Zhou reminded him, "You are not the same as before. ”"Then this thing is definitely the previous purchase recovery deduction.M's, why is it so hard.Can't you pick a soft one for me?
”"This is already the softest.Dean Chen. ”Instrument nurses are unwilling to be picked on and blamed."
But you have to see how small my child is.""
Dean Chen," Li Min called out to him, signaling that it was time for him to place the drain.If you don't put it again, the dura mater will be sewn up."
Look at how good the position Xiao Li left for you.You've got so much to do. ”"Am I troublesome?
It's obviously not good. ”Chen Wenqiang threw the cut silicone tube on the instrument table and instructed the nurse: "Pinch these two old immortals and see if I am wrong." ”When the things arrived in the hands of Director Liang and Director Zhou, the two of them looked at each other, helpless."
Lao Chen, you are in charge of surgery, you have to take the lead in this matter.""
Lao Zhou, do you remember to tell Li Qin tomorrow and ask her to take stock of the things in the operating room.""
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Good.I'll tell her. ”Li Min left several stitches without knots, and waited for Chen Wenqiang to get off the drain."
Little needle line 1."
Chen Wenqiang fixed the drainage tube."
Small horn needle, line 1."
Li Min began to suture his scalp.Chen Wenqiang's hands flew from side to side, and he was extremely sensitive and quickly knotted and cut threads.The two worked together tacitly and quickly ended the operation.The nurse who patrolled the station brought the dressing, and Li Min pressed the dressing and fixed it with adhesive tape."
Old Zhou?"
Chen Wenqiang asked Director Zhou."
I'll have to wait a little longer.""
Why don't you go with the pediatrician?""
I'll go."
Director Liu took the initiative to ask for help."
Okay."
Director Zhou can trust her, and Chen Wenqiang can also trust her."
Xiao Li, Ming'er remember to give this child a brain CT review.""
Good.Do it in the morning or in the afternoon?
”"Morning."
The nurse who patrolled the station pushed the flat cart in, Chen Wenqiang and Director Liang carefully carried the child to the flat cart, and Director Liu hung the infusion bottle that was being injected into the child's body on the infusion stand."
Dean Chen, can you read this postoperative doctor's order?"
Li Min handed over the medical records."
Okay.So be it.I'm on paediatrics tonight. ”Chen Wenqiang pressed the medical record to the back of the flat car, "Xiao Liu, I'll go over after dinner, you work hard for a while." ”"Okay."
Director Liu agreed and pushed the child out.() The distance is a bit far