"Big round needle, line four."
After Xie Xun's middle bend fell, Li Min could see clearly where the bleeding was in the field.Immediately following the instructions of the middle bend, two stitches were stitched at the middle bend with a large cross."
Little Bend."
At the same time as Xie Xunsong was bent in the middle of the bend, Li Min used small curved forceps to clamp the blood vessels in the liver envelope and liver tissue in the middle bend, and then asked without raising his head: "No. 1 forceps with line." ”Xie Xun stretched out his hand to take the pliers and thread and did the ligation first, "Stitch it again."
Small round needle line 1. ”Li Min hurriedly used a small bend to ligate the place.Xie Xun then made a suture 3 millimeters below the ligated blood vessel.Then Li Min and Xie Xun worked together to tie the two lines of Line 4 that had just been vacant at the same time.Jiang Ma saw that Shuye was much more refreshed, and let out a deep breath.Hurry up and report: "Blood pressure 78/50.It's basically stable.Lao Xie, 800 whole blood poured into it. ”After dealing with this bleeding liver blood vessel, Xie Xun raised his head and let out a sigh, fortunately, Li Min knew what he wanted to do next.If Dr.
Jin were here, he might be angry here if he wasn't tired to death for a while."
Senior sister, how about coming to Puwai?"
Xie Xun asked for a piece of wet gauze to wipe his hands, and fluttered off the silk threads that stained his hands."
Aren't you coming?"
Li Min lowered his head to clamp the bleeding point and instructed the intern to put the suction device: "Give the suction head to the nurse to rinse it."
Pull the hook a little bit on my side. ”Xie Xun's hands moved faster than Li Min......
The instrument nurse shouted, "There is only a small bend left, and you have too many hanging on the stage." ”Xie Xun and Li Min turned a deaf ear.The instrument nurse couldn't help but shout again: "There are no small bends."
Hurry up and take off a few handfuls. ”"I'll give it to you when I'm done.Middle bend. ”There was no small curvature, so Li Min had to replace the small curvature on the abdominal wall with a middle curvature."
Swap with me, we can still be a group on the night shift.Give me the little bend. ”Xie Xun immediately wanted to leave the small bend that Li Min had replaced.Li Min smiled: "Senior brother has lifted me."
But I don't count, my teacher, Dean Chen, has arranged it.Large round needle, 4 lines, prepare a few more. ”"The friendship between your brothers and sisters is deep.I want to go on a one-night date every week. ”The simple work arrangement immediately changed color when Jiang Ma said."
Big gauze."
After Xie Xun sutured a few stitches, he asked for gauze to temporarily cover the liver wound.Li Min followed: "Peritoneal protective towel."
Towel pliers. ”In extraordinary times, some surgeries are not taken care of, but the bleeding has been stopped temporarily, and these still have to be made up in the future.After putting on the peritoneal protective towel, the small bends that were hung on the peritoneum, the small bends under the skin and the bleeding spots on the skin, as Xie Xun and Li Min ligated the bleeding points, they unloaded the ground and threw it back to the nurse."
Oval pliers, Chunli, give Sister Wang to patrol Taiwan, Sister Wang, you help me twist Jiang Ma and the two."
Li Min poured out the air and ordered the instrument nurse.The nurse who picked up the oval forceps and wanted to give it to Li Min was stunned.The patrol nurse smiled and said, "I don't need the one on your stage, I'll just use the one I just disinfected." ”Jiang Ma immediately begged for mercy: "I can't afford to mess with you, aunts and grandmothers."
We gentlemen don't keep our mouths moving. ”"It's time to screw it."
Xie Xun shouted: "You think my junior sister is so annoying."
She doesn't speak, I want oval pliers. ”"What's so rare for you to have oval pliers.I know you're afraid of going home and being punished by Su Ying. ”Chunli smiled and reminded Jiang Ma: "Sister Wang is behind you." ”"Oh, my mother."
Jiang Ma screamed exaggeratedly: "The most ruthless woman's heart." ”"How much urine is there?"
Li Min saw that Jiang Ma was punished, and accepted it when he saw it.The patrol nurse squatted on Li Min's lap to look at the urine bag hanging under the operating table."
Less than 350ml.""
Take a urine specific gravity."
Xie Xun spoke: "Pressurized blood transfusion."
Jiang Ma, hurry up with the liquid over there.Blood pressure?
”“90/56。
A total of 2000 liquids went in. ”"How much liquid is in the suction tank?"
The patrol nurse ran over again to see: "2900, nearly 3000." ”"Pressurized blood transfusion."
Xie Xun takes the cold and arrogant route most of the time, and it is rare to be angry and scolded today.How much is because the girl is a student he brings, not to mention that he can't help, but he is not as good as Li Min's student.I cried when I said it.He decided to return the person to Director Liang tomorrow.
*The door of the operating room is pushed open by a slit."
Sister Wang, your blood."
Sister Wang ran out to pick it up, checked the name and threw it to Jiang Ma a bag.Jiang Ma had no choice but to resign himself to putting the whole blood under his armpit, and muttered, "Hurry up and enter the warming blood transfusion set."
Every time I have a blood transfusion, I have to warm it up.My arm was numb from the cold. ”Sister Wang smiled and ignored him, her own palm was still covered with 400ml of blood."
Warming blood transfusions don't cost money?
I have to pay you a salary anyway, why are you idle?
”"Lao Xie, can you do the operation safely without me?""
No, you still have Director Zhou.Director Zhou warmed the blood bag the same. ”"That is, Director Zhou always puts blood bags on his belly.""
Don't even put it on your belly.Director Zhou was okay when he was young, you let him try it for a while now, and he will have diarrhea before the blood bag is hung up.Something is wrong with the early ice. ”Of the people in this room, Jiang Ma is the oldest, and he is so "well-informed" that even Sister Wang, the nurse who patrols Taiwan, doesn't know about it."
No wonder Director Zhou only drinks hot water with a hot mouth now.I wondered why I drank so hot water on a hot day. ”Director Qin changed into his hand clothes, put on a hat and mask, and came in and asked, "Director Xie, what's wrong with your one?"
”"The liver bleeding has stopped, it has been treated, and now we will do an abdominal examination, and if there is no active bleeding elsewhere, we will close the abdomen."
Director Qin stood there and waited for a while before asking, "How?"
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”Xie Xun looked at him strangely and said, "Wait another three minutes, I'll flush my abdomen again." ”…… The rumbling suction device made Director Qin frown, but he still put down the hands that he wanted to cover his ears after thinking about it."
Okay, give me a silicone tube, and close my stomach when I have a good drainage.Dutchman. ”Xie Xun measured the position of the drain, poked another hole in the abdominal wall, and pulled the drain out.Li Min trimmed the wound poked out by the watermelon knife."
Get me a drain."
Li Min began to suture the peritoneum, and this drainage tube was on the incision side."
Director Qin, what's the matter with you?"
Xie Xun saw that Director Qin was not walking around the operating table, and asked strangely."
Director Li, they need someone over there, can you see if you go or Xiao Li will go over?""
Senior sister, go over.You followed the two directors to the chest department for a lot of surgery. ”"Okay, I'll go.Kevin Lu, you stay here and have a stomach with Director Xie. ”Li Min responded, turned around and stepped down.With the abilities of Director Li and Director Shi, if the interns can help a little bit, they will not come over to ask for help.* Not only Xie Xun is angry today, but even Director Shi, who has always shown kindness, is also angry.But he finally remembered that these students were the "best" in medical school, and they were also the students he should teach, so he didn't kick people out of the operating room.The reason is the same: it doesn't help and adds to the chaos."
Director Li, Director Shi."
After Li Min soaked his hands again, he changed into a surgical gown and wore gloves."
The patrol nurse, go and get Dr.
Li's footstool."
Their patient's stomach was pierced by a watermelon knife, and the wound was too large to have a large part of the stomach removed; Some of the intestines had to be removed; Then it is necessary to repair the punctured lungs, pleura and diaphragm that have only been done to stop the bleeding briefly.Director Li stretched his waist and said, "Lao Shi, let's change Xiao Li to do it, you can rest for a while," "Okay." ”Director Shi didn't let him go down to rest.There is no need to be reckless if you can rest for a while, and you can also take a break to calm down the agitated emotions.Anyway, the patient is not in danger of life now.Li Min took the position of Director Shi and did intestinal anastomosis with Director Li.After the anastomosis of a section of the intestine, Director Li went down to rest and replaced Director Shi when Xie Xun walked in."
Director Li, Director Shi, we're done over there, do you want me to replace you and rest?""
Doctor Li, you come down and change Director Xie."
Director Li spoke, and Li Min immediately stepped down.Director Shi, like Director Li just now, let go and let Director Xie do the intestinal anastomosis."
It's better to be young.You look at Director Xie's multiple standards for stitches. ”Director Shi picked up and listened to him."
Director Shi, you just want to praise me for finding some difficult places.The intestinal tube kiss is synthesized like this, and my junior sister can do it too. ”"I said that Dr.
Li is also young and promising, it turns out that he is from the same school as you.""
You go to Dean Chen's side and see how you're doing."
Director Li smiled and drove the intern to the operating room on Dean Chen's side, and then said Director Shi: "Old Shi, you have relieved your breath."
I tell you that you must not be in a hurry to get angry, it is useless to be angry. ”"What happened to the intern?"
Xie Xun asked."
The hook was too hard just now, otherwise we could have removed one less piece of intestines.Fortunately, he didn't let him pull his liver. ”Li Min was shocked.Xie Xun found a sympathizer, and said while speeding up: "There was a girl on our station just now, who also blocked me from holding the equipment, and she cried when she said a word."
I was so angry that I kicked people out.Ming'er asked Director Liang to take it, but I didn't have the patience to coax the little girl.Hmph, it's not material to be a surgeon, and it's not enough to get in the way when you come to power. ”Director Li and Li Min rested for a while and then returned to the stage, and the four of them were divided into two groups and quickly treated the wounds in their abdomen.Xie Xun stepped down and cooperated with the anesthesiologist to position the patient under the command of Director Shi."
Dr.
Li, your stepping stool."
The patrol nurse brought Li Min's stepping stool."
Which side am I standing on?"
Li Min asked Director Li."
You stand across from Director Shi.Just do the two of you.Xiao Xie, let's go and see Lao Chen and Lao Liang. ”Li Min followed Director Shi to repair the ruptured lungs and diaphragm, and placed closed chest drainage and hose drainage, and the operation was over."
Director Shi, do you see the postoperative doctor's instructions for this?"
Director Shi chatted with the anesthesiologist who was guarding the patient, and Li Min lay on the small table of anesthesia and gave the routine postoperative medical orders."
Yes, so be it.I'll write the post-operative record. ”"Hmm."
Li Min only participated in this operation a little, and naturally Director Shi wrote it.Director Qin entered the operating room like a ghost, and when he saw that the operation was completed, he patted Director Shi's shoulder with a smile: "Old Shi, have you lost your breath?"
Interns don't know anything, but you can't make yourself angry. ”Director Shi sighed: "I know that you called Dr.
Li over because of this.Forget it, I'll go back and talk to the leading teacher of the medical school, it's better than any of you. ”Director Qin hugged his fist towards Director Shi: "Then please." ”"What's going on with Dean Chen and Director Liang?""
They don't have a good side there, I heard that the kidney is still a little broken.When I just passed, Dean Chen and Director Liang were repairing their kidneys.The patient's abdominal cavity was so contaminated that the ischemic bowel had to be removed. ”"Well, what the trouble is this!
How much watermelon can be sold now?
”"Director Shi, I want to trouble you to write down the operation record in detail, the people from the police station are waiting in the medical office.""
Okay.Let's get out of bed together, and I'll write when we go back to the ward. ”"Director Shi, you are in the hospital tonight, otherwise this patient will really not be easy to handle.""
It's okay if I'm not there, make a call and ask the staff on duty on the 1st floor to shout, the bachelor dormitory is not far away.However, Director Qin, when we move to the new building, I heard that the new building has not yet been arranged to install telephones, so it will be very troublesome. ”"Well, Director Shi, you remind me well, I'll go back and ask the hospital office to contact the telecommunications bureau again to see how to handle this matter, after all, there are many directors and surgeons in your unit.""
Then I'll thank you in advance.I see that the scaffolding has been demolished, when will the house be delivered?
”() The distance is a bit far