Li Min was standing in the position of the chief surgeon on the operating table at this time, and she was going to take Dr.
Chen, the chief resident of general surgery, and Dr.
Wang, the chief resident of orthopedics, to do a laparotomy and exploratory operation.It was a car accident caused by drag racing.The motorcycle, which was speeding up in the snow, lost control and collided with another fancier's motorcycle.If it weren't for the fact that there were others with them, the two wounded would have frozen to death by dawn.Alas, on a snowy day, there will be people who will die desperately and in a different way.They have three attending doctors on stage, which is quite nice to say.But the real strength is far from the level of Dr.
Yang, Dr.
Gu, and Dr.
Song who are on the same stage during the day.However, the condition of the injured person is critical, and Director Wang of the Department of Orthopedics asked Li Min's head, you have done liver cancer resection, and this laparotomy is most likely to be liver and spleen rupture......
As for the patient's multiple fractures such as the humerus, it is left to be ignored for the time being.Li Min had no room to retreat.Director Wang's surgery was a pelvic fracture, ureteral bladder injury, and possibly other parts of the pelvis, which was ominous for the time being.The operation was carried out by Director Wang with the two resident doctors of general surgery and trauma surgery.The two surgeries are not small, which is also what Chen Wenqiang predicted when he was on shift, and there may be two major surgeries that need to be opened at the same time, and finally happened."
Jiang Ma, can you open it?"
Li Min's voice tightened.This is the first time she has performed a laparotomy without someone stronger than herself.Ultrasonography shows hemoperitoneum, possibly a ruptured spleen.No more.However, the condition of the injured person is very bad, the blood pressure drops significantly, and it is too late to do abdominal CT scanning; It's too late to find Director Liang and other deputy chief physicians back.The injuries of both patients did not give them more time to prepare.This is the reason why Director Wang asked Li Min to take charge."
Yes.Let's go.You don't have to be nervous, you and Director Xie have done so many liver and spleen surgeries, what are you nervous about.You just let go of Xie Xun when Xie Xun was there. ”Jiang Ma cheered Li Min up."
Thank you.Large round knife, gauze. ”As the handle hit Li Min's palm, the operation began.It was not only the incision in the middle of the abdomen that was cut, but also the independent operation of Li Min's career as an attending doctor.
*The cooperation of Dr.
Chen and Dr.
Wang is okay, but they are not fast enough for this patient who is still bleeding in the abdominal cavity.Li Min asked Xiao Chen to tie the knot together with a small bend to clamp it out of the way, and cut it when he was free for a while.Then knock on the hook and suction device held by Dr.
Wang, and let him watch Dr.
Chen's movements, and use the suction device according to the common practice.She couldn't wait for them, she hurried forward on her own.But this is enough to make Dr.
Wang and Dr.
Chen very embarrassed."
Blood pressure?"
Li Min is about to open his abdominal cavity.“124/76。
Don't worry, I'll adjust it.Blood transfusions will be given to match your progress. ”Jiang Ma was also nervous, but it was his unshirkable responsibility as an anesthesiologist to stabilize the patient's blood pressure and vital signs, and it was also a guarantee for the smooth operation of the operation.He is the oldest in this room, and he is the backbone of the operating room.Fortunately, Dr.
Wang has only been slacking off in orthopedics for a long time, and his experience is enough, Dr.
Chen corrected his movements after a little mention, and prepared the suction device in place, and used it very much like the requirements of ordinary foreign countries: put the suction head between the fingers of the index finger and the middle finger, and suck the blood in the abdominal cavity through the gap between the fingertips.Although this is a little slower, it can ensure that the intestinal tube is not sucked, that the omentum is not sucked, and that the omentum is not blocked by the suction device.Li Min used tweezers to stuff a large piece of saline gauze into the abdominal cavity to temporarily compress and stop bleeding.Then she asks the instrument nurse for water: "Wash your hands." ”She was ready to explore her abdomen.Dr.
Wang concentrated on operating the suction device.Doctor Chen was also nervous, he was anxious to keep up with Li Min, and he didn't dare to be discouraged after trying in vain.Taking advantage of Li Min's hand washing again, he put down the hook, scooped up the wire scissors, and cut the knots one by one.Director ......* Qin pushed open the door of the operating room and quietly walked in.He was on duty tonight, and in such an emergency room, all medical documents needed to be signed by him without family members present.After learning about the staffing of this machine, he was frightened and hurried into the operating room to find Director Wang, and he didn't know how many times he complained about Director Wang, why didn't he find Director Liang?"
Looking for Lao Liang?
Is it in time?
My blood pressure just now has dropped below 90.The wounded were in shock. ”Director Wang replied to Director Qin angrily while wearing a surgical gown."
But is Li Min okay?
She has only graduated for two years. ”Director Qin asked worriedly.He felt that all the worries in his life did not add up to this night."
Then Dr.
Wang and Dr.
Chen are not as good as her, aren't they?
In case something happens, Lao Wang, can you go over and save Taiwan?
”Director Qin especially wanted to get an affirmative answer from Director Wang's mouth."
I can't."
Director Wang's impatience is too obvious.He can't be like a big slap in the face, which makes Director Qin a little trance."
I'm more dangerous than his own.But I'm sure they can do it.You have to worry about what you used to watch.Don't upset me by nagging here.I'm about to start surgery. ”Director Wang's pressure is also quite high.Li Min and their operation Anything happened to him, and he was also responsible for it.Director Qin came to pour cold water at this time, and he was upset by the humming, so he almost shouted "get out" at Director Qin.M eggs, emergency emergency surgery for surgical trauma, that is, you can never guess what kind of organ damage, and you can't guess the extent of organ damage; Until the patient is safely removed from the stage after the operation, no one dares to guarantee that the operation will be completed, and no one dares to say that they can do it.Director Qin was so frightened by Director Wang that he didn't dare to say anything more.He secretly scolded Director Wang in his heart, even the eight-life ancestors that Director Wang had not met, whether male or female, were not let go by Director Qin.Director Qin had a little man in his heart who was desperately shouting: I'm going over to watch?
What to see?
If something is wrong, can I rush to the rescue?
Can I use it for others?
He had never hoped that Li Min's skill level was high enough at this moment—high enough to cut the liver, gallbladder, spleen, stomach, intestines, kidneys, and bladder......
High enough to cope with damage to all organs in the abdominal cavity......
High enough to complete all surgeries at the level of associate chief physician.* "Old ginger, what's wrong?"
”Director Qin spoke like a thief, he was afraid that his voice would be loud and affect the operation on the stage."
Smooth.I'm going to probe the abdominal cavity and find the blood. ”Jiang Ma's spirit was highly stressed.He wanted to watch Shuye administer medicine, and he had to do everything that Li Min couldn't think of, he had to do it in advance.So fast?
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Director Wang's side has just begun!
Director Qin drew a soul in his heart, and looked at Shuye nervously.Now that the peritoneal pad is on, the next step is to explore the abdominal cavity.No matter how much, no matter how much, he couldn't see it."
Okay?"
Director Qin's worries were palpable.Jiang Ma glanced at him.He understood Director Qin's worried tone very clearly.He comforted Director Qin and comforted himself, and said calmly: "This is just the beginning, it should be fine." ”, it should be fine!
Such an answer made Director Qin want to call Chen Wenqiang immediately.But he hesitated and didn't dare to move.He did not dare to make his own decisions without Director Wang's consent.If he dares to do that, Director Wang will be able to make trouble with Dean Shu tomorrow.Even if Li Min failed in this operation, Director Wang would be able to make him lose face in the whole hospital.He has no right to change Director Wang's decision to open the stage; He also has no right to change Chen Wenqiang's on-duty allocation regulations.M, none of these surgeons have anything to talk to.Director Qin wiped the fine and dense sweat on his forehead.He stood and watched for a while, and understood that Li Min's movements were gentle and fast, and he also understood that she was better than Dr.
Wang and Dr.
Chen, but he felt that one of his hearts was slipping in the air.He felt that watching Li Min's surgery made him breathless.He silently recited the words "If you die, the gods can't save you" to the injured person who was numb, he tiptoed out of the operating room.
*"Director Qin, I'm looking for you.Phone. ”The little nurse came and called him."
Where?
I didn't know that emergency surgery was busy here!
”Director Qin didn't have much to say.The little nurse only went to work last summer, she was scolded for no reason, acting as Director Qin's punching bag, she didn't dare to go back like those old nurses, but she couldn't help but say in her heart: What do you care about when you're busy.You can't help if you travel around.I'm going to look for you everywhere and call you to listen to the phone.Director Qin scolded the little nurse, and felt that the fire and worry in his heart had spread out a little.But when I picked up the phone, I still fed it very stiffly, and I didn't report my name so kindly."
I'm Qin Guoqing.Which one are you?
”"Hey, Lao Qin, my old Luo of the Economic Planning Commission.It's great that you're always on duty today.What kind of relatives are my daughter-in-law's relatives?
I don't understand, anyway, it's a relative close to my daughter-in-law.The children are not sensible, it only snowed heavily during the day, and they drove on the snow at night.I've heard that you've been sent to the provincial hospital......
Already under the knife?
Then please say hello to the doctor, thank them for their hard work.With your help, my daughter-in-law and I will go over right away.We've been thanking Dr.
Surgeon in the past. ”Director Qin put down the phone and wiped the sweat from his forehead again.Suddenly feeling the pressure increase, he suddenly realized that this call was enough for him to resist Director Wang's possible anger in front of Dean Shu.So he began to dial the number of Chen Wenqiang's house.
*"Lao Chen, I'm Qin Guoqing.Uh-huh, I'm on general duty tonight. ”Director Qin heard Chen Wenqiang's low-pitched voice on the phone, and his heart was overjoyed, Chen Wenqiang was fine at home.Chen Wenqiang was also tired for a day today, and soon after returning home after dinner, he went to bed.He was afraid that there would be something at night, and he didn't have enough energy and physical strength.For this reason, he took Xiao Yin to his daughter's room to sleep, so as not to disturb her when a phone call came in at night."
The injured person who caused the accident with two motorcycles just now is quite serious.Director Wang led people to open one, and Li Min took Dr.
Chen from the general surgery department and Dr.
Wang from the orthopedic department to open one.Yes, it was arranged by Director Wang.Li Min: This is a laparotomy attempt.It was a relative of Lao Luo of the city's Planning and Economic Commission, and Lao Luo called over.Well, I didn't look for Lao Liang, I asked Director Wang, and Director Wang said it was too late.Are you coming?
Good!
Then I'll wait for you in the operating room. ”Director Qin put down the phone, and put his heart back in place, 10 minutes at most, no, 15 minutes at most, Chen Wenqiang should be able to get to the hospital.As for the two who were being rescued, which one was Director Luo's relative, he couldn't ask the two patients who were numbed on the operating table.Love whichever is that, with Chen Wenqiang coming, it is better than Director Liang.At this time, not only surgical skills are needed, but also Chen Wenqiang's title of medical dean is needed to show Director Luo.* Chen Wenqiang rushed to the operating room for less than 15 minutes.Seeing Chen Wenqiang coming, Qin Guoqing, who was so excited that he burst into tears, pounced on him like a savior."
Lao Chen, I'm looking forward to you."
Chen Wenqiang frowned, what kind of attitude is this?
He ignored the emotional Qin Guoqing and immediately asked about the patient who had the operation."
Xiao Li, how is their situation?""
I didn't dare to go in again."
Qin Guoqing was hit by the cold-faced Chen Wenqiang and immediately returned to his natural state, and he told the truth."
Which operating room?""
Number 9, just the middle one."
Chen Wenqiang asked the nurse for a surgical gown, put on a hat and mask, and walked to the No. 9 operating room.Director Qin put on his mask again and followed Chen Wenqiang into the operating room.This time, he didn't feel bored wearing a mask, he could breathe.Chen Wenqiang walked straight to Dr.
Chen's side, he stood in the position of the headframe, a fist away from Dr.
Chen, and looked at Shuye through his shoulder: Li Min was ready to remove his spleen.The opening on the backing membrane of the spleen was like a cracked baby's mouth, and the turned lips seemed to be greeting Chen Wenqiang and Director Qin."
Is there any other place to bleed?
Xiao Li?
”"I didn't do a detailed investigation."
Li Min's left thumb and forefinger were pinched on the spleen pedicle to prevent more blood from gushing out of the rupture.She can only operate the entire process of dissociating the ligaments and blood vessels around the spleen pedicle with one hand.Now that everything is in place, it is almost the last to part."
Middle bend.4-wire stitching. ”Li Min took the middle curved hemostat and steadily clamped the two middle curved forceps to the place where he needed and should be clamped."
Hold on."
Li Min ordered Dr.
Chen and Dr.
Wang."
Knives.Dr.
Chen, you and I tie the knot together.Doctor Wang, you come to Songzhongwan, one in one hand.Ready, loose!
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Slow down and slow down, good. ”The spleen pedicle is ligated very beautifully, and Chen Wenqiang secretly praised Li Min and Dr.
Chen."
No. 4 stitching."
Li Min reinforced another stitch.When she finished the tie, she lifted the thread knot and waited for Dr.
Chen to cut the thread, when she looked up and saw Chen Wenqiang, and then realized that Chen Wenqiang was asking just now."
Teacher, are you here?"
She happily greeted Chen Wenqiang, and then reported seriously: "There is a small branch bleeding in the superior mesenteric artery, and I did temporary suturing treatment first.I want to deal with this bleeding spleen, and then deal with that piece. ”"Well, go ahead."
Chen Wenqiang saw that Li Min was very focused and his movements were not out of shape, so he responded lightly.He could see Li Min's nervousness when he didn't come, and he also saw her relax in the moment after answering his own question.Sure enough, he kept walking and didn't fly solo, but he lacked Xie Xun's courage and courage to fight for his own side.With the arrival of Chen Wenqiang and his opening to speak, Dr.
Wang and Dr.
Chen were like "muscle relaxants", and most of the tension on the operating table disappeared immediately.Jiang Ma breathed a sigh of relief slightly, oh my mother, I was worried about this half hour, I had to be five years old, and I was so nervous that I was about to have a heart attack.Director Qin stood beside Jiang Ma, watching Jiang Ma give some of this medicine for a while and some of that medicine for a while, so that his blood pressure was always stable at about 120/70, and his heart rate did not change much, and he couldn't help but secretly admire Jiang Ma: How strong a heart it takes to dare to accompany this half-lager to operate on the second knife.After removing the ruptured spleen, Li Min changed gloves and continued to do abdominal cavity exploration.The liver is fine, the stomach is fine, the gallbladder, pancreas, diaphragm, and posterior peritoneum are not abnormal, and after careful suturing of the superior mesenteric artery branch vessels, these openings in the small intestine are a piece of cake, and Dr.
Chen is eager to do partial intestinal resection and anastomosis."
Okay, then you can take care of the bowels."
Li Min didn't want to do the operation, so he did it here, and there was no problem with letting Dr.
Chen continue to do it.Chen Wenqiang stood silently behind Dr.
Chen, watching him steadily and decently complete the removal and anastomosis of the ischemic part of the intestine."
Rinse."
As the surgeon, Li Min issued a preliminary order to end the operation.At the end of the operation, if there is no bleeding during the irrigation examination, the operation can be closed.The first rinse, the second rinse.Dr.
Wang worked earnestly with the suction device, Li Min and Dr.
Chen's eyes were staring at the abdominal cavity, and Chen Wenqiang and Director Qin's eyes were about to fall into the abdominal cavity.Only Jiang Ma sat leisurely on the round bench, spinning back and forth in the left half circle and the right half circle.The amount of blood lost by the patient, the blood transfused, and the medicine given all told him that there were no bleeding spots in the abdominal cavity.These blind people, do they have to rely on what they see with their eyes?
* "Close the abdomen." ”Li Min steadily issued the order of the chief knifeman.Chen Wenqiang glanced at Director Qin, no matter what is going on on on the operating table, Dr.
Wang can do well with the interns, and he is worried that Dr.
Chen will not be able to do it?
Li Min left the stage to prescribe a medical order after giving the patient two drains.Chen Wenqiang began to settle accounts with Director Qin after the autumn: "Old Qin, it's such a thing, you are looking for me?"
What are you looking for me in the middle of the night?
”Director Qin's mouth began to have a bitter taste, how do I know that Li Min will do this operation without any ambiguity.He hurriedly pulled Chen Wenqiang out.When he arrived in the hall outside, Director Qin began to reveal his hard work to Chen Wenqiang."
Dean Chen, listen to me, I'm not just worried about the surgery to find you.It was because Director Luo of the Planning and Economic Commission called to come over.You look at the move to the west, it's time to speed up after the year, he said that he will come over soon, and with you, it also shows that our hospital values him, doesn't it?
He helped to say a few words in the city, which was stronger than Dean Shu and Dean Fei looking for people everywhere.I'll be honest with you, Dean Chen, I know people, and what they remember is the provincial court, not me Qin Guoqing.I can't get in front of people, so I've got you, the dean, to come forward. ”Director Qin did not hesitate to belittle himself, and coaxed Chen Wenqiang in a different way.M, if Lao Tzu had been the assistant to the dean the year before last, why would he have to coax you Chen Wenqiang so hard."
Then you can explain it to Director Wang yourself.You also watched, I can't come, Xiao Li, their operations are all very beautiful.I need to go back to sleep.M, tomorrow's day shift, Lao Tzu still has to preside over the hospital meeting. ”Chen Wenqiang felt that his legs were shaking.The more than an hour of trekking in the snow was more tiring than the two surgeries.Fortunately, I went to bed early today, otherwise wouldn't I have to be called by Qin Guoqing just to sleep?
M's, this thing is really the lord with his eyes turned upward, and he still wants to take himself with him?
Hmph, let's fuck dream about it.Chen Wenqiang wanted to leave, but Director Qin only stopped him in a pretended and intentional way, and let him leave.Anyway, Chen Wenqiang has been here, and he can explain it to Director Luo: The patient's injury is not serious, so why did Dean Chen come?
Still with you from beginning to end of the operation?
*Director Qin followed Chen Wenqiang out of the operating room.Just pushed the door open, and a middle-aged man immediately beckoned: "Old Qin." ”"Oh, Director Luo, you're here."
Director Qin stretched out his hand enthusiastically."
How's it going?"
The visitor asked while shaking hands with Director Qin."
Dean Chen."
Director Qin hurriedly called out to Chen Wenqiang, who was leaving."
I'll introduce you to you.This is Director Luo of the Planning and Economic Planning Commission, Dean Chen, who is in charge of medical care in our provincial hospital, and a neurosurgery expert, who specially rushed from home to see the two surgeries.With Dean Chen here to check and sit in charge, Lord Yan didn't dare to invite someone tonight. ”Director Luo immediately stretched out his hand and shook hands with Chen Wenqiang very warmly: "Dean Chen, thank you, thank you." ”Chen Wenqiang stretched out his hand to shake hands with the visitor, and greeted Director Luo with a hypocritical smirk."
You're welcome.Director Qin was not at ease and called me.Director Wang and Dr.
Li each brought one inside, and they both did a good job.It's nothing if I come here or not. ”"Then you still have to have an expert like you, so that everyone can rest assured."
The person who came inadvertently told the truth in one sentence.Chen Wenqiang smiled and did not argue.He motioned to Director Qin and said, "You go and ask Director Wang if you will send people to the ICU when you come out in a while." ”It's all here, such a person should still give face, and he was sent to the ICU for two days of transition, which also seemed to be valued by the hospital.Director Qin understood, and he immediately said, "Then Dean Chen, you go back to rest, and you will have to preside over the work in the courtyard tomorrow."
I'll call the ICU as you arranged and get things done. ”Although the person who came didn't understand or knew the injuries of the patients inside, Chen Wenqiang's meaning was translated by Director Qin, and he still understood that Chen Wenqiang took care of his relatives, so he quickly thanked him again and again, sent the person to the elevator, and watched the elevator close, before returning to the door of the operating room with Director Qin."
Lao Luo, you wait here first, I'll make a call and arrange to go to the ICU after surgery.""
Okay, I'm sorry for you."
Director Qin smiled and said to Director Luo: "Don't bother, I have invited the dean, and the dean has also opened his mouth to give instructions, do you say yes?"
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”Director Luo showed a clear smile that met Director Qin's expectations, and watched Director Qin enter the operating room again.() The distance is a bit far