736 Swimming (Fanwai 34) Collection 4680-97.7.20W Li Min leaned against the wall and fell asleep unconsciously.When she was woken up and asked to prepare for the stage, she found that her head was resting on Director Liang's shoulder."
Director Liang."
Li Min was a little embarrassed."
Go wash your hands, it's past 1 o'clock.Who can not be sleepy at this point. ”Director Liang smiled and moved his shoulders.When Li Min returned to the operating room, he found Chen Wenqiang standing in Dr.
Zhou's original position, which belonged to the position of the third assistant; Dr.
Song stepped down and replaced Director Liang in his position as a helper.When Xiao Chen saw her come back, he immediately retreated and gave up the position of the second assistant.Sister Wang, the nurse who patrolled the station, immediately put away the footstool suitable for Li Min's height, and gave her a gesture with a smile: "Please, Director Li." ”Li Min hurriedly rinsed the talcum powder off his gloves and went on stage.Director Liang said on her right hand: "Xiao Li, this liver can be taken off soon."
You'll just stand there for a while, anastomosmoses, and I'll stand a little bit higher. ”"Okay."
When he arrived at the operating table, Li Min put away the respect for the elderly and humility that should not be there at this time.She understands that only by doing a good job of vascular anastomosis can she live up to the three teachers who taught her and led her forward in her career.…… The four men came out with six hands, carefully holding the donor liver to the empty nest left after the necrotic liver was removed.The diameter of the inferior vena cava is nearly 2 centimeters of blood vessels, and as usual, Chen Wenqiang sutured a needle on the left and right sides of the inferior vena cava wall for traction.The donor is young, and the elasticity of the wall of the inferior vena cava is very good; The recipient is only 35 years old, and the basic condition of the blood vessels is not bad.This is the blood vessel with the best basic conditions that Li Min has encountered in the past 7 years.Especially when Director Liang and Xie Xun took the donor liver and the recipient liver, they both considered the anastomosis and left enough blood vessel length.The flying needle was routed, and Li Min quickly completed the anastomosis of the dorsal aspect of the inferior vena cava.At this time, I heard Director Xiang's voice sound: "Lao Chen, Lao Liang, who is the surgeon in your operation?"
”Director Liang smiled and asked, "What do you say?"
”"Is it Xiao Li?"
Xiang deliberately made a strange sound to the director.Chen Wenqiang answered: "Our surgeons pay the most attention to cooperation on stage.It's not just that whoever does the part is easy to do, and whoever does that part.Do I need to tell you more about this?
”Li Min used to have a habit of automatically blocking conversations on the operating table, and she can still continue to work unaffected.She quickly anastomosed the inferior vena cava and then went to anastomoses the portal vein.But the recipient's portal vein is more than 1.3 centimeters in diameter, while the donor is only 1 centimeter at most.Chen Wenqiang did not deal with the difference in the diameter of the tube first, he flattened the blood vessels, confirmed that there was no distortion, and then stitched a stitch at one end of the tube wall for traction, and then stitched a second stitch on the opposite side of the traction line to ensure that the back wall could be one-to-one.He said to Li Min: "Sew the back side first, and cut it a little in front of you." ”"Hmm."
Li Min began to anastomosis the portal vein with full concentration.Director Liang asked Director Xiang: "Is your one finished?"
”"There are tendons left."
Then you're not watching over there, what are you doing here?
Don't do what you need to do. ”Director Liang scolded him."
There's Lao Wang watching there.Let's talk about Xiao Gu and Xiao Zhang, why can't the two of them fiddle with those tendons.Lao Liang, I said you don't have to worry about our one, the blood vessels of my one are particularly well matched, as if they were one. ”Chen Wenqiang asked him: "There is no difference in the diameter of blood vessels?"
”Director Xiang shook his head with a smile: "I have been connected to blood vessels for so many years, and this is the first case. ”"Good luck for you, old boy."
Director Liang is envious.The difference in the diameter of the portal vein of this liver transplant donor will inevitably prolong the hepatic period.Even if it's a few seconds, Director Liang can't bear it.With the cooperation of Chen Wenqiang, Li Min did a very smooth anastomosis of the dorsal side of the hepatic artery.At the front, Chen Wenqiang asked for tissue scissors and carefully cut a small V-shape on the portal vein of the donor liver so that the diameter of the portal vein of the donor recipient could be consistent.The head nurse in the operating room pushed the door in.She saw Director Xiang at a glance and immediately shouted at him: "Old Xiang, are you giving too much bonus and asking me to deduct points from the emergency department?"
How many people are in this operating room?
You're still running over to join in the fun. ”"yes.I reminded him that the orthopedic surgery wasn't done. ”Director Liang gave the head nurse help.Forced by the head nurse's obscenity, Director Xiang didn't dare to continue to stay, he explained to the head nurse with a hippie smile: "Isn't this the first liver transplant in the provincial hospital?"
I can't take a look, I can't stand the taste of a hundred claws. ”Explanation after explanation, he still had to obediently walk out of the operating room.As soon as he went out, he met Director Liu, "Hey, old Liu, why are you standing here?"
”Director Xiang wondered: "Is your heart finished?"
”"Almost.I want to go in and see a liver transplant.How's it going?
”"You're going to have to do pediatric surgery too?""
Look at what you said, a donor liver, divided into a left lobe of the liver or a square lobe of the liver, is enough for my pediatric children.You say, don't you?
”This is the reason.Nodding to the director, he asked, "Then why didn't you go in?"
”"I'm not afraid that there will be many doctors from outside the general public, but I want to ask how many people are in the head nurse.""
It turns out that the head nurse was provoked by you.I'll just say, it's the second half of the night, where did the head nurse get such a good spirit. ”Director Xiang was angry, he couldn't help but post the unhappiness of being picked up on Director Liu's head.Director Liu is afraid of him.The two of them have their own strengths, and they have a status in the provincial court.He gloated and said, "Well deserved!"
You recklessly went in without asking, and you were kicked out. ”While the two were talking, a string of new college students came out of the operating room, all of whom were newly assigned college students from the Department of General Surgery in the past few years.The head nurse also followed behind them and said: "You don't have a chance to go on stage after watching it, so go back quickly, practice the basic skills, finish the intermediate level, and find out about a liver transplant." ”These young people came out, and the head nurse waved his hand to the director and Director Liu, and the two of them said "thank you" and happily went in to see the liver transplant.How embarrassing is this to be thrown out!
Zhang Youdao sighed: "Head nurse, I can enter the intermediate level this fall, do you think I am eligible for a liver transplant in three or five years?"
On that stage, he is now giving a deputy high assistant to him. ”The head nurse slapped Zhang Youdao on the shoulder and said, "Won't you be promoted to deputy high school soon?"
Li Min is as old as you, and he has already been promoted to deputy high school. ”Zhang Youdao grinned, how easy is it.If you let yourself do a liver transplant, you will almost be eligible to be promoted to a vice president.But not only did I not have the opportunity to go on stage, but I was even knocked out of the operation.The head nurse threw out all the general surgeons who were watching the operation, and then she went back to the room by herself.She stood up to the head frame and asked Director Liu, "How long will it take to finish?"
”Director Liu shook his head and said, "You have to ask the stage." ”The head nurse looked at Director Liang's solemn expression, Chen Wenqiang was also serious, and she swallowed back the words that reached the tip of her tongue."
Open loop?"
Xie Xun asked Chen Wenqiang."
It's on."
Chen Wenqiang is still confident in Li Min's anastomosis inferior vena cava and portal vein.This liver transplant is different from the heart transplant just now.The hepatic phase has a greater impact on patients than cardiomyocyte ischemia.Director Liang didn't insist on doing another examination, and when Li Min stitched up, he stared carefully at every stitch and thread.He got started with Xie Xun and took the vascular clips on the inferior vena cava and portal vein.With the inflow of blood, the liver that has regained color has a temperature.Everyone stared at Shuye with good eyes, afraid that there would be a leak in the anastomosis.Li Min nervously stuck the small bend in his right hand, and then immediately bounced the small bend away.After a few times, she dropped the bend and reached for the instrument table with her left hand."
Prepare a 2-0 line.Anastomostomy of the hepatic artery. ”The last few words, she said to Xie Xun.Xie Xun didn't take the needle, and he said to Li Min: "Senior sister, you have anastomosed the hepatic artery." ”Li Min raised his eyes to look at him and Chen Wenqiang, and then looked sideways at Director Liang.Director Liang urged her: "Your senior brother asked you to anastomosis the hepatic artery, don't hurry up." ”Li Min took the needle holder, and with the help of Chen Wenqiang and Director Liang, two stitches were stitched on each of the donor recipient's hepatic arteries for traction.Fortunately, the diameter of the hepatic artery of the donor recipient is basically the same size.......
"Okay.Let's open the hepatic artery. ”Li Min finished the last stitch and decided without waiting for Director Liang to cut the thread.Xie Xun stretched out his hand and opened the vascular clip.Chen Wenqiang blamed him: "Xiao Li said that you will open it, and you haven't checked whether there is a leak."
Reckless. ”"If you have it, you can make up for the needle.It's a big deal that I clipped the blood vessels again. ”Xie Xun said calmly."
But Dean Chen, you can see that the portal vein and my junior sister are so well matched, this hepatic artery is absolutely fine."
Although Xie Xun let go of the hepatic artery, the two vascular clips in his hand did not leave the slightest.Combined with the two vascular clips that Li Min removed from his hands, these two people were coincidentally and always ready to close the hepatic artery of the donor recipient."
Dean Chen, you can see that this liver artery is not leaking.Hehe, you don't have to worry about others, my junior sister, how many cerebrovascular blood vessels did you have, which one did you watch her make up the needle.This hepatic artery is absolutely fine. ”"You watched the hepatic artery bleed before you said it was okay.Xiao Xie, no matter how anxious you are to avoid biliary injury, you are both reckless. ”Director Liang shook his head disapprovingly."
To be overconfident is to be conceited."
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Li Min replied softly: "Yes."
I'll definitely check it out next time. ”Xie Xun saw that Li Min accepted Director Liang's criticism, so he echoed his mistake.Director Liang saw that there was no leakage of the hepatic artery, and raised his hand to let them go.Chen Wenqiang asked for the wire scissors from Director Liang's hand, and then said, "Be careful to travel a boat for ten thousand years."
Alright, Xie Xun, you can do the rest yourself. ”After finishing speaking, the three threads were cut, Chen Wenqiang handed the thread scissors back to the nurse, turned around and stepped down.Director Liang patted his gloves and gave up his position to Dr.
Song, Li Min also stepped down, Dr.
Zhou and Dr.
Chen quickly came to the stage, and the personnel on the stage resumed their occupation when the stage opened.Chen Wenqiang and Li Min did not leave the operating room after stepping down, and the two watched Xie Xun go to complete the rest of the part.Director Xiang and Director Liu chatted with Director Liang and Chen Wenqiang while watching the operation......
When Xie Xun finished draining and ordered Dr.
Zhou and Dr.
Chen to close their abdomen, Li Min said to Director Liang and Chen Wenqiang, who had retreated: "Director Liang, teacher, I see the speed at which Senior Brother Xie anastomoses the bile duct, and he will not be slower than me if he goes to anastomosis the inferior vena cava and portal vein by himself." ”Director Liang smiled and said: "From the removal of the donor to the completion of all the blood vessels and bile ducts, it takes more than six or seven hours for him to persist from beginning to end alone, can he do it?"
Absolutely.But what about quality?
The spirit is full of heads, and the work done is better.You come and anastomoses the blood vessels so that he can rest for a while. ”Chen Wenqiang nodded and said, "Xie Xun's vascular anastomosis under direct vision is not slower than yours." ”He was very pleased that Li Min could understand himself correctly."
It's a vascular anastomosis under the microscope, and he just doesn't have as many chances as you."
Xie Xun handed over the work of closing the abdomen to Dr.
Zhou and Dr.
Chen.The successful completion of the first liver transplant made him feel very good.He joined the conversation as he gave the doctor's orders."
Director, Dean Chen, this liver transplant operation can be done even if it is for Director Song.Give Dr.
Zhou and Xiao Chen a chance, and I think they will also take this surgery. ”Only Dr.
Zhou and Dr.
Chen were left on the stage.Dr.
Song had already leaned on the anesthesia table to write the operation record.When he heard this, he answered: "Director Xie, you are exalting me by saying this."
I can do it slowly, but it has to be allowed by the patient's condition.It is too difficult to anastomosis blood vessels and shorten the liverless period, and I don't want to compare with you and Director Li in my life.I'm self-aware, I'll be your assistant. ”Director Liang squinted at him, hating iron and steel: "You haven't reached the age of 50 yet, why do you give up on yourself and don't seek progress."
I see that the last time you had a kidney transplant, the anastomosis was very good.Xiao Zhou and Xiao Chen are the same.When there is a chance next time, there is a suitable patient, and both of you have to anastomosis the inferior vena cava and portal vein.Today is a special case. ”Dr.
Song smiled: "The vascular anastomosis of kidney transplantation is different from liver transplantation.How easy is that, isn't it Xiao Zhou and Xiao Chen?
”Dr.
Zhou reached for the wire scissors on the instrument table.He only bowed his head slightly to answer Dr.
Song's statement.Dr.
Chen chimed in: "Yes."
Like this liver transplant, whether it is the inferior vena cava or the hepatic artery, which anastomosis is not a race against time.It's just Director Li, she meets your high standards and strict requirements. ”Dr.
Song glanced at Dr.
Zhou, and saw that he was still silent, so he lowered his head and continued to write the operation record.But I can't help but feel sorry for his ignorance of current affairs.Seeing Director Xiang and Director Liu, they went out without saying anything.Doctor Song then said: "Director, I'll forget it, you see that there are so many young people in our provincial courtyard, you can cultivate them."
The person who can definitely be trained to succeed Director Li in ten years is not Dean Chen?
”Xie Xun pierced him: "You want Director Liang to train your son and daughter." ”Doctor Song smiled and said, "Yes, I just don't know if they are the material." ”"Even that piece of material is not in a hurry."
Chen Wenqiang turned his face to Li Min and spoke: "Xiao Li can work for at least another twenty years."
Isn't it?
”Li Min nodded seriously and replied, "Hmm."
At least twenty years. ”Dr.
Song smiled but did not speak.He didn't care about the singing and harmony of the master and apprentice.Because his daughter is only a junior at school, it is impossible for her to become a surgeon after graduation.My son is going to college this year, and when my son finishes his bachelor's, master's and doctoral studies, there will be at least eight years.After another ten years of working in surgery, he is almost close to Xie Xun's current age, and he can catch the tail of Li Min's twenty years.Xie Xun gave the medical record to Director Liu after giving the medical order.Then he turned to Director Liang's back, reached out to untie the straps of Director Liang's surgical gown, and sighed: "Director, at that time, I was like you now, looking 60 years old.When the time comes, I hope to be like you are now. ”"Yes, why not."
Director Liang took off his surgical gown, took it in his hand and walked out."
Twenty years ago, I thought I wouldn't have a chance to go back to the provincial capital."
After Li Min untied the straps of his surgical gown, Chen Wenqiang followed Director Liang out.He said: "I remember like at the end of '76, I went to the South again. ”"Blame who?
You get into trouble with your own mouth. ”"What did I say wrong?
Is it true that only the governor is allowed to set fires and the people are not allowed to light lamps?
”The two old men left the operating room without giving in to each other.Li Min saw the nurse on patrol pushing the flat car in, so he helped Zhang Luo get over the bed.Doctor Song said: "Xiao Li, there are so many big men in us, you help lift the infusion bottle." ”"Okay
.
"“1、2、3！”
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The stout patient was smoothly moved to a narrow flat cart by four male surgeons and one male anesthesiologist.Director Liu said with a smile: "It's still your male surgeon, every time you get out of bed, I can't get a few lumbar detachments." ”The two nurses hung up the infusion bottles.Li Min watched as the anesthesiologist helped Director Liu push the cart.The patient will go to the ICU after surgery.Li Min went back to Corey to change into a white coat, and when she got out of the tall 17-story inpatient building, she found that it was bright and bright.The eastern horizon has been framed by cascading orange and red, and the magnificent picture is painted in different shades.The sun is just around the corner!
It's a new day.The excitement of the successful operation made Li Min forget his exhaustion.She pushed her glasses, stepped on her high heels, knocked rhythmically on the floor tiles of the corridor, and walked briskly towards the east gate.There is a lover at home who I haven't seen for a week, and a baby who hasn't seen me for a day and night.Turning a corner, she saw Xie Xun and Dr.
Song walking side by side not far ahead.The backs of the two of them still don't look as strong as the orthopedic doctors.But Li Min knew that in the next ten years, the general surgery department would be supported by their slightly thin bodies.After that, I don't know who accompanied Xie Xun to support the general surgery.End of ※※※※※※※※※※※※※※※※※※※※ full text.Ready to try the double opening "Big Hands Holding Small Hands" and "Hundred Charming Thousand Girls", please continue to cheer.Thanks again!
() The distance is a bit far