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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 249

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Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 249
Xiao Chenguang took advantage of the gap in the examination to call for help.

He was still worried and asked Gong Liang to attend the second shift. He also called Lin Gaoyang and Director Xia Tao of the Department of Cardiothoracic Surgery.

When Liu Tie and Li Wenxia learned that there was a patient with abdominal aortic aneurysm, they were also shocked on the phone and immediately said they would come.

"Quick, quick, quick, hurry up and operate. If the abdominal aorta bursts, the patient will die in a few minutes. This disease is too scary."

The doctor urged Xiao Chenguang, and when he saw them go away, he wiped the cold sweat from his head with lingering fear.

After leaving the CT room, Xiao Chenguang decided to split into two groups, complete the relevant procedures as quickly as possible, and send the patient directly to the operating table.

He said to the patient and his family: "You have also seen the CT results. The abdominal aortic aneurysm is confirmed. Surgery must be performed immediately."

"Do it, it must be done!"

The patient couldn't wait to say, and he was almost scared at this time.

But the family member beside her did not say anything. Xiao Chenguang glanced at her and said, "If you want to do it, you go to the inpatient department to handle the formalities now. I will contact someone here and prepare for the operation."

However, the family member suddenly said at this moment: "Doctor, can you guarantee that the patient will recover after the operation?"

"I can't guarantee it."

Xiao Chenguang shook his head decisively.

If this question is put on other patients, he may explain it in a few words.

But for this patient, even if Xiao Chenguang is sure that the operation will be successful, he will not say it.

"Ah? If it can't be guaranteed, then why do the operation." The family member hesitated.

Seeing this, Xiao Chenguang knew that the family member was giving up again.

In fact, skills are very important for preoperative conversations, and you must also be able to distinguish between patients and family members.

Many doctors have made promises when they were young and frivolous, but the price they paid was miserable.

No operation has a 100% success rate, and there will always be various surgical risks.

In the eyes of some family members, the success of the operation is what they should do, and if it fails, the responsibility is all on the doctor.

Just like the family member in front of me, any slight movement of the patient will be exaggerated. This kind of thing is too common.

At this time, the patient who had been lying on the transfer bed suddenly became emotional when he saw that the family members began to feel sorry for the money again.

"You stinky woman, you are obsessed with money. Last time when I was hospitalized for cholecystitis, you asked the doctor the same question, which made none of them dare to operate on me."

"Now it's like this again. Are you trying to kill me so that you can take the opportunity to remarry with the money!"

"No... No, I'm afraid that the doctor will cheat you. After all, we don't know anything. If something goes wrong during the operation, wouldn't it be a loss of both money and life?"

When the patient heard the family members' words "lost both money and life", he suddenly became angry.

"Okay, you curse me, right? Okay, if the operation is not performed, you can wait to collect my body for me."

The patient was originally in pain and anxiety. Seeing the ambiguous attitude of the family members at this moment, he was so angry that he almost fell off the bed.

"Don't move, are you going to die?!"

Xiao Chenguang felt his eyelids twitching, and he hurriedly comforted the patient. If the patient's blood vessels burst due to emotional excitement at this time, it would be a big problem.

However, at this time, the patient suddenly rubbed his stomach, full of doubts.

"Huh? My stomach doesn't seem to hurt anymore, but why do I feel so bloated?"

"No pain? Is it okay? Let me see."

The family members were very surprised to open the patient's shirt, and the next second, a shrill scream suddenly sounded.

"Ah! Your stomach?!"

The patient's originally flat belly was gradually bulging at this time, and even the surface of the skin was swollen, with blue-black scars appearing, which looked hideous and terrible.

"What's wrong with me?"

The patient was about to look down, but suddenly his eyes went black, and the whole person fell heavily on the bed as if he had lost consciousness.

"It's bad, the blood vessel burst!"

"Hurry up and perform surgery, notify the operating room, and prepare rescue drugs."

Seeing that the patient was about to die on the spot, Xiao Chenguang directly intubated the patient during the transfer.

The family members who saw this scene truly realized the danger of abdominal aortic rupture.

She cried and begged Xiao Chenguang to save her lover.

The transfer vehicle was pushed quickly to the operating room, and happened to meet Lin Gaoyang who came on the road.

The transfer vehicle accelerated again, and the iron wheels were grinding and sparks flew.

The circulating nurse waiting in front of the operating room door took over, replaced the family member, and pulled the car to the prepared operating room.

The green light sign [In Surgery] came on, and seeing the door slowly closed, the family member stumbled and sat on the open space in front of the door, and began to cry helplessly.

"Gaoyang, carry the person over the bed and disinfect the bed sheet."

Since Brother Liu and Li Wenxia had not arrived yet, Xiao Chenguang turned on the ventilator,Connected to the patient, then picked up a pair of scissors and cut a gap along the side of the shirt.

With a force of both hands, Xiao Chenguang tore the whole shirt into two pieces with a sound of tearing.

"Tell the family in advance after the inspection that it is an emergency operation. The clothes are torn. Put the items in a bag and take them out to explain clearly to the family."

Xiao Chenguang didn't want to pay 2,000 yuan for a piece of clothing.

This happened in the emergency room in the future, so it should be taken seriously.

"Directly push adrenaline, check vital signs, open the fluid to the maximum, and I will go wash my hands."

"Lin Gaoyang, this time perform laparotomy, open the large incision directly, maximize the sterile surface, and disinfect the entire abdomen."

"Okay, boss."

The matter was urgent, and Lin Gaoyang didn't care about the delicate operation. He directly asked for a bottle of iodine, unscrewed the lid, and poured it on the patient's abdominal skin.

Iodine slid down the skin to the left and right sides, dripping down the operating table.

The originally light yellow skin instantly turned dark brown. Lin Gaoyang used the soaked iodine gauze to disinfect the patient's skin over and over again.

Xiao Chenguang quickly changed his clothes and washed his hands, put on sterile gloves, and walked to the stage.

At this time, anesthesia Liu Tie and instrument nurse Li Wenxia had also rushed over.

When they saw the patient's condition, they were shocked at the same time.

Oh my goodness, how come this is different from what was said on the phone.

Originally, pseudo-rupture of abdominal aortic aneurysm was already very serious, and the mortality rate was as high as 30%-70%

Looking at the current situation, it is not only pseudo-rupture, but it is estimated that the blood vessels have burst directly, so the mortality rate has risen to 90%, or even higher.

"Xiao Xiao, you never play low-end games."

Liu Tie said this, but his hands did not slow down. Facing the patient who had been intubated and on a ventilator, all kinds of anesthetics and vasoactive drugs that should be prepared were placed on the table.

Surgery is a race against time. One minute of delay will increase the mortality rate by 10%.

"Scalpel."

Xiao Chenguang stood on the stage and stretched out his hand.

With a snap.

Li Wenxia, ​​who had just opened the instrument package, did not bother to check the number of instruments. She directly installed the No. 20 blade for skin incision on the No. 4 handle and quickly handed it over.

Xiao Chenguang took the knife and cut the patient's skin with a pen-like gesture. The sharp tip of the knife went down along the xiphoid process until the pubic symphysis, making the largest incision in traditional surgery, the Tiankou.

Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 249

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