Chapter 51: : Show Your Skills (1)

This rescue mission is very important. Any medical worker must pay attention to it with twelve minutes!
Of course, some leaders will inevitably avoid it for special reasons.
Because the hospital is a complex institution after all, many people in charge of administrative work do not interfere with medical incidents.
Even though Hao Xuliang is the deputy dean in charge, he is also the backbone of medical services. It can be said that he can't do less with one heart, and communicates with relevant departments almost all the time. How can he carry out rescue work in an orderly manner.
A few minutes later, Hao Xuliang rushed into the rescue room and saw Li Baoshan asking: "Baoshan, has anyone found it? Where is it?"
宝 Li Baoshan pointed to Chen Cang: "This is our doctor, Chen Cang, he will use a peritoneal dialysis machine."
Hao Xuliang suddenly narrowed his eyes and glanced at Chen Cang, then turned and stared at Li Baoshan: "Are you sure?"
Li Baoshan glanced at Chen Cang, and he knew about Chen Cang, because he had recruited Chen Cang at that time, and he knew very well the character of Chen Cang. This person is very real. He has worked for more than two years, has no mistakes, and never commits fraud. Slipping is very low-key.
This time he said he would! Li Baoshan believed that he would.
宝 Li Baoshan nodded: "Well, I'm sure."
Hao Xuliang turned and stared at Chen Cang: "Where did you learn?"
沧 Cang Cang tells the truth: "I was at the Sixth Hospital of Donghai Medical University when I was in college, where I spent more than three months in the peritoneal dialysis room, where I needed to do dialysis every day, I learned at that time."
This is all true, but ... if you stay for three months, you will have some basic operations.
Hao Xuliang was still a bit uneasy, and told him: "Young man, life is so important, you can't tolerate sloppyness and falsehood, do you understand?"
Cang Cang: "I understand!"
Hao Xuliang immediately clapped: "Let's go through the peritoneal chamber!"
Peritoneal dialysis is actually easy to say, easy to say, if you have been in contact with someone, it is not difficult, but for those who have n’t been in contact, there must be something wrong.
It won't take long to learn this, so Hao Xuliang and Li Baoshan still believed.
And this time, not your mother-in-law's time.
He and his team pushed the poisoned patients directly to the peritoneal dialysis room. This is a new place in the hospital. No one is here.
Hao Xuliang is still a little tangled at this time, what should I do if something goes wrong?
Suddenly he thought of his old classmate, and a phone call was broadcast in the past.
"Lao Yang, I'm Hao Xuliang, I have something to ask you to help check!"
The other party asked directly, "What's the matter?"
"There is a patient in our hospital who needs peritoneal dialysis, but now no one will. A doctor in the emergency department said yes, I'm still not assured. I plan to have a remote video conference for your hospital's dialysis expert to check it. ? "
Upon hearing this, Lao Yang suddenly asked: "Is it the poisoned patient of the chemical city explosion?"
Hao Xuliang nodded: "Well, I can't afford it!"
Lao Yang nodded: "Preparing for a video conference, contact a few minutes later."
Hao Xuliang hung up the phone, his eyes suddenly lighted up!
This time it is insured. With remote expert guidance, Chen Cang will be a little bit. Shouldn't it be a problem?
I said here, Hao Xuliang directly picked up the phone and said to the Security Section: "Go to the sixth floor, lift the teleconference TV on the sixth floor and send it to the dialysis room!"
It took ten minutes and everything was ready!
Remote video conference TV is very large, with a length of more than two meters, which can basically restore the face-to-face conversion. Through the camera, the other party can basically see clearly through the abdominal operation.
The emergence of remote video conferencing is mainly to facilitate case discussions and surgical demonstrations between different hospitals.
The video link is successful!
I looked at each other, and the picture of each other appeared on the TV, a man in his 50s and a woman in his 40s.
Hao Xuliang greeted him, "Dean Yang, it's hard! Trouble you."
The man smiled: "No matter, this is the deputy director of the peritoneal dialysis room in our hospital, Xu Aiping, and let her guide you."
Hao Xuliang turned to Chen Cang and said, "Can we start?"
Cang Cang nodded!
Dialysis starts!
Peritoneal dialysis is a dialysis method that uses the human's own peritoneum as a dialysis membrane.
The solute and water are exchanged by the dialysate infused into the abdominal cavity and the plasma components in the capillaries on the other side of the peritoneum to remove the metabolites and excess water retained in the body, and at the same time replenish the necessary substances with the body through the dialysate.
At this time, the patient has renal failure, and there must be a metabolism that replaces the kidney, and the goal of kidney replacement or supportive treatment is achieved by continuously updating the peritoneal fluid.
During peritoneal dialysis, peritoneal dialysis solution is poured into the abdominal cavity through a peritoneal dialysis catheter. One side of the peritoneum in the abdominal cavity is blood containing waste and excess water in the peritoneal capillaries, and the other side is peritoneal dialysate. The waste and excess water in the blood pass through the peritoneum into the peritoneal fluid.
After a period of time, the peritoneal dialysate containing waste and excess water is released from the abdominal cavity, and then filled with new peritoneal dialysate, which is continuously circulated.
The use of peritoneal dialysis machine is not troublesome. The main step is to place the tube!
Catheter placement is the most important part of peritoneal dialysis, and it is the most critical part!
It is directly related to the success rate of peritoneal dialysis, and an excellent catheterization can greatly reduce the adverse reactions of peritoneal dialysis.
There are two common methods for peritoneal catheterization, one is laparoscopic catheterization, and the other is anatomical catheterization.
The only one facing Chen Cang now is anatomical tube placement.
It's not because he doesn't put the endoscope, but because there is no endoscope here!
As Hao Xuliang said, because the laparoscope in the hospital is not fully developed yet, it is not equipped here!
Catheterization is actually a small surgical procedure.
Opposite to the video, Xu Aiping seemed to see that Chen Cang was going to use surgical catheterization, saying: "This traditional anatomical catheterization method requires the surgeon to have solid basic skills in surgery! And ... there must be skilled catheterization techniques! There must be no mistakes! "
"Because any mistake during the catheterization will affect the patient's recovery, and even cause very serious adverse reactions, such as peritonitis ..."
Cang Cang is ignorant!
Open the tube pack and prepare the surgical instruments ~ EbookFREE.me ~ Start operation!
管 The catheterization room beside the peritoneal dialysis room is actually not very different from the operating room.
Incision!
Chen Cang chose to open about 3 cm on the left side of the navel.
Marking requires extensive disinfection!
The scope of peritoneal dialysis is too large. Basically, it must be disinfected from below the chest to above the groin.
Anesthesia!
Local anesthesia!
Because there is no one, all work needs to be done by Chen Cang alone!
Carefully cut the skin and separate the subcutaneous fat to reach the front sheath!
Cang Cang held his breath at this time and raised the front sheath.
At this time, all abdominal muscles are exposed!
Blunt separation of muscles!
Next, Chen Cang took a deep breath and raised the peritoneum. At this time, Xu Aiping in the video screen held her breath.
I dare not disturb!
Because you must pay attention at this time, you must not accidentally injure the omentum and bowel.
Once accidental injury, it is easy to cause infection!
The most important thing for dialysis is to grasp the details. Xu Aiping, who is in her forties, is basically using a laparoscopic tube, because the risk is small, and the anatomical tube method requires too much surgery. It is more susceptible to infection, has a larger wound, and is not conducive to rehabilitation and many other factors.
But!
It is undeniable that an excellent surgical doctor prefers anatomical catheterization because it is accurate!
What does 意思 mean?
If you score points for laparoscopy and common surgery, the upper limit for anatomical catheterization is 100 points, and the upper limit for laparoscopic tube insertion is only 70 points. General surgery is perfect, and laparoscopy is basically based on qualification!
Ps: There is still the back, turn back, yes!