Chapter 52: : Show Your Skills (2)


The whole peritoneal chamber was filled with surgical gowns and everyone stood there, but was at a loss, a little awkward!
Especially Comrade Li Baoshan!
It is such an awkward thing that I am a famous doctor, but I do n’t know what to do.
I ca n’t seem to be too busy looking at Chen Cang. Li Baoshan changed his clothes anyway, and simply said,
May I help you?

沧 Cang Cang nodded: "Thank you, director, for pulling the pliers for me."
Li Baoshan nodded.
Dean Hao Hao was also a doctor of surgery, but later he was engaged in administration and lost half of his martial arts!
I nevertheless said, "I prepare the equipment for you!"
Chen Cang nodded: "Trouble Dean Hao."
Hao Xuliang smiled: "No trouble, no trouble ..."
In this way, the most compelling operation of Chen Cang in the Second Provincial Hospital began. The provincial doctor Li Baoshan pulled the hook, and the vice president Hao Xuliang delivered the equipment!
However, Chen Cang did not inflate, he knew that this cow could also blow for three years.
At this time, Li Baoshan had no nervousness just now. Surgical operations are inseparable. Lao Li is more familiar with the anatomy of the human body than his face.
Although I can't place the tube through the peritoneal cavity, but that's because I haven't learned it.
Hey again, have n’t eaten pork and never seen a pig run?
以后 After this time, Li Baoshan made up his mind to let everyone in the department learn peritoneal dialysis!
Chen Cang said carefully, "It's closer, I'm going to make a cut."
Li Baoshan is very well behaved.
Chen Cang was meticulous, because the incision should be as small as possible, otherwise water might leak.
Cang Chen asked: "Lift the peritoneum and lift it together, I shout 1.2.3!"
"Don't clamp the omentum, and the intestines, don't touch them!"
Li Baoshan nodded earnestly, like a medical student who is constantly learning to face his superior doctor.
沧 Cang Cang repeatedly urged: "Took it up."
Li Baoshan nodded!
Cang Cang turned to stitch and sew, but saw that Dean Hao was ready to hand it over.
Chen Cang nodded with satisfaction and started pursuing the peritoneum with a purse. Chen Cang was very professional and very careful about the suture. For all the sutures, make sure that the omentum and bowel are not carried with the needle. The displacement is even stuck!
After the suture was finished, Chen Cang picked up the abdominal tube and examined it carefully.
浸泡 Fully soak the two cuffs and squeeze out the air inside, which is convenient for the adhesion of tissue and cuff.
It also reduces the chance of leaks and infections!
After seeing this scene, Xu Aiping nodded to Dean Yang and said with a smile: "This little doctor is very professional! And ... the most important thing is that he seems to have a special sense of smell in the operation, which really grasps the details. It's very accurate, basically I noticed all the points that should be noticed, but ... I bet he didn't do a lot of tube placement. He can do this, thanks to his talent! However, this talent is too Rare! "
"This is a young man with a good sense of surgery!"
The old Lao Yang heard Xu Xiuping so highly appraised, and he was also frightened.
When placing the guide wire, Chen Cang intentionally left 2cm at the distal end to avoid damaging the organs and tissues in the abdominal cavity.
last step!
Implanted peritoneal tube!
Chen Cang gently body and peritoneum, insert the peritoneal tube gently down the abdominal wall, this process is entirely based on feeling!
For a while, a sense of frustration came, ok!
Fix the inner cuff and gently back out the guide wire.
At this time Li Baoshan could only watch, there was no way ... he didn't know what to do.
Chen Cang: "100ml saline, plus heparin ..."
Haoxu Liang suddenly nodded and began to prepare!
Success!
Chen Cang took a deep breath.
Some 忐忑!
It is not because the surgery is difficult, but because these procedures are too delicate and need to be mastered by yourself, otherwise it is easy to cause complications.
Step by step is thrilling!
The next step is to close the peritoneum.
Want to lift the peritoneum lightly, tighten the purse under the inner cuff ... knot!
The last is a subcutaneous tunnel. Under the traction of the tunnel needle, a shallow arc is naturally made along the peritoneal tube on the left side of the incision, leading to the peritoneal tube. The titanium link and short tube are connected to the outside.
Suture!
Suture subcutaneous fat and skin!
Li Baoshan stood there, watching Chen Cang's step-by-step operation, and nodded secretly!
Although he doesn't understand peritoneal catheterization, he knows surgery!
Chen Cang's operation is very delicate!
Strict eyes and hands are steady and attentive!
This is the talent that a good surgeon needs!
After covering the wound with a dressing, Chen Cang smiled: "Success!"
The next step is dialysis treatment with a peritoneal dialysis machine.
very smooth!
At this time, Xu Aiping in the video smiled: "Dean Hao, this doctor has very delicate techniques, is very skilled, has rich experience in catheterization, and has a good grasp of the focus of peritoneal dialysis. This time, the catheterization is a standard surgery Anatomical catheterization case, I even want to use this video as a teaching material for my students! "
Because this operation is basically a textbook-like case, there is no "oil" operation and habits of the old doctor, and it is a very pure surgical anatomical catheterization.
Yes!
Is pure!
This adjective is the most appropriate way to describe Chen Cang's surgery!
"So I don't need to give pointers at all. This doctor can help patients with peritoneal dialysis, but ... we have a chance to communicate with each other. I think this little doctor is very good at peritoneal dialysis catheterization. If there is a chance, maybe we can communicate. a bit."
Lao Yang also smiled slightly: "President Hao, come here to show me something, haha, OK, I wish you work well, we have work to do."
Hao Xuliang felt the light on his face: "Tough work, Dean Yang, Director Xu!"
I looked at Chen Cang's eyes with relief again.
I finished talking and closed the video.
Leave a group of people standing there in a daze!
A little ... incredible, amazing!
Huh, yes!
No one expected that Chen Cang would have peritoneal dialysis.
【Ding! Li Baoshan favorability +5. 】
Chen Cang is happy, Li's favorability has risen again, but ... a small achievement was achieved today: Li Baoshan has helped himself as a assistant, yes, this feeling is worth remembering.
The eyes of everyone at the scene at this moment changed.
Who would have thought that at such a critical moment, it was Chen Cang who was a temporary worker?
Hao Xuliang also came over, looked at Chen Cang, and nodded: "Nice! Very good, isn't it called Chen Cang? Our hospital needs talents like you."
Cang Cang smiled awkwardly: "President Hao, this is what I should do ... I also want to be a member of our hospital!"
What it means: You should have solved my establishment problem earlier ... I am still a temporary worker.
【Ding! Vice Dean Hao Xuliang has a favorable opinion of +5. 】
Next, Chen Cang continued the peritoneal placement of the second patient, and Li Baoshan consciously acted as an assistant this time.
一次 This time it went well. In fact, it was not difficult to place the tube, but it was not done, so it seemed rusty, and the three cooperated perfectly!
The tube is placed and can be sent to dialysis.
的 The placement of the two patients was completed, and the mood of the people present was gradually relaxed for a while.
The Second Hospital of Luanxi Province is one of the main positions for this rescue work, but the heaviest burden is not here, but the first affiliated hospital of Dongda University, which is one kilometer away.
Tongdong University Affiliated Hospital has always been the largest rescue center rescue base in the entire AY city ~ EbookFREE.me ~ and is also an important place for emergency treatment in the entire AY city.
At this time, the affiliated hospital of Dongda University has been busy!
After all, most critically ill patients have been sent to this hospital for treatment.
At this time, Wang Xiangjun, director of the emergency department of the Municipal People's Hospital, was busy sweating on his head!
Here took most of the responsibility of this rescue work, and the emergency department of the entire hospital is also the largest emergency department of the entire AY city.
This is the first hospital in Dongyang Province to have a peritoneal dialysis machine!
此时 At this moment, Wang Xiangjun's last regret is that he didn't study the shadow avatar properly when he was in school, otherwise he could be busy now!
There are several critically ill patients lying on the bed now, and they need immediate surgery!
The entire hospital's surgery has entered an overload operation!
这个 At this time, the doctor in the peritoneal dialysis room was anxious to find him: "Director! The dialysate is almost used up!"
When Wang Xiangjun heard this, he suddenly got angry: "After you run out, go to the head nurse, go to the pharmacy department, and quickly adjust it. Why are you looking for me!"
Doctor Wu sighed helplessly: "Director, it's not that the peritoneal dialysis room is gone. The whole hospital is gone. Now there are not many peritoneal dialysis fluids and hemodialysis fluids, and we currently need at least 8 patients for dialysis!"
When Wang Xiangjun heard it, his face suddenly changed: "You wait for me!"
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