Chapter 1705: Silent surgical record
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Live Surgical Broadcast
- 真熊初墨
- 1179 characters
- 2021-03-01 09:02:47
When I came to icu, I changed my clothes and went in. Zheng Ren saw that Ren Ling’s system panel red had faded. It seems that the condition is getting better.
"Zheng boss, look at the patient?" Icu's hospitalization always greeted.
"Well, you are busy, I will take a look." Zheng Ren smiled.
"The overall state is gradually recovering, that is, the pelvic drainage is still a bit large." Icu's hospitalization.
This is exactly what Zheng Ren is worried about.
He carefully looked at Ren Ling's system panel, no strange diseases and complications, such as the diagnosis of pancreatic leakage.
"I look at the record." Zheng Rendao.
Icu's hospitalization always put down the work at hand, took Zheng Ren to the computer, and found him a medical record and nursing record.
Now Zheng Ren is in the limelight in 912, and ICU’s hospitalization has always been heard.
It’s not important to hear that, after the patient named Ren Ling was sent over, he was slow to see the surgical record.
She urged it, but the gastrointestinal surgery always said that it was still written.
Icu's hospitalization is always very strange, just a surgical record, what is good to write? 912 This mature large-scale top three hospital, what surgery has not been done? What is the template for the surgical record?
Under normal circumstances, it is enough to paste the template and then make some modifications according to the intraoperative situation.
A postoperative record of 20 minutes is considered to be much. It must be that the gastrointestinal surgery is lazy, and the hospitalization of ICU is always disdainful.
Later, the director rounded up the room and was angry at the gastrointestinal surgery delay in writing the surgical records.
The director directly called Director Wei to explain the facts.
This kind of situation is rare, but it is not uncommon. I had a night of surgery, exhausted, who has the mood to write surgery records overnight? But in the unspoken rules, it must be completed before the early handover.
Otherwise, the director of the ward rounds up, this side of the surgery can not say anything, then fucked.
It must be that a small doctor who is studying is lazy, and ICU’s hospitalization always thinks this way.
But the phone call to Director Wei, but the performance was very calm.
Director Wei seems to know the situation. He does not have the anger of anger, but let this side wait, and then there will be 3 or 5 hours of surgical records will be transmitted.
Then wait.
However, when the surgical records were transmitted, ICU’s hospitalization was always stupid.
She spoke for more than 3,000 words of surgery and she watched it for an entire hour.
What is this special surgery?
The director of the medical department of the operation department on-site guidance, segmentation, segmentation, or microsurgery. Finally, there is reconstruction of the superior mesenteric artery.
After reading it, Icu’s hospitalization had been pondering for almost a day, and I didn’t want to know how such a serious patient survived. 35xs
It doesn't count if you survive, and the recovery is quite fast.
She was able to go offline 24 hours later, but she and the director reported the operation. The director of Icu was silent after seeing the longest surgical record ever.
This is a record of surgery that will be silent regardless of a man or a woman.
For careful consideration, decide to go offline 48 hours later.
Icu's hospitalization was always watching the changes in Ren Ling's condition. All the test indicators were improved to varying degrees. People actually woke up and could not use the ventilator to assist breathing.
Except for a little more pelvic drainage, the other is completely fine. Then there is... the patient is a little bit agitated after waking up.
Such a heavy trauma, such a quick recovery, people who know this thing are sincerely admire.
The operation was done by the boss Zheng.
Can be called a god!
Icu's hospitalization does not know how to do surgery, but if you do an operation, you can write a surgical record of more than 3,000 words. You only see this one in your life.
Nothing.
If this is not arrogant, what counts?
Unconsciously, Zheng Ren has another little girl... the old girl.
"Zheng boss, today's abdominal drainage is a little less than yesterday, 600l, pale yellow, there is sediment." Icu's hospitalization always said.
"Light yellow..." Zheng Ren recalled that he had seen the color of the drainage yesterday, and looked at the various tests and returns in the morning.
The light yellow drainage fluid, Zheng Ren's grinding is not like gastric juice, nor like intestinal fluid, lymphatic leakage is even worse.
If the bile leaks, the color should be deeper. The patient has a lot of urine and clarification, and it is not like a urine leak.
Is it pancreatic juice, exploration during surgery, missing pancreatic damage?
Because the degree of surgical completion is not 100% at the end, Zheng Ren has this conjecture.
Although the big pig's hoof did not give a clear diagnosis of complications, he still thought of this.
Early laboratory tests, there is no blood urease amylase value, although the possibility is not large, but can not rule out this.
"Trouble to check blood urease amylase." Zheng Rendao.
Do you think there is a problem with the pancreas?
Icu’s hospitalization always asked,
The signs are not very similar.
"Just look at the situation, afraid of missing. During the operation, the liver has contusions, the spleen also has contusions, the pancreas has no problem." Zheng Ren said, suddenly stunned.
"The pancreas is definitely okay, I looked carefully, very complete, no traumatic injury." Su Yundao.
"No!" Zheng Ren suddenly raised his hand ~EbookFREE.me~ paused, there was an idea in his mind, suddenly interrupted by Su Yun.
"How?" Su Yun did not know that he interrupted Zheng Ren's thinking.
"There is no sign of peritonitis, and I will check it out." Zheng Rendao, "The possibility of a problem with the pancreas is really not great."
"I think you are skeptical, the drainage will be less, as long as it is not liquid, you are afraid of a wool." Su Yun said.
"Not afraid, there is always a saying that there is so much drainage." Zheng Ren said, go to the patient to check the body.
There are about 3001 pale yellow drainage liquid in the drainage bag, which is empty in the morning. This point has more than 300 ml, which means that the drainage is still not small today.
Zheng Ren looked at the system panel again, and still had no special diagnosis.
He began to examine the body, as described in the course record, there was no sign of peritonitis, the incision was intact, the drainage was smooth, and no fluid was drawn out.
When pressing the abdomen, Zheng Ren noticed that the patient had frowning and irritating behavior.
Postoperative pain is possible, but you don't have much power, and the response should not be so strong.
It was only the last doubt that Zheng Ren used the stethoscope to hear the bowel sounds.
The bowel sounds were 45 times.
It is not a bowel or a pancreas. If there is digestive juice in the abdomen, it is sure to have intestinal paralysis in 36 hours.
And now all the signs are smooth...not like something.
But where is the flow of so much drainage?