Chapter 1696: Airway malformation

Quan Xiaocao closed the book, she has been learning about ESD technology recently.
Once Zheng boss takes his own surgery, if the most basic knowledge is not, what kind of embarrassment! Just think about it and don't live.
Of course, the basics are only a part of it, and micromanipulation is extremely important. Teacher Feng borrowed a microscope from her, and every day the grass was fighting with the pig intestines.
When I saw Zheng’s surgery, I felt that there was no special difficulty, very stable and accurate.
However, when the right grass had to get started, it was hard to see the micromanipulation.
It’s already 12 o'clock, take a good sleep, I hope there is nothing tonight. Quan Xiaocao went to wash, and he still pondered the anatomy of the intestines and the things to be aware of when doing microsurgery.
Brushing your teeth, the phone ringing at the nurse station is ringing wildly.
The phone call from this point, even the ringtones are all rushed and panicked.
Definitely an emergency!
Must be an emergency!
"The doctor of the right, the emergency department said that 120 patients with a rectal trauma, hemorrhagic shock!" Night nurse said in a hurry.
This is the point, come to the critical emergency, this is another sleepless night.
Whether it is the right grass or the night shift nurses are somewhat helpless.
Right Xiaocao listens to rectal trauma, and immediately judges that this is definitely not something that he can handle. She called the hospitalization all the time, and did not hesitate to go to the hospital. She called the phone directly to Professor Feng of the second line.
In my heart, Quan Xiaocao is quite flustered.
The is the last section of the digestive tract. Because there is a very rich connective tissue gap around the middle and lower rectum, there is less chance of rectal involvement in general trauma.
Once the rectal trauma is perforated, it can lead to extremely serious infections around the and lead to a series of related complications. Therefore, rectal trauma is not only difficult to handle, but also difficult to recover after surgery and many complications.
Moreover, the elasticity of the is not enough, similar to the esophagus, and postoperative blood supply is an important point.
For example, anastomotic leakage after rectal cancer resection is a serious complication. If such complications occur, the repair can not be long, can only be removed, parallel resection, discharge tract ostomy.
If so, the quality of life of patients is greatly affected.
The injured in the emergency department received the report and the injury was very serious. It is very likely that the intestines need to be placed for a period of time to avoid a rectal anastomosis.
This type of surgery is very high, and hospitalization will definitely not be easy to try. It is possible to have a slow diagnosis. The emergency department is still called the second line.
It is a rare disease, do you want to find Zheng boss to see? Quan Xiaocao took a look at the time, it has been more than 12 o'clock, or forget it.
Looking for Zheng boss to do surgery in the middle of the night, and looking for him to do surgery during the day, are completely different concepts.
It is very terrible to get out of bed. Besides, Zheng boss is not a second-line professor.
Quan Xiaoca thought of this, but before he even called, he was directly paralyzed.
120 First aid first pull the patient to the emergency department. After various first-aid measures, send it to a film to provide guidance for the operation.
When Feng Jianguo arrived, the patient just sent it to gastrointestinal surgery.
The blood pressure is 6040 mm Hg, and the liquid in the deep vein puncture pipe is dripping into the blood. The blood of the emergency department has been collected and sent to the blood transfusion department.
The injured are not accompanied by their families, only one person. The emergency department said that it had reported to the Medical Service and their people would arrive soon.
Feng Jianguo first glanced at the film.
The ruptured, as if the colon had broken, and the stomach seemed to have problems. This big impact can cause so much serious damage.
Feng Jianguo is very helpless.
The key is a fracture of the pelvis and a large hematoma of the posterior peritoneum.
Trouble...
He did not hesitate, picked up the phone and called Zheng Ren directly.

Zheng Boss, who received a traumatic injury, severe pelvic fracture, posterior peritoneal hematoma, rectum, and colonic rupture.

"Well, I will go to the stage to get anesthesia and get ready."
Hang up the phone, Feng Jianguo said: "Send it, hybrid operation room!"
"Well!" The hospital should always have a voice, and the right grass and the nurse took the injured and ran.
Feng Jianguo did not wait for the person in the medical office to explain the sentence and ran straight to change clothes.
In a hurry to change clothes, he smashed the hospital.
There is a lot of formalities on the side of the medical office, so that the hospitalization is always going to be handled. Soon Zheng boss can come over and the operation is not afraid of no one doing it.
Emergency first aid, 912 this side is still very professional, so short time to complete preoperative preparation, sent to the operating table, almost racing with death.
Feng Jianguo changed his clothes and just came out of the locker room and heard the door ringing.
I am going... Zheng Boss is coming so fast?
He turned and shouted: "Zheng boss?"
"Well, we are here." Zheng Ren’s voice came.
"I will go see the patient first, disinfection, you change clothes first." Feng Jianguo casually polite.
This kind of moment is definitely not a time of chilling. There is also a wounded person with dying life waiting for treatment.
Every minute and every second is extremely valuable.
Into the operating room, Feng Jianguo saw that the anesthesiologist had completed the tracheal intubation and started the ventilator to assist breathing.
"Old Feng, how come the intestines are out? What trauma?" After the anesthesiologist was busy, he asked.
"The 120 people said that it was the one that was picked up at the Carnival Plaza, the biggest one caused by the fountain."
"The biggest fountain..." the anesthesiologist snorted and smiled.
This kind of trauma is rare, but it is not unique. Usually children, playing in the fountain square, accidentally injured.
If you lick it, you may get rid of it.
Like this...
Still hurry to do the surgery, the intestines are out!
After 30 seconds, Feng Jianguo felt that the patient was strange.
What about blood pressure? He couldn't accurately grasp the thought in his mind~EbookFREE.me~ Start looking for it.
Traumatic shock, blood pressure is very low, but there is a point of increase compared with when I first saw it. The roving nurse has already gone to take the blood. As long as the blood transfusion begins, it should not be a problem.
What would it be strange to be?
Feng Jianguo looked at the patient.
"Old Feng, what's wrong?" The anesthesiologist saw him squatting and smiled and asked: "It won't be that you can't do surgery."
"What do you think is wrong?" Feng Jianguo looked at Ren Ling lying on the operating table, some strange.
"Nothing wrong, I told you that the patient's airway is a bit deformed. If I am not experienced, I will change the general anesthesiologist, even the tracheal intubation can not be inserted." The anesthesiologist said with a smile.
When Feng Jianguo heard it, he immediately began to see the patient.
When he looked at Ren Ling's belly, it seemed as if there was a pot of cold water pouring down.
"MD!" he yelled: "Is it inserted into the esophagus!"
......
......
Note: In 2007, one of my patients was an airway malformation. Anesthetize, the stomach bulges first. Fortunately, Mr. Chen was asked to undergo surgery and observed this. In the end, there was no danger. Now, 12 years after surgery, the patient's lung cancer has healed and the heart is slightly small.