Chapter 1705 Get to the Bottom

"Boss, are you being serious?" Su Yun asked.

"Well..." Zheng Ren was pondering countless situations in his mind, and he just made a long response to Su Yun's question, intentionally or unintentionally.

And then no more.

Su Yun was also very helpless, but Zheng Ren had to think about this trivial matter, and he felt that he had nothing to do.

If you want to think about it, think about it. Seeing that the patient is fine, Su Yun ran to chat with the nurse in the ICU. Zheng Ren has always wondered why he talks so much with strangers.

If you change yourself, you will definitely have two awkward conversations, and you don't know what to say in the third sentence.

But looking at Su Yun's side, chatting with the two little nurses in the ICU was full of interest, and the little girls were smiling. Taking a break from the busy schedule, is this also a benefit?

At that time, Director Qian of Haicheng First Hospital had scolded Lao Director Pan because of Su Yun going to the emergency department.

But when it comes to being arrogant and unreasonable, Director Pan is a good hand. Director Qian, it's not enough to see at all.

As long as Su Yun was there, the nursing team would not be able to disperse. Zheng Ren also thought it was absurd when he thought of the conclusion that old director Pan said at that time.

"Boss Zheng, do you have the possibility of doubting it? I'll go check it right away." the ICU resident asked.

"No need, I'll think about it." Zheng Ren stood in front of the hospital bed, instead of going to see Su Yun, he started to recall the process of his consultation yesterday.

Instead of being treated by myself, I ran over when I received a call saying that there was a patient with a pelvic fracture rescued in the emergency department.

As soon as you enter the operating room...

and many more!

Zheng Ren was stunned, what he was thinking about just now suddenly became clear.

It's anesthesia!

Anesthesia intubation was inserted into the esophagus. When I entered the room, I saw that the patient's stomach was slightly distended, and cyanosis began to appear in the limbs.

right!

Certainly so.

After general anesthesia, the smooth muscle of the gastrointestinal tract relaxes, and a large amount of gas is pressed in, causing the stomach to dilate extremely, and a part of the small intestine is also similar.

The high tension thins the gastrointestinal wall, widens the endothelial intercellular space at a microscopic angle, and enhances permeability, resulting in fluid extravasation.

Ascites is actually the same as the accumulation of fluid in severe intestinal obstruction, but there is no infection factor.

Therefore, the liquid drawn from the drainage bag is light yellow, without precipitation or bloody exudation.

Thinking of this, Zheng Ren immediately picked up the phone, made a gesture, found a slightly quiet corner, and called Lao He.

"Lao He, it's me." Zheng Ren said.

"Boss Zheng, is there an emergency?" Lao He's voice was a little excited.

"No." Zheng Ren said, "I want to ask you something, have you ever encountered an intubation error and inserted into the esophagus?"

There was a sudden silence on the phone.

On this topic, across the phone, Zheng Ren seemed to be able to hear Lao He's heart beating faster.

"Boss Zheng, wait a moment, I'll find a quiet place to talk to you." Lao He's voice became cautious.

Zheng Ren didn't know whether to laugh or cry, he knew that Lao He must have misunderstood.

But he was too lazy to explain to Lao He, and he couldn't wait long anyway.

After dozens of seconds, Lao He's voice came.

"Boss Zheng, did you rescue something in the emergency department?" Lao He asked in a low voice.

"No." Zheng Ren replied with a smile.

There was a sigh of relief on the phone.

"In the early hours of the day before yesterday, I received a patient in the emergency department. When I came over, I saw the patient's stomach bulging. Then I used the fiberoptic bronchoscope to re-intubate the tube. After the operation was completed, the patient recovered well. I was watching the patient in the ICU. What?" Zheng Ren explained.

"It scared me to death." Lao He said.

"I want to ask you, have you seen such a patient?"

"Boss Zheng, this is one of the biggest medical accidents in the anesthesiology department. It's the same as intraoperative sobriety caused by operational errors." Lao He said: "It's even more serious than that. I have encountered it a few times, but they have all been rescued. ."

"Have you followed the postoperative conditions of these patients?" Zheng Ren asked.

"No, but I can ask in the group. They are all old anesthesiologists across the country." Lao He said.

"Help me ask, have they seen a lot of pale yellow fluid after abdominal drainage after surgery," Zheng Ren said.

"Okay!" Lao He responded.

Zheng Ren hung up the phone and saw that there were more and more little girls around Su Yun, and the general face of the hospital began to look bad.

It really affects the work. Is it true that he said that he needs to wear two layers of masks? Zheng Ren thought about it carefully and felt a little ridiculous.

There's nothing serious about this stuff.

"Boss Zheng, are you consulting with your teacher?" The ICU hospital manager Zheng Ren asked with a smile after finishing the call.

At this age, Boss Zheng should have a very powerful teacher, it is only logical.

"Uh..." Zheng Ren smiled and went back to the bedside to look at the patient's drainage bag.

The pale yellow drainage is very clear, with occasional cloudiness, but not much. Zheng Ren recalled the procedure of the operation, calculated the drainage volume in his heart, and became more and more convinced of his judgment.

When he was hospitalized, he saw that Zheng Ren didn't speak, and thought to himself that his teacher might have passed away. This is a sad thing, don't expose Boss Zheng's scars yourself.

More than ten minutes later, Lao He called.

"Boss Zheng, someone said that there will be a moderate amount of exudate after the operation." Lao He said, "I will send you the chat record, and your judgment is correct."

Zheng Ren glanced at the chat log, the anesthesiologist said a lot, and it seemed that the patient had a deep impression on him.

It was a patient who was stabbed with a knife. After finding out that the insertion was wrong, it was the same, immediately artificial respiration, and reintubation with a fiberoptic bronchoscope.

After the operation, the anesthesiologist followed for three days because he was worried about an accident and the patient had symptoms of cerebral hypoxia.

He had a fresh memory of the postoperative drainage.

Pale yellow drainage fluid, 500-1000ml, gradually reduced every day, no symptoms of cerebral hypoxia appeared in the later period, and no longer concerned when transferred out of the ICU.

What the anesthesiologist said was the same as what Zheng Ren saw, and Zheng Ren smiled.

The level of clinical technology has been improved little by little.

This time I have no experience, so I thought about it for half an hour. But if you encounter it again in the future, you will no longer be troubled by things that attract more traffic.

"Su Yun, let's go." Zheng Ren stood up and greeted Su Yun.

"Understood?"

"Well, it should be. Tomorrow the drainage volume will be around 200ml, and it will decrease in turn, and it will get better soon." Zheng Ren said with certainty.

Su Yun raised his eyebrows, but there were too many people on this side, so he couldn't ask in detail.

After talking to the nurses, Su Yun left the ICU with Zheng Ren.

...

After Lao He completed the task given to him by Zheng Ren, he felt that something was wrong and searched for the operation record.

That night, it was Cui Zhiying's class. Lao He pondered for a while and ran to the surgery room to find him.

...

...

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