Chapter 430 I Came to Study
"Hurry up!" Zheng Ren said impatiently while dealing with the damage to the left lobe of the liver.
This kind of emotion is a common tone used by superior doctors to dislike subordinate doctors during emergency rescue.
As a senior doctor, Gao Shaojie is very familiar with the mood of the practitioner.
He didn't expect that after he graduated from Columbia University with a Ph.D., he would hear someone reprimanding him one day.
But, people are right.
Gao Shaojie was speechless, even if it was a radiography, it would take three to five minutes to put it in. But who would have thought that the surgical operation to cut the right lobe of the liver would be faster than doing an angiography by yourself!
This Mr. Zheng is worthy of being the chief resident of the emergency department.
Doing interventional surgery...is just someone else's sideline...
Gao Shaojie was speechless, so he could only concentrate more on the operation. I have already been reprimanded without words, should I still be scolded by pointing my nose? I can't afford to lose that man!
Finally, the microcatheter is in place.
"Boss Zheng, I'm about to step on the line." Gao Shaojie informed.
"Hmm." Zheng Ren had already stitched up the damaged liver, and began to look for other bleeding points.
Step on the wire, the micro-guide wire and micro-catheter continue to be sent in, super-selected, in place, and the angiography starts.
A small amount of contrast medium overflowed from the suture opening of the left lobe of the liver, which was normal, and Zheng Ren ignored it.
There was a small opening in the caudate lobe of the liver, and some contrast agent was emitted.
Zheng Ren sewed it up.
The entire abdominal cavity was explored, and with the help of interventional contrast, no active bleeding was found, the abdomen was washed, and the abdomen was closed.
At this time, the nurse who took the blood had just run back, holding a bag full of blood in her arms.
"Who is that, help to get warm." Zheng Ren said.
"Okay." Gao Shaojie didn't feel that there was anything wrong, and instantly adapted to the position of the little doctor.
I haven't felt this way for many years. Although it was a young hospital chief who gave the orders, Gao Shaojie didn't feel that anything was wrong.
He has the ability, the surgery is done quickly! This is the most awesome thing, what is there to argue about?
Besides, I'm still planning to learn TIPS surgery from Mr. Zheng, and sooner or later I'll be a lower-level doctor, so I don't care about it for a while.
He pulled out the tube and asked Wang Qiang to apply pressure to stop the bleeding.
In fact, the patient's condition does not require compression at all, and there is no bleeding at all. But that is now.
If the rescue is successful and the patient's blood pressure rises, he should bleed soon.
Gao Shaojie stepped down, took off the sterile gloves, took several bags of fresh frozen red blood cells from the itinerant nurse, warmed one bag with his body, and warmed the other bag with his hands.
"Boss, what about the ribcage?" Although Su Yun used a question, his meaning was clearly expressed.
"Change your position and prepare to have your chest opened," Zheng Ren said.
The operation was performed quickly, the liver was cut, the bleeding was stopped, the probe was performed, and the abdomen was closed, it took less than half an hour.
Gao Shaojie was already numb.
He didn't care about such things as general surgeons who couldn't open their chests.
People’s TIPS surgery is still at the top level in the world. Isn’t laparotomy and liver surgery as fast?
On this side, Zheng Ren and Su Yun changed the patient's position, laying on the left side, and then disinfected again and spread the sheet.
"Boss, where's Gaha?" Professor Rudolf Wagner's voice came from the door of the operating room.
"Preparing to open the chest." Zheng Ren replied perfunctorily, the perfunctory and impatience in his tone were beyond words.
But the professor didn't feel normal, and said boldly: "Boss, you did radiofrequency ablation just now..."
"Shut up, go and wait for the patient to be picked up!" Zheng Ren said angrily.
Gao Shaojie finally became more balanced, and it seemed that Mr. Zheng could still play a role for him. People teach German professors a lesson, just like training a dog.
Professor Rudolf Wagner was very helpless, and walked to the operation room with his head downcast, mumbling words like this is a waste of life while walking.
But he was just chattering in a low voice, not daring to let Zheng Ren hear him.
Su Yun glanced at his mouth. Zheng Ren didn't know when it started, but whenever there was a big rescue, his momentum would skyrocket.
"Fu Gui, come back." Zheng Ren said suddenly.
Professor Rudolf Wagner looked happy, turned around immediately, strode up to Zheng Ren, and said as he walked, "Boss, the radio frequency just now..."
"Go warm the blood." Zheng Ren said indifferently.
"Pfft..." Su Yun couldn't help laughing out loud.
"Hurry up." Seeing that the professor was stunned for a moment, Zheng Ren urged.
"In our area, there are machines that do this kind of thing." Although Professor Rudolf Wagner was unwilling, he still obediently took a bag of fresh frozen red blood cells and warmed them with his hands.
"Zheng Ren, open your chest?" Xie Yiren asked charmingly.
"Mm. Prepare to open the breast pocket." Zheng Ren's tone became much gentler in an instant.
Compared with the tone with the professor, the difference is huge, and everyone is looking sideways at it.
The Xie Yi people didn't notice, they responded crisply, and then skillfully prepared things.
Under the pressurized blood transfusion set, bags of blood were transfused in, and the patient's blood pressure began to appear.
After getting into position, Xie Yiren had already changed into his clothes and stood beside Zheng Ren, next to the patient's leg.
Reaching out, clapping the handle of the knife in his hand.
It's great to feel like an equipment nurse.
Skin incision, blunt dissection, electrocautery to stop bleeding, and thoracotomy to open the chest cavity.
Tell Chu Yanran, switch to single-chamber ventilation, and the right lung collapses, exposing the field of vision.
The patient suffered five fractured ribs, an opening in the lower right lung, and a ruptured diaphragm.
This is nothing serious, Zheng Ren asked the roving nurse to call the Chest Department and send the rib clip off.
After repairing the ruptured lung wound, repairing the diaphragm, and checking the bleeding point, Cao Guozhen, the chief inpatient of the chest department, rushed to the emergency operating room with a rib clip, out of breath.
"Mr. Zheng, you are doing our chest emergency department again. Give me something to eat." Cao Guozhen said jokingly while being serious.
"The chest and abdomen are injured, and the right lobe of the liver is so torn that it can't be stitched together, why don't you come?" Su Yun sprayed directly.
"..." How dare Cao Guozhen offend this young master. If it's true, if you spray too much, but if you don't say it, you will be killed by the little nurse in the department when you go back.
"Thank you, Mr. Cao." Zheng Ren said lightly.
"President Zheng, you're welcome." Cao Guozhen said, pouring the rib clip from the sterile bag onto the instrument table.
Taking a peek, there were two more strangers in the room. He glanced at Gao Shaojie with a questioning look in his eyes.
"What are you doing with the sly eyebrows? That's Gao Shaojie, the deputy director of the Intervention Department of the Affiliated Hospital of Medical University." Su Yun never had any pleasant words in his mouth.
Cao Guozhen knew his conduct and didn't mind.
Um? The Affiliated Hospital of Medical University? Deputy Director of Intervention Department?
"Mr. Gao, hello, are you here to throw knives?" Cao Guozhen greeted with a smile, very social.
"I'm here to learn surgery from Mr. Zheng." Gao Shaojie smiled and said frankly.
"..." Cao Guozhen spat a mouthful of old blood onto the roof.