Back in 2002 as a doctor

Page 522

Zhou Congwen didn't know if his rebirth had an impact on this matter, but after thinking about it, it seemed that there was no possibility.

This incident had a major impact in 2003, and it can be said to be a historic event.

But this is just the beginning.

As the timeline comes to 2020, the things in front of us are like a preview, and the experience accumulated at this time will play a huge role in the future.

In fact, compared with later generations, SARS is not that serious, but at this time the economy has not yet been transmitted to medical treatment.Domestic doctors rushed to the front line wearing cotton masks that could not target the virus, causing many casualties.

Since things cannot be changed, it would be good to retain a few more medical staff. When Zhou Congwen thought of Pangkezhuang's masks, he felt inexplicably at ease.

Zhou Congwen was not in a hurry either. When the boss came out, he left the boss alone and showed up wearing a mask.

As a doctor, that's all he can do. Zhou Congwen never does what he can't do.But now, what I have to do is surgery and participate in the World Series.

Twenty operations were successfully completed. Zhou Congwen felt that he had made some progress compared with the first operation after he finished the last stitch.

Chapter 0899 Strange emergency task

Although there is no systematic digital annotation, Zhou Congwen can feel his slight progress.

Every progress made Zhou Congwen slightly happy, but only a little bit happy.

Turning around and stepping off the stage, Zhou Congwen squinted his eyes at the boss sitting on a small stool in the corner and said, "Boss, I've made progress again."

"It can be seen that you are still young, and your limit is far from being reached. You must continue to work hard." Huang Lao said.

Zhou Congwen quickly stopped the boss. If the boss continued, he would definitely instill a lot of values.

"Boss, I will take care of the patient for a day, and I will go back when the patient is transferred out of the ICU."

"Yeah." Huang Lao didn't have to instill values, he stood up and walked out of the operating room with his hands behind his back.

"I'll see the boss off, and I'll be back soon." Zhou Congwen and Deng Ming confessed.

Deng Ming really had nothing to say.

All of Zhou Congwen's actions are "seeing the outside world". He had an operation on 912, and the boss stepped down and returned to the office.

Among the people Deng Ming has met, even if flattering reaches the limit, they will not do so.

But Zhou Congwen just did it, and it was very smooth, but it was not annoying.

It may also be that his level is really high. Everyone knows that even if he leaves Huang Lao, Zhou Congwen can still create his own world.

With this level of strength as the background, everything Zhou Congwen does is respect for the boss, respect from the heart.

Deng Ming turned his head to look at Zhou Congwen, and saw him bowing slightly, walking beside the boss. The two figures had no similarities, but they were one.

It was not the first time that this weird idea appeared in Deng Ming's mind.

Zhou Congwen said with a smile, "Boss, do you think there is any room for improvement?"

"When you are matching..." Huang Laogang said this, and suddenly two voices came from Zhou Congwen's ears.

One is the "ding dong" sound of the system task, and the other is the alarm sound of the monitor inside when the front door of the operating room is opened.

[Emergency task: After chemotherapy...]

chemotherapy?It was an internal medicine case, and Zhou Congwen's judgment on the system's tasks appeared in his mind.

It may be that there will be a consultation after going down, and it seems that my side will be faster, Zhou Congwen thought to himself.

When Mr. Huang heard the alarm, he walked by the operating room with his hands behind his back and he took a look inside.

The patient's ECG monitoring showed that the blood oxygen saturation had dropped to 70%.

The anesthesiologist is pushing the medicine along the three channels outside the deep vein catheter.

"Huh?" Mr. Huang hummed, and instead of going to change his clothes, he straightened his waist slightly and walked into the operating room.

"Patients with small pulmonary nodules?" Huang Lao asked.

"Boss, you are here." The surgeon turned around. He is the professor of cardiothoracic surgery. Although there was an accident during the operation, he still greeted him despite his busy schedule.

Mr. Huang didn't say anything else, but watched the patient's vital signs through the ECG monitor.

"When did the abnormality occur, and how did you deal with it?" Zhou Congwen asked.

"It just appeared, and I don't know why." The anesthesiologist replied immediately, "Pushed a shot of epinephrine and is observing the situation."

After pushing the medicine, he swiftly closed the three-way switch. The assistant beside him had already prepared the fiberoptic bronchoscope without any delay.

912 is 912. Zhou Congwen praised each team for their professional performance in the face of rescue.

If this happened in the Third Hospital of Jianghai City, the anesthesiologist would definitely be in the dark, and would definitely not be as skilled as the anesthesiologist on 912.

Zhou Congwen stepped forward and leaned over to the anesthesiologist to watch him put the fiberoptic bronchoscope in, and followed by a glance. The patient's airway was fine, and the endotracheal tube was on the healthy side.

"Old Huang, it's okay." Although the anesthesiologist said so, his voice was extremely low.

At this time, you are not afraid of troubles, if you have problems, solve them, and then continue the operation. This is what the anesthesiologist looks forward to most.

It's okay, how did the patient's blood oxygen saturation drop?

There is no way to solve it, and watching the patient's blood oxygen drop rapidly is the most fucking thing.

Mr. Huang looked at the patient with a frown. Zhou Congwen took the medical records immediately after finishing the bronchoscopy, and quickly looked through them.

The patient is a 52-year-old middle-aged male. During the physical examination 3 months ago, a small nodule in the left lung was found, with a size of about 1×0.7cm. The patient had a malignant tumor of the parotid gland ten years ago and was treated with chemotherapy and surgery. The patient did not have a large lung. history of vesicles or emphysema.

It was just a wedge incision, but Zhou Congwen realized that the system task was referring to the patient in front of him.

Has something to do with chemotherapy? !Or is the system just using an attributive wordlessly?

Zhou Congwen looked through the medical records extremely quickly, but the patient's blood oxygen saturation dropped even faster.

70%...

60%...

50%...

Before Zhou Congwen and Huang Lao reported the patient's condition, the patient suffered a cardiac arrest.

The anesthesia group and the operation group were immediately given epinephrine, electrical defibrillation, and intrathoracic cardiac compression. Although the sinus rhythm was restored, blood oxygen still could not increase.

"Change the ventilation of both lungs and give pure oxygen." Huang Lao said.

The anesthetist immediately stopped one-lung ventilation, switched to double-lung, and changed the oxygen concentration to 100%.

however.

The patient's heart did not stop beating again, which is good news; but the blood oxygen saturation has been hovering around 70%, without any change.

Zhou Congwen squinted his eyes and stared at the ECG monitor, thinking in his mind according to the prompts given by the system tasks.

The patient has a medical history of parotid gland tumor, but it happened ten years ago and he underwent chemotherapy.Thinking along this line of thought, Zhou Congwen is racing against death.

God knows when the patient's next cardiac arrest will occur.

Maybe the next second, maybe 10 minutes later.

Zhou Congwen's brain was running at high speed, silently watching the operation team on the operating table and the anesthesia team off the stage being rescued.

Chemotherapy...

Soon, Zhou Congwen had an idea.He reached for the stethoscope on the anesthetist's table.

At the same time, a misshapen hand rests on the stethoscope.

"Boss, I'm here." Zhou Congwen knew that he and the boss wanted to go together, so he said hastily.

Huang Lao didn't speak, his expression was serious, and his back was straight.

Zhou Congwen went under the sterile sheet with a stethoscope to listen to the breathing sound of the patient's healthy side.

Sure enough, just as imagined, the patient's healthy side had weak breath sounds!

"The breath sounds on the healthy side are weak, and we may have a tension pneumothorax." Zhou Congwen squatted under the sterile sheet and said, "Closed chest drainage, immediately!"

"!!!"

The surgeon stood on the operating table in a daze.

pneumothorax?Still tense?

Sudden pneumothorax on the healthy side during the operation?

If the fuck walks in shit, anything can happen.

No wonder the patient's blood oxygen is low, can it not be low if there is a pneumothorax?

But the practitioner hesitated for a moment, and instead of asking for something immediately, he looked back at Huang Lao.

Chapter 0900 things boss

The operator glanced at Huang Lao, he did not believe Zhou Congwen's diagnosis.

Although Zhou Congwen has been in the limelight recently, in the eyes of the 912 professors, he is a primary school student of Mr. Huang.It is estimated that most of the reasons why they are so awesome are endorsed by Mr. Huang.

Moreover, a good operation does not mean a high level of diagnosis, surgery beasts are everywhere, and quick hands and eyes are enough, but...

The professor with the group looked back, but saw nothing, and Mr. Huang was not behind him.

He was startled for a moment, but immediately saw a familiar figure squatting beside him with a prepared closed chest drainage tube in his hand, and lifted the sterile sheet.

Closed thoracic drainage equipment is required for thoracic surgery. When the operation is about to end, the itinerant nurse will call the equipment table, and the equipment nurse will pass it to the surgeon and assistant.

At this moment Huang Lao was already squatting beside him, startling the practitioner.

"Disinfection." Huang Lao said in a deep voice.

The operator gave up the aseptic area and started to disinfect, and Mr. Huang squatted down to perform closed drainage for the patient.

Zhou Congwen put the stethoscope on the anesthesiologist's table, and seeing that the boss had already started, he immediately asked the itinerant nurse to pour saline for external use into the chest bottle.

Connected to closed thoracic drainage, Zhou Congwen squatted on the ground to observe, "Doctor anesthesiologist, please inflate your lungs."

As the ball in the anesthesiologist's hand was pinched down, there was the sound of gas gurgling out of the chest bottle.

A pneumothorax, indeed a pneumothorax!

The surgeon was startled, then smiled wryly.

What the hell, that's the healthy side.

Under the assisted breathing of the ventilator in thoracic surgery, pneumothorax appeared in the good side of the lung during one-lung ventilation!

A similar situation is really like stepping on dog shit with new shoes, it's disgusting.

But he didn't complain about his luck. The professor who led the group was stunned by the cooperation between the boss and Zhou Congwen.

"Boss, it's all right." Zhou Congwen said to his boss when he looked up and saw that his blood oxygen saturation began to rise rapidly.

"En." Huang Lao didn't leave in a hurry, but picked up the medical records and looked through them again.

Zhou Congwen knew that the bosses of surgical patients would not watch all of them.

After all, the number of patients undergoing surgery in 912 was too large, and the boss was getting older and older, and he couldn't keep up with it.

Only difficult patients will consult with the boss.

The patient in front of me was just an ordinary patient with small pulmonary nodules before the tension pneumothorax on the healthy side occurred during the operation, and the boss would not pay attention at all.

Mr. Huang looked through the medical records very quickly, and he put down the medical records after reading them.

"Li Sheng."

"Yes, boss." The practitioner said quickly.

"Your patient, tell me what's going on."

Li Sheng, the professor who led the group, was taken aback. What's going on?Put on new shoes and step on shit, or else what else could be going on.

But if he answered the boss's question like this, there must be a storm waiting for him.

The professor with the group looked sad, bowed his head and didn't say a word.

The sound of the monitor alarm in the operating room gradually quieted down and returned to normal.

"Re-sterilize, let's have an operation." Seeing that Professor Li was silent, Mr. Huang ordered afterward.

"Okay." Professor Li regained his vitality in an instant.