Back in 2002 as a doctor

Page 456

After several twists and turns, Zhou Congwen's image has become an evil big devil, holding a big tweezer, and a big tweezer that didn't go well fell on Director Zhao's radial styloid process of the Department of Hepatobiliary Surgery.

Others said that Director Zhao was beaten to a broken bone.

Of course, this is all nonsense, but Zhang You likes this kind of ending, even if he knows in his heart that it is all fake.

Today Zhou Congwen has been staring at his surgery, which is Zhou Congwen's best cardiothoracic surgery!

Zhang You was a little dazed, but he quickly regained his composure.

As a human being, you can't play dead, even if there is the big devil Zhou Congwen watching, you have to survive, right?

The operation should be as perfect as possible so that Zhou Congwen doesn't get mad.

Zhang You's condition was so good today, he soon forgot about Zhou Congwen's existence, and entered the flow again.

After successful endotracheal intubation under general anesthesia, a rectal temperature probe and an esophageal temperature probe have been placed.

The extracorporeal circulation was established in Zhangyou, and the temperature was lowered in parallel circulation. At the same time, an ice cap was placed on the head to cool down and a cooling felt was used to cool down the body surface.

Zhang You pays attention to the patient's condition while performing the operation.

During the cooling period, the difference between the blood temperature and the core temperature should not exceed 10°C to avoid brain damage in patients.

During the cooling period, the tumor body was separated and the proximal ends of the three branch vessels were dissociated, and the branch vessel bands were preset.

The completion of the operation is almost 120%!

After freeing the aneurysm and the proximal end of the three branch vessels very smoothly, Zhang You is quite satisfied with his performance today, and he can be said to have performed super-level today.

Because of the critical condition of the patient, a total arch replacement was chosen.

The operation time of total arch replacement is relatively long, and deep hypothermic circulatory arrest and retrograde cerebral perfusion or selective cerebral perfusion should generally be used.Zhang You played cautiously at a super level, and took a long breath before preparing for the replacement, wanting to rest for a minute.

He didn't know what a flow state was at all, he just felt that his operation today was extremely beautiful, even Zhou Congwen couldn't find any faults.

But as soon as Zhang You turned his gaze, he saw Zhou Congwen's gaze "shine" on the surgery area together with the light of the shadowless lamp.

Zhang You shuddered involuntarily.

The big devil was still watching the operation, what was he doing so embarrassingly, Zhang You quickly calmed down, took a brief rest for 1 minute, and then started the operation.

"Professor Zhou, why don't you come?" Zhang You asked boldly before the operation.

"You do it." Zhou Congwen was unmoved, looking at the operation area with burning eyes.

Zhang You didn't know what Zhou Congwen was watching, but Zhou Congwen knew very well that Zhang You was in a particularly good state today and felt hot.

As the operation progressed, Zhou Congwen felt more and more that the word "fire" in the system task meant that Zhang You felt hot.

Indeed, under my watchful eyes today, Director Zhang Youzhang performed super-level, and even Zhou Congwen applauded the handling of several key points.

The feel is more fantasy, but it does exist.Zhang You's condition is surprisingly good today, Zhou Congwen didn't want to reach out.

After all, there are two groups, so you can just watch from a distance.As long as the operation can be done, why should I embarrass Zhang You?

Extending the hand too long is bound to be a disaster, Zhou Congwen knows this very well.

"Would you like to help?" Zhang You was about to remove the tumor, and his posture was lowered. If he didn't have the concept of asepsis, he would have wished to insert his head under the operating table.

Help, Zhou Congwen said this sentence many times in the past, and every time the ending is happy.So Zhang You has been thinking that since Zhou Congwen has come to power, let's help the head office.

But Zhou Congwen still rejected his request, and continued to look down at the entire operation area from a high position.

Zhang You was puzzled, he couldn't guess what Zhou Congwen was thinking.

Since Zhou Congwen won't come, surgery is always required, so let's do it by ourselves.

Really, if I knew this was the case, why bother to ask Zhou Congwen to take a look at it, occupying the latrine and not shitting!Zhang You cursed in his heart.

"Dry gauze." Zhang You lowered his head to remove the tumor, and asked for gauze in a deep voice.

Kazuke immediately handed over the dry gauze.

Zhang You took the gauze in his hand, kept the lower and back walls of the tumor, and prepared to trim the tumor.

But he had just rested for a minute, coming out of the unfamiliar state of flow, and he could not enter that state again for a while.

Zhang You hesitated for a moment, and instead of trimming the tumor directly, he checked the patient's status again.

The patient's vital signs were stable under hypothermic extracorporeal circulation, and the anesthetist was experienced, so Zhang You didn't bother.

"Blood oxygen is a bit low." Zhang You said.

"Director Zhang, pure oxygen has been given since the beginning of extracorporeal circulation." The anesthesiologist replied, "I have a geriatric disease, and I am very satisfied with maintaining this blood oxygen."

Zhang You nodded, closed his eyes, and looked for the super-level state just now.

A few seconds later, he held the dry gauze in one hand and the electric cauterization in the other and began to dissociate and stop the bleeding.

Do the simple steps first, and then do the most critical steps when you enter a state where you feel hot and perform beyond your level.

slap~

The sound of electric burning sounded.

Zhang You feels that he has entered the state, and the situation he sees in front of him is different from usual.

The light and shadow are flourishing, everything is so...

But in an instant, before Zhang You could taste it, a basin of physiological saline was poured into the operation area!

Chapter 0782

A pot of warm salt water was poured down, and Zhang You's fiery touch disappeared without a trace.

After enduring Zhou Congwen for a long time, Zhang You was really annoyed.

Clay figurines are also somewhat earthy, this time all Zhang You's dissatisfaction erupted with a basin of cold water poured on the operation area.

"What are you doing!" Zhang You glared at Zhou Congwen and yelled.

The volcano erupted, and the conflict intensified in an instant. Zhang You did not lose his rational anger, but flashed his thoughts in an instant, thinking that it was right for him to vent his anger at this moment.

After all, from the standpoint of reason, Zhou Congwen has gone too far, and even a few words of scolding are light, and he can even take this opportunity to suppress him.

After all, I was undergoing an elephant nose operation with full arch replacement, and Zhou Congwen actually interfered with the operation!

Even if this kind of thing is made clear in front of Mr. Huang, Zhang You is not afraid at all.

He clenched his fists, his hands were soaked in saline, and the wet gloves creaked as he made his fists.

At this time, Zhou Congwen seemed to be stunned by the scolding.

"Zhou Congwen, I'm doing a full bow replacement! It's fine if you don't help, why make trouble!" Zhang You shouted hoarsely.

The grievances, resentment and all kinds of negative emotions burst out in an instant these days.

In a trance, Zhang You felt that the lights of the shadowless lamp were trembling.

Zhou Congwen frowned and looked at Zhang You as if looking at a fool.

"Director..." The second assistant was the chief resident, and he carefully bumped Zhang You's shoulder with his shoulder.

"What is the responsibility of the master!"

"I saw flames just now..." Second Assistant reminded Zhang You in a low voice.

on fire? !

Zhang You was in a daze.

The screen flashed back, and Zhang You vaguely remembered the light when he entered that super god state.

It turned out to be the flame, not the change when he entered the state? !Zhang You was suddenly in a trance and stunned.

The operating table caught fire, how could this be possible!

"The patient's lung function is too poor, is it COPD?" Zhou Congwen said lightly, "Pure oxygen has been given, the pressure is high, causing the oxygen to diffuse with the blood. Electric burning, pure oxygen, dry gauze, it is indeed on fire."

"..."

"..."

"..."

Everyone on the operating table was dumbfounded.

At that moment just now, except for Zhang You, who thought he had entered a supernatural state and had a brief hallucination, and took the flame as a reminder to enter his flow, everyone else saw the flame suddenly rising.

But before they could react, a basin of cold water was poured into the operation area, and the fire was extinguished the moment the dry gauze was ignited by the electricity + oxygen.

Even until now, the people around are still immersed in a trance state, thinking that what happened just now is an illusion.

Zhou Congwen smiled when he heard the notification that the task was completed, and he was in a good mood.

With more clinical experience, being picked up by the little guy, and saving an unexpected crisis, is there a more perfect day than this?

It's just that Zhang You's attitude towards him is a bit bad.

Although Huo Miaozi is not big, is Zhang You blind? Why didn't he see it? Zhou Congwen looked at Zhang You suspiciously.

Perhaps his eyes have been clouded?

I can't.

Even if you are dazzled, you can still see the flames. Besides, the previous operation was so good, it doesn't seem like there is a problem with your eyes.

Then why is he yelling at himself?Zhou Congwen looked at Zhang You like an idiot, and fell into deep confusion.

The two stared at each other.

"Attractor." Zhou Congwen stretched out his hand and said lightly.

The equipment nurse stared at Zhou Congwen with wide eyes, with confusion and even occasional peach blossoms flying around in her eyes.

She can see the operation area from her position, and she is watching Zhang You's movements very intently, predicting what equipment she needs to hand up next.

So the moment the flame rose, the little nurse saw it clearly.

But before she got scared, the flame was extinguished by Zhou Congwen.

And what put out the fire turned out to be the normal saline that Zhou Congwen asked for earlier.

Originally, the equipment nurse was still complaining, but Zhou Congwen said that he would help him clean the equipment but never did it. I have never seen anyone perform surgery like him.

Even if an intern who doesn't know anything is going to have surgery, at least he has to pull the hook.

But Zhou Congwen is fine, standing on the footstool like a clay puppet, afraid that he is not tall enough to touch the shadowless lamp and pollute the surgery area?

But looking back now, Zhou Congwen...seems to have been waiting for a fire early in the morning.

You can't think about it, the more you think about it, the more incredible it becomes.

"Professor Zhou, you prepared salt water just to put out the fire?" the equipment nurse stammered.

"No, I want salt water to help Mr. Zhang clean the equipment when he does the replacement." Zhou Congwen said, "Didn't you just say so?"

"Can……"

"By coincidence."

Of course Zhou Congwen refused to admit it. To be honest, even he himself thought it was unbelievable.

It is said that such an "accident" will never happen, and it cannot even be called an accident, but an arrangement of fate.

There are more patients with COPD. In my last life, I performed a lot of operations combined with COPD in 912 and Shanghai Pulmonary Hospital, and none of the patients had a fire during the operation.

But today...

Zhou Congwen could only deduce based on the results, and finally got a result that he didn't quite believe.This matter must be said in person when you go down to see the boss, and listen to the boss's suggestion.

Whenever there is something that he doesn't understand, Zhou Congwen will think of his boss immediately.

"Professor Zhou, is it really on fire?" Zhang You asked as if he was still dreaming.

"Well, it just caught fire." Zhou Congwen squinted his eyes, gave Zhang You a smile, and comforted him, "It's okay, anesthesiologist, lower the pure oxygen, and Director Zhang will wait 10 minutes before doing it."

"But why." Zhang You looked confused.

"Pure oxygen leads to an increase in oxygen concentration, and the hemoglobin in the patient's blood cannot carry so much oxygen, because the increased pressure is absorbed into the blood plasma..." Zhou Congwen talked about his guess, but it was just a guess, and he also felt that it was specious.

"I won't say any more, anesthesia, pure oxygen adjustment." Zhou Congwen saw that the anesthesiologist had been staring at him with a surprised and bewildered expression, and reminded again, "The patient has chronic obstructive pulmonary disease for many years, and his body has tolerated low blood pressure." Oxygen, just keep the blood oxygen saturation at 85%-90%.”

"Oh oh oh." The anesthesiologist responded quickly.

"Director Zhang, can the operation be done?" Zhou Congwen asked.