Chapter 949 Yogurt

"Doctor Ling!"

"Doctor Ling~"

The men and women in the operating room greeted Ling Ran seriously when they saw Ling Ran.

Ling Ran gave a smile that met social expectations, and asked, "What's the situation?"

"Injury from a sharp instrument, massive blood loss, palpitations, shortness of breath, and complete Beck's triad..." Yu Yuan quickly reported the situation. She is also the fastest learning member of Ling's treatment group. When other doctors are still in the state of hepatobiliary surgery, Yu Yuan has quickly started self-study of cardiac surgery.

While listening, Ling Ran was making preoperative preparations. The difficulty of heart trauma repair is not high. The main factor of survival lies in the pre-hospital. How to keep the patient in the fastest speed and enter the hospital is the biggest test.

However, this also requires the success rate of hospitals and doctors to be high enough to save every patient with cardiac trauma sent to the hospital as much as possible.

And as far as the current one is concerned, it is also an urgent moment. The so-called Beck's triad is hypotension, distended carotid artery, and distant heart sounds. It is the main symptom of acute cardiac tamponade. When it comes to clinical practice, when encountering such patients, basically no other examinations are performed.

It's not that other checks are useless, but that checks take time, and the countdown to the patient's life has already started.

"Open the chest." Ling Ran didn't say a word, and directly used the central incision.

The assistants were even more speechless, and obediently cooperated with Ling Ran with slight worries.

Compared to liver resection or hand surgery, Ling Ran's reputation in heart surgery has not yet been established, and there are no brilliant battles to prove it, so naturally it makes people wonder.

The electric knife was in the middle of the presternal bone plate and cut the soft tissue.

"Thyroid retractor."

"Bent pliers head."

"Sternum saw. Test."

It takes less than 20 seconds for Ling Ran to use one instrument, and another one needs to be replaced. The nurses in the surgery department next to him are very cooperative, and the standard chest opening process is not much for senior nurses who often participate in operations. difficulty.

Wang Jia lowered her body and beat the nurses in the surgery department. Now if she is allowed to participate in a liver resection operation,

She can pass instruments to the attending surgeon with her eyes closed, but if it is a cardiac surgery, re-learning is inevitable.

"Suspend ventilation." Ling Ran turned on the electricity to test whether the sternal saw was normal, holding the sternal saw with one hand, as if holding a thick-handled pistol.

Huo Congjun in the viewing room also temporarily stopped breathing.

The surgery in front of him is indeed a bit too nervous for him. After all, it is a heart surgery, which is different from other internal organs. If there is a mistake, there is still a chance to make up for it. No chance of rescue.

Huo Congjun looked back at Director Kang, and smiled again: "Old Kang looks pretty good, what are the secrets of maintenance."

"I just turned 50 this year." Director Kang's face was black and red, like a pig waiting to be slaughtered losing its temper.

Huo Congjun was not afraid of Director Kang's price increase, and he still smiled like a good old man: "When Lao Kang first arrived at the hospital, he claimed to be young. I remember this all the time. Hey, in a blink of an eye, you are also 50." It's old..."

Director Kang groaned twice, almost disapproving of Huo Congjun's tricks. From his point of view, Huo Congjun is getting close now, just like feeding the pigs before selling them. The purpose is to weigh the scales, not because he has any love and nostalgia for the pigs.

However, what Huo Congjun said still made director Kang a little happy.

Young and promising is indeed Director Kang's label. After all, he is a doctor who performs heart surgery. More than 20 years ago, Director Kang, who was still a member of the cardiothoracic surgery department, surprised countless people when he performed heart surgery. At that time, heart surgery with extracorporeal circulation was a major operation mobilized by the whole hospital. In the absence of a professional ICU, the head nurse of the surgery department would even arrange a group of small nurses to serve Director Kang's patients. .

Later... Director Kang was not good at management and failed to develop the cardiac surgery well. Otherwise, he might be able to establish a cardiac surgery center now, just like Huo Congjun.

Anyway, thinking back to those passionate years, Director Kang's mood naturally became agitated, and seeing Huo Congjun's expression became a little gentler, he thought to himself, what if something goes wrong with Ling Ran's operation? , if Huo Congjun's attitude is still so beautiful, then it is not impossible for him to help out on stage, um, what should I order then? Would it be too much to change a color ultrasound?

Director Kang was thinking of beautiful things in his heart, and there was a slight smile on his face.

When Huo Congjun saw it, he knew that his foreshadowing had worked, and he slapped his thigh fiercely: "By the way, my family made some yogurt for me a few days ago. They said that yogurt nourishes the stomach and tastes really good. Who, Go to the refrigerator and get it for me."

The resident doctor closest to the door was shocked, as if he got a new name in an instant, he ran out of the observation room excitedly, and came back panting with yogurt, handed it to Director Kang and Huo Congjun, and said with a smile: "It's still cold. "

"It's better to mix it up and eat it." Huo Congjun took the yogurt and said, "Who is that, don't I still have a nut bag and a dried fruit bag in the refrigerator? Go get them."

"Yes." This time it was the turn of another resident by the door to name "that who".

"Let's wait a moment." Huo Congjun smiled, then turned his gaze downstairs again.

Director Kang held the ice-cold yogurt in his hand, and already felt Director Huo's strong attitude, his expression couldn't help but calm down, and then looked at Ling Ran's operation, and said: "The sternum has been sawed open, and the section is made to stop the bleeding. Very good, as expected of a doctor who often performs liver resections. The position of the opening looks good, but it is a little too big from the sternal angle to the xiphoid process."

"Did you stretch your mouth?" Huo Congjun asked knowingly, just to make Director Kang feel better about speaking.

Director Kang really took the bait, and said: "Doctor Ling, this is a textbook-style opening. The advantage is that the exposure is sufficient, and everything inside can be seen clearly. However, we generally don't cut it like this now, and so do patients. As a social person, after the operation, we still hope to look better, so, generally for aesthetic reasons, we will cut it shorter and take a lower incision."

"It's a bit close, but overall, it has advantages." Huo Congjun added on behalf of Director Kang.

"That's right, that's what it means." Director Kang was very comfortable being praised, but he just felt that Huo Congjun looked a little pleasing to the eye now.

As the director of a small department, Director Kang has not been treated sincerely and respected by the director of a large department like Huo Congjun for some time.

Director Kang picked up the yogurt and sniffed it, his eyes narrowed slightly.

"Pay attention to replenishing blood." Ling Ran's voice came from below again. Looking down from the viewing room, it was visible to the naked eye that the spirits of the doctors and nurses were tense.

If it is in someone else's operating room, in a state of nervous tension, all staff should shut up and operate in silence, or if the emotions are more open, the chief surgeon will curse and criticize.

And in Ling Ran's operating room, whenever everyone was concentrating and no one was even peeking at Ling Ran, it meant that their spirits were tense.

Ling Ran's fingers lightly pressed on the opening of the patient's heart, and the rolling blood flow immediately became thinner and slower, like a river turning into water absorption, and urinating turning into throwing a bird.

"Thread." Ling Ran stretched out his hand, and when he came back, he had already pierced through the heart.

one stitch.

two stitches.

"En, it's finished." Ling Ran stitched up a total of two stitches, closing up the small heart gap.

The repair of cardiac trauma is usually faced with such a small gap. The probability of a patient with a large gap to survive to the hospital is too low.

Everyone in the operating room and the viewing room breathed a sigh of relief.

boom.

The second-generation "that who" pushed open the door of the viewing room and brought a whole basket of dried fruits, nuts and preserved fruits.

Huo Congjun looked downstairs where finishing was being done, and then looked at the basket. Unfortunately, he picked up a quarter of a walnut, put it in the yogurt held by Director Kang, and said, "Eat it."