Six Hundred and Ninetieth Chapters I Come
"The C-arm machine will take a picture, and then the B-ultrasound is ready for the laparotomy. I will lie down for a while." Ling Ran gave the order after a simple physical examination.
He has the energy potion to drink, but there is nothing he can do if his muscles are sore and sleepy, so he has to relax and soothe himself.
The type of surgery on the ship is very different from the type of surgery he performed in the hospital. Although the most dangerous surgery he participated in was the intra-abdominal surgery, the most labor-intensive surgery must be the orthopedic surgery. After one day, it was more difficult for Ling Ran than in the hospital. It feels tiring to do five liver resections in the hospital.
Ling Ran squeezed his neck, found four small benches, placed them against the wall, and lay down on them. At first glance, it looked like a hero practicing martial arts in a martial arts novel, supported by four fulcrums. The body and the people above are still sleeping peacefully.
The little nurse on board couldn't bear it, but there was nothing she could do. The conditions on the ship were like this. The operating room was originally smaller than that of a normal hospital. The operating bed and various machines took up the space, and there was no room for it.
Zuo Cidian and the others also had no choice, they were not familiar with boats, and they couldn't find a suitable place for Ling Ran. Besides, there is not so much time, everyone is busy flying, Zuo Cidian still ran a few laps inside and outside the operating room, Lu Wenbin is purely using it as a technical coolie, after entering the operating room, the only thing he can do is wash his hands He would only go out during his free time, and even if he had a little free time, Ling Ran would rush him to take a shower and change clothes. For Lu Wenbin, it was simply miserable.
However, when new patients arrive, no matter how tired they are, they can only survive.
Tiredness is certainly tiring, but the other person is waiting to be saved. Therefore, even if the responsibility is beyond the ability to bear, as a doctor, he still can only bite the bullet and support it.
Zuo Cidian surrounded the operating table with a lead baffle, put on a lead crotch protector for the patient, and at the same time, connected the operating machine and the monitor, and shouted: "Doctor Ling, come and get dressed."
So Ling Ran got up, put on the lead collar and apron, and nodded again: "It's ok."
The hygienist on the ship asked the nurses in the room to go out first, then turned on the red warning light at the door of the operating room, then turned back, gave two reminders, and then stepped on the discharge switch.
Ling Ran stood at a safer position a little further away, waiting for the direct display on the display screen, and quickly read it.
If he had to choose, he would definitely prefer nuclear magnetic resonance. In terms of the information obtained, nuclear magnetic resonance is much more than X-ray. However, the huge size of the MRI machine made it impossible to put it on "Yunhua 893".
On the serious large medical ship, there is MRI. The largest American hospital ship "Mercy" has 1,000 beds.
There are 12 operating rooms, which are higher than the standards of ordinary tertiary hospitals in China. But Yunhua 893's conditions are limited, so it can only be used for what it has.
For Ling Ran, X-rays can provide a lot of information. Perfect-level X-ray reading, after reading it in a circle, Ling Ran nodded: "The bones are okay, but the fibula and ribs are broken. Let's deal with them later. First deal with the problems in the abdominal cavity. Then prepare more blood, the C-arm is withdrawn, and the B-ultrasound."
The nurse went to make a call immediately, and Lu Wenbin and the hygienists began to deal with the protective equipment such as lead baffles. Zuo Cidian took a look at the anesthetist's operation, and then asked Ling Ran in a low voice, "Doctor Ling, is there not enough blood?"
They are preparing to deal with traumatic patients in the operating room, and there is already a lot of blood prepared, but Ling Ran still asks people to take it...
Zuo Cidian looked at the patient's abdomen. If there was bleeding, it could only be the abdomen. Intra-abdominal bleeding is not surprising for the vice team's injury, but it is definitely not good news.
Ling Ran gave a soft "En" and said, "The physical examination is not good."
Zuo Cidian knew that Ling Ran's physical examination was of an extremely high level, and his heart immediately sank.
He wanted to ask whether it was dangerous or not, but he knew it was useless to ask, so he could only hold back.
The hygienist on board prepared the B-ultrasound machine, put in the gel, and started to operate it with another shout.
On the screen, black and white visceral shapes loomed.
"Spleen contusion, liver contusion, kidney contusion, blood clot..." Ling Ran read out the information while reading. Both Lu Wenbin and Zuo Cidian didn't have much practice in this area, and it was better for Ling Ran to explain it more clearly.
Zuo Cidian's face darkened.
It's not always a happy thing when a hunch is confirmed.
"Go and see what Director Huo is doing. If you're not busy, please invite him over." Ling Ran was preparing, but then ordered again: "I have to explain the situation clearly. I can do both liver and spleen, and kidney." It is best to let Director Huo handle the part."
It was only then that Zuo Cidian came to his senses that Ling Ran had never undergone kidney surgery.
In fact, in normal local hospitals, doctors are now becoming more and more specialized. Cardiac surgery doctors only care about the heart, hepatobiliary surgery doctors only care about the liver and gallbladder, and digestive surgery doctors only care about the esophagus and gastrointestinal tract. of. The kidneys belong to the urinary system, and in a hospital like Yunhua, they are usually not touched by other departments.
Of course, the emergency department often temporarily deals with some organ injuries, but even so, with the current training model, when young doctors encounter substantial organ injuries, they still mainly refer them to the doctor or call for reinforcements. When joining the army, the only organs that can be determined are the spleen and gallbladder. It is almost enough to cut out the appendix, and the other organs will not be touched.
However, with the current conditions on board, Director Huo is already the most reliable one.
Thinking of this, Zuo Cidian couldn't help thinking a little deeper.
If Director Huo's patients were in critical condition, would he ask Ling Ran to give up the patients who were too critical? Maybe you won't ask to give up directly, but not participating in the rescue will have an impact in itself.
Zuo Cidian took a deep breath and said, "Doctor Ling, let me go."
"Are you going?" Ling Ran looked at Zuo Cidian, but he didn't have much objection, nodded and said, "Then go and come back quickly."
"Okay." Zuo Cidian immediately turned around and left.
"Let's have an open stomach." Ling Ran's voice came from behind.
Zuo Cidian couldn't help speeding up under his feet, and kept simulating the conversation with Huo Congjun in his mind.
For Comrade Huo, all the doctors in Yunyi have a certain psychological shadow.
This is especially true for a small doctor like Zuo Cidian. Sometimes, Zuo Cidian even thought, if everyone is sprayed by Huo Congjun every day like this, he wonders if there will be a conditioned reflex in the future.
laugh.
Zuo Cidian stepped on the door of No. 2 operating room.
Huo Congjun turned his head with blood on his face, and asked in a bad temper, "What are you doing?"
"That..." Zuo Cidian was full of words, looking at the wounded on the No. 2 operating table, but couldn't pour it out all at once. After a pause of one or two seconds, Zuo Cidian said: "The patient in operating room No. 1 has a kidney contusion. Dr. Ling invites you to consult."
Huo Congjun said "En" and said, "Go find Dr. Zhao and ask him to replace me."
"Oh...yes." Zuo Cidian didn't expect such an answer, so he hurried out to find Zhao Lele in the consultation room.
Zhao Lele was consulting a patient with a broken bone, and after hearing what Zuo Cidian said, he immediately stood up, but handed the patient to Zuo Cidian.
Zuo Cidian felt guilty and wanted to decline. As a resident doctor, his ability to deal with patients independently was far inferior to that of Lu Wenbin.
"It's just Chris's fracture. I really can't do it, so I'll protect him and send him back." Zhao Lexi patted Zuo Cidian on the shoulder, and didn't give him time to bargain.
Zuo Cidian was about to say something, but when he heard Chris' fracture, he stopped.
Looking back, the patient was staring at him.
This is an old fisherman in his 40s or 50s. He is thin, dark-skinned, taciturn and deep-eyed. Although his arm is hurting, he looks strong and enduring the pain.
Zuo Cidian let out a long breath: "I'll deal with your fracture."
...
The chrysanthemum has been touched but not worn, ask for a monthly ticket!