Chapter 179

"Xiao Xiao, what are you thinking about?"

Liu Tie was suddenly startled and became a little anxious.

If his wife found out about this kind of thing, she wouldn't be able to go back and kneel on the washboard.

Poof.

Seeing Liu Tie's nervous look, Li Wenxia laughed.

"Director Xiao, please stop teasing Brother Liu. He is really afraid of his wife. Every time I call him to talk about business, he is extremely nervous and seems to dare not say anything."

"Oh? There's also this matter."

Xiao Chenguang looked at Liu Tie happily.

Now Liu Tie couldn't hold his old face back any longer.

"This fully illustrates my love for my wife. Those of you who are not married will definitely not understand me."

"Yes, yes, we don't understand."

Seeing Liu Tie's stubborn refusal to admit it, everyone burst into laughter.

"You haven't said anything yet. What did you want to tell me just now?"

Just when Xiao Chenguang asked this question, his BP machine suddenly rang.

This moment broke the originally relaxed and happy atmosphere.

"Parenteral emergency consultation?"

When Xiao Chenguang saw the information on the BP machine, he was obviously stunned.

Emergency consultations are rarely seen on the stage. Usually, emergency consultations are only requested when the surgeon encounters an uncontrollable problem.

To put it simply, he was there to save Taiwan.

"Gastrointestinal surgery? When we came out just now, they were actually operating on a patient with intestinal rupture. The operation shouldn't be difficult. We should prepare for this point in the audience."

Liu Tie, who was sitting next to Xiao Chenguang, happened to see the message above.

He looked puzzled. After all, he happened to be helping in the next room when he was off work, so he knew about this situation.

"You guys eat, I'll go check on the situation first."

At this time, Xiao Chenguang was almost done eating. He put down his chopsticks, drank the mung bean soup next to him, and prepared to go out.

"Boss, here I am."

At this moment, Lin Gaoyang also put down his bowl and chopsticks and looked at Xiao Chenguang.

"You don't need to go yet. After dinner, go back to the ward. If necessary, I will ask the operating room nurse to call you in advance."

After giving instructions, Xiao Chenguang walked quickly towards the eighth floor of the inpatient department.

When he came to the operating room, he changed into surgical clothes, asked about the operating room where consultation was needed, brushed his hands, opened the door, and Xiao Chenguang walked in.

"Director Xiao, you're here anyway. I really don't know what's wrong with the patient, so I came to see you."

Sun Chengwu stood on the stage, sweating profusely. His blue surgical cap was mostly wet, and the sweat was flowing down.

If there hadn't been a nurse on the side to help wipe away the sweat, the surgical gown would have been soaked through.

"Director Sun, how is the patient?"

Xiao Chenguang glanced at the monitor on the stage and found that the patient's vital signs were abnormal.

The heart rate is not fast, the blood pressure is normal, but the blood oxygen saturation is very low.

This is obviously not normal.

Seeing Xiao Chenguang getting straight to the point, Sun Chengwu didn't waste any time and immediately reported the patient's condition.

Elderly man with intestinal obstruction caused by eating sweet potatoes at home.

Because the delay was too long, the small intestine perforated and he was admitted to the hospital urgently.

When Sun Chengwu came on stage, the operation went smoothly at first, but then he immediately stepped down. The patient's blood oxygen saturation suddenly dropped.

The anesthesia was busy for a while, and even when the oxygen concentration of the ventilator was set to 100%, the patient's hypoxia did not ease.

An arterial blood gas was checked urgently, and the partial pressure of oxygen was only 58mmHg.

This has reached a very dangerous point.

As the director of gastrointestinal surgery, Sun Chengwu tried his best but could not find the problem.

There was no other way but to call the general surgery department for help.

After all, the patient's safety is more important than face.

"So, the patient's oxygenation index is only 58mmHg?"

Xiao Chenguang's heart sank.

He took another look at the 100% oxygen concentration on the ventilator.

I thought that the patient was already in an extremely high-risk state in this situation.

The oxygenation index is also called the P/F ratio. The normal range should be between 400 and 500mmHg. It is an index used to evaluate the oxygenation of patients under ventilator support.

Now the patient is only 58, which shows that his lung function is very poor and he has reached the point of respiratory failure and needs emergency treatment.

"Did you check his blood gas when he went on stage?"

"After checking, the arterial blood gases were normal. When the ventilator oxygen concentration was 50%, the partial pressure of oxygen was above 300mmHg."

Calculated in this way, the patient's oxygenation index is at least above 600, indicating normal lung function.

“Is the patient’s oxygen saturation plummeting or declining slowly?”

"It came down suddenly, very quickly."

Xiao Chenguang asked several questions in succession. After receiving the anesthesia's reply, the relevant diagnosis immediately came to his mind.

Pulmonary embolism.

Or a more critical air embolism.

At this moment, a piercing siren suddenly erupted in the operating room.

On the monitor, my blood pressure, which had been normal just now, also dropped off a cliff.

The speed and ferocity of the condition's change were obviously beyond everyone's expectations.

"What happened? How could it be like this?"

Even Sun Chengwu, who had been undergoing surgery for so many years, was also frightened and a little overwhelmed.

He didn't understand how an operation that was usually considered inconspicuous could suddenly appear like this.

"Did you use hydrogen peroxide to disinfect the mucous membranes?"

Xiao Chenguang suddenly saw a small white bottle that had been unpacked and opened in the corner.

The label on it clearly said hydrogen peroxide.

Hydrogen peroxide, also known as hydrogen peroxide, is used to disinfect the skin surface and traumatic tissue after trauma.

It is most commonly used for debridement and suturing.

It will decompose into water and oxygen when it encounters impurities to remove the anaerobic environment of the wound, prevent the colonization of tetanus bacteria, and disinfect bacteria, fungi, and spores.

In the early years, hydrogen peroxide was also used to disinfect surgical wounds, but due to its certain corrosiveness, it was gradually replaced by solutions with better disinfection effects after the millennium.

In the operating room, facing Xiao Chenguang's sudden inquiry, Sun Chengwu was obviously stunned.

Hydrogen peroxide disinfection of necrotic tissue, isn't this a routine operation?

Why did Xiao Chenguang ask this?

But he still quickly replied: "Yes, when performing intestinal anastomosis just now, two bottles of hydrogen peroxide were used."

After getting the answer, Xiao Chenguang immediately came to the bedside, not caring about the sterile sheet on the patient.

He opened it directly, took the stethoscope beside him, and placed it on the patient's chest area.

Immediately, a series of loud bubbling sounds and rumbling sounds of being crushed by wheels came from the stethoscope.

"It's air embolism."

When Xiao Chenguang told everyone present the diagnosis, everyone showed extremely horrified expressions on their faces.

Air embolism? !

Wouldn't the patient be doomed?

Sun Chengwu, the surgeon, turned pale when he heard this conclusion.

A chill ran directly from his spine to the back of his head.

He was even more uneasy, as if he had encountered the god of death who was waving a sickle and ready to harvest death.

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