Chapter 6 Cardiac Arrest
"Dr. Zheng, Dr. Li Feng just called. He had a traffic accident on the road and couldn't get there. Do you think today's surgery should be postponed?" Liu Xiaorong, a nurse in the operating room, walked to Zheng Jingying's office and said.
Li Feng's first assistant assisted Zheng Jingying in multiple surgeries and cooperated more well. It may take a while for another person to adapt.
"The patient has been waiting for several days. Let's proceed as planned. Has the new intern come here?" Zheng Jingying said.
"I have been waiting outside the operating room." Liu Xiaorong said.
"He will go to the operating room to observe later. You can prepare the surgical gown for him." Zheng Jingying said.
"It's ready. Should Dr. Fan Wenbo take over Li Feng's position?" Liu Xiaorong asked.
"That's it, you should hurry up and prepare to notify the patient." Zheng Jingying said.
The operation has nothing to do with Watson, and of course it does not have anything to do with it. It is estimated that the operation records will be written by Watson. Generally, such things are done by interns. The instructor only needs to sign a letter to confirm. Therefore, before coming, Watson had prepared a sample surgical record essay, and the framework was ready-made, and the contents were filled in.
Although he was just observing, Watson was still both excited and nervous. However, as the chief scientist, Zheng Jingying was very calm.
The patient's case has been taken into Watson's hands, so Watson naturally looked at it carefully.
Li Ailin: Female. 50 years old. The patient suddenly fainted while going to the toilet a day ago. He woke up after a short period of time. He felt dizzy, weak limbs, discomfort in the precordial area, and nausea and vomiting that night.
Physical examination: T37℃, pulse 56 times/min, blood pressure BP130/75mmHg. Acute painful condition, no yellowing of the sclera. No obvious abnormalities were found in the heart and lung examination. Abdominal softness and slightly swelling, Morphene's disease (+); B-ultrasound examination showed cholecystitis and gallbladder stones.
Clinical diagnosis of acute cholecystitis and gallbladder stones. The patient was unwilling to operate after being admitted to the hospital, so he was given anti-inflammatory treatment, and the symptoms did not relieve the pain of the upper right abdomen. On the second day, the abdominal X-ray examination showed that there was a 7*8cm circular linear transparent shadow in the right upper abdomen, and the gas and fluid were flat, and the contour and position were consistent with the gallbladder. CT examination showed: local inter-tissue emphysema in the gallbladder wall, high density shadow in the gallbladder, and was diagnosed as emphysema cholecystitis, and gallbladder stones were discharged (the density in the gallbladder was high). The patient's family agreed to undergo cholecystectomy.
There are not many things that can be seen in the case, and even the patient's physical condition is not marked. Watson grabbed his head and knew that some test results were not included in this case. After all, this is only for interns like himself. The main purpose is not to let himself understand the patient's condition, but to understand the basic format of the case. In the future, it can be used when writing cases.
While Watson was seeing a case, a rhythmic sound of footsteps came from the corridor. When he looked up, Zheng Jingying had already walked over.
"Teacher Zheng." Watson quickly stood up.
Zheng Jingying came over and just nodded slightly to Watson, "Go to the locker room to change clothes, wait and go to the operating room to observe."
Zheng Jingying's tone was as cold as ever.
Watson felt as if his whole body fell into an ice cave.
Liu Xiaorong was very enthusiastic, "Classmate, come with me, I'll give you the surgical gown."
Watson glanced at the work card on Liu Xiaorong's chest and smiled, "Please trouble you, Teacher Liu."
"I don't dare to be your teacher. Call me a senior sister. I am also a graduate of Donghai Medical University, majoring in high school nursing." Liu Xiaorong smiled.
"That's great, Senior Sister Liu." Watson smiled.
Although Liu Xiaorong's appearance is much worse than Zheng Jingying, she is very warm. Unlike Zheng's beauty, she has an iceberg.
Watson thought, if he chose one of the two as his wife, he would rather choose Liu Xiaorong, who is just as beautiful as a woman. Marrying a beautiful woman like Zheng Jingying as a wife would probably be a short life for decades.
"Don't stand there, change your clothes quickly." Liu Xiaorong handed a set of surgical gowns to Watson.
"Oh." Watson responded.
However, there are also some specialties in wearing surgical gowns, especially the surgical gowns worn by the main surgeon and assistant are very strict. When wearing clothes, nurses are generally required to help.
Although Watson had also seen a simulated operating room at school, this was the first time that he had actually observed the operation on-site. He was still a little excited.
The patient was already lying on the operating table, a little obese and bulging belly, like a pregnant woman. At this time, the anesthesiologist had anesthetized the patient and performed general anesthesia. The patient was lying on the operating table, as if he had fallen asleep.
Zheng Jingying walked very resolutely and walked out of the locker room within a while. Her green surgical gown made Zheng Jingying's fair face look like a white snow lotus in the green trees. It was beautiful and cold.
Watson doesn't like the color of the surgical gown hat. When wearing the green hat on his head, he always feels stressed. Is it because of this reason that the relationship between men and women in the hospital is a little messy?
Since Watson entered the hospital on the first day, he knew nothing about the preparations before the operation, and it was the first time he saw a patient.
Because the patient is too obese, if a general open surgery is used, the wound will naturally be larger and it will be more difficult to recover.
Zheng Jingying is planning to use laparoscopy to remove the patient's gallbladder, which can cause relatively minor trauma to the patient's body.
Laparoscopy is not a new business, and it is naturally no problem for a young doctor like Zheng Jingying. The entire operation took only 30 minutes to complete the operation.
Watson also sighed when watching. This woman was a little cold, and her skills were really hard. No wonder she could become the chief surgeon of the first-level surgery department at such a young age. Although she is a doctor of medicine from a famous foreign university, without excellent skills, it is difficult to gain a foothold in the first-level hospital.
But just as the nurse counted the equipment and everyone was about to leave the operating room, there was a problem. The patient's heart rate was in a sudden state.
Everyone was panicked, but Zheng Jingying was very calm, quickly examined the patient, and then immediately gave instructions.
"Increase oxygen delivery. Give 1 mg of epinephrine intravenously and intravenously."
But it still had no effect, and the patient's face gradually began to turn blue and purple.
Since the patient had just undergone surgery, he naturally could not use compression to perform cardiac resuscitation.
Watson looked up at Zheng Jingying and found that his beautiful face was frowning and full of worry.
"How to do anesthesia?" Zheng Jingying glared at the anesthesiologist Zhu Juncheng.
Chapter completed!