2161 The explosion in the operating room
Su Yun was stunned for a moment, and his first thought was that the oxygen pipeline was blown up.
But the sound was not like it, a little stuffy. The oxygen pipeline exploded, and the sound could not be so small. I thought of it, and I saw Zheng Ren strode towards a sporting room behind 0.2 seconds later.
Su Yun quickly followed Zheng Ren, and had no time to ask what was going on. You'll know it just by taking a look.
If something big happens in the operating room, will the doctor and nurse be injured? On the one hand, the patient is lying on the operating table after anesthesia, but he doesn't even have the chance to run.
It is said that a hospital caught fire and the patient died on the operating table. This incident caused considerable public opinion at the time.
The fire and the power is cut off. Even if the doctor and the nurse stay in place and don’t leave, so many instruments cannot operate at all...
I still have to pray that I will never encounter such a thing.
The door of the operating room that made the sound was open, and Zheng Ren strode in.
Several people in the operation room were confused. The patient showed a stone cutting position and looked at the position and the patient's system panel. Zheng Ren knew that this was a transurethral prostate resection.
Zheng Ren was also panicked when he saw the patient, and the "bang" sound scared him. The patient looked confused and frightened, and his hands kept waving, as if he was trying hard to get up.
But his upper body was strong and his lower body had no strength at all, and his posture looked very strange.
"Lying down, it's okay." Zheng Ren was the first person to wake up. He strode to the patient and restored his position.
If Zheng Ren hadn't reacted in time, he might have fallen off the operating table in a few seconds.
This kind of falling off the platform...it's a headache to remember.
Looking at the patient's system panel, Zheng Ren thought for a few seconds until the nurse on the tour reacted and stopped tapping the surgical instruments and came to help fix the patient.
"Don't worry, it's okay." Zheng Ren tried to make his tone softer and softer.
Seeing that the nurse on the tour came, Zheng Ren let the patient go, "Only, what should you do if you fall?"
"Doctor, is it okay?" the patient asked worriedly.
"It's okay, don't worry." Zheng Ren comforted the patient. Although he was telling a lie, Zheng Ren just said it as the truth.
With his eyes closed, Zheng Ren is almost at the level of a master.
If the patient has coronary heart disease, what if he really tells him the truth, what if he is nervous or excited about a heart attack?
"What's going on?" Zheng Ren came to Mr. Yu, who was confused and asked in a low voice.
Mr. Yu stood in the position of the assistant, and the savage Zheng Ren looked mosaic.
"It's rare for Director Liu to pick the prostate in person." Su Yun said with a smile.
Seeing that the ECG monitoring is stable, everyone’s mood is not that nervous. Just a few jokes can not only ease the tension in the operating room, but also calm the patient down.
Director Liu? It’s the new director after Director Miao retired. Zheng Ren made a fake smile and said hello, and then looked at Mr. Yu.
"The operation is about to be completed, and suddenly there is a bang." Mr. Yu did not lose his mind, and he replied in a low voice.
"It's okay." Director Liu said calmly.
Zheng Ren glanced at the things around him and immediately realized that the operation had already achieved the step of electrocution and resection of tissues and completely stopping the bleeding.
It's really only 1-2 minutes away from the end.
But something happened at this time. Director Liu was so calm that he recovered and began to stop the bleeding.
"Boss Zheng, why are you here?" Mr. Yu was a little panicked and tried his best to talk to calm down his heart, whose heart rate was 130.
"I had a pneumothorax caused by endometriosis with the chest department." Zheng Ren looked at the patient, a possibility emerged in his mind, and he was perfunctory.
“…”
Director Liu and President Yu were both stunned for a moment.
Chest department? Pneumothorax caused by endometriosis? This is too rare.
How did endometriosis reach the chest cavity? Mr. Yu felt countless gossip in his mind, but then he suppressed it.
The patient in front of me had a problem. What was the dull sound just now? It was enough to worry about myself, so I didn’t have the heart to care about other people’s affairs.
Zheng Ren had speculation that the dull noise was actually not difficult. Whether it was Su Yun or Director Liu, Mr. Yu should clearly consider the bladder rupture caused by the explosion of mixed flammable and explosive gases in the bladder.
An explosion of gas in the bladder is a rare complication in prostate resection. There have been cases reported in China in recent years. There are many reports abroad, and some doctors have even conducted large-scale sample surveys, with an incidence rate of about 1/1500.
Experiments show that hydrogen is produced by electrolysis of water in cells and about 30%-50%, while oxygen is only about 3%. It is generally believed that hydrogen mainly comes from electrolysis of water in cells.
When the volume of hydrogen contained in the air accounts for 4% to 74.2% of the mixed volume, ignition will cause an explosion.
The sound of "bang" just now may be that the prostate tissue gasified during the turp process produces various explosive gases. When electrocuted, water in the cells is electrolyzed, and hydrogen is produced and exploded in the bladder.
The fuse of the explosion is triggered by sparks after contact between the thermal metal electric cut loop of the electrocutor mirror and tissue.
During the operation, oxygen reaches a burning or explosion concentration, which may be due to the fact that air injects into the bladder as it flushes during elliik.
The consequences caused by gas explosions in the bladder vary in severity. In mild cases, there is no obvious damage, and in severe cases, there may be multiple ruptures in bladder.
Zheng Ren looked at Director Liu's affirmative expression and tone, and was still doing the final stopping of bleeding, and he was also a little dazed.
Could it be that Director Liu encountered something similar? Or did he also have a system and checked the patient's bladder condition early in the morning, and the patient must have nothing to do.
With these doubts, Zheng Ren entered the system space again, clicked to purchase the surgical training time, and entered the system operating room.
The experimental subject stone cutting position lying on the operating table is much more honest than the patients in reality.
Zheng Ren took a look with an electric resection mirror and found that the bladder wall collapsed and there was bleeding. Looking closely, the crack was only a few millimeters, so there should be no problem.
No wonder Director Liu is so calm.
However, the explosion may cause one or multiple bladder damage. Zheng Ren left the electroresection mirror and began to perform a puncture on the patient.
Clear liquid is pierced from extraperitoneal puncture. Consider the bladder rupture caused by bladder mixed flammable and explosive gas explosion.
The amount of urine is not large, so I extract about 40ml.
Zheng Ren frowned. If he were himself, he would definitely step down and explain the situation to the patient's family, and the operation would be opened during the operation.
Only by opening it to see it is the safest. The three-chamber airbag catheter is left under the metal bracket, which leads to a light red liquid.
There should be something wrong, and Zheng Ren confirmed his point of view.
Fortunately, it was the system space, Zheng Ren started to lay out the order without hesitation and changed to open the laparotomy.
Chapter completed!