Chapter 1695 Airway Deformity

Quan Xiaocao closed the book. She has been learning about ESD technology recently.

Once Boss Zheng takes him to surgery, if he doesn't even know the most basic knowledge, what kind of embarrassment would it be! Just think about it and stop living.

Of course, basic knowledge is only a part, and micromanipulation is also extremely important. Teacher Feng borrowed a microscope for her, and every day Quan Xiaocao was fighting against pig intestines.

When I watched Boss Zheng perform the operation, I felt that there was no special difficulty, and it was very stable and accurate.

However, when the power Xiaocao got started, he realized that micromanipulation was simply difficult.

It's already 12 o'clock, have a good night's sleep, I hope everything will be fine tonight. Quan Xiaocao went to wash up, thinking about the anatomy of the intestines and the things that need to be paid attention to when doing microsurgery.

While brushing his teeth, the phone at the nurse's station rang frantically.

The phone call from this point, even the ringtone is full of impatience and panic.

It must be an emergency!

Must be an emergency!

"Doctor Quan, the emergency department said that 120 received a patient with rectal trauma and hemorrhagic shock!" the night shift nurse said hurriedly.

It's all this time, and I'm coming to the emergency department. It's another sleepless night.

Both Quan Xiaocao and the night shift nurse were a little helpless.

Quan Xiaocao heard that it was a rectal trauma, and immediately judged that this was definitely not something he could handle. She called the hospital manager, and the hospital manager did not hesitate to call the second-line professor Feng directly.

Uneasy in her heart, Quan Xiaocao was quite flustered.

The rectum is the last part of the digestive tract. Because of the abundant connective tissue space around the middle and lower rectum, the rectum is less likely to be involved in general trauma.

However, once rectal trauma perforates, it may lead to extremely serious infection of the perirectal space and bring about a series of related complications. Therefore, rectal trauma is not only difficult to deal with, but also difficult to recover after surgery and has many complications.

And the elasticity of the rectum is not enough. Similar to the esophagus, the blood supply after surgery is a very important point.

For example, anastomotic leakage after rectal cancer resection is a serious complication. If this kind of complication is to occur, it is impossible for the repair to grow, and it can only be excised, the anus is excised in parallel, and an ostomy is made.

In that case, the patient's quality of life is greatly affected.

The injured people admitted to the emergency department were in serious condition after listening to the narrative. It is very likely that the bowel will need to be left open for a period of time to avoid rectal anastomotic leakage.

This kind of surgery is very high-level, and hospitalization will definitely not try it easily. There is still the possibility of slow diagnosis, emergency... or call the second line.

It's a rare disease. Would you like to ask Boss Zheng to take a look? Quan Xiaocao glanced at the time, it was already past 12 o'clock, so forget it.

Looking for Boss Zheng for surgery in the middle of the night and asking him for surgery during the day are two completely different concepts.

It's very fatal to get up and get angry. Besides, Boss Zheng is not a second-tier professor.

Quan Xiaocao thought of this, and before she could make a call, she immediately hesitated.

120 First Aid first takes the patient to the emergency department. After various first aid measures are taken, a film is sent to provide guidance for the operation.

When Feng Jianguo arrived, the patient happened to be sent to the gastrointestinal surgery.

The blood pressure was 60/40 mmHg, and the liquid in the deep venipuncture tube dripped into a slippery stream. Blood samples were collected from the emergency department and sent to the blood transfusion department for blood matching.

The injured were not accompanied by their family members and were alone. The emergency department said it had reported to the medical department and their staff would be there soon.

Feng Jianguo first glanced at the film.

The rectum is ruptured, as if the colon is ruptured, and there seems to be a problem with the stomach. What a shock that can do so much damage.

Feng Jianguo was very helpless.

The key is a fracture of the pelvis and a large area of ​​​​hematoma in the retroperitoneum.

I'm in trouble...

He didn't hesitate at all, picked up the phone and called Zheng Ren directly.

"Boss Zheng, received a lower body injury, severe pelvic fracture, retroperitoneal hematoma, rectal and colon rupture."

"Okay, I'll go to the stage to anesthetize and prepare."

Hanging up the phone, Feng Jianguo shouted, "Send it up, hybrid operating room!"

"Okay!" The hospital always responded, and He Quan Xiaocao and the nurse dragged the injured and ran away.

Feng Jianguo didn't wait for the people from the medical department to come, he explained and ran up to change his clothes.

After changing clothes in a hurry, he drove the hospital manager out.

There are still a lot of formalities on the side of the medical department, so the hospital manager will go through it. Soon Boss Zheng will be able to come over, and he is not afraid that no one will perform the operation.

Emergency first aid, 912 is still very professional. To complete the preoperative preparation in such a short time and send it to the operating table is almost a race against death.

After Feng Jianguo changed his clothes, he heard the door slam as soon as he left the locker room.

I'm going... Boss Zheng came so quickly?

He turned around and shouted, "Boss Zheng?"

"Well, here we are." Zheng Ren's voice came.

"I'll go see the patient and disinfect first. You change clothes first." Feng Jianguo said casually and politely.

This kind of moment is definitely not the time to greet each other. There is still a dying person waiting for treatment.

Every minute, every second is extremely precious.

Entering the operating room, Feng Jianguo saw that the anesthesiologist had completed the tracheal intubation and started the ventilator to assist breathing.

"Old Feng, why did the intestines come out? What trauma?" the anesthesiologist asked after finishing his work.

"120 people said it was picked up at Carnival Plaza, and the biggest fountain was the trauma."

"The biggest fountain..." The anesthesiologist was startled and smiled bitterly.

This type of trauma is rare, but not unique. Usually children, playing in the fountain square, accidentally injured.

If it is a little crooked and thrown out, it may have a blue nose and a swollen face.

like this...

Or hurry up and do the surgery, the intestines are all out!

After 30 seconds, Feng Jianguo felt that the patient was strange.

blood pressure? He couldn't accurately grasp the thought in his mind, and began to search little by little.

Traumatic shock, blood pressure is very low, but a little higher than when I first saw it. The itinerant nurses have already gone to collect blood. As long as blood transfusions are started, there should be no problem.

What is it that makes you feel weird?

Feng Jianguo stared blankly at the patient.

"Old Feng, what's the matter?" The anesthesiologist saw that he was stunned, and asked with a smile, "Could it be that you couldn't do the surgery."

"What do you think is wrong?" Feng Jianguo looked at Ren Ling lying on the operating table, a little surprised.

"There's nothing wrong. Let me tell you that the patient's airway is a little deformed. If it weren't for my experience, a normal anesthesiologist wouldn't even be able to insert a tracheal intubation." The anesthesiologist said with a smile.

As soon as Feng Jianguo heard this, he immediately began to see the patient.

When he watched Ren Ling's stomach bulge, it was as if a basin of cold water was pouring down on his head.

"MD!" He cursed, "Did it go into the esophagus!"

...

...

Note: In 2007, one of my patients was an airway deformity. Anesthesia, the stomach bulges first. Fortunately, Mr. Chen was invited to perform the operation at that time, and this was observed. In the end, it was a near miss. Now 12 years after the operation, the patient's lung cancer has been cured, and there is a slight heart problem.