Chapter 404 Suction Is the Most Important Thing
"Oh." Zheng Ren let out an unhealthy oh.
Only then did Su Yun see a basin by Xie Yiren's hand, which contained ice water.
This is...has the rib clamp been put on?
He originally wanted to brush his hands, but suddenly realized that Zheng Ren was fixing his ribs, so he stopped forcibly, probed his head, and glanced at the surgical field.
Three ribs have been fixed, it doesn't matter, even if it is not fixed, the patient will suffer more and feel uncomfortable for a few days.
The focus is on how the patient's lungs are handled.
The rib fixator has been removed, and the automatic retractor has been removed. Su Yun glanced at it, but couldn't see anything.
"Boss, how did you do it?" Su Yun glanced around and saw nothing abnormal. If the lung lobe was cut off, he would definitely be sent to a pathologist.
"Stitching, didn't you just say that?" Zheng Ren answered as it should be.
"..." Su Yun was speechless.
"Swipe your hands, come up." Zheng Ren said.
"You still need me? What's the point of not being able to get in?" Su Yun began to spray.
Brother Yun spouts people, he doesn't ask for reason, he only looks at his mood.
In a bad mood, spray a few words.
In a good mood, also spray a few words.
For ordinary people, this kind of personality is indeed the most unpopular kind.
But Su Yun is capable and has a temper, no matter how unpopular he is, it can't stand his high level.
Otherwise, in the imperial capital, those who are about the same age have a good relationship with him.
There is a lot of drinking, as long as you want to drink, there are countless people to treat you.
Zheng Ren ignored Su Yun's words and continued the operation to fix the patient's ribs.
Su Yun is also a regular nasty person. He doesn't distract himself when he speaks. While talking, he brushes his hands again, then puts on his clothes and goes on stage.
After taking the stage, Su Yun put his hand into the patient's chest, and touched the right middle and lower lung.
Feeling the thickness of the double-strand No. 7 thread and the unrivaled "8" stitching, Su Yun was silent.
How is it the same as what you think? Is he a chest surgeon or Zheng Ren is a chest surgeon?
From the perspective of chest medicine, Zheng Ren is too courageous.
Su Yun just thought about it for a long time. Even when communicating with the patient's family, he was still thinking about how to solve those two "bloody mouths".
In the end, Zheng Ren's approach was the same as his thinking.
Is this guy really from a foreigner?
While fixing the ribs, Su Yun glanced at Zheng Ren out of the corner of his eye.
Zheng Ren was concentrating on fixing the broken ribs, without any distractions.
Fixing the ribs is a big job.
It’s not that the operation is difficult, but it’s a big incision, and the clips have to be placed on the broken end of the rib. The field of view is very small, especially the second rib on the top and the ninth rib on the bottom.
After 30 minutes, the rib fracture was fixed, and it was re-confirmed that there was no continuous bleeding in the chest cavity, and the two began to close the chest.
"Su Yun, you must pay attention to sucking phlegm." Zheng Ren urged.
The so-called phlegm refers to respiratory secretions. Zheng Ren didn't make it too clear because it was unnecessary. This patient should pay attention to sucking out all the blood in the respiratory tract after surgery, so as not to coagulate into blood scabs.
"Don't worry, I said I'm going to the ICU overnight, just to suck up all the blood in the respiratory tract." Su Yun said: "If we follow the normal patient diagnosis and treatment process, the patient's respiratory function may lose at least 40% after surgery."
"Well, I worked hard tonight."
"I asked you to say that." After saying that, Su Yun glanced at the Xie Yiren next to him, and winked at Zheng Ren.
He silently asked if Zheng Ren had made any progress.
This stuff is simply too gossip.
Zheng Ren was speechless, nodded, and shook his head again.
Su Yun shook his head with a smile in his eyes.
After the operation, the patient regained consciousness under general anesthesia and was sent to the ICU.
Cao Guozhen followed the whole process, he was really scared. As for what Su Yun said against him, that doesn't exist, it's not important at all.
If it weren't for these two masters from the emergency department, Cao Guozhen probably would have confessed in his entire life.
Even if you don't die, you have to peel off layers of skin.
When the patient was sent to the ICU, it was sinus rhythm under the electrocardiographic monitoring oscilloscope, and the rhythm was regular. Blood pressure also returned to 120/72 mm Hg, and blood oxygen saturation was 94%.
This kind of value is already very satisfactory.
If there are no special circumstances, the patient is considered alive.
But Su Yun was very serious. When he arrived in the intensive care unit, he found the hardest suction tube and began to suck the patient's sputum by himself.
This kind of special suction tube is only available in the ICU, and it is not used in other places.
Because it is hard, the suction tube irritates the respiratory tract, causing severe spasm of the patient's respiratory tract, and sucking out the blood scabs that have begun to solidify inside.
In surgery, this kind of equipment is absolutely not allowed. Moreover, all rib fractures were fixed after the operation, and there was no risk of the patient coughing violently, causing changes in the thorax, and then puncturing the lungs, causing secondary hemopneumothorax.
Seeing the black and red blood scab appearing in the suction tube, Su Yun was relieved.
Because of timely diagnosis and treatment, the blood has just coagulated in the respiratory tract, and the amount is not too large.
As for deep bleeding, suck it out if you can. If you can't, you can only rely on the function of the human body to absorb it by itself.
"I'm leaving." Seeing that the patient's condition was stable and the stagnant blood had been sucked out, Zheng Ren flicked his sleeves and prepared to leave in relief.
Su Yun didn't even look at Zheng Ren, and waved his hand impatiently, like chasing flies away.
"Boss Zheng, thank you for today's matter." Cao Guozhen followed behind Zheng Ren, whispering in a low voice.
Zheng Ren smiled and said, "President Cao, you're being polite."
Cao Guozhen is a typical person who knows what he knows. If he is not skilled enough, he will not even know what he has just experienced.
"Another day, let's have a meal together." Cao Guozhen cupped his fists and expressed his gratitude, but it was useless to talk too much.
After leaving CIU, the two went their separate ways.
Zheng Ren didn't communicate with the patient's family either. With Su Yun around, Zheng Ren felt that he didn't have to do anything.
While walking, he sent a WeChat message to the Shay people.
Looking at the time, it was already past ten o'clock, and it seemed inappropriate to go out again.
After all, it is better for girls to stay up late as little as possible.
The nature of the work is such that there is no way to do it. Moreover, Su Yun was still taking care of postoperative patients in the ICU. He needed to come to the surgery by himself in case of emergencies such as appendicitis at night.
Go back and rest early.
And tonight Chu Yanran went to Xie Yi's house together to find a place to sleep, and it was not very convenient to have any other activities.
Going home with Xie Yiren and Chu Yanran, Zheng Ren recalled holding her hand and shopping, and his heart was filled with sweetness.
After saying goodbye, Zheng Ren took a bath obediently, then chatted with Xie Yiren for a while, said goodnight to each other, and fell into a deep sleep.
On the second day, when he came to the hospital, Zheng Ren went to the ICU before handing over his shift to take a look at the condition of the patients after yesterday's surgery.
The patient is completely fine, but complains that he has not had a good rest all night and has been sucking sputum.
After looking at the nursing records, it is estimated that about 400ml of black blood scab and non-coagulated blood were sucked out.
Su Yun's stay in the ICU is really quite supportive. If it weren't for the presence of the surgeon, who would dare to suck the sputum every 20 minutes every night?
If the wall of the trachea is sucked, whose fault is it?
After consulting Director Qian of the ICU, yesterday's postoperative patients and patients with heart stab wounds were all transferred back to the emergency ward.
...
...
Chapter 404, it looks so scary. Here, I would like to thank classmate Dali. After the operation, this patient sucked blood clots all night.