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1706 Going to the bottom

"Boss, are you a little serious?" Su Yun asked.

"Well..." Zheng Ren was thinking about countless situations in his mind, and he just gave Su Yun a long echo intentionally or unintentionally.

Then there was nothing.

Su Yun was also helpless, but Zheng Ren insisted on thinking about this little thing, and he felt that he was free.

If you want to think about it, just think about it. Seeing that the patient is fine, Su Yun went to chat with the nurse of ICU. Zheng Ren has always been very surprised about this, why he has so much to say with strangers.

If I had changed myself, I would have had a few awkward conversations, and I wouldn't know what to say in the third sentence.

But looking at Su Yun, he was very excited to chat with the two young nurses of the IICU, and the girls were smiling happily. Taking a break from their busy schedule, is this a benefit?

Director Qian, Haicheng First Hospital, had scolded Director Pan for Su Yun's visit to the emergency department.

However, when it comes to being arrogant and unreasonable, Director Pan is a good player. Director Qian is not enough to see him at all.

As long as Su Yun is here, the nursing team will not be disbanded. Zheng Ren thought of the conclusion that Director Pan said at that time, and found it ridiculous.

"Boss Zheng, do you have any possibility of doubt? I'll check it right away." The hospitalized general inquire asked.

"No need, I'll think about it." Zheng Ren stood in front of the hospital bed, not going to see Su Yun, but began to recall the process of his treatment yesterday.

It was not that I received the patient myself, but that I received a call saying that there was a patient who had a pelvic fracture rescue in the emergency room, so I ran over.

When I entered the operating room, I saw...

etc!

Zheng Ren was stunned. What he thought about just now suddenly became clearer.

It's an anesthesia problem!

The patient was insulted by anesthesia and inserted into the esophagus. When he entered the room, he saw that the patient's stomach was slightly swelling and cyanosis began to appear on his limbs.

right!

This is definitely the case.

After general anesthesia, the smooth muscles of the gastrointestinal tract are relaxed, and a large amount of gas is pressed in, causing extreme gas expansion, and some small intestines are also similar.

The high tension causes the gastrointestinal wall to become thinner, the endothelial cell gap widens at the microscopic angle, and the permeability is enhanced, resulting in fluid extravasation.

In fact, abdominal effusion is the same as effusion during severe intestinal obstruction, but there is no infectious factor.

Therefore, the liquid drawn out from the drainage bag is light yellow, without precipitation, and without bloody ooze.

When Zheng Ren thought of this, he immediately picked up his cell phone, made a gesture, found a slightly quiet corner, and called Lao He.

"Old He, it's me." Zheng Ren said.

"Boss Zheng, is there an emergency room?" Lao He's voice was a little excited.

"No." Zheng Ren said: "Ask you something, have you ever encountered an intubation error and inserted into the esophagus?"

The other side of the phone suddenly became sluggish.

Zheng Ren seemed to be able to hear Lao He's heartbeat in this topic through the phone.

"Boss Zheng, wait a moment, I'll find a quiet place to tell you." Lao He's voice became cautious.

Zheng Ren was amused and crying. He knew that Lao He must have understood it wrongly.

But he was too lazy to explain to Lao He, and he couldn't wait long anyway.

After a few dozen seconds, Lao He's voice came.

"Boss Zheng, did you have something to do in the emergency department for rescue?" Lao He asked in a low voice.

"No." Zheng Ren replied with a smile.

The other side of the phone breathed a sigh of relief.

"Early the morning before yesterday, Puwei received an emergency patient. When I rushed over, I happened to see the patient's stomach bulge. Then I used a fiber bronchoscope to remove the tube again. The operation was done, and the patient recovered well. I was watching the patient on the ICU." Zheng Ren explained.

"I'm scared to death." Old He said.

"I want to ask you, have you ever seen such patients?"

"Boss Zheng, this is one of the biggest medical accidents in the anesthesia department, and it is the same as the intraoperative awakening caused by operating errors." Lao He said: "It's even more serious than that. I encountered it several times, but I've all rescued it."

"Did you follow these patients' postoperative conditions?" Zheng Ren asked.

"No, but I can ask in the group, they are all old anesthesiologists across the country." Lao He said.

"Here I ask, after the operation, the abdominal drainage leads to a large amount of light yellow liquid. Have they seen it?" Zheng Ren said.

"Okay!" Lao He replied.

Zheng Ren hung up the phone and saw that there were more and more girls around Su Yun, and the hospitalized person's face had begun to look bad.

It really affects work. Is it true that he said he had to wear two layers of masks? Zheng Ren thought about it carefully and found it a bit ridiculous.

This guy has no serious things at all.

"Boss Zheng, are you consulting with your teacher?" The hospitalized officer of the icu asked with a smile after seeing Zheng Ren call.

It is logical that Boss Zheng has a particularly powerful teacher at this age.

"Uh..." Zheng Ren smiled, returned to the head of the bed, looking at the patient's drainage bag.

The light yellow drainage fluid is very clear, and occasionally there is a little turbid, but not much. Zheng Ren recalled the operation process, calculated the drainage volume in his mind, and became more and more confident in his judgment.

When the hospitalized person saw that Zheng Ren didn't say anything, he thought to himself that his teacher might have passed away. This is a sad thing, so don't expose Boss Zheng's scars.

More than ten minutes later, Lao He called.

"Boss Zheng, someone has encountered it. He said that there will be a medium amount of exudate after the operation." Lao He said, "I will send you the chat record now. Your judgment is correct."

Zheng Ren glanced at the chat record and the anesthesiologist said a lot. It seemed that this patient had a deep impression on him.

It was a patient who was stabbed by a knife. After finding that the instillation was wrong, the same was true. He immediately breathed artificially and re-intubated with a fiber bronchoscope.

The anesthesiologist followed for three days because he was worried that something would happen and the patient would have symptoms of brain hypoxia.

He still remembers the postoperative drainage situation.

Light yellow drainage fluid, 500-1000ml, gradually decreases every day, and there are no symptoms of brain hypoxia in the later stage, so I will no longer pay attention to it if it is transferred out of ICU.

The anesthesiologist said the same situation as Zheng Ren saw, and Zheng Ren smiled.

This is how the clinical technical level has improved little by little.

This time I had no experience and thought about it for half an hour. But if I encounter it again in the future, I will not be bothered by the fact that I attract a lot of traffic.

"Su Yun, let's go." Zheng Ren stood up and greeted Su Yun.

"Did you figure it out?"

"Well, it should be. The traffic flow will be around 200ml tomorrow, and it will decrease in turn and will get better soon." Zheng Ren said with certainty.

Su Yun raised his eyebrows, but there were many people on this side and could not ask in detail.

Said a word to the nurses, and Su Yun followed Zheng Ren to leave the iicu.

...

After Lao He completed the task assigned to him by Zheng Ren, he felt something was wrong and searched for the surgical record sheet.
Chapter completed!
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