2289 nuanced operations
"Mr. Zheng." Chang Yue led the little girl and stood in front of Zheng Ren.
Seeing that the little girl did not have the indifference and fear of keeping others from thousands of miles away, but had a bit of trust, Zheng Ren was also very convinced by Chang Yue. As long as she was willing, it seemed that anyone could become friends.
Whether it is the young and "old" little girl in front of me, or the many patients and families in Haicheng back then, it is the same.
In addition to himself as the medical team leader.
It was not unreasonable that she was driven to the medical office.
"It's okay." Zheng Ren was thinking in his heart and said, "Thinking is to avoid - restrictive eating disorder, just correct it."
"What should I do?" Chang Yue asked seriously.
"Now she only drinks porridge every day, and gradually turns into puree food, such as yogurt, applesauce, and pudding."
"After adapting to a few days of use, it becomes a rough texture, such as oatmeal porridge, mashed potatoes, etc. Then you can eat a slightly softer solid food, such as rice, noodles, bread, and potatoes."
"That's so simple?" Chang Yue looked at Zheng Ren in surprise.
"Nothing is simple." Zheng Ren smiled and wanted to touch the little girl's head, but saw her slight dodging move, but instantly reacted and stopped forcibly.
It was very stiff and Zheng Ren took his hand back, not wanting to stimulate her.
"When her grandfather comes back, signs an agreement, and after the operation, the old man will be able to remove the tube and go home soon." Zheng Ren took back his hand and smiled: "When he sees the patient get better, her problems can also be improved quickly. What I just said was a small matter, and the main thing is still in the operation."
Although Chang Yue felt that Zheng Ren was too simple, after so long, she still had a considerable degree of trust in her boss' diagnosis and treatment of the disease.
Mr. Zheng said that, that's all.
Zhou Litao was busy. Tonight, for some reason, the emergency department was like a pot. There were constant patients with minor injuries and minor illnesses, and there was no time to entertain Zheng Ren.
Zheng Ren had no intention of staying in the emergency department either.
Fang Lin’s patient’s condition is a bit special. If he does surgery tomorrow afternoon, he will have to do a few more training sessions in the system operating room.
The surgery completion rate of this kind of patient is less than 95%, and Zheng Ren dared not do the surgery directly. When he thought of so many postoperative complications, he had a headache.
Chang Yue said she wanted to stay with the little girl and watched her have dinner.
No words all night.
The next day, there was a normal round and surgery. After lunch, Zheng Ren sat in an old place and read a book in the system library.
At around 1 pm, Su Yun told Zheng Ren that the son of the patient was back.
The two went up to check the situation and saw that the lawyer in Xinglin Garden was talking about relevant legal procedures with the patient's son.
He was about fifty years old, with deep wrinkles on his face, not just dust and mud, but the wrinkles seemed to be mixed with concrete debris.
No matter how the lawyer said, he responded gently. It seemed that he was still a little afraid of the lawyer in his suit and tie.
"Prepare for the operation." Zheng Ren said to Su Yun when he saw that there was no problem.
Seeing that the patient's son looked a little different from what he imagined, Su Yun didn't say anything else. After the legal process, Fang Lin made a preoperative explanation and was about to go on stage.
Lao He has already prepared related matters for anesthesia. Propofol and analgesic drugs during the operation are ineffective, and all preparations for intubation are prepared.
Regardless of whether Boss Zheng can complete the operation smoothly every time, Lao He's preparations are done according to major events, and he is cautious and walking on thin ice.
Zheng Ren expressed his satisfaction with Lao He's attitude.
After 1 hour and 22 minutes, Fang Lin sent the patient to the operating room.
With mask anesthesia, Zheng Ren understood that the biggest purpose of interventional surgery was to preserve the patient's lung function. He took a deep breath to calm his emotions, and then waited for the anesthesia to take effect and began to investigate with a fiber bronchoscope.
When the mirror entered, Zheng Ren found that the main fistula had an upper lobe on the left, and there were also small fistulas in the apical and anterior sections.
After he used a balloon to seal the inherent segment of the left upper lobe, he began to observe the chest vial.
There are fewer bubbles in the closed thoracic drainage bottle, but they cannot completely disappear. Zheng Ren suspected that there may be traffic branches in the left intrinsic upper lobe fistula.
Then the bronchoscope was continued to be sent inside.
While trying to explore as much as possible, try to avoid excessive irritation to the patient's airway.
Zheng Ren felt that he was simply too difficult.
Even if he is at the peak of this kind of operation, he feels a little troublesome.
Su Yun carefully assisted on one side, and soon discovered the traffic branch that had previously been expected to leak, the upper lingual lobe and the lower left lingual lobe, the dorsal section of the left lower leaf, and the anterior basal section of the left lower leaf.
The scope is too wide. If all of them are tied up, the patient's respiratory function cannot be guaranteed.
Su Yun stared at the pressure waveform of the haritis system, his eyebrows were frowned very tightly.
"Boss, what should I do next?" Su Yun asked.
"The pressure waveform chart of the haritis system may be false positive. The pressure waveforms of the posterior and anterior segments of the left upper lobe tip in the patient are significantly wider than those of the other sub-sections. The main fistula is undoubtedly confirmed, and other positioning methods are needed for confirmation of traffic branches." Zheng Ren said lightly and then began to do the test.
Su Yun focused his mind and cooperated.
He saw his boss using a balloon to seal the left upper leaf, using a gelatin sponge to seal the left tongue leaf, and the dorsal segment of the left lower leaf, and then looked down at the closed drainage bottle in the chest cavity.
The blisters in the bottle disappeared, Su Yun immediately explained this to Zheng Ren, excluding the lateral branches of the basal segment of the left lower leaf.
Zheng Ren then slowly removed the gelatin sponge in the dorsal segment of the lower left leaf. The blisters in the drainage bottle still did not appear, indicating that the ventilation of the lateral branch of the dorsal segment of the lower left leaf had less impact.
The operation is very slow and detailed, and the observation time is longer than the operation time.
Zheng Ren used a one-way movable valve to seal the left inherent upper leaf, used a gelatin sponge to seal the left tongue leaf, and the bubbles in the closed drainage bottle of the chest cavity completely disappeared.
After about half an hour, slowly lower the pressure, remove the gelatin sponge of the left tongue leaf, and the bubbles in the closed drainage bottle of the chest cavity did not appear.
In the end, Zheng Ren only implanted a one-way live petal on the left intrinsic upper leaf, and the left tongue leaf traffic branch has not been further treated.
Although only one-way valve was left, the meticulousness of the intraoperative operation and exploration was outrageous.
The whole operation lasted nearly 3 hours, and Fang Lin sighed at Boss Zheng's stability and patience.
When the operation was finally completed, Boss Zheng's hands were stable, as if they had never changed.
"It's done?" Fang Lin asked in a low voice when Boss Zheng removed the custody and Lao He gave the medicine.
"Well, there is probably no problem." Zheng Ren said softly as he looked at the system giving a 98% success rate of surgery.
Chapter completed!