Chapter 66: Please enter the urn
Yan Xiong smiled apologetically and explained: "Lord County, they are the most professional doctors I have ever seen, they put treating diseases and saving people first, and they are not very good at human courtesy, so let's go in, my lord." The pen "Fun" Pavilion www.biquge.info, "Although the county manager was a little unhappy, after listening to Yan Xiong's explanation, he felt that the doctor in this medical hall was indeed different.
In the operating room, Yuan Fang and others were busy inspecting the wound of the county lieutenant, with a knife cut more than a foot long in the abdomen, and the middle part even cut the peritoneum and penetrated deep into the abdominal cavity.
Xiao Qi came in with sterilized tools, and Xiao Mei had also prepared other required items, Yuan Fang was the main position, Qin Cao's assistant, Ren Fei and Xiao Mei were second, and the county manager and Yan Xiong and Xiao Qi stood in a place that did not affect everyone and watched.
Stop the bleeding, clean the wound of blood, and begin to check the damage within the wound.
Seeing Yuan Fang's hand reach into the wound and grasp the intestines to check a little bit, even Qin Cao and Xiaomei were a little uncomfortable, not to mention the others, especially the county manager and Yan Xiong, the faces of the two of them became unusually pale and ugly, and they couldn't bear to look at them directly.
After a period of visual suffering, Yuan Fang breathed a sigh of relief and said: "Fortunately, only a section of the small intestine was cut, and the wound was not big, as long as it was sutured, it did not hurt the blood vessels of the peritoneum." Speaking of this, Yuan Fang turned his head to look at the county manager and Yan Xiong and said: "Lord county officer, you have also seen the specific injury, this kind of injury is easy to treat, and it is difficult to treat, the key is to recover after surgery, the sanitary conditions are not enough, and it is easy to get infected wounds, so if there is anything unexpected for the county lieutenant, you can help us clarify." ”
The county manager was stunned when he heard this, and then nodded slightly, he regretted it now, Yuan Fang's words mentioned the sanitary environment, and he reminded them when he didn't come in before, and now he said this kind of thing, metaphorically saying that their arrival is likely to affect the treatment of the county lieutenant, or if the county lieutenant really hangs, then the two of them also have a certain responsibility, although Yuan Fang didn't say it explicitly, but how could he not understand it because of the accident? Although the county manager was a little displeased, since he came into this operating room and saw so many strange and novel things, he had no capital to refute.
Yuan Fang didn't pay any attention to the county governor, and while cleaning his abdominal cavity with gauze and diluted spirits, he secretly decided to get a rectifier to make normal saline as soon as possible.
The suture of the intestine is different from other parts, it is necessary to be more careful and careful to ensure that the anastomosis has a good blood supply, pay attention to the needle spacing, margin and tightness of the knot when suturing, and the intestinal wall should not be too much inversion, otherwise it is easy to cause the anastomosis to be narrowed.
After suturing the broken small intestine wall, the injured person was not in a very good state, his breathing was a little short, his face was very pale, there were signs of cold sweat, obviously excessive blood loss, and even fainting.
Wait, fainting, Yuan Fang looked at Qin Cao, and then said to Xiaomei: "Xiaomei, you can clear the lower abdominal cavity again, see if there is still intestinal dissolution remaining, and pay attention to whether the suture is oozing blood." After speaking, he said to Qin Cao, "Senior brother, you come with me for a while." Qin Cao was stunned, it was the first time he encountered the situation where Yuan Fang left the operating table during the operation.
The two came to the corner, and Yuan Fang lowered his voice and asked, "Brother Qin, have you anesthetized this county lieutenant?" ”
Qin Cao was stunned for a moment, and then said in annoyance: "I was so busy just now that I was dizzy and forgot, junior brother, what should I do now?" ”
Yuan Fang lowered his voice and said, "It's okay, the county lieutenant has lost too much blood and is in syncope, you can quickly adjust the anesthesia and dissipate anesthesia." ”
Seeing that Qin Cao was a little panicked, Yuan Fang comforted and said, "It's okay, wisdom is born from foolishness, we won't make this kind of mistake next time." "Yuan Fang's 'we' is very sure, that's right, this accident is not Qin Cao's mistake alone, it is everyone's common responsibility, of course, there is still time to make up for it, the so-called no one is perfect, it is inevitable to miss a million, especially in a situation like today, it is understandable to make mistakes in the busy, but this is a bit excessive.
Qin Cao nodded, glanced at the county magistrate, took some spare hemp boiling powder from the medicine cabinet in the operating room, mixed it with wine, and then dropped it into the county lieutenant's mouth little by little.
Seeing this, the county manager was puzzled and asked, "What kind of medicine is this?" ”
Without waiting for Qin Cao to speak, Yuan Fang hurriedly said: "A decoction that reduces inflammation and stasis, which is a good help for intestinal recovery. The county manager was stunned, stopped talking, and forcibly endured the discomfort to watch Xiaomei clean up her abdominal cavity.
Xiaomei has already finished the inspection: "There is no leakage in the place where the stitches are placed." ”
Yuan Fang placed a drainage tube in a suitable position to guide the pus, blood and fluid accumulated in the abdominal cavity to the outside of the body to prevent postoperative infection and affect wound healing. Then, Yuan Fang gave up his position and asked Xiaomei to stitch up the wound, and asked Xiao Qi to draw some blood to test his blood type, and find some blood jars to replenish the blood loss for the county lieutenant.
(According to the information checked on the Internet, it is said that the hospital is generally supplementing and classifying plasma, and considering the environmental setting, the blood transfusion here is all whole blood transfusion.) )
It stands to reason that the requirements of the drainage tube are very high, this ordinary rubber tube is not suitable, but there is no way, the resources are limited, so it can only be made with a rubber tube, of course, Yuan Fang only does postoperative observation, and will be removed as soon as possible to prevent the rubber tube from causing other lesions in the abdominal cavity, if there is too much effusion, it can only be operated on for a second time or find another way.
It was already the second half of the night after the county lieutenant's operation, Yuan Fang went out first, he had to arrange a ward, the county lieutenant's injuries were relatively serious, and he needed a better environment and an independent ward. The conditions of the medical hall are limited, and there is only one decent ward, so Yuan Fang has to negotiate with Wang Fatzi.
Being woken up in the middle of the night, Wang Fugui was a little displeased, and learned that he wanted to move to the clinic and live with other people, and he was even more unwilling, and later heard that he was to let himself give the room to the county lieutenant, Wang Fatzi didn't say a word, got dressed and began to pack up and move.
The ward was there, and the county lieutenant was placed, Xiao Qi also arrived with a blood jar, and he was busy transfusing some blood to the county lieutenant, and finally stabilized. There were still a lot of things to deal with on the side of the Criminal Bureau, and the county lieutenant would not be able to wake up for a while, so the county magistrate and Yan Xiong had to go back first, leaving a few errand officers to take care of the county lieutenant.
This time, Yuan Fang, Qin Cao and others attached great importance to it, and all of them dispatched, plus Wang Fatzi to send the county manager and Yan Xiong out of the medical hall, and the unhappiness of the county manager before and after disappeared, and he was open-minded to express his understanding of the surprise and snucity of Yuan Fang and the others' attitude before and after.
Sending off the county magistrate, everyone returned to the hospital, let the happy Wang Fatzi go back to rest, Yuan Fang took everyone to clean up the operating room, and made a summary by the way. Da Mei and Yan Yue also came over to help, and only Xiao Qisan was left outside to take care of them.
Yuan Fang summoned everyone to the cleaning room to make a brief summary, first talked in detail about the precautions for the classification of injuries, and then about the treatment of some external injuries, and then, respectively, talked about the analysis of some problems encountered in today's two operations and urgently needed to be solved, such as normal saline, gurney, disinfection of the operating room, spare operating room, spare surgical tools, etc.
When it came to surgical tools, Xiaomei and Ren Fei exclaimed in unison, they were in a hurry before, and they forgot to bring it back at the Criminal Bureau, Qin Cao was also annoyed, counting this, he had already made two mistakes today, which was unacceptable and unforgivable for him who was strict with himself.
Yang Xing didn't have the eyesight to see which pot he didn't open and which pot to mention, and he actually asked why he was anesthetized twice during the operation, which made Qin Cao's face red. Qin Cao had a frank personality and took the initiative to say that he had not made a mistake in anesthesia before, while Yuan Fang shared it together, making it clear that everyone was responsible for this matter, and let everyone take it as a warning.
Next, Yuan Fang talked in detail about the next nursing work of the county lieutenant, especially the drainage, and arranged for the rotation of care.
Finally, Yuan Fang looked at Qin Cao: "Brother Qin, we are short of manpower now, do you think you are looking for some people to help temporarily?" ”
Qin Cao frowned and said, "Senior brother, to be honest, even I still don't know much about these things you came up with, and if you find someone to help, won't there be a problem?" ”
Yuan Fang said distressedly: "What should I do? We can't just stand up, right? Normally, when there is an emergency and surgery is required, there is no one to take care of other patients. ”
Yan Yue hesitated for a moment and said, "Can I do it?" I don't know how to cure diseases and save people, so I should be able to take care of people. ”
Da Mei looked at Qin Cao: "I can also help, although I don't know medical skills, but I have been in the medical hall for so long, and I still know a little." ”
Originally, Yuan Fang wanted to recruit more nursing staff, but now the medical hall has just improved a little, and it is a bit unrealistic to add too many manpower all at once, and now with Yan Yue and Da Mei to help, although the manpower is still a little tight, as long as there is no longer such a thing as today, it should be able to maintain normal operation.
Yuan Fang reminded: "Nursing work is not as simple as imagined, in addition to mastering some common sense and emergency management, you may also encounter some other problems. ”
Yan Yue asked curiously, "What other questions?" ”
Yuan Fang glanced at Ren Fei, smiled and said: "You two are both big beauties, you not only have to take care of female patients, but also take care of male patients, sometimes it is inevitable to be embarrassed, such as changing clothes, dealing with excrement or something, and besides, not all patients are polite, you may meet some hooligans and ruffians or the like, you are both big beauties, you will be harassed." ”
Ren Fei glared: "Who dare I see?" Master, I broke his legs. ”
Yan Yue also raised her head: "Whoever dares to do something to the old lady, the old lady can't spare him." ”
Da Mei's expression was a little unnatural, especially when she heard that she was going to contact male patients, she was a little hesitant, after all, she was still an unmarried yellow flower girl, but after glancing at Qin Cao, she still gritted her teeth and nodded, "I decided." ”
Yuan Fang smiled: "Actually, it's not as terrible as you think, there are some things that you can't handle conveniently, you can ask Xiao Qi and them for help, it's really not good, and Ren Fei, as well as Yang Xing and me." ”
Yan Yue feigned anger and said, "Brother Yuan, it turns out that you said those things just now to scare us, you are really bad enough." Da Mei was also much more relaxed when she heard this, and glared at Yuan Fang fiercely.