godfather of surgery

Chapter 444
"Is Qin Peiling your daughter?" Professor Liang asked suddenly, as if there was something in his words.

When asked about this, Professor Qin had no choice but to nod, "Yeah", the girl came here once last time, as if possessed by a demon, this time she has to come to see the operation.

Professor Su remained unmoved, but noticed Professor Qin's slight embarrassment out of the corner of his eye.

I don't want the child to be caught by the wolf. Is this really a trick?
Things are not that simple, it seems very complicated, this old Qin fox.

Professor Liang is about to step down from the position of chairman of the National Orthopedics Department. To replace him, Professor Qin and Professor Su are the most promising.

These two professors can be said to be representatives of the North-South competition. Academically, no one is convinced by the other.

Director Han was quite surprised when he heard the news. Nurse Qin, who accompanied the 301 Doctor Corps, was Professor Qin's daughter. Professor Qin didn't mention a word.

To be honest, the daughter of Lao Qin is beautiful and tall, and she can compete with Xiao Su.

Especially when he was wearing a military uniform last time, he was really heroic, with a unique charm in every gesture.

Thinking about it, Lao Han snickered in his heart, laughing at himself for having such rich associations.

Director Han held back his laughter, and secretly glanced at Professor Su. He was sitting on the Diaoyutai, as if he hadn't heard anything.
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When it is divided into the subclavian artery, the aorta begins to stretch and no longer twists and turns.

This is a surprising thing, which means that this patient is really saved, rather than humanitarian efforts.

As an assistant, Professor Li immediately became excited.

He didn't have much hope for this patient, the anatomical relationship was too chaotic, and it was too difficult to find the original architectural structure from a pile of mud.

As the separation continues, arteries and veins stick together, making it impossible to tell which is which.

If it is not necessary, let them be entangled like this, how good it is, the risk of separation is too high.

However, this distorted "love affair" between arteries and veins is doomed to have bad results. It will seriously affect heart function and eventually be fatal.

It will increase the resistance of the heart to pump blood and reduce the recycled blood. Over time, the heart muscle will be exhausted and exhausted. At that time, only an artificial or allogeneic heart can be replaced to maintain life.

Different from the previous scoliosis correction, this operation is not only correction, but also life-saving.

No matter how difficult it is, the operation still continues. The reason why the job of a doctor is sacred is that what he faces is life, and what he controls is life. There is a very thin dividing line between life and death.
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"What's the matter today, why do you keep peeing?"

Zhang Lin has already gone back and forth to the bathroom a few times. It is estimated that the mother-in-law made a big pot of chicken soup in the morning, and there are also traditional Chinese medicines such as coix seed in it, which has a diuretic effect.

"The one who is going to be on stage later, how about inserting a urinary catheter later?" Xiao Wu suggested.

Zhang Lin shook his head and inserted the urinary catheter. No matter how good the technique is, he is afraid of damaging the urethral mucosa. The urethral mucosa is like the rifling of a gun. Once damaged, the urine line will be scattered or the beautiful parabola will be lost.

Sometimes I can’t help it. Now that I’m healthy and healthy, who wants to have a urinary catheter inserted and a urine bag hung.

But the effect of this chicken soup is estimated to last for several hours. If I have to go on stage, my bladder will not be able to bear it.

Surgeons are the most taboo about this. It’s a matter of life and death during an operation. You always writhe your butt fidgeting, and then say you can’t hold it back, you want to take a pee?

But with the frequency of urination at the moment, it is estimated that there will be no chance to be on stage later.

"Cut it in!" Zhang Lin froze.

Xiao Wu beckoned for help, Zhou Can immediately took the time to come over, Xiao Wu whispered, "Where is the catheterization bag?"

Nurses know best about the supplies in the operating room.

Zhang Lin originally wanted to sneak around to find a catheterization bag by himself, and then ran to the locker room without anyone noticing to intervene, but now the bastard Xiao Wu was exposed.

"In the material warehouse, what's wrong?" Zhou Can looked at Zhang Lin who was blushing next to him.

Xiao Wu said: "Director Zhang urinates frequently and urgently, and he will be performing surgery later, so I can help you find a suitable catheterization bag and insert it."

Zhou Can couldn't help covering his mouth and laughing: "Really, fake?"

"Really? Hurry up and get me a catheterization bag and a pair of sterile gloves!" Zhang Lin said angrily.

"What size catheter?" Zhou Can asked.

"What number, just take one!" Zhang Lin was impatient.

Xiao Wu said seriously: "You are a doctor on the first day? The urinary catheter is too big and cannot be inserted, and it is too small to leak urine."

"How the hell do I know the size of my urinary catheter, and I haven't inserted it before?" Zhang Lin was a little annoyed by Xiao Wu's intentional manipulation, but there was no way, he was right.

"You don't know what model you are?" Xiao Wu laughed at him.

"I'll pick it myself." Zhang Lin blushed immediately, got up and went to the warehouse to find a catheterization kit.

Zhou Can immediately grabbed him: "Do you want me to insert it for you?"

"Well, let him insert it by himself, you can insert it, no matter how thin it is." Xiao Wu told Zhou Can to ignore him.

Zhang Lin came out of the operating room, touched the material warehouse, looked for the labels of each storage compartment, found the urinary catheter, and then looked at the sizes of various models through the transparent packaging, and picked one that seemed suitable. He also grabbed a pair of sterile gloves and a syringe, and slipped into the men's locker room.

I insert the urinary catheter myself, usually nurses do the catheterization work, although doctors can do it, but the chances of catheterization are relatively small.

Usually this simple job is really a bit difficult for him. Zhang Lin wanted to ask Xiao Wu for help, but he was afraid that the kid would make a joke, so he decided to do it himself.

Opening the catheterization bag, Zhang Lin disinfected himself, put on gloves, and spread the sheets.

I gritted my teeth and inserted it into the urethra. It was a bit painful and I couldn't insert it. I knew I would use a tetracaine glue, and I would perform topical anesthesia before inserting it.

When I looked carefully, I was nervous and forgot a step-applying lubricating oil.

Zhang Lin applied a layer of lubricating oil on the catheter again, and this time it went smoothly. The catheter was easily inserted, and the urine came out.

Don't worry this time, you can operate with peace of mind.

Zhang Lin went back to the operating room and sat down. Xiao Wu glanced at the urine bag hanging on his trousers and the exposed urine tube.

"Really inserted?"

"Don't be cruel to yourself. How can it become a major event? The first operation in the Institute of Surgery. As the main member of the department, Dr. Yang's gold and silver double hooks, how can you not participate?"

"Enough!" Xiao Wu had to give a thumbs up.

"It's so-so." Zhang Lin said nothing had happened.

"Is your catheter a good size? Size 20?" Xiao Wu picked up the catheter and looked at it.

"Don't touch it, it's much thinner than yours. You probably need a No. 22 catheter." Zhang Lin opened Xiao Wu's hand.

Zhang Lin sat calmly on the chair in the corner, no longer having to worry about holding back his urine, and felt relieved for a while.
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Professor Li followed Yang Ping and became more and more confident that the separation had reached the supraclavicular artery, the adhesions of the aorta and vena cava were separated, and the adhesions with the surrounding were also separated. Fortunately, the three-layer structure of these blood vessel walls was not bad. Intact, otherwise an artificial blood vessel needs to be implanted to prevent the formation of aortic dissection.

Professor Li admired Yang Ping for his proficiency in anatomy, his proficiency in abnormal anatomy, and his calmness in the operation. Yang Ping's performance gave Professor Li a feeling that he is very skilled in any operation and has a plan in mind. Heartfelt respect.

Further down, the aorta and vena cava are stuck together, and they are stuck together with the anterior longitudinal ligament of the spine. Other doctors will definitely be helpless.

Another blade was changed, and I don't know how many blades have been replaced.

Anyway, the curved plate dedicated to holding blades is already full of round knives and sharp knives.

"Vital signs are stable!"

The fat man reported to Yang Ping from time to time that his legs were crossed, and the trouser legs that were too short looked even shorter, revealing the lower half of the entire calf.

This was the first operation that Nurse Qin had seen Yang Ping perform with her own eyes, and Yang Ping's calmness on stage convinced her.

In 301, the surgeons she performed on stage were all top experts in the country, but they also lacked this aura. Standing there, Yang Ping seemed to be able to control the whole situation.

Indeed, every time Yang Ping undergoes surgery, he will have a wonderful feeling that he can control the world.

"A little higher blood pressure!"

Yang Ping ordered that if the blood pressure is higher, the aorta will be filled more, which is more conducive to surgical separation.

From the indwelling tube, the fat man pushed some medicine decisively, and soon his blood pressure rose.

In some adhesion bands, there are messy blood vessels growing, which cannot be ligated in advance. They must be cut off during separation, and then double-click electrocoagulation to stop bleeding.

Beyond the aortic arch, of course, according to Zheng Baosheng's anatomy, there is no real aortic arch, because the blood vessels are all backlogged together, and the tortuous pipeline makes the heart pump blood very laboriously. This is why it will not survive for too long without surgery. reason.

At present, it is still young, and the remaining normal cells of the myocardium can barely work at an overload. Slowly, after all the myocardium cells are exhausted, the whole heart enters the terminal stage. At that time, there is no other way but heart transplantation.

"Do you want to take a break?" Yang Ping asked Professor Li.

Professor Li's forehead was covered with sweat, and his excessive nervousness exhausted his energy. Although he had learned from his instructor that he was not afraid of pressure and danger, this operation still made him fall into a mess.

Now he is just an assistant. If he is the chief surgeon, he must not be able to do one-third of the work, and the patient will die on the operating table.

"No, it's okay!"

Professor Li's head moved out of the sterile field, and the visiting nurse wiped the sweat off his forehead with a white tissue to prevent it from gathering into beads and falling into the patient's chest cavity, increasing the chance of infection.

continue!

Professor Li is very firm, he can't hold back the chief surgeon because of himself.

That year, one of his patients died on the operating table. After the operation, he curled up on a chair in the dressing room.

The mentor said to him: "Throw away your empathy and forget about sadness. What you do is not to be sad, but to learn from your failures and avoid making mistakes again."

Now he wants to forget his fear and continue to follow Yang Ping.

The aortic arch has been exposed, and the corresponding vena cava has been successfully separated from the aorta, without any breaks in the separation. From the beginning to the end, Dr. Yang protected the complete three-layer wall of the blood vessel, which is very important, which means whether the separated blood vessel is healthy , whether to leave dangerous hidden dangers.

The scalpel has already begun to explore downwards. The large blood vessels bend here before passing through the diaphragm and entering the abdominal cavity. The anatomy appears dangerous and complicated.
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"I, can I help out on stage?" Nurse Qin plucked up the courage to ask when Yang Ping was taking a break.

"Thank you, no need!" Yang Ping refused decisively.

Now one equipment nurse on the stage is enough, and one more person will only add to the chaos.

Sometimes too many people cannot improve efficiency, but will disrupt the inherent rhythm and reduce efficiency.

Nurse Qin didn't feel bad about being rejected by Yang Ping bluntly.

It's just that she really wanted to participate in such a difficult and risky operation like Xiao Su did.

But when she thought about it carefully, going on stage by herself would only add to the chaos, because she was not prepared enough for this operation, and expressed regret for her rashness just now.

At least [-] milliliters of urine had accumulated in Zhang Lin's urine bag, so he decided to change it.

Because he doesn't know when he will be called to the stage, he has to travel lightly.

"Zhang Lin?"

Fatty waved.

Zhang Lin stopped in his tracks and went around to the fat man's side.

"What's going on?" The fat man pointed to the urine bag hanging on his trouser leg.

"I drank a large pot of chicken soup in the morning, which probably contains diuretic traditional Chinese medicine. I urinate frequently and urgently!" Zhang Lin carried the urine bag, because the heavy urine bag had already pulled down his trousers.

The fat man said lightly, "I'll tell you sooner, I'll give you an injection to antagonize the diuretic effect, and I'll take care of you for a few hours."

"Forget it, the catheter is inserted."

Zhang Lin knew that when the dead fat man was finished, he would definitely need cigarettes as a bargaining chip.

(End of this chapter)