Doctor's Life Simulator

Chapter 47 Is this okay?He Fangsheng, old doctor Zhou
After Wu Youtu went to confirm the operating room where Qin Lang was located, he rushed there in a hurry.

At this time, Qian Liang was exhausted and had just come off a surgery, and happened to meet Wu Youtu who was yelling outside.

"Career Wu, is this another serious patient admitted? Do you want me to help? I have just completed an escharotomy and decompression."

Seeing Qian Liang, Wu Youtu glared at him directly, and said angrily, "Didn't you be asked to take Qin Lang and Cheng Yunfeng with you? That's how you arranged the tasks of your group."

Qian Liang thought that Wu Youtu blamed him for letting Qin Lang perform escharotomy and decompression alone, so he explained:

"Director Wu, in principle, with Qin Lang's qualifications, he really shouldn't be allowed to operate alone. However, his clinical talent is too good. I observed him for a while and confirmed that he was fine before letting him operate alone. .Besides, it is really urgent now that one more person who can operate alone will have one more chance to treat the patient."

"If you're worried, we'll rush over there now. However, this brat's operation is fast and good. It may have already finished."

Qian Liang scratched his head, not knowing whether to be happy or sad, after all, even he himself was not at this level.

Hearing what Qian Liang said, Wu Youtu became more and more annoyed: "If it's just escharotomy and decompression, I can rest assured with his ability. But this brat, after completing the escharotomy and decompression you arranged After the operation, I just met Zhao Qiufang, a tiger girl, who went to the doctor in a hurry, that was a tracheotomy!"

"Oh, it's my fault too. Usually, Qin Lang is too indulgent. It caused him to bring over the stink of the general practitioner from the community hospital. He can order everything, and he dares to order anything!"

"What, a tracheotomy!"

Hearing that Qin Lang had received another patient who underwent tracheotomy, Qian Liang was also shocked into a cold sweat.

Even for him, Wu Youtu needs to be on the sidelines before he dares to perform this operation carefully. Moreover, in addition to the tracheotomy itself, the follow-up intervention of sputum suction is also the most important part of this operation.

Speaking of it, the phlegm suction intervention can be regarded as a shadow of Qian Liang.

The first time he did sputum suction intervention, he used conventional negative pressure sputum suction to suck out respiratory secretions and improve the patient's respiratory plunger. However, this method goes deep into the airway and is very easy to encounter resistance.

For the first time, he was unable to move forward because of resistance, and was unable to perform deep sputum suction, which led to poor intervention effects for patients.

Afterwards, the patient continued to experience lung moist rales, and the sputum was highly viscous, and then sucked the sputum again. After repeated operations several times, it was still jerky. Infected, almost endangering the patient's life.

Therefore, every time I think of the first time I was downcast, Qian Liang couldn't lift it up...holding forceps.

"Then let's go there quickly, and we can't let Qin Lang have an accident."

Wu Youtu waved his hand with a dark face, obviously very dissatisfied with Qian Liang.

The two quickly got ready and entered Qin Lang's operating room.

And when they entered the operating room, both of them were stunned.

In just a few minutes, Qin Lang has completed the entire tracheotomy, and the Vaseline oil gauze for the opening has been placed under the tracheal tube.

After entering, with their eyesight, they naturally found that the completion of the Qin corridor is very high, especially the uniform and beautiful stitching of the wound.

Just as they were about to talk, they saw Qin Lang's focused voice, and the medical staff in the operating room were all cooperating nervously, for fear of missing Qin Lang's instructions and dragging their feet.

".Normal saline plus chymotrypsin, antibiotics. Holding forceps, suction tube, synchronized preparation"

".Increase oxygen inhalation and increase the partial pressure of oxygen in the alveoli."

Qin Lang's instructions were very clear and absolutely calm.

Qian Liang, who was on the side, couldn't help asking: "Wu is attending, I can understand the holding forceps and suction tube, why does Qin Lang need normal saline, chymotrypsin, and antibiotics?"

Wu Youtu squinted his eyes, but he was a little surprised, because it was exactly the same as his judgment after observing Ling Sheng's situation.

It's just, why is such a little guy like Qin Lang able to be so experienced.

Originally, he wanted to stop Qin Lang's operation immediately, but when the matter came to an end, Wu Youtu changed his mind.

Instead, he signaled Qian Liang to watch from the sidelines, and at the same time explained:
"Because the patient's respiratory tract has been in a dry environment after the operation, it is very easy to breathe again and suffocate. Therefore, it is necessary to inject normal saline, chymotrypsin, and antibiotics into the tube to improve the local environment. After wetting, increase oxygen inhalation. Easier suction of secretions.”

Hearing Wu Youtu's explanation, Qian Liang nodded again and again, and wrote it down carefully. This kind of oral instruction, as well as the experience of actual cases, is the most valuable asset of a doctor.

Basically, if you have experienced this once, you will be able to calm down the next time you encounter this situation.

Thinking carefully, I am afraid, so how did Qin Lang solve it so calmly.

Qian Liang thought in his mind, Dr. Zhou, the community leader that Qin Lang has been talking about, could it be taught by Dr. Zhou again?
Don't community hospitals train general practitioners? When will they become universal doctors?

Amidst Qian Liang and Wu Youtu's amazement, Qin Lang had already started routine intervention with sputum suction.

Hold the forceps in your right hand, clamp the suction tube, and try to send it into the airway without negative pressure.

It has to be said that Qin Lang's operation is still very standard, but due to the special situation of the patient, it is a coincidence that he encountered the most common problem, that is, encountering resistance.

Qin Lang tried a few times, then turned back the sputum suction device, and started to suction sputum with negative pressure. However, the patient's condition was very bad. When Qin Lang was sucking sputum, his complexion appeared abnormal, and he coughed directly. stand up.

"Not good, the patient's oral mucosa has been damaged, and the protective barrier in the oral cavity no longer works, resulting in a large number of bacteria in the oral cavity, producing a lot of secretions. The necrotic mucus and sputum cannot be discharged immediately. Now Qinlang uses Negative pressure suction sucks out the oxygen-containing gas in the patient's lungs, resulting in hypoxia and coughing."

Wu Youtu's face changed drastically, the patient's condition obviously exceeded expectations:
"Qin Lang, hurry up and stop the conventional sputum suction intervention, this patient can no longer operate like this."

"The patient's lung infection is serious, and now the mucous membrane villi in his airway have lost their cleaning function, and too much secretion and foreign matter have been retained in the airway, which has begun to affect the alveoli. Once the alveoli shrink, bacteria multiply and cause infection. The immunity is far weaker than that of ordinary people, and if the invasive operation of routine sputum suction is performed, the bacteria attached to the cannula will be very easily spread to the deep part of the patient's air bubble, leading to exogenous infection."

When Wu Youtu made such an analysis, Qian Liang's complexion changed drastically, how could he be so unlucky.

In the operating room, the rest of the medical staff suddenly became nervous.

"Qin Lang, hand over the forceps to me, and I will perform the improved sputum suction method."

"Qian Liang, listen carefully. This is the sputum suction method improved by Director Wei back then, and it can be regarded as the undisclosed secret of the burn department of the first hospital in our city."

Wu Youtu quickly revealed the skills and experience, which is teaching and inheritance:

"When sucking sputum, wear sterile gloves on your right hand, hold a pen with your thumb, index finger, and middle finger, and pinch the lower end of the sputum suction tube 10 cm away, gently feed it into the tracheotomy tube without negative pressure, and reach the trachea when it encounters resistance Stop for a while, press the side hole of the sputum suction tube with the thumb of the left hand, and micro-manipulate to form a negative pressure, so as to reduce the stimulation as much as possible without sucking out the oxygen in the lungs."

"Afterwards, it all depends on experience and techniques. Through the thumb, index finger, and middle finger of the right hand, twist and rub the rotating suction tube 180°, and slowly lift it up. The control time is no more than 15 seconds."

And when Wu Youtu was talking about the improved operation, Qin Lang was thinking rapidly in his head, and under the advanced tracheotomy, Qin Lang was naturally able to see through at one point.

However, he seemed to feel vaguely that this was not the best solution.

[Ding, the host is blessed to activate his spiritual skills, and at a critical moment, you thought of a sputum suction plan that is more suitable for the patient's injury: airway flushing and suction method! 】

Just as Wu Youtu was about to replace Qin Lang as the chief surgeon and perform the improved sputum suction method, Qin Lang turned his head suddenly:

"Dr. Wu, I encountered this situation when I was in the community hospital. At that time, the old doctor Zhou taught me a better plan, the airway flushing and suction method, which is more suitable for Ling Sheng's current situation."

(End of this chapter)