radicalducati Chapter 177
Chapter 177
City One Court.
"Beep Beep ~~~"
An ambulance rushed into the hospital gates.
"Quick, quick, quick..."
The flat car pushes at great speed.
Admitted to the emergency room.
In the Department of Urology, Lin Feng received the call, rushed to the elevator, and rushed all the way to the emergency surgery.
Lin Feng never imagined,
Teacher Chen Can couldn't survive the last lesson he hoped for!
"Doctor Lin, save him..."
The wife of Teacher Chen Can, who was originally calm, seemed to have lost her heart at this moment, and she collapsed and cried.
"Don't worry, I will definitely work hard!"
Lin Feng looked at Teacher Chen Can, who was lying quietly in the operating room, and his heart was heavy.
I swore in my heart that I would save him!
Zhang Yuan: "I'll be a helper!" "
Wu Haoming: "I'll be the second assistant!" "
Lin Feng nodded.
Strong clinical experience is required, and as for Wu Haoming, he is an intern who came to the city hospital with him.
Wu Haoming's efforts in the past 2 years, Lin Feng is also in the eyes, on the operating table many times, the performance is very good, small appendicitis and other types of surgery, has been independently started.
Director Zhou naturally had no objection and nodded in agreement.
"Go, start the operation!"
Lin Feng said and walked into the operating room.
Everyone followed Lin Feng to enter!
......
Preparing for surgery...
Surgical plan: resection of lung nodules, lung washing in the early part of pneumoconiosis...
The reason why Teacher Chen Can fainted was because of insufficient lung function, coupled with physical exhaustion, there was not enough oxygen, resulting in cerebral hypoxia, resulting in syncope...
The road has been given oxygen all the way and saved back.
But it also further aggravated the condition, resulting in surgery that was originally planned for tomorrow and must now be performed.
Wash your hands, get dressed, wear gloves...
"Tracheal intubation, connection injection of nitrogen oxide, ether for general anesthesia!"
"Lying on the side, right torso on top!"
soon
Anesthesia is complete.
"Scalpel!"
Step 1,
Open your chest!
Lin Feng slashed the patient's chest!
Originally, disemboweling and breaking the stomach should be an extremely uncomfortable thing, but for some reason, in Lin Feng's hands, it was so crisp and neat.
Just like that performance art, it's pleasing to the eye!
"Organizational pliers!"
"Ethanol yarn ball!"
Lin Feng held the tissue forceps in his left hand, picked up the ethanol cotton ball, and began to disinfect the patient's skin.
"Wire saw!"
The scapula blocked the surgical area, so Lin Feng manipulated the wire saw to cut a parallel incision with the posterior source of the shoulder blade from the shoulder blade area to about two horizontal fingers below the shoulder blade.
However, the area of rib surgery remains unclear.
Lin Feng continued to manipulate the wire saw, extending along the corresponding ribs to the armpit line, and sawed down abruptly.
"Tooth tweezers!"
"Large blade!"
With the help of tooth forceps, cut the skin under the line of sight with a large blade.
"Electric knife!"
At this time, Wu Haoming kept demonstrating in his mind:
What happens if I go to the operating table myself?
Although it was already in his mind, he had practiced his appearance when he went to the operating table several times.
But when I really stood in front of the operating table and faced this operation, I was still very flustered.
There is no way to achieve Lin Feng's calmness that does not become alarmed.
Lin Feng's electric knife opened, and a sizzling electric sound spread out from the tip of the knife.
Holding the handle of the knife, the tip of the knife exerts force, cutting through the patient's subcutaneous tissue.
"Multiple bleeding spots!"
Wu Haoming said quickly.
"Gauze wipe blood!"
"Double-tube electrocoagulation to stop bleeding!"
Wu Haoming took out gauze and began to wipe the blood that came out, while Zhang Yuan used electrodes to stop the bleeding.
"No. 1 silk thread!"
Taking the surgical line, Lin Feng probed his palm into the incision and began to ligate the bleeding artery.
Looking at the bloody scene in front of him, Wu Haoming directly vomited.
This can be said to be a fatal mistake, if Wu Haoming stands in the position of the main knife, if so, it is very likely to endanger the patient's life.
"Here you go, you come to ligature!"
Lin Feng glared at Wu Haoming, this is a difficult problem that must be overcome to become a mature surgeon.
Wu Haoming's knowledge literacy is actually enough, and the only thing that limits its development is these external factors.
"I can't." Wu Haoming was still a little retched, and waved his hand repeatedly.
"If you don't take it, after the operation is over, you will make a resignation report yourself, you are not worthy of being a surgeon!"
Lin Feng's tough attitude did not leave Wu Haoming half a room for maneuver.
Zhang Yuan couldn't help but sigh in his heart, Lin Feng's move was really high!
Once upon a time, he also had this psychological fear disorder, even in the school dissection class, there was no half of the difference, but once on the operating table, all the shortcomings were revealed for a while.
It took him several years to overcome this psychological obstacle.
If Wu Haoming can really insist on pulling down, this level will be more than half.
You can also consider involving them in your own surgery later.
"I'll do it!"
Wu Haoming gritted his teeth and walked onto Lin Feng's main knife position.
With trembling hands, the ligature was lifted and the ligature began to ligate the blood vessels bleeding in the patient's abdominal cavity.
Although his face was a little ugly, Wu Haoming still insisted and finished the ligation of the blood vessels with bleeding points.
A few minutes later...
After the ligation...
Vomit~~~
Wu Haoming ran directly to the sink, lay on his stomach, and vomited violently.
......
"Scalpel!"
Lin Feng ignored Wu Haoming and took the scalpel.
Cut the patient's trapezius muscle, latissimus dorsi, serratus anterior, and rhomboid muscle layer by layer to reach the extrathoracic fascia.
The whole process is smooth and there is no sense of blockage!
Zhang Yuan's eyes were straight, and the magic knife technique must know that between these muscle groups, there are large and large bones, as well as cartilage tissue.
Without an excellent understanding of the structure of the human body, it would not be possible to cut through so many muscle groups in one go.
What's more, although the structure of the human body is generally similar, it is not exactly the same, and how deep experience it takes to be able to do this so lightly!
Wu Haoming was even more nervous to the extreme, the stronger Lin Feng, the more nervous he was, the more afraid he would make a mistake and lose himself in front of Lin Feng.
"Tooth tweezers!"
Lin Feng took the tooth forceps, clamped the auscultation triangle, and lifted the muscle group.
The other hand seamlessly engages and frees the muscle tissue by taking the mid-curved vascular forceps.
"Electric knife!"
Take the electric knife and cut off the muscle groups.
Again probing the palm under the shoulder blade, although there is no surgical vision, but countless experiences Aung Lin Feng knows the structure inside.
Blind touch...
The lateral pre-excision of the ribs was determined.
"Pull the hook!"
Lin Feng took the pull hook and directly pulled up the shoulder blade and inserted two fingers into it.
"Electric knife!"
The periosteum is cut in a natural way.
Zhang Yuan and Wu Haoming were surprised in their hearts, Lin Feng was showing off his skills, right? It's a showmanship, right?
(Lin Feng: Basic exercise!) ）
"Periosteum stripper!"
Lin Feng peeled off the periosteum of the ribs from the front to the back from the lower edge.
"Bone biting scissors!"
The finger exerts force at one end to cut the ribs into consecutive segments.
"Bone wax filling to stop bleeding!"
Wu Haoming took out the bone wax, was picked up by Lin Feng, and smeared it on the truncated part of the ribs.
"Electric knife power 360J!"
The side of Lin Feng's electric knife slashed across the blood vessels, and the electrocautery quickly stopped the bleeding!
Lin Feng was dazzled, and the two couldn't believe their eyes.
It's so sharp!
It's too much water!
......
At this time, the number of doctors in the operating room gradually increased.
Extracardiac, thoracic, hepatobiliary... There are a lot of doctors.
They all heard the news, on the one hand, they paid tribute to Teacher Chen Can, and on the other hand, they also learned Lin Feng's surgery.
......
"Organizational pliers!"
"Long tissue scissors!"
"Mid-curved tongs!"
Lin Feng kept replacing tools...
The instrument nurse constantly followed Lin Feng's instructions and handed over the corresponding surgical instruments.
Looking at Lin Feng's bells and whistles, Zhang Yuan and Wu Haoming's mouths were like they could stuff a light bulb.
Lin Feng pulls the upper lobe backward and opens the mediastinal pleura.
......
Step 2,
Free
・ Separation of the lungs of the nodule, excision ...
・Large-volume lung lavage is performed on areas that can also save the early stage...
Lin Feng stroked the hilar blood vessels of the upper lobe with his hand, and held tweezers in the other hand, freeing the apical and anterior branches of the pulmonary artery.
Pick up the ligature line, ligate it in sections, cut it.
Then open the upper half of the horizontal and oblique fissures, and grope to find the deep surface where the two lung fissures meet.
The posterior branch of the upper lobe artery is ligated and cut off...
Free out of the upper lobe bronchi, suture traction ...
This process,
It went on for 4 hours...
It's complicated.
Zhang Yuan and others who watched were dazzled...
The knowledge points can't keep up with the speed of Lin Feng!
Cut off the bronchi ...
This is followed by the removal of the necrotic upper lobe of the right lung...
Removing dust in the lungs with a scalpel, performing large-volume lung lavage...
Until the lungs show their original blood color...
......
The 6th hour...
Next
The operation is almost over.
Enter the suture phase.
"4# stitching!"
Lin Feng kept threading needles, fingertips flying in the lungs, suturing the incision...
Next
Close your chest!
Suture!
The operation, finally over!
After the operation was completed, Lin Feng looked at the patient's ECG monitor, this time, it is estimated that luck played a role, and there were no complications such as shock in the middle.
Lin Feng was very satisfied with this operation.
Removed lung tissue, about 13% in total ...
Applying a large number of international top surgical experience methods, Lin Feng successfully preserved most of the lung function.
If he no longer continues to engage in dusty vision, Teacher Chen Can can continue to live for 5-10 years, which is already a great good news.
After a while, Zhang Yuan, who was in deep thought, and the two eased up.
Wu Haoming felt confused and staggered down from the operating table.
That's awesome!
Shock!
......
Outside the emergency operating room,
At this point,
Principal, Vice Principal, all here!
The student class leader, deputy class leader, and 6 students also came.
In fact, the whole class wanted to come, but the school did not allow them, so they could only come to the class leader and deputy class leader to pay attention to Teacher Chen Can's surgery on behalf of the class.
"I hope the teacher is okay..."
"Pray!"
"Pray!"
"Pray!"
One by one, they waited nervously outside the operating room.
The class president constantly sends messages in the group, telling the latest news to the students who cannot come and calming their emotions.
"It's been almost 7 hours, and it hasn't come out yet?"
"It should be fine..."
"The doctor in charge of the knife is Dr. Lin Feng, and he is the first knife in the First Hospital of the City."
"We should trust Dr. Lin."
Airplanes~~~
At this moment,
The door to the operating room opened.
Lin Feng and the others pushed the flat car and walked out of the operating room.
In the face of many expectant eyes,
"Good news for everyone..."
"The operation was very successful!"
"Wow~~~~~"
At this moment, everyone cheered excitedly.
Cheer up, hug each other excitedly, and dance!
"Great!"
"It worked!"
"Teacher Chen, awesome!"
"Doctor Lin Feng, awesome!"
At the same time, the third and seventh classes of the first high school in the city also boiled at this moment.
Knocked over the entire school building!
In the midst of many cheers, Lin Feng took out his mobile phone, opened Weibo, and wrote...
"Tribute to those dedicated teachers! 》
Tell me about today's experience.
click
Publish!
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ps: three chapters 1500 + 4600 + 3800 = 9900 words...
。