Chapter 179
Chapter 179
Chapter 179
City First Hospital.
“Beep Beep Beep Beep~~~”
An ambulance rushed through the gate of the hospital.
“Hurry up……”
The flat car is pushing fast.
Sent to the emergency room.
In the urology department, Lin Feng received a call and rushed to the elevator, rushing all the way to emergency surgery.
Lin Feng never expected that,
Teacher Chen Can couldn’t make it through the last class he hoped!
“Doctor Lin, save him…”
The wife of Teacher Chen Can, who was originally calm, seemed to have lost her backbone at this moment, breaking down and crying.
“Don’t worry, I will work hard!”
Lin Feng looked at the teacher Chen Can lying quietly in the operating room with a heavy heart.
I swear in my heart, I must save him!
Zhang Yuan: “I’ll be a helper!”
Wu Haoming: “I’ll be the second assistant!”
Lin Feng nodded.
Strong clinical experience is needed. As for Wu Haoming, he is an intern who came to a city hospital with him.
Wu Haoming’s hard work in the past two years, Lin Feng also sees it. He has been on the operating table many times, and his performance is very good. He has already started independently for operations such as small appendicitis.
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 in!
…
In preparation for surgery…
Surgical plan: resection of lung nodules, lung washing in early parts of pneumoconiosis…
The reason why Mr. Chen Can fainted was due to insufficient lung function and physical exhaustion, which led to insufficient oxygen supply, which led to hypoxia in the brain and fainting…
Oxygen has been given all the way on the road, and it has been restored.
But it also aggravated the condition, leading to surgery that was originally planned to be performed tomorrow and must be performed now.
Wash your hands, dress, wear gloves…
08 “Tracheal intubation, connect to inject nitric oxide, ether for general anesthesia!”
“Side position, right torso up!”
soon,
Anesthesia is complete.
“Scalpel!”
first step,
Open your chest!
Lin Feng slashed open the patient’s chest!
It should have been extremely uncomfortable to break the stomach, but for some reason, it was so crisp and neat in Lin Feng’s hands.
Like that performance art, it is pleasing to the eye!
“Tissue clamp!”
“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 jigsaw to make a parallel incision from the scapula area to about two transverse fingers below the scapula and the posterior source of the scapula.
However, the area of rib surgery is still unclear.
Lin Feng continued to manipulate the wire saw, extending along the corresponding ribs to the front axillary line, and saw it abruptly.
“Tooth tweezers!”
“Large blade!”
With the help of tooth forceps, use a large blade to cut the skin under the line of sight.
“Electric knife!”
At this time, Wu Haoming kept demonstrating in his mind:What happens if I go to the operating table by myself?
Although it is already in my mind, I have practiced how I looked when I was on 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 make Lin Feng calm and calm.
Lin Feng’s electric knife was turned on, and the squeaking electric current spread from the tip of the knife.
Holding the handle of the knife, the tip of the knife applied force to cut through the patient’s subcutaneous tissue.
“There are many bleeding spots!”
Wu Haoming said quickly.
“Gauze to wipe the blood!”
“Double tube electrocoagulation to stop bleeding!”
Wu Haoming took out the gauze and began to wipe the blood that came out, while Zhang Yuan used electrodes to stop the bleeding.
“No. 1 silk thread!”
After receiving the surgical thread, Lin Feng put his palm into the incision and began to ligate the bleeding artery.
Seeing the bloody scene in front of him, Wu Haoming directly retched.
This can be said to be a fatal mistake. If Wu Haoming is in the position of the chief sword, if it is like this, it is very likely to endanger the patient’s life.
“Here you are, you come to ligate!”
Lin Feng glared at Wu Haoming. This is a problem that must be overcome to become a mature surgeon.
Wu Haoming’s knowledge literacy is actually sufficient, and the only restriction on his development is these external factors.
“I can’t.” Wu Haoming was still a little retching, waved his hands again and again.
“If you don’t answer, after the operation is over, you can make a resignation report yourself. You are not worthy of being a surgeon!”
Lin Feng’s tough attitude left no room for Wu Haoming to maneuver.
Zhang Yuan couldn’t help sighing in his heart, Lin Feng’s trick is really high!
Once upon a time, he also had this kind of psychological fear barrier. Even in the unraveling class at school, it was not half the same, but once on the operating table, all the drawbacks were revealed for a while.
In order to overcome this psychological obstacle, it took him several years.
If Wu Haoming can really insist on pulling down, he will pass more than half of this level.
I can also consider allowing him to participate in his own surgery afterwards.
“I do it!”
Wu Haoming gritted his teeth and stepped onto Lin Feng’s main knife position.
Raising the ligature with trembling hands, he began to ligate the bleeding blood vessel in the patient’s abdominal cavity.
Although his complexion was a bit ugly, Wu Haoming persisted, ligating the blood vessels with bleeding spots.
After a few minutes……
After ligation…
Vomit~~~
Wu Haoming ran directly to the sink, lying on his stomach, vomiting violently.
…
“Scalpel!”
Lin Feng ignored Wu Haoming, but took the scalpel.
Cut the patient’s trapezius, latissimus dorsi, serratus anterior, and rhomboid muscles layer by layer to reach the extrathoracic fascia.
The whole process was extremely smooth, without any sense of blockage!
Zhang Yuan’s eyes are almost straight. With his magical knife technique, he must know that there are large and small bones and cartilage tissue between these muscle groups.
It is impossible to cut so many muscle groups in one fell swoop if it were not for a thorough understanding of the structure of the human body.
What’s more, although the structure of the human body is roughly similar, but there is not exactly the same. How deep experience is needed 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 became, and the more afraid he would make mistakes, and he was ashamed of Lin Feng.
“Tooth tweezers!”
Lin Feng took the tooth forceps, held the auscultation triangle, and lifted the muscle group.
The other hand is seamlessly connected, and the muscle tissue is freed up after receiving the middle-curved vascular clamp.
“Electric knife!”
After receiving the electric knife, cut off each muscle group.
Put the palm of the hand under the scapula again. Although there is no surgical field of vision, Lin Feng knows the structure clearly through countless experience.
Blindly…
Confirmed the lateral pre-resection of ribs.
“Retractor!”
Lin Feng took the retractor and directly pulled up the shoulder blades and inserted two fingers into it.
“Electric knife!”
The periosteum will be opened when the water comes.
Zhang Yuan and Wu Haoming were surprised, Lin Feng is showing off his skills, right? Is it Xuanji?
(Lin Feng: Basic exercise!)
“Periosteum dissector!”
Lin Feng peeled off the rib periosteum from front to back from the lower edge.
“Bone biting scissors!”
Use one end of your finger to cut the ribs into joints.
“Bone wax filling to stop bleeding!”
Wu Haoming took out the bone wax, was picked up by Lin Feng, and applied it to the ribs.
“Electric knife power 360J!”
Lin Feng stroked the blood vessel on one side of the electrosurgical knife, and the electrocautery quickly stopped the bleeding!
Lin Feng had a dazzling operation, and the two of them couldn’t believe their eyes.
Too neat!
It’s too flowing!
…
At this time, the number of doctors in the operating room gradually increased.
Outside the heart, outside the chest, outside the liver and gallbladder… many doctors came.
They all heard the news. On the one hand, they paid tribute to Mr. Chen Can, and on the other hand, they also learned about Lin Feng’s surgery.
…
“Tissue clamp!”
“Long tissue cut!”
“Middle bending pliers!”
Lin Feng keeps replacing tools…
The instrument nurse kept handing forward the corresponding surgical instruments in accordance with Lin Feng’s instructions.
Looking at Lin Feng’s fancy operations, Zhang Yuan and Wu Haoming’s mouths were all able to plug a light bulb.
Lin Feng retracted the upper lobe back and opened the mediastinal pleura.
…
The second step,
free,
·Isolate and remove the nodular lung…
·Large-volume lung lavage is performed on the parts that can be saved in the early stage…
Lin Feng stroked the upper pulmonary hilar vessels with his hand, holding the forceps in the other hand, freeing the apical and anterior branches of the pulmonary artery.
Pick up the connecting cable, ligate in sections, and cut off.
Then open the upper half of the horizontal fissure and the oblique fissure, and fumble to find the deep surface where the two lung fissures intersect.
Ligate the two posterior branches of the superior lobe artery and cut off…
Free the upper lobe bronchus, suture the traction line…
this process,
It lasted for 4 hours…
Very complicated.
Zhang Yuan and others are dazzled…
The knowledge points can’t keep up with Lin Feng’s speed!
Cut off the bronchus…
Immediately after removing the necrotic upper lobe of the right lung…
Use a scalpel to remove dust from the lungs and perform large-volume lung lavage…
Until the lungs showed the original blood…
…
6th hour…
Next step,
The operation is almost over.
Enter the suture stage.
“4#stitch!”
Lin Feng kept threading the needle, his fingertips flying around his lungs, sutured the incision…
Next,
Close your chest!
Stitch!
The operation is 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.
Lin Feng is very satisfied with this operation.
·923 of the lung tissue removed, a total of about 13%…
·Using a large number of international top surgical experience methods, Lin Feng successfully preserved most of the lung function.
·If you no longer engage in the dusty vision, Mr. Chen Can can continue to live for 5-10 years, which is already a great news.
After a long while, Zhang Yuan and Zhang Yuan, who were in deep thought, were relieved.
Wu Haoming felt muddled and walked out of the operating table staggeringly.
so amazing!
Shocked!
…
Outside the emergency operating room,
at this time,
The principal and the vice principal are here!
The student squad leader, deputy squad leader and 6 students also came.
In fact, the whole class had to come, but the school did not allow them, and they were not allowed to come out. Only the monitor and deputy monitor came to represent the whole class’s attention to Teacher Chen Can’s operation.
“I hope the teacher is okay…”
“pray!”
“pray!”
“pray!”
One by one nervously waiting outside the operating room.
The monitor kept sending messages in the group, telling the latest news to the students who could not come, and soothing their emotions.
“It’s been almost 7 hours, haven’t come out yet?”
“It should be fine…”
“The chief surgeon was Dr. Lin Feng. He was the first surgeon in a city hospital.”
“We should trust Dr. Lin.”
Hum~~~
at this time,
The door to the operating room opened.
Lin Feng and others pushed the flat car and walked out of the operating room.
In the face of many hopeful eyes,
“Tell everyone a good news…”
“The operation was very successful!”
“Wow~~~~~”
At this moment, everyone was excited and cheered.
Raise your arms, hug each other with excitement, and dance!
“Very good!”
“Success!”
“Ms. Chen, awesome!”
“Dr. Lin Feng, awesome!”
At the same time, the third-seventh class of the City No. 1 Middle School also boiled at this moment.
The entire teaching building was overturned!
Lin Feng took out his mobile phone, opened Weibo, and wrote…
“To those dedicated teachers, salute! 》
Tell me about today’s experience.
Click,
release!
————————————
ps: Three chapters 1500+4600+3800=9900 words…
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