Back in 2002 as a doctor

Page 483

He carefully looked at Yuan Qingyao's face, and felt that chatting with him was much easier than chatting with Liu Xiaobie.At the very least, Yuan Qingyao wouldn't get to the bottom of it, asking when he had the trauma when he was having dinner with the boss.

This kid is really honest, Zhou Congwen especially likes honest kids.

"I stabbed the aorta with a knife. At that time, not much blood came out, but the person died immediately."

"FUCK..." Yuan Qingyao subconsciously uttered a dirty word.

"At that time, the injured person's face and superficial skin turned pale and pale. I ran over with the boss and opened the patient's chest with the knife that the injured person dropped on the ground."

"Cardia tamponade?"

"Cardial tamponade + aortic rupture."

"!!!"

"The situation was very critical at that time, and there was no needle or thread. After cutting the pericardium, blood spurted out, and then the boss blocked the aortic opening with his hand. He didn't dare to move it away. When he moved his hand, the blood gushed out like a fountain, and went directly to the room. "

"What happened later, did the person survive?" Yuan Qingyao asked.

"The 120 ambulance is here. Let me massage the wound. After all, the boss is old." Zhou Congwen said, "After getting in the car, the boss will push all the colloids into it with a 50ml syringe no matter what it is."

"Fortunately, the 120 ambulance has a brain and there is liquid in the car."

"Uh...is there still a time when you don't have a brain?" Yuan Qingyao was startled.

Zhou Congwen smiled slightly, of course he had encountered such a situation.

The 120 ambulance was disinfected and the liquid was cleaned up just in time for the outpatient visit. Zhou Congwen only encountered such a mistake once.

"Then I sat on a flat car and pressed the patient's aortic opening and went to the operating room. The boss and I stared at each other, and there was no way to sew. You understand that feeling."

Yuan Qingyao shook his head first, then nodded again.

"If you move your fingers away, you will have no vision, and if you press your fingers, you will not be able to sew. In short, it is very fucked."

"Later, the boss thought of a trick, direct deep hypothermia extracorporeal circulation. The patient's life was good, the blood bank had a lot of blood, and the blood pressure could barely be maintained. In the end, he persisted until the extracorporeal circulation was established, and then the aorta was sutured."

Yuan Qingyao thought about how Zhou Congwen went all the way from the restaurant to press the aortic rupture to the hospital, and then persisted until the extracorporeal circulation was established...

I have never seen extracorporeal circulation in emergency surgery. This is really an awesome emergency rescue.

"Brother Zhou, was your waist okay at that time?" Yuan Qingyao asked.

Zhou Congwen was taken aback, and then laughed in a low voice, "I'm almost tired. Think about it, I bent down and pressed the aortic breach until the boss and the hospitalist established extracorporeal circulation, at least 2 hours."

"sharp."

The two chatted while observing the patient's vital signs.

Once every two hours, after two blood gas analysis, all the indicators of the patient were normal, Zhou Congwen decided to extubate.

After 4 hours of extubation, the patient was given an analgesic, and the patient fell into a deep sleep.

Yuan Qingyao carefully recorded all the values, Zhou Congwen looked at Yuan Qingyao's serious look, and recalled the time when he had just had a system plug-in.

It's good to be young.

Chapter 0830

The patient slept soundly, and Zhou Congwen listened to heart sounds and lung breath sounds every two hours. After 12 o'clock, the patient woke up, opened his eyes and glanced around, and his eyes met Zhou Congwen's.

"Wake up." Zhou Congwen greeted him, as if he met an old neighbor in the morning market, and asked if he had eaten habitually.

This sentence is incompatible with the environment of the intensive care unit, it is extremely simple and relaxed.

"I..." The patient hesitated.

"What's wrong?" Zhou Congwen smiled and narrowed his eyes.

"Why don't I feel pain?" the patient asked hesitantly.

"I used Dulantin for you before." Zhou Congwen said.

Although many years later, the clinical drug guidelines have changed Demerol to subcutaneous injection or intravenous injection of morphine, but Zhou Congwen is still accustomed to using Demerol.

"Does it still hurt, Doctor Zhou?" the patient asked.

"It's still possible, but the hole is only this big." Zhou Congwen gestured with his hand.

The patient's eyes widened, looking at the distance between Zhou Congwen's right thumb and index finger.

"Doctor Zhou, are you kidding me? My appendicitis wound 30 years ago was bigger than this."

"Of course I'm not joking. It's about treating diseases. Maybe you're just joking around." Zhou Congwen said with a smile, "However, the incision on the leg is a bit long, and the great saphenous vein was taken. Maybe after many years, only two of them can be cut with a laparoscope." The eye can be removed without such a long surgical incision.”

The patient was dumbfounded, he had no idea what Zhou Congwen was talking about.

"How do you feel now?" Zhou Congwen asked.

"I feel that I am full of energy. I used to have chest tightness and shortness of breath, but now I don't feel it at all." The patient replied tentatively.

He said while looking at Zhou Congwen's expression, wondering if his answer fit Zhou Congwen's mind.

There was a little fear in his respect for the doctor. Zhou Congwen had seen a lot, so he smiled slightly.

"Of course, in the past myocardial ischemia, it could only provide less than half of the blood. The motor is out of power, so it's no wonder that the body can feel comfortable.

And your body has already adapted to this situation, in your words, it is old. "

"Isn't it old? The loess is buried here." The patient stroked his neck.

"Of course not." Zhou Congwen said, "You're only in your 70s, and with current medical conditions, it's normal to live past 80 years old. The Northeast is slightly worse, and there are many elderly people in their [-]s who go to the market in the south."

The patient's eyes suddenly lit up.

To live another 500 years, no one has this kind of thought.

"Lie down and rest." Zhou Congwen said, "Tomorrow morning our best cardiac surgeon in the country will come to see your situation. I will change your medicine and take you out of the ICU if conditions permit."

"I'm not sleepy anymore, I slept too much today."

"Don't be nervous, take it easy." Zhou Congwen said very relaxedly, "Maybe before the operation you heard that it was a major operation, or you were already mentally prepared that you couldn't get off the operating table, but it all passed.

The operation was a success. Looking at the current situation, if you want, you can walk out of the ICU with bottles and bags by yourself tomorrow. "

"..." The patient looked at Zhou Congwen seriously.

Although what Zhou Congwen said was good news, especially good news, it seemed so untrue.

Suddenly, the lights in the ICU flickered.

The sound of the monitor and the ventilator became one.

Zhou Congwen glanced at it with a frown. At that moment, the power should have been cut off for an unknown reason, and the machines were restarting.

"Go to sleep." Zhou Congwen stood up, patted the patient's shoulder as a sign of comfort, "My boss will come to see you tomorrow..."

Just as he was talking, the entire intensive care unit went completely dark, as if eternal night had fallen.

The little nurse who was just busy didn't know what happened and screamed.

"Don't worry about the power outage." Zhou Congwen said to the patient.

"The hospital will also have a power outage." The patient was a little puzzled.

"There is backup power, and it will be here soon." Zhou Congwen recalled the accident in the summer when the power outage occurred in the Third Hospital of Jianghai City.

Judging from Zhou Congwen's experience as a doctor, short-term power outages in hospitals occasionally occur, and there is nothing to make a fuss about.

In the dark, the backup power supply of the monitor and ventilator was activated, and the sound of electronic equipment came and went, trying to restore normal work and maintain the patient's vital signs.

"Call the total number of micropumps in the hospital, hurry up and count." Zhou Congwen said in a deep voice, "If you can give intravenously, don't panic. Hey! Walk with a flashlight, don't bump into..."

Before Zhou Congwen finished speaking, the flustered little nurse bumped into the medicine changing cart.

The lights of the electronic instruments lit up, and weird colors filled the dark ICU.

When there is light, it is difficult to see the scene in front of me. The figures shuttle back and forth, ignorant, and look a little gloomy.

Zhou Congwen remembered a legend - there are many souls who are unwilling to leave in every intensive care unit, so the intensive care unit in every hospital has the most haunted urban legends.

It would be great if there were ghosts, and there would be no need to be so afraid of death, Zhou Congwen thought to himself.

A few seconds later, the hospital's panicked footsteps came from the outside. The footsteps sounded like she was running all the way in a panic. She lost one of her slippers, and she ran back with one bare foot.

A scream tore through the weird picture.

This cry was not the sound of being caught off guard before. The hospital in the ICU always seemed to see something, and the fluorescent light was faintly reflected on her face. Zhou Congwen saw her twisted and weird expression, her eyes widened, and she was subconsciously reaching out to cover her mouth.

Standard hell screen.

Zhou Congwen immediately followed her gaze.

The moment his gaze settled, Zhou Congwen's blood froze instantly, and he was stunned.

In an instant, the sounds of all the machines were low and distant, only the sound of the heart reverberated vigorously beside the eardrum, as if a war drum was beating.

A patient on a bed is slowly sitting up.

The patients in the intensive care unit of the Second Hospital are all in serious condition. After Zhou Congwen came in, he observed all the patients while chatting with Yuan Qingyao. He knew that the patient in that bed was a patient with advanced cancer. The family never gave up, no matter how much it cost. We must work hard to maintain it, even if it is only for a day.

The patient is in the terminal stage. According to Zhou Congwen's judgment, he may suffer respiratory and circulatory arrest and die from multiple organ failure tonight.

Just after a rescue, the patient had already fallen into a state of deep breathing before death, and the hospital always went to explain to the patient's family members and prepared to send him out.

But right now...

Amidst the fluorescent colors of the machine and the darkness at the moment of the power outage, the color of the lights just now remained on everyone's retinas, but he slowly...slowly...sat up on the hospital bed.

come back to life?

The hair on Zhou Congwen's back stood up, and he picked up a sterile sheet beside him and covered his patient's eyes, "Go to sleep."

After speaking, he strode over to stand in front of the frightened little nurse.

Chapter 0831 A false alarm

Zhou Congwen believes that there are phenomena that cannot be explained by existing science, and he has seen many situations that he himself cannot explain.

For example, in the emergency department of the Third Hospital of Jianghai City, the old man who had "died" was rescued, and he reprimanded himself a few words and wanted to leave quietly.

But today the situation is different.

The patient Zhou Congwen, who was sitting up, saw it before the power outage. He was in a state of cachexia in the late stage of cancer, and his whole body was exhausted to the extreme. Theoretically, there was no possibility of "living".

but!

As soon as the power went out, the entire ICU was in chaos.At the same time, the patient in dyscrasia was sitting up little by little.

Moreover, Zhou Congwen could still hear creaking and creaking sounds in the dark and flickering fluorescent lights, as if the patient's spinal joints were rubbing together, or as if he was transforming, his body, bones, and muscles were expanding, making his teeth sore the sound of.

The others also looked over when they heard the screams of the hospital manager, and they were all frightened by the scene in front of them.

The medical staff in the intensive care unit are very courageous, and they have seen countless dead people.

But no one has ever seen a person who has already stepped into the gate of hell with one foot come back to life and can sit up slowly.

The infusion tube on his body reflected the fluorescence from the monitor behind him, like spider silk, and also like countless alien tentacles.

The screams continued, and the screams were accompanied by the sound of the tray that was overturned in a panic and fell to the ground.

Zhou Congwen stood in front of the screaming nurse and said in a deep voice, "Don't panic, emergency power supply!"

Although Zhou Congwen was also very scared, after all, he encountered an inexplicable incident, but the more he was in this moment, the calmer he became.

After the "doctor's order" was given, no one moved.

Zhou Congwen knew that everyone was panicking, so he stared at the sitting patient and his every movement, raised the volume, and suppressed the panic screams, "Emergency power supply!"

"Oh oh oh."

A little nurse woke up and looked for the emergency light by the flickering fluorescent light.

Zhou Congwen strode over.

Seeing a figure as steady as a mountain walking in the fluorescence and darkness, going retrograde, the medical staff were a little more stable.

"Drip drop~"

All kinds of voices suddenly burst out, as if the person who didn't want to leave had used superpowers.

Immediately, countless lights flickered before Zhou Congwen's eyes, and his retina, which had just been accustomed to fluorescence and darkness, suddenly malfunctioned and entered a temporary shutdown state.

Zhou Congwen narrowed his eyes, he knew it was a call.