106 Finding the wrong way
"Director Wang, you are still a high-level and good-character person. You don't need those high-value consumables at all." The anesthesiologist said with a smile.
"Of course, any high-value consumables are a bad thing." Wang Chengfa's mask moved again, "How good is the hand-crank drill? The steel wire is fixed, so you don't need to take it."
Zhou Congwen's old jokes were full of thoughts and didn't know how to vomit.
Wang Chengfa's proud hand drill was drilling holes on both sides of the broken end of the rib, threaded them with steel wire, and then twisted them with pliers to fix the ribs.
Technological progress is indeed achieved little by little, there is no way.
Fortunately, Wang Qiang is not there. If he is there, all kinds of rainbow farts will be slapped at this time. Liu Di is still unfamiliar with thoracic surgery and can't find the most critical point if he wants to flatter.
Moreover, Liu Di is more honest and honest than Wang Qiang, so he can't say anything so stingy.
Zhou Congwen asked for a pressure plate and placed it at the position where the holes to be drilled by hand drilling at the broken end of the ribs to prevent the hand drilling and drilling the pleura, or even a hole in the lungs with a "bang".
He did not deliberately "slide" his hands, and deliberately caused an accident of having to open his chest.
This is not bad, but Zhou Congwen was afraid that Wang Chengfa might be sure of it, so he really gave the patient a sharp tip to the lungs and poked a big hole.
The person who knows Wang Chengfa's best is Zhou Congwen, definitely not Wang Chengfa himself. Zhou Congwen is very clear about his level, so the intestinal pressure plate is very stable and has no yarn.
Wang Chengfa held the hand-cranked drill in his hand, fixed and shaking, and the white bone foam mixed with red bloodshot appeared little by little around the drill bit.
It takes three or five minutes to punch a hole, and then continue with the next one. You have to punch all the broken ribs into your eyes to make it easier to fix it with steel wire. Wang Chengfa was not in a hurry, but Zhou Congwen was in a hurry.
He was not aiming at ECG monitoring, the patient's blood pressure was still stable, and the blood oxygen saturation also improved after the anesthesiologist gave pure oxygen, but the heart rate changed.
Previously, due to supraventricular tachycardia, the patient's heart rate was as high as 150-160 beats per minute.
Over time, the patient's heart rate gradually dropped.
For anesthesiologists, this is a normal phenomenon, but for Zhou Congwen, this is definitely not a good thing.
"It seems nothing wrong to breathe caused by rib fractures, and some young doctors don't understand it at all. Zhu Jun from the People's Hospital admitted a patient when he first arrived in the clinic and did not ask for someone to take the surgery, so he delayed the whole night."
While Wang Chengfa used his hand drill to drill holes in the patient's ribs, he was gossiping about the past.
Zhu Jun is the director of the Department of Cardiac and Thoracic Surgery of the People's Hospital. Wang Chengfa always talks about some things about Zhu Jun when he was young. From the side, we can tell from the fact that Director Zhu Jun and Zhu had the first surgery he taught was his own hand-held, and he was considered his "apprentice".
If Wang Qiang was there, he would definitely be a perfect supporting actor at this time. He would first pretend to make an inquiries without knowing what he wanted, and finally he would be sure that Director Wang is Director Zhu's master. By the way, he and Zhu Jun are doctors of the same generation.
But Wang Qiang was killed by himself, and Wang Chengfa lost the doctor who refreshed and supported him during the operation.
"Director Wang, you were a master in the Department of Surgery at the People's Hospital at that time. I heard that you were the ones who took Zhu Jun?" Seeing that no one was talking, the anesthesiologist could only grit his teeth and say a few words that made Wang Chengfa happy.
He was happy that the operation would be over earlier and everyone would be fine.
"Hahaha, that's it." Wang Cheng laughed, "At that time, Zhu Jun didn't know anything. He took a patient with abnormal breathing and didn't know how to do the surgery. The next day, I went to see the patient early in the morning and called him to the office and scolded him."
"What's wrong?"
"Abnormal breathing affects cardiopulmonary function, and he doesn't understand this. If the surgery is not done in time, the mediastinum swing caused by abnormal breathing can seriously affect the blood flow, especially the increase of pulmonary venous pressure and induce pulmonary edema."
“So serious.”
"He doesn't know how to see a doctor at all," Wang Chengfa said contemptly, "After I was scolded, I took him to the stage to perform the operation. It took a night to delay the patient and almost went on the ventilator after the operation."
"If my eyes weren't bright, the patient would probably have to explain it to Corey."
Speaking of the embarrassing things about Director Zhu Jun and Director Zhu in the past, Wang Chengfa was in a good mood and the surgery was a little faster.
But the anesthesiologist is not Wang Qiang. There is no continuous flattery to slap, and the operating room will soon be quiet.
Zhou Congwen suddenly asked, "Dizi, I just saw that the patient's heart rate is very fast, and I can't understand the electrocardiogram. Please tell me."
Wang Chengfa suddenly heard Zhou Congwen admit defeat, and his mask moved, and a "swish" sound came from the corner of his mouth.
"Liu Di, do you know why I want you?" Wang Chengfa asked.
Liu Di was a little panicked and didn't know what Director Wang meant, so he could only smile embarrassedly.
"Because we are a cardiac thoracic surgery, we will have to undergo cardiac bypass surgery sooner or later. But the quality of the department staff is not enough. You are from the circulatory department and have a good foundation. You are asked to come for better development in the future."
Zhou Congwen lowered his head and almost laughed out loud.
Cardiac bypass surgery?
One year, a returning doctor will lead the heart interventional surgery in the People's Hospital. Since then, cardiac surgery departments in all hospitals in Jianghai City have gradually shrunk.
The provincial capital is better, and patients who cannot intervene and do so are sent to cardiac surgery, but they can barely survive. But like the grand occasion of specialized hospitals like Mudanjiang International Cardiovascular Hospital a few years ago, there are no traces in China.
Zhou Congwen was thinking about cardiac interventional surgery. When Liu Di heard Wang Cheng say this, he coughed and cleared his throat, "Master, let me tell me, if there is anything missing, you..."
"It's okay, tell me."
"Supraventricular tachycardia refers to a group of rapid arrhythmias in the site of ectopic agitation or reentry loop above the bifurcation of the Hercules bundle."
"Patients who are commonly ventricularly ventricular in the circulatory department, generally speaking..."
Liu Di talked endlessly and endorsed his letter. His foundation was very solid, and he could not defeat him if he was a common room speed.
Listening to Liu Di's smooth talk about the principle of room speed, Wang Chengfa's eyes smiled into crescent moons, and the surgery was also done faster and faster.
"Master, that's probably what it is." Liu Di said for two minutes before he stopped endorsing his entrustment.
"Well, it's pretty good. I saw it. This is the person I want to come. Do it well. In the future, our hospital's mind will point to you."
Liu Di was a little restrained. He still didn't know what to say next, but it seemed that something was wrong if he didn't say anything.
"Master, I still have to practice. Don't worry, I will definitely be very attentive."
"The foundation is solid, keep practicing the rest, it's okay." Wang Chengfa said sure, the big cake was drawn big enough and there were enough.
"But ventricular speed is common in elderly people over 50 years old. Why does this 22-year-old patient experience ventricular speed?"
While we were having a happy mood, a voice broke the happiness and reunion.
Chapter completed!