The patient is not light. He is 1.6 meters tall and weighs more than 170 kilograms.
Obese patients are not surgeon-friendly at all.
Every time you operate it, it's like adding too much lubricant, making it slippery.
Wearing rubber gloves and holding the instrument, the instrument feels like a loach.
Not only does it become harder to control the equipment, but it also feels shorter.
The fat is too thick, and under the influence of oil, even if you use tweezers to hold it, you will be like a novice on the skating rink, accidentally mixing garlic.
Huang Ming acted as a helper and used all his strength to break open the fat layer, sweat breaking out from his forehead.
"Dextran, dopamine in the pot, 20 drops/minute, walking in the lower limb channel."
"yes!"
"Elanocin, 0.4mg mixed with 50% sugar, give it intravenously!"
"Frusemide 40 mg, intravenously administered to the upper limbs."
"yes!"
To prevent pulmonary edema and to protect kidney failure, various drugs are injected into the patient's body.
"5% sodium bicarbonate 250ml."
"yes."
The purpose of injecting a weak alkaline solution is to prevent the body from ischemia and carbon dioxide retention, which will cause the body's pH value to become acidified and cause acidosis, leading to electrolyte imbalance.
If the acid-base balance is not controlled, the internal environment in the body will collapse. The human body has body fluids and bioelectric currents. When working in a neutral environment, it is important to correct shock, and it is also important to correct the acid-base balance.
"Antibiotics, dual combination of ornidazole and cefixazole, in large doses."
Anti-infection should be carried out at this time.
Fat embolism is not only difficult to remove, but also every detail of maintaining vital signs is very important.
Fat embolism is very dangerous, but not common. In Huang Ming's impression, the last time he was in a car accident, he was a patient who suffered a fracture.
I originally thought it was just a broken leg, but the condition progressed very quickly. Fat embolism caused cerebral obstruction, and I couldn't save it.
A surgery of this difficulty will be unforgettable once you encounter it.
"How are you? How are the patient's vital signs?" Zhao Yuan had already found the embolism.
The patient was lucky, the location of the fat embolism was relatively shallow, and he was rescued in time.
However, part of the lung was necrotic and had to be removed.
When the emergency surgery department encounters this situation, it usually needs to coordinate and apply for consultation with a doctor from the thoracic and cardiac surgery department.
Because Zhao Yuan was at the scene, there was no need to call the cardiothoracic surgery expert over. He could make his own judgment based on experience.
"The heart rate has dropped and breathing is stable. Blood pressure is 70/50mmhg." The anesthesiologist observed the patient's face while reporting the patient's vital signs.
"About 100 milliliters of urine can be seen in the urine bag, which is yellow in color. The venous channels everywhere are unobstructed." The equipment nurse began to report.
Zhao Yuan took a deep breath, as if making a big decision, "Perform partial lung resection."
When the lung tissue is intact, removal of a portion of the lung tissue may affect the patient's respiratory function for a period of time, but over time, compensation of healthy lung tissue can reduce the impact on lung function.
Doctors will make trade-offs when making any decision, trying to maintain a normal quality of life for patients after surgery.
When removing an organ, the first step is to find the artery. The artery must be ligated first because it cannot be touched.
For semi-fixed organs, the arteries are hidden in the gaps or fat around the organ.
To hold an organ in place, the arteries travel within the ligaments that hold the organ in place.
Huang Ming felt a rush of blood rush to his head, because Zhao Yuan raised the knife and dropped it, and a piece of tissue was separated.
Then came the dizzying seams.
What shocked Huang Ming was that there was no bleeding at all.
This is the superpower of top surgeons.
He raised the knife and dropped it, a cold light flashed across his hand.
Sew tightly to close bit by bit.
What should be done has been done, but whether he can survive or not, Zhao Yuan is also beating the drum in his heart at this moment.
"Send the patient to the intensive care unit for observation."
When does the patient wake up and come back from hell?
When encountering ordinary surgeries, doctors generally don't get much adrenaline surge.
This fat embolism first aid can be done!
Zhao Yuanzhen felt as if his adrenal glands were constantly secreting and even exhausted.
Judging from the mortality rate, it is slightly lower than that of aortic dissection and tear.
But with such a shocking mortality rate, if it were in a small hospital, most people would probably die.
Even if he survives, hemiplegia may occur.
After some people become paralyzed, they cannot return to their original state for the rest of their lives.
It is undoubtedly a cruel tragedy for a woman under thirty to encounter such a thing!
Of course, they got lucky.
Met Zhao Yuan!
Outside the operating room, my husband walked around anxiously.
The patient's parents were sitting in chairs looking haggard, and tears could be vaguely seen on the mother's face.
The reporter learned about the news materials and rushed to the scene. Seeing the appearance of the family, he wanted to go forward for an interview, but finally couldn't bear it.
When you are going through the troubles of life, separation and death, coming forward to ask questions is like rubbing salt into the wound.
Fan Ying has been waiting in the interrogation room for four hours.
Not only did the hospital's owner run away, several shareholders also disappeared without a trace.
In other words, this medical accident must be shouldered by oneself.
The more Fan Ying thought about it, the more pathetic she felt.
The compensation is just that, and I am still unemployed.
With such a dark history, how can you continue to live in the future?
Meng Hao's cell phone rang, and his eyes lit up, "It's Zhao Yuan!"
Fan Ying's eyes became brighter, hoping it was good news.
If the patient does not die, there may be a chance of improvement.
After answering the call, Meng Hao took a deep breath and said, "Good news, the operation was successful and Zhao Yuan saved the woman."
Tears rolled down from the corners of her eyes, and then Fan Ying let out a long breath.
After learning that the patient had been rescued, the owner of the plastic surgery hospital quickly contacted him.
Although a compensation has to be paid, the final result is acceptable, which is much better than owing a life.
Fan Ying walked out of the police station and glanced at Meng Hao.
"Thank you for always being with me."
Meng Hao smiled and said, "What does this mean? We are classmates. If one side is in trouble, there will be support from all sides."
Fan Ying lamented, "Zhao Yuan did not attend the second class reunion not long ago. In fact, I was very unhappy. At that time, I told other classmates that he was too arrogant."
Meng Hao was startled, "You have misunderstood Zhao Si. If I had become the director of a tertiary hospital at such a young age, I would definitely feel like I was floating when I walked."
Fan Ying laughed at herself, "After this incident, I suddenly realized that the quality of a person cannot only be judged by the present moment, but also by whether the other person can do their best to help you when encountering problems."
Meng Hao nodded, "Zhao Si is indeed a low-key and talented person."
Fan Ying paused and then added: "Before, I thought I was also a surgeon. After this incident, I found that I had tarnished this profession."
Meng Hao thought for a while and said softly, "You don't need to go through setbacks and completely deny yourself. However, doctors still have to focus on treating diseases and saving people. Driven by capital, plastic surgery has deviated from the original intention."
Fan Ying's eyes flickered and she made an important decision mentally.
