lcionline Chapter 1675: A good cook cannot cook without rice
Chapter 1675: A good cook cannot cook without rice
Who would have thought that after Uncle Lang Zhipinlang was stabbed several times and came to the hospital, the entire treatment process would be so difficult!
It would be fine if the rescue process went smoothly, but now, it is like a good cook without rice. There is no equipment available. The key is that Uncle Lang is still in a lot of messy situations, which is completely beyond Li Xiangnan's expectations!
At this moment, he is facing the situation of esophageal rupture and leakage of gastric contents. If this situation is not handled properly, Mr. Lang will really get a serious infection!
"Doctor Zhang, Doctor Li," the current situation did not allow Li Xiangnan much room for reflection. He made a quick decision: "Prepare for repairing the esophagus immediately. One of you can do the gastrostomy!"
Zhang Zhicang was so frightened that his face turned pale. He dared not lie after hearing this. He wiped the sweat off his forehead and said, "Director Li, but... I'm an internist, and I'm in charge of endocrinology. I've never performed such a major operation..."
Seeing Li Xiangnan turned his head to look at him, Li Juji also waved his hands quickly and said stiffly: "Director Li, our hospital usually does not perform many major surgeries. Generally, if we encounter something that we can't handle, we will recommend that they go to a large hospital! I have few experiences with such surgeries. I can perform them, but..."
"It's okay!" Li Xiangnan could only take a deep breath.
Not only is the equipment not up to par, the medical skills are also not up to par.
It’s not that Uncle Lang doesn’t want to live. I’m afraid that for him at that time, being able to find Fangzhang Hospital was the best and optimal solution he could do!
"You don't know how to do it. Let me teach you!" Li Xiangnan waved his hand, suppressing the uneasiness that was gradually rising in his heart.
Gastrostomy technology is not difficult. Li Xiangnan is a general practitioner, so this kind of operation is easy for him. In the next hour, the doctors and nurses of Fangzhang Hospital really saw what real medical skills are.
While Li Xiangnan was performing delicate esophageal repairs, he also did not forget to instruct the two doctors who served as his assistants and taught them the gastrostomy technique.
Not only that, he also has to pay attention to Uncle Lang's vital signs at all times!
This is just like marching and fighting. Sometimes the excellence of a single individual cannot bring a huge advantage to the entire battlefield!
Teamwork is always the best way to maximize profits.
Quantitative change leads to qualitative change, which can be well reflected in this aspect.
If one person is excellent and motivates a group of people to be excellent, then this team will be stronger than other teams in its shortcomings.
"Attractor... yes, go this way, slowly, don't rush, just like that, hold steady, yes..."
"A certain amount of space must be left for the gastrostomy opening, but it cannot be too large, otherwise the patient will experience other symptoms!"
"Pay attention to your blood pressure, it's dropping again. Speed up the blood transfusion!"
In the operating room, Li Xiangnan's calm voice was heard from time to time. There were no other questions, discussions, or surprises at the scene, only the sound of him controlling everything.
In addition, there are the sounds of various instruments and scalpels working together.
The doctors and nurses of Fangzhang Hospital also went from being nervous, nervous and uneasy at the beginning to becoming focused and serious. Finally, they were completely immersed in this game with death.
When the esophageal repair was finally completed and spit out from Li Xiangnan's mouth, the sky was already bright, the morning sun had already shone through the window, and the whole room was under bright and hopeful sunlight!
Before they knew it, they had been working on the rescue mission in this small and crude operating room all night!
A full four hours!
Everyone is exhausted!
"Prepare to close the chest!"
When Li Xiangnan gave instructions to the sweaty Zhang Zhicang, his tone was full of fatigue!
"Great!"
The nurses immediately exclaimed, unloaded their bags from the night before, breathed a sigh of relief, and prepared to count the equipment.
Zhang Zhicang and Li Juji studied all night, and now they felt that their stomachs were full of medical knowledge that would benefit them for the rest of their lives, so they took the initiative to take on the suturing work!
But just when everyone thought the most dangerous moment had passed, the intensive care unit sounded a shrill alarm again!
"Ventricular fibrillation! Dean Li!"
The anesthesiologist who had been standing by the instrument stood up and exclaimed.
Li Xiangnan turned around abruptly and looked at the monitor. Uncle Lang's heartbeat and blood pressure were fluctuating violently.
"Defibrillator! 200 joules!"
He shouted subconsciously.
At the same time, it also acknowledgment that Fangzhang Hospital has this equipment!
When he shouted these words, he was a little worried, fearing that Fangzhang Hospital had not purchased this kind of equipment!
Even the look he gave Zhang Zhicang was full of questions!
"Okay, Dr. Li, hurry up!"
When these words came out of the other party's mouth, Li Xiangnan didn't know what was going on, but he felt a little relieved!
This Chunyu defibrillator is the result of his hard work for more than half a year. Now he has finally built a production line and has also put thousands of devices into Yanjing. If Fangzhang Hospital doesn’t even have this, it would be a slap in the face!
fortunately!
Fortunately, your hospital still has this kind of thing!
I don’t have any equipment, but I do have this!
Li Xiangnan felt that he was about to cry with excitement!
There was no difference in the defibrillation. Fangzhang Hospital had obviously taken the early defibrillation technology training very seriously. After the electric shock, Mr. Lang's blood pressure did recover a little.
But Li Xiangnan noticed that Mr. Lang had ventricular tachycardia again.
This is not a technical deficiency of the two doctors, Zhang Zhicang, nor is it a problem with the defibrillator. The recurrence of this situation is a typical manifestation of severe myocardial ischemia.
"Use lidocaine!" Li Xiangnan waved his hand and issued the order for who knows what, "Prepare for the intra-aortic balloon pump!"
As he said this, his heart trembled subconsciously, and he looked at Zhang Zhicang.
"..."
From last night to tonight, Zhang Zhicang had no idea how many times he had faced Li Xiangnan's disappointed look.
at this time.
Being looked at by those helpless eyes again, Zhang Zhicang felt guilty and helpless, and could only speak the truth:
"Dean Li, we...we..."
Li Xiangnan's brows twitched. In all his years of medical career, he had never felt so helpless!
If Uncle Lang can't pass this level, he might really die!
"You guys..." Li Xiangnan dispelled the complicated emotions in his heart, patted his chest, raised his hand to wipe the cold sweat from his forehead, "Are you sure you don't have that kind of equipment?"
Zhang Zhicang didn't dare to speak and lowered his head in shame.
Li Juji shook his head and sighed, "President Li, go ahead and scold me if you want!"
Bang!
Li Xiangnan slammed his fist on the operating table and gritted his teeth, "Damn it!"
The morning sun shone through the operating room window, casting cold shadows on the floor.
Although Li Xiangnan tried every possible means, Lang Zhipin's vital signs became increasingly unstable.
Subconsciously.
Li Xiangnan turned his head and looked at the door of the operating room.
There, Guo Qian was pressing his face against the glass door, looking into the room.
Although the other party could not hear the conversation clearly, Li Xiangnan believed that Captain Guo must have felt his emotions.
"Xiao Li, he's going to die, right?"
Li Xiangnan saw Captain Guo speaking with his mouth.
"..."
He pursed his lips, not knowing how to speak. He could only silently grab Uncle Lang's hand and said, "Uncle Lang, if you can hear me, please cheer up. I want to... hear you talk about my grandmother, Mu Huanying."
"..."
On the hospital bed, Lang Zhipin's eyelids moved.
Li Xiangnan suddenly grabbed the pair of hands that were like dead branches.
"Mr. Lang? Can you hear me?"