MTL - Doctor’s Life Simulator-Chapter 45 Does this work too? How Sacred Dr. Zhou

After Wu Youtu went to confirm the operating room where Qin Lang was located, he rushed over in a hurry.

At this time, Qian Liang was also tired and just got out of an operation, and happened to see Wu Youtu who was anxiously outside.

"Mr. Wu, is this another serious patient treated? Do you want me to help? I just completed an eschar decompression surgery here."

Seeing Qian Liang, Wu Youtu glared at him directly, and said angrily, "Didn't you take Qin Lang and Cheng Yunfeng with you? That's how you arranged your group's tasks."

Qian Liang thought that Wu Youtu blamed him for letting Qin Lang perform eschar decompression surgery alone, so he explained:

"Director Wu, in principle, with Qin Lang's qualifications, he should not be allowed to operate alone. However, his clinical talent is too good. I observed him for a while and confirmed that he was fine before letting him operate alone. Moreover, it is indeed urgent to follow the right now. One more person who can operate alone will have one more chance to treat the patient."

"If you don't worry, we'll rush over together now. It's just that the operation of this stinky boy is fast and good. It may be over."

Qian Liang scratched his head, not knowing whether it was joy or sorrow, after all, even he himself did not have such a level.

Hearing Qian Liang say this, Wu Youtu became more and more angry: "If it's just eschar incision and decompression, I can rest assured with his ability. But this stinky boy has completed the eschar incision and decompression that you arranged. After the surgery, I happened to meet Zhao Qiufang, a tiger girl, who was desperately ill and went to the doctor, it was a tracheotomy!"

"Oh, I'm also my fault. Usually, Qin Lang is too laissez-faire. It caused him to bring the stinky problems of the general practitioners in the community hospital. He can order everything, and dare to go on anything!"

"What, a tracheostomy!"

Hearing that Qin Lang had received another patient who underwent tracheotomy, Qian Liang also broke out in a cold sweat.

Even he needs to be guarded by Wu Youtu before he dares to perform this operation carefully. Moreover, in addition to the tracheotomy itself, the follow-up sputum suction intervention is also the top priority of this operation.

Speaking of which, phlegm-sucking intervention can be said to be a shadow of Qian Liang.

For the first time, he performed sputum suction intervention. He used conventional negative pressure suction to **** out respiratory secretions and improve the patient's respiratory plunger. However, this method penetrates into the airway and is very easy to encounter. resistance.

His first time was because of resistance, unable to move forward, unable to perform deep suction treatment, resulting in poor patient intervention.

After that, the patient had persistent rales in the lungs, and the sputum was highly viscous, and then suctioned the sputum again. After repeated operations several times, it was still jerky, and it always returned with a feather, which caused the patient's airway and tracheal wall to be stimulated, resulting in The infection almost endangered the patient's life.

Therefore, every time I think of the first time I was downcast, Qian Liang couldn't lift it up...holding pliers.

"Then let's hurry over, we can't let Qin Lang have an accident."

With a dark face, Wu Youtu waved his hand, obviously very dissatisfied with Qian Liang.

The two were soon ready and entered Qin Lang's operating room.

When they entered the operating room, both were stunned.

It only took a while, Qin Lang had already completed the entire tracheotomy, and a Vaseline oil gauze had been padded under the tracheal cannula.

After walking in, with their eyesight, they naturally found that Qin Lang's completion was very high, especially the even and beautiful sutures at the wound.

They were about to speak when they saw Qin Lang's focused voice, and the medical staff in the operating room were also busy cooperating, for fear of missing Qin Lang's instructions and dragging their feet.

"...saline plus chymotrypsin, antibiotics...holding forceps, suction tube, synchronized preparation..."

"...increase oxygen inhalation, increase the partial pressure of oxygen in the alveoli..."

Qin Lang's instructions were very clear and absolutely calm.

Qian Liang on the side couldn't help but ask: "Mr. Wu, I can understand the forceps and suction tube. Why does Qin Lang need normal saline plus chymotrypsin and antibiotics?"

Wu Youtu squinted his eyes, but he was a little surprised, because it was exactly the same judgment he made after observing Ling Sheng's situation.

It's just, why is Qin Lang such a little guy so experienced.

Originally, he wanted to stop Qin Lang's operation immediately, but Wu Youtu changed his mind when things came to an end.

Instead, he motioned Qian Liang to watch and explained:

"Because the patient's respiratory tract has been in a dry environment after the operation, it is very easy to breathe again, difficulty and suffocation. Therefore, it is necessary to inject normal saline, chymotrypsin and antibiotics into the tube, which can improve the local environment. Smoother suction of secretions.”

Hearing Wu Youtu's explanation, Qian Liang nodded again and again and wrote it down carefully. This kind of oral teaching is also the experience of actual cases, and it is a doctor's most valuable asset.

Basically, if you have experienced this kind of experience once, the next time you encounter such a situation, you will be able to calm down.

It was extremely frightening to think about it, so how did Qin Lang solve it so calmly.

Qian Liang thought in his mind, Doctor Zhou, the community leader who Qin Lang has been talking about, is it possible that it was taught by Doctor Zhou again?

Don't community hospitals train general practitioners? When will they become omnipotent doctors?

Under the amazement of Qian Liang and Wu Youtu, Qin Lang had already started routine sputum suction intervention.

Hold the object forceps in the right hand, clamp the suction tube, and try to send it into the airway without negative pressure first.

It has to be said that Qin Lang's operation is still very standard, but due to the special situation of the patient, it happened to encounter the most common problem, that is, encountering resistance.

After Qin Lang tried a few times, he retreated the suction device and started to turn on the negative pressure suction. However, the patient's condition was very bad. When Qin Lang was sucking sputum, his face became abnormal and he coughed directly. stand up.

"No, the patient's oral mucosa has been damaged, and the protective barrier in the oral cavity no longer works, resulting in a large number of bacteria in the oral cavity, resulting in a lot of secretions. The necrotic mucus and sputum cannot be discharged immediately. Now Qinlang adopts Negative pressure suction **** out the oxygen-containing gas in the patient's lungs, resulting in hypoxia and coughing."

Wu Youtu's face changed greatly, and the patient's condition obviously exceeded expectations:

"Qin Lang, hurry up and stop the routine sputum suction intervention, this patient can no longer operate in this way."

"The patient's lung infection is serious, and now the mucosal villi in his airway have lost their cleaning effect, and there are too many secretions and foreign bodies in the airway, which have begun to affect the alveoli. Once the alveoli shrink, the bacteria multiply and cause infection. The immunity is far weaker than that of ordinary people, and if the invasive operation of routine sputum suction is performed again, it will be very easy to spread the bacteria attached to the cannula to the deep part of the patient's air bubble, resulting in exogenous infection."

When Wu Youtu analyzed like this ~www.novelbuddy.com~, Qian Liang's expression changed greatly, how could he be so unlucky.

In the operating room, the rest of the medical staff also became nervous.

"Qin Lang, give me the pliers, and I will perform the improved sputum suction method."

"Qian Liang, listen carefully. This is the phlegm-sucking method improved by Director Wei back then, and it can be regarded as an unspoken secret of the characteristics of the burn department of our city's first hospital."

Wu Youtu quickly shared his techniques and experience, which is both teaching and inheritance:

"... Wear sterile gloves on the right hand, thumb, index finger, and **** when sucking sputum. If holding a pen, pinch the position of the lower end of the suction tube 10CM, and gently send it into the tracheostomy tube without negative pressure. Reach the bulge of the tracheal bifurcation, stop for a while, press the side hole of the suction tube with the thumb of your left hand, and perform micromanipulation to form a negative pressure, so as to reduce the stimulation as much as possible without sucking out the oxygen in the lungs.”

"After that, it all depends on experience and techniques. Use the thumb, index finger, and **** of the right hand to twist and rub the suction tube 180° and slowly pull it up. The control time is no more than 15 seconds."

When Wu Youtu was talking about the improvement operation, Qin Lang was thinking fast in his head. Under the advanced tracheotomy, Qin Lang naturally understood it at one point.

It's just that, faintly, he seems to think that this is not the best solution.

[Ding, the host Fuzhi's spiritual skill is activated, at the moment, you have thought of a sputum suction plan that is more in line with the patient's injury: the airway flushing and sputum suction method! 】

Just when Wu Youtu was about to replace Qin Lang's main knife and practice the improved phlegm suction method, Qin Lang turned his head abruptly:

"Dr. Wu, I encountered this situation when I was in the community hospital. At that time, Dr. Zhou taught me a better plan, the airway flushing and sputum suction method, which is more suitable for Ling Sheng's current situation."