"What's going on..." He trotted to the No. 3 operating room and looked at Zhuang Shu, who had opened the abdominal cavity and was concentrating on removing the patient's gallbladder. Lin Yi stood beside him and asked in a low voice while ensuring that he would not disturb his next move. "It must be said that Zhuang Shu is the best surgeon in the emergency department." "His experience, technique, strength and other aspects are at least one level higher than the original doctors in the emergency department such as Lu Chenxi and Zhong Xibei..." After seeing the surgical field of the patient opened by Zhuang Shu, Lin Yi had to sigh like this... Fang Xiaoran, Lu Chenxi, Zhuang Shu and Zhong Xibei entered the No. 1-4 operating rooms of the emergency department respectively and became Lin Yi's deputy surgeons. Because the operation had just started in the morning, the first wave of patients were sent to the four operating rooms almost at the same time without any order. Even if Lin Yi was already in the No. 1 operating room, he assisted Fang Xiaoran in completing the main part of the operation for the first patient. In addition to two thorough hand washing and disinfection, the total time was less than 20 minutes.
Even if Lin Yi went into the operating room where No. 2 Lu Chenxi was right away according to the original plan, the patient's abdominal cavity could not be opened to the same extent as Zhuang Shu, who was almost finished. Although this sea turtle doctor is a bit cold and arrogant, his skills are really impeccable... If Lin Yi hadn't activated the system, the biggest plug-in, even if he had lived two lives as a human and two lives as a doctor, his experience would still be a little worse than that of Zhuang Shu now. It has to be admitted that being a doctor is also a very talent-based profession. Otherwise, most doctors would not have worked diligently all their lives and ended up in obscurity... "The patient is relatively old and has long-term hypertension." "Before the operation, all physical indicators were normal, and there was no problem in completing the gallbladder operation." "But after I completely opened the patient's abdominal cavity according to your incision line, an accident happened." "The patient was pale, his limbs were cold, his blood pressure dropped rapidly, and his heartbeat was extremely unstable." "In view of the insufficient equipment conditions in the emergency department's operating room, I can only look at the results of general examinations such as echocardiography and color ultrasound, combined with my experience." "The patient is very likely to have type A aortic dissection..." After completing the last action in his hand and putting the scalpel back on the tray. Zhuang Shu, frowning, began to report the emergency situation encountered during the operation to Lin Yi in detail and with emphasis. No doctor wants to encounter any accidents outside the surgical plan during the operation. But since it has been encountered, it should be faced positively and solved with the most reasonable medical method. Complaining and being nervous can't solve any problems... "These are just my most likely judgments based on my own experience." "If you want to make a thorough diagnosis, I still recommend that the patient undergo a comprehensive vascular enhancement imaging examination." "And use the simplest stent implantation surgery to find and block the rupture in the patient's blood vessels. There is no related auxiliary equipment in the emergency department operating room..."
"So I suggest that the gallbladder cancer surgery should be done quickly, and it is best to use the cardiothoracic surgery room and perform a joint surgery immediately..." This is the best response plan that Zhuang Shu can think of at this time. He is good at cardiothoracic surgery. Whether it is surgery or intervention, he is sure to completely solve the aortic dissection in the patient. However, a good cook cannot cook without rice! The lack of professional cardiothoracic instruments and equipment in the emergency department operating room left Zhuang Shu with a lot of skills but no place to display them... "Let me take a look first!" After signaling Zhuang Shu to give up the position of the main surgeon, Lin Yi immediately stood over. Without a thorough diagnosis, he couldn't make any comments on this situation... [Tip: The patient's aortic rupture is very serious. The surgery should be completed within 1 hour, and the postoperative recovery effect is best...] Just as Lin Yi put his hands on the patient's chest and pretended to explore step by step. The system prompt also appeared immediately, confirming Zhuang Shu's general diagnosis. "Confirmed: The patient is indeed a serious thoracic aortic dissection. The joint surgery must be performed within an hour." "Huh... It's really aortic dissection!" After hearing Lin Yi's accurate diagnosis, Zhuang Shu breathed a sigh of relief. In the operating room with imperfect equipment and mainly relying on experience, he was not 100% sure of his judgment. Lin Yi's affirmation of his judgment was also the highest affirmation of his medical skills... Although Lin Yi did almost nothing, he just pressed the patient's chest a few times. But Zhuang Shu, who had been following Lin Yi for a while, no longer dared to have any doubts about Lin Yi's diagnosis. The other party has used the accurate diagnosis facts of countless patients to tell the members of the research team and all the medical staff in the emergency department. No matter how unreasonable and careless Lin Yi's diagnosis method is, there is no possibility of misdiagnosis. Now Lin Yi said aortic dissection, so the patient must have this disease... "Doctor Lin, what should we do next?" "Call the relevant equipment to the emergency department operating room. I'm afraid it will take too much time." "Transfer the patient to the cardiothoracic surgery room. We must immediately coordinate with Director Cui..." Since the patient has been diagnosed, the biggest problem next is the surgical plan. But no matter how you look at it, it is almost impossible to complete this operation in the emergency department operating room within an hour. Transferring the patient to the cardiothoracic surgery room is definitely the best choice, but the conflict between Lin Yi and Director Bai has become known to the whole hospital. Zhuang Shu could only remind Lin Yi implicitly that in order not to delay the patient's condition, it would be better to coordinate with Director Cui, which would be safer...
"In this way, you should communicate with the patient immediately." "Try to get the patient's family to sign the joint surgery consent form within 10 minutes." "As for the form of surgery the patient will take next and where to perform the surgery, I will consider it and make a decision..." Looking at the 60-year-old patient on the operating table, Lin Yi was indeed a little overwhelmed. If the other party was younger and had better physical fitness, he could have completely replaced the problematic blood vessel by opening the chest in the emergency department operating room. But the patient's physical fitness was not suitable for combined abdominal and chest surgery. Even if the operation was barely completed and there was no problem with the operation itself, no one could guarantee the postoperative recovery effect... "The minimally invasive surgery of vascular stent placement proposed by Zhuang Shu is indeed the most suitable choice for the patient at present." "But must it be completed in an operating room outside the cardiothoracic surgery room?" In any case, Lin Yi would never transfer the patient to an operating room outside the cardiothoracic surgery room for surgery. The emergency department still wants to vigorously treat heart patients. Isn't this a slap in the face...