Chapter 10 Gastric Perforation
"Yes, Director." When the four of them heard about writing the surgical plan for gastrojejunal anastomosis, they felt a pain in the four of them.
According to Zhang Haoyu’s previous experience, if he doesn’t write well enough, he will probably be deducted points.
"Yeah, go and do it."
After Liu Junchi left, Huang Hongwen hung his face and said, "What should I do? I feel like I'm going to be deducted points again!"
"Don't talk about you, I'm also worried. I've been deducted 40 points. I've been here for a month and wrote 7 surgical plans, three of which were deducted points." Zhang Haoyu said speechlessly.
"Doctor Zhang, you are not even sure about the attending doctor, so we must be dead." Zhou Tianlei said with a wry smile.
"Let's talk about it then!" Ruan Bin was also irritated. This Liu Junchi is so stern. If a person like this, his wife will be sorry for him if he doesn't cheat.
Several people complained and continued to be busy with the matter at hand.
Gradually, more and more patients came from the emergency department.
There are also more patients who need surgery.
At noon, Ruan Bin took a few videos of the surgery teaching of this hospital while he was resting and started watching it. He was just like verifying whether his system would unlock new [vocational skills] for himself when watching the surgery through the video!
He saw these secondary operations: [partial thyroidectomy], [simple thyroidectomy], [partial (section) resection of the ru gland], and [perforation repair of gastric or duodenal ulcer].
I have to say that the surgical level of these teaching videos is really high, at least they are performed at the director level. It is much better than the surgical videos he studied in a city hospital last time!
After watching these surgery teaching videos in one breath, he quickly turned on the system.
"Krypton Gold Medal Medical System"
【Host: Ruan Bin】
【Occupation: Doctor】
【Vocational Skills】:
1: Superficial trauma debridement suture: Expert +
2: Great Saphenotomy: Expert +
3: High saphenous vein ligation: Introduction +
4: Appendectomy: Not introductory +
5: Benign tumor resection of the body surface: Introduction +
6: Incision and drainage of superficial abscess: Introduction +
7: Gastric jejunal anastomosis: Not introductory +
8: Partial Thyroidectomy: Not introductory +
9: Ru Atrial Simple Excision: Not Introduced+
10: Ru gland partial (section) resection: Not introduced+
11: Perforation repair of gastric or duodenal ulcer: Not introduced+
Points: 2000 (Friendly reminder: you can get points by completing system tasks, and you can get points by recharging money.)
System task: 1: No points will be deducted for one week (not completed).
"Damn it, it's really OK! Hahaha... it's so cool." Ruan Bin was very surprised and surprised.
In this case, as long as he has money, he can learn any surgery in the future!
afternoon.
The emergency department is getting busier and busier.
Almost most doctors and nurses are busy.
"Huh~ I'll get off work in an hour." After sewing a patient's wound, Ruan Bin finally had time to drink water.
I didn't take a few sips.
Outside, another medical staff and a woman who looked like a family member pushed a male patient lying on the hospital bed and rushed in.
"Doctor, doctor, help, help!" The woman in her thirties sobbed and shouted.
"What's wrong?" Ruan Bin put down the water cup in his hand and walked over immediately.
"My husband had dinner with the customer last night. In order to get the order, he fed a bottle of 54-degree white wine alone. When he came back, he vomited four or five times, and then he got drunk."
"The next morning he didn't go to work in the company, and he had abdominal pain, dizziness, nausea and vomiting. We all thought he drank too much last night and just took a break. But the situation became more and more serious... I almost fainted several times..." The woman quickly explained the specific situation.
When Ruan Bin heard this, he frowned.
Generally speaking, this situation is most likely because of drinking stomach perforation!
Your sister, if you can’t drink enough, you have to drink a bottle of 54-degree white wine in one mouthful, and you’re looking for death!
However, it can be seen that the other party is working hard for life. I have to say that this fucking society is cruel, why don’t he?
"I guess it's a stomach perforation!" Ruan Bin said.
"Ah? Stomach, stomach perforation?" The woman was shocked after hearing this. After all, the people don't know much about medicine. When they heard about stomach perforation and organ rupture, would you say that you wouldn't be scared to death?
"What's the situation?" At this time, Zhang Haoyu, who was just finished, also came over.
"The patient may have stomach perforation..." Ruan Bin recounted the patient's condition again.
"Well, I also think it may be a stomach perforation. Let's do a B-ultrasound first, and the result will be known in more than ten minutes. Hurry up, send it to do a B-ultrasound first." Zhang Haoyu said. If it is a stomach perforation, then the surgery will be required immediately.
This is undesirable.
The longer it delays, the more serious the abdominal infection will be.
The other party drank last night, maybe the stomach had perforated last night, maybe this morning. However, the time must have been quite long.
After more than ten minutes, the B-ultrasound result came out, and it was really a stomach perforation.
"The surgery is necessary immediately! It is estimated that the patient's stomach perforation will take about 12 hours." Ruan Bin said in a deep voice. Generally, gastric perforation must be performed within at least 6 to 12 hours after the perforation.
Because the longer the delay, the more serious the infection will be. Then it will be troublesome!
"Okay, let's have the surgery. I'll call Deputy Director Liu or Dr. Chen." Zhang Haoyu hurriedly wanted to find someone to do the surgery.
"Doctor Zhang, can't you do it?" Ruan Bin was stunned. The perforation repair of stomach and duodenal ulcer is just a secondary surgery. Zhang Haoyu is the attending physician, so it should be possible?
"Uh... Although I am the attending doctor, I am also here to study. The hospital I am staying at is also a small hospital in the county. I have seen gastric perforation surgery. I did it, well, I have done it once or twice, but I am not proficient enough. At the beginning, under the guidance of my superior director, I was halfway through my superior director..." Zhang Haoyu said with a red face.
"Uh... OK." Ruan Bin felt embarrassed. The relationship was that Zhang Haoyu had half a bucket of water. No, it should be that half a bucket of water was not enough. Of course, he didn't dare to do this surgery alone.
After all, it is impossible to test the patient's lives!
Generally speaking, if you are not skilled in a certain operation and are not confident enough, then you will definitely not be able to take the surgery. Of course, it does not mean that you cannot do the surgery, but you must do it under the on-site guidance and supervision of your superior doctor. In case of any problem during the operation, the superior doctor can correct it in time or perform the surgery on you in the times.
Chapter completed!