Chapter 183 Learn the experience of high difficulty and complex surgical experience, Director Hu's praise

Author: Jiangbianyu Weng

Chapter 183 Learn the experience of high difficulty and complex surgical experience, Director Hu's praise

After entering the surgery, he found that the patient had been lying on the operating table.

Different from the imagination, the patient adopts the 90 -degree lying position on the left.

This lying position is based on the surgical vision, location, and surgical content. It is by no means a constant supine position. Even Zhou Can once saw a maniac patient for general surgery and was pressed by several doctors.

On the operating table, forcibly put on a breathing mask for anesthesia.

Later, the patient was over, and returned to the ward, and tied his hands and feet directly to the bed with gauze.

Prevent him from being mad.

According to the needs of the surgery, the doctor will allow the patient to choose different lying positions.

In the surgery, in addition to Zhou Can and Dr. Wu, there are three nurses and one anesthesiologist.

Anesthesiologist is performing anesthesia for patients.

This preparation is generally carried out in advance. The nurse will enter the surgical room in advance to check whether the garbage is all handled. Then prepare the equipment and drugs required for surgery.

"Is it to give him anesthesia and double -cavity tube?"

Zhou Chan has never learned a professional anesthesia operation. It is just a lot of it. I can basically guess the anesthesia method of various operations.

Then the surgical rules need to be trained for a month.

At that time, I will definitely learn some high -profile anesthesia knowledge and specific operation methods.

"right!"

Anesthesiologist is a male doctor nearly 50 years old. He has a zombie face. He never smiles.

"Am I help you?"

Zhou Chan fancy is the experience value of two points for intubation.

With the increasing increasing department's training department, the number of insights is increasing, and a more sober cognition of the future trend of medicine.

Minimally invasive, endoscopic surgery is changing from new trends to mainstream.

Everything is preserved, not predicted to abandon.

In addition to practicing traditional surgery, Zhou Chan will spare no effort to improve higher medical skills as long as there is a chance.

"Let!"

The anesthesiologist is really like a golden character. In addition, there is no smile on his face, which makes it difficult to get close.

The official doctor is more easy -going than this person.

Zhou Can was not polite, helped to get instructed, upper breathing mask, etc.

The anesthesiologist saw that he was playing with the bronchial intubation. It was also a little surprised. He couldn't help but look at Zhou Can.

Nothing said, the two silently did all the preparations before anesthesia for the patient.

Zhou Chan retreated aside.

Not long after, Director Xue, Deputy Director Lu rushed to the surgery room with the surgery team.

"Yes, the patients have been anesthetized!"

Director Xue's personality was quite cheerful, and he smiled and exaggerated.

Then let the nurses of hand -to -hand help her wear aseptic gloves, check the patient's painting position, and the patient's signs, the test is correct, the operation begins.

"Who did conventional disinfection, who did it?"

"I!"

Answer to the Taiwan Tour Nurse.

"Remember to expand the range next time. I think you must be a frugal girl."

It was originally a criticism, saying from Director Xue's mouth, it is very happy to accept.

The atmosphere is also very easy.

The nurse girl smiled embarrassed.

"It is best to pave the towel before cutting, and then extend the right incision of the right and back."

Director Xue, while patient doctor under the teacher, surgery the patient.

Her movement is as stable as ever.

Zhou Can found that the vast majority of doctors in myocardial surgery, as long as the level is higher, the surgical style has inherited Director Hu Kan's "steady".

In addition to the stability of Director Xue, there is also the dexterity of the female doctor.

"Be sure to remember when cutting, not to be fast, but you should cut it layer by layer. Cut the skin layer first, then cut the subcutaneous tissue layer, and then cut the muscle layer. At this time, you can see the ribs.

Just cut the ribs. "

After speaking, she signaled Deputy Director Lu to cut the ribs.

"Then enter the thoracic detection through the 4th intercostal."

None of the chest on the chest is simple.

Zhou Can stood under the operating table and watched and learned carefully.

Basic skills have been practiced, but there is a good foundation. If you want to complete a large surgery independently, there are many things to learn.

In particular, the surgical skills and precautions are worth studying carefully.

Even if the lung lobe is also removed, the surgical method may be completely different.

This requires the surgeon to learn and learn and use it alive to achieve flexibility.

"There are three main targets of detection. To ensure that the chest wall and the lungs have no adhesion, no chest water, the specific location of the tumor on the lung lobe."

Each of the above three is very important.

In the middle and late stages of lung cancer, lung and chest walls are prone to adhesion. At this time, if you want to surgery, you must separate them carefully.

In fact, patients developing to this step are no longer necessary.

Most of the cancer cell metastasis has occurred.

Doctors with conscience, the cancer cells of the patients have spread, or have a wide range of diffusion. They have accumulated multiple organs and tissues in the chest cavity. They generally tell patients.

Time. If you use medication, it is mainly analgesic, which will improve the quality of life of patients with the advanced cancer as much as possible.

After investigation, the patient was very lucky.

There is no adhesion of the lung and chest wall, no chest water, the back of the upper lobe of the tumor, about 4cm in diameter.

Not particularly big.

The surrounding organs and tissues did not find tumors.

This is an ideal situation.

During surgery, because the surface pleural shrinkage is reduced. The tumor is close to the horn and is very close to the upper leaf trachea. There is no way to do local resection.

In addition, the upper interval lymph nodes are enlarged, and the unknown veins are involved. The pericardium can be visible to the obvious effusion.

Basically consistent with the results of the inspection.

Director Xue has an analogytic leaf division of the patient to ensure that the cancer cells are cleaned to avoid recurrence.

Looking at the pulmonary lobe, the tumor on it makes people feel numb.

Even if the doctor deal with blood and pus every day, when you see cancer tumors, you will still feel fear.

This is also a manifestation of life.

Ordinary people can feel fear only when they take the knife holder, and they realize that life is threatened.

Doctors know more about medical knowledge than ordinary people, knowing that human life is very fragile.

Even today, cancer is still synonymous with death.

The main thing is that there are no obvious symptoms in the early days of cancer. Most of the people in Huaxia are very frugal and do not like to do medical examinations. As long as the cancer is found, it is basically the middle and late stages.

In this point, developed countries have to do much better.

Their cancer mortality rate is low. It is not because their medical skills are many times more clever than Huaxia, but they are treated early and early treatment.

In the early stages of cancer, as long as it was removed and supplemented by chemotherapy, the satisfactory effect of cure can be obtained.

It's like a forest fire. When it was just burned, it was easy to extinguish.

When its fire becomes bigger, it spreads a long line of fire, and it will be difficult to extinguish it.

Director Xue's skills to remove the lung lobe, Zhou Can remember in his heart.

"Lympho is equivalent to the loyal guard of the body. When there is inflammation, it will be swollen when the cancer cell attacks.
To be continued...