Chapter 412: with translation of chapter title
"Oh." Zheng Ren uttered an oh that had no nutrition.
Su Yun only now saw that Xie Yiren had a basin placed beside her, the basin filled with ice water.
Is this… already a rib clamp applied?
He originally wanted to go scrub in, but suddenly realized Zheng Ren was fixing the ribs, he forcibly stopped his steps, peered around, and glanced at the operating field.
Three ribs have already been fixed; this doesn't matter, even if not fixed, the patient would just suffer a bit more, feel uncomfortable for a few days.
The key is how the patient's lungs were handled.
The rib fixation device had been removed, the automatic Retractor taken down, Su Yun glanced and saw nothing.
"Boss, how was it done?" Su Yun glanced around, saw nothing abnormal; if a lung lobe had been cut off, it would definitely need to be sent for pathology.
"Suturing, you just said that yourself." Zheng Ren answered as a matter of course.
"……" Su Yun was speechless.
"Scrub in, come up." Zheng Ren said.
"Do you still need me? What's the point of going up or not?" Su Yun routinely started spraying.
Yun Ge'er sprays people, not asking reason, only looking at mood.
When in a bad mood, he sprays a few sentences.
When in a good mood, he also sprays a few sentences.
If it were an ordinary person, this personality would indeed be the most unwelcome kind.
But Su Yun is talented and temperamental; no matter how unwelcome, he can't be denied because his skill is high.
Otherwise, in Di Du, peers his age still get along well with him.
Drinking gatherings never cease; as long as he wants to drink, countless people will treat him.
Zheng Ren ignored Su Yun's words, continued the surgery, fixing the patient's ribs.
Su Yun also routinely talks back; when speaking he puts no heart into it, while talking he goes to re-scrub, then puts on his clothes, and goes up.
After going up, Su Yun shoved his hand into the patient's chest cavity, feeling the right lower lung.
Feeling the thickness of the double-stranded No. 7 line, feeling the use of world-covering "8"-figure suture, Su Yun fell silent.
How is this the same as what I thought? After all, am I from thoracic surgery, or is this guy Zheng Ren from thoracic surgery?
From a thoracic surgery professional standpoint, Zheng Ren's guts are really too big.
Su Yun had just pondered for a long time; even when communicating with the patient's family, he was also thinking about how to deal with those two "blood-basin big mouths".
As a result, Zheng Ren's approach was the same as his idea.
Is this guy really from general surgery?
While fixing the ribs, Su Yun meanwhile glanced at Zheng Ren with the corner of his eye.
Zheng Ren was wholeheartedly fixing the broken ribs, undistracted.
Fixing ribs is nevertheless a major task.
It's not about how difficult the operation is, but rather a large incision requires placing clamps on both ends of the fractured ribs above and below; the visual field is especially narrow, especially the second rib above and the ninth rib below.
After 30 Minute, the rib fracture fixation was completed, they re-confirmed no ongoing bleeding in the chest cavity, and the two began to close the chest.
"Su Yun, you must pay attention to suctioning sputum." Zheng Ren cautioned.
The so-called sputum is just respiratory tract secretions; Zheng Ren didn't explain it clearly, because it wasn't necessary. This patient postoperative needs to suction out all the blood in the respiratory tract, lest it solidify into blood crust.
"Don't worry, I said I'd go to the ICU to watch for one Evening, just to suction all the blood out of the respiratory tract clean." Su Yun said: "If following the normal patient treatment process, the patient's postoperative respiratory Function would likely lose at least 40%."
"Mm, tonight will be hard work."
"That's what you say." Having said that, Su Yun glanced at Xie Yiren beside him, and gave Zheng Ren a look.
He silently asked whether Zheng Ren had any progress.
This guy, really too gossipy.
Zheng Ren was speechless, nodded, then shook his head.
Su Yun shook his head, the corners of his eyes brimming with a smile.
Postoperative, the patient woke from general anesthesia and was sent to the ICU.
Cao Guozhen followed the whole way; he was truly afraid. As for Su Yun's those retorts to him, they don't exist at all, completely unimportant.
If it weren't for these two young masters from the Emergency Department, Cao Guozhen would probably have bitten the dust in this lifetime.
Even if he didn't die, he'd still have to lose a layer of skin.
After the patient was sent to the ICU, the ECG Monitor showed sinus rhythm, rhythm regular. Blood pressure also recovered to 120/72 mmHg, blood oxygen saturation was 94%.
Such values are already quite satisfactory.
If there were no special circumstances, the patient would be considered alive.
But Su Yun was very solemn; upon arriving at the monitoring room, he fetched the hardest kind of suction tube, personally began to operate, and suctioned the patient's sputum.
This specially made suction tube is only stocked in the ICU; elsewhere it's not usable.
Because it's hard, the suction tube stimulates the respiratory tract, causing the patient's respiratory tract to spasm violently, letting the blood crust that had begun to solidify inside be sucked out.
During surgery, this equipment absolutely cannot be used. Moreover, after surgery all rib fractures are fixed, so there is no risk of the patient coughing violently, causing thoracic deformation, which could puncture the lung and lead to secondary hemothorax.
Seeing the dark red blood crust appear in the suction tube, Su Yun finally relaxed.
Because treatment was timely, the blood in the respiratory tract had just begun to clot, and the amount was not large.
As for bleeding at deeper locations, if it can be sucked out, suck it out; if not, then only rely on the body's Function to absorb it.
"I'm leaving." Zheng Ren saw the patient's condition stable, the pooled blood also sucked out, feeling reassured he flicked his sleeve and prepared to leave.
Su Yun didn't even look at Zheng Ren, impatiently waved his hand like shooing away flies.
"Chief Zheng, thanks for today's affair." Cao Guozhen followed behind Zheng Ren, trotting along, speaking softly.
Zheng Ren smiled and said, "Chief Cao, you're too polite."
Cao Guozhen is the type of person who knows what's going on in his mind; if it were someone with insufficient Technique level, they wouldn't even know what they just experienced.
"Another day, let's have a meal together." Cao Guozhen clasped his fists, full of gratitude; saying more is useless.
Leaving the CIU, the two went their separate ways.
Zheng Renye also didn't communicate with the patient's family; with Su Yun there, Zheng Ren felt he didn't need to do anything.
While walking, he sent a WeChat to Xie Yiren.
He glanced at the time; it was already past ten, going out again to play seemed not very suitable.
After all, it's better for girls to stay up late as little as possible.
The nature of work is like that; that's unavoidable. Moreover, Su Yun is still in the ICU caring for post-operative patients; at night there are emergencies like appendicitis, requiring me to rush over to perform surgery.
Go back and rest early.
Moreover, tonight Chu Yanran will follow along to Xie Yiren's place to find a place to sleep; if we want to do any other activity, it's also not very convenient.
Going home with Xie Yiren and Chu Yanran, Zheng Ren recalled walking hand in hand with her on the street, his heart overflowing with sweetness.
After saying goodbye, Zheng Ren obediently took a bath, then chatted with Xie Yiren for a while, exchanged good nights, and fell into a deep sleep.
The next day, arriving at the Hospital, Zheng Ren went to the ICU before shift change to check the condition of yesterday's post-operative patient.
The patient was completely fine, but complained that he hadn't rested well all night, constantly suctioning phlegm.
He glanced at the nursing record, estimating that about 400 ml of black blood clots and non-coagulated blood had been suctioned.
Su Yun in the ICU really is the one holding things down; if the surgeon weren't present, which nurse would dare to suction phlegm every twenty minutes all night?
Suctioning broke the tracheal wall; whose fault is it?
Sought the opinion of Director Qian of the ICU; yesterday's post-operative patient and the patient with a cardiac knife wound were both transferred back to the Emergency Ward.
……
……
Chapter 404 looks scary. Here, thanks to classmate Dali, this patient post-op suctioned blood clots all night.
End of Chapter
