Chapter 228
"Didn't the director come to the department today?"
Xiao Chenguang was doing preoperative ward rounds and found that Lao Wang was not in the department, and he couldn't help but feel a little confused.
Wang Jingang is now the director of the general surgery department. Although he rarely participates in the operation and management of the department, he will still participate in the general surgery ward rounds on the weekly surgery day.
"Director Wang saw that you came back too late last night and wanted you to rest more in the morning, so he put his operation first."
Lin Gaoyang explained.
"Oh, I was wondering why I didn't see him so early in the morning."
Now that the general surgery department has developed laparoscopic technology, there are many patients who come to the hospital for surgery. Although most of them are looking for Xiao Chenguang for surgery, there are also some old patients who will ask Wang Jingang to do surgery.
After all, Wang Jingang has been the director of the general surgery department for so many years, and his technology and reputation are there.
"When the director steps down, we should also prepare."
Just as Xiao Chenguang finished the preoperative ward rounds, a sharp bell suddenly came from the nurse station.
Xiao Chenguang's heart instinctively skipped a beat, as if something bad was going to happen.
"Director Xiao, we're having a consultation on the stage. Director Wang wants you to go over."
The nurse's slightly anxious voice came, and the call was hung up quickly, but one could feel the anxiety inside.
"Right away!"
It was rare for Lao Wang to have a consultation on the stage, so Xiao Chenguang didn't dare to delay and immediately ran to the operating room.
He was still silently repeating in his heart that nothing serious should happen. Now is the critical time for the rapid development of general surgery. Wang Jingang has just taken office as the director of general surgery, and many eyes are watching.
At this time, the slightest accident may cause a big fuss.
Running all the way, his white coat almost flew up. Facing the surprised eyes of passers-by, Xiao Chenguang didn't even wait for the elevator, but climbed the stairs directly to the door of the operating room.
Swiped the card, entered the room, and didn't have time to put his shoes and clothes in the closet. He put on the wash clothes directly, picked up the mask and hat beside him, and ran to the operating room while wearing them.
"Director, what happened?"
Xiao Chenguang had just stepped on the switch of the electric door when he heard the alarm of the monitor beeping.
The screen was bright red, flashing red light, and the heart rate, blood pressure, oxygen saturation, every value was falling.
Seeing this, Xiao Chenguang's adrenaline was secreted crazily in his body, and his heartbeat instantly increased to more than 120 times.
"The operation just started, the laparoscope hasn't been put in yet, and the patient has a problem."
The answer to Xiao Chenguang's question was the anesthesia of this operation.
He looked anxious, with a hint of helplessness in his expression, obviously he had never encountered such an emergency.
"The lens hasn't been put in yet, and the patient has a problem?"
Xiao Chenguang frowned, he remembered that this patient had no underlying disease, his heart and lung function were good, and such a problem should not have occurred.
In the past, Xiao Chenguang had saved many cases, but most of them were elderly people with poor foundation and high age. The operation was difficult to perform, and the situation occurred when they touched tissues that should not be touched.
"Yes, the operation has not officially started yet, and the patient suddenly has a problem. What should we do? He walked here and went to the stage by himself."
The voice of the anesthesia sounded again.
Going to the stage for surgery, being pushed in and walking in for surgery, if something goes wrong, are completely two different problems.
Before the anesthesia, I met a very young man who had a lipoma on his leg removed. He walked to the stage, but something went wrong. His family was in a mess and almost surrounded the hospital department.
At that time, he paid money and apologized. In the end, when the test results came out, it turned out to be fat embolism, a problem that is difficult to detect but very fatal.
"Maybe he has any hidden medical history that cannot be detected by modern examination methods."
While the anesthesia said, he prepared vasoactive drugs, positive inotropic drugs, and even epinephrine.
In case of sudden illness, before a clear diagnosis, all rescue drugs and items can only be brought in for emergency use.
"It can't be such a coincidence."
Faced with the speculation about anesthesia, Xiao Chenguang shook his head. Although there are several heart-related diseases that cause heart failure due to gene mutations, most of them have died early and never reached adulthood.
At this moment, something more worrying happened.
Wang Jingang, who had been silent, suddenly staggered and fell to the ground.
His face was pale and sweating profusely. He looked like he had experienced something extremely terrifying. Even his appearance seemed to have aged ten years in an instant.
"Director!"
"Director Wang!"
There were bursts of exclamations in the operating room, and everyone was panicked.
The patient on the stage was in critical condition, and the surgeon had another sudden condition. What happened to the first operation today? !
No one knew what happened. They ran out to seek help while shouting. The instruments stood helplessly on the stage and dared not move. Even the anesthesia was frightened by the scene in front of them.
"Don't panic, anesthesia takes care of the patient, and the assistant goes to see the director."
Although the situation was unclear, Xiao Chenguang stood up.
A majestic voice sounded in the operating room, and the originally chaotic scene suddenly became quiet.
"Why? Nothing has been done yet, but the patient has already had problems."
In the quiet operating room, Wang Jingang muttered to himself.
He was lost and dejected, and full of vicissitudes. At this moment, he was like a small boat in a storm, which could collapse at any time.
Wang Jingang, who was once full of energy and had the final say, disappeared. All that was left was the old man sitting on the ground, old and weak, with his eyes dull.
This was the first time Xiao Chenguang saw him like this. Although he didn't know the reason, he felt anxious and painful.
But the patient on the stage was more critical and needed his emergency treatment.
When Xiao Chenguang saw the patient's bulging abdomen and the newly built observation hole, his mind raced, and various diagnoses came to his mind.
Subcutaneous emphysema, hemothorax, hypercapnia, cardiac embolism...
"Stethoscope!"
As soon as the voice fell, before everyone could react, Xiao Chenguang pulled off the stethoscope on the anesthesia neck and opened the large sheet laid by the patient.
The oval stethoscope probe began to auscultate from bottom to top.
Gurgle gurgle...
A large number of bubbling sounds spread in the lungs, and the heart was rumbling. The terrifying abnormal sound progressed rapidly, making Xiao Chenguang's heart beat faster and faster.
Cardiopulmonary embolism!
Cardiac embolism and pulmonary embolism caused by carbon dioxide.
At this moment, there are already dense bubbles in the stethoscope that have occupied the heart and lung areas where blood originally flows.
Endless bubbles are impacted by blood, expand and burst, expand and burst again, over and over again, and continuously.
"Stop the pneumoperitoneum machine, close the incision, and prepare for rescue!"
Xiao Chenguang threw the stethoscope aside, said the diagnosis, and pulled the laparoscope out of the patient's body without paying attention to the panic eyes of the crowd.
The sound of gas flowing sounded.
At the same time, the monitor that had been constantly alarming suddenly burst into an amazing cry.
The heart rate and blood pressure that dropped sharply instantly returned to zero, forming a straight line without fluctuations.
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