Medical road
Chapter 139 Chapter 135
Li Liang left, ready to go back and read books, trying to test the establishment of the city hospital again.Li Liang's luck is not good, I guess there is not much hope, because the graduate students who are enrolled are about to graduate!
The work of obstetrics and gynecology is repeated day by day.Normal delivery and cesarean delivery are better during the day, because most pregnant women undergoing pregnancy check-ups in advance, the fetal position and fetal size are appropriate, and there are many midwives.
The doctor's main job is to have a C-section. Zhang Fan, who has undergone systematic experience, has not started gynecology yet, but with this bowl of wine at the bottom, there is nothing to worry about for a C-section.
Generally it is Xiao Hong's chief sword, Zhang Fan's assist.The operations are the same, and Zhang Fan's assistance makes Xiao Hong particularly comfortable.After a few days of surgery, Zhang Fan has no expectations for obstetric surgery.
Although there is no systematic experience in gynecology, Zhang Fan now has his own experience in surgery, and the real experience is accumulated.In the past, under the experience of the system, although he was familiar with and proficient in surgery, he had almost nothing to understand.
After two years, Zhang Fan finally got his own insight into surgery in the department of obstetrics and gynecology. This insight can be considered a breakthrough!Looking at the gynecological surgery, he can clearly see a three-dimensional internal section in his mind.
From all angles!This is the improvement after surgery reaches a certain level.It is impossible for the average surgeon to construct this kind of image in his mind for about twenty years.Although the gynecology department is a separate department, more than a decade ago, many general doctors were part-time obstetrics and gynecology departments.Obstetrics and gynecology is also divided from general surgery.
Xiao Hong is a female doctor, and she can do operations very quickly.After Zhang Fan followed the table a few times, he felt that he could get the caesarean section.
He thinks that the possibility of being a leader is not high. The responsibility is too great, and the risk is also high. Anyone who does not pay attention to adults and children may have trouble.So as long as you don’t have an obstetrics and gynecology department, if you want to take care of obstetric surgery, go to bed, don’t think too much.
Lu Shuyan is in gynecology. Because she has a postgraduate degree, the doctors in the department except the director are embarrassed to take her. In fact, there is nothing to take. The three-year postgraduate mainly studies gynecological tumors, although she performed obstetric surgery in the provincial hospital. Few, but her foundation is good.
That is because when I first entered the hospital, neither of them understood. Even though I was admitted to the department, there must be a process of mutual understanding. The director wanted to take Lu Shuyan for half a year, and then let her be on duty independently.
Gynecology and obstetrics operating rooms are connected.Lu Shuyan sometimes comes to see Zhang Fan. Zhang Fan should not be so prominent in the field of gynecology, so as long as she has time, she will come to the obstetric operating room for a stroll.Every time I find that Zhang Fan is an assistant!I can't see why it came!
In the maternity operating room on Thursday morning.Zhang Fan didn’t have a table to go to. Xiao Hong went back from the night shift. Zhang Fan was taken to the operating room to help, but he didn’t need it anymore. Since he came to the operating room and changed his hand washing clothes, Zhang Fan planned to mix in with the operation before leaving. Otherwise it's too bad!
Lu Shuyan was also hanging out, "Why is Teacher Lu so idle today without surgery?" Zhang Fan asked jokingly.
"Fuck you, today the boss will give the leader's daughter-in-law an abortion, and I will have the sheep! How about you, why didn't you have the operation?"
"There is no surgery, there are people in each group, there is no shortage of hooks!" Zhang Fan said.
The two of them were observing the operation of the caesarean section, they heard the phone in the operating room ring, and the visiting nurse answered the phone: "Okay, let me ask."
"Here's an ectopic pregnancy with severe bleeding, who is going?"
"Hurry up and call Xiao Hong! We are all on the operating table and there is no one free!" said Deputy Director Rou Ziguli.She directly ignored Zhang Fan and Lu Shuyan.After all, both of them have just entered the department, and this kind of operation is deadly, so I dare not let them go.
"It's too late, everyone is in shock."
"Director, let me go. I have had an operation for massive bleeding during ectopic pregnancy at the provincial doctor," said Lu Shuyan.
"you sure?"
"I am sure!"
"Who will be your assistant?"
"I'm coming!" Zhang Fan said.
There are so many people in the department of gynecology, and the deputy director usually doesn't know Zhang Fan. Now everyone is on the operating table."You do it first, and I will come to your table after taking out the child."
This is no way!Can't throw pregnant women on the operating table for bleeding surgery!
The patient of ectopic pregnancy is a little girl, sixteen years old, and she has a puppy love. She ate the forbidden fruit with her classmates. Because she was too young, she didn’t understand anything. As a result, she had ectopic pregnancy.As time went on, it caused heavy bleeding.
The little girl is already in shock.I couldn't even touch my pulse when I entered the operating room.Everyone in the operating room looked at Lu Shuyan and waited for her to be ordered.When Lu Shuyan was at the provincial doctor, she did have an ectopic pregnancy, but there was a teacher's platform at that time, and now she is performing surgery independently, and the patient's condition is so critical that everyone is waiting for her, too nervous, and she is a little at a loss.
The situation was so urgent that Lu Shuyan was a little confused.The operating nurse is an old nurse. As soon as she saw the situation, she shouted: "Hurry up and call the director of the gynecology department!"
The more anxious, the more blank Lu Shuyan's brain!Even if I call someone now, I can’t call someone anymore. Maybe it will interfere with other operations. Zhang Fan immediately said: "Listen to me, start the blood transfusion. Dexamethasone enters the pot. Open the dual channels and prepare for the operation. "As long as the doctor gives the doctor's order, the nurse will not be anxious. No matter how urgent they are, they can follow the steps. After all, they have been trained countless times.
Although Zhang Fan has not received systematic gynecological training, General Wai has done it several times, and he can even write an anatomy book.There is nothing to worry about.
Zhang Fan has a certificate and is now in the gynecology department, so the nurse has to listen to Zhang Fan."It's okay, let's go, this thing is practice makes perfect. Today you will be my assistant." Zhang Fan pulled a gloomy Lu Shuyan.
Three-year graduate student and five-year undergraduate student had such a mistake at a critical moment. Lu Shuyan could not forgive herself. In fact, she can’t be blamed for this. The eight-year student career was actually brought by the teacher. Everything There was a teacher who was supporting him, and suddenly became independent, like a bird flying out of a bird's nest, it is impossible not to panic.
At the beginning of the operation, Lu Shuyan resisted the tears she was about to shed, and helped Zhang Fan, "How much blood pressure?"
"8050mmhg!"
"Adrenaline combined with dopamine. Open dual channels to expand colloid capacity!"
After opening the abdomen, sucking blood, Zhang Fan quickly found the fallopian tube and clamped the bleeding site with oval forceps to control the bleeding.Lu Shuyan breathed a sigh of relief when he held the bleeding. If the bleeding spot cannot be found quickly today, the little girl might put it on the table.
Ectopic pregnancy bleeding is too dangerous.Killing every minute.
"There is no way to keep the fallopian tube on this side! Hey, at such a young age, you say~" Zhang Fan couldn't continue.
"Doctor Zhang, the blood pressure has stabilized and the operation can be continued."
Zhang Fan was about to continue, when the deputy director of the gynecology department came in, "How is it, did you have a belly, and how is the patient's condition." She was also anxious. As soon as the child next door was taken out, she underwent the operation, and there was no time for gloves. Take off and ran here.
"The bleeding point has been clamped." Zhang Fan replied.Deputy Director Rouziguli was a little bit disbelieved, standing behind Zhang Fan with her hands raised and looking at it, a little shocked."Not bad!" Then he went to disinfect and change his surgical gown, ready to go on stage.
Zhang Fan is fast, and Rouzi Guli didn't expect it at all. According to her estimation, the average novice should be still in the abdomen at this moment, but it was all clamped!
Lu Shuyan's tears were almost streaming down, but this was an operation, and Zhang Fan couldn't comfort her to persuade her, she could only rely on her for this hurdle!"I hope not to become her heart knot!" Zhang Fan thought to himself.
Rouzi Guli did not take the lead on stage, so she stood in the second assistant's position, "Well! Not bad! Really not bad, I didn't expect you two to do this! As soon as the kid next door came out, I rushed over. I am afraid of wasting time." She was also afraid, really afraid of problems with the two novices.
After the operation, Zhang Fan changed his clothes and wanted to comfort Lu Shuyan. As a result, no one was seen and no one answered the phone!
Lu Shuyan hid in the corner of the locker room and wept silently.This operation can obviously be done, why is my mind blank at the critical moment!Why can't you give an oral doctor's order as quickly as Zhang Fan!why!why!
She is upset, angry, and sad!It was not that she was upset and angry because she felt inferior to Zhang Fan, but she felt that she was sorry for the eight years of hard study, and sorry for the days and nights of the eight years.
Mainly, she and Zhang Fan were compared. Normal Xinnen graduate students still have to spend half a year with their teachers after work. This is the difference between going to school and going to work.No matter what you are as a student, there is a teacher!
Rouziguli changed clothes and left, but found Lu Shuyan in the corner. The fat aunt looked at Lu Shuyan with swollen eyes, walked over to sit next to Lu Shuyan, and put her arms around her shoulders and said, "That's right, I can stand up and take the courage It’s already very good. When I was studying in Bird City, many doctors didn’t even recognize surgical instruments."
"But, I think I'm really useless today! And almost something big happened!"
"Haha! Who hasn’t done it for the first time! It will be better in the future. Go and wash your face, tidy up, and stand up as a strong woman! That Zhang Fan is just a little bit sharp under his hands, and his foundation is the same as you." Don’t be discouraged! Believe me, in half a year, you will definitely get rid of him!"
Rouziguli patted Lu Shuyan on the shoulder and led the little girl out of the dressing room.They are all here, she understands Lu Shuyan very well!
Parents outside the operating room are angry, worried and angry!This happened at a young age, what should I do in the future!In China, once this kind of thing happens, it really makes you realize what is awesome.
"What do you think! This is how you are at a young age, and what to do in the future! You know how to play mahjong and mahjong in a day. If she doesn't learn well, you are responsible for the damage!" The angry father was accusing the child's mother.
"How I brought it, you are ashamed to say, you have been out for several months, what can I do! You are still reasonable. I will wait for your parents when they are sick. Where are you, the child is sick, you are there! You have taken care of her Blame me for playing mahjong. Don't marry me if you have the ability! Go divorce later!"
"What are you arguing about? Go out and quarrel. This is the operating room! No quality at all!" They were cleared up by the passing nurse.
Father grabbed his hair and squatted in the corner not knowing what he was thinking, mother kept wiping tears!
There are many factors for this ectopic pregnancy. Among them, the chance of ectopic pregnancy after pregnancy is definitely high for underage women, so girls must protect themselves!Please be kind to yourself too!