When a doctor opened a plug-in

This rescue mission is very important. Any medical worker must pay attention to it!

Of course, it is inevitable that some leaders will avoid them for some special reasons.

Because the hospital is a complex organization after all, many people in charge of administrative work do not interfere with medical incidents.

Although Hao Xuliang is in charge of the vice president and the backbone of medical affairs, it can be said that he can't take care of himself at all. He communicates with relevant departments almost all the time, and how to carry out rescue work in an orderly manner.

A few minutes later, Hao Xuliang rushed into the rescue room and saw Li Baoshan asking, "Baoshan, did you find someone? Where?"

Li Baoshan pointed to Chen Cang: "This is our doctor, Chen Cang. He will use a peritoneal dialysis machine."

Hao Xuliang suddenly narrowed his eyes, glanced at Chen Cang, then turned and stared at Li Baoshan: "Are you sure?"

Li Baoshan glanced at Chen Cang, he knew this Chen Cang, because he recruited Chen Cang at that time, and he knew Chen Cang's behavior very well. This man is very real. He has worked for more than two years and has made no mistakes and never commits rape. Playing slippery is very low-key.

This time he said he would!Li Baoshan believed he would.

Li Baoshan nodded: "Well, I'm sure."

Hao Xuliang turned and stared at Chen Cang: "Where did you learn?"

Chen Cang told the truth: "I was at the Eastern Medical University when I was in college, where I was in the peritoneal dialysis room for more than three months at the Sixth Hospital of Haishi where I went for my internship.

This is all true, but... after three months, he will be able to do some basic operations.

Hao Xuliang was still a little worried, and said: "Young man, life is a matter of life, and there is no tolerance for sloppy and falsehood, do you understand?"

Chen Cang: "I understand!"

Hao Xuliang immediately decided: "Go, dialysis room!"

In fact, peritoneal dialysis is difficult to say, but not easy to say. If you have been in contact with people, it is really not difficult, but for those who have not been in contact, it will definitely cause problems if you start it rashly.

It won't take long to learn this thing, so Hao Xuliang and Li Baoshan still believed.

And this time, not your mother-in-law's time.

A group of people pushed the poisoned patient directly to the dialysis room, which is a newly opened place in the hospital, and there is no one here.

Hao Xuliang is still a little tangled at this time, what if something goes wrong?

Suddenly he thought of his old classmates, and suddenly a call was broadcast.

"Lao Yang, I'm Hao Xuliang, I have something to ask you to check!"

The other party asked directly: "What's the matter?"

"There is a patient in our hospital who needs abdominal dialysis, but no one will do it now. A little doctor in the emergency department said yes. I still don’t worry. I plan to hold a remote video conference for the peritoneal dialysis experts in your hospital to check it out. How about ?"

When Lao Yang heard this, he suddenly asked, "Is it the poisoned patient who exploded in the chemical city?"

Hao Xu brightened his head: "Well, I can't afford to delay!"

Lao Yang nodded: "Prepare for the video conference, contact me in a few minutes."

Hao Xuliang hung up and his eyes lit up!

This is insured. With remote expert guidance, Chen Cang will know a little bit himself. It shouldn't be a big problem, right?

Speaking of this, Hao Xuliang directly picked up the phone and said to the security department: "Go to the sixth floor, bring down the teleconference TV on the sixth floor, and send it to the abdominal dialysis room!"

It took ten minutes and everything is ready!

The remote video conference TV is very large, more than two meters long, and can basically be restored one-to-one. Through the camera, the other party can basically see clearly the operation of the abdominal dialysis.

The emergence of remote video conferences is mainly to facilitate case discussion, consultation and surgical demonstrations between different hospitals.

The video link is successful!

Staring at each other, there are images of each other on TV, a man in her 50s and a woman in her forties.

Hao Xuliang said hello: "Dean Yang, you have worked hard! I will trouble you."

The man laughed and said, "It doesn't matter. This is Xu Aiping, the deputy director of the abdominal dialysis room of our hospital. Just let her guide you."

Hao Xuliang turned to Chen Cang and said, "Can we start?"

Chen Cang nodded!

Abdominal dialysis begins!

Peritoneal dialysis is a dialysis method that uses the body's own peritoneum as a dialysis membrane.

Through the dialysate poured into the abdominal cavity and the plasma components in the capillaries on the other side of the peritoneum exchange solute and water, the metabolites and excessive water retained in the body are removed, and the necessary substances of the body are supplemented by the dialysate.

At this time, the patient has renal failure and must have a metabolism that replaces the kidneys, and through continuous renewal of peritoneal dialysis fluid, the purpose of renal replacement or supportive treatment is achieved.

During peritoneal dialysis treatment, peritoneal dialysate is poured into the abdominal cavity through a peritoneal dialysis catheter.One side of the peritoneum in the abdominal cavity is the blood containing waste and excess water in the peritoneal capillaries, and the other side is the peritoneal dialysate. The waste and excess water in the blood penetrate the peritoneum into the peritoneal fluid.

After a period of time, the peritoneal dialysate containing waste and excess water is discharged from the abdominal cavity, and new peritoneal dialysate is filled in, so that the continuous circulation.

The peritoneal dialysis machine is not troublesome to use, the main thing is the first step, intubation!

Catheter placement is the most important part of peritoneal dialysis, and it is the most critical part!

It is directly related to the success rate of peritoneal dialysis, and an excellent catheter placement can greatly reduce the adverse reactions of peritoneal dialysis.

There are two common methods for peritoneal catheterization, one is laparoscopic catheterization and the other is anatomical catheterization.

And now there is only one type before Chen Cang, and that is anatomical catheterization.

It's not because he doesn't know how to place the tube, but because there is no endoscope!

As Hao Xuliang said, because it has not been fully developed here, the laparoscopes in the hospital are all in the operating room, and they have not been equipped here!

Catheterization is actually a small surgical operation.

On the other side of the video, Xu Aiping seemed to see that Chen Cang was going to use surgical catheterization, and said: "This traditional anatomical catheterization method requires the surgeon to have a solid basic surgical skills! And... you must have a skilled catheterization technique! There must be no mistakes!"

"Because any mistake during the catheterization period will affect the patient's recovery, and even cause very serious adverse reactions, such as...peritonitis..."

Chen Cang turned a deaf ear!

Open the tube bag, prepare the surgical instruments, and start the operation!

The catheterization room next to the peritoneal dialysis room is actually not very different from the operating room, there should be some!

incision!

Chen Cang chose to open about 3 cm on the left side of the navel.

Marking requires extensive disinfection!

The scope of peritoneal dialysis is too large. Basically, it must be disinfected from below the chest to above the groin, and both sides reach the mid-axillary line on both sides.

anesthesia!

Local anesthesia!

Because there is no one, Chen Cang needs to complete all the work alone!

Carefully incise the skin, separate the subcutaneous fat to the front sheath!

Chen Cang held his breath at this time and lifted the front sheath.

At this time, all abdominal muscles are exposed!

Blunt separation of muscles!

Next, Chen Cang took a deep breath and lifted the peritoneum. At this time, Xu Aiping in the video screen held her breath.

Don't bother!

Because we must pay attention at this time, we must not accidentally damage the omentum and intestines.

Once injured by mistake, it is easy to cause infection!

The most important thing about peritoneal dialysis is to grasp the details. Xu Aiping, who is in her forties, now uses endoscopic catheterization. Because of the low risk, the anatomical catheterization method requires too much surgery for the surgeon. Moreover, it is more prone to infection, with larger wounds, which is not conducive to recovery and many other factors.

but!

It is undeniable that an excellent surgeon prefers anatomy and catheterization because of precision!

What do you mean?

If scoring endoscopy and general surgery, the upper limit of anatomical catheter placement is 100 points, while the upper limit of endoscopic catheter placement is only 70 points. There is perfection in ordinary surgery, and endoscopy is basically based on qualification!

ps: There's more at the back, turn back, that's right!