Chapter 2159 The Explosion in the Operating Room

Su Yun was stunned for a moment, his first thought was that the oxygen pipe was blown.

But the voice was not like it, it was a little muffled. The oxygen pipe burst, the sound could not be so low. Thought lightning flashed, and 0.2 seconds later Zheng Ren was seen striding towards a surgery room in the back.

Su Yun quickly followed Zheng Ren, he didn't have time to ask what's going on, he just took a look and found out.

If there is a major accident in the operating room, whether the doctors and nurses will be injured is one aspect. The patient is lying on the operating table after anesthesia, but there is no chance to run.

It is said that a certain hospital caught fire and the patient died on the operating table. This incident aroused considerable public opinion at the time.

Fire, power outage, even if doctors and nurses stay where they are, so many instruments can't work at all...

It's better to pray that this kind of thing never happens.

The door of the operating room that made the sound was open, and Zheng Ren strode in.

Several people in the operating room were at a loss. The patient was in the lithotomy position. Looking at the body position and the patient's system panel, Zheng Ren knew that this was transurethral resection of the prostate.

Zheng Ren saw the patient looking around in panic, and the "bang" sound startled him. The patient looked bewildered and terrified, and kept waving his hands, as if trying to get up.

But his upper body is strong, but his lower body has no strength at all, and his posture looks weird.

"Lie down, it's okay." Zheng Ren was the first person to wake up. He strode over to the patient and restored his position.

If Zheng Ren hadn't reacted in time, the patient might have fallen off the operating table in a few seconds.

This kind of falling... It gives me a headache just thinking about it.

Looking at the patient's system panel, Zheng Ren pondered for a few seconds. Until the roving nurse reacted, she stopped counting the surgical instruments and came over to help immobilize the patient.

"Don't worry, I'm fine." Zheng Ren tried his best to make his tone softer and softer.

Seeing the patrol nurse coming, Zheng Ren let go of the patient, "It's normal, what if you fall in such a sudden surprise?"

"Doctor, are you okay?" the patient asked worriedly.

"It's okay, don't worry." Zheng Ren comforted the patient. Although what he said was a lie, Zheng Ren took it as the truth.

Talking nonsense with his eyes closed, Zheng Ren is almost at the level of a master.

The patient has coronary heart disease. If you really tell him the truth, what should you do if you get nervous or get a heart attack?

"What's going on?" Zheng Ren came to the bewildered President Yu and asked in a low voice.

Mr. Yu stood in the assistant's position, and Zheng Ren, the performer, looked at him with a mosaic face.

"It's rare for Director Liu to pick out the prostate himself." Su Yun said with a smile.

Seeing that the values ​​on the ECG monitoring are stable, everyone is not so nervous. A few jokes can not only ease the tension in the operating room, but also calm down the patients.

Director Liu? It must be the new director after Director Miao retired. Zheng Ren made a fake smile as a greeting, and then looked at Mr. Yu.

"The operation was about to be completed, and suddenly there was a bang." Mr. Yu did not lose his mind, he replied in a low voice.

"It's okay." Director Liu said calmly,

Zheng Ren glanced at the surroundings, and immediately realized that the operation had completed the steps of Ellik lavaging out the electrocution tissue and completely stopping the bleeding.

It's really only 1-2 minutes until the end.

But at this time, something went wrong. Director Liu looked really calm, he recovered now and started to stop the bleeding.

"Boss Zheng, why are you here?" Boss Yu was a little flustered, trying to gossip as much as possible to calm down his heart rate which had already reached 130.

"A pneumothorax caused by endometriosis was done with the chest department." Zheng Ren looked at the patient, a possibility popped up in his mind, and he said it casually.

"..."

Both Director Liu and Mr. Yu were taken aback.

Chest? Pneumothorax due to endometriosis? This is too rare.

How did endometriosis get into the chest cavity? There were countless gossips in Mr. Yu's mind, but he suppressed them immediately.

The patient in front of him has a problem, what was the muffled noise just now, this is enough for him to worry about, how can he care about other people's business.

Zheng Ren had a guess, and it was actually not difficult to guess about the muffled sound. Whether it was Su Yun, Director Liu, or Mr. Yu, they should all know it—considering the explosion of the mixed flammable and explosive gas in the bladder that caused the bladder to rupture.

Gas explosion in the bladder is a rare complication in resection of the prostate, and there have been case reports in China in recent years. There are many reports abroad, and some doctors have even conducted a large-scale sample survey, and the incidence rate is about 1/1500.

Tests have shown that hydrogen gas generated by electrolysis of water in cells accounts for about 30%-50%, and oxygen only accounts for about 3%. It is generally believed that hydrogen mainly comes from the electrolysis of intracellular water.

When the volume of hydrogen contained in the air accounts for 4%~74.2% of the mixed volume, it will explode when ignited.

And just heard a "bang", it may be that the gasification of the prostate tissue during the TURP process produces various explosive gases, and the intracellular water is electrolyzed during the electrocution and electrocoagulation, producing hydrogen gas that explodes in the bladder.

The fuse of the explosion was triggered by sparks after the contact between the hot metal cutting loop of the resectoscope and the tissue.

Oxygen reaches flammable or explosive concentrations during surgery, which may be due to the perfusion of air into the bladder during ELLIIK irrigation.

Consequences caused by the gas explosion in the bladder vary in severity. In mild cases, there is no obvious injury, and in severe cases, multiple ruptures of the bladder may occur.

Seeing Director Liu's affirmative expression and tone, Zheng Ren was still doing the final hemostasis, and he was also in a daze.

Could it be that Director Liu has encountered similar things? Or he also has a system. He checked the condition of the patient's bladder early in the morning and was sure that the patient was fine.

With these doubts, Zheng Ren entered the system space again, clicked to purchase surgery training time, and entered the system operating room.

The experimental subject was lying on the operating table in the lithotomy position, and was much more honest than the real patient.

Zheng Ren took a look with the resectoscope, the bladder wall collapsed and there was bleeding. Look carefully, the breach is only a few millimeters, so it should be fine.

No wonder Director Liu is so calm.

However, the explosion might cause one or more damages to the bladder. Zheng Ren left the resectoscope and began to puncture the patient.

Clear fluid was obtained by extraperitoneal puncture. Consider bladder rupture caused by the explosion of mixed flammable and explosive gases in the bladder.

The amount of urine is not much, about 40ml is drawn out.

Zheng Ren frowned. If it were him, he would definitely step down and explain the situation to the patient's family, and switch to open surgery during the operation.

The safest thing is to open it and have a look. Under the guidance of a metal stent, an Fr22 three-chamber balloon catheter was indwelled, and a light red liquid was drawn out.

There should be a problem, Zheng Ren confirmed his point of view.

Fortunately, it was the system space, so Zheng Ren started laying out the order without hesitation and switched to laparotomy.