Chapter 52 Showing Off Your Skills (2)

In the entire abdominal dialysis room, everyone put on surgical gowns and stood there, but they were at a loss and a little embarrassed!

Especially old comrade Li Baoshan!

As a famous doctor, but don't know what to do, this is such an embarrassing thing.

However, looking at Chen Cang, it seemed that he was too busy. Li Baoshan had already changed his clothes anyway, so he simply went over and said, "Can I help you?"

Chen Cang nodded: "Thank you, Director, for helping me pull the pliers."

Li Baoshan nodded.

Dean Hao was also a surgeon, but he later became an administrative officer and lost half of his martial arts skills!

But still said: "I will prepare equipment for you!"

Chen Cang nodded: "I'm bothering Dean Hao."

Hao Xuliang smiled: "No trouble, no trouble..."

In this way, Chen Cang's most compelling operation in the Second Provincial Hospital began. The famous provincial doctor Li Baoshan pulled the hook and the vice president Hao Xuliang delivered the equipment!

However, Chen Cang didn't swell, he knew that this bull would be able to blow for three years.

At this time, Li Baoshan no longer had the nervousness he had just now. The surgical operation was inseparable from its originality. Old Li was more familiar with the anatomy of the human body than with his own face.

Although I don't know how to place a peritoneal dialysis tube, that's because I haven't learned it before.

Besides, you have never eaten pork and have never seen a pig run?

After this time, Li Baoshan made up his mind to let everyone in the department learn peritoneal dialysis!

Chen Cang said carefully: "It's getting closer, I'm going to make an incision."

Li Baoshan is very well-behaved.

Chen Cang was meticulous and focused, because the incision should be as small as possible, otherwise water may seep.

Chen Cang asked, "Tell me about the peritoneum, and I'll call 1.2.3!"

"Don't clamp the omentum, and the intestine, don't touch it!"

Li Baoshan nodded earnestly, just like a constantly learning medical student facing his superior doctor.

Chen Cang repeatedly urged: "I've mentioned it."

Li Baoshan nodded!

Chen Cang turned to ask for needle and thread to sew, but saw that Dean Hao was ready to hand it over.

Chen Cang nodded with satisfaction, and began to suture the peritoneum with the purse. Chen Cang was very professional and careful about sutures. In all the sutures, the needles and threads must be guaranteed not to carry the omentum and intestinal tube, otherwise there may be a peritoneal dialysis tube. The displacement or even the glue!

After the suture was completed, Chen Cang picked up the peritoneal dialysis tube and checked it carefully.

Fully soak the two cuffs and squeeze out the air inside, which is convenient for the adhesion of the tissue and the cuff.

It also reduces the chance of leakage and infection!

After seeing this scene, Xu Aiping nodded to Dean Yang and said with a smile: "This little doctor is very professional! And... the most important thing is that he seems to have a special sense of smell for surgery, which is really good at grasping the details. It's very accurate, and basically paid attention to all the points that should be paid attention to, but... I bet that he has not done a lot of catheterization, and he can do this because of talent! However, this kind of talent is too Rare!"

"This is a young man with a great surgical sense of smell!"

Lao Yang was stunned when he heard Xu Xiuping's high evaluation.

When placing the guide wire, Chen Cang deliberately left 2 cm at the distal end to avoid injury to the organs and tissues in the abdominal cavity.

last step!

Implant the peritoneal dialysis tube!

Chen Cang lightens the peritoneum and gently inserts the peritoneal dialysis tube down the abdominal wall. This process is all about feeling!

A sense of disappointment came, ok!

Secure the inner cuff and gently withdraw the guide wire back.

At this time, Li Baoshan could only watch, there was no way... He didn't know what to do.

Chen Cang: "100ml of normal saline, plus heparin..."

Hao Xuliang was stunned for a moment, then nodded quickly and began to prepare!

It worked!

Chen Cang took a deep breath.

A little apprehensive!

It is not because of how difficult the operation is, but because these processes are too delicate and need to be mastered by oneself, otherwise it is easy to cause complications.

Every step is breathtaking!

The next step is to close the peritoneum.

Want to lift the peritoneum lightly, tighten the purse under the inner cuff... Knot!

Finally, there is the subcutaneous tunnel. Under the traction of the tunnel needle, a shallow arc is naturally made along the peritoneal dialysis tube on the left side of the incision, and the peritoneal dialysis tube is led out, and the titanium head and the short tube are connected outside.

Stitch!

Suture subcutaneous fat and skin!

Li Baoshan stood there, watching Chen Cang's step-by-step operations, and nodded secretly!

Although he doesn't understand peritoneal dialysis catheterization, he understands surgery!

Chen Cang's operation is very delicate!

Eyes and hands are steady and careful!

This is the talent that a good surgeon needs to have!

After covering the wound with the applicator, Chen Cang smiled: "Success!"

The next step is dialysis treatment with a peritoneal dialysis machine.

very smooth!

At this time, Xu Aiping in the video smiled: "President Hao, this doctor is very delicate, skilled, and experienced in catheter placement. He has a good grasp of the key points of peritoneal dialysis. This catheter placement is a standard surgical procedure. Anatomy of a catheterization case, and I even want to use this video as a teaching material for my students!"

Because this operation is basically a textbook case, without the "oil" operation and habits of the old doctor, it is a very pure surgical anatomy catheterization.

That's right!

It's pure!

This adjective is the most suitable to describe Chen Cang's operation just now!

"So I don't need to give instructions at all. This doctor can completely help patients with peritoneal dialysis, but... we have the opportunity to communicate. I think this little doctor has made great achievements in peritoneal dialysis catheterization. If there is a chance, maybe we can communicate. a bit."

Lao Yang also smiled slightly: "President Hao, you are here to show me off, haha, okay, I wish you all success in your work, we still have work to do."

Hao Xuliang felt a light on his face: "It's hard work, Director Yang, Director Xu!"

Looking at Chen Cang again, his eyes were full of relief.

When you're done, close the video.

Leave a group of people standing there in a daze!

It's a bit... unbelievable, amazing!

Well, that's right!

No one thought that Chen Cang would be able to use peritoneal dialysis.

【Ding! Li Baoshan's favorability +5. 】

Chen Cang is overjoyed, Boss Li's favorability has risen again, but... Today I achieved a small achievement: Li Baoshan became his assistant, yes, this feeling is worth remembering.

At this moment, everyone on the scene looked at Chen Cang's eyes changed.

Who would have thought that at such a critical juncture, Chen Cang, a temporary worker, stepped forward!

Hao Xuliang also came over, looked at Chen Cang, and nodded: "Not bad! It's very good. It's called Chen Cang, right? Our hospital needs talents like you."

Chen Cang smiled awkwardly: "President Hao, this is what I should do... I also want to be a member of our hospital!"

The implication: you would have solved my compilation problem sooner... I am still a temporary worker.

【Ding! Vice President Hao Xuliang's favorability +5. 】

Next, Chen Cang continued to start the peritoneal dialysis catheter for the second patient, and Li Baoshan consciously acted as an assistant this time.

This time it went very smoothly. In fact, the tube placement was not difficult, but I just didn't do it before, so it seemed unfamiliar. The three of them cooperated perfectly!

Once the catheter is placed, it can be sent to dialysis.

The intubation of the two patients was completed, and for a while, the mood of the people present gradually relaxed.

The Second Provincial Hospital is one of the main positions of this rescue work, but the heaviest burden is not here, but the First Affiliated Hospital of Dongda University, which is one kilometer away.

The Affiliated Hospital of Dongda University has always been the largest emergency center rescue base in AY City, and it is also an important place for emergency care in the entire AY City.

At this time, the Affiliated Hospital of Dongda University was already busy!

After all, most critically ill patients have been sent to this hospital for treatment.

At this time, Wang Xiangjun, director of the emergency department of the Municipal People's Hospital, was already sweating on his head!

This place bears most of the responsibility for this rescue work, and the emergency department of the entire hospital is also the largest emergency department in the entire AY city.

Here is the first hospital with peritoneal dialysis machine in Dongyang Province!

At this time, the thing that Wang Xiangjun regrets the most is that he didn't study the shadow avatar well when he was in school, otherwise he would be busy now!

Now there are several critically ill patients lying on the hospital bed, who need immediate surgery!

The entire hospital's surgery has gone into overdrive!

At this time, the doctor in the peritoneal dialysis room came over in a hurry: "Director! The dialysate is almost used up!"

When Wang Xiangjun heard this, he immediately became angry: "When you're finished, go to the head nurse, go to the pharmacy department, and quickly adjust, why are you looking for me!"

The doctor sighed helplessly: "Director, it's not that the peritoneal dialysis room is gone, but the entire hospital. Now there is not much peritoneal dialysis fluid and hemodialysis fluid, and we still need to perform peritoneal dialysis for at least 8 patients!"

When Wang Xiangjun heard this, his face changed suddenly: "Wait for me!"

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