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Chapter 146 Controversy on the operation of rib fracture complicated with hemopneumothorax(1/2)

After cleaning the abdominal cavity, Zhang Yan pulled out the silver needle directly acting on the organ and then closed the abdomen.

"1 mg of morphine atropine intramuscular injection." After completing the abdominal closure, Zhang Yan said to the nurse in the field.

"1 mg of morphine atropine intramuscular injection!" The nurse of the patrol repeated it and then gave Deputy Director Liu an intramuscular injection of morphine atropine.

Zhang Yan waited for a few minutes before pulling out all the silver needles on Deputy Director Liu's body.

Morphine atropine was originally analgesics used before surgery. It was used in combination with anesthetics to avoid cardiac arrest caused by the effects of anesthetics.

The reason why Zhang Yan used it after surgery was to relieve pain, but to relieve the mental stress of Deputy Director Liu.

Moreover, trouble also has a certain inhibitory effect on the secretion of glands.

Use of morphine alone may cause increased intestinal smooth muscle tone, which in turn leads to constipation, and atropine will offset this symptom.

"Director Liu, the operation is very successful, let's have a good rest!

After you exhaust, I will prescribe Chinese medicine to regulate your gastrointestinal problems." Zhang Yan smiled and comforted her, turned around and left the operating room.

Deputy Director Liu looked at Zhang Yan's leaving back with a complicated expression.

He just didn't feel embarrassed to say that he had duodenal ulcers, so he naturally knew about it. He also asked doctors Zhen Jia to see them and prescribed several doses of Chinese medicine, but the effect was not very good.

It was just because he always looked down on Zhang Yan, so he did not go to Zhang Yan to see a doctor and get medicine.

Zhang Yan went to take a shower, changed into a clean surgical gown, and came to the disposal room again.

At this time, there were five or six patients with bone injuries in the treatment room waiting for him to reconnect or reduce the joints.

The patient is not stupid either. Although it is very painful to wait for an hour, it is even more painful to perform internal fixation of bone.

In comparison, they would rather wait for a while.

In fact, the fracture hurts very much at the beginning, but when it reaches a certain level, it doesn’t feel the pain anymore.

It does not last as if it is broken fingers or other injuries.

Zhang Yan didn't know that Director Yang and Section Chief Cao were waiting anxiously outside the operating room.

Director Yang, a materialist and proletarian soldier, couldn't help but pray in his heart that Deputy Director Liu must not have any trouble.

It doesn’t matter if you get a little injury. At worst, you can just take a few months of rest. This is not an industrial injury accident and will not have any bad effects on the factory.

But if Deputy Director Liu just left like this, it would be a waste of time this year.

In less than an hour, Director Yang felt that it was so long, as if he had been waiting for a year.

Finally, just as he turned around again, took out a cigarette and lit it, the door of the operating room opened, and Zhao Shengli and the nurse pushed a surgical car out.

"Xiao Zhao, how is Director Liu?" Director Yang and Section Chief Cao immediately rushed up.

"The factory director is here!" Deputy Director Liu said weakly: "Ahem......Ahem...Ahem! It makes the factory director worry! I'm fine!

Dr. Xiao Zhang did a good job in the operation!”

"well!

Old Liu, you are scaring me to death! If something happens to you, how can I explain to my brother and sister!" Director Yang said excitedly holding Deputy Director Liu's hand.

"It's okay, it's okay! It's just unlucky. I happened to have a duodenal ulcer these days, and then I was hit like this and broke my intestines.

Dr. Xiao Zhang has sewed it on me, nothing big happened!” Although Deputy Director Liu was weak, his mental state was in good condition.

Director Yang also wanted to say a few more words to Deputy Director Liu, but was stopped by Zhao Shengli.

"Director, Director Liu just finished the operation and needs rest!"

"Yes, yes! Send it to the ward quickly and let Director Liu rest!" Director Yang nodded quickly.

Zhao Shengli pushed the bed cart, Director Yang and Section Chief Cao followed behind and sent Deputy Director Liu to the ward of the senior official.

Deputy Director Liu is also a deputy department-level cadre, and living in a high-ranking official ward is not considered a violation.

"Old Liu, you rest first. I'll go and say to my brother and sister, and let her come and serve you!" Director Yang and Deputy Director Liu said hello and left the ward.

Just now, Director Yang forgot to notify Deputy Director Liu's family because of nervousness.

It was not that I forgot it, but that I subconsciously avoided this issue and did not think about how to face Deputy Director Liu's family.

Although Deputy Director Liu was injured, it had nothing to do with him.

However, many things cannot be explained by reasoning.

As long as he is the director of this factory, everything in the factory will have nothing to do with him.

The output cannot be increased because he, the factory manager, has no ability.

There was a safety accident in the factory and a production accident, because he, the factory manager, was not in place.

Even if the food is not good, some workers will scold him as the factory manager and do not care about the lives of employees.

It's just so unreasonable.

This is also one of the important things that you must bear if you want to wear a crown.

Now that Deputy Director Liu has been rescued, he can finally notify Deputy Director Liu's family with peace of mind.

After borrowing the hospital's phone number to notify Deputy Director Liu's family, Director Yang did not leave, but asked the driver to drive to buy a bunch of nutritional supplements.

Although Vice Director Liu may not be able to use it for the time being, he can't eat it.

However, this doesn't matter.

Director Yang waited until Deputy Director Liu's family arrived and said some comforting words, apologized, and said some things like that he had not taken good care of Deputy Director Liu before saying goodbye.

When he got on the car, Director Yang was a little grateful, thanks to Zhang Yan.

While waiting for Deputy Director Liu's family, he communicated with Chu Yunlong and knew that at that time, the hope of survival of Deputy Director Liu's situation was less than 10%.

Especially after a long period of shock, the use of adrenaline did not wake up Deputy Director Liu.

If you can't wake up a few minutes later, there is no hope of treatment at all.

Even if you wake up, the chances of successful surgery are only 50%.

The so-called fifty percent means half of it depends on luck and half on God's will.

In this case, Zhang Yan pulled Deputy Director Liu back from the brink of death.

The owner Zhang Yan is currently undergoing a consultation on another operation.

This is another troublesome patient after he treated seven or eight patients with bone injuries.

This is a case of rib fractures and hematophithorax caused by traumatic impact.

Blood pneumothorax, this is proven when thoracic puncture is performed.

If pneumothorax occurs, it is only possible that the lungs are ruptured by external force, causing pneumothorax.

If this happens, there is no need for surgery at all, just thoracic puncture and air extraction or closed drainage.

However, the appearance of a hemothorax means that the rib fracture is displaced and penetrates the lung tissue. It is necessary to determine whether the chest is open and internal fixation surgery and closed drainage are required based on the situation.

"The patient, forty-seven years old, is a bus driver. At about 3:00 pm, when driving the bus, the road surface was slippery, causing the car to brake failure and hit a big tree on the road surface.

My chest hit the steering wheel, and I had symptoms such as severe cough, chest tightness, and difficulty breathing. I was sent to the hospital for treatment.

According to the X-ray, the ribs in the fourth and fifth sections were fractured and penetrated into the lungs, causing hematophithorax.

Hemopneumothorax has been drained, eliminating the patient's symptoms such as chest tightness and difficulty breathing.

It is recommended to open chest and internal fixation of rib reduction and closed chest drainage... "Zhang Yan, as the first visitor, introduced the patient's condition and treatment plan to the doctors who participated in the consultation.

"Everyone tell me!" Chu Yunlong said to everyone.

In the 1950s, the domestic cardiothoracic surgery was definitely in its infancy.

Even large hospitals like UnionPay and Peking University Hospital have not made much achievements in cardiothoracic surgery.

Xicheng Hospital was even more at the beginning, and it was just a stance.

There has never been a real cardiothoracic surgery.

Therefore, today, this case of rib fracture and hemopneumothorax was taken so seriously. Chu Yunlong and several major scholars from the Department of Surgery of Xicheng Hospital were all present.

"I don't think the rib puncture is very serious. Can you do conservative treatment?

Your Chinese medicine doctors should be able to reduce this situation, right?” asked the deputy director of cardiothoracic surgery.

"No, the ribs penetrate the lungs and cannot be manually reset." Zhang Yan shook his head.www.bǐqυgetν.℃ǒm

It’s not that it can’t be, but that manual reduction will increase lung trauma.

"Director, our hospital has never had such a major operation. I suggest transferring the hospital." A vice president directly suggested.

Chu Yunlong glanced at the other party and said nothing.

If it is such a simple transfer, why do you still have this consultation?

"In fact, this surgery can be performed in three stages.

The first step is to open the chest to check and check the patient's lung damage.

This is the most critical point.
To be continued...
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