47 Cavernous puncture (middle)(1/2)
Mr. Gu shook his head and indicated that there was nothing he could do.
It is true that he is a medical expert, but the patient is a burnt casualty, and there is nothing Mr. Gu can do. Come and take a look, which is considered to be the best he can do.
"We will try our best to save him. No matter how many difficulties there are, even if it is a huge difficulty, it will last for at least three days!" The man in the city said in a cold voice with a cold face.
Dean Chen made a sad face and said nothing.
Medicine is a branch of science, and objective science is science, but it will not be so obedient.
How are the patients doing? Three more days left?
Dean Chen felt that he could not bear it for three hours.
It's really unlucky to wait to be scolded for being dead. Dean Chen felt gloomy.
He has a clinical background. One look at the patient's condition and he can tell that the patient has entered the gate of death, even worse than death from cardiac arrest. Even though he is still breathing, has heart rate, blood pressure, and can still cry out in pain.
.
Extensive burns lead to a large amount of exudation, and the fluid cannot be replaced, and the person dies quickly.
It is impossible for similar patients to experience miracles.
"Mr. Gu."
Ji Xiang came to Mr. Gu and bowed slightly.
"Dr. Xiao Ji, you are here to participate in the rescue." Mr. Gu shook his head, "It has nothing to do with our urology department, go back."
"I just took a look at the patient from a distance, and I have an idea. See if it works." Ji Xiang said in a low voice.
idea?
Elder Gu frowned slightly, and Dean Chen's eyes lit up, but when he saw that the person speaking was a young man, his face suddenly darkened.
If it weren't for the people from the city, he really wanted to kick this ignorant boy into the corner.
"This is an emergency rescue, isn't it..." Gu Lao said mid-sentence, winked at Ji Xiang, and then walked out.
Ji Xiang followed Mr. Gu, "Mr. Gu, puncture the corpus cavernosum. The fluid can enter the venous sinus from the corpus cavernosum and then enter the systemic circulation."
Mr. Gu's steps paused and he staggered slightly.
This idea...
Mr. Gu heard a similar report from another expert in the circle at an academic conference, but he had never actually implemented it.
I didn't expect to hear similar words from a regular student.
"Don't talk nonsense!" Professor Zhou scolded.
"Doctor Xiao Ji, please tell me." Mr. Gu stopped, raised his hand to stop Zhou Tianbo's words, and looked at Ji Xiang intently.
Professor Zhou was startled.
What Ji Xiang said is just a theory, it only exists in theory. He is also an expert in urology and has never heard of anything like this.
What happened to the boss? Professor Zhou was confused.
"Be careful when puncturing, especially..." Ji Xiang said the key points taught to him by the system NPc in the system operating room.
"This..." Mr. Gu hesitated.
However, the whole process that Ji Xiang described was very consistent with the report that another person gave at the society in his memory, so he should give it a try.
"Have you ever done this?" Mr. Gu asked.
After asking, Mr. Gu was speechless.
I have been involved in urology for forty years and have never done it. Why should a small-time student do it?
I must have lost my mind, definitely!!
But Ji Xiang is not good at it, you can try it yourself.
Try it?
Mr. Gu was a little hesitant. After all, he was old and had never done a corpus cavernosum puncture. What if there was a problem?
But that's not the most important thing. He drank alcohol tonight, and Mr. Gu was worried that his hands would slip during operation.
"Mr. Gu, I can try." Ji Xiang said softly.
"Um?"
"You know how to do a circumcision and it becomes so swollen?" Professor Zhou's face looked very ugly, "You don't even have the qualifications to practice medicine, so get out of here."
Ji Xiang didn't move. He automatically filtered out Professor Zhou's curse words and looked directly at Mr. Gu.
Mr. Gu and Ji Xiang looked at each other.
When you are a doctor, be brave!
Elder Gu suddenly remembered what an old doctor said to him when he was a young man who encountered a patient bitten by a dog.
After a few seconds, Mr. Gu nodded, "Stay steady, you can do half the level of circumcision. The puncture is very simple. I'm watching, so it's okay. Try it!"
Professor Zhou was shocked, his face turned purple and blue.
"Dean Chen, I'll take someone to try and see if we can establish an intravenous channel." Mr. Gu turned around and said to Dean Chen from the Second Affiliated Hospital.
"Mr. Gu, what are you going to do?" Dean Chen had already lost all hope and began to think about how to shirk responsibility and make the leader think that he had done his best.
As for Mr. Gu, what can a urologist do?
But out of respect for the seniors, Dean Chen still asked.
"Do cavernous body puncture." Mr. Gu just greeted Dean Chen, and then took Ji Xiang into the emergency room.
The patient is exactly the same as the simulator, except that the person next to him has been replaced by Mr. Gu from the system NPC.
Ji Xiang concentrated his attention and began to prepare items for puncture.
"Mr. Gu, Mr. Gu." Dean Chen chased after him, "Did I hear correctly, cavernous body puncture? There is also this technique?!"
"Behind the corpus cavernosum is the venous sinus, which can be used for rehydration."
"!!!"
Everyone in the emergency room was stunned.
In emergency rescue, except for kidney rupture and ureteral rupture, urology departments are rarely seen.
As for rehydration through the corpus cavernosum, is it necessary to find a tube and pour the fluid in along the urethra?!
This is too unserious!
"Teacher Gu, what do you do?" Director Xu from the anesthesiology department asked nervously and anxiously, his sterile cap on his head soaked with sweat.
"Give it a try and treat a dead horse as a living doctor." Mr. Gu said in a clear voice.
Director Xu stepped aside knowingly and looked at Mr. Gu in confusion.
Soon, Ji Xiang finished preparing things and stood in the position of the surgeon, while Mr. Gu stood in the position of assistant.
When Professor Zhou saw this scene, his heart was a little blocked.
This young man is so arrogant. Although it is just a small operation, not a surgery, he is standing in the position of a surgeon next to his boss!
This undoubtedly made Professor Zhou dissatisfied.
"Mr. Gu." Ji Xiang turned slightly sideways and made a polite gesture of invitation.
"It's rescue." Mr. Gu said seriously, "Here you go, pay attention to the feeling of disappointment when the membrane tunica albuginea is punctured."
Ji Xiang sighed in his heart, he was indeed an old doctor and expert.
It was obvious that Mr. Gu had never done anything similar, but he could tell the key points of the operation just by opening his mouth.
"Mr. Gu, then I'll start."
After Ji Xiang finished speaking, he began to prepare the skin in the surgical area.
The patient was diagnosed with extremely severe burns, 35% of III degree, 50% of II degree, and burn shock.
Mr. Gu knew that it would be difficult to survive in a similar situation. In addition to infection, the main reason was that intravenous access could not be established.
Infusion through the corpus cavernosum is logically fine, but this approach is too wild!
He watched Ji Xiang's operation intently, and if there was anything he was dissatisfied with, Mr. Gu was ready to interrupt immediately.
But after just one glance, Mr. Gu's brows furrowed and his eyes narrowed into slits.
The patient's remaining intact skin is his hope for survival, and future skin grafting and other procedures will depend on this.
Any minor damage during skin preparation is considered a major mistake.
However, Ji Xiang's movements in preparing the skin were gentle and not overly tidy, which seemed to be a problem. But from Mr. Gu's point of view, Ji Xiang did it just right.
No matter how much the child moves, the skin may be injured; no matter how little the child moves, if the skin is not prepared thoroughly, it may cause infection.
Just right. These four words are easy to say, but extremely difficult to do.
Mr. Gu thought he could do it ten years ago, but now, haha.
To be continued...