Since 1981 Health School Chapter 243

  Chen Qi was a little embarrassed, because he could not say that he had done B-ultrasound and CT, after all, there are not many CT machines in China.

   But even in this way, he couldn't make a diagnosis. After all, his previous life majored in liver, gallbladder and pancreas, and his other majors were flawed.

   "Director Lu, I'm not sure what kind of retroperitoneal tumor it is. Didn't I turn to Director Wang for help and invite so many of your higher-level professionals for consultation, haha."

  Lu Yue asked again: "Did the patient undergo any auxiliary examinations after he was admitted?"

  Chen Qi was even more embarrassed: "Only one routine blood test was done, which is the only condition in our health center. Others such as B-ultrasound, X-ray, and biochemical tests were not carried out."

  Lu Yue almost choked to death with a mouthful of tea, and cursed with strong dissatisfaction:

   "There is no auxiliary examination, and it is impossible to make a preliminary diagnosis. Where do you have the courage to go under the knife directly? Are you afraid of killing people?"

  President Yan quickly stood up and said: "Direct surgery is strongly requested by the patient himself."

  Lu Yue frowned: "Why? You didn't tell the patient and his family members about the dangers of the operation? It sounds ugly, and if you don't mention other dangers, the patient would die if he had a massive bleeding during the operation."

  Dean Yan sighed and continued to explain:

"I said it, why didn't we say it? But the patient himself is determined to die. He must perform the operation in front of the whole village in our Huangtan Hospital to prove his innocence. That's why we didn't transfer the hospital to the urban area. Hospital."

   "Oh? Is there such a thing?"

  These words caught everyone's attention, gossip was raging, and they all asked what was going on?

  President Yan briefly talked about what happened in Xiawan Village.

   "So, this operation is not only about whether the huge abdominal tumor can be cured, but also about a woman's innocence. This situation is more complicated, so this operation must be performed today."

  Lu Yue just remembered: "Oh, no wonder, I said why there are so many villagers watching the bustle at the gate of your hospital. They all want to see if the patient is pregnant or has a tumor?"

   "Yes, it means there is an on-site supervision in it."

  Director Wang slapped the table, startling everyone:

"Ignorance, ignorance, lawlessness, this is a new society. After decades of liberation, there is still such a lynching in this mountain. Now it is necessary to force an innocent woman to risk her life to undergo an operation to prove her innocence. It's hateful!"

  The lesbians who were meeting in the backyard were all flushed with anxiety.

  Chen Qi hurried out to smooth things over:

   "Leaders, teachers, now is not the time for us to criticize, but how to proceed with the operation. If the truth is not revealed today, the patient will probably die when he returns to the village."

   At this time, Yu Yaqin, director of the Obstetrics and Gynecology Department of the Fourth Hospital, put forward a different opinion:

   "Just now I did a gynecological examination on the patient and found that her posterior lip of the cervix had a hyperplasia with a diameter of 1 cm. I suspect that the patient should have cervical cancer or a huge ovarian tumor. The focus of surgery can be placed here."

  For a while, everyone started to talk about it, but in the end they didn't come up with a unified opinion.

  Chen Qi looked at the time, and could only suggest: "Teachers, why don't we do the surgery directly, and treat it as a abdominal probing."

  Director Lu Yue twitched his eyebrows, "Who will be the chief surgeon?"

  In fact, Lu Yue was unsure in his heart. He didn't really want to be the chief surgeon.

  Chen Qi stood up: "I will be the chief surgeon, teachers, please help me as assistants!"

   Director Lu Yue can't be blamed for being careful, it's because the operation is too difficult.

  Let's not talk about the lack of relevant auxiliary examinations before the operation. Right now, the eyes are darkened during the operation. I don't know what's going on, and I don't even know where the lesion is.

   For surgeons, this is simply a fatal thing.

  Secondly, there were too many accidents during the surgery for this huge abdominal tumor.

  Casual haemorrhage, shock, DIC, and MODS will seriously endanger life.

  In addition, there may be unexpected accidents during the operation, and there is a possibility that the operation cannot be continued, such as anesthesia accidents, cardiovascular and cerebrovascular accidents, cardiac arrest...

   In a word, this is a very tricky patient.

  Even if the patient is in the second hospital, Lu Yue himself is not half sure. What's more, it is in a hospital with only a simple operating room, and there is no rescue equipment.

   There are also several surgical directors from the Fourth Hospital who also have this kind of careful thinking.

  Others' retreat just saved Chen Qi a lot of trouble. If several directors of this operation are vying to be the chief surgeon, will he, a little barefoot doctor, let him or not?

  Give it up, he seriously doubts that several major directors of this operation will not be able to take it down, isn't this a delay.

  No? The consequences are even more serious. Hospitals are ranked according to seniority. You, a doctor in a small health center, are so immodest? Disrespect old-timers? At that time, the reputation will be rotten.

  It's all right now, everyone else is scared, he will stand up again, and leave a good impression of Director Wang and the others as being responsible, extra points.

   At this time, the entrance of Huangtan Health Center was already crowded with people.

   It wasn't just the villagers of Xiawan Village who came to watch the excitement, it was almost from all over the world, and the common people from all the communes in Huangtan who were so busy came.

   Those who can come on bicycles, if they can't drive an ox cart, they can walk if they can't, and they all bring their own dry food, looking like they are going to a big market.

  Because there were too many people, the only road in Huangtan Town was directly blocked.

  Many small merchants and hawkers began to sell their melon seeds and peanuts. Since the hospital has an operating room, this lively scene has been happening every few days.

  As soon as there were more people watching the excitement, they began to inquire about the truth of the matter and where it is now. There were laughter, cursing, regret, and contempt one after another.

  The villagers of Xiawan Village are very upset. The more people who come to watch, the more likely they will make a fool of themselves.

   So far, the Yao family's children, including Uncle Yao and Village Chief Yao, still firmly believe that Jinfeng is pregnant, otherwise how could the belly be big?

   (Please ask the Virgin Mary, or Liu Bang's mother, Liu Yu, to answer)

  In the operating room

  Chen Qi looked at the anesthesia machine in front of him and was speechless.

  The anesthesia machine, which is rare in a century, sends the anesthetic into the alveoli of the patient through a mechanical circuit, forming a partial pressure of the anesthetic gas, which diffuses into the blood, and directly inhibits the central nervous system, thereby producing the effect of general anesthesia.

  When inhaling, the anesthetic mixture enters the patient's body through the opened inspiratory valve;

  When exhaling, the expiratory valve opens, and at the same time, the inspiratory valve closes to discharge the exhaled gas.

   When using assisted or controlled breathing, a collapsible bellows can be utilized. Press down when inhaling and pull up when exhaling to ensure that the patient has sufficient ventilation.

  So patients under general anesthesia must use it. Without this machine, Chen Qi would not be able to operate for a long time. Otherwise, the patient would die of circulatory failure before the operation is over.

  Seeing Chen Qi staring at the general anesthesia machine with a constipated face, Director Lu Yue of the Second Hospital was quite proud.

"How about it, haven't you seen such an advanced general anesthesia machine? Let me tell you, this machine was the latest we introduced last year. It cost a lot of money. Even the People's Hospital didn't have many of them. This time it was for surgery. Success, the Health Bureau specifically instructed to bring it in."

  Chen Qi really wanted to tell him that in his two lifetimes, he had never seen such a simple anesthesia machine, and felt that the entire localization level was still in its original state, and even the breathing balloon was squeezed manually.

  Is there a fully automatic one?

  He wished he could show them the anesthesia machine in the operating room in the space, what is a fully automatic anesthesia machine with the latest technology, but he could only think about it.

   If he dares to take it out, the country dares to arrest him and cut him into 200 pieces for research.

   At this time, the anesthesiologist had already made all preparations, and nodded to the chief surgeon: "Dr. Chen, the anesthesia has taken effect, and the operation can be performed."

  Chen Qi also nodded with a smile: "Thanks for your hard work. This operation cannot be completed in less than 5 hours. Pay attention to the dosage of anesthesia."

"no problem."

  Chen Qi looked up again at today's surgical assistant, as well as a large group of various leaders and directors who visited the operation.

"let us start."

  Director Lu Yue of the Second Hospital, Bian Pengfei, Director of Surgery of the Fourth Hospital, and Yu Yaqin, Director of Obstetrics and Gynecology, served as surgical assistants.

   This scene shocked the visiting leaders at all levels. Several big directors were assistants to a small doctor. It was simply a luxurious configuration, something that no one else could even imagine.

   But for Chen Qi, it was quite a deal. Don't forget that he is in the District People's Hospital. He is the assistant of the director and the director of surgery. Today, these directors are far worse than the director Guo.

   Chen Qi took a chess knife and made a large longitudinal incision on the patient's huge stomach, which was as long as 40cm. This made several directors present gasp.

  The surgical incision is really too big, which is almost like disembowelling. Not to mention that the operation will fail, the incision alone may be unbearable for the patient.

  Chen Qi also had no choice. In his previous life hospital, all kinds of examinations could pinpoint where the lesion was.

  In addition, he was best at laparoscopic surgery in his previous life. No matter what kind of huge tumor you are, if you make a few small holes in your stomach, you can solve the problem with a 10cm incision at most, and the patient recovers quickly.

   But in 1983, there was nothing he could do about it, there were side effects and he didn't know me? He can only bite the bullet now.

  The operation is in progress, Chen Qi cuts the skin, subcutaneous tissue, fascia layer by layer, separates the rectus abdominis muscle, and after cutting the peritoneal layer, a huge "lump" appears.

  For a while, everyone in the operating room stretched their heads.

  Director Lu Yue was the first to shout out: "Hey, the tumor is in the uterus. It seems that the possibility of uterine accumulation is high, so it is not malignant."

  Chen Qi shook his head lightly: "That's not necessarily the case."

Chapter end