Since 1981 Health School Chapter 559

  Chapter 559 Goldfinger Cheating to Save People

  The fourth day of the first lunar month.

   It is the day when every household is celebrating the Spring Festival, almost no one goes to work, and it is rare for all hospitals to be quiet for a few days.

  The emergency department of the People's Hospital ushered in the busiest time of the year.

  There are many emergency patients who eat and drink too much to ruin their stomachs, set off firecrackers to injure their whole bodies, get into fights while drunk or fall themselves, and there are even many emergency patients who have cardiovascular and cerebrovascular accidents due to emotional agitation.

   Fortunately, Chen Qi asked the medical department to arrange a duty schedule before the Chinese New Year, allowing doctors to take turns to be on duty in the emergency department, and each person was given a subsidy of 10 yuan per day, which prevented the emergency department from being paralyzed.

  Dean Chen is also very busy when others are busy.

  Early in the morning of the fourth day, the building where the operating room was located was surrounded by people from relevant departments.

   After all, Rupert is the top rich man in the United States, and he is the target of the United Front. All the requirements he put forward are met by the relevant departments as much as possible.

  For example, Americans pay special attention to their privacy, so they require the operation to be performed in secret, not to be publicized, not to be filmed, and not to allow irrelevant personnel to enter the operating room.

  So for this POEM operation, the chief surgeon was finally determined to be Chen Qi, and the assistants were Professor Bradrick and Lan Lijuan.

  In addition, anesthetists and nurses, all other doctors are not allowed to observe the operation, and are not even allowed to approach the operation area (this is added by the relevant department)

   Chen Qi looked at the luxurious, modern, and technologically-savvy brand-new operating room in front of him, feeling a lot of emotion in his heart.

  Laminar flow operating room like this has long been popularized in foreign countries, but it is still a rarity in our country. It will be 10 years before our economy takes off, which means that domestic counterparts will suffer another 10 years.

  Lan Lijuan also looked curiously at a large number of imported endoscopes.

  There are two laminar flow operating rooms in the fourth hospital. This does not arouse her too much interest. She is interested in endoscopic equipment.

  According to Chen Qi, surgery will definitely be "minimally invasive" in the future, which is also an opportunity for internal medicine. For example, endoscopic surgery can be performed by physicians themselves.

  Internal medicine can already perform surgery, one is the improvement of technology, and the other is the increase of income, no matter which point is a big benefit.

  So having a set of tools at hand is what every technical person desires most.

   Just think about how happy Chen Qi was when he got a set of customized surgical instruments from Hanjiang Group.

  Compared to the calmness of Chen Qi and Lan Lijuan, the two Chinese doctors, Professor Bradrick kept looking at the brand new endoscope on the operating table.

  Because he has never seen this endoscope.

  Even if he has never seen it before, in the eyes of an expert like him, there is always a feeling that this endoscopic instrument is more advanced, and it is not a product of Karl Stroz at all.

  But he didn't dare to ask more questions. It's still the same sentence. Relatively speaking, Lao Mei pays more attention to privacy.

  The rich man Rupert was lying on the operating bed, and his heart was actually very complicated, because he knew that this was his last chance in life.

"Chen, do you know? During World War II, I was also a member of the American Air Force. I once came to Huaguo and helped you guys live together. It was a wonderful time. I was still young, strong and strong. Gotta be like a western cow."

  Chen Qi gave the old man a thumbs up while preparing the equipment:

   "It seems that Mr. Rupert is a good friend of our Huaguo. In the words of our Huaguo, we are also the four irons of life who have carried guns together, and we are great heroes."

"Yeah, it's a pity that heroes always come to an end. At the end of World War II, I entered the family business and acquired Fox Corporation from my father. I became a rich man that everyone envied. I lived a life of debauchery, and ended up getting old. But I have become such a ghost, Chen, I am really not reconciled."

  Chen Qi knew that the old man was nervous before the operation.

  But this kind of tension is not a good thing for the operation, because the heart rate is obviously increasing, the blood pressure is also continuously rising, and the red light of the ECG monitoring is on.

  "Mr. Rupert, I'm actually very interested in the behind-the-scenes of Hollywood. If my wife didn't allow me, I really want to see what the talking red sofa looks like."

   Sure enough, the old color critic was led astray when he heard about women's thinking.

"Hey, you still know about the red sofa, are you still interested? Chen, you are different from other Chinese people. If possible, I really hope to take you to experience the red sofa, and those modern girls, for a role, for money, they are willing to give anything..."

  Old Sepi spoke happily, but Lan Lijuan twisted Chen Qi's waist tightly, causing him to grin his teeth in pain.

   "Don't make trouble, I'm just comforting the old man. You didn't see that the heart rate has already exceeded 120 times. How does he perform surgery like this?"

  Lan Lijuan snorted softly: "You better be honest, otherwise your third leg will be cut off."

  Rupert has fallen into his own thinking at this time, and began to talk to himself:

"Chen, I don't want to die. I'm only in my 60s. I think I can live another 30 years, so please help me to heal. Now you are my only hope. As long as I can recover, what do you say? I can satisfy all your requirements, money, women, whatever you want I will give..."

  Chen Qi motioned to the anesthesiologist with his eyes, quickly took the mask over the old man's mouth and nose, and then released the anesthetic gas.

   A few seconds later, the Hollywood tycoon lost consciousness.

  After the patient enters anesthesia, because the operation plan does not include tracheal intubation, the operation must be carried out against time.

   If the operation time is too long, the patient will either suffocate or bleed, either of which will kill the patient.

   "Let's start the operation, everyone takes his place."

   After Chen Qi finished speaking, he directly picked up the gastroscope tube and inserted it into Rupert's mouth, and quickly inserted the tube at twice the usual hand speed.

Swish, swish, the tube went down so fast that even Professor Braderick next to him felt his scalp tingle when he saw it. If he accidentally punctured his esophagus or stomach, he would break into the university today. Woe.

  Any operation is risky, which is a principle that everyone should keep in mind.

  For example, in this POEM operation, esophageal perforation is only one of the risks, and there are other risks such as intraoperative emphysema, pneumothorax, pneumoperitoneum, and bleeding.

  Especially Rupert is now skinny and has very poor physical fitness.

  Chen Qi didn't dare to be careless in the slightest. He looked at the screen with his eyes and grasped the sense of operation in his hand. He didn't do too much probing or calculation, and directly cut a small incision on the esophageal mucosa with an electric knife.

   An opening smaller than that of his previous surgery, almost only able to accommodate the size of the endoscopic tube.

  Professor Bradrick and Lan Lijuan saw this step, and their hearts were in their throats. If the gastric mucosa was bleeding heavily during the incision, the operation would have failed at the very beginning.

  Chen Qi had already made preparations. At the moment of incision of the mucous membrane, he quickly pulled out the electric knife, reinserted an injection tube, and quickly injected a liquid medicine into the incision.

  The injection was "somatostatin", which Chen Qi found out from the space operating room.

  Later generations are mainly used for the treatment of gastric bleeding. This drug can not only inhibit internal bleeding, but also inhibit the secretion of growth hormone and insulin.

  Even ruptured gastric varices can be treated with this drug.

  Not in this era, but Chen Qi did. Sure enough, once somatostatin was used, there was no bleeding at the incision site.

  Professor Bradrick yelled in surprise:

   "Chen, this is amazing, how did you do it? What kind of potion did you inject?"

   It was agreed to respect the privacy of others, but the white doctor still couldn't help asking out of curiosity.

  Chen Qi wouldn't tell him what it was, he just made a joke:

   "This is a hemostatic agent extracted from our Huaguo traditional Chinese medicine. It is very precious."

  Professor Bradrick wanted to ask something, but Chen Qi didn't give him a chance, because he was about to start "tunneling" at this time.

  Professor Bradrick accidentally perforated the esophagus during this process, so the white doctor's attention was quickly diverted, and he swallowed nervously.

  Before tunneling, normal saline was injected to separate the mucous layer from the femoral layer, but this time Chen Qi still used the diluted growth inhibitor as the solvent, and he was extremely careful.

  Finally, the hole drilling was successfully completed. The whole process was done in one go, without any muddle, and it even seemed to have an artistic beauty.

  Professor Bradrick clapped his hands excitedly: "Great, Chen Qi, you are a really good endoscopist!"

  Chen Qi also took a deep breath, and now it's the last link.

  The ring-shaped sphincter of the dark red envelope is right in front of your eyes, and the operation is successful with just a light cut.

   There is blood supply in the muscles, and if one is not good, it will cause massive bleeding.

  Lan Lijuan and Professor Bradrick both looked up, looking at Chen Qi's final choice.

  How can Chen Qi choose?

  He glanced at Rupert who was under general anesthesia on the hospital bed. His breathing sound became thicker and thicker. This was because the human body did not contain enough oxygen, and he automatically deepened his breathing to get more oxygen.

  There is not much time left for Chen Qi.

  The operation plan has also been decided, and all the things that should be considered have been considered. The success of the operation depends on Rupert's own fate.

  The electric knife came to the anterior wall of the esophagus at the lesser curvature of the stomach at 2 o'clock. Chen Qi didn't have much time to think, so he decided to start here.

  Because there are fewer blood vessels on the anterior wall side, it can also avoid cutting the natural anti-reflux barrier of the sling fibers, and the postoperative recovery will be better.

  Of course, this has higher requirements on the stability of the endoscope and the cutting angle of the electrosurgical knife, and it is more technically difficult, which is beyond the reach of ordinary doctors.

  Chen Qi didn't communicate with the two assistants, didn't even look at him, he just picked up the electric knife, cut it with one knife, and then quickly stopped the bleeding with the electric knife.

  Through the TV screen, as far as Kanno could see, traces of bright red blood flowed out.

  This frightened Professor Bradrick and Lan Lijuan, so they only dared to remind in a low voice:

   "Chen, this, this..."

  Chen Qi is not blind, of course he also saw the bleeding, so he frowned, and his heart was about to jump out of nervousness.

  Thousands of miles of long embankments were destroyed by ants.

  Seeing that the operation is about to succeed, if the final muscle incision causes massive bleeding, the operation will still end in failure.

   And this failure means that the Hollywood tycoon on the operating bed will be directly tried for death.

  This consequence is not something that Chen Qi, or even Hua Guo, can bear. It is conceivable that Rupert, Chen Qi, and Hua Guo will become the jokes of the whole world.

  Laughed at him as a rich man in the United States who was whimsical, and Huaguo Hospital was overwhelmed, and then sent Huaguo's medical industry into the 18th hell.

  As for Chen Qi personally, he can imagine with his toes that he will be the one responsible for the whole incident and be severely punished by his superiors.

  For a while, the leg muscles of the itinerant nurse were already tense, and they were ready to run outside the door at any time, so that the second line of rescue and blood preparation were ready.

  Others can panic, but as the chief surgeon, you can't panic.

  Chen Qi forced himself to calm down, took a few deep breaths in a row, and then saw him quickly inject various injections into the bleeding place of the incision.

  Fortunately, he made sufficient preparations in advance. At this time, octreotide injection, recombinant human growth hormone, snake venom hemocoagulase injection, omeprazole injection and so on.

  As long as the drugs that can be used to stop bleeding in internal organs, Chen Qi seems to need no money, and all of them are injected into the incision through the endoscopic tube.

   Directly came up with the trick of "beating the master to death with random punches", regardless of whether the combination of several drugs has any side effects.

   After a while, after the drug was probably absorbed, Chen Qi sucked up all the liquid with a suction device, and everyone unconsciously took a step closer to the video monitor.

   I saw that the incision was clean and no fresh blood flowed out.

  The bleeding stopped.

  Chen Qi, who had been silent all this time, was already smiling and shouted:

   "OK, the operation was successful. Now I have to pull out the endoscopic tube, and finally clamp the mucosal incision. Anesthesiologist, prepare for resuscitation, hurry up, and replace the mask of the nasal oxygen room immediately."

   "Okay Dean, resuscitate immediately."

  Professor Bradrick sat down on the ground after seeing the blood stopped. Really, his nerves were tense to the extreme, and he almost lost his breath just now.

  Now the bleeding has stopped, and the ring sphincter that caused the cardia obstruction has been successfully removed. The operation can basically be said to be a success.

   There were bursts of exclamations in the operating room, and even Lan Lijuan excitedly patted Chen Qi on the back:

   "Husband, you are amazing, you are amazing! It only took 13 minutes in total, and you completed a difficult operation."

  Lan Lijuan seldom calls Chen Qi's husband. The two are classmates. When she is happy, she calls her first name.

  It's a pity that Chen Qi was still in a state of excitement at this time, so he didn't hear it at all.

  The people waiting outside the operating room heard the cheers in the operating room, and all of them pricked up their ears, wanting to hear what happened inside?

   Do you want Suona to start, it's time for the meal.

  At this time, the door of the operating room opened, and the head nurse shouted excitedly:

   "The operation was successful and the patient is safe."

  Because the head nurse spoke Chinese, the reception staff on the Huaguo side cheered after hearing it.

  After hearing the translation, the American entourage knew that their boss's operation was successful, and they all embraced excitedly.

  (end of this chapter)

Chapter end