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Chapter 130 Crazy emergency department, crazy patients(1/2)

"Should we increase the anesthetic dose?" the anesthesia director asked in confusion.

Xu Qiu shook his head: "Give me some vasopressor medicine to raise the blood pressure to about 150 systolic blood pressure."

Everyone was stunned.

What is this for?

Outside the neck, the directors of vascular surgery and anesthesia widened their eyes at the same time.

Of course they guessed what they were going to do.

Xu Qiu planned to increase blood pressure, and after blocking the carotid artery, let the contralateral carotid artery carry out communicating branch compensation!

but……

Can Xu Qiu really master such a dangerous operation?

Ordinary endometrial exfoliation alone is dangerous enough, but it even actively increases blood pressure!

"good……"

However, the director of anesthesia only hesitated for a moment and immediately executed it.

A person who can even remove pheochromocytoma, who dares to question his decision!

Soon, the additional anesthesia was completed.

The patient's systolic blood pressure also gradually climbed to around 150.

Next to the ordinary flat bed, Xu Qiu flexed his hand muscles.

The experience of a master's degree endarterectomy seems to be embedded in every muscle fiber.

At this moment, he felt like he was in control of the whole place.

"Heparin 40mg."

"Vascular forceps..."

"No. 20 injection needle measures reflux pressure..."

The next moment, Isuke on the opposite side reported the value: "43mmhg!"

Xu Qiu nodded.

If it exceeds 40, it means there is sufficient intracranial branch circulation.

He immediately blocked the internal carotid artery.

after,

Make a longitudinal incision along the lateral surface of the common carotid artery...

Place shunt tubes near and distal to the carotid artery sclerosis plaque...

After fully removing blood clots, air bubbles and debris, establish diversion...

"javid clamp."

After fixing the shunt, Xu Qiu selected the endarterectomy level in the middle layer of the artery.

Before anyone could react, he stretched out his hand.

The equipment nurse almost didn't react. She was stunned for a moment, and then quickly handed over the septum stripper.

Seeing Xu Qiu begin to bluntly separate the endometrium at the next moment, the instrument nurse slowly exhaled, her face full of shock.

This is too fast...



Fifteen minutes later.

The plaque is removed, and a complete, continuous, and smooth artery wall appears before everyone's eyes.

Then, the lumen is flushed with heparin saline, and the two ends of the carotid artery incision are continuously sutured with 6-0 non-invasive sutures...

When sewing to the last centimeter,

Remove the shunt tube, eliminate air, etc. again, and then complete the final anastomosis.

The subsequent cortical suturing was handed over to the head of the neck surgery department who was the first assistant.

"The operation is over."

Five minutes later, the voice of the director of neck surgery sounded.

Everyone's eyes turned to Xu Qiu at the same time.

Doubt, shock, envy, all kinds of complex emotions were intertwined... and finally merged into one sentence.

"Doctor Xu... is awesome!"

Xu Qiu's expression remained calm.

As if everything has nothing to do with him.

He glanced at the patient on the flat bed and said: "Although he survived, the blood loss was too severe and the hemoglobin is very low. He will not wake up so quickly - let's transfer him to the ICU."

"In addition, on the original basis, low molecular weight heparin is injected subcutaneously, one tube at a time."

"Use 125ml of mannitol intravenously, twice a day, for three days first, and then make adjustments based on the patient's condition..."

The series of medical orders made the expert neck surgery director a little stunned.

This arrangement is too detailed and strict!

Watertight, impeccable!

The director of neck surgery subconsciously looked at Wang Ping.

Wang Ping stretched his neck and shouted: "Look what I'm doing, our residents in the emergency department can handle such a simple thing!"

"Tough talk." The director of neck surgery looked at Wang Ping and couldn't help but curse.

The others laughed heartily.

With this kind of expert care, apart from the doctors at the neck surgery department, there is only one person in the emergency department, Xu Qiu, who can give a postoperative plan!



After the surgery.

The patient was immediately transferred to the intensive care unit.

His hemoglobin was only 6g. More than 2,000 ml of blood was added during the operation, but in the end it was still only about 12g.

The normal value for men is around 120~160...

Therefore, we can also see how dangerous this surgery is.

Even if the operation goes well, his recovery time is still not optimistic, and it may take at least four or five days.

During this period, doctors in the cardiac ICU need to adjust the treatment plan at any time and monitor closely.

"This is the most dangerous patient I have ever rescued, bar none..."

After leaving the emergency room, the director of neck surgery was still a little frightened.

During the exploration, it was discovered that the large arteries and veins in the neck were bleeding at the same time.

In this situation, human life is as fragile as paper.

But Xu Qiu managed to save her with just a pair of hands!

The directors present all looked at Xu Qiu's palm at the same time.

Gulu——

Many people swallowed subconsciously.

so envious!

Suddenly, Wang Ping took a step across and stood behind Xu Qiu.

He said with a smile: "Don't look at it, people from the emergency department, I will worry about whoever has his ideas!"

"People surnamed Wang can't be too greedy..."

"Resident doctors still have to rotate!"

"Can you lend him to teach the doctors in our department and help us train a few humanoid hemostatic forceps and humanoid ultrasound machines..."

Wang Ping waved his hand, summoned the nurse, and said: "This first aid room is sealed first. Please clean it up quickly and resume use before the afternoon."

"receive!"

Several nurses and a group of cleaning staff arrived and began to clean up the messy emergency room.

Wang Ping took away the evil director and pushed them out of the emergency department.

"We'll kick the dog when it's done!"

The directors went back to their respective departments with dark faces and curses.
To be continued...
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