Chapter 963: Lucky or Unlucky
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
A family member kicked the stretcher trolley. The obstetrician reacted quickly and dodged to the side, but he had no choice but to let go of the stretcher trolley.
“As long as I’m here, you’ll have to take responsibility if anything happens!” the old lady pointed at the obstetrician’s nose and said in a shrill voice. “You’re shirking responsibility! You’re even saving lives and helping the injured. Your conscience has been eaten by dogs!”
“…” Zheng Ren was speechless.
“Don’t send her away. It’s still not too late to perform a laparotomy now. The time you mentioned is simply not enough!” The obstetrician did not struggle with the old lady. He tried to grab the stretcher trolley, but was pushed away by another person.
Seeing that the elevator had arrived and the stretcher trolley was pushed into the elevator, the clamor at the entrance of the operating theater gradually quieted down.
However, this was only the beginning.
When the obstetrician saw that his dissuasion was ineffective, he immediately called the chief physician and the Medical Administration Division. While explaining the situation, he hurriedly went downstairs to change his clothes.
Yes, this was only the beginning. The more troublesome things were still to come.
The obstetrician and Zheng Ren walked face to face. Zheng Ren moved aside and watched her leave in a hurry. He felt very helpless.
She did not believe the claims of the large-scale Grade-A hospital. She had to go to a private hospital or an underground clinic to deliver the baby. The baby already had symptoms of unstable fetal heart. She still had to wait a few hours for the baby to be born..
It sounded ridiculous, but it was the truth.
Zheng Ren shook his head. Some things could not be solved by medical skills and high standards.
However, Zheng Ren knew in his heart that this kind of thing was definitely not something he could solve himself. He could only look at it and forget about it.
He found the second hand that Su Yun had mentioned, opened the sealed door, and walked in.
“Boss, what’s going on outside?” Su Yun stood in the assistant’s position. He pushed aside a very old advanced doctor.
“What’s the condition of the pericardium?” Zheng Ren did not answer Su Yun’s question, but asked in return.
“Gas-liquid pericardium, rare, right?” Su Yun said with a smile.
Zheng Ren’s heart skipped a beat. Gas-fluid pericardium? Why did the System not give a diagnosis?
He glanced at the patient, and the last item on the System panel showed a diagnosis of gas-fluid pericardium.
This is…
‘The patient is too f*cking lucky!’ Zheng Ren thought.
Pericardial effusion was usually more common, and the condition of trauma was very dangerous. Zheng Ren had encountered it a few times in Sea City. It was an emergency thoracotomy, where the pericardium was cut open under direct vision to reduce pressure.
However, pneumopericardium was not a common occurrence. Traumatic pneumothorax combined with a pericardial rupture did not damage the large blood vessels. This was a reasonable source of the pneumopericardium.
Furthermore, it was caused by the collateral damage of the anesthesia intubation and mechanical ventilation.
Zheng Ren knew that when he was in the Emergency Department, the System panel did not have a diagnosis of a gas-fluid pericardium. However, it did on the operating table. It could be caused by mechanical ventilation.
“Have you done it?” Zheng Ren asked.
“I’m repairing the diaphragm. The tension is especially striated.”
“Boss Zheng, you’re here.” Fang Lin put down the needle holder in his hand and turned around to smile.
Zheng Ren did not talk to Fang Lin. He moved closer and took a look at the operating area.
The atrophy of the diaphragm was more obvious. His previous judgment was very accurate.
The right diaphragm had already been stitched up with the help of the patch. Judging from the tension, there should be no problem.
Fang Lin’s surgery was pretty good. The standard of a 912 chief resident was even higher than that of the director of Sea City General Hospital.
“Check the alveoli, mediastinum, and pericardium,” Zheng Ren said in a low voice.
“The alveoli in the lower right lung had already closed when the chest was opened for the second time,” Su Yun said.
“Check it. Otherwise, there’s no way to explain the pneumopericardium,” Zheng Ren said.
Su Yun touched the pericardium with the hemostatic forceps. After a moment of hesitation, he said, “The pressure on the pericardium is greater than before.”
As he spoke, he did not hesitate. He picked up the knife and directly cut open the pericardium.
If such a situation occurred under the operating table or during transportation, the patient would have to face an extremely dangerous situation. However, on the operating table, a pericardial incision to reduce the pressure could not be any simpler.
Fang Lin did not say much to Zheng Ren. He began to perform a pericardial fenestration. The reduced pericardium was sent for a pathological examination, and a portion of the pericardial effusion was extracted with an injector and sent to the relevant examination.
The volume of the pericardial effusion was about 700 ml. It was clear enough to rule out the possibility of a bloody pericardial effusion.
Under normal circumstances, it was time to flush the chest cavity. The surgery was about to end.
However, when they irrigated the chest cavity, they indeed found a small amount of gas leaking out.
Fang Lin and Su Yun searched for a while on the stage. In the end, they found a problem in the mediastinum.
A small sinus was formed between the trachea and the pericardium. The strange thing was that there was another channel in the small sinus that led to the chest cavity.
During the transportation process, the patient had a small amount of pneumothorax, which could be explained by this. Because the patient’s body was weak and the amount of ventilation in his lungs was insufficient, a large amount of gas-liquid pericardium did not appear.
However, during general anesthesia, along with mechanical ventilation, the patient’s ventilation increased, and part of the gas entered the pericardium, forming a gas-liquid pericardium.
There was nothing special about the patient’s condition. At least, that was what Zheng Ren thought. However, this patient… One surgery after another, it was as if he was facing the god of death — the god of death who had disappeared without a trace.
This was the first time Zheng Ren had seen such a complicated hernias cause gas-fluid pericardium in the end.
Even the vast number of medical journals and papers did not mention the relevant cases.
However, it was good that the problem was found. The next surgery was not difficult, but it was to remove the sinus and eliminate the hidden dangers.
“Boss Zheng, this patient is really lucky.” Fang Lin sighed as he repeatedly rinsed the chest and did not find any problems. Just as he was about to close his chest, Fang Lin spoke.
“It’s good that he’s fine. Let’s hurry up and close his chest.” Su Yun used a closure device to clamp the ribs on both sides and began to twist the screws to close the closure device.
Suturing was the most basic, but it seemed that Su Yun had not performed any thoracic surgery for a long time. He did not even let go of this small opportunity to perform surgery. The people who were studying beside him looked very helpless, but they could not say anything.
Fortunately, there were a lot of surgeries in the 912. If one wanted to perform them, they would not lack surgeries.
The biggest problem here was that one’s body could not keep up. If one performed every surgery, other than eating and sleeping, they would spend all their time on the operating table.
After eliminating the hidden dangers, the atmosphere became relaxed. As they chatted and laughed, the anesthesiologist told Su Yun and Fang Lin about the matter of the woman who was about to give birth just now.
Everyone unanimously judged that there was a high probability that something would happen. For such a thing, one corpse and two lives, that obstetrician would be in big trouble.
“When I was doing my internship, I met a family member who told the doctor that if it was a girl, he would also ligate the right side of the woman’s fallopian tube,” Su Yun said with a cold smile.
“Uh… Why?” Zheng Ren was stunned for a moment.
Did the fallopian tube on one side close just like that?
“Because the male fallopian tube is on the left and the female fallopian tube is on the right,” Su Yun said. “If the right side of the fallopian tube is closed, the next time, you can give birth to a boy.”
“…” Zheng Ren was speechless.
Although he had been in the clinic for so many years, when he encountered similar patients and cases, he would still have very absurd ideas.