Chapter 209

For Dr. Ji's test with some curiosity, Xu Ze disdainfully shrunk his mouth and muttered to himself, "is it necessary? Are you a teacher or a deputy director? It's necessary to have fun with us? "

However, the murmur was still just a murmur. He would not take it out to have fun. He had to go forward and give the patient a detailed physical examination from head to toe.

Xu Ze has figured it out now. He doesn't think he has any taboos. He doesn't pretend to be anything. Anyway, there is no place for him to avoid in this hospital. Since he is going to take an internship here, he will inevitably go to other departments. He can't say that he will encounter acquaintances and be exposed.

So, now he doesn't matter. Anyway, most of these students know that he used to work in the clinic, and many people know that he has good medical skills. No one will be surprised to make a little publicity here.

As for the present Mr. Ji, Dr. Ji, Xu Ze is even more lazy to take into account other people's feelings. If you ask me to do it, I will do it Let you also see our means, save time, you teach in front of us is not effective.

Looking at Xu Ze's skillful and neat movements, she has almost followed the most standard method. However, the deputy chief physician Ji Xueping opened her eyes more and more and looked at the student in front of her in surprise. She did not understand why there was such a big gap between people.

This group of students must be from the same class, but why is this boy so neat before he teaches anything, while the other students look like an idiot, and then it seems natural to look at the boy in front of him.

"When I first came to work, I'm afraid I can't compare with this boy in front of me Why is there such a big gap between people Unless this kid has done this before... " Dr. Ji's mind is full of mixed ideas, but it's wrong to think about it. Although the boy seems to be more mature than his students, he is only 212 years old at most, and now he is a senior. Is it possible that he can be a sophomore or a junior in the hospital? It's out of the question.

Therefore, although Dr. Ji was full of surprise, he could only be surprised. Seeing Xu Ze's skillful technique, he also saved his own business. He praised Xu Ze's technique and taught other students along with Xu Ze's skill, so that they could learn how to carry out physical examination for patients.

Looking at this Ji doctor's behavior, Xu Ze's eyes showed a trace of contempt, but also the deputy director of the doctor, even so lazy, no wonder he always grabbed me to do things

Xu Ze angrily finished the whole set of physical examination. At this time, Dr. Ji successfully explained the whole set of physical examination. He nodded and laughed at Xu Ze and said, "Xu Ze, you are a very good team leader. You are much better than we were then..."

Although the bottom of my heart is not angry, but in the face of the teacher, Xu Ze is still pretending to be submissive. He nodded modestly and said with a smile: "Mr. Ji has flattered me..."

Curious doctor Ji is about to ask Xu Ze if he is so familiar with these things, but suddenly he hears a voice from the radio: "Dr. Ji Please go to the rescue room. Please go to the rescue room... "

Hearing the voice in the radio, Dr. Ji's face was a whole, and he quickly said to Xu Ze: "Xu Ze You take them to the office first, and I'll come back later... "

Xu Ze naturally listened to the voice of the radio. Naturally, he knew what Dr. Ji was going to do. He nodded. After Dr. Ji trotted out, he took his group of people to the office to sit and wait for Dr. Ji to come back.

A dozen or so members of xuze's group, including men and women, are all classmates. Sitting in the office, they don't feel bored. They are chatting with each other and talking about the new things about their probation in the hospital these days.

These days, however, have been fresh and comfortable. In the past, they stayed at school every day, but now they have changed places and experienced a fresh taste in the hospital. Naturally, they are very fresh.

I heard the students talking about the advantages of the satellite University attachment, and some people thought that it would be good if they could come to work here in the future.

Xu Ze is very tasteless sitting on the chair yawning, if it was him a year ago, perhaps now he would be like these students, in order to be able to intern in the hospital, and feel excited and fresh.

But now he has a completely different vision from these students. In the eyes of these students, the new things are already familiar to him. Now he has to listen to the explanation of these things again, so he thinks it is very boring.

Looking at the lively discussion among the students, Xu Ze laughed and felt a little stuffy in the office, so he went out of the office alone and went out for a stroll outside.

The ward of respiratory medicine was full at this time. Xu Ze strolled in the corridor and felt it was tasteless. Slowly, however, he inadvertently walked to the front of the rescue room.

Looking at the doctor Ji Xueping is inside a face seriously guiding the doctor, the nurse is rescuing a few patients, Xu Ze is to come some interest, leaning against the door to see.

As the chief resident next to the director of the Department, the power and responsibility in the Department is very great. In this rescue of patients, if the director is not in, then she is the highest superior doctor, and she will direct the rescue work.Looking at several patients in the rescue room at the same time, Xu Ze can not help but frown. There are several patients who need to be rescued. It seems that these patients should be due to a collective disease caused by a certain reason.

However, the situation is not very good now. There are four or five patients, but now only Dr. Ji Xueping and another doctor are present. As for nurses, there are four or five, but they are busy.

At this time, Dr. Ji frowned tightly inside. While he was rescuing a patient, he angrily asked the nurse, "what's the matter? There's no one from the anesthesia department These patients have to have tracheotomy. How can we be so busy... "

The nurse was so roared by Dr. Ji, but his face was startled. He quickly said, "Dr. Ji, I'll call again to ask..."

The nurse quickly took out his mobile phone and dialed a phone call. After chatting with him for a few words, he hung up the phone and looked at Dr. Ji with a look of embarrassment The Department of anesthesiology is also very busy now, and said that they would like to wait a moment... "

"Wait a minute..." Dr. Ji heard this, but almost didn't bite his teeth. He snorted angrily, "wait a minute. They'll collect the corpse..."

Xu Ze looked at Ji Xueping's angry and frantic appearance outside. He also looked at several patients in bed and sighed. However, his love began to overflow again.

"It's none of my business, but it's about human life..." He took out his hat and mask from his pocket and put it on. Then he sighed and walked calmly towards the rescue room.

In front of a patient's bed, Xu Ze looked at the patient with obvious dyspnea and even cyanosis. Then, facing the nurse who was busy breathing oxygen to the patient, he murmured, "give me a tracheotomy bag..."

Hearing the voice, the nurse's face was happy, and then she looked at Xu Ze discontentedly and said, "why did you come here without a bag..."

"We are too busy to win. As soon as I finished one at the bottom, I came here. There was no time to go back to get my bag..." See this nurse really thought he was anesthesiologist, Xu Ze hastened to push the boat, with a smile.

Without hesitation, the nurse quickly took out a tracheotomy bag from the side cabinet and handed it to Xu Ze, and then hummed: "fortunately, it's our respiratory department, other departments, I'm afraid there are not so many spare bags..."

Xu Ze smiles, but there is no more words. Now Dr. Ji Xueping is beside another patient. If she finds out that she is herself, there is absolutely no chance to save people by herself. It would be a pity if the patient had a problem because of the delay.

After receiving the tracheotomy bag, he conveniently landed on the side of the treatment table and opened it. Then he began to perform tracheotomy for the patient.

Xu Ze stretched out his hand to hold the patient who was about to suffocate, pulled up his shoulder, and then grabbed a pillow of his head to pad it under the patient's shoulder, so that the patient's head tilted back, exposing the trachea of the neck. Then he said to the nurse, "help me fix his head!"

"OK..." Hearing Xu Ze's words, the nurse didn't dare to neglect him. He quickly stretched out his hand and pressed the patient's head, so that he could not move freely, so as to wait for Xu Ze to start.

It can be seen that the patient's head has been fixed, but Xu Ze did not dare to neglect. After opening the tracheotomy bag, he folded two lidocaine and put it aside for standby.

After wearing the sterile gloves, Xu Ze picked up the tweezers in the tracheotomy bag, clamped the iodine cotton ball inside, quickly eliminated the poison in the patient's neck trachea, and then carefully spread the sterile towel, ready to start the operation.

At this time, Dr. Ji Xueping, who was beside the sickbed inside, saw that the patient who had not been treated was finally tracheotomy, which was a relief. He said that the anesthesiology department was a little fast today. Otherwise, if something happened to the patient, he would have to make a scene with them in the Department of anesthesiology.

Although relieved, Dr. Ji explained to Xu Ze, "these patients are all burned trachea, which is more troublesome. You should be careful when you cut."

Listening to Dr. Ji's words, Xu Ze didn't dare to answer, but bowed his head and nodded to answer. He was afraid that Dr. Ji would see the flaw.

At the moment, he took a syringe in the bag and carefully extracted a few milliliters of lidocaine from the lidocaine bottle nearby. After that, Xu Ze began to carry out preoperative anesthesia for the patient.

Xu Ze carefully infiltrated anesthesia with 2% lidocaine from the inferior margin of thyroid cartilage to the superior sternal fossa along the anterior midline of neck.

He is familiar with this, after all, these are in the virtual space, through a number of virtual practice, to do, of course, is not a problem.

The so-called tracheobronchial burn, of course, will not have any impact on him. In the virtual space, most of his tracheotomy patients are war wounds. Naturally, there are many tracheobronchial burns, which can be said to be easy to handle.

With the scalpel in hand, gently cut the skin and subcutaneous tissue along the anterior midline of the neck from the lower edge of the thyroid cartilage to the upper sternal fossa.After the skin and tissue have been cut off smoothly under their own scalpel, a stream of small blood flow began to slide down the wound. Xu Ze picked up a small gauze in the bag and gently wiped off the blood. Then he carefully separated the sternohyoid muscle and the sternal thyroid muscle along the midline with vascular forceps to expose the thyroid isthmus.

Looking at Xu Ze is just a few easy, then smoothly stripped off the patient's neck skin, exposed the inside of the milky white trachea, next to the fixed patient's head nurse, also can't help but look at Xu Ze a few more eyes.

Just now, from the upper part of Xu Ze's face which was not covered by a mask, she could see that Xu Ze was very young. Originally, she was worried about Xu Ze. She said in secret: "how can the anesthesia department send some young doctors out? It's difficult for patients with trachea burn to have tracheotomy. If they don't do well, they will be in trouble."

But now we can see that Xu Ze's neat method is not even slower than Dr. Ji Xueping. He exposes the patient's trachea, which is regarded as admirable and relieved.

Xu Ze took out two hooks, gently hooked one side, and then said to the nurse, "help me pull one..."

As a nurse in respiratory medicine, she is very familiar with this kind of assistance work, so she releases a hand and carefully takes over the hook to avoid touching Xu Zena's hand with sterile gloves, and then gently pulls it.

But now she can only spare one hand and can't hold the two hooks. Now she looks up at her back and wants to find someone to help pull another hook.

However, she looked around, but she was disappointed. Several other nurses behind her were working as assistants to Dr. Ji Xueping and other doctors on duty. No one was able to help her. At the moment, she had to look at Xu Ze and say, "don't wait any more..."

"No more Just pull the other side Xu raised his eyebrows and then said. Originally, the two hooks were pulled by an assistant, but now they are not. Xu Ze can't wait any longer. If the operation is not completed as soon as possible, the patient may die of suffocation at any time.

Seeing that the nurse had already pulled the other side, Xu Ze also used his left hand to hold another hook and said to the nurse, "pull it up!"

"Ah Don't you really need anyone else? " The nurse watched Xu Ze stretch out his left hand to pull the other side, leaving only one right hand for operation, and could not help but be astonished.

Xu Ze gently shook his head, and then said: "no, if you wait, the patient will not have to do..."

Hearing Xu Ze's affirmative words, the nurse knew the meaning of Xu Ze's words. If he didn't continue to do it now, the patient could not wait so long. He had to nod his head and watch Xu Ze's movements, hoping that Xu Ze could successfully complete it with one hand.

After all, although the operation is difficult, it can be successfully completed by some excellent anesthesiologists.

When the two people cooperated to pull the hook, the two hooks exerted even force to keep the surgical field in the middle line. Xu Ze stretched out his right hand and touched the cricoid cartilage and trachea. After confirming that the trachea was in the middle position, he started to work formally.

After confirming the specific position of the trachea, Xu Ze pulled the hook in his left hand and held the scalpel in his right hand. From the second to the fourth tracheal rings, Xu Ze carefully separated the two trachea rings from the bottom up with a sharp blade.

Looking at the two trachea ring cut, air along the gap into the patient's trachea, Xu Ze is still frowning, this small gap is really a little small, when the next intubation, I'm afraid it will be some difficulties.

At the moment, he picked up the scalpel, but he swung it neatly to remove part of the cartilage ring on the front wall of the trachea, which made the trachea incision expanded a lot and the air was poured in a lot.

Looking at Xu Ze, he opened and expanded the patient's trachea with a single hand-held knife, and even opened and expanded the patient's trachea. Apart from some cartilage, he did not use left hand assistance at all. The beautiful eyes of the nurses who assisted him were widened, and his actions were full of admiration.

It was the first time that she had seen the cricoid cartilage removed so easily with only one hand, and it could be cut just right, with no more or less than one point.

Xu Ze couldn't care so much at this time, so he put down the scalpel and the retractor, and then took out a curved forceps from the surgical bag to open the trachea incision. Then he felt out a suitable size tracheal cannula with a core, and inserted the endotracheal tube along his own tracheal incision.

When the endotracheal tube is inserted, it is easy to take out the tube core, put it into the inner tube, and pull the sputum suction device on the bed plate. After the suction test is normal, the secretion in the tracheal tube is sucked out. It is found that there is no obvious bleeding in the trachea, which is a relief.

Then he stretched out his hand to pull up the belt on the tracheal tube and tied it to the patient's neck, and tied it into a dead knot for firm fixation. Finally, put a piece of gauze between the wound and the cannula.

After finishing all this, Xu Ze looked at the patient through the neck tracheal intubation, smoothly inhaled some air from the outside, so that the face of hypoxia cyanosis has been significantly alleviated, which is a relief.

The operation has been successfully completed. Xu Ze looks at Dr. Ji Xueping on the opposite side and has successfully completed her patient's operation. However, she dare not stay at the moment. She should flash when she has finished. Otherwise, if she is found to be a fake, it will be troublesome again.Then he took off his gloves and explained to the nurse twice. He planned to turn his head and go. Just as he turned around, he suddenly heard a man stride in at the door.

The man came in panting and asked, "where is the patient? Which patient needs tracheotomy Can drive me to death, answered the phone, finished one, I ran over

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