Chapter 730

When Lin Hao and others were about to enter the operating room, Lin Di finally arrived at the people's Hospital of Mingzhu district from Xiangjiang.

Lin Hao didn't talk to him either, motioning him to give Lin Peiru his luggage, and then let him go to surgery with himself.

Through the isolation door outside the operating room, Lin Hao asks a nurse to take Xu Wencong and ZHENG Ke to change their clothes and guide them to the observation area. He takes Ren Junqi and Lin Di to wash their hands.

After everything was ready, a few people entered the operating room!

The shadowless lamp in the operating room has been turned on, shining on Lin Defa who is lying on the operating table on his side, making the whole operation field bright.

After Lin Hao went in, he did not check Lin Defa for the first time. Instead, he checked the necessary surgical instruments and equipment. He asked Ren Junqi to prepare the operating room, and the facilities came according to his requirements. However, he could not help frowning after looking around. The equipment and equipment were so backward that even the obsolete products in the castle could not be compared!

However, he also knew that this hospital was only a secondary hospital, which could not be compared with the special medical research institutions like Gubao. It was amazing to be able to prepare all the things he needed in a hurry, and although the conditions were simple, they could barely use them!

Lin Hao couldn't help but smile when he thought like this. After returning home, he seemed to have been making do with the configuration of the operation, never reaching the standard!

But this time, the configuration of the surgical staff is very decent.

The Standard Staffing of an operation is as follows: the chief surgeon, the first assistant and the second assistant, but they are not fixed. According to the size of the operation, the number of doctors and assistants who perform the operation will be different. Naturally, there will be more people in major operations, but fewer in small ones. There are also anesthesiologists, anesthesia nurses. Instrument nurse and itinerant nurse!

In addition to being the chief surgeon, Ren Junqi was the first assistant and Lin Di was the second assistant.

The anesthesiologist was not needed, because Lin Hao could do both. When he did the operation, he would inevitably have unexpected unexpected unexpected situations. Once this happened, he would have to pay attention to one and lose the other. In order to be in case, Lin Hao asked Ma Yongde, director of the anesthesiology department, to check on the situation.

Another is Peng Xiaojie for the instrument nurse, as well as another can not call the name of the itinerant nurse.

There was no problem with the personnel and equipment. Lin Hao went to check Lin Defa. He found that his basic condition was good and his vital signs were stable. There should be no problem supporting the operation. So he ordered the nurse: "intramuscular pethidine 1mg / kg, atropine 0.5mg."

I'm going to take the injection, nurse.

After waiting for a while, Lin Hao made sure that the drug had already worked in his body, so he gave him acupuncture anesthesia and put him into general anesthesia.

Every operation, anesthesia is an important link, there must be no slightest mistake or omission!

Ma Yongde confirms that Lin Defa has entered general anesthesia and nods to Lin Hao.

At this stage of preoperative preparation, he was completely ready. Lin Hao looked at the time and announced, "the operation begins at 10:30 a.m."

Ren Junqi and Lin Di, as well as equipment nurse Peng Xiaojie smell speech, immediately wake up 12 minutes spirit, stand by!

Lin Hao picked up a Y-shaped double lumen bronchial tube and inserted it slowly from Lin Defa's mouth.

Tracheal intubation is a crucial step in lung lavage, because it will determine whether the lavage can be successfully implemented. Therefore, Lin Hao does not pursue speed in this step, but strives for accuracy.

Lindy side is responsible for monitoring ECG, oxygen saturation, blood pressure, airway pressure and other important indicators.

Before starting the operation, Peng Dahai has already explained that the whole operation will be videotaped. Later, it will be used as a scientific and educational film for medical staff in the hospital to learn. Lin Hao must explain each operation step in detail.

Lin Hao doesn't have any family opinions, and he doesn't think there is any secret of lung lavage. So he explains it to Lin Di in detail while he is intubation.

"This Y-shaped double lumen bronchial tube inserted into the lung is mainly used to separate water and air! After a while, the right lung is ventilated with pure oxygen and supplied with oxygen by anesthesia ventilator to maintain normal gas exchange! The left lung was lavaged with a lavage tube

Ren Junqi, who was responsible for cooperating with him, said: "if it's just intubation, I can do it too!"

Lin Di did not leave behind: "I can also!"

"No!" Lin Hao shook his head. "You can't do it yet."

They looked at him almost at the same time. They didn't agree with him. It seemed that it was just a simple tracheal intubation!

Lin Hao didn't look at them. He just focused on intubation. At the same time, he said, "this job seems very simple to you. It's no different from ordinary endotracheal intubation, but its requirements are very delicate, and it's not nearly as good as it is."

"Sister..." Brother Lin opened his mouth, but his brother-in-law didn't say it. He realized that it was not right. He changed his mouth and said, "Doctor Lin, I really don't think it's anything!"Seeing his unconvinced appearance, Lin Hao let go of his hand and said, "if you don't have any technical difficulties, you can try it yourself!"

Lin Di was so young and vigorous that he almost reached out to take the double lumen bronchial tube. However, when he saw the familiar face lying on the operating table, he immediately counseled him. He dared to test who he was, and did not dare to test his father. So he shook his head at Lin Hao, "Doctor Lin, no, brother, my brother, this is my father. Can you stop making trouble?"

Lin Hao said with a black face: "if you know that this is your father, then you should listen carefully, watch carefully and learn hard. His lung lavage is definitely not one time. I'll do it for him this time, and it's your turn next time! "

Lin Di was stunned. Then he didn't dare to say anything. He corrected his attitude and studied with an open mind.

Lin Hao started again, and said very carefully: "the difficulty of this endotracheal intubation is that the depth must be completely moderate. If it is deep, it will affect the ventilation of the lung used to breathe. If it is shallow, the isolation on both sides will not be guaranteed. When lavage is carried out, the liquid will flow to the lung on the ventilation side, resulting in accidents."

Ren Junqi then asked, "how should we grasp this depth?"

Lin Hao said, "ordinary doctors, rely on these two mirrors!"

Looking at the surgical field from Shuangshuang, they found that there was also an ultra-fine fiberoptic bronchoscope in the double lumen bronchial tube. Through this special mirror, the tissue in the mirror can be seen on the display screen, and the depth of support can be seen at a glance.

Lin Hao also said, "but in foreign countries, in the hands of some experts, these two mirrors are not used!"

Ren Junqi surprised way: "then how do they judge the depth."

Lin Hao said, "feel it

Several people heard the speech and were shocked.

Lin Hao said as he kept adjusting his position to find the best position!

It was also until this time that Lin Di and Ren Junqi found that although Lin Hao had been adjusting his position, he never looked at the monitor from the beginning to the end!

This is According to legend, by hand?

Oh, melon seller!

This guy has found the best position with the feeling on his hand!

Great! My brother-in-law! Lin Di sincerely praised it.

After the catheter was inserted, lung lavage began.

Lin Hao hung a lavage bottle about 80 cm above Lin Defa's head, a drainage bottle on the floor about 60 cm below the operating table, and a 37 ℃ incubator beside the operating table, which contains the special cleaning agent Lin Hao had just made in the morning.

"Lindy!" Lin Hao ordered: "I'm going to start lavage. Please check the vital signs, oxygenation, blood pressure, and central venous pressure. Report the number at any time!"

Lin Di hastily agreed: "received!"

Lin Hao began to inject special cleaning agent into one side of Lin Defa's lung. At the same time, he explained: "for the first time, the liquid volume is about 500 ml to 1500 ml. the specific amount depends on the patient's tolerance, which varies from person to person."

What he said is different from person to person. In fact, it is easy to understand that some people are big, others are small, and so are the lungs.

After pouring about 1000 ml of special cleaning agent, Lin Defa's physical signs began to fluctuate. Lin Hao knew that he was almost at the limit he could bear, so he quickly recovered it.

Lin Defa's pneumoconiosis has progressed to stage II. The course of disease is longer than 20 years. The inhaled dust has already been completely wrapped in the lung tissue. No matter how lavaged, nothing can be washed out. However, for the first time, the liquid from the upper part of the lung was thick and sticky.

After standing for a while, the black slurry gradually became clear in the upper part, and thick black in the lower part, and there were some sediment like gravel.

Looking at these washed out things, Ren Junqi and Lin Di can't help but look at each other, because this is obviously the accumulation of things in the lung washed out, such a situation in the second stage of pneumoconiosis is simply impossible to happen!

Half ring forest brother just murmured way: "unexpectedly really, really washed out?"

Ren Junqi is very sure of the way: "it is the effect of his cleaning agent, otherwise it is impossible to wash out!"

"What kind of detergent is this?" Lindy asked? Where did you get it? "

Lin Hao said blandly, "I made it myself."

When he said this, the whole audience was shocked and looked at him in disbelief.

Lin Di said incoherently: "brother in law, Doctor Lin, brother, how do you do this? What's in it? Can you teach me? "

Lin Hao did not answer him. He just went on with the operation, but did not immediately carry out the second lavage. Instead, he took a simple ventilator to ventilate the lung under lavage. Then he explained, "ventilating this side of the lung can improve the efficacy of continuous lavage, prevent the occurrence of hypoxemia, and also discharge more dust and dust cells."

This, no doubt, is another secret, and everyone should keep it in mind.After twice ventilating this lung, Lin Hao began a second lavage. The fluid from this lavage was still turbid and black, but the color was lighter than the previous one, and the sediment was also less.

About 500 ml perfusion, Lin Hao suddenly said: "Ren Junqi, you continue to pour!"

Ren Junqi some doubts, I'll pour, what do you do?

However, Lin Hao is the main knife and she is an assistant. She can only obey the orders and take over his work and continue to infuse.

Lin Hao gave up his hands, but he didn't have time. He immediately patted Lin Defa's chest, but there was no rhythm. He patted East and West!

What are you playing with?

Just when they were puzzled, Lin Hao timely explained, "this can make the material accumulated in the trachea wall and alveolar wall fall off, and let the cleaning agent penetrate into the first part for thorough lavage, so as to achieve better results."

People suddenly realize, quickly remember this skill!

After such repeated lavage for about seven or eight times, the drainage lavage fluid has become more and more clear. By the twelfth time, the water recovered from the catheter has become completely clear and has the same color as the infused water. At this point, the lavage of this lung is over.

After that, Lin Hao did not immediately lavage the other side of the lung. Instead, he gave both lungs breathing to improve oxygenation, so that Lin Defa's values returned to normal, and then he continued to lavage

The operation, from 10:30 a.m. to more than 3:00 p.m., was finally over.

When Lin Hao and others came out of the operating room, Lin Peiru, who had been waiting outside, quickly came forward and asked, "Lin Hao, how was the operation?"

Lin Hao didn't answer. He just looked at Lin Di at the back and clearly motioned him to answer.

"Sister!" Lin Di immediately came up and said excitedly: "the effect of the operation is much better than I thought before. Originally, I thought that lung lavage had no effect on my father's pneumoconiosis stage II, but the special detergent made by my brother-in-law is really powerful. A lot of dirty things have been washed out of my father's body. These are dust accumulated over the years and wrapped in lung tissue. It's impossible to wash them out, but my brother-in-law's detergent can completely separate them. It's really amazing... "

Lin Peiru blushed when he saw him open his mouth, a brother-in-law and a brother-in-law shut up. However, Lin's son-in-law is so stupid that he can't help it. He opens his mouth and interrupts him and says, "what are you talking about?"

Lin Di said: "I don't talk nonsense. My brother-in-law is really fierce. He is older than the old driver. The operation is smooth and quick. My father has not suffered much. Now everything is very good. Brother in law... "

Lin Peiru blushed and said, "you're talking nonsense!"

Lindy finally stopped to ask, "where am I talking nonsense?"

Lin Peiru

Lin Hao laughingly looked at the two men until they came to an end. Then he asked, "can I interrupt?"

Lin Di subconsciously covered his mouth and said, "don't stick me in!"

Lin Peiru

Lin Hao took Lin Di's 13:00 plus 250:00 and told him, "Lin Di, you go to the ward for a while. A few patients will have pulmonary edema after lung lavage. At the same time, pay attention to breathing and oxygen, lung signs, acid-base and electrolyte changes! If you have any questions, please contact me immediately! "

"Good!" Lin said

After a while, Lin Defa was pushed out of the operating room. However, anesthesia had not been passed and the person was not awake. He had to be sent to the intensive care unit for observation. Lin Peiru could not enter such a ward. Although Lin Di was also a doctor, he was not from this hospital. Lin Hao could take care of him after he said hello. Therefore, Lin Peiru can only follow Lin Hao, Xu Wencong and others to the doctor's lounge.

In the doctor's lounge, Xu Wencong, still black and blue, whispered with ZHENG Ke, apparently discussing the operation. After that, he said to Lin Hao, "Lin Hao, you can make an offer."

Lin Hao asked suspiciously, "what's the price?"

Xu Wencong said: "the formula of this cleaning agent!"

Lin Hao said, "one time sell out to you?"

"Yes," said Xu Wencong

Before that, you should give it to Lin Hao

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