Doctor Started a Plug-in

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This rescue mission is very important, any medical worker must be 100% spirited to pay attention!

Of course, it is inevitable that some leaders will avoid it for special reasons.

Because Hospital is a complicated institution after all, many people in charge of administrative work do not interfere with medical incidents.

Although Hao Xuliang is the deputy dean in charge and also the backbone of medical services, it can be said that he can not be less attentive, and communicates with relevant departments almost all the time, how to carry out rescue work in an orderly manner.

A few minutes later, Hao Xuliang rushed into the rescue room and saw Li Baoshan asking, “Baoshan, did anyone find it? Where?”

Li Baoshan pointed to Chen Cang: “This is the Doctor of our department, Chen Cang, he will use the Peritoneal dialysis instrument.”

Hao Xuliang suddenly narrowed his eyes, glanced at Chen Cang, then turned to stare at Li Baoshan: “Are you sure?”

Li Baoshan glanced at Chen Cang, he knew this Chen Cang, because he was the one who recruited Chen Cang at the time, and he knew Chen Cang’s character very well. This person is very real. Stealing is a low-key person.

Since he said this time he will! Li Baoshan believed that he would.

Li Baoshan nodded: “Well, I’m sure.”

Hao Xuliang turned to stare at Chen Cang: “Where did you learn?”

Chen Cang speak frankly: “I was in East Medical University when I was in college. I went to Sixth People’s Hospital in Haishi where I was internship. Where I stayed in the Peritoneal dialysis room for more than 3 months. I needed to do peritoneal dialysis every day.

This is all true, but… there will be some basic operations after 3 months.

Hao Xuliang was still a little uneasy, and told him: “youngster, life is a matter of life, you can’t tolerate a bit of sloppyness and hypocrisy, do you understand?”

Chen Cang: “I understand!”

Hao Xuliang immediately snapped: “Go, peritoneal dialysis room!”

Peritoneal dialysis is actually not difficult, it is not easy to say, if you have been in contact with people, it is really not difficult, and for those who have not been in contact, there must be something wrong with it.

It won’t take long to learn this thing, so Hao Xuliang and Li Baoshan still believe it.

And this time, it’s not your mother-in-law’s time.

The entire group pushed the poisoned Patient directly to the peritoneal dialysis room. This is a new place opened by Hospital. There is no one here.

Hao Xuliang is still entangled at this time, what should I do if there is a problem with 10000?

Suddenly he remembered his old classmate and suddenly a telephone call was broadcast.

“Old Yang, I Hao Xuliang, I have something to ask you to help check!”

The other party asked directly, “What’s the matter?”

“We Hospital has a Patient who needs to do peritoneal dialysis, but no one will do it now. There is a Junior Doctor in the emergency department who says yes. I still don’t worry. I plan to open a remote video conference to let your Hospital’s peritoneal dialysis expert check. How about ?”

Old Yang asked suddenly asked: “Is the poisoned Patient of the Chemical City explosion?”

Hao Xuliang nodded: “Well, it can’t be delayed!”

Old Yang nodded: “Prepare for video conference, contact in a few minutes.”

Hao Xuliang hung up the phone and suddenly eyes shined!

This time it is insured. With remote expert guidance, Chen Cang will be a little bit, shouldn’t it be a problem?

Having said that, Hao Xuliang directly picked up the phone and said to the Security Section: “You go to the 6th floor, lift the remote conference TV on the 6th floor, and send it to the peritoneal dialysis room!”

It took more than ten minutes and everything was ready!

The remote video conference TV is very large, more than 2 meters long, and can be basically restored one to one. Through the camera, the other party can basically see clearly the operation of the dialysis.

The emergence of remote video conferencing is mainly to facilitate case discussion, consultation and surgical demonstration between different Hospitals.

The video link is successful!

Looking at each other, a picture of each other appeared on TV, a man in his 50s and a woman in his 40s.

Hao Xuliang said hello: “Director Yang, it’s hard! Trouble you.”

The man laughed: “It doesn’t matter. This is our Deputy Director of the Hospital’s abdominal dialysis room, Xu Aiping. Let her guide you.”

Hao Xuliang turned to Chen Cang and said, “Can I start?”

Chen Cang nodded!

Dialysis begins!

Peritoneal dialysis is a dialysis method that uses the body’s own peritoneum as a dialysis membrane.

The dialysis fluid infused into the abdominal cavity exchanges solutes and water with the plasma components in the capillary blood vessels on the other side of the peritoneum, removing the metabolites and excess water retained within the body, and replenishing the body with the dialysate. substance.

At this time, the Patient has already suffered from renal failure, and it is necessary to have a replacement for the metabolism of the kidney. By continuously updating the peritoneal dialysis fluid, the purpose of kidney replacement or supportive treatment is achieved.

During the treatment of Peritoneal dialysis, the Peritoneal dialysis solution is poured into the abdominal cavity through the Peritoneal dialysis catheter. One side of the peritoneum in the abdominal cavity is the blood containing waste and excess water in the peritoneal capillary blood vessels, and the other side is the Peritoneal dialysis fluid. The waste and excess water in the blood penetrates the peritoneum into the peritoneal dialysis fluid.

After a period of time, the Peritoneal dialysis solution containing waste and excess water is discharged from the abdominal cavity, and then refilled with new Peritoneal dialysis solution, so that it circulates continuously.

Peritoneal dialysis instrument is not troublesome to use, the main one is 1st Step, set up!

Intubation is the most important part of Peritoneal dialysis, and it is the most critical part!

It is directly related to the success rate of Peritoneal dialysis, and an excellent catheterization can greatly reduce the adverse reactions of Peritoneal dialysis.

There are two commonly used methods for peritoneal catheterization, one is Laparoscopy method, and the other is anatomical method.

And now there is only one kind in front of Chen Cang, that is anatomical tube placement.

Not because he would not place an endoscope, but because there is no endoscope here!

As Hao Xuliang said, because it has not been fully developed here, Hospital’s Laparoscopy is in the Operation Theatre and has not been equipped here!

Catheterization is actually a small surgical operation.

Opposite the video, Xu Aiping seemed to see that Chen Cang wanted to use surgical tube placement, saying: “This traditional anatomical tube placement method requires the surgeon to need a solid surgical basic skill! And… also have to be skilled in tube placement technology ! There must be no mistakes!”

“Because any mistakes during catheterization will affect the recovery of the Patient, and even cause very serious adverse reactions, such as…peritonitis…”

Chen Cang turned a deaf ear!

Open the tube set, prepare the surgical instruments, and start the operation!

The catheterization room on the side of the peritoneal dialysis room is actually not very different from the Operation Theatre.

incision!

Chen Cang chose to open about 3 cm to the left of the navel.

Marking requires extensive disinfection!

The scope of peritoneal dialysis is too large. Basically, it must be disinfected from below the chest to above the groin, and the 2 sides are even to the midline of the 2 sides.

anesthesia!

Local anesthesia!

Because there is no one, all the work needs to be done by Chen Cang alone!

Cut the skin cautiously, separate the subcutaneous fat and reach the front sheath!

Chen Cang held his breath at this time and lifted the front sheath.

At this time, all the abdominal muscles are exposed!

Bluntly separate muscles!

Next, Chen Cang took a deep breath and lifted the peritoneum. At this time, Xu Aiping in the video screen held his breath.

Dare not disturb!

Because must be careful at this time, you must not accidentally damage the omentum and intestines.

Once accidentally injured, it is easy to cause infection!

The most important thing for peritoneal dialysis is to grasp the details. Xu Aiping in his 40s is basically using a tube under the endoscopic, because the risk is small, and the anatomical tube placement method requires too high the surgical level of the surgeon. Moreover, it is more susceptible to infections and larger wounds, which is not conducive to many factors such as rehabilitation.

but!

It is undeniable that an excellent surgical doctor prefers anatomical catheterization because of its precision!

What do you mean?

If scoring endoscopic and general surgery, the upper limit of anatomical tube placement is 100 points, and the upper limit of endoscopic tube placement is only 70 points, ordinary surgery exists perfect, and endoscopic is basically based on qualification!

ps: There is still behind, turn back, yes!