This rescue mission is very important, and any medical worker must be very energetic to pay attention!

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

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

Although Hao Xuliang is the deputy director in charge and is also a medical backbone, he can be said to be attentive and cannot be ignored. He communicates with relevant departments almost at all times 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, have you found someone? Where?"

Li Baoshan pointed at Chen Cang: "This is the doctor in our department. Chen Cang, he can use a peritoneal dialyzer."

Hao Xuliang's eyes shrank, he glanced at Chen Cang, and then turned around and stared at Li Baoshan: "Are you sure?"

Li Baoshan glanced at Chen Cang. He knew this Chen Cang because he recruited Chen Cang at that time and knew very well about Chen Cang's character. This person is very real. He has made zero mistakes for more than two years of work, never cheated, and is very low-key.

Since he said he would! Li Baoshan believed that he would.

Li Baoshan nodded: "Well, I'm sure."

Hao Xuliang turned around and stared at Chen Cang: "Where did you learn it?"

Chen Cang told the truth: "When I was in college, I was at the University of Eastern Medicine. I went to the Sixth Hospital of Haishi City when I was internship. Where did I stay in the peritoneal dialysis room for more than three months? I needed to do abdominal dissection every day. I learned it at that time."

This is all the truth, but... I will have some basic operations after staying for three months.

Hao Xuliang was still a little worried and reminded him: "Young people, life is at stake and no sloppy or falsehood, do you understand?"

Chen Cang: "I understand!"

Hao Xuliang immediately made a decision: "Let's go, the abdomen penetrates the room!"

Peritoneal dialysis is actually difficult or not. It is really not difficult if you have come into contact with people. For people who have never come into contact with them, there will definitely be problems if you get started rashly.

It didn't take long to learn this thing, so Hao Xuliang and Li Baoshan believed it.

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

The group pushed the poisoned patient directly to the peritoneal ventricular room, which was a newly opened place in the hospital and there was no one here.

Hao Xuliang was still a little confused at this time. What if something went wrong?

Suddenly he thought of his old classmate and a phone call came over.

"Old Yang, I, Hao Xuliang, I have something to ask you to help me check it!"

The other party asked directly: "What's the matter?"

"There is a patient in our hospital who needs to undergo ventral dysfunction, but no one knows it now. A young doctor in the emergency department said yes, but I am still worried. I plan to hold a remote video conference for your hospital's ventral dysfunction experts to check. How about it?"

When Lao Yang heard this, he suddenly asked, "Is it a poisoned patient in the explosion in the Chemical City?"

Hao Xuliang nodded: "Well, I can't afford to delay!"

Lao Yang nodded: "Prepare for a video conference and contact us in a few minutes."

Hao Xuliang hung up the phone and his eyes lit up!

This is safe. With remote experts' guidance, Chen Cang himself will know a little, so it shouldn't be a big problem, right?

Speaking of this, Hao Xuliang picked up the phone and said to the security department: "You go to the sixth floor, lift the remote conference TV on the sixth floor and send it to the abdomen ventilator room!"

It took more than ten minutes and everything was ready!

The remote video conferencing TV is very large, more than two meters long, and can basically be restored and replaced one to one. Through the camera, the other party can basically see clearly the operation of abdominal transfusion.

The emergence of remote video conferencing is mainly to facilitate case discussions and surgical demonstrations between different hospitals.

The video link is successful!

Looking at each other, there were scenes of each other on the TV, a man in his fifties and a woman in his forties.

Hao Xuliang greeted: "Director Yang, thank you for your hard work! Please trouble you."

The man smiled and said, "It's not a big deal. This is the deputy director of the abdominal ventricular department of our hospital. Xu Aiping, just ask her to guide you."

Hao Xuliang turned around and said to Chen Cang, "Can you start?"

Chen Cang nodded!

Abdominal thorax begins!

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

The dialysate poured into the abdominal cavity and the plasma components in the capillary on the other side of the peritoneum are exchanged with the plasma components in the capillary on the other side of the peritoneum to remove the retention of metabolic products and excessive water in the body, and at the same time, the essential substances of the body are supplemented with the dialysate.

At this time, the patient has kidney failure and must have a metabolism that replaces the kidneys. By constantly renewing the peritoneal fluid, the purpose of kidney replacement or supporting treatment can be achieved.

During peritoneal dialysis treatment, peritoneal dialysis fluid is poured into the abdominal cavity through a peritoneal dialysis catheter. On one side of the peritoneal cavity is the blood containing waste and excess water in the peritoneal capillaries, and on the other side is peritoneal dialysis fluid. The waste and excess water in the blood enter the peritoneal fluid through the peritoneum.

After a period of time, the peritoneal dialysate containing waste and excess water is released from the abdominal cavity, and then the new peritoneal dialysate is poured into it, which continuously circulates.

It is not troublesome to use the peritoneal dialyzer. The main step is to install the catheter!

Tube placement is the most important link in peritoneal dialysis and the most critical link!

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

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

Now there is only one type of anatomical catheterization.

It’s not because he doesn’t know how to put the laminoscope in the laminoscope, but because there is no laminoscope here at this time!

As Hao Xuliang said, because this place has not been fully carried out, the hospital's laparoscopy is in the operating room and has not been equipped here yet!

Catheterization is actually a small surgical procedure.

Xu Aiping, opposite the video, seemed to see that Chen Cang was going to use surgical catheter and said: "This traditional anatomical catheterization method requires the surgeon to need solid basic surgical skills! And... he also needs skillful catheterization technology! There must be no mistakes!"

"Because any mistake during the catheterization period will affect the patient's recovery and may even cause very serious adverse reactions, such as...peritonitis..."

Chen Cang ignored it!

Open the catheter pack, prepare the surgical instruments, and start the operation!

The catheterization room next to the abdominal ventricular chamber is actually not very different from the operating room, and everything you should have!

incision!

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

Making good marks requires extensive disinfection!

The scope of abdominal ventricularis involves too large. Basically, it must be disinfected from below the chest to above the groin, and both sides reach the midline of the axillary line on both sides.

anaesthetization!

Local anesthesia!

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

Carefully cut the skin and separate the subcutaneous fat and reach the front sheath!

At this time, Chen Cang held his breath 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 his peritoneum. At this time, Xu Aiping in the video held her breath.

Don't dare to disturb!

Because you must pay attention at this time, you must not accidentally damage the omentum and intestinal tract.

Once accidentally injured, it is easy to cause infection!

The most important thing about abdominal ventricular surgery is to grasp the details. Xu Aiping, who is in her forties, now basically uses laparoscopic catheterization. Because the risk is small, the anatomical catheterization method has too high requirements for the surgeon's surgical level, and is more prone to infection, larger wounds, which are not conducive to rehabilitation, and many other factors.

but!

It is undeniable that an excellent surgeon prefers anatomical catheterization because it is accurate!

What's the meaning?

If laparoscopy and ordinary surgery are scored, the upper limit of anatomical catheterization surgery is 100 points, while the upper limit of laparoscopy catheterization is only 70 points. The general surgery is perfect, and laparoscopy is basically based on qualifications!
Chapter completed!