Xiao Li, 22 years old, an age that should have been in good health. However, a sudden gallbladder stone and cholecystitis made her admitted to the hospital.
In fact, the so-called sudden, in fact, is not sudden, her cholecystitis has been repeated many times. The reason why others thought it was the first time she had a disease was that she had been carrying it.
When the doctors told her she had cholecystitis, she could hardly believe her ears. She wondered in her heart: she had cholecystitis at such a young age! Ask the doctor the reason, the doctor can not find a clear cause for a while, can only consider the estrogen effect caused by cholesterol deposition.
She thought it would be a very short procedure, but the doctor told her that laparoscopy would not necessarily be able to completely complete the operation. She had been having repeated episodes of the disease many times, and the adhesions inside could be heavy. If the adhesion is heavy, the operation must be performed using traditional surgery.
Afraid of what is coming: During the operation, the doctor found a wide adhesion of the gallbladder triangle. As a result, the electric hook is gradually separated and released. Later, the stones were shown to be embedded in the gallbladder cervical canal, and the abdominal gallbladder was removed.
She thought it would be over, but on the third night after the operation, she felt a sudden sharp pain in her right upper quadrant. The sharp pain made her fall on the hospital bed at once. The medical staff who rushed to her immediately measured her blood pressure and other tests. As soon as the blood pressure came out, it frightened everyone: the blood pressure was only more than 80, and the heart rate was more than 110. Further examination: tenderness in the right upper quadrant, rebound pain, muscle tension. All kinds of situations prompt, there must be a big problem! Urgently the right lower abdomen was punctured, and non-clotting blood was drawn. At the same time, ultrasound B indicates intra-abdominal hemorrhage.
The phone call was urgently called to the operating room, but there was an operation in the operating room that was about to end. The reply said that the operation was about to end and that it was necessary to take over the stage.
Since it was night and there were no extra people on duty in the anesthesiology department, the surgeon had to wait for the pick-up.
Hearing this, Xiao Li's family was anxious: Why is there not a few people on duty in the anesthesiology department?
The surgeon explained: There are only a few people in the anesthesiology department, and there are many surgeries waiting for them every day. If there are a few more people on the night shift, I am afraid that no one can bear it.
Dr. Wang, who was anesthetizing, wondered after hearing the news of the operation: I didn't hear the ambulance! Where did the emergency surgery come from?
It wasn't until the nurse sent Xiaoli to the operating room that Dr. Wang figured out that the operation was postoperative bleeding. Moreover, this operation happened to be anesthesia he had previously anesthetized.
Although it has been a few days, almost all the patients' situations that have been engraved in their minds cannot be forgotten for a while. After confirming that Xiaoli did not have other serious conditions, Dr. Wang immediately proceeded with anesthesia.
Even if it is such a rush of time, Xiaoli's family outside the operating room still expressed dissatisfaction.
Of course, dr. Wang at this time is impossible to know. His only concern is how to safely do this anesthesia and let the patient out of the operating room safely.
Faced with vital signs that have been decompensated by hemorrhagic shock, Dr. Wang quickly rehydrated the patient with a large amount of fluids and asked for blood. At the same time, vital signs are controlled using vasoactive drugs.
When Dr. Wang completed the anesthesia intubation, the surgeon immediately brushed his hands on the stage.
Laparotomy found that 900 ml of blood accumulated in the abdominal cavity, and there were more than 500 grams of blood clots alone. Removal of intrabiliary coagulation clots reveals active bleeding on the proximal lateral wall of the common bile duct, biliary repair, T-tube drainage.
After the operation, it was not surprising that the family members sued all those involved in the operation, including Dr. Wang and other cadres.
In the face of this situation, Dr. Wang's almost numb brain flashed a sentence: Another "Farmer and Snake". But he has no shame, and he has nothing to worry about.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to reveal the secret of surgical anesthesia those things ~ ~