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Should Chapter 381 Dentist and Cesarean Section

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    Wang Lu said to Qian Zhengang: "This is Xi Jiachao, who graduated from the epidemic prevention major and was a doctor at the former health center. Xiao Qian, please cooperate with him and work together to save Lao Feng's son-in-law. //**//"

    Qian Zhengang knew this "person". He had met him not long ago during the battle to defend the health center. In private, he had asked Shen Mugu about the details of this "person", but Shen Mugu was evasive.  Emphasizing that "you can't go wrong by listening to Brother Wang."  Qian Zhengang didn't want to go into details, just like he had a zombie mother, everyone has their own secrets.

    Qian Zhengang frowned deeply: "Are you professional in epidemic prevention? Doctor Xi Jiachao, have you ever had any surgery before?"

    Xi Jiachao said in a hoarse voice: "I've never done anything like you. Okay, stop talking nonsense, let's get to work. But I can't do it, I can only give you some ideas from the side."

    Qian Zhengang nodded, yes, now it is basically a rush to get on the shelves, no matter whether you have previous experience or not, you have to play shirtless.

    Qian Zhengang cheered up, pushed Xi Jiachao's wheelchair, walked to the operating bed, pointed at the patient and said: "As you can see, the patient is about 25 years old, and was stabbed with a knife in the left abdomen. From the family member (Feng Haiqi)  From the briefing left in a hurry, it can be inferred that the knife wound has been around for about a while. The patient is currently in a state of shock. According to the B-ultrasound examination results, there is internal bleeding, and abdominal exploration must be performed immediately."

    Xi Jiachao stared at the patient on the operating bed: "How are the blood pressure, pulse, and respiration?"

    Qian Zhengang sighed: "My blood pressure and pulse cannot be measured, and my breathing is only 24 times per minute."

    Xi Jiachao closed his eyes and pondered for a moment: "I will talk about the treatment plan first, and you will add more. First, anti-shock treatment such as oxygen inhalation and volume expansion will be carried out. After the blood pressure rises, a laparotomy will be performed after anesthesia to remove a large number of clots and blood clots in the abdominal cavity.  Blood. Also, be prepared for abdominal infection."

    Qian Zhengang's face changed: "Yes, if the intestine is punctured, the stool inside will definitely contaminate the abdominal cavity. No wonder the patient's temperature is so high now."

    Qian Zhengang said to the people gathered around him: "Call everyone immediately to conduct blood tests to find out the matching blood type and prepare for surgery!"

    He then said to Chen Wei: "Sister Chen, please help me."

    Chen Wei was stunned. Should she participate in the laparotomy?  This, this is not comparable to sewing up Wang Lu's thigh. When she thought of watching Feng Haiqi's son-in-law's stomach being cut open with her own eyes, Chen Wei's face suddenly turned pale. She even had the urge to vomit, but she reluctantly suppressed it.  After overcoming her fear and nausea, Chen Wei gritted her teeth and said, "I understand. What medicines and surgical instruments do you want me to prepare?"

    Wang Lu suddenly said from the side: "I will also come to help with the operation."

    Qian Zhengang said impatiently: "Brother Wang, you haven't received any training. This kind of thing can't be done with more people. You will only get more help!"

    Wang Lu said seriously: "Xiaoqian, you must not have enough manpower to perform the surgery. Believe me, I can help you."

    Qian Zhengang gritted his teeth: "Okay, but you must obey me in all your actions, and you must not act on your own initiative."

    Zhou Chunyu immediately drove a farm vehicle to Mingfeng Villa to pick up Old Man Chen and Old Mrs. Cui. Now every blood is precious. Qian Zhengang and Xi Jiachao discussed the instruments and medicines needed for the operation. Chen Wei was nervously recording next to them.  , from time to time I hear professional terms that I am not familiar with, and I have to ask again.

    Shen Mugu and Wang Bi'an stood aside and could not help for a while. Shen Mugu said with a sad face: "It seems that we are required to donate blood. This old Feng's son-in-law has been so seriously injured, so the blood donation is indispensable."  , please don¡¯t hit me on the head, I¡¯m most afraid of having blood drawn. In the past, every time I donated blood on a voluntary basis in my work unit, I would deliberately catch a cold and hide.¡±

    Wang Bi'an snorted disdainfully: "Uncle Shen, you are always so timid. If my blood is worthy, I will definitely donate blood, isn't it just a little blood? When my father used to protect me and my mother from killing zombies,  , but I don¡¯t even want my life.¡±

    Shen Mugu chuckled: "But it's not your father who's lying on the operating bed now."

    Wang Bi'an said seriously: "Uncle Feng saved my father's life and taught me kung fu. It's right for me to help. **Uncle Shen, if you always look after yourself, who will help you in the future?  .¡±

    Shen Mugu smiled bitterly and said: "Okay, okay, my surname is Shen, I can't be worse than your Wang Bi'an, a primary school student. I didn't tell you, no matter how much blood you draw, I won't frown."

    Wang Bi'an protested: "How many times have I told you, I am a middle school student! If it were not for the biohazard, I would be in the first grade of junior high school now."

    After a while, Zhou Chunyu came with old man Chen and old lady Cui. On the way, the old couple had heard that they wanted to draw blood to save Feng Haiqi's relatives, and they both agreed. Even so, Qian Zheng still said again and again?, considering that the two elderly people are old, this blood is mainly used as a backup. If there is really not enough, their blood will be drawn.

    The blood type was quickly tested, and Shen Mugu, Zhou Chunyu, Chen Wei, and Xie Ling were all qualified.

    Xie Ling rushed to say: "Don't draw my sister's blood. Draw more of mine. I will help with the operation later. Her physical strength must be ensured first."

    Shen Mugu had a sad face. He had spoken big words in front of Wang Bi'an before. He was really embarrassed to back down. Hearing that Xie Ling wanted to draw more blood, he gritted his teeth and said bravely: "You'd better draw more of my blood. I'm a big man."  You guys don¡¯t need this little blood."

    As a result, only half of Shen Mugu's blood was drawn. The guy rolled his eyes and passed out. Qian Zhengang quickly pulled out his needle. Fortunately, Shen Mugu's coma was not serious, so he applied it with a cold towel.  After applying the application, he woke up and turned around. When asked how he fell into a coma without any problems, Shen Mugu said with a sad face: "I have a slight case of haemorrhage. I really didn't avoid donating blood on purpose."

    Zhou Chunyu also finished drawing blood at this time, and said with a smile: "I have never seen you fainting when killing zombies before."

    Shen Mugu argued: "This zombie is leaking corpse fluid, which is black. Can it be the same as red blood?" He gritted his teeth and said: "Sister Chen, please cover my eyes and pump more.  "

    Xie Ling smiled and said, "Come on, there's no need for you to pretend to be a hero. When you were unconscious just now, I already drew some of your own blood for later use."

    With all the blood ready, the surgery can finally begin.

    The door of the operating room was closed behind Chen Wei. Chen Wei took a deep breath and looked at Qian Zhengang and Wang Lu standing beside the operating bed wearing white coats and gloves. The shadowless lights were on, and their faces were heavy.

    Chen Wei was also very depressed. This was the first surgery she had ever experienced. If something went wrong, Feng Haiqi's daughter would have become a widow. Everyone didn't know that Guan Xin and Feng Shiqi had no idea.  There has never been a wedding. The two of them have only shaken hands and not even kissed.

    Chen Wei walked to the operating table and Qian Zhengang nodded: "Let's get started."

    Qian Zhengang commanded: "With the No. 22 and No. 18 indwelling needles, I want to establish intravenous channels in the cephalic vein and great saphenous vein."

    Chen Wei was stunned for a moment, and finally realized that what Qian Zhengang was actually talking about was a blood transfusion. Couldn't this guy use words that we ordinary people can understand? If I hadn't learned some random medical knowledge from him before, I really wouldn't understand.  What did he say.

    In fact, this really can't be blamed on Qian Zhengang. He is currently recalling the knowledge in medical books. You know, he studied dentistry, which is far different from thoracotomy and abdominal surgery. In the operating room,  , he is the most nervous one.

    The similar operation that Qian Zhengang can refer to now is caesarean section. Everyone cuts open the stomach and takes out things, which is more or less the same.

    Chen Wei finally remembered the No. 22 and No. 18 indwelling needles, took them and handed them to Qian Zhengang. Qian Zhengang infused the patient with fluid and blood, and asked Chen Wei to closely observe blood pressure, breathing and heartbeat while preparing for anesthesia.

    Such an operation should have used general anesthesia, but there are no professional anesthesiologists at the moment. Qian Zhengang only dares to use local anesthesia. He uses ketamine combined local anesthesia. This anesthesia method is mostly used in caesarean sections. Qian Zhengang  A relatively familiar method of anesthesia.

    Qian Zhengang said to Xi Jiachao while preparing the medicine: "Chlorofenone should be used at a dose of 23 milliliters per kilogram of body weight. What do you think?"

    Xi Jiachao said: "No problem, just don't place the intramuscular injection site too close to the upper pectoral muscle to avoid the anesthetic affecting breathing."

    Qian Zhengang said: "Understood."

    After the anesthetic injection, Chen Wei reported blood pressure, respiration and heartbeat every 10 seconds. As atropine and other drugs took effect, as well as the input of blood, the patient's blood pressure and heartbeat began to recover. Qian Zhengang took the scalpel and stabbed the wound.  It slipped.

    Wang Lu watched from the side. The first thing that came out of the incision was not the blood as expected, but yellow fat. There was also a membrane-like thing under the skin, which should be the peritoneum. Then, under the action of intra-abdominal pressure,  , the intestines burst out all of a sudden.

    When Chen Wei saw this scene from the side, her face turned pale, her legs buckled, and she almost fell. Wang Lu quickly supported her from behind.  It's no wonder that Chen Wei lost her composure. Even medical university students would be disgusted when they first saw this scene, let alone Chen Wei, a female head teacher in an elementary school.  Moreover, Chen Wei donated some blood just now. Although the amount was not much, she still felt a little dizzy.

    Wang Lu supported Chen Wei and whispered: "I'm here to help Dr. Qian. You just hand over the equipment."

    Chen Wei nodded quickly. It was better to face a cold instrument than an open belly.

    Qian Zhengang didn¡¯t notice that Wang Lu and Chen Wei had changed hands at all. He was now staring at the abdominal cavity and gritting his teeth: ¡°That¡¯s right.Damn it, my intestines were indeed broken.  "

    Wang Lu also saw from the side that in addition to red coagulated blood, there was also feces floating in the abdomen. It seemed that the knife that Feng Haiqi's son-in-law received had pierced the large intestine.

    Xi Jiachao said in a deep voice: "Don't panic, aspirate the fluid in the abdominal cavity, prepare saline, and clean it."

    Chen Wei immediately handed something like a household vacuum cleaner straw to Wang Lu, and Wang Lu handed it to Qian Zhengang, who had his head buried. Qian Zhengang turned on the machine and started sucking it hummingly.  At the same time, Chen Wei handed over a large bottle of physiological saline to clean the contaminated abdominal cavity.

    To put it bluntly, it is actually washing the intestines with salt water, which is similar to the technique of washing pig intestines in restaurants.

    Qian Zhengang quickly found the damaged part of the intestines and immediately asked Chen Wei to hand over the needle and thread to sew it up.

    Xi Jiachao asked from the side: "Are there any adhesions in the intestines?"

    Qian Zhengang said in a muffled voice: "I haven't seen it yet."

    Xi Jiachao said: "It is better to inject anti-adhesive medicine appropriately."

    Qian Zhengang sutured the tear in the intestine, cleaned up the fluid in the abdominal cavity, and made a drainage strip in the right iliac fossa, and then began to suture and tie the surgical wound.

    After two stitches, Qian Zhengang felt dizzy. The operation had lasted for an hour before he knew it. He had been highly nervous. Now that he saw that the operation was successfully completed, he felt relieved and fatigue suddenly came over him.  .

    Wang Lu saw it clearly next to Qian Zhengang, and quickly supported his hand holding the needle and thread, saying: "Doctor Qian, take a rest and let me do it."

    Qian Zhengang said: "Okay, follow my instructions, you can sew it up."

    Qian Zhengang used the traditional suturing method, using No. 1 silk thread to suture the subcutaneous fat tissue, and the skin was sutured with No. 4 silk thread. Under his guidance, Wang Lu sutured the sutures clumsily but steadily.

    Qian Zhengang looked aside and nodded slightly. Wang Lu's technique was extremely clumsy, almost like sewing clothes, but his hands were very stable.  When most people undergo skin suturing for the first time, their hands will already be shaking due to panic.

    Qian Zhengang glanced at Chen Wei, who was pale next to him. Unfortunately, although Chen Wei learned some nursing knowledge from him, this knowledge was too basic and lacked practical application training, especially Chen Wei's psychological quality.  Not pass.  Qian Zhengang pointed and said: "Brother Wang, yes, just pass under the fat layer. Good, very good. Pull out the thread slowly. Not bad. Brother Wang, your hands are very steady."

    Wang Lu was wearing a mask and couldn't see his expression. He just knew his own business. Wang Lu knew why his hand was not steady, but his hand was dull.

    During Wang Lu's time, the cat was not really doing nothing in the Dragon King Temple. He had been obsessed with this ability since he practiced his "command" ability with the intelligent corpses that occasionally came up the mountain.  The wise corpses who are only locked in a pit practice.  Now, that intelligent corpse is so symmetrical that it is forbidden to do so.

    But after using special abilities so frequently, the sequelae soon became apparent, that is, Wang Lu's senses became increasingly dull.  Just like a person's legs would become numb after sitting with their legs bent for a long time, Wang Lu sometimes found that when he was not using his special abilities, his feeling suddenly disappeared.

    One day, when Wang Lu was making milk powder for Litou, he accidentally dipped his finger into the hot water. The hot water had just been poured out of the kettle and was steaming. However, Wang Lu didn't feel anything at all until he prepared it for Litou.  I tested the temperature of the milk with my head, and when I put a drop of hot milk on my wrist, I realized that I couldn't feel it anymore.

    Needless to say, Wang Lu knew that this was what Qian Zhengang had warned him that the blood clot in his brain was gradually increasing, further compressing the frontal lobe of his brain.

    For a moment, Wang Lu felt so sad that he lost all feeling. What the hell is the meaning of being a human being? He was really a walking zombie, but he just breathed more heat than a zombie.

    But he quickly calmed down. Now that things have come to this, it is impossible to go back. In fact, when he was infected with the secondary biochemical virus and resurrected from the dead, he had already vaguely thought that he would embark on this road sooner or later.

    " However, seeing that the intelligence of the intelligent zombies is gradually awakening, and the speed is getting faster and faster, in order to protect Chen Wei, Wang Bi'an, and Xie Ling, I don't have as high a force as Feng Haiqi, so my special ability is my only reliance.

    And with the increase in the number of people in Yashan, although it saves him a lot of worry, like this operation to seal off Yinjiang Town, even if he is not present, Zhou Chunyu and his team can handle it properly, but he wants to firmly hold on to the first place.  The top spot, but it is getting more and more difficult.

    In the last days of biochemical apocalypse, only those who are capable will prevail. Those who are incompetent do not need to be eliminated by others. Intelligent zombies and zombies will kill you.

    How did the conflict between Wang Lu, Zhou Chunyu and others finally be settled?  It wasn't Wang Lu who showed his hand in the battle to defend the health center that made Zhou Chunyu and others give in.  Although??I dare not say "convinced", but I still have "orally".

    Wang Lu had to use special abilities. He had to use special abilities. Knowing that there was an abyss ahead of him, he could only go forward step by step. He just wanted to keep Chen Wei, Wang Bi'an, and Xie Ling safe before he fell to pieces.

    As for the marriage of your father and mother after your death, let everyone take care of themselves.

    Well, the only thing that gives me some comfort is that the words about the lower body still apply.

    Now, Wang Lu takes over from Qian Zhengang to sew the incision. It is precisely because he has a dull sense that he can exert all his strength without being disturbed by the outside world. Of course, because he has no feelings, he cannot distinguish the severity. Fortunately, he can observe with his eyes.  In slow motion, you are not afraid of accidents. Just think that you are a robot now. In modern medicine, more and more operations are performed by robots instead of human hands. After all, cold, heartless machines are more stable than flesh and blood people.  .

    The incision was finally sutured and the anesthetic was still taking effect. Feng Haiqi's son-in-law quietly lay on the operating bed. Qian Zhengang checked his heartbeat, blood pressure and breathing and breathed a sigh of relief. All indicators were normal.

    Xi Jiachao said from the side in a tone that has not changed for thousands of years: "Infuse and increase the dose of antibiotics to prevent peritonitis and intestinal adhesions."

    Qian Zhengang nodded and glanced at Chen Wei. Chen Wei was counting the gauze used in the operation. These gauze were used to stop bleeding in the abdominal cavity and clean up dirt. They should not be pulled down in the abdomen as reported in the news.  One or two pieces.  Fortunately, Chen Wei had already thought of this. She silently remembered how many pieces of gauze she had used, and was counting them one by one to make sure they were correct.

    Seeing that Chen Wei was busy, Qian Zhengang went to prepare the medicine himself. To be honest, he felt a little proud that he, a dentist, and two assistants who had never attended medical school for a day, managed to complete an operation that could only be performed by a professional surgeon.  , only he knows the frightening step by step in this. If nothing else, if the anesthesia dose is too high, the patient can die on the operating table.

    With the experience of this surgery, my future treatment of trauma will reach a new level.

    Qian Zhengang knew that the reason why he, a dentist, could stay in Yashan was mostly because of Wang Lu's respect. Others did not take his two knives seriously, even a villain like Shen Mugu.  , can call and drink to himself.

    ¡°After all, who among the people in Diya Mountain needs a dentist?

    But after today¡¯s surgery, everyone in Yashan had to admit their medical skills, and they had a foundation to stand on.

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