Path of Medicine With a System

? Li Liang left, ready to go back to work hard and read books, and try to take another exam for the establishment of the city hospital. Li Liang's luck is bad, and he probably doesn't have much hope, because the graduate students who have expanded their enrollment are about to graduate!

The work of obstetrics and gynecology is repeated day by day. Normal delivery and caesarean section are better during the day, because most pregnant women who have a normal delivery have had a pregnancy test in advance, the fetal position and fetal size are suitable, and there are many midwives.

The main job of a doctor is caesarean section. Zhang Fan, who has undergone systematic experience, has not ordered gynecology, but with the bottom of the bowl of wine in general surgery, he has nothing to fear about caesarean section.

Generally, Xiao Hong is the chief surgeon and Zhang Fan is the assistant. The operations are all the same, and Zhang Fan's assistance made Xiao Hong very smooth. After a few days of surgery, Zhang Fan had no expectations for the obstetric surgery.

Although there is no systematic experience in gynecology, Zhang Fan now has his own experience in surgery, and the real thing is accumulation. In the past, under the systematic experience, although I was familiar with and proficient in surgery, there was almost nothing I could understand.

After two years, Zhang Fan finally had his own insights into surgery in the obstetrics and gynecology department. This insight can be regarded as a breakthrough! Looking at the gynecological surgery, a three-dimensional internal dissection diagram can clearly appear in his mind.

Every angle, there are! This is the improvement after the operation reaches a certain level. It is impossible for a general surgeon to construct this kind of image in his mind within twenty years or so. Although gynecology is a separate department, many general surgery doctors worked part-time in obstetrics and gynecology more than ten years ago. Obstetrics and gynecology can be regarded as divided from general surgery.

Xiao Hong is a female doctor, and she performs operations very quickly. After Zhang Fan followed the stage several times, he felt that the caesarean section could be taken down.

He thinks that the possibility of performing the surgery is not high, the responsibility is too great, and the risk is also high, an accident may happen to an adult or a child who is not paying attention. So as long as you haven't decided on obstetrics and gynecology, and you want to perform obstetric surgery, go to bed and don't think too much.

Lu Shuyan is in the Department of Gynecology. Because she has a postgraduate degree, the doctors in the department are embarrassed to take her, except for the director. Not much, but her foundation is good.

That's because we didn't know each other when we first entered the hospital. Even though we entered the department, we had to go through a process of getting to know each other. The director also wanted to take Lu Shuyan with me for half a year, and then let her be on duty independently.

The gynecological and obstetrical operating rooms are connected. Lu Shuyan would sometimes visit Zhang Fan. Zhang Fan should not be so outstanding in the field of gynecology, so whenever she had time, she would come to the obstetrics operating room for a walk. Every time I found out that Zhang Fan was an assistant! I can't see why!

Thursday morning,

In the maternity operating room. Zhang Fan had no table to go to, Xiao Hong went back from the night shift, Zhang Fan was dragged to the operating room to help, but it turned out that he didn’t need it anymore, since he came to the operating room to change his hand washing clothes, Zhang Fan planned to mix up an operation before leaving, Otherwise it would be too bad!

Lu Shuyan was also wandering around, "Ms. Lu, why is she so idle today, no surgery?" Zhang Fan asked jokingly.

"Fuck you, today the boss is going to give birth to the leader's daughter-in-law, and I will herd the sheep! And you, why didn't you have the operation?"

"There is no surgery to do, there are people in every group, there is no shortage of hooks!" Zhang Fan said.

The two were observing the cesarean section when they heard the phone in the operating room rang, and the itinerant nurse answered the phone: "Okay, let me ask."

"Here comes a woman with heavy bleeding from an ectopic pregnancy, who will come?"

"Call Xiao Hong quickly! We are all on the operating table, and there is no one free!" Deputy Director Rou Ziguli said. She ignored Zhang Fan and Lu Shuyan directly. After all, both of them have just entered the department, and this kind of operation is fatal, so they dare not let them do it.

"It's too late, everyone is in shock."

"Director, let me go. I have done surgery for ectopic pregnancy bleeding in the provincial doctor." Lu Shuyan said.

"you sure?"

"I am sure!"

"Who will be your assistant?"

"Let me come!" Zhang Fan said.

There are many people in the department of gynecology, and the deputy director doesn't know much about Zhang Fan. Now everyone is on the operating table, so there's nothing he can do. "You do it first, I will come to your table after I take out the child."

This is no way! You can't throw pregnant women on the operating table to do bleeding operations!

The patient with ectopic pregnancy was a little girl, sixteen years old, had a puppy love, and ate forbidden fruit with her classmates, because she was too young to understand anything, resulting in an ectopic pregnancy. Over time, profuse bleeding occurred.

The little girl is already in a state of shock. In the operating room, I couldn't even feel my pulse. Everyone in the operating room looked at Lu Shuyan, waiting for her to give a doctor's order. When Lu Shuyan was in the provincial hospital, she did have an ectopic pregnancy, but at that time there was a teacher on the platform, and now she is doing the operation independently, and the patient's condition is so critical, everyone is waiting for her, she is too nervous, and she is a little at a loss.

The situation was so urgent that Lu Shuyan was a little confused. The operating nurse was an old nurse. Seeing the situation, she shouted loudly, "Call the director of the gynecology department!"

The more anxious you are, the more blank Lu Shuyan's mind becomes! Even if I go to call for someone now, I won’t be able to call someone, and maybe it will interfere with other operations. Zhang Fan immediately said: "Listen to me, start the blood transfusion. Put the dexamethasone into the pot. Open the dual channels and prepare for the operation. I will be the surgeon!" "As long as the doctor gives the doctor's orders, the nurses will not be anxious, and they can follow the steps in an emergency, after all, they have gone through countless times of training.

Although Zhang Fan has not received systematic training in gynecology, he has already passed the general surgery several times solidly, and he can even write an anatomy book. Nothing to worry about.

Zhang Fan has a certificate and is now in the gynecology department, so the nurse has to listen to Zhang Fan. "It's okay, let's go, this thing is something that practice makes perfect. Today you will be my assistant." Zhang Fan gave Lu Shuyan a gloomy face.

A three-year graduate student and a five-year undergraduate student, Lu Shuyan couldn't forgive herself for making such a mistake at a critical moment. In fact, she can't blame her for this. The eight-year student career was actually taught by the teacher. Everything There is always a teacher as a backer, and suddenly become independent, like a bird flying out of a bird's nest, it is impossible not to panic.

At the beginning of the operation, Lu Shuyan held back the tears that were about to fall, and helped Zhang Fan, "What's the blood pressure?"

"80/50hg!"

"Adrenaline combined with dopamine. Open dual channels to expand colloid capacity!"

Laparotomy, blood sucking, Zhang Fan quickly found the fallopian tube, clamped the bleeding site with oval forceps, and controlled the bleeding. The moment she caught the bleeding, Lu Shuyan let out a sigh of relief. If she couldn't find the bleeding point quickly today, this little girl might be put on the table.

Ectopic pregnancy bleeding is too dangerous. Every minute is fatal.

"There is no way to keep the fallopian tube on this side! Hey, at such a young age, tell me~" Zhang Fan couldn't continue.

"Doctor Zhang, the blood pressure has stabilized, and the operation can continue."

Just as Zhang Fan was about to continue, the deputy director of the gynecology department came in, "How is it? Did you enter the abdomen? How is the patient's condition?" Take off and come here.

"The bleeding point has already been pinched." Zhang Fan replied. The deputy director, Rouzi Guli, was a little bit incredulous, and stood behind Zhang Fan with her hands up, looking a little shocked. "Not bad!" Then I went to disinfect and change the surgical gown, ready to go on stage.

Zhang Fan's speed was so fast, Rouzi Guli didn't expect it at all. According to her estimation, the average novice should still be in the stomach at this moment, but it turned out to be pinched!

Lu Shuyan was about to shed tears, but this was an operation, and Zhang Fan couldn't comfort her to persuade her, she could only rely on herself! "I hope it doesn't become a knot in her heart!" Zhang Fan thought to himself.

Rouzi Guli didn't act as the main knife when she came on stage, she just stood in the second assistant's position, "Yeah! Not bad! Really good, I didn't expect the two of you to do this! As soon as the kid next door came out, I ran over I'm afraid of wasting time." She was also afraid, really afraid that the two novices would have problems.

After the operation, Zhang Fan changed his clothes and wanted to comfort Lu Shuyan, but he didn't see anyone, and no one answered the phone!

Lu Shuyan hid in the corner of the locker room and wept silently. This operation can obviously be done, why is my mind blank at the critical moment! Why can't he make an oral will as quickly as Zhang Fan! why! why!

She is annoyed, angry, and sad! It wasn't that she was annoyed or angry because she felt inferior to Zhang Fan, but she felt sorry for eight years of hard study and eight years of days and nights.

Mainly, she compared with Zhang Fan. Generally, fresh graduate students still have to spend half a year with their teachers after work. This is the difference between going to school and going to work. No matter how you are in school days, there is always a teacher!

Rouzi Guli changed clothes and left, only to find Lu Shuyan in the corner. The fat aunt looked at Lu Shuyan with red and swollen eyes, walked over and sat next to Lu Shuyan, put her arms around her shoulders and said, "It's good, I can stand up and take the responsibility." That’s pretty good. When I was studying in Bird City, many doctors couldn’t even recognize the surgical instruments.”

"But, I think I'm really useless today! And I almost had a big accident!"

"Hehe! Who doesn't have a first time! It will be fine in the future. Go wash your face, tidy up neatly, stand up and still be a strong woman! That Zhang Fan is a little neater under his hands, and his foundation is similar to yours. Don't be discouraged when you are far behind! Believe me, in half a year, you will definitely beat him by eight blocks!"

Rouzi Guli patted Lu Shuyan on the shoulder and led the little girl out of the dressing room. It's all here, she understands Lu Shuyan very well!

Parents outside the operating room are angry, worried and ashamed! This happened at such a young age, what should I do in the future! Hua Guo, once this kind of thing happens, it will really make you realize what it means to be fearful.

"What do you think! You have become like this at a young age, what will you do in the future! You know how to play mahjong and mahjong in one day, and if she doesn't learn well, you will make her bad!" The angry father blamed the child's mother.

"How did I bring it, you have the nerve to say, you have been out for several months, what can I do! You are reasonable. Your parents are sick and I will take care of them. Where are you? Where are you when the child is sick! You have taken care of her Blame me for playing mahjong. Don’t marry me if you have the ability! Get a divorce later!”

"What are you arguing about? If you want to make a noise, this is the operating room! You have no quality at all!" They were calmed down by the little nurse passing by.

My father squatted in the corner holding his hair and didn't know what he was thinking, while my mother kept wiping away tears!

There are many factors for this ectopic pregnancy, among which the probability of ectopic pregnancy is definitely high for underage women, so girls must protect themselves! Please be kind to yourself too!