Plague Doctor

Chapter 50: Canine thoracotomy

The spacious operating room is very quiet, and the three operating tables being activated are illuminated by their shadowless lights.

On one of the tables, Gu Jun made a 15cm skin incision to the face of the human face dog and said: "Bent scissors." He took the curved surgical scissors that Cai Zixuan quickly handed over to the right, and slowly cut Open each layer of subcutaneous tissue, skin muscle and ventral pectoral muscle. The opposite Wang Ruoxiang was silently and seriously doing hemostasis.

All three of them have been devoted to the operation. Occasionally they will notice the terrible sick face, but it is only a background board.

Gu Jun must be very careful to minimize the damage to these tissues, and the scissors need to be as close as possible to the front edge of the ribs to avoid the blood vessels and nerves between the intercostals. If you don't care which blood vessel is cut off, it is a terrifying scene for the main knife.

But now his spirit is still very sufficient, his mental strength, eyesight and hand strength are all on line, cut down layer by layer, there is no picture of sudden blood spewing.

"Turn on the ventilator." Gu Jun said again, because he was so absorbed that he was expressionless and quiet. Cai Zixuan knew his responsibilities and shouted: "Travelling nurse, come and turn on the ventilator!"

Each operating table has these conventional instruments such as ventilator and electrocardiogram monitor. Some of them started to be used when the traveling nurse brought the human face dog in before. Now, a touring nurse came over immediately after hearing the words and helped to open the animal ventilator to give oxygen by positive pressure.

When the human face dog exhaled, Gu Jun opened its intercostal muscles and pleura.

There was a slight sweat on his forehead, but his hands remained steady. "Wounds." He put the wet sterilized wounds on the edge of the incision of the surgery. "Retainer." Then put the retainer for the hook. , "The hook." He then took the hook and expanded the incision evenly, opened the surgical field, and the hook was fixed on the holder to maintain stability.

This operation is done. Although the operation department looks like a pile of skin and pericardial blood, the surgical access to the heart and hilar area has been completely opened.

At the same time, a group of watchers standing not far away whispered with Zhou Jiaqiang.

"That chief sword is Gu Jun." Team Leader Qiu looked at her aunt with a smile, very satisfied but not surprised, "the next generation is awesome." Even in this situation, there are things that are gratifying-discover this The stunning young man is one of them.

The five new chief swords are all surprised. This is Tao Taozi digging for gold, looking for three helpers and two helpers.

Human face dog maintains the body characteristics of the dog. The chest wall has a large curvature and the diaphragm has a low attachment edge of the ribs. It has technical difficulties in cutting it, which is different from ordinary experimental animals. But Gu Jun's handwork is really good, stable, and fast. Several times they thought he had to cut the blood vessel, but the result was none.

Many people will have the so-called professional sense of smell, and surgeons will also have, where and what kind of force needs to be dealt with, but these sense of smell and skills require years of experience to develop.

Gu Jun behaved as if he already had it, but they heard that this was his first operation.

This kind of person is born with materials for surgery.

"Team Qiu, I thought you said something a little exaggerated, but now it's less exaggerated."

"What else do you cultivate after all this, Gu Jun give me, come to my side to do the third help."

They spoke very softly, for fear of disturbing the surgeons there. But at this time, Zhu Ruiwen, one of the new chief swordsmen, couldn't help but shout out loudly: "Three helpers? Who are you so cold, he can use this hand as a second helper, I will let him be the second helper."

"Aren't you looking at his suture technique yet?"

Team Leader Qiu watched his subordinates almost repeat the scene of robbing people. It was a bit funny. Now he stopped like Qin Lao said: "Do n’t be noisy, what ’s up in the operating room. Let ’s look at the stitching first, A Qiang. , It ’s enough for them to do this, do n’t go in any more, start stitching. ”

"Yes." Zhou Jiaqiang was about to step forward and said that his expression was quite proud.

At the operating table, Gu Jun was about to carry out a further pericardial examination. At this time, the electrocardiogram monitor next to him suddenly issued a drip warning sound. Wang Ruoxiang frowned and reminded: "The animal has a cardiac arrest." Gu Jun sinks his heart. Shen, it's just a normal situation, saying: "Intravenous epinephrine, 0.2ml per kilogram of body weight."

This human face dog weighs 16.3 kilograms, which is 3.26ml.

"3.26ml ..." Cai Zixuan murmured, "Is this the number?" Gu Jun and Wang Ruoxiang said in unison: "Yes!" Gu Jun said: "It's fine to hit 3-4ml, hold tight."

Cai Zixuan quickly used a disposable trumpet syringe to dispense the medicine, and at the same time called the itinerant nurse, from the patrol to the hind leg of the human face dog for intravenous injection.

Epinephrine beat down, and after a while, the human face dog's heartbeat recovered again, no more treatment is needed.

Leader Qiu over there they watched Gu Jun not responding quickly, and got another compliment in their hearts!

Sudden cardiac arrest during the operation is a very scary thing. Everyone knows to take epinephrine, but some people sometimes can't think of it, especially the novice rookie. It is really rare for an intern to be like Gu Jun.

They are also paying attention to the other two operations, which is less meaningful in comparison. The same is the thoracotomy method. Both major surgeons are still busy to stop bleeding because of problems such as deep cutting and cutting of blood vessels. It is necessary to use an electrocoagulation knife. Fortunately, this is only an experimental animal.

"Ajun, don't go in, stitch it." Zhou Jiaqiang went up and said the meaning of Team Leader Qiu.

"Okay." Gu Jun nodded, listening to keep calm and focus, began to close the incision, and put out all the techniques he had worked hard in the past half a month.

He first used a rib proximity device to bring the ribs on both sides of the incision closer. The UU reading book www.uukanshu.com cuts closely but not overlapped. Then he used a single strand of absorbable suture and sewed 6 needles to tighten the ribs on both sides and hit Knot; then change the absorption suture, suture the intercostal muscles first, and then other muscle layers, double intermittent suture ...

Everyone looked at Gu Jun and sewed one layer after another, clearly separating the main muscle parts and the muscles of each layer, with a neat trick and smooth ligation.

Is really flowing clouds, there is no slight tremor and no extra movement.

The hands are the veterans of surgery.

"Team leader Qiu ..." Zhu Ruiwen scrambled to look at the leader, "It's okay for him to be the second assistant."

The other four new chief knives now know that there is no problem, and they have asked to send Gu Jun to themselves: "My sewing technology is not as good as him!" "This kid has practiced."

Zhou Jiaqiang knew that they were self-effacing, Gu Jun was a trainee after all, and he was temporarily incomparable with the old fritters.

However, the main job of Ersuke is to sew and ligature these shallow parts. After finishing the deep work with these master knives and Isuke, you can hand over the tail to Ersuke. Because the surgery will be done one after another, they need to save their energy to spend on the next surgery. If the second assistant is like Gu Jun, you can rest assured.

Therefore, Qiang Brother also nodded and agreed to let Gu Jun leap to be the second assistant: "Team Qiu, that kid is improving every day and is a serious person."

"Well ..." Team Leader Qiu is still thinking. This time, he mainly selected the three assistants. He also said that the second assistant is because of Gu Jun. "He can do this. This is his advantage, but he did not The experience of human surgery, if faced with patients with allose disease ... "

Leader Qiu felt that he was now Qin Lao, and Zhu Ruiwen and other people's eyes were really like themselves and Lao Zheng on that day.

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