This rescue task is very important. Any medical worker must pay attention with twelve points of spirit!

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

    Because the hospital is a complex organization after all, many people in charge of administrative work do not intervene in medical events.

    Although Hao Xuliang is the vice president in charge, he is also the backbone of medical treatment. It can be said that he can''t do less. He communicates with relevant departments almost all the time. How can he carry out rescue work in an orderly manner.

    A few minutes later, Hao Xuliang rushed into the rescue room, saw Li Baoshan and asked, "Baoshan, where did you find it?"

    Li Baoshan pointed to Chen Cang: "this is our doctor, Chen Cang. He can use peritoneal dialysis."

    Hao Xuliang immediately shrunk his eyes, looked at Chen Cang, then turned and stared at Li Baoshan: "are you sure?"

    Li Baoshan took a look at Chen Cang. He understood Chen Cang, because he recruited Chen Cang at that time. He knew Chen Cang''s character very well. He was very real. He had worked for more than two years, made no mistakes, never cheated, and was very low-key.

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

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

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

    Chen Cang told the truth: "I was in Dongyi university when I was in college. I went to Haishi No. 6 hospital for internship. Where was it? I stayed in the peritoneal dialysis room for more than three months. I needed to do peritoneal dialysis every day. I learned it at that time."

    It''s all true, but... After staying for three months, I can do some basic operations.

    Hao Xuliang was still a little worried and told him, "young man, human life is crucial. There is no room for carelessness and falsehood. Do you understand?"

    Chen Cang: "I understand!"

    Hao Xuliang immediately clapped: "go, peritoneal dialysis room!"

    In fact, peritoneal dialysis is not difficult to say. It is not easy to say. If you have contacted people, it is really not difficult. For people who have not contacted, there must be problems if you start rashly.

    It won''t take long to learn this thing, so Hao Xuliang and Li Baoshan still believe it.

    And this time, it''s not your mother''s time.

    A group of people pushed the poisoned patients directly to the peritoneal dialysis room. This is a new place opened by the hospital. There is no one here.

    Hao Xuliang is still a little tangled at this time. What if something goes wrong?

    Suddenly he remembered his old classmate and suddenly a phone call was broadcast.

    "Lao Yang, I''m Hao Xuliang. I have something to ask you to check!"

    The other party asked directly, "what''s up?"

    "There is a patient in our hospital who needs peritoneal dialysis, but no one will do it now. A small doctor in the emergency department said yes. I''m still not at ease. I plan to open a remote video conference and let your hospital''s peritoneal dialysis experts check it. How about it?"

    Lao Yang suddenly asked, "is it the poisoned patient of the explosion in the chemical city?"

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

    Lao Yang nodded: "prepare for the video conference and contact in a few minutes."

    Hao Xuliang hung up and his eyes lit up!

    It''s safe now. With the guidance of remote experts, Chen Cang himself will be a little better. Shouldn''t it be a big problem?

    Speaking of this, Hao Xuliang directly picked up the phone and said to the security section, "go to the sixth floor, lift down the teleconference TV on the sixth floor and send it to the abdominal dialysis room!"

    It took more than ten minutes and everything was ready!

    The remote video conference TV is very large, two meters long, and can basically be restored and changed one by one. Through the camera, the other party can basically see the operation of abdominal penetration clearly.

    The emergence of remote video conference is mainly to facilitate case discussion, consultation and surgical demonstration between different hospitals.

    Video link succeeded!

    Looking at each other, there was a picture of each other on TV, a man in his fifties and a woman in his forties.

    Hao Xuliang said hello: "Dean Yang, it''s hard! Please."

    The man smiled: "never mind, this is Xu Aiping, deputy director of the peritoneal dialysis room of our hospital. Just let her guide you."

    Hao Xuliang turned to Chen Cang and said, "can we start?"

    Chen Cang nodded!

    Let''s go!

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

    Through the peritoneal dialysis fluid and the plasma components in the capillaries of the other side of the peritoneum, the exchange of solute and water can remove the metabolites and excessive moisture in the body, and simultaneously replenish the substances needed by the body * by dialysate.

    At this time, patients with renal failure must have a metabolism to replace the kidney, and through continuous renewal of peritoneal dialysis fluid, to achieve the purpose of renal replacement or support treatment.

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

    After a period of time, the peritoneal dialysate containing waste and excess water is discharged from the abdominal cavity, and then filled with new peritoneal dialysate, so as to continuously circulate.

    The use of peritoneal dialysis is not troublesome. The main thing is the first step, catheterization!

    Catheterization is the most important link of peritoneal dialysis, and it is the most critical link!

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

    There are two common methods for peritoneal catheterization: Laparoscopic catheterization and anatomical catheterization.

    And now there is only one kind in front of Chen Cang, that is anatomical catheterization.

    Not because he can''t put the tube with a endoscope, but because there is no endoscope here at this time!

    As Hao Xuliang said, because it has not been fully carried out here, the laparoscopy in the hospital is in the operating room and has not been equipped here!

    Catheterization is actually a small surgical operation.

    Across from the video, Xu Aiping seems to see that Chen Cang wants to use surgical catheterization, saying: "this traditional anatomical catheterization requires the operator to have solid basic skills of surgery! Moreover... He must have skilled catheterization technology! There must be no mistakes!"

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

    Chen Cang turned a deaf ear!

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

    The catheterization room beside the peritoneal dialysis room is not very different from the operating room. There should be some!

    Cut!

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

    Marking requires extensive disinfection!

    The scope of peritoneal dialysis is too large. Basically, it must be disinfected from below the chest to above the groin, and both sides reach the axillary midline on both sides.

    Anesthesia!

    Local anesthesia!

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

    Carefully cut the skin and separate the subcutaneous fat to reach the anterior sheath!

    Chen Cang held his breath and lifted the front sheath.

    At this time, all abdominal muscles are exposed!

    Blunt separation of muscles!

    Next, Chen Cang took a deep breath and lifted the peritoneum. At this time, Xu Aiping in the video screen held her breath.

    Dare not disturb!

    Because we must pay attention at this time, we must not accidentally hurt the greater omentum and intestines.

    Once accidentally injured, it is easy to cause infection!

    The most important thing for peritoneal dialysis is to grasp the details. Xu Aiping, who is in her 40s, basically uses endoscopic catheterization, because the risk is small, and the anatomical catheterization method requires too high the surgical level of the operator, and it is more likely to be infected, the wound is larger, which is not conducive to rehabilitation and many other factors.

    But!

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

    what do you mean?

    If you score endoscopy and ordinary surgery, the upper limit of anatomical catheterization is 100 points, while the upper limit of endoscopic catheterization is only 70 points. Ordinary surgery is perfect, and endoscopy is basically based on qualification!

    PS: there''s more in the back. Turn back, that''s right!