"Mr. Wu, the patient''s blood pressure suddenly dropped." Ren Haitao hurriedly reported the situation.

    "Well, it''s all right." Wu Mian still did vascular anastomosis steadily, and there was no change at all, as if the alarm of the monitor didn''t exist at all.

    "..." Ren Haitao and everyone in the operating room were stunned.

    The drop of blood pressure means that the patient''s body condition has a special change. How can it pass without a word?

    "How much is the blood pressure?" Wu Mian asked softly without looking up.

    "The blood pressure was 7040mmhg, the heart rate was 108 beats / min, 1220ml of crystal liquid and 530ml of colloid were input." Ren Haitao immediately reported the situation.

    "Push norepinephrine 20ug quietly." Wu Mian said while performing the operation methodically.

    Norepinephrine 20ug was pushed in. After 20 seconds, the blood pressure still didn''t rise. Ren Haitao immediately reported the situation instead of making decisions without authorization.

    "After intravenous injection of norepinephrine 50ug, continue to pump in micro pump and check a blood gas."

    Seeing Wu Mian doing microscopic anastomosis calmly, he turned a deaf ear to the alarm of the monitor. Ren Haitao and others were in a trance.

    Xu, director of anesthesiology department, whispered, "Mr. Wu, why don''t we suspend the operation first?"

    This is a regular conscience suggestion.

    "No, it''s all right," Wu Mian replied. "The surgical trauma led to the toxin under the scab infiltrating into the blood, resulting in infectious toxic shock."

    Infection

    Moderate

    Shock

    Still?

    Director Xu almost didn''t drop his chin when he heard Wu Mian''s words. Are infected with poisoning shock. Why isn''t Mr. Wu in a hurry!

    If there were someone else, director Xu would go up and kick him aside.

    However, seeing that Wu Mian was full of confidence, he questioned again, but stood aside and watched Ren Haitao busy.

    “pH7.35，PaO2497mmHg(FiO2100%)，PaCO247mmHg，Hct28%，HGB95gL，Lac2.6mmolL。”

    Ren Haitao reports the blood gas analysis value.

    "Norepinephrine, epinephrine and dobutamine are pumped together."

    "Hydrocortisone 100mg was given intravenously."

    "Rapid infusion of 1000ml of hydroxyethyl starch, suspended red blood cells and fresh frozen plasma."

    Wu Mian said.

    If, as usual, the monitor in the operating room sends out a sharp alarm, everyone will be like a great enemy. First find the cause of the drop in blood pressure, solve the problem, and then perform the operation.

    But Mr. Wu Mian''s calm mood made everyone at a loss. He just carried out it quickly according to his doctor''s advice.

    After 14 ′ 12 ″, the high pressure returns to above 90 mm Hg, and the alarm sound is released.

    Wu Mian had already predicted this situation. Of course, it will not happen 100%. In Wu Mian''s guess, the possibility of septic shock only accounts for 18%, but there are no other more rare cases, and Wu Mian is not dissatisfied.

    Wu Mian has been taking care of Bai Dalin for a short time when he came to the second hospital of Medical University. At the same time, he initially found out what changes had taken place in himself.

    Hypermnesia still exists, but like an upgraded supercomputer, he can handle the flashback memory of hypermnesia with ease.

    And when the head was no longer painful and had no trouble, Wu Mian found an advantage.

    I can infer the possible changes of various conditions according to various objective examination data before operation and my solid basic clinical knowledge.

    It is a basic clinical skill to speculate on the changes of the disease. What Wu Mian can do now is to have digitized various changes. The probability is not based on Mongolia, but a real possibility.

    For example, in the case of Bai Dalin, Wu Mian already had a plan for rescue and treatment. Just toxic septic shock, quickly replenish fluid and give some rescue medicine.

    No panic, no accident, everything is under control. This feeling makes Wu Mian feel detached from things.

    This is the so-called control, not the desire to control, but the real control of surgery and disease treatment. Like a God, he controls everything on the operating table and avoids any accidents as much as possible.

    Bai Dalin''s blood pressure slowly returned to normal, and Wu Mian''s operation has been half done.

    The rest is simple and repetitive work. Director Li carefully read it from the beginning, but still didn''t understand the technique of Wu Mian''s operation.

    Some things depend on talent, which director Li knows. Not enough talent, no way.

    There were no waves next. Wu Mian and Chu Zhixi had a tacit understanding, and there was no communication between them, but it never happened who was waiting for whom.

    Basically remove a piece of skin and transplant a piece of skin. The time fits perfectly without any error.

    58 minutes later, the last piece of skin was transplanted. After the wound was covered with gentamicin gauze, it was covered with vaseline gauze and wrapped up thickly.

    Wu Mian moved his cervical spine, and the vertebral bodies rubbed against each other, making a creaking sound.

    The operation was well done. He was a little happy. Bai Dalin''s problem is solved. The burn must be all right. If the product is not satisfied with the scar after the operation, he can also do cosmetic surgery for him.

    But an old man, what cosmetic surgery he does, it''s all a man''s medal.

    "Miss Wu, is there anything special about going back?" director Li asked.

    "No," said Wu Mian, "you don''t have to go to the intensive care unit. Just go back to the burn ward. I''ll see it for another day, and I''ll trouble you to change your dressing or something later."

    "Mr. Wu, you''re too polite." director Li wanted to ask, but he didn''t know where to start.

    And there''s a chest surgery. I''d better wait for dinner.

    Wu Mian was not careless. He took the next patient. He went out of the operating room first, told his father and Bai Dalin''s family about the operation, and then sent Bai Dalin back in person.

    In the second stage, Wu Mian completed the operation in only 22 minutes.

    Thoracoscopic resection of pulmonary nodules is not difficult. The only problem is the operator''s familiarity with the relationship between imaging and anatomical structure.

    Small nodules are not like giant tumors, which can be seen with the naked eye.

    The operation requires one lung ventilation, and the lung on the operation side is deflated. The test is whether the operator can accurately find the location of pulmonary nodules. As for resection, even an ordinary thoracic surgeon can complete it well.

    After cutting off the lung tissue, Wu Mian asked director Fang Jinshui to wash and close his chest, while he covered it with gauze, dissected the lung tissue and saw the small nodules with his own eyes.

    It is conceivable that it is difficult to accurately find two small nodules of about 5mm. But the scalpel in Wu Mian''s hand is like having been operated on many times. It''s a small nodule.

    Tumor like changes have occurred in the interior of the small nodules, which are expected. But there was no metastasis. After the operation, from a certain point of view, the patient can be said to have recovered.

    Two operations were completed, and it was less than 11 noon.

    Wu Mian squatted in the burn department to take care of Bai Dalin. He didn''t go to dinner until he fully woke up from anesthesia and talked with Bai Dalin.