Xiao Wang from Jiangsu has been working in the kitchen of a restaurant. He has no shortage of food and drink, and his physique looks similar to that of a wrestler. Some time ago, he suddenly felt very uncomfortable in his stomach. Although he took a lot of stomach medicine, it seemed to have no effect. One afternoon, he finally couldn't stand it anymore. He squatted down while preparing food, pressing his stomach which was in great pain. When his colleagues saw this, they immediately called the boss. When the boss saw this, he was reluctant to send him to the hospital at first, after all, it would affect business, but when he saw that the situation seemed serious, he reluctantly agreed to send him to the hospital. When he arrived at the hospital, the doctor immediately arranged for him to undergo relevant examinations. The results came out quickly, a stomach tumor! In addition, due to the rupture of the tumor, gastric perforation occurred. The severe pain in the stomach was the result of peritonitis caused by gastric acid and food. After the diagnosis was confirmed, the attending physician immediately reported the situation to the department director, who instructed to contact the anesthesiology department for consultation immediately, as the patient needed surgery. After the Anesthesiology Department received the surgery information, the doctor on duty immediately rushed to the Surgery Department to check on the patient's condition. What made the doctor on duty feel awkward was that this patient was too difficult to treat. Just the mountain-like belly alone was enough to make us imagine how difficult it was. From a professional perspective, such patients involved many difficulties, including airway management, hemodynamic management, and cardiopulmonary protection. Among them, airway management was the most difficult of all. Due to the severe obesity, the young anesthesiologist had no confidence at all. Unfortunately, however, the director of the anesthesiology department was attending a meeting in the provincial capital 500 kilometers away. If the anesthesia problem is not solved, the operation cannot be performed; if the operation cannot be performed, the condition cannot be controlled. Although Xiao Wang looks very strong, from a medical professional perspective, such a physique is weak inside. For the same condition, such a physique has poor resistance. In addition, there are many risks to be faced during and after the operation. For example, the circulation control during the operation must not only consider the changes in the cardiovascular system, but also the problem that the heavy weight has already put the maximum load on the heart, as well as the differences in the biological metabolism of a large number of tissues and the metabolism of anesthetics; in addition, the stress response is more than twice that of thin people. At this point, no one knew what to do: Xiao Wang, lying on the bed, was getting weaker and weaker, and he could no longer decide on his own life; the surgery department was not only worried about the difficulty of surgery for this severely obese patient and the increased difficulty of surgery due to the sticky abdominal cavity, but they were also more concerned about the anesthesia issue. Several experiences had taught them that without the support of the anesthesiology department, it would be difficult for them to successfully achieve their goals in overcoming difficulties; facing this difficult case, the young anesthesiologists really did not dare to gamble with the patient's life. The problem now is that as long as the anesthesiology department dares to anesthetize, the surgery department dares to perform the operation. However, once the anesthesiology department dares to take over this hot potato, it is equivalent to getting itself involved. If things are made simple, the patient can be transferred to a provincial hospital for surgery. After all, with a weight of more than 300 kilograms, everyone will forgive the ability of this county hospital with less than 1,000 people. However, Xiao Wang's condition seemed unable to withstand 3 or 4 hours of bumpy ride. The patient couldn't move, so only the doctor could move. After fully understanding the patient's condition again, the director of the anesthesiology department decided to return to the hospital urgently. At the same time, he instructed the young doctors to make all the preparations for anesthesia. After the patient entered the operating room, he would wait for him to arrive before anesthetizing him. This time, the surgery department did not pick on the patient or complain that the anesthesiology department was too slow. They knew that this patient could not be rushed and had to wait until the anesthesiology department was fully prepared. In particular, the experienced anesthesiology director who could do a lot to ensure the patient's life safety during the operation was present. In order to get back to the hospital as quickly as possible, the director of the anesthesiology department found an ambulance and drove back to the hospital without stopping. After nearly three hours of emergency surgery, the doctor completely removed Xiao Wang's lesion and Xiao Wang's life was saved! |
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