Conference room.
When Lin Feng came to the conference room where the consultation was held, the entire conference room was basically full.
As soon as he came in,
All the doctors' eyes, brush brush ~~~ look at it together.
Staring at Lin Feng.
Lin Feng, an intern in the emergency department, has been famous for a long time!
Because of the rescue of emergency director Zhou Guorong, the black tiger took out his heart and became famous in a war!
The photo of the 'black tiger digging out his heart' was widely circulated in the hospital, and it also calmed many proud doctors.
It is said that in the last pancreatitis operation, he was watched by the surgical boss of the Provincial Duck University Hospital for the whole process, and he liked it madly after the operation, and also invited Lin Feng to the Provincial Duck University Hospital for internship and work.
That's the Provincial Duck Hospital!
No. 1 in Lingnan Province!
Ranked sixth in the country!
A hospital in my own city, it would be good to be able to shoot the top 100.
I heard that the hospital was afraid that other hospitals would rob talents, so in order to retain Lin Feng, he also specially opened a high salary for Lin Feng.
How high this high salary is, I don't know.
Therefore, many people have always wanted to meet this 'long-admired daimyo' and 'hidden' intern Lin Feng.
Now....
A look at real people,
Groove!
Too handsome, too young, right?
Combined with Lin Feng's various 'deeds,
Suddenly there is an illusion of watching the male protagonist of a TV series.
Many people even think that if Lao Liang hits the street during surgery, and then Lin Feng is on top, it will be good, you can see if the strength of this Lin Feng is as awesome as the legend.
(Liang Guomin: "..."I have a sentence that MMP does not know whether to talk about or not!) )
Lin Feng found a place to sit down.
Triage continues
Lung ventilation function OK
Kidney function, A function, liver function OK
Cerebrovascular disease does not
Non-smoking
No diabetes.
MRI, CT images, all over, Lin Feng silently remembered in his heart.
Half an hour later,
At the end of the consultation, a detailed plan is discussed.
The scheme "simple blockade method": that is, block the descending aorta at the upper and lower ends of the aneurysm at room temperature, resect or incision the aneurysm, and transplant artificial blood vessels.
Note: Due to the blockade of the aorta, the burden on the left heart is increased, and at the same time, the aorta is blocked by the ischemia of important organs distal, such as spinal cord, liver, kidneys, etc., especially the spinal cord
Tissues are most vulnerable to ischemia and hypoxia. The safe time to tolerate ischemia after blocking the thoracic aorta at room temperature, the kidney is 45min, the liver is about 30min, the spinal cord is only 20min, and the spinal cord tissue is ischemic at room temperature for 20min. Over time, it will bring serious damage.
......
At this point,
The nurse was also methodically preparing.
The patient signs the consent form.
The patient was brought to the operating table.
Anesthesia,
Disinfectant cloths....
All doctors put on surgical gowns and enter the operating room.
An hour later
The patient opens his chest.
The surgeon, Liang Guomin, took the knife and made an incision on the posterolateral side of the left chest through the 6th or 6th intercostal space.
The sternum is then opened and the posterior end of the upper or next rib is cut off, widening the incision to reveal the surgical field of view.
Sure enough, the artery ruptured and there was massive bleeding.
There is already a lot of pleural effusion.
Then there's the ionization.
Be very careful with this step.
Because this artery is adhered to the lungs, once it is forked, it will damage the lungs.
If it enters the lungs and then blocks the blood, it is embolism and can easily cause death.
1 minute....
5 minutes....
10 minutes....
Liang Guomin was cautious and sweaty.
At this time, he suddenly found that his mind was a little dizzy.
He secretly said: Not good!
During his lunch meal, he ate with the boss of an equipment company and drank a little wine.
On the one hand, he likes to drink, on the other hand, the boss of the equipment company is too warm and polite and gives too much, so as soon as the atmosphere comes up, he can't help but stain a little.
He thought there was nothing wrong
But now, at the critical time of the operation, I suddenly became dizzy.
"No, you have to keep it up!"
Liang Guomin weighed it up and felt that he should be able to do it, because he had already done this kind of surgery seven or eight times, and there should be no problem with it.
Then,
Shh~~~~
Liang Guomin's face changed.
He just had shaky hands!
When he was free, his lungs were accidentally slashed by him.
Ichisuke and Nisuke's faces changed.
The other doctors outside the operating room also changed their faces.
"Something is wrong!"
"Forked!"
A strange atmosphere began to permeate.
Fortunately, the free wound is not large.
"Xiao Li, you stitch it up."
"Yes."
Li Yuan quickly sutured and closed the wound well, very skillful, this is the basic exercise.
Liang continues to free adhesions of aortic dissection and peripheral tissues.
Shh~~~~
My hands are shaking again!
Liang Guomin: ".................."
One help two helps: ".................."
Nurse: ".................."
Other doctors: ".................."
The atmosphere is even more weird.
However, no one dared to say anything, quietly.
Liang Guomin's face was a little pale at this time, on the one hand, he was dizzy, and on the other hand, he had gone wrong twice in a row.
This is not the most important critical moment of surgery. If it's time to block the blood vessels, it's a big problem!
At this moment,
His scalpel stopped.
He hesitated.
Do you want to stop this operation?
。
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