Doctor: Although I Am Young, I Can Shake People

"Did you notice just now, the patient seems to have convulsions!"

When hearing this sentence, everyone present tensed up instantly.

During an operation, especially a heart operation, if the patient suffers from convulsions, that would be fatal!

If the spasms are severe, the operation must be stopped immediately.

It turned out that Bai Zhou's pause was not because the new doctor was unfamiliar.

But found an abnormal situation?

As the first and second assistants, Li Guofeng and Lin Xiao immediately launched an investigation into the patient's condition.

In the end, it was found that the convulsions that Bai Zhou mentioned did not appear.

Li Guofeng and Lin Xiao looked at each other, and Lin Xiao said softly:

"Doctor Bai, the patient's current condition is normal."

Is everything ok?

Bai Zhou frowned slightly.

It seems that I have indeed noticed a slight change just now. Could it be that I have misread it?

Lin Xiao will not talk about it. Li Guofeng is an experienced doctor. If he said there is no problem, then it must be no problem.

The operation continues.

The nurses around him also breathed a sigh of relief.

It turned out to be a false alarm.

They also blamed Bai Zhou a little more.

Director Li said it's all right, let's jump.

Could this new doctor be an excuse for his pause?

But it's normal, the first operation, some pauses are also reasonable.

However, the excuse you're making is a bit...

For a moment, their views and senses of Bai Zhou seemed to have declined.

However, they didn't notice at all that just now, Bai Zhou paused and checked the patient's body with Li Guofeng and Lin Xiao.

Bai Zhou's hand didn't tremble the slightest.

The tubes inside have not changed in any way.

This is definitely not something a new doctor who makes excuses can live with!

At this time, Bai Zhou had perfectly inserted the frame into the patient's mitral valve, completing the closure.

Turn a large cavity into two small shrinkage holes.

This is the principle of transcatheter mitral valve clamping.

Use a special mitral valve clamp, enter through the femoral vein, puncture the interatrial septum, and enter the left atrium and left ventricle.

Under the guidance of three-dimensional ultrasound and angiography, the mitral valve clip is used to clamp the middle of the anterior and posterior leaflets of the mitral valve, so that the mitral valve changes from a large single hole to a small double hole during systole, thereby reducing the number of mitral valves. cusp regurgitation.

Once the closure of the mitral valve is completed, the operation is considered successful.

Now it is only necessary to release the clip, retract the catheter, and suture the wound to announce.

But at the moment when Bai Zhou was about to let go of the clamp.

"Beep beep beep—"

The urgent siren sounded suddenly.

There is also a red light on various precision instruments.

The monitoring nurse spoke nervously in an instant:

"Not good! The patient suffered sudden cardiac arrest and suffered a sudden myocardial infarction!"

"What?!"

Everyone present was shocked for the first time.

And Bai Zhou's movements also stopped for an instant.

The atmosphere in the operating room instantly became tense.

"what happened?!"

As the dean and the most authoritative cardiologist in Jiangcheng, Lin Muyun quickly came to the operating table and began to observe together.

Li Guofeng is frantically operating various impact instruments, and the sweat on his forehead proves that he is also very nervous now.

Then he said quickly:

"Patient's coronary artery spasm, resulting in acute constriction and closure of the vessel wall, coronary artery blockage and sudden acute myocardial infarction!"

"this......"

The surrounding medical staff heard Li Guofeng's quick introduction.

spasms.

Did the patient really have a seizure? !

And it's coronary artery spasm? !

There was nothing wrong with Dr. Bai Zhou's observation just now? !

Just because the spasm was too small to be detected by the instrument?

However, Dr. Bai was able to detect the spasm without even being detected by the equipment? !

Oh my God! !

All the nurses present showed a dumbfounded expression under their masks.

Of course, the most important thing right now is not to be shocked by how awesome Bai Zhou is, but to immediately solve the patient's current life-threatening situation!

Lin Muyun also made a decision immediately after learning about the patient's condition:

"Now the patient's blocked coronary artery must be unblocked immediately, otherwise, the patient did not die from mitral valve regurgitation, but died from a myocardial infarction caused by the operation!"

Li Guofeng also nodded immediately, turned to Lin Xiao and said:

"Doctor Lin, get ready and open the patient's chest immediately!"

In fact, for the treatment of this myocardial infarction, a minimally invasive surgery similar to the mitral valve can also be used to implant a catheter.

But now, Bai Zhou's catheter-implanted instrument can't move at all!

If Bai Zhou withdraws the catheter at this time, with such a complicated heart condition, it is very likely that the atrium will be hung up, and the patient will probably die by then.

Moreover, transcardiac catheterization instruments to treat coronary artery blockages need to be implanted from the femoral artery, and the femoral artery is next to the femoral vein that Bai Zhou is currently operating on.

There must be no touching and overlapping.

So now, this method must not be used, and the only option is to open the chest.

Lin Xiao also nodded immediately: "Okay!"

But at this moment, Bai Zhou said, "It's too late!"

Hearing Bai Zhou's words, everyone's eyes were focused on Bai Zhou who was still holding the equipment and kept his original posture motionless.

Bai Zhou quickly said:

"The spasm that was discovered before was obviously related to coronary artery spasm. Time has passed, and the closure of the patient's central artery may have existed just now."

"If the thoracotomy is performed now, on the one hand, it will interfere with the venous catheter. On the other hand, the thoracotomy operation is too long and complicated, and the patient may not last that long."

Acute myocardial infarction is a fatal thing.

Of course Lin Muyun, Li Guofeng and Lin Xiao also knew about it, but what should they do now?

You can't take out the venous catheter at the risk of damaging your heart, right?

Li Guofeng said seriously to Bai Zhou:

"I'm afraid there is only one way now."

"No!" Who would have thought that Bai Zhou would firmly refute Li Guofeng at this time, making everyone present stunned again.

Afterwards, Bai Zhou quickly said:

"Now my meridian catheter is in the patient's atrioventricular chamber. I think, I can operate this catheter to enter the patient's coronary artery from the ventricle first, and use the gap in the catheter to separate the closed vessel wall to allow blood to flow."

"The drug is then used to stop the patient's vasospasm."

"Are you crazy?!" Lin Xiao's eager and sharp voice came out:

"Bai Zhou, do you know that the catheter in your hand enters through the meridians? Don't you know what will happen if you connect the veins and arteries?"

Lin Xiao is not blaming Bai Zhou, but because Bai Zhou's idea is really very dangerous.

It is very easy for irreversible mistakes to occur. At that time, Bai Zhou's first surgery will cause him extremely serious adverse reactions. I am afraid that Bai Zhou will not be able to be a doctor again in his life.

This is what Lin Xiao is worried about.

Li Guofeng did the same, shook his head and said, "Bai Zhou, your idea is really too risky, and the success rate is even lower than open chest surgery, I disagree!"

One is his teacher, the other is his senior sister, all rejected his proposal.

But at this moment, Bai Zhou's eyes were extremely firm, he looked straight into Li Guofeng's eyes and said:

"Teacher, please trust me!"

...

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