Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points
Chapter 122 This Blood Vessel Is Like The Five Consecutive Hairpin Bends On Qiu Ming Mountain!
"Doctor Lu, the female patient with congenital heart disease fainted!"
Lu Ming was thinking about Gu Xiuya's surgical plan in the office when a nurse suddenly ran over to inform him of the situation.
"A seizure?"
Lu Ming stood up suddenly.
Why did the congenital heart attack happen at this time?
He hasn't perfected the surgical plan yet.
And I haven't seen the latest test results, so I don't know anything about Gu Xiuya's current physical condition.
If you want to perform surgery now, it would be like a blind man operating on a patient.
When Lu Ming came to the rescue room, Yi Linfang immediately stepped forward and grabbed Lu Ming.
"Doctor Lu, please save my daughter, you must save my daughter!"
Lu Ming asked Gu Linfang to stay calm first and asked a medical staff to take her out.
"What tests were done?"
"Is the report out?"
Looking at Gu Xiuya who was unconscious on the hospital bed, Lu Ming asked loudly.
"The electrocardiogram and ultrasound have been done."
"The results are also out."
A medical staff handed the report to Lu Ming.
After reading the report, Lu Ming frowned slightly.
In the electrocardiogram, there is atrial and ventricular hypertrophy.
The ultrasound report also showed that Gu Xiuya had heart problems.
However, it is not yet a sudden attack.
What went wrong?
"Director Lu, the patient's blood pressure continues to decrease.
a medical staff said.
Gu Xiuya, who was lying on the hospital bed, looked pale and was sweating.
This situation is not good!
"Wait, what is this?"
At this moment, Lu Ming saw a medical staff wiping Gu Xiuya's butt and about to throw away the dirty cotton cloth.
"The patient was defecating just now, and he probably fainted in the middle of defecating."
"No, I didn't even have time to wipe my butt.
the medical staff replied.
shit?
Fainted during pooping?
Lu Ming was enlightened and quickly listened to Gu Xiuya's heart sounds with a stethoscope.
The heart sounds are very messy, and the body is also hot.
This is not a congenital heart attack!
This is…………
Myocardial infarction!
Myocardial infarction!
"Quick, go get the nitroglycerin tablets!"
Lu Ming immediately judged Gu Xiuya's condition.
soon.
Nitroglycerin tablets were brought in, and Lu Ming gave them to Gu Xiuya immediately.
After taking nitroglycerin tablets, Gu Xiuya's condition improved.
Lu Ming breathed a sigh of relief. It was okay, okay, there was no big problem.
He still had time to research surgical options.
Lu Ming left the rescue room.
Gu Linfang immediately greeted him.
"Doctor, how is my daughter?"
"Do we need to have surgery immediately?"
"Oh! Why did this congenital heart disease suddenly attack?"
Gu Linfang beat her palms, spinning anxiously.
"It's not a congenital heart attack, it's a myocardial infarction."
"It has been rescued now."
Lu Ming asked Gu Linfang not to be too nervous.
"Heart attack?"
When Gu Linfang heard this, he was stunned for a moment.
How can I have a heart attack?
"Yes, it's a heart attack.
"As for the reason for the heart attack, it should be related to your daughter pooping."
Gu Linfang was stunned again. Is it related to pooping?
Why did you end up shitting again?
Can a good poop cause a heart attack?
"Your daughter may be constipated or straining too much when going to the toilet to defecate.
"In this way, the amount of work done by the myocardium will increase, and the amount of work done will also increase."
"The load on the left ventricle will be significantly increased, which may eventually lead to plaque rupture and thrombosis."
"In addition, your daughter has congenital heart disease and her heart is not healthy, so she is more likely to have a myocardial infarction."
After Lu Ming explained, he couldn't help laughing.
This is a serious matter. Although it is dangerous, it is also embarrassing.
After listening to Lu Ming's explanation, Gu Linfang's face also twitched, feeling a little incredible.
At the same time, I was very happy that it was just a false alarm.
"However, because of this myocardial infarction, your daughter's condition may have worsened."
"There is a lot less time left for her, so it is best to have the surgery as soon as possible."
"I will work out the surgery plan within the next few days.
Lu Ming regained her composure and informed Gu Linfang of her daughter's current situation with a serious face.
"Okay, okay."
"I will fully cooperate with you, Dr. Lu."
"please!"
Gu Linfang nodded repeatedly, hoping that Lu Ming could perform the operation on her daughter quickly.
After Gu Xiuya's condition improved, she was sent for other examinations.
Lu Ming prayed that it would never be tetralogy of Fallot in the right-to-left classification.
If it's tetralogy of Fallot, it's really fun.
Tetralogy of Fallot is a combined congenital cardiovascular malformation, including pulmonary stenosis, ventricular septal defect, aortic striding, and right ventricular hypertrophy.
In other words, if it is tetralogy of Fallot, four places need to be repaired.
The difficulty increases exponentially.
While Lu Ming was praying, all of Gu Xiuya's test results came out.
And was delivered to Lu Ming's hands immediately.
"This is..………"
After reading all the test results, Lu Ming breathed a sigh of relief.
Not Tetralogy of Fallot!
It is pulmonary atresia in congenital heart disease.
Pulmonary atresia is a rare and complex cyanotic congenital heart disease, which refers to a congenital malformation in which there is no direct connection between the right ventricle and the pulmonary artery.
Moreover, according to the presence or absence of ventricular septal defect, it can be divided into two types: pulmonary atresia with intact ventricular septum and pulmonary atresia complicated by ventricular septal defect.
Gu Xiuya has a ventricular septal defect.
Therefore, her specific condition was pulmonary atresia complicated by ventricular septal defect.
Therefore, the general direction of the surgery was established.
Open atresia and repair defects.
The main treatments for pulmonary atresia include pulmonary valvotomy, biventricular repair, right ventricular outflow tract reconstruction and interventional surgery.
However, ventricular repair, right ventricular outflow tract reconstruction and interventional surgery are only suitable for pulmonary atresia with intact ventricular septum.
Therefore, Gu Xiuya needed a pulmonary valve incision.
After the atresia is opened, the ventricular septal defect can be repaired.
However, it sounds easy to say, but it is difficult to actually do it.
Due to Gu Xiuya's special physiological structure, the left ventricle, which should have been on the left side, moved to the right side, and the right ventricle, which should have been on the right side, moved to the left side.
Therefore, in terms of imaging, X-ray projection position selection, and the rotation of the catheter into the coronary opening, the routine operations are "opposite" to those of ordinary patients!
This is a great test of the doctor's ability.
For patients, the risk is doubled.
The surgical plan was finally decided.
After thorough preoperative evaluation and preoperative preparation.
Gu Xiuya's surgery is about to begin!
nine in the morning.
Gu Xiuya, who met the conditions for surgery, was pushed into the operating room.
"This operation will be more dangerous."
"As a family member, I want to confirm the relevant matters with you again, and then you just need to sign the informed consent form for this surgery."
Outside the operating room.
Lu Ming is still communicating with Gu Linfang in person.
"I sign!"
"I trust you!"
Gu Linfang had complete trust in Lu Ming and did not want Lu Ming to tell her any relevant matters.
However, Lu Ming still insisted on informing her of the relevant matters and what might happen during the operation.
Subsequently, Yi Linfang signed the informed consent form for the operation.
After doing all this, Lu Ming entered the operating room for final preoperative preparations.
During this operation, several directors and deputy directors from the Department of Cardiac Surgery also came.
It is difficult for Lu Ming to complete such a series of operations alone.
"Everyone is aware of the patient's condition."
"Then, let's work together."
"Yeah! Let's work hard together!"
"work together!"
The anesthesiologist began to administer anesthesia.
Gu Xiuya soon lost consciousness.
Lu Ming took a deep breath, took the scalpel, and began to operate.
Because considering that Gu Xiuya's situation is quite special, the organs of a mirror person are completely opposite to those of ordinary people.
Therefore, Lu Ming adopted a more traditional midline thoracotomy surgery.
Although it has obvious disadvantages compared with other methods, such as long operation and hospitalization time, many complications, large postoperative scars, and affecting the appearance, etc.
But the advantage is that opening the chest allows you to look directly at the heart and perform repairs accurately.
"This blood vessel."
"It's like the five consecutive hairpin bends on Qiu Mingshan 363!"
Lu Ming looked at Gu Xiuya's unusual movement of blood vessels and couldn't help but make fun of her.
In the operating room, I suddenly remembered some chuckles.
The tense atmosphere was relieved a little.
The pulmonary atresia was quickly opened.
Everything went smoothly, and Lu Ming started to take the next step.
Repair the defective ventricular septum!
"Occluder."
Lu Ming performed the operation in an orderly manner.
Place the occluder into the defect step by step.
"Sealing successful!"
Lu Ming gritted her teeth secretly, feeling a little excited.
Unexpectedly, the operation process went surprisingly smoothly!
"There shouldn't be any accidents, right?"
Lu Ming began to suture the surgical wound, praying in her heart that no accident would happen.
Because the easier the process is, there will often be some surprises at the end.
This is just like quantum entanglement. It's hard to explain, but it really happens.
After the combination is completed, take a breath.
No accidents happened!
It’s really delicious!
"ah!"
However, at this moment, the nurse next to him screamed.
"What's wrong?"
Lu Ming turned around and asked.
The eyes of other medical staff also fell on the equipment nurse, with some doubts.
"like.…………"
"It seems like a piece of gauze is missing..."
After the equipment nurse finished speaking, she couldn't help but swallow.
Everyone present also widened their eyes.
"Are you kidding me?"
"Missing a piece of gauze?"
Lu Ming's first reaction was to look at Gu Xiuya on the operating table.
Is it possible that the gauze was dropped into the patient's body?
This situation is possible.
There have been cases in the past where gauze was left inside the patient's body during surgery.
This is also a "medical accident".
This means that another operation is required to take out the gauze.
But.
I should not make such a low-level mistake.
"Look for it more carefully."
Lu Ming asked the nurse to search carefully again.
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