Start as an Emergency Physician

The anesthesiologist walked up and said, "Do you prefer intravenous or gas inhalation?"

"What's the difference?" Sun Lele was stunned, what else can this choose?

The anesthesiologist said: "Intravenous anesthesia is more thorough, but the onset of action is slow, and the inhalation anesthesia works quickly and recovers quickly." "

Sun Lele: "Then I'll still have intravenous anesthesia, I always feel that gas anesthesia will make me breathe very uncomfortable." "

The anesthesiologist smiled and put a mask on Sun Lele.

The gas anesthetic quickly took effect, and Sun Lele fainted.

"Is this an option for you?"

The anesthesiologist glanced at Sun Lele, and then said to Zhou Yuan: "After the trachea is anesthetic, cardiopulmonary bypass can be established." "

Lu Chenxi stared at the anesthesiologist: "Report to me, I am the chief surgeon." "

Anesthesiologist: "Oh, get used to it. "

Lu Chenxi glanced at Zhou Yuan helplessly and said, "Let's start the operation." "

The people who performed this surgery were:

Main knife: Lu Chenxi

One help: Zhou Yuan

Second assistant: a thoracic surgeon

Sansuke: A thoracic surgeon

Lu Chenxi has been promoted to attending physician and is fully capable of handling the operation in front of him.

After Zhou Yuan completes his doctoral dissertation and gets his doctorate, the promotion path will become very fast.

After all, he doesn't even have a doctorate, and laymen only think that Zhou Yuan is a second generation, and with a doctorate, it is basically equivalent to standing at the forefront of the medical profession, with the right to independently carry out research and so on, and then it will be completely dependent on technology.

"Scalpel. "

Zhou Yuan handed over the scalpel.

Lu Chenxi is also a knife in Renhe Thoracic Surgery, so the level of surgery is not to be said.

Midline incision in the anterior chest, longitudinal saw sternum, open heart bag, exposed heart, etc., are quite convenient.

"How's that, awesome?" Lu Chenxi said as he blocked the ascending aorta.

Zhou Yuan: "Awesome. "

Lu Chenxi smiled: "If you are so powerful, don't follow Director He, follow me?"

Before Zhou Yuan could speak, Lu Chenxi added: "... I can't do it, I'll follow you. "

Zhou Yuan: "Do your surgery." "

"Okay. "

Lu Chenxi snorted coldly and regained his cold expression again.

"Tissue scissors. "

"Vascular clamps. "

After removing the damaged mitral valve, Lu Chenxi began to measure the size of the annulus with a ring measuring device.

Ten years have passed, and the patient's physical condition has also changed, and it is necessary to re-select the appropriate valve size and type according to the patient's age.

"Needle forceps, straight cuts. "

Lu Chenxi began to stitch again.

Invasive sutures and polyester spacers are added to the atrial surface to insert the needle, pass through the valve ring, and exit the needle at the ventricular surface.

Zhou Yuan stared at Lu Chenxi's fingers.

Slender, jade, it is not an exaggeration to describe it with green and jade fingers.

Lu Chenxi noticed Zhou Yuan's eyes, and his face suddenly turned red, "Zhou Yuan, give me No. 0 polyester thread..."

Zhou Yuan raised his head: "... I'm pulling your heart muscle, thread?"

Lu Chenxi was silent.

"No matter what, if you don't pull it, you want a line. "

The instrument nurse angrily gave the polyester thread to Lu Chenxi.

This bastard is the main knife, and he actually dares to tease my handsome little Ichisuke.

Hehe, the surgical technique is okay, I didn't expect it to be this kind of person!

Lu Chenxi lowered his head, completed the valve replacement, and began to suture.

The suture is done here using an intermittent vertical mattress suture.

Lu Chenxi took the needle to pierce the skin, put the two wounds together at a distance of eight millimeters from the edge of the wound, then crossed the incision, pierced the needle from the skin on the other side, and then pierced the skin a second time through the incision on the same side, returned to the opposite side, and knotted.

Intermittent vertical mattress sutures have better tensile strength than horizontal mattress sutures and have less impact on blood flow to the wound, making them suitable for use here.

"Ant pliers. "

Lu Chenxi clamped the stitches with ritual forceps to prevent the stitches from crossing together.

Then, Lu Chenxi passed all the mattress sutures through the sutures of the artificial valve in turn, tightened the sutures, fixed the artificial valve, and then ligated the sutures.

After completing this step, the mitral valve replacement surgery is basically complete.

Lu Chenxi breathed a sigh of relief.

Because there was gas entering the left heart chamber from the air, Lu Chenxi used a thin catheter to drain the gas, and then began to suture the left atrial incision.

"Relax the aortic occlusion forceps. Lu Chenxi commanded Zhou Yuandao.

Zhou Yuan silently relaxed the blocking pliers.

"Not bad. Lu Chenxi glanced at Zhou Yuan appreciatively.

"Vent needle. "

After receiving it, Lu Chenxi inserted an exhaust needle at the root of the ascending aorta.

The heart thumped and resumed its powerful beat.

Due to the hypothermic cardiopulmonary bypass, the patient's body temperature was controlled at about 17 degrees, and the patient's body temperature gradually increased as the heart resumed beating.

When the body temperature rose to 35 degrees, the anesthesiologist stopped the cardiopulmonary bypass.

Zhou Yuan and Lu Chenxi began to remove the blood and give blood catheters.

At the end of the operation, Lu Chenxi kept a small opening under the pericardium, which was used for postoperative drainage.

"The operation is complete. After the layered stitching was completed, Lu Chenxi breathed a sigh of relief again.

......

......

in the elevator.

Two thoracic surgeons are preparing to return to thoracic surgery, while Zhou Yuan and Lu Chenxi are preparing to return to the emergency department.

"You two are from the emergency department?" asked Thoracic Surgeon A.

"This technique is too awesome, isn't it?" said the thoracic surgeon.

"Especially this girl, she is much more powerful than when I was young! My hands are so steady, I want to dig you into our thoracic surgery!"

Lu Chenxi smiled politely.

Zhou Yuan also smiled politely: Why don't you praise me yet?

I handed over the utensils, and I was also very good when I clamped the blood vessels.

"Male babies should practice more and strive to be the main knife. I heard that there is a Zhou Yuan in your emergency department, and people are about the same age as you, you learn more, young people have to work hard!

Zhou Yuan: ...

"Ding-dong. "

The elevator stopped.

"The thoracic surgery department has arrived, let's go out first, boy, why don't you say a word? Be bold. "

Zhou Yuan silently stared at A and B who went out, and said, "Long live the hydra!"

Boom.

The elevator doors are closed.

Not long after returning to the emergency department, Zhou Yuan saw a pair of patients who looked like father and son in the hall.

"Brother Doctor! Brother Zhou!"

What surprised Zhou Yuan a little was that Fan Fan came to the hospital again.

And, this time with his dad.

"What's wrong with you?" Zhou Yuan said.

Fan Fan stretched out his right hand in pain, only to see that several fingers seemed to be broken.

"Is your hand hurt again? Do you have a grudge against your girlfriend?"

"I don't have a grudge against Fei Fei!"

Zhou Yuan took Fan Fan to the observation room and sat him down, ready to be examined.

"How is this?" Zhou Yuan asked.

"It's not my dad yet!" Fan Fan said bitterly.

"Your dad?"

Zhou Yuan looked up at the bearded man.

At this time, the man was a little embarrassed and looked at Fan Fan apologetically.

"What the hell is going on?"_

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