Start as an Emergency Physician
Chapter 32
After the sutures are completed, the "elephant trunk" that reduces the risk of surgery is officially built.
"Extract 10 mg of Liyuexi, 8 mg of Xianlin, and 1 mg of fentanyl. "
"Prepare rescue medicines. Dopamine and dopamine butamine, norepinephrine, nitroglycerin!Open intravenous access and connect tees and blood transfusion sets, ready for intraoperative blood transfusion!".
Anesthesiologist: "Ready!".
Instrument Nurse: "Over!".
Zhou Yuan nodded and picked up the scalpel again.
This time it was a large-scale regular mid-thoracotomy.
After the median sternal split, the patient's body showed heparinization, and without Zhou Yuan's reminder, Lu Chenxi immediately started the right subclavian artery cannulation and right atrial cannulation, and successfully established cardiopulmonary bypass.
"Cool down. Zhou Yuan said.
At the moment when the patient's temperature reached 28 degrees Celsius, Zhou Yuan quickly blocked the distal ascending aorta.
"Vascular clamps. "
Lu Chenxi hurriedly helped block the blood vessels.
Zhou Yuan cut the ascending aorta and began to carefully explore the location of the aneurysm.
"It's a bit of a hassle. "
Zhou Yuan said: "The aneurysm has affected the aortic valve, and now we can only remove the aortic valve, and the aneurysm is removed after the aneurysm is exposed. This is followed by a prosthetic valve replacement to restore normal myocardial function. "
"Listen to you. Lu Chenxi already enjoyed his status as a helper.
"Good. Patient's blood pressure. "
"The blood pressure is stable, the cardiopulmonary bypass is normal, and it can be operated!".
Zhou Yuan nodded.
The scalpel fell.
The scalpel is raised.
The bloody valve was pinched out with tweezers.
Lu Chenxi stared at Zhou Yuan's focused face, and his heart was shocked.
She felt that it was not a person who operated the scalpel, but a sophisticated machine.
Every time it falls, it will not weigh a single point, nor will it be lighter, and the removed valve will just expose the location of the aneurysm, which is extremely fine.
In a trance, the operation gradually drew to an end.
"Wipe your sweat. "
The little nurse finally waited for this sentence, raised her hand in a panic, and gently wiped Zhou Yuan's sweaty forehead.
Lu Chenxi glanced at it with a little jealousy.
Zhou Yuan didn't notice the two people competing for favor, he was busy with the most beloved stitches.
"0/4 slip line. Zhou Yuan said.
This is the most suitable flap suture, and the simplest simple intermittent suture is still used.
"0/3 slip line. "
After the aortic valve sutures are done, the next step is the suturing of the blood vessels.
"This time it's a continuous seam stitching. Lu Chenxi glanced at it and nodded.
"Blood pressure situation. "
After completing the vascular suture, Zhou Yuan asked again, and after confirming that it was correct, he began to withdraw cardiopulmonary bypass, completely stop the bleeding, and suture the patient layer by layer.
At this time, it was not only the patient's family waiting outside the operating room, but also the anxious Fu Bowen and Yang Fan, who were waiting to see the show.
Aortic dissection aneurysm itself is a fatal disease, coupled with the aneurysm diameter of ten centimeters, the difficulty of surgery is doubled, and the mortality rate is more than 70%.
This operation, even if Fu Bowen comes to do it, I can't be sure!
Fu Bowen is not worried about Lu Chenxi's failure, but about his mistakes!
Sometimes, a single mistake can ruin a doctor's future.
What's more, it was the first time for Lu Chenxi to operate such a difficult operation independently, and Fu Bowen was now shocked and scared!
Fu Bowen is not in good health, and he has begun to have frequent illnesses recently, he just wants to bring Lu Chenxi out in his lifetime and hand over Renhe Hospital to her.
Now, Yang Fan has brought back a Zhuang Shu, and after Fu Bowen retires, it is very likely that the director of Renhe Hospital will be banned by him.
Fu Bowen knew what Yang Fan had done, and handed over Renhe to him, is Renhe still a hospital?
When I was worried, the "during surgery" sign finally dimmed.
Fu Bowen and the patient's family stood up almost at the same time.
Yang Fan also stared at the door of the operating room.
It was only a few minutes before the first doctor walked out.
It was an extremely young doctor, neither Fu Bowen nor Yang Fan had ever seen him, and he was followed by Lu Chenxi.
The young doctor took off his mask, revealing a pale face with a few beads of sweat on it.
His clothes trembled, and his badge was revealed.
"Zhou Yuan: Intern. "
Fu Bowen's face changed greatly.
Standing in this position is the chief surgeon, and the chief surgeon is an intern doctor?!
Zhou Yuan ignored Fu Bowen and the others, looked at the patient who was anxiously coming, and said, "The operation was successful, and the patient will be transferred to the intensive care unit immediately, and pay attention to the postoperative healing." "
The patient thanked him and shook Zhou Yuan's hand excitedly.
When Yang Fan saw this scene, his face sank, and he turned his head and left.
Lu Chenxi happily ran to Fu Bowen's side, "Teacher, the task is complete!"
Fu Bowen patted Lu Chenxi's head and scolded with a smile: "It's all doctors, be serious!".
After speaking, Fu Bowen set his eyes on Zhou Yuan: "Excuse me... Are you the main surgeon in this operation?".
Zhou Yuan nodded, "Dean Fu, it's me." "
Fu Bowen's pupils shrank.
Is it really the main knife?
An intern doctor has completed an aortic dissection aneurysm resection?!
The patient had an aortic dissection aneurysm with a diameter of nearly 10 centimeters, severe malformation, sclerosis of the blood vessels, aortic regurgitation, and hypertension. Such a bad situation, even he, a thoracic surgeon named Yanjing, is not sure to do it!
"Why haven't I seen you at Renhe Hospital?" Fu Bowen hesitated for a moment and asked the question.
Zhou Yuan said lightly: "I am an intern doctor from Yanjing International Hospital, and I came here to communicate this time. "
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