Start as an Emergency Physician

Ma Ma batch, what to say to Zhou Yuan...

Tian Liang still has points in his heart about how many people even the director can't do anything about how many people he has saved since the operation began.

Perhaps, money can really buy health.

"The manpower has been arranged, Director Jiang, Wang Ziqiao and a doctor from the vascular surgery department are assistants, and I am responsible for cleaning up. Tian Liang said.

It's late night, and there aren't many people in the emergency department, so he stepped up.

This is the first time Zhou Yuan has operated with a male nurse.

Ding was wheeled into the operating room at four o'clock in the morning.

Ding Mahui was sitting on the bench outside the operating room at the moment, and he was now a little anxious.

"Don't worry. Xiao Ding will definitely be fine. Ding Mahui patted his wife next to him.

Shi Yu was already a little lost at this time.

Both of them are older, Ding Mahui is forty-one years old, and Shi Yu is thirty-seven years old.

When they were young, Ding Mahui and Shi Yu were busy with their careers, and they did make a name for themselves, but by the time the two were ready to join the family, they were already very old.

When she was pregnant, Shi Yu was already considered an advanced maternal age.

What's worse is that Ding Mahui is forty-one years old. Men are different from women, as long as the cultivated land is well cared for, the soil will always be fertile, but the cow is different, the cow will grow old.

Ding Mahui is already in his forties, and at this age, various physical functions have begun to decline, and it is even more difficult to have a child.

Therefore, when the two learned that they were pregnant with Xiao Ding, their excitement can be imagined, when Shi Yu gave birth to Xiao Ding under the risk of advanced maternal age.

Now, however, their precious son is going to the operating table...

"If I can save myself, I will definitely take refuge in Buddhism. After a long time, Shi Yu suddenly said.

Her voice was filled with despair, a person who did not believe in Buddhism, but at this time gave all her hopes to an ethereal figure, which shows how much she struggled in her heart at this time.

"I am fasting with you for a month. Ding Mahui was silent for a while and said.

This means that Ding Mahui can't touch tobacco and alcohol within a month, for a businessman, not being able to drink is equivalent to not being able to participate in the entertainment, but he can't care so much.

At this time, Zhou Yuan and the others walked over from the end of the corridor, ready to enter the operating room.

Ding Mahui and Shi Yu stood up at the same time.

The latter's eyes moistened again, and he whispered: "Doctor, please save my child..."

Zhou Yuan nodded: "I will do my best." "

Saying that, Zhou Yuan took Jiang Xiaoqi and the others into the operating room.

The shadowless lights came on.

Zhou Yuan sometimes wants to sigh that the design of the shadowless lamp originates from the bath bomb.

"What are you thinking?" Jiang Xiaoqi looked at Zhou Yuan.

Zhou Yuan came back to his senses and said calmly: "It's okay." "

He glanced at Xiao Ding on the hospital bed, and began to go through the steps of coarctation excision end-to-end anastomosis in his mind.

This is a kind of cardiovascular surgery, and the person who came to help was the night shift doctor tonight, and the title was still the attending physician.

Personnel of this operation.

Main knife: Zhou Yuan.

Ichisuke: Attending physician of vascular surgery.

Second assistant: Jiang Xiaoqi

Three assistants: Prince's Bridge

Although Jiang Xiaoqi is the deputy chief physician, he has a specialization in surgery, and in terms of cardiovascular surgery, the attending physician is not necessarily worse than Jiang Xiaoqi.

Tian Liang counted the instruments as an instrument nurse, "The instruments are ready." "

Zhou Yuan nodded, he suddenly remembered that if he became the chief physician, how would he rub the treasure chest for surgery in the future...

Zhou Yuan is accustomed to the tasks of the system, as long as he gets the praise of his superiors, he can get a treasure chest, if he really becomes the chief physician, won't there be no treasure chest for surgery in the future?

Zhou Yuan sighed and returned his attention to the operating table.

"The child does not have a large ventricular septal defect and can directly undergo coarctation segment resection end-to-end anastomosis. Jiang Xiaoqi said.

Zhou Yuan nodded.

This is the result of the previous inspection. Some patients with coarctation of the aorta will have intracardiac and extracardiac malformations, and if the malformation occurs, pulmonary artery band retraction is performed at the same time as coarctation of the aorta to reduce blood flow to the lungs and delay the development of pulmonary vascular obstructive degeneration.

In this case, another doctor will be needed to cooperate with Zhou Yuan.

"Before the operation, oxygen inhalation and cardiac diuretic therapy have been given. The vascular surgeon reported.

This is to control Xiaoding's congestive heart failure.

Zhou Yuan nodded and looked at Xiao Ding, ready to confirm the final surgical plan.

In coarctation resection end-to-end anastomosis, the upper and lower descending arteries of the coarctation segment need to be blocked during the procedure, so other parts may be ischemia, causing injury.

In order to protect the spinal cord and distal organs from being affected by ischemia during the blockade of the descending aorta, Zhou Yuan needs to determine the protective measures that should be adopted.

There are three conventional protection techniques, cryoprotection, temporary vascular bridging, and circumventive left heart perfusion.

The principle of cryoprotection is very simple, when the temperature is low, the metabolism and other activities of cells will be slowed down, so the spinal cord and distant organs will reduce the demand for blood flow, even if there is no blood to pass through the body, it will not cause much damage.

The erection of a vascular bridge is to build a temporary blood flow channel at the upper and lower ends of the descending aorta of the coarctation segment to communicate with the blocked aorta and maintain blood circulation.

"Let's set up a temporary vascular bridge. Zhou Yuan said.

He has mastered vascular grafting and is therefore proficient in the erection of vascular bridges.

Zhou Yuan had done a difficult vascular transplant before, and now it is easy to erect a temporary blood vessel to maintain blood circulation.

There is another reason.

Although the erection of temporary vascular bridges is the most difficult and cumbersome of the three protective measures, the risk factor is minimal as long as it is done properly.

For example, low temperature protection only reduces the mobility of organs, thereby reducing the demand for nutrients, and in the final analysis, damage will still occur, but the degree of damage is very small.

The advantage of circumventive left heart perfusion is that the operation is simple and convenient, but the anesthesiologist needs to control the perfusion flow at any time according to the blood pressure of the upper limbs.

The erection of a vascular bridge has an additional step to build an artificial blood vessel, which will increase the difficulty of the operation and make the technical requirements for the main surgeon more stringent, so the general doctor will not choose this method.

But these problems are not a problem for Zhou Yuan at all, and the master-level vascular grafting is more than enough.

Jiang Xiaoqi and the others did not speak, and silently prepared the artificial vascular bridge. _

Feilu reminds you: there are three things to read - collection, recommendation, and points