Start as an Emergency Physician

In fact, compared with Li Li's father, the honest Zhao Qiang's father does not look like a farmer, if it weren't for Zhao Qiang's father's dark skin and the old body with strong traces, I am afraid that others would think that Li Li's father, who cursed and swore in his mouth, was more in line with the image of a rural person.

"Our son can't drag your daughter down. "

Li Li's father stared into the distance and whispered, "What about the fight?"

Zhao Qiang's father nodded silently.

"Divorce from his marriage. If we get divorced, my daughter will be a divorced woman. It's so ugly. Li Li's father cursed softly.

"A divorced woman is always better than a widow..."

However, before Zhao Qiang could finish speaking, Li Li directly extinguished the cigarette, threw it to the place where the cigarette butts were thrown, turned around and walked back to the hospital, "The children have grown up." Neither you nor I can make decisions for them. "

Zhao Qiang was stunned suddenly, he and Li Li's father were no longer the fathers who could make decisions for Zhao Qiang and Li Li, and now that their children had grown up, the two of them were at most standing behind them to give advice.

It doesn't matter to them whether they beat the children or not, whether they divorce or not, this is a matter of Zhao Qiang and his wife.

It's all grown up...

Zhao Qiang's father's eyes were a little dull, and he also put out the cigarette and returned to the hospital.

......

In the ward--operating room, the shadowless lights are abundant, and the entire operating area has been illuminated.

The brightness of the shadowless lamp is very large, and the maximum brightness is close to the brightness of the sunlight on a sunny day in summer, of course, it is not usually turned up to such a high, but even this is not something that ordinary people can tolerate.

Moreover, the surgical instruments are made of alloys, and most of them are reflective, which can cause glare and affect vision and vision. Zhou Yuan and others often stay in the operating room, so they have long been used to it, but Zhang Ling is different.

She is an emergency doctor, and she rarely participates in surgery, and most of the time she stays at the nurse's desk in the emergency department lobby to guide patients.

Zhang Ling couldn't rub her eyes at this moment, she stared at Zhou Yuan, Zhou Yuan was directly below the shadowless lamp, but at this moment, Zhou Yuan's eyes were wide open, his expression was extremely focused, and he didn't seem to be affected by the shadowless lamp at all!

"It's amazing," Zhang Ling sighed in his heart.

"Check. Zhou Yuan put down the needle forceps, took a slight breath, closed his eyes, and then said.

It is impossible for the shadowless lamp to have no effect on Zhou Yuan, because of the particularity of Zhao Qiang's operation, the light of the shadowless lamp is very strong.

Generally, the operation only needs to be adjusted to 10% of the maximum brightness, but this aortic valve replacement surgery is more complicated, and Zhao Qiang has a congenital heart disease, so sufficient light is necessary to ensure a good surgical field.

For an hour, everyone in the operating room was basically staring at the ground in direct sunlight... Zhou Yuan's vision was a little tired at the moment.

The others are not the chief surgeons, and they don't need to keep staring at the surgical area to operate, and even because Zhou Yuan himself doesn't rely too much on his assistant, Lu Chenxi and the others can still wander... They weren't too affected.

"It's done. The deputy chief of cardiac surgery said quickly.

Zhou Yuan has completed the fixation of the artificial valve istature, after which an acute knot is required, and the left coronary artery opening must be checked above the artificial valve ring before knotting.

Zhou Yuan nodded, picked up the tweezers and needle forceps again, and carefully pulled the artificial valve in the opposite direction, and the left coronary artery opening was suddenly revealed.

He clamped the wall of the aorta with forceps, looked again at the right coronary valve and the non-coronary valve, and after confirming that the seat ring was secure, he began to tie the knot.

If it is found that the artificial valve is not completely fixed after blind knotting, the knotted sutures must be removed and re-sutured, which will prolong the aortic occlusion time, increase the ischemia time of the myocardium, and affect the resuscitation and postoperative recovery of the heart.

Zhou Yuan tied a knot at the corresponding 3 junctions to fix 3 points, then removed the valve holder, and tied the knot in turn.

When tying the knot, Zhou Yuan pulls each suture slightly upwards to avoid paravalvular leakage or acute valve dysfunction due to the suture ring pressing the loose threads remaining under the suture ring, resulting in poor ligation.

At this point in the operation, it is basically the end.

So far, Zhao Qiang has not had any accidents, if the operation goes well, after the knot is completed, the aortic valve will be completely replaced, and the acute heart failure caused by aortic regurgitation can also be alleviated.

As for infectious myocarditis, because Zhao Qiang suffered from the threat of acute heart failure and cardiac arrest, his life was in danger at any time, and all doctors put life first, so infectious myocarditis could only be dealt with after the operation was completed, and it was only controlled and prevented from breaking out at this stage.

Infective myocarditis is much easier to resolve than surgery.

"Let's hope everything goes well. Zhang Ling prayed in a low voice.

"3-0 atraumatic polyester thread. Zhou Yuan said.

Hearing this voice, the originally depressed mood of everyone in the ward suddenly lifted up.

The 3-0 non-invasive polyester thread is used to suture the aortic incision, and Zhou Yuan needs this kind of thread to indicate that the valve replacement at the highest point of risk and difficulty has been completed!

In the end, you only need to complete the suture of the aortic incision, and the operation is complete!

Zhou Yuan glanced at the monitor, the data on it still hadn't changed, and he looked at the anesthesiologist again.

To be honest, in addition to the high requirements for himself, this operation is also a huge test for the anesthesiologist!

In the end, the ward is not as good as the operating room, and some small instruments can be moved over to make do with it, but what about large objects such as multi-functional control panels, gas terminal control boxes, or holding cabinets and freezers?

The task of the anesthesiologist is to contact the patient's pain and ensure the patient's comfort, but the most important point is to monitor, diagnose, and treat the changes in important life functions caused by a variety of factors, such as surgical factors, anesthetic factors, or the patient's primary disease, during the operation and during the recovery period of anesthesia, and to treat the patient accordingly to ensure the safety of the patient during the perioperative period.

There is nothing in the ward except for the monitor and shadowless lamp, and the ventilator is barely a kind of equipment, which is not conducive to the anesthesiologist to judge the changes in the patient's vital functions, but there is no way, the anesthesiologist can only infer other vital signs based on the data displayed by these devices according to the existing equipment.

"The patient's vital signs are stable and the operation can be continued. The anesthesiologist thought that Zhou Yuan came over to inquire about the situation, so he immediately replied.

Zhou Yuan nodded silently, and the thin short needles entered from both ends of the incision and began to cross-suture.