Start as an Emergency Physician

Jiang Li shook his head and smiled: "It's not me, I just put forward an opinion to the dean, and it was the dean who made the final decision." "

"Dean?" Zhou Yuan was a little puzzled.

"Not only the dean, but Director Yuan, do you know? Director Yuan Shao, Director Yuan, he also knew about this matter, so he rushed over. Our dean is also the person in charge of the National Health and Family Planning Commission, and he is also responsible for the flying knife..."

Jiang Li said with a smile: "Your flying knife this time, it's impossible to have a problem, and the biggest official is covering your head!"

After speaking, Jiang Li and others were a little envious, especially Wang Sheng and Chen Li, doctors who were in the golden age of their careers, Jiang Li was okay, he was old, and now he almost didn't fly knives, but Wang Sheng and Chen Li and others were in the period of starting a family and starting a business, and they needed a lot of income and would not let go of flying knives.

Every time they fly knives, they are terrified, for fear of making some mistakes, and Zhou Yuan is directly protected by someone from the National Health and Family Planning Commission, how can he not be envious?

Wang Sheng was deeply touched, sighed, and said: "My son who is not angry has a girlfriend, saying that he will talk about marriage without a wedding room. "

"In about two years, I should be able to earn the money to buy a house, and then I will definitely no longer fly knives!

Although Jiang Li was a little sympathetic, he still reprimanded: "Do your duty, and remember to write your paper when you go back." "

Wang Sheng: ...

This heavy topic made the atmosphere in the operating room heavy.

Everyone in the operating room stopped talking, Zhou Yuan concentrated on the operation, and the rest stared at the operating table with wide eyes.

"Dr. Zhou, why do you want to do two single-lung transplants in sequence, instead of transplanting two donor lungs directly to the patient?" someone asked.

While performing the transplant of the left lung, Zhou Yuan replied, "Reduce airway complications." "

"How can I reduce it? Two single-lung transplants require the donor lung to be cut into two pieces, so doesn't that increase the chance of infection?"

Wang Sheng nodded: "Yes, the chance of infection has increased a lot, and after the donor lung is cut, it will be sutured later." It will give you a lot more work when the time comes!"

Jiang Li was also silent and did not speak.

It was also the first time he had seen such an operation.

No, the second time, to be exact.

The first time was when I watched Zhou Yuan's surgery video, when he performed a double lung transplant for Chu Chu's mother, and he also divided the two lungs into two before transplanting them into Chu Chu's mother's body.

Professor Chan Ching-yu uses a complete double lung transplant and does not transplant two lungs separately.

This operation seems to Jiang Li to be somewhat amazing...

This greatly increases the difficulty of the operation, and puts forward extremely high requirements for the fineness of the main surgical operation and the surgical details such as the timing of sutures and the selection of incisions.

Zhou Yuan didn't answer, and it wasn't until an hour later that the transplantation of the left lung was completed, and then he said slowly: "Now remove the extracorporeal bypass equipment, wake up the transplanted left lung, and use the left lung to carry out gas exchange and maintain life activities." "

Wang Sheng, Chen Li and others were stunned for a moment.

This is where the left lung begins?!

Now the left lung has just been transplanted, the blood circulation has not been fully communicated, and the lobes of the lungs are still white, is it really possible?

Everyone looked at each other, and the anesthesiologist who had been sitting and observing Chen Jianguo's signs stood up in fright, and Wang Sheng, as the third assistant, stood next to the cardiopulmonary bypass machine, stunned and did not dare to turn off the extracorporeal bypass machine...

This thing is hanging Chen Jianguo's life now, just like a diver's oxygen cylinder, if you pull it out, won't you have to suffocate to death?

"Dr. Zhou, the patient's left lung has just been transplanted, are you sure you want to pull out the cardiopulmonary bypass... Don't you get used to it first?" Wang Sheng's expression was full of horror.

This is incomprehensible!

After a short hesitation, Jiang Li chose to believe Zhou Yuan, and glanced at Wang Sheng coldly: "Let you pull it out." Who's the main knife?!"

Wang Sheng's body shook and gritted his teeth: "Understood, big director... I'm sorry, Dr. Chow!"

In the operating room, the status of the surgeon is very high, and of course, when there are really mistakes, the assistant can also question them.

But obviously, there is nothing wrong with Zhou Yuan.

Wang Sheng, Chen Li and others carefully dismantled the cardiopulmonary bypass machine, and the blood left the transparent hose and returned to Chen Jianguo's body.

Anesthesiologists and observing doctors stared nervously at the monitor.

Suddenly, there was a brief fluctuation in the monitor.

This is a normal phenomenon that occurs when switching from cardiopulmonary circulation to internal circulation, and there is nothing to worry about.

However, everyone still stared at the monitor, for fear that the data on it would not be stable.

After almost ten seconds, Chen Jianguo's physical condition stabilized again, and Dididi's voice gradually subsided, and the tense atmosphere dissipated a lot at once.

Jiang Li breathed a sigh of relief, showed a rare smile, and said, "It's successful." "

Chen Li and Wang Sheng were dumbfounded and looked at Zhou Yuan in disbelief.

"The lungs that have just been transplanted, this chest cavity can be used before it is closed?!" Chen Li looked shocked.

The left donor lung in Chen Jianguo's body had recovered its blood color at this moment, and it began to beat regularly.

If you look closely, you can even see the blood vessels on it moving and transporting blood.

Wang Sheng swallowed his saliva and asked in surprise: "Why do you want to remove cardiopulmonary bypass, isn't it safer to use cardiopulmonary bypass..."

Zhou Yuan glanced at Wang Sheng a few more times.

Wang Sheng's perspective is more in line with that of a good doctor, and everyone else is concerned about why the transplanted left lung can breathe immediately, but he wonders why he started using his left lung to feed the body and remove the extracorporeal bypass machine.

Zhou Yuan eased his somewhat sore arm a little and said, "Restoring lung function as soon as possible can prevent new insufficiency, and even if the matching is successful, who can guarantee that there will be no serious rejection?"

"If one lung is transplanted first, even if there is an accident, this lung can be removed as soon as possible, and if the transplant is a bilateral lung, it will take twice as long to remove it. When accidents happen, time is of the essence, and patients have absolutely no extra time to wait!"