Start as an Emergency Physician

"You... Are you sure?"

Zhou Yuan didn't know the level of the two directors of thoracic surgery, so he could only ask.

If they can do it, it will naturally be Zhou Yuan who will take Chu Chu's father's lungs here, and they will cut off Chu Chu's mother's sick lungs at the same time.

This is only good for the transplanter.

"Not sure!"

Director Lin said: "I mentioned before that the patient's hilar fibrosis and calcification are extremely serious, very hard, and the whole is like a stone, and whether our scalpel can cut or not is a problem!"

"Moreover, the lungs are stuck to the chest wall, X can also see a large mass of diffuse shadows, and even cystic changes in the lungs have occurred, and it is difficult to go under the knife!"

Zhou Yuan nodded.

On the side of the lungs, Zhou Yuan definitely needs to do it himself, because once this lung source is lost, judging from the current life expectancy of the junior mother, it will definitely not be able to wait for the next lung source.

"Well, I'll do the removal of the donor lungs. At the same time, you have an acute thoracotomy on the patient, clear some of the capillaries, and when I arrive, I will perform the patient's lung resection!"

"Can you..."Director Lin glanced worriedly.

Ordinary people can't stand such physical exertion at all!

Zhou Yuan was silent for a while, touched the candy in his pocket, and remembered Chu Chu.

He was stunned for a moment, and his eyes became resolute:

"If you can't, you have to do it!"

......

Soon, Chuchu's father was pushed into the operating room.

The psychological work on Chu Chu's mother's side was also done by nurses such as Tian Liang and Zhang Ling, and finally she agreed to a lung transplant.

Zhou Yuan was not in a hurry to have surgery.

Cardiac catheterization, coronary angiography, radionuclide right ventriculography and other examinations on my mother's side have also been gradually improved, and everything is ready.

Zhou Yuan was followed by He Jianyi and others, all standing in the operating room, looking at Chu Chu who was sitting in the distance.

At this time, it was already late at night, and there was no one in the long corridor of the hospital.

The little girl was sitting alone in a chair, lonely, her eyes were already swollen from crying, and she was curling up her little body together and trying to hold herself.

Zhou Yuan's heart was sour again, and a strong pain came out of his heart.

"I must succeed..."

Manpower is sometimes exhausted.

Even a masterful double lung resection can fail in the face of poor lung recipients and providers.

But...... From the moment she signed the informed consent form for surgery, Chu Chu's mother put all the lives of her family in the hands of Zhou Yuan!

Zhou Yuan does not allow his own failure!

"I'll do the surgery on the provider's donor lungs first, and when it's about time to tell you to open the recipient's chest. Don't move anything except open your chest!" Zhou Yuan said calmly.

This sentence is equivalent to putting the entire operation, all the risks, and all the responsibilities on him.

Director Lin and the others nodded solemnly.

At this time, in addition to believing that Zhou Yuan could create another miracle, the Fa.

Drip, drip, drip.

Both operating rooms start at the same time

This time it was still in the first operating room of the emergency department.

This is where Zhou Yuan is familiar with, and it is also the operating room where he has completed two or three surgeries, and Zhou Yuan has not let go of all possible ways to improve the success rate.

Burn patients in the emergency department were transferred to other nearby operating rooms, where directors from various departments rushed to participate in the meeting.

That night, everyone in Yenching International Hospital moved.

In the operating room.

Everyone held their breath and looked at Chu Chu's father, who was lying on the hospital bed and had passed away not long ago.

After a brief moment of silence, Zhou Yuan ordered the cryonopreservation to be lifted and the operation began.

The people involved in the operation.

Main knife: Zhou Yuan

One help: He Jianyi

Second assistant: Lu Chenxi

Three assistants: Director Lin

Instrument nurses, anesthesiologists, and more.

The reason why Lu Chenxi is the second assistant is because this operation is indispensable to Lu Chenxi's help, she definitely needs to participate in the removal of the donor lung, and Director Lin is at most to help cut the tissue and provide a good surgical field.

His main role is on the mother's side, and when the operation here is over, he needs to rush over to participate in the thoracotomy as soon as possible.

Zhou Yuan glanced at the time, took a deep breath, and said, "The operation begins!"

For a moment, everyone became nervous.

Although it is said that the lung source provider has passed away, it does not mean that the lung source can be cut off casually.

When the donor lung is removed, the donor lung must be protected, and at the same time, the blood vessels of each segment must be fully exposed so that they are well anastomosed with the blood vessels of the recipient.

In other words, it is also a major operation that requires delicate manipulation and cannot be done by non-specialists.

Fortunately...... Zhou Yuan is a master.

"Supine position, mid-chest incision. Zhou Yuandao.

He Jianyi and Lu Chenxi immediately began to adjust, and fully exposed their chests.

Zhou Yuan was very skillful, the scalpel fell, and he made an opening in the middle, and then smoothly cut the patient's chest.

After exposing the thoracic cavity, Zhou Yuan first cut open the pericardium and the mediastinal pleura on both sides, so that the lungs were completely exposed, and the main blood vessels such as the pulmonary aorta were also exposed in the surgical field.

"Pulmonary artery perfusion tubes. Zhou Yuandao.

He Jianyi handed it over.

Zhou Yuan inserted the pulmonary artery perfusion tube into the pulmonary artery, and then slowly tightened the pulmonary artery blood vessels, and quickly made a simple suture at the junction of the two.

After the anastomosis was completed, Zhou Yuan began to perfuse the lung protective solution.

"The pulmonary artery was injected with 0.5 mg of prostaglandin E1, after which the perfusion of cold Euro-Collins solution was started. Zhou Yuan said quickly.

Euro-Collins solution is a commonly used donor lung preservation solution, which is an isotonic solution, similar to the composition of intracellular fluid, which can maintain the integrity and activity of the donor lung.

Director Lin was already ready to perfusion, and was about to perfusion, but he was suddenly stunned, "How much do you want to perfusion?"

Generally speaking, the perfusion is about 3 liters, of course, the situation varies from person to person.

Zhou Yuan glanced at Director Lin, quickly made a cut in a raised part in front of the right side of the left atrium, and said, "Don't worry about it, just perfusion, you can stop it when you see the perfusate overflowing from the left atrial appendage of the left atrium." "

He then explained: "Now the patient's lungs are in terrible condition, and the whole lung must be filled with Euro-Collins fluid!"

Director Lin's eyes lit up: "Understood!"

On the other side, He Jianyi also quickly blocked the return of the vena cava and closed the lungs.

Zhou Yuan glanced at the ventilator.

Currently, the patient's lungs are in relatively good condition.

During the removal of the donor lungs, although the patient has died, the function of the lungs must be maintained by a ventilator, otherwise the quality of the lungs will be greatly affected.

As perfusion, the color of the donor lungs begins to change slowly.

Pink, then pink-white, and finally, the whole lung turned white.

Eventually, a few drops of liquid flowed out of the opening of the left atrial appendage, followed by a continuous stream of water.

"Stop. "

Director Lin immediately stopped perfusion. _

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