Start as an Emergency Physician

At the moment when Director Lin stopped, Zhou Yuan moved the scalpel again.

The next step is to remove the heart.

Zhou Yuan chose to cut the room groove from the right side.

Although He Jianyi and the others were curious, they didn't say much.

It was not until the atrial groove was completely dissected and the left atrial wall proximal to the right pulmonary vein was exposed in the surgical field that everyone understood the reason.

He Jianyi and the three of them were all surprised.

The reason why Zhou Yuan did not dissect the heart directly, but started from the atrial sulcus, was to expose the left atrial wall and reduce the risk of damaging the blood vessels in the lungs.

This is knowledge that cannot be learned in textbooks, and each knife is the most suitable unique landing method for patients on the operating table!

Director Lin swallowed.

He wished he was younger, if he was only thirty years old, or even forty years old, he would have done a few more surgeries with Zhou Yuan, and learned Zhou Yuan's skills, maybe by the time he retired, he would already be a world-famous lung transplant master!

"The next step is to block the ascending aorta. "

He Jianyi exposed the aortic perfusion point, and Zhou Yuan raised and fell with his hands, and the ascending aorta was transcribed.

"Common pulmonary artery. "

Lu Chenxi revealed the common pulmonary artery.

Zhou Yuan transversely cut the pulmonary artery again at the midpoint, and then removed the superior and inferior vena cava by the way.

"Be careful!"

Lu Chenxi was about to take out the scissors, Zhou Yuan reminded.

"Don't damage your esophagus so you don't get worse with your chest infection!"

Lu Chenxi took a deep breath, glad that Zhou Yuan reminded him in time.

After the upper and lower vena cava was also treated, Zhou Yuan began to officially remove the heart.

There is no skill in this step, it is entirely technical.

He Jianyi blocked the left pulmonary vein, etc., and Zhou Yuan made an incision in the left atrial wall in the middle of the confluence of the left pulmonary vein and the coronary sinus, and then pulled the heart, and the scalpel did not move, and the incision was extended up and down.

Finally, Zhou Yuan moved the scalpel, and the incision was combined with the previous small incision in the left atrial appendage, and the entire left atrial wall fell off.

"Next, the trachea is removed. The ventilator is prepared for overventilation in advance. Zhou Yuan said.

The instrument nurse nodded: "Understood." "

Zhou Yuan pulled out the endotracheal tube slightly, so that the nozzle withdrew from the trachea slightly.

"Excessive ventilation!"

After more than ten seconds, Zhou Yuan cut off the trachea.

"Large right-angle pliers. "

He Jianyi fully exposed the top of his chest, where Zhou Yuan clamped the trachea with a large right-angle forceps, and then cut it off, after which the heart was completely removed.

"Started double lung resection. Zhou Yuan said.

It's finally come to this point.

He Jianyi and the others all held their breath, and only the sound of Zhou Yuan shouting instruments was left in the operating room.

After removing the heart, Zhou Yuan cut the posterior mediastinum along the anterior side of the spine, extending the wound all the way to the level of the diaphragm.

"Close the residual trachea and both ends of the esophagus. "Week

He Jian nodded and clamped the parts with a stapler.

Zhou Yuan severed the branches of the aortic arch at the top of the chest, and then severed the thoracic aorta from the exposed supradiaphragmatic position.

At this time, only the aorta and esophagus remain in both lungs and the patient's body.

"Cut the aorta and esophagus?" Lu Chenxi asked.

was about to do it, but Zhou Yuan stopped her, "No, take the esophagus and aorta together to remove it." This saves time and, moreover, maintains the quality of the donor lungs. "

Lu Chenxi's face flushed, and he silently wrote down this knowledge.

"Are you ready?" Zhou Yuan asked with cold salt water.

During transportation, the donor lungs must be placed in a plastic bag filled with 4 degrees of normal saline, then placed in an ice bucket and covered with ice chips for preservation.

“OK。 "

Zhou Yuan nodded and glanced at Director Lin, "Transfer to the No. 2 operating room and prepare to open your chest." "

Director Lin nodded and immediately left the operating room.

Zhou Yuan buried his head again and began to carefully cut the adhesions between his lungs and the patient's body.

Particular care should be taken here, as the connective tissue near the bronchial tubes of the lungs should be preserved as much as possible, as they can protect the bronchial arteries.

About five minutes later, both lungs, along with the aorta and esophagus, were removed and placed in cold saline.

Zhou Yuan closed his eyes and adjusted his breathing.

"After the donor lungs are taken, let's go to operating room No. 2. "

Hearing this, the anesthesiologist finally breathed a sigh of relief.

Lung transplantation is a procedure that a small number of anesthesiologists must be vigilant all in, and most of the surgeries are basically fine after anesthesia, but in this operation, he also has to control the expansion of lung tissue.

Once the lung tissue is overinstilled, the lung is overinflated and the lung tissue is damaged.

"Good. Everyone also breathed a sigh of relief and prepared to rush to the No. 2 operating room.

......

Outside the operating room.

Zhang Ling and Lin Wen have already finished dealing with other patients.

Those who can be saved have been put on the operating table, or they have been out of the danger period and cannot be saved, and their heartbeats have basically stopped on the way to the hospital.

So some people say that the place where prayer is most common is not in the church, but in the hospital.

In the face of the life and death of our loved ones, no matter who we are, we hope that there is a God in this world who can eliminate all disasters.

"Chuchu. "

Zhang Ling and Lin Wen saw Chu Chu, who was waiting alone outside the operating room.

Sure enough, Chu Chu was still waiting outside the operating room.

Zhang Ling and Lin Wen glanced at each other and ran to the side of Chu Chu.

"Chu Chu, can you go back and rest with your sister for a while?" As soon as Zhang Ling saw Chu Chu, his voice choked again.

Lin Wen's nose also turned red: "Yes, Chuchu, go back to sleep with us, and wake up tomorrow Mom!"

"Mommy... What about Daddy!" Chu Chu's eyes suddenly lit up, and then, in an expectant tone, asked.

"Dad, he..." Zhang Ling and the two were speechless.

Obviously, Chu Chu understood Zhang Ling and Lin Wen's expressions.

In an instant, the initial mood dropped again, and he drooped his head again, without saying a word.

"I'm not sleepy, I'm going to wait here for Mom and Dad to come out!"

Zhang Ling wiped his tears and said, "At the beginning, it was Brother Zhou Yuan who operated on my mother, and he was the most powerful doctor in our hospital, so he will be fine!"

Chu Chu's eyes lit up, "Brother Zhou Yuan... And what about Dad?"

"Who operated on Dad! Is it also a powerful Brother Zhou Yuan!"

Chu Chu raised his teary eyes, wanting to get an affirmative answer.

In the little hearts of children who have never experienced the cruelty of the world, there are some gods.

In Chu Chu's opinion, Zhou Yuan is a powerful doctor god, so he can also save his father.

"Sister, who operated on my father, is it also my brother, is it not my brother!" Chu Chu's cry was louder.

At this moment, the door of the No. 1 operating room opened again, and Zhou Yuan and the others hurriedly pushed the donor lung of Chu Chu's father and entered the No. 2 operating room.

"Brother!"

Chu Chu shouted, however, before he could run over, the door of the No. 2 operating room also slammed shut.

"How's it going?"

In the operating room, Zhou Yuan asked the instrument nurse to help wipe his tears and asked.

"The chest opening went well!" said Director Lin.

Zhou Yuan nodded, and was just about to walk over, when the other director's face suddenly turned pale.

"Aortic hemorrhage!"

At this moment, the faces of everyone present changed. _

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