Start with an emergency physician
Chapter 139
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Zhou Yuan comes more often, the young doctors in my obstetrics and gynecology department are almost gone.
Wei Lili sighed.
If only she were 20 years younger.
Lu Chenxi continued to report:"During this period, the doctors in the First Obstetrics Department invited the thoracic surgery department to consult. They controlled the pulmonary hypertension of the patient Sun Lele, and carried out comprehensive treatments such as cardiotonic, diuretic, and vasodilation. At present, Sun Lele's new function has been improved to a certain extent.……"
Patients who undergo heart valve replacement surgery again generally have poor heart function and need to improve their heart function.
""What is the patient's wish?" Zhou Yuan asked like a surgeon.
Some patients or their families often refuse surgery because they are worried that another surgery will be dangerous and cause greater damage to the heart, delaying the best time for surgery.
"The patient and his family expressed their trust in us."Lu Chenxi said.
This was thanks to the combined operation that Zhou Yuan participated in before, which not only saved the child, but also saved Sun Lele.
Otherwise, if they were asked to do a valve replacement operation right after a caesarean section, few people would dare to accept it.
Lu Chenxi continued:"Moreover, because the patient himself also had other heart problems, in addition to improving heart function, we also provided nutritional support to the patient, alternating between fresh blood, plasma and albumin to adjust Sun Lele's physical condition."
Zhou Yuan nodded, silently opened the system, and looked at his two primary treasure chests.
Maybe he could just come across a mitral valve replacement.
"Open the primary treasure chest! Get! Energy Potion*1!"
"Open the primary treasure chest! Get! Master-level circumcision!"
Zhou Yuan:???
"System, damn it, didn’t I just fuse a circumcision last time, and you’re giving me another one?"
It’s fine if it’s a hemorrhoid surgery, but now you’re giving me a circumcision?!
"System, speak, if you don't speak I will circumcise you"
"I am not a man."The system's voice finally sounded.
"……"
"Why give me a circumcision? I can do this surgery with my current skills. It's useless if you give it to me.……"
"Before you get the master-level circumcision, you can create a chick, and after you get the master-level circumcision, you can create a phoenix."The system's metaphor is very appropriate.
Zhou Yuan:?
"What's the point? Should we let him go back and compete with others to see who cuts the best?"
System:"Okay."
Zhou Yuan was silent.
""Zhou Yuan, why are you changing your face again?" Lu Chenxi looked at Zhou Yuan worriedly.
He smiled and frowned at times. Could he be crazy?
Zhou Yuan came back to his senses."It's okay. I just had an epiphany about the surgery."
He closed his eyes. Sure enough, all the details about the circumcision flashed through Zhou Yuan's mind like a movie.
What about traditional circumcision, one-time circumcision anastomosis, one-time circumcision suture, etc. He couldn't forget them even if he wanted to.
""What kind of surgery?" Lu Chenxi and He Jing asked expectantly at the same time.
As for Zhou Yuan's"epiphany", they naturally thought he was joking.
Zhou Yuan was silent for a few seconds and said,"Circumcision"
"……"
Lu Chenxi and He Jing both blushed and lowered their heads.
"Director Wei, please keep an eye out for me. If anyone in your department needs a circumcision, please notify me. You don't have to go to the Urology Department, just come to me."
Zhou Yuan was thinking about the system's task.
Last time, he performed ten hemorrhoidectomies and was rewarded with an intermediate treasure chest.
Although circumcision is a minor operation, it is much more advanced than sutures, and the reward will not be bad.
This operation is also easy, and it is a serious operation to save a small life, so Zhou Yuan will naturally not let it go.
Maybe, ten foreskins can be exchanged for an intermediate treasure chest.
Wei Lili said with embarrassment:"We are the first obstetrics department... Most of the men who come here have given birth to children, so how can they have foreskins to cut for you?……"
Zhou Yuan:"Then you should pay attention to their children"
"……"
Lu Chenxi coughed and said,"Zhou Yuan, we are here to perform mitral valve replacement surgery.……"
Zhou Yuan responded,"Which method do you plan to use?"
Generally speaking, the technique of not stopping the heart or not blocking the aorta can be adopted. This method does not require extracorporeal circulation and can prevent myocardial reperfusion injury. Extracorporeal circulation directly stops the heart function and temporarily replaces the heart with an artificial machine.
Lu Chenxi said:"Isn't this waiting for you to discuss it?……"
"I think it is better to perform extracorporeal circulation. Low-temperature extracorporeal circulation." Zhou Yuan said.
Sun Lele's physical condition is not optimistic. Heart failure, caesarean section, pacemaker placement surgery, etc., any of these are factors that are not conducive to surgery. If the autologous heart is used to support the end of the operation, it will be a huge burden for Sun Lele.
Lu Chenxi nodded and said,"My plan is also to perform low-temperature extracorporeal circulation. If the heart is not stopped, a large amount of blood will return to the left atrium during the operation, affecting the surgical field of view. At that time, the operation time may be extended a lot, which is not good for the patient."
Zhou Yuan and others discussed for a while, simulated the surgical steps several times, and then began to prepare for the operation.
The patient Sun Lele was quickly pushed into the operating room.
Sun Lele's family is still anxious at this moment.
It has just been a short time since the operation, and they have to undergo another operation. Anyone would be anxious!
"It's okay! Mom, these doctors saved Lele and the baby not long ago, and they will definitely save our Lele this time!"
"Yes! I have inquired about it. The mortality rate of mitral valve replacement surgery is only 5%. Our Jia Lele is so lucky, she will definitely come out safely!"
Sun Lele's husband's sister also comforted her:"The doctors here are good at medicine and good-looking, especially Dr. Zhou, who is handsome and healthy. Sister will definitely get better!"
While everyone outside the operating room comforted each other, the operating room was extremely quiet.
Zhou Yuan looked at the���Sun Lele, who was on the operating table, asked,"Why are you squinting? Are you sleepy?"
Sun Lele raised his hand to cover his eyes and said,"Doctor, the light above my head is so bright.……"
Zhou Yuan was stunned, and adjusted the shadowless lamp to make it brighter. He said unkindly:"The operation requires good light. You will be numb in a while, so it doesn't matter if it's glaring."
Sun Lele simply closed his eyes.
"The equipment has been counted." said the equipment nurse.
The anesthesiologist nodded, indicating that he was ready.
Then, the whole operating room fell silent.
After seven or eight seconds, Zhou Yuan looked at Lu Chenxi in confusion,"You are the chief surgeon, announce the start of the operation!"
Lu Chenxi suddenly realized,"I was wondering why you didn't announce the start yet, it turns out I am the chief surgeon……"
Sun Lele's eyes widened when he heard the word"knife":"Doctor, don't use the knife, I'm not anesthetized yet.……"_Feilu reminds you: Three things to do when reading - collect, recommend, and share
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