Start with an emergency physician
Chapter 72
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"Are you sure?"
Zhou Yuan didn't know the level of the two directors of the Department of Thoracic Surgery, so he could only ask.
If they could do it, Zhou Yuan would naturally take Chu Chu's father's lungs while they removed Chu Chu's mother's diseased lungs.
This would only benefit the recipients.
"Not sure!"
Director Lin said:"I mentioned before that the patient's hilar fibrosis and calcification are extremely severe, very hard, like a piece of stone, it is a question whether our scalpel can cut it!"
"Moreover, the lungs are all stuck to the chest wall. X can also see a large diffuse shadow, and even cystic changes have occurred in the lungs, making it difficult to operate on them!"
Zhou Yuan nodded.
As for the lung donor, Zhou Yuan must do it himself, because once this lung source is lost, considering Chuchu's mother's current life expectancy, she will definitely not be able to wait for the next lung source.
"How about this, I will remove the donor lung. At the same time, you guys open the chest of the patient acutely to clear some tiny blood vessels, and I will perform the lung removal surgery on the patient when I arrive!"
"Can you……"Director Lin glanced at him worriedly.
Ordinary people simply cannot withstand such physical exertion!
Zhou Yuan was silent for a while, touched the candy in his pocket, and thought of Chu Chu.
He was stunned for a moment, and his eyes became determined:
"It’s possible even if it’s not possible!"
……
Soon, Chuchu's father was pushed into the operating room.
The psychological work on Chuchu's mother was also done by nurses such as Tian Liang and Zhang Ling, and finally she agreed to the lung transplant.
Zhou Yuan was not in a hurry to do the operation.
Chuchu's mother's cardiac catheterization examination, coronary angiography, radionuclide right ventriculography and other examinations were gradually improved, and everything was ready.
Zhou Yuan was followed by He Jianyi and others, all standing in the operating room, looking at Chuchu who was sitting in the distance.
At this time, it was late at night, and there were few people in the hospital corridor.
The little girl sat alone in the chair, lonely, her eyes were swollen from crying, and she was curling up her little body, trying to hug herself.
Zhou Yuan's heart ached again, and a strong pain came out from the bottom of his heart.
"I must succeed……"
Human power is limited.
Even a master-level double lung resection can fail when faced with a poor lung source recipient and provider.
But... from the moment she signed the informed consent form for the surgery, Chuchu's mother put the lives of her family in Zhou Yuan's hands!
Zhou Yuan would not allow himself to fail!
"I will first perform the donor lung surgery, and when the time is right, I will notify you to perform a thoracotomy on the recipient."Except for the thoracotomy, don't do anything else!" Zhou Yuan said calmly.
This sentence was equivalent to taking all the risks and responsibilities of the entire operation on him alone.
Director Lin and others nodded seriously.
At this time, in addition to believing that Zhou Yuan could create another miracle, they had no choice but to do it.
Beep, beep.
Two operating rooms started at the same time. This time it was still in the No. 1 operating room of the emergency department.
This was a place Zhou Yuan was familiar with, and it was also the operating room where he had completed two or three operations. Zhou Yuan did not miss any possible way to increase the success rate.
The burn patients in the emergency department were transferred to other nearby operating rooms, and the directors of various departments who came to participate in the meeting carried out rescue.
That night, everyone in Yanjing International Hospital moved.
In the operating room.
Everyone held their breath and looked at Chuchu's father who was lying on the bed and had passed away not long ago.
After a simple moment of silence, Zhou Yuan ordered the freezing preservation state to be lifted and the operation began.
People involved in the operation this time.
Chief surgeon: Zhou Yuan
First assistant: He Jianyi
Second assistant: Lu Chenxi
Third assistant: Director Lin
Instrument nurses, anesthesiologists, and so on.
The reason why Lu Chenxi is the second assistant is because this operation cannot be done without Lu Chenxi's help. She will definitely need to participate in the removal of the donor lung, and Director Lin can only help cut the tissue and provide a good surgical field.
His main role is on Chuchu's mother's side. When the operation here is coming to an end, he will be needed to rush over as soon as possible to participate in the thoracotomy.
Zhou Yuan glanced at the time, took a deep breath, and said:"The operation begins!"
In an instant, everyone became nervous.
Although the source of the lung has passed away, it does not mean that the lung can be cut off casually.
When removing the donor lung, the donor lung must be protected. At the same time, each section of the blood vessels must be fully exposed so that it can be well matched with the recipient's blood vessels.
In other words, this is also a major operation that requires delicate operation, and non-experts cannot do it.
Fortunately... Zhou Yuan is a master
""Her chest is supine and the incision is made in the middle of the chest." Zhou Yuan said.
He Jianyi and Lu Chenxi immediately began to adjust and fully exposed the chest cavity.
Zhou Yuan was very skilled. The scalpel fell and made an incision in the middle. Then he smoothly cut open the patient's chest cavity.
After exposing the chest cavity, Zhou Yuan first cut open the pericardium and the mediastinal pleura on both sides, making the lungs completely exposed. The main blood vessels such as the pulmonary aorta also appeared in the surgical field.
""Pulmonary artery perfusion tube." Zhou Yuan said.
He Jianyi handed it over.
Zhou Yuan inserted the pulmonary artery perfusion tube into the pulmonary artery, then slowly tightened the pulmonary artery blood vessels and quickly made a simple suture at the connection between the two.
After the anastomosis was completed, Zhou Yuan began to perfuse the lung protection solution.
"Inject 0.5mg of prostaglandin E1 into the pulmonary artery, and then start perfusing with cold Euro-Collins solution."Zhou Yuan said quickly.
Euro-Collins solution is a commonly used lung preservation solution. It is an isotonic solution with a similar composition to that of intracellular fluid, which can maintain the integrity and activity of the donor lung.
Director Lin was already prepared and was about to perfuse it, but suddenly he was stunned,"How much should be perfused?"
Generally speaking, the perfusion is about 3L. Of course, the situation varies from person to person.
Zhou Yuan glanced at Director Lin, and quickly made a cut on a raised part on the right front of the left atrium, and said,"Don't worry, just perfuse it. Stop when you see the perfusion solution overflowing from the left atrial appendage of the left atrium." He then explained,"The patient's lung condition is very bad now, and we must ensure that the entire lung is filled with Euro-Collins solution!"
Director Lin's eyes lit up,"I understand!"
On the other side, He Jianyi also quickly blocked the vena cava reflux, sealing the lung.
Zhou Yuan glanced at the ventilator.
At present, the patient's lungs are in relatively good condition.
During the removal of the donor lung, although the patient has died, the ventilator must be used to maintain the function of the lungs, otherwise the quality of the lungs will be greatly affected.
With the perfusion, the color of the donor lung began to change slowly.
Pink, then pink and white, and finally, the entire lung turned white.
Finally, a few drops of liquid flowed out from the opening of the left atrial appendage, followed by a continuous flow of water.
"Stop."
Director Lin immediately stopped the infusion._To read the ununderlined version of the novel, please download Faloo Novel AP
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