Start with the emergency physician

The anesthesiologist came up, “Do you prefer intravenous or gas inhalation anesthesia?” ”

“What’s the difference?” Sun Lele was stunned, can this still be chosen?

The anesthesiologist said: “Intravenous anesthesia is relatively thorough, but the onset is slow, the inhalation anesthesia has a fast effect, and the recovery is fast.” ”

Sun Lele: “Then I still have intravenous anesthesia, I always feel that gas anesthesia will make my breathing very uncomfortable.” ”

The anesthesiologist smiled and put a mask on Sun Lele.

The gas anesthetic soon took effect, and Sun Lele fainted.

“Is this something I can choose for you?”

The anesthesiologist glanced at Sun Lele, and then said to Zhou Yuan: “After the total anesthesia of the trachea, you can establish extracorporeal bypass.” ”

Lu Chenxi stared at the anesthesiologist: “Report to me, I am the main knife.” ”

Anesthesiologist: “Oooh, get used to it. ”

Lu Chenxi glanced at Zhou Yuan helplessly and said, “Let’s start the operation.” ”

The people who operated on this time were:

Main knife: Lu Chenxi

Kasuke: Zhou Yuan

Nisuke: A thoracic surgeon

Sansuke: A thoracic surgeon

Lu Chenxi has been promoted to attending physician and is fully capable of handling the operation in front of him.

After Zhou Yuan completes his doctoral dissertation and gets his doctorate, the promotion path will become very fast.

After all, there is not even a doctorate, the layman only thinks that Zhou Yuan is a second generation, with a doctorate, it is basically equivalent to standing at the forefront of the medical community, with the power to independently carry out research and so on, and then it will be completely dependent on technology to eat.

“Scalpel.”

Zhou Yuan handed over the scalpel.

Lu Chenxi is also a knife used by Renhe thoracic surgery, so the level of surgery is not to be said.

The midline incision of the anterior chest, the longitudinal serration of the sternum, the pistachi, the revealing of the heart, etc., are all quite convenient.

“How’s that, awesome?” Lu Chenxi said while blocking the ascending aorta.

Zhou Yuan: “Awesome.” ”

Lu Chenxi smiled: “If you are so powerful, don’t follow Director He, follow me?” ”

Before Zhou Yuan could speak, Lu Chenxi added, “… It’s really not okay, I’ll follow you. ”

Zhou Yuan: “Do your surgery.” ”

“Okay.”

Lu Chenxi snorted coldly and resumed his cold expression again.

“Tissue scissors.”

“Vascular forceps.”

After removing the damaged mitral valve, Lu began measuring the annular size with an annular measuring device.

Ten years have passed, and the patient’s physical condition has also changed, and it is necessary to choose the appropriate valve size and type according to the age of the patient.

“Needle clamps, straight cuts.”

Lu Chenxi began to suture again.

Non-invasive stitches plus polyester small gaskets, atrial surface needles, through the annulus, ventricular surface needles.

Zhou Yuan stared at Lu Chenxi’s fingers.

Slender and jade, it is not an exaggeration to describe it with green onion and jade fingers.

Lu Chenxi noticed Zhou Yuan’s eyes, and his face suddenly turned red, “Zhou Yuan, give me the No. 0 polyester thread…”

Zhou Yuan looked up: “… I’m pulling your heart muscle, the line? ”

Lu Chenxi was silent.

“No matter, if you don’t let you pull, you have a line.”

The instrument nurse angrily gave the polyester thread to Lu Chenxi.

This bastard is the main knife, and he actually dares to tease my handsome little one-suke.

Hehe, the surgical technique is okay, I didn’t expect it to be this kind of person!

Lu Chenxi lowered his head, completed the valve replacement, and began to suture.

Stitching here uses an intermittent vertical mattress stitch.

Lu Chenxi held the needle and pierced the skin, eight millimeters at the edge of the wound, closed the two wounds, then crossed the incision, pierced the needle from the skin on the other side, and then pierced the skin for the second time in the ipsilateral incision, returned to the opposite side, and knotted.

Intermittent vertical mattress sutures have better tensile strength than horizontal mattress sutures and have little effect on blood flow supply to the wound, making them suitable for use here.

“Ant pincers.”

Lu Chenxi clamped the stitches with ritual tongs to prevent the stitches from crossing together.

Then, Lu Chenxi passed all the mattress sutures through the suture of the artificial valve in turn, tightened the sutures, fixed the prosthetic valve, and then ligated the sutures.

After completing this step, the mitral valve replacement surgery is basically completed.

Lu Chenxi breathed a sigh of relief.

Since there was gas entering from the air in the left heart chamber, Lu Chenxi used a thin catheter to drain the gas, and then began to suture the left atrial incision.

“Relax the aortic blocking forceps.” Lu Chenxi commanded Zhou Yuandao.

Zhou Yuan silently relaxed the blocking forceps.

“Good.” Lu Chenxi glanced at Zhou Yuan appreciatively.

“Exhaust pins.”

After taking it, Lu Chenxi inserted an exhaust needle at the root of the ascending aorta.

The heart thumped and resumed a powerful beat.

Due to the low-temperature extracorporeal circulation, the patient’s body temperature was controlled at about 17 degrees, and as the heart resumed beating, the patient’s body temperature gradually increased.

When the body temperature rose to thirty-five degrees, the anesthesiologist stopped cardiopulmonary bypass.

Zhou Yuan and Lu Chenxi began to remove the blood drainage and give the blood catheter.

At the end of the operation, Lu Chenxi kept a small opening below the pericardium, which was used for postoperative drainage.

“The operation is complete.” After the layered stitching was completed, Lu Chenxi breathed a sigh of relief again.

……

……

In the elevator.

Two thoracic surgeons are preparing to return to the thoracic surgery, while Zhou Yuan and Lu Chenxi are preparing to return to the emergency department.

“You two are from the emergency department?” Thoracic surgeon A asked.

“This technique is also too awesome…” said the thoracic surgeon.

“Especially this girl is much more powerful than when I was younger! My hands are very steady, I want to dig you into our thoracic surgery!” ”

Lu Chenxi smiled politely.

Zhou Yuan also smiled politely: Why don’t you praise me yet?

I hand over the utensils, and I am also very good at clamping blood vessels.

“Male children should practice more and strive to be the main knife. I heard that there is a Zhou Yuan in your emergency department, people are about the same age as you, you learn more, young people have to work hard! Hurry up and learn technology! ”

Zhou Yuan: …

“Ding-dong.”

The elevator stopped.

“The thoracic surgery department has arrived, let’s go out first, boy, why don’t you say a word? Be bold. ”

Zhou Yuan silently stared at A and B who went out, and said, “Long live the hydra!” ”

Boom.

Elevator doors closed.

Not long after returning to the emergency department, Zhou Yuan saw a father and son looking like patients in the hall.

“Brother Doctor! Brother Zhou! ”

To Zhou Yuan’s surprise, Fan Fan came to the hospital again.

Moreover, this time he came with his father.

“What’s wrong with you?” Zhou Yuandao.

Fan Fan stretched out his right hand in pain, and saw that several fingers seemed to be broken.

“Another hand injury? Do you have a feud with your girlfriend? ”

“Huh? I have no feud with Fifi! ”

Zhou Yuan took Fan Fan to the observation room and made him sit down and prepare for the examination.

“What’s going on?” Zhou Yuan asked.

“It’s not my dad yet!” Fan Fan said bitterly.

“Your dad?”

Zhou Yuan looked up at the bearded man.

At this time, the man was a little embarrassed and looked at Fan Fan apologetically.

“What the hell is going on?” _

To see the ununderlined version of the novel, please download the Feilu Novel AP