Start with the emergency physician

“You guys… Are you sure? ”

Zhou Yuan did not understand the level of the two directors of thoracic surgery, so he could only ask.

If they can do it, naturally Zhou Yuan will take the lungs of the first father here, and they will cut off the sick lungs of the first mother at the same time.

This only benefits 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 be cut is a problem!” ”

“Moreover, the lungs are glued to the chest wall, X can also see a large mass of diffuse shadows, and even cystic changes in the lungs have occurred, it is difficult to get a knife!”

Zhou Yuan nodded.

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

“Well, I’ll do the donor’s lung removal.” At the same time, you have an acute chest opening of the patient, clear some fine blood vessels, and when I arrive, I will perform the patient’s lung resection! ”

“Can you…” Director Lin glanced worriedly.

Ordinary people simply can’t withstand such physical exertion!

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

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

“No, you have to do!”

……

Soon, my father was pushed into the operating room.

The psychological work on the 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 do the operation.

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

Zhou Yuan was followed by He Jianyi and the 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 no people in the corridor of the hospital.

The little girl was sitting alone in a chair, alone, her eyes had long been swollen with tears, and she was curling up her small body at this time, trying to hold herself.

Zhou Yuan’s heart soured again, and a strong pain drilled out from the bottom of his heart.

“I must succeed…”

Manpower is sometimes exhausted.

Even masterful double pneumonectomy can fail when dealing with poorly ill lung recipients and providers.

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

Zhou Yuan did not allow his own failure!

“I’ll do surgery on the provider’s donor lung first, and when it’s about the same time, I’ll inform you to open the recipient’s chest. Don’t move anything but open your chest! Zhou Yuan said calmly.

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

Director Lin and the others nodded solemnly.

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

Di Di Di.

Two operating rooms start at the same time

This time it was still in the emergency department’s operating room one.

This is a familiar place for Zhou Yuan, and it is also the operating room where he has completed two or three operations, and all the ways that can improve the success rate, Zhou Yuan has not let go.

Burn patients in the emergency department were transferred to other operating rooms nearby, where they were rescued by directors from various departments who came to participate in the meeting.

On this night, everyone in Yanjing International Hospital moved.

Inside the operating room.

Everyone held their breath and looked at their first father, who was lying on the hospital bed and had died not long ago.

After a simple moment of silence, Zhou Yuan ordered the freezing preservation to be lifted and the operation began.

The people involved in the operation.

Main knife: Zhou Yuan

Kazuke: He Jianyi

Second assistant: Lu Chenxi

Sansuke: Director Lin

Instrument nurses, anesthetists, etc.

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 donor lung removal, and Director Lin is at most helping to cut the tissue and provide a good surgical field.

His main role is on the mother’s side of the first time, and when the operation here is over, he needs to rush over as soon as possible to participate in the chest opening.

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

For a moment, everyone tensed up.

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

When performing donor lung extraction, it is necessary to protect the donor lung, and at the same time, it is necessary to fully expose each segment of blood vessels so as to match well with the blood vessels of the recipient.

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

Fortunately…… Zhou Yuan is a master.

“Lying flat position, mid-chest incision.” Zhou Yuandao.

He Jianyi and Lu Chenxi immediately began to adjust and fully exposed their chest cavity.

Zhou Yuan was very skillful, the scalpel fell, just in the middle of the opening of the opening, and then smoothly cut the patient’s chest cavity.

After exposing the chest cavity, Zhou Yuan first incised 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 revealed in the surgical field.

“Pulmonary perfusion tube.” 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 fluid.

“0.5 mg of prostaglandin E1 is injected into the pulmonary artery, followed by the initiation of cold Euro-Collins solution.” Zhou Yuan said quickly.

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

Director Lin was already ready, and he was about to infuse, and suddenly he was stunned, “How much do you want to infuse?” ”

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 in a raised part in front of the right side of the left atrium, and said, “Don’t care, just perfusion, you can stop it when you see the perfusion fluid overflowing from the left atrial appendage.” ”

He went on to explain: “Now the patient’s lungs are in terrible condition and 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, closing the lungs.

Zhou Yuan glanced at the ventilator.

Currently, the patient’s lung condition is relatively good.

In the process of removing the donor lung, although the patient has died, the function of the lung must be maintained by a ventilator, otherwise the quality of the lung will be greatly affected.

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

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

Finally, 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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