Start with the emergency physician

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

The next step is to remove the heart.

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

Although He Jianyi and the others were curious, they did not say much.

It was not until the atrial sulcus 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 were all surprised.

The reason why Zhou Yuan does not directly dissect the heart, but starts from the atrial sulcus, is 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 the patient on the operating table!

Director Lin swallowed.

He wishes he was younger, if he was only thirty years old, or even forty years old, he would have done a few more operations with Zhou Yuan, and learn Zhou Yuan’s skills, maybe by the time he retires, he will already be a world-famous lung transplant master!

“Next is to block the ascending aorta.”

He Jianyi exposed the aortic perfusion point, and Zhou Yuan was up and down with his hand, and the ascending aorta was transverse.

“Total pulmonary artery.”

Lu Chenxi revealed the total pulmonary artery.

Zhou Yuan crossed 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 curved shears, Zhou Yuan reminded.

“Do not damage the esophagus so as not to aggravate the chest infection!”

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

After the superior and inferior vena cava was also processed, Zhou Yuan began to formally remove the heart.

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

He Jianyi blocked the left pulmonary vein, etc., and Zhou Yuan cut the left atrial wall between the confluence of the left pulmonary vein and the coronary sinus, and then traction the heart, the scalpel did not move, and the incision was extended upward and downward.

Finally, Zhou Yuan moved the scalpel, and the incision was closed with the small incision of the left atrial appendage before, and the entire left atrial wall fell off.

“Next, remove the trachea. The ventilator side prepares for overventilation in advance. Zhou Yuan said.

The instrument nurse nodded: “Understood.” ”

Zhou Yuan pulled out the endotracheal intubation slightly, so that the tube mouth slightly exited the trachea.

“Overventilation!”

Ten seconds later, Zhou Yuan cut off the trachea.

“Big right-angle pliers.”

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

“Start a double lung resection.” Zhou Yuan said.

It has finally come to this point.

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

After removing the heart, Zhou Yuan opened 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 esophagus at both ends.” week

He Jian nodded and clamped the part with a stitcher.

Zhou Yuan severed the branch of the aortic arch at the top of the chest, and then cut the thoracic aorta from the exposed diaphragmatic position.

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

“Cut the aorta and esophagus?” Lu Chenxi asked.

Just about to start, Zhou Yuan stopped her, “No, remove the esophagus and aorta together.” This saves time and, moreover, maintains the quality of the lungs donated. ”

Lu Chenxi’s face turned red and he silently wrote down this knowledge.

“Ready?” Zhou Yuan asked about cold salt water.

During transportation, the donor lungs must be placed in a plastic bag containing 4-degree normal saline, and then placed in an ice bucket, covered with ice chips around it.

“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 adhesion tissue between his lungs and the patient’s body.

Special care needs to be taken here, the connective tissue near the bronchi of the lungs should be preserved as much as possible, they can play a role in protecting the bronchial arteries.

After about five minutes, both lungs, together with the aorta and esophagus, were removed and put into cold saline.

Zhou Yuan closed his eyes and adjusted his breathing.

“After the donor lungs are taken, let’s transfer to the second operating room.”

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

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

Once the lung tissue is over-instilled, the lung is overinflated and the lung tissue is damaged.

“Good.” Everyone also breathed a sigh of relief and prepared to rush to the second operating room.

……

Outside the operating room.

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

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

So some people say that the place where prayers are most prayed is not the church, but the hospital.

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

“Chuchu.”

Zhang Ling and Lin Wen saw Lonely Waiting outside the operating room.

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

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

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

Lin Wen’s nose was also red: “Yes, Chuchu, go back to sleep with us, and wake up tomorrow mom!” ”

“Mom, okay… What about Daddy! Chuchu’s eyes suddenly lit up, and then he asked in an expectant tone.

“Dad, he…” Zhang Ling and the two were speechless.

Obviously, I first understood the expressions of Zhang Ling and Lin Wen.

In an instant, Chuchu’s mood dropped again, and he shrugged 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 of the beginning, it was Brother Zhou Yuan who operated on my mother, the most powerful doctor in our hospital, and he will definitely be fine!” ”

Chuchu’s eyes lit up, “Brother Zhou Yuan… And what about Daddy? ”

“Who operated on Daddy! Is it also a powerful brother Zhou Yuan! ”

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

In the little heart of a child who has never experienced the cruelty of the world, there are some gods.

At the beginning, Zhou Yuan was a powerful doctor god, so he could also save his father.

“Sister! Who operated on his father, is it also an older brother! Is it a brother! Chuchu’s cry became louder.

It was at this moment that the door of Operating Room No. 1 opened again, and Zhou Yuan and the others hurriedly pushed Chuchu’s father’s donor lungs into Operating Room No. 2.

“Brother!”

Chuchu shouted, however, before he could run over, the door of operating room two slammed shut.

“How’s it going!”

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

“Smooth opening!” Director Lin said.

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

“Massive bleeding in the aorta!”

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

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