Tokyo Police
Vol 15 Chapter 78: Surgery was successful
"How far has the temperature dropped now?"
"Anal temperature is 20 degrees!"
"No, it's too high, let the body temperature drop to 15 degrees. I'm going to cut the aortic arch!"
"Hey, I understand!"
Professor Uchimura directed his assistants and subordinates to cooperate with his operation, while on the other hand, he poured all his energy into the stopped heart in front of him. When Professor Uchimura stretched out his hand, the nurse in charge of delivering the instruments immediately handed the scalpel to his hand. After taking the scalpel, Professor Uchimura cut open the patient's aortic arch and descending aorta. of the connection.
"No, the vision is blurry, clear the vision quickly, I'm going to start preparing for the repair of the aortic wall and the replacement of the artificial aortic arch!"
"Hi, I'm so sorry!"
After the assistant sucked the outflowing blood with the suction device, Professor Uchimura continued to work on correcting the artery!
"Start helping me time, I want to complete the correction of the blood vessel wall in five minutes!"
"Start the timer, five minutes!"
As the timing started, Professor Uchimura gradually accelerated the movements of his hands. He forced himself to pour his whole body into the heart in front of him, trying not to think about what had just happened in his heart. For a heart surgeon, every operation carries huge risks. As the saying goes, there is no head and arrow in the bow, and as long as the heart surgery operation starts, you can only stick to it. And Professor Uchimura is now racing against the **** of death. As long as the movements in his hands can be faster, the chances of his heart returning to beat after a while will be one more point.
"The correction of the aortic wall is completed, and now the artificial aortic arch will be implanted, and 40 lines will be prepared for me!"
"Hey, I understand!"
"You two, now fully assist me in the suture of the artificial aortic arch!"
"Hey, I understand!"
"How many minutes?"
"Four minutes and thirty seconds, it's been 20 minutes since the heart stopped beating!"
"No way, we have to hurry up!"
Although Professor Uchimura said he was in a hurry, the surgical forceps holding the suture needle was still firmly held. I saw that he skillfully used the suture needle to carefully suture the aorta and the artificial aortic arch together, while the two assistants worked hard. Cooperating with Professor Uchimura's actions. Before they knew it, a layer of sweat dripped from everyone's forehead.
"Wipe the sweat, how long has it been used now?"
"It's been 24 minutes!"
"Okay, let's work harder. After five minutes, the blood supply to the heart will be restored, understand?"
"clear!"
With a cheering cry from the operating room, Professor Uchimura began to replace the ascending aorta.
The replacement of the ascending aorta is obviously much easier than with a loaded aortic arch. Professor Uchimura worked hard to speed up the stitching speed on his hands, while maintaining the quality of the stitches every time he was stitched.
When the last stitch was finally completed, Professor Uchimura breathed a long sigh of relief. But now is not the time to be happy. Only after the blood supply is restored and the heart begins to beat again, can Professor Uchimura's dangling heart truly be relieved.
"Start rewarming the blood, slowly perfuse the femoral artery, stop the reverse perfusion of the superior vena cava and hypothermic cerebral perfusion"
"Understanding, femoral artery exhaust perfusion begins"
"Prepare heparin and protamine, report the patient's hematocrit at any time, pay attention to the bleeding of the anastomosis, and Sudou will help me strengthen the anastomosis!"
"clear!"
When the members of the surgical team responsible for cardiopulmonary bypass loosened the hemostatic forceps, they saw blood gradually enter the patient's femoral artery from the bypass through the artificial blood vessel. However, this process needs to be very slow because the anastomosis where the patient has replaced the aortic arch and the ascending aorta is at the most vulnerable time. If the blood flow into the patient's body is too large or too fast, it will give the patient It can cause serious damage to the body and, if necessary, rupture of the walls of the blood vessels resulting in severe internal bleeding.
"Report your blood sugar, and be careful not to exceed 200 blood sugar levels"
"Pay attention to maintaining the current blood pressure, and inject protamine and heparin."
Once the process of restoring the blood supply began, Professor Uchimura continued to issue various instructions to the team members to ensure that the blood flow could be carried out as little as possible without disturbing the patient's body.
"Report your current rectal temperature?"
"The rectal temperature is 23 degrees, and the blood sugar concentration is about 180"
"The heart is exhausted, the blood is going to flow into the heart"
"Release the three branches of the aortic arch and prepare to access the systemic circulation"
"clear!"
When Professor Uchimura's voice fell, almost everyone focused on the heart that had stopped beating for nearly half an hour.
"Jump!"
"Jump!"
When the red blood flowed out of the newly replaced aortic arch, the stagnant heart still did not show the slightest vitality, and it seemed that things were starting to change towards the worst.
"professor?"
"Ready for pacing, ready to adjust the dosage of heparin and protamine"
"clear!"
"First charge, start"
When the electrode was placed in the patient's chest and touched the heart, the myocardium began to twitch under the weak current stimulation. Then, Professor Uchimura quickly took out the electrode and began to observe the changes in the heart.
After a moment of waiting, the originally dead heart finally showed signs of beating. At the beginning, it was a gentle beating. If you didn't use your heart, it would be almost undetectable. Then, the heart started beating better and better. The electrocardiogram, which turned into a straight line, finally showed signs of starting to change.
"Ah the heart is beating again! It is beating again!"
"Excellent, Professor Uchimura, you have completed the death and life again, this operation is really not easy."
"Long live"
Seeing that the originally pale heart gradually regained its rosy color after its beating restored ~www.wuxiaspot.com~, Professor Uchimura breathed a sigh of relief. In front of the operating table, the anesthesiologist who had been monitoring the anesthesia equipment also sat on the ground at this time. His body had already been exhausted by this long-lasting operation.
"Don't be too happy, now start gradually withdrawing from cardiopulmonary bypass"
"Pay attention to the patient's physical index, don't"
Just when Professor Uchimura wanted to explain a few more words, his lack of physical strength made his steps stagger, and he almost fell off the operating table.
"professor?"
"Are you all right Professor"
"professor!"
"Go and tell Song Rengu that I want to eat tonkatsu after the operation!"
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