When doctors have a simulated operating room

The doctor said that the patient was seriously ill.

"It may be a dissection of the ascending aorta. The cause of this disease is mostly due to coronary atherosclerosis and hypertension. You should go and get a CT scan first and say it's urgent. I'll call them to put you in line.

Also, find a family member to go directly to the window to handle the hospitalization. Once the disease is diagnosed, surgery must be performed immediately. I'll prepare the operating room for you."

Although Zhang Yi looked very calm.

But he also knew that this disease could not be delayed, so he quickly made up for the examination and arranged it.

The family suppressed their inner panic and asked cautiously:

"Doctor Zhang, my father...will he be okay?"

Just now they checked Baidu and said that the survival rate is only 50%.

Although I don't know whether the information on the Internet is true or false.

But this is their father after all.

They also hope that their father can live to 100 years old...

Zhang Yi smiled and nodded and said: "Don't you know me? Doubt my medical skills? Haha, don't worry, as long as there is enough time and the condition is stable, I am generally very confident in doing the operation.

The purpose of the operation is to replace his broken blood vessels with artificial blood vessels, so that the blood vessels will not explode. In addition, I will solve the problem of coronary artery sclerosis for you during the operation.

Go quickly, go and do the examination quickly, don't delay any longer."

Hearing Zhang Yi say this, the family members all breathed a sigh of relief.

That's good, that's good!

With Dr. Zhang's words, they were relieved.

The family members hurriedly took the old man for examination.

Zhang Yi hurried to arrange the operating room.

The operating room of Union Hospital was too crowded, and there was still no room at almost night.

Then it could only be done in the emergency operating room.

Unfortunately, there were not enough emergency staff at night.

Zhang Yi hurriedly called the cardiovascular surgery department and asked the second-line surgeon to come and help.

The two cardiovascular surgeons had just gotten off work and were thinking about where to go to have fun in the evening.

Then a phone call came...!

What? ?

An emergency surgery? ?

Fuck!

A thousand horses galloped through the hearts of the two people!

"Stop complaining, the surgeon is Zhang Yi, I can't wait to envy him!"

"What? Zhang Yi?! Haha, that's fine, I'll come right after I eat!"

Good guy.

When they heard that they were Zhang Yi's assistants, they immediately turned around and went back to the hospital.

Happy? ?

What's happy?

No matter how happy they were, they didn't follow Zhang Yi to the operating room to have fun~

Assistant Zhang~

We are here~

Even these two people showed off in the cardiovascular surgery department group.

"Hehe, He Fei and I are going to have surgery with Zhang Yi soon! Hahaha, it's an arterial dissection~!"

Doctor A: "What? Zhang Yi is going to have an arterial dissection??!"

Doctor B: "Damn! Wait! I just finished my meal and haven't had time to get off work yet. Which operating room? I'll come right after I finish my meal. I'll be a free laborer for Zhang Yi today~"

Doctor C: "I'm jealous. I can't come because of something!"

Doctor D: "I haven't seen Zhang Yi have an arterial dissection since he came to our hospital. It's a pity that I'm home now, and I have to help my children with their homework later, otherwise I would definitely come."

Everyone was regretful and excited.

Not to mention, Zhang Yi really didn't do many arterial dissection surgeries since he came to Union Hospital.

This surgery is also a major cardiovascular surgery.

Especially some dissections accumulate from the aorta to the abdominal aorta, which is equivalent to rotting from the blood vessels under the clavicle to the abdomen.

This type of dissection is the most difficult.

The two second-line doctors who were called back came to the emergency room with great excitement.

After seeing Zhang Yi, they all greeted him: "Doctor Zhang, we are here."

"Okay, thank you for your hard work. Here are the patient's medical records. Please take a look at them first."

Zhang Yi handed them the printed medical records.

Just at this time, the family members came back with the old man and handed the examination form to Zhang Yi.

The CT examination form showed: the ascending aorta was thickened and its density was uneven; the calcified intima was seen to move inward, and there was a thrombus in the false lumen; the double lumen was seen to change, the true lumen was smaller and narrower, and the false lumen was relatively larger.

After looking at the list, Zhang Yi did not delay and immediately diagnosed the dissecting aneurysm and pushed the old man into the operating room.

Wang Yufei and several other guards on duty were assigned to the emergency room.

Originally, Wang Yufei also wanted to go to the operation with Zhang Yi as an assistant.

But Zhang Yi considered that everyone has their own expertise, and this was cardiovascular surgery after all.

For major surgeries in the Department of Cardiovascular Surgery, it would be safer to find a cardiovascular surgeon.

Wang Yufei could only give up.

However, Zhang Yi promised him that if there would be an emergency operation in the future, he would give him a first-class assistant despite all objections.

Before entering, Zhang Yi did not forget to explain the work of the emergency room.

"Qin Fang, you should pay more attention to it. Tell me anytime if there is any problem with blood potassium. There is also the old lady with heart failure in bed 7. If it really doesn't work, ask her family if they want to consider sending her home; there is also a pregnant woman with hypertension. If she still feels that she can't do it after taking oxygen, let them transfer to the obstetrics and gynecology department."

"Okay, I know, you go in."

After explaining, Zhang Yi turned around and entered the operating room.

At this moment, the two doctors in the cardiovascular surgery department have already arrived in advance.

Of course, there are more than two of them in place.

There are also several young doctors and interns in the cardiovascular surgery department who have received the news.

It's rare to see Zhang Yi on duty!

And he is also the main surgeon for dissecting aneurysms!

Such a difficult learning opportunity, they will definitely not miss it~!

But there are not so many nurses.

They were transferred from the operating room upstairs. Although there was no space in the operating room, there were still nurses on duty.

Even the anesthesiologist hurried over to take over after finishing the previous operation.

Zhang Yi looked at the tired face of the anesthesiologist.

He sighed silently in his heart.

Oh.

It's not easy for everyone.

Don't worry, he will definitely finish this operation as soon as possible so that everyone can get off work early.

"General intravenous anesthesia plus respiratory induction anesthesia."

"Blood pressure is now stable at 140/95mmhg."

"Systemic heparinization."

"Time is 18:46 in the afternoon."

While the anesthesiologist was reporting, Zhang Yi was doing preoperative preparations.

The entire chest cavity, from the neck to the lower abdomen, was disinfected and covered with surgical towels, leaving a pre-marked surgical range.

Dissecting aneurysms are mainly classified by Stanford in China, and are divided into two categories: A and B.

Type A is mainly located in the ascending aorta, aortic arch and proximal descending aorta with intimal tears and dissecting aneurysms.

Type B is located in the isthmus of the aorta with intimal tears and dissections, which may affect the descending aorta and abdominal aorta, but usually does not affect the ascending aorta.

The old man in front of me belongs to type A.

The main surgical method for type A is thoracotomy and direct replacement of artificial blood vessels.

Type B can use interventional methods to perform intracavitary repair or install stents in the blood vessels.

Because the wound surface is large, the risk of the former is relatively greater.

Everything is ready, and the operation begins.

Zhang Yi took the scalpel and made a five-centimeter horizontal incision in the third intercostal space.

Looking at this short and delicate incision, the doctors watching silently gave a thumbs up!

Hiss~!

It's you, Zhang Yi!