Big Doctor Live Room

Chapter 377 Cytokine Release
Chapter 378 Cytokine Release
It took only 10 minutes for the big neck surgery to start at [-]:[-] p.m. All the nurses began to admire Chen Qun's foresight and prepared blood transfusion equipment and a large amount of hemostatic gauze in advance.

Although several large blood vessels on the tumor had been clamped by Chen Qun with titanium forceps in advance, the blood flowing out of the tumor had already exceeded the blood loss of a normal person.[-] liters of blood were sucked out from the three suction tubes, not counting the blood that was wiped away by the hemostatic gauze hemostatic stick.

A normal person only has five and a half liters of blood in his body. He lost at least four liters of blood here. The huge tumor was like a bag of blood, dragging on his waist. No wonder other doctors dare not perform this operation .

After being snatched back to the laboratory by Chen Qun, the few top students who had no place to toss around, even joined Chen Qun's surgery team at this time and began to act as assistants.They were most interested in the resection of such a large tumor, so they naturally used their status as members of the team without hesitation to drive the other residents aside.

Originally, Chen Qun had specially notified his girlfriend, but Miss Dongfang said that he had something to do these few days and was busy cleaning up his old man, so he didn't have time to come.It made Chen Qun feel a lump in his heart. After thinking for a long time, he felt that he didn't know how to face his girlfriend's notorious father. In the end, he had to be an ostrich and turn a blind eye.

Chen Qun glanced at the patient's blood pressure, and frowned slightly, "Prepare another twenty units of concentrated red blood cells, and add low-temperature fresh-frozen plasma and platelets."

He became more and more vigilant. He is now a genuine master of hemostasis and incision and freeing.If it were another doctor, he would not be able to cope with the hemorrhage of various blood vessels in the tumor, and the operation would have failed.

However, the current surgery situation has surpassed the symptoms he experienced during practice.On the diagnostic panel in the corner of the eye, a new symptom gradually emerged—the release of systemic pro-inflammatory cytokines.

Before he could see clearly, various alarm sounds suddenly came from his ears.

"Normal breathing!"

"There was no massive bleeding or acute blood loss!"

Zhou Lin, who was acting as an assistant, and Zhao Xue, who was acting as an equipment nurse, immediately reported the situation as quickly as possible.

"It should be distributive shock, and should be checked immediately to prepare for shock recovery!"

Qi Hong, who was watching the computer simulation system, also gave her conclusion and diagnosis.

Chen Qun deeply felt what kind of things he could do and how many miracles he could create with this system plug-in.Because in many cases, there are seven or eight or even more than ten reasons for the situation that occurs during the operation. Even if experienced surgeons make mistakes in judgment, it often means that the operation fails.

"No, it should be a cytokine storm. Look at the seventh value on the monitor. The white blood cell index has increased by two percentage points within ten seconds. It should be that the whole body's immune system has an anti-inflammatory response to the hemorrhage."

Huang Haitao, who watched the big screen in the observation room next door, gave another answer.

As soon as he said it, academician Yang Xiaoquan, who seemed to be dozing off beside him, immediately sang against him.

"I think it is the post-embolism syndrome caused by cutting off the blood supply system of the tumor. It is necessary to inject intra-arterial lidocaine immediately, add 100 ml of methylprednisolone, and inject antibiotics at the same time."

Faced with Yang Xiaoquan's unquestionable authoritative judgment, Chen Qun chose to fight back.

"Mr. Yang, this time I agree with Mr. Huang's statement. You see, the leukemia index increased by another percentage point in two seconds. Immediately clamp the aorta and slow down the blood supply to the tumor, which will naturally slow down the rate of cytokine production." The release rate of the class."

Yang Xiaoquan stood up at once and shouted loudly.

"Stupid boy, I'm afraid you've lost your head. Don't you know that the lack of blood supply from the aorta will lead to brain necrosis of the patient! No matter how successful your operation is, the patient will die!"

Chen Qun answered without hesitation.

"I encountered this problem once, and we found a suitable solution, which is to clip every few minutes, which can not only ensure that the patient has enough oxygen supply to the brain, but also perform the operation. I will discuss it in the next 10 minutes. Complete resection. No. [-] scalpel, hemostat!"

Chen Qun turned around and proceeded with the operation confidently, ignoring Yang Xiaoquan who was pushing back.However, I knew that Mr. Yang had kindly reminded him, but he didn't know that he was a man with his own cheats. He knew the cause of the disease earlier, and just now re-simulated an operation and found the correct way to deal with it.

Just because of time constraints, Chen Qun sped up the speed of separating connective tissue and nerve tissue, gave up his favorite blunt dissection, and directly dissected with sharp instruments. The messy tendons are cut directly.

In less than 3 minutes, at the part where the tumor was connected to the neck, there were only two large and small blood vessels, one up and one down close together with a gap of one millimeter.

"Get ready for the boom, Qi Hong, you are in charge of cutting these two blood vessels with scissors, and I will immediately suture the incision at the front incision. Slow down, one by one. Needle forceps, small tweezers!"

Chen Qun took the black lacquered scissors handed over by Zhao Xue, and without hesitation put the largest "big scissors" into the hands of the second assistant Qi Hong.

The female academic bully was slightly taken aback for a moment, and then she felt a little joy in the blink of an eye. She knew that Chen Qun had deliberately given up the opportunity to be the chief surgeon. Half of it was to exercise her surgical skills, and the other half was to stop the bleeding as soon as possible as he said. suture.Otherwise, the front ends of the two blood vessels have already been clamped by him with two titanium forceps, so there will be no massive bleeding.

She quickly put the scissors that were a little longer than the palm of her hand on her thumb, middle finger and ring finger. She felt that even with gloves on, there was a chilly aura coming from the special steel instrument, which lifted her spirits. All kinds of messy thoughts in my mind also disappeared.Concentrated and calm, with a light cut, the upper blood vessel, which is as thick as a thumb, was immediately cut into two pieces.

Chen Qun's needle-holding forceps immediately took it, like a butterfly fluttering, and immediately performed a half-pocket suture on the blood vessel.The entire stitching time does not exceed 50 seconds, as if it has been stitched countless times.

This is the wonderful change that occurred after he upgraded his sewing skills to a grand master. No matter how fast the speed is, it still gives people an ethereal feeling of ease and ease, making everyone feel that he is not in a hurry, but has a few spare energy.

"Cut the remaining one and cut it in the direction of my needle point!"

Chen Qun indicated the position with the tip of the needle, and Qi Hong took the largest "little scissors" in the toolbox and tapped it lightly, and a small, barely audible click came from her heart.It made her involuntarily have an urge to continue to use this extremely sharp little scissors to continue pointing at something and make a few clicks to feel comfortable.

This kind of touch, this feeling, is simply more pleasant than any sound.

In an instant, the female academic bully suddenly understood why the ancient Yu Xi liked to hear the sound of tearing silk.Perhaps, after the operation is over, I can borrow this pair of scissors to go back and cut all kinds of cloth and paper in the dormitory happily.Then I asked Zhao Xue to order a pair of scissors, which were specially used for cutting things for fun.

It was only when Qi Hong had this strange idea that she knew that she must have been under too much pressure for a long time and needed something to relieve pressure and vent. This pair of scissors just provided her a channel to vent, and she couldn't help laughing.

(End of this chapter)