Big Doctor Live Room

Chapter 533 Mitral Valve Repair
Chapter 533 Mitral Valve Repair
"Okay, let me say a few words before starting the operation. The first sentence is that I hope everyone should be careful. After all, this is only a one-year-old baby, and we need to be very careful. Of course, this is my first A heart operation on a small baby."

For the first time before the operation, Chen Qun specially emphasized the lectures to the doctors and nurses present, but he also felt that this was necessary, and he became more and more like Dean Liu, and became verbose.Perhaps, this is probably the reason why the older the world is, the more timid it is!

Seeing that everyone didn't speak, but the atmosphere suddenly became tense, he couldn't help rubbing his head again, thinking that the ideological mobilization before the war was also a kind of knowledge.He doesn't have eloquence and speech ability, so he just talks about it.

"The second sentence is actually contrary to the first sentence. I ask everyone to treat it as an ordinary person. Don't have all kinds of emotions because of the patient's age, gender, skin color and identity. If you are too careful, you will easily get nervous. Once you get nervous, you may become nervous. There were some mistakes. We still treat it as a normal operation, so don’t have any psychological pressure.”

Qi Hong showed a smile from the corner of his eyes at the side, and interrupted to say something.

"Actually, Chen Qun just asked everyone to be more careful. Of course, most of these words are for him to hear, right?"

Chen Qun took a long breath and nodded.

"Yes, after all, it's the first time for me to operate on such a big baby. I always feel that I have to be more careful and meticulous in order to be worthy of my own heart. Okay, the nonsense is over, everyone is ready for the operation."

Probably because of Chen Qun's instructions, and because Chen Qun slowed down the speed of the operation, everyone entered into the best state of cooperation. Looking at the original scar along the baby's chest, he again Opened her chest, performed cardiac bypass and extracorporeal circulation on her, and then came to check the heart problem.

This time, Chen Qun took a strict look. After each part was tested, he discussed with Qi Hong, who was in charge of the extracorporeal circulation machine next to him, and finally asked if everyone had any additional explanations.

For the few young and strong chief resident doctors present, it was tantamount to undergoing a baby's heart re-repair operation. Every step Chen Qun performed was clear and clear, step by step, almost like meticulous regular script, describing all the procedures. All written on several display screens.

Although Chen Qun slowed down, compared to these few doctors and nurses who were familiar with Chen Qun's style and played a lot with him, they were still much happier than other doctors.

After more than 40 minutes of meticulous surgery, Chen Qun finally replaced the valve patch on the baby's heart, awakened her heartbeat, breathed a sigh of relief, and ordered the next step calmly.

"OK, sinus rhythm has appeared, the child's heartbeat has recovered, the heart rhythm is normal, and the blood pressure is also in the normal range. Remove her bypass and let her perform heartbeat blood transfusion by herself."

Qi Hong pressed the button and turned off the bridge machine.

Ouyang Yang, who was acting as a record behind, immediately gave a warning, "Chen Qun, pay attention to the pulmonary artery pressure, but it is a little high, it should be abnormal."

Chen Qun glanced at the index above, his heart was cold, and he ordered in a expressionless voice.

"We have to lower the blood pressure immediately, because she still can't survive. Qi Hong, bridge her again, and let me check what's wrong again. Give me the No. 11 scalpel, the aorta is perforated and continue external circulation. The shadowless lamp is shifted a little , I am going to do a [-] mm cardiac fenestration to decompress the extra pressure from the left ventricle to the left atrium."

Seeing that Chen Qun didn't treat the baby well this time, Qi Hong felt a little nervous for no reason, and quickly suggested.

"Do you want extracorporeal membrane oxygenation?"

Chen Qun raised his eyes, and the microscope on the goggles looked more and more cold, making his gaze even more hidden in emptiness.

"No, it hasn't reached that point yet. Ouyang Yang, you pay close attention to the baby's lungs, and give me 3 minutes to find out what's wrong?"

"Could it be a problem with the lungs?"

"Probably not. When I think about it, I also encountered the same problem just now. It was because the blood vessels in the lower limbs were broken, which caused the blood pressure in the lungs to be too high. The phenomenon is the same as before, but the blood vessels in her whole body are good, still... …I looked, ah, found it. You little tricky mitral valve, because it's narrowed here, it's causing all the problems in the lungs."

Chen Qun searched attentively while talking, countless data appeared in the simple shrinking model in his mind, and he concluded that the channel blockage caused the phenomenon in front of him.During the extracorporeal circulation just now, nothing happened. The only possibility is that there is something wrong with the atrioventricular blood vessels of the heart.

He only checked out the second possibility, and immediately came to the correct reason.

As soon as Chen Qun finished speaking, all kinds of beeping alarms sounded in the operating room.

Little Apple's voice filled the room.

"Chen Qun, the blood pressure in the lungs is too high, and the edema is getting worse."

"Don't panic, prepare for vascular debridement. As long as I repair the mitral valve, the root cause will be resolved."

Chen Qun came to the conclusion calmly, without being affected by the sound of the siren at all. After all, this small sound could not arouse any normal conditioned and unconditioned reflexes for him at all.The countless alarms in the system space have made him develop an unconditioned reflex in another direction - to ignore all alarms directly.

"Seven minutes and 34 seconds, we can't delay any longer, we have to end the operation quickly and remove her bypass."

Qi Hong, who had been silent all this time, saw that it had been 7 minutes since the alarm sounded, and Chen Qun had already completed most of his operations, so she quickly reminded him.

"Thank you for reminding me, then I will speed up, the front part of the patch has been sutured, and there is still one third left, give me ten seconds!"

While Chen Qun was speaking, he suddenly sped up the speed. The needle holder and forceps sewed four stitches one after another. There is a knot.

He didn't have time to do it himself, so he yelled at the assistant who was waiting by the side with the scissors.

"Cut the thread immediately, that's it. Qi Hong, take off her bridge. See how it goes?"

Under the gaze of everyone in the operating room, the egg-sized heart on the screen, after three or four seconds of silence, suddenly jumped slightly, expanded, and returned to normal beating.

"How's your blood pressure?"

"It has dropped to 50, and it was 80 just now, which fully meets the indicators of a healthy heart. This is a good sign."

"Yes, the ventricular function is also very good. I think the health problem of this young foreign girl has been completely solved. I hope she will not have the same problem again in her life."

"Don't discuss it. It's important to suture first. This operation will take almost three hours."

Qi Hong hurriedly urged beside him.

Everyone in the operating room didn't know that in another large conference room not far from the hospital, more than a dozen doctors were sitting in front of their chairs, staring blankly at the screen transmitted from the operating room. .

The moment the chest cavity was closed, the TV screen froze.There was no sound in the entire conference room, and the silence was terrifying, as if the world had stopped functioning.

A second heart operation was performed on the daughter of a foreign consul who was only one year old, and the problem was solved without any danger.It only took 10 minutes from the diagnosis and treatment to sending to the operating room. The chief surgeon didn't know anything about the patient's condition, so he just took over and completed it.This is simply a classic and difficult second heart surgery.

Among the experts and professors in the room, any one who gets started has only one end, a complete failure.

(End of this chapter)