Auto chess in the operating room

Chapter 382 Second Heart Transplantation

Hearing Dean Zhang's idea, even Professor Liu, who is an authority in the field of heart transplantation, was a little shocked.

Ye Jian needed a second heart transplant. The main reason was that after the heart transplant, there were two problems that could not be solved in the world: one was chronic rejection, and the other was vascular disease of the graft.

But now Ye Jian has two factors at the same time, especially a heart transplant recipient like him who has survived for a long time.

Dean Zhang handed Ye Jian's latest medical examination information to Professor Liu.

Looking through the information, Professor Liu's whole face became very serious and dignified: "Ye Jian, the main problem in the heart at present is the coronary arteries. The arteries supplying blood to the heart are severely diseased, narrowed and even occluded, resulting in severe blood supply to the myocardium. At the same time, There is a fatal arrhythmia, that is, frequent ventricular tachycardia, which is a serious rapid arrhythmia that can develop into ventricular fibrillation and cause sudden cardiac death. Ye Jian has induced ventricular fibrillation twice."

"Dean Zhang, the situation is very dangerous. Ventricular fibrillation can lead to death if the rescue is not timely."

Dean Zhang nodded: "Ye Jian had ventricular fibrillation twice in Chengdu, Sichuan Province two months ago and one month ago. He suffered a sudden cardiac arrest and lost consciousness. After timely rescue, he was saved from death. He has been sent to the In our hospital, during his heart test, he had 24 ventricular tachycardias within 100 hours, and each ventricular tachycardia may develop into ventricular fibrillation. In other words, he is in danger of cardiac arrest every second. Without a heart transplant, he could die at any moment."

Professor Liu looked at the information again: "Ye Jian's chronic rejection caused severe coronary artery disease. In the past three years, he has been combined with diabetes to aggravate the coronary artery changes, and because he has been taking anti-rejection drugs for many years, the blood vessels will also be damaged. , the combination of these factors makes the lesion reaction of coronary artery extremely serious and develops rapidly."

"With the current level of medical development in the world, there is no other way to solve this arrhythmia and myocardial ischemia. The only way to save Ye Jianhua's life is another heart transplant."

After reading it, Professor Liu made the same judgment as Dean Zhang. The only way for Ye Jian to survive now is a second heart transplant.

"So Professor Liu, this second heart transplant operation, only you in our hospital can complete this extreme task."

Dean Zhang poured another cup of tea for Professor Liu, and continued, "Professor Liu, my idea is that starting today, you will immediately organize cardiac surgery, cardiology, nephrology, urology, ultrasound medicine, rheumatology and immunology. Experts from more than ten disciplines, including the Department of Medicine, consulted to formulate a comprehensive plan.”

"After all, Ye Jian's heart attack was sudden and complicated. Ye Jian's chronic rejection caused serious coronary artery disease. In the past three years, he has been complicated with diabetes and aggravated the coronary artery changes. Taking anti-rejection drugs all year round will also affect blood vessels. There are damages. These factors lead to the extremely serious and rapid development of the coronary artery disease reaction. At the same time, Ye Jian is accompanied by the inevitable severe renal function damage and liver function damage to varying degrees after heart transplantation, and the success rate of the operation is seriously reduced. .”

"Dean Zhang, you really gave me a huge problem, but it's also a huge opportunity."

After all, Professor Liu is one of the top three performers in heart transplantation in China. Although he knows the difficulty is extremely high, he still has the spirit to challenge it.

"Yes, so Professor Liu, this time I will mobilize the resources and manpower of the whole hospital to cooperate with you. If necessary, I can also invite experts from other schools you know to cooperate and assist."

Dean Zhang also understands the difficulty of a second heart transplant. In the past 30 years, there have been less than ten second heart transplants in the world that have been documented, and there are no literature records. As for the country, it is still blank, and there is no precedent. learn from.

That is to say, the operation plan this time needs to rely entirely on Professor Liu to take the lead, and the elite forces of all departments to create a plan for the first time, which has not been verified and is not mature. Even Professor Liu is very disturbed.

After all, compared with the first heart transplant, the difficulty of the second heart transplant is much higher than that of the first transplant. First of all, the physical condition of the second transplant patients is far worse than that of the first transplant patients.

Ye Jian has suffered from ventricular fibrillation twice, leading to loss of consciousness, severe kidney damage, liver damage, and poor blood condition in his body... Multiple factors have led to a continuous decline in the success rate of surgery.

Secondly, the heart that has been transplanted has become very adherent after more than ten years, and the heart environment in the patient's body is almost completely unknown.Thirdly, the pericardium has been stripped during the first transplant, and the risk of heart damage during the second thoracotomy is several times higher than that of ordinary people.

"According to preliminary judgment, Ye Jian's time is running out, and you only have four days left for surgery. Therefore, within three days, you must make all preparations for the second heart transplant."

Seeing that the time was ripe, Dean Zhang broke the last layer of window paper.

Of course, Professor Liu was completely attracted by this task, not only for the honor of the department, but also for his own pursuit.

"Dean Zhang, then I will arrange and design Ye Jian's surgery plan now."

After thinking about it for a while, Professor Liu immediately came up with a preliminary plan. He planned to call together more than a dozen departments of the Second Hospital of Harbin Medical University, hundreds of experts, staff members, and eight medical groups including the preoperative preparation group and the surgery group. Conduct surgical research, as well as preparations for facilities, medicines, and material support.

Soon, top experts from more than a dozen medical departments, including cardiac surgery, cardiology, anesthesiology, ICU, nursing, ultrasound medicine, radiology, laboratory, hematology, nephrology, urology, and rheumatology, were working in Liuzhou. Mobilized by the professor, he came to the consultation room.

Regarding Ye Jian's second heart transplant operation, the first hospital-wide general consultation was held.

At the same time, Professor Liu took advantage of the gap to make a phone call to Director Dong of Union Medical College Hospital.

"Director Dong, I'm sorry, I have an important project here. I can't come to the original heart transplant. You can find another expert to throw the knife."

Director Dong, one of the Chief Physicians of the Cardiac Surgery Department of Union Medical College Hospital, was dumbfounded after hearing Professor Liu's words: "Professor Liu, you are kidding me. This has already been negotiated, and you will come to our hospital to perform surgery tomorrow." , I’m ready for everything. You also know that the patient is older and heart transplantation is very difficult. That’s why I invite you to be the chief surgeon. If you don’t come, where can I find someone who is as good as you? Great doctor."

Director Dong himself has also undergone heart transplantation, but they were all relatively young patients. This time, the patient is a big man in the imperial capital. He is already very old and has underlying diseases. Top Professor Liu.

"It's only one day, Professor Liu, it's hard for me to do this."

Director Dong's tone was almost crying.

"Director Dong, I can't help it either. The patients I have now are more dangerous and important than those on your side. I'm sorry. Besides, I believe you have many experts in Xiehexinwai. No, you can go Take a look at Fuwai Hospital. Alright, I won’t talk to you anymore, I’m going to have a consultation here.”

Professor Liu hung up the phone directly.

Listening to the busy tone on the other end of the phone, Director Dong almost collapsed. If he had been able to find someone a few days earlier, but the time is too urgent now. As far as he knows, the Heart Surgery Department of Xiehe can perform such difficult heart transplants. The chief physicians are all full.

"It's really not possible, I will do it myself?" Director Dong struggled, "No, I am still close, unless there is a powerful assistant to help me."

Thinking of this, Director Dong's eyes suddenly brightened. The young doctor who cooperated with Academician Zhong before was not the best candidate.

If you have the solid basic skills and fast operation of the doctor, plus your own surgical experience, the success rate is still very high.

The more Director Dong thought about it, the more he felt that it was feasible, so he immediately called Tang Xianhu, the director of Zijingang Hospital, and asked Tang Xianhu to tell the director of Hecheng No. [-] Hospital to tell Tang Lou to come to the capital to save the scene.

And he edited another WeChat message: "Professor Liu, it's okay if you can't come, but I have a request, that is, can we provide remote guidance during our surgery in the future."

After all, remote guidance does not take much time compared to doing the surgery in person.

After a while, Director Dong received a reply letter from Professor Liu: "Yes."

(End of this chapter)