Doctor Jiang Struggles To Survive Every Day
Chapter 1071: There are seven holes in the heart
Chapter 1071 There are seven holes in the heart
The anesthesiologist is ok, and the operation has really started.
Jiang listened to Xu calmly giving instructions:
"Disinfect the skin."
The assistant starts immediately:
"Yes."
After skin disinfection, Jiang Tingxu spoke again:
"Scalpel."
The assistant handed over the 22# scalpel dedicated for thoracotomy.
At first, everyone still had doubts about this young Chinese female doctor who suddenly appeared, but the layman watched the excitement and the expert watched the doorway. Just looking at this shot, you know that people are really powerful.
The scalpel cut through the skin at once, quickly and decisively. Basically, the old surgeons with many years of experience can do this.
"Toothed forceps."
"Electric knife."
The electric knife cuts through the subcutaneous tissue and muscle layer, and the sizzling voice is vividly resounding, even with the smell of grilled pork belly skewers.
The assistant does not need to be prompted, and wipe the blood with dry gauze.
"Right angle pliers."
Calm, serious, and awe-inspiring. At this moment, they are all on the face of the woman who is undergoing thoracotomy.
At this moment, no one in the team questioned anything.
Right-angle forceps separate the interclavian ligament and pleura of the sternal stem quotient method. After separating the sternum, loose the connective tissue.
The action is fast, ruthless and accurate!
I can admire people sincerely.
"Sternal saw, one helps the bone wax to fill the bone marrow cavity to stop bleeding, and the other helps stop bleeding by electrocoagulation of the periosteum."
"ok!"
"ok!"
Adeptly set up the sternum saw, and after finding the correct location, he directly began to cut the sternum longitudinally.
The moment the sternum saw started to work, the taste of roasted pork belly seemed to get stronger and stronger.
No wonder it is rare for surgeons to order pork belly skewers outside.
After eating this tm, you can think of the **** and **** scene during the operation. Who can eat it with great heart?
"Breast support."
The sternum has been sawn open, so naturally you need to stretch it in the next step to see what's inside, so you can proceed to the next step.
The assistant has a line of ground heart tweezers, tissue scissors, and electrosurgical knife. Although it is the first time to cooperate, all the personnel present are very experienced. Therefore, there is no such thing as a failure to cooperate.
Ginger's movements were lightened a lot, and he carefully separated the loose connective tissue on the surface of the pericardium and the thymus to the aortic pericardial reflex with an electric knife. After that, the pericardium was finally completely opened.
"7x17 round needle, 4# silk thread."
The assistant gave Jiang Tingxu what he needed again.
The opened pericardium needs to be suspended.
Until now, the operation has truly officially begun.
"Administer heparin intravenously to establish cardiopulmonary bypass. Heparin dosage 3mg/kg, central venous injection."
"Received, heparin 3mg/kg, push in the central vein."
After , the aorta is intubated, sutured and perfused, the superior and inferior vena cava are blocked, and then the purse string is sutured.
Heart forceps tissue scissors cut the adventitia of the aorta, insert the aortic cannula, tighten the purse-string, fix the blocking tube and the aortic tube, and connect the cardiopulmonary bypass machine after exhausting.
"Perfuse cardioplegia, the amount of 10-15ml/kg, apply ice on the surface of the heart to cool down."
"Received, infusion with cardioplegia, 10-15ml/kg, apply ice to the heart to cool down."
The assistant and the nurse cooperated with each other, and the sequence was completed very quickly.
"No. 11 scalpel, heart forceps."
At this time, the incision begins, and the tissue scissors expands the incision.
When I saw that there were seven holes in the heart, although I knew it in color Doppler ultrasound, I was shocked when I saw it.
Seven holes, some of which are "live holes" will have blood passing through, which requires medical surgery to block them.
(End of this chapter)
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