Signing in at the hospital, the first operation shocked the whole country!

"Okay, as long as you are sure, what about the second assistant?"

"Let Qin Feng go."

As soon as Director Qi finished speaking, Zhou Xianren spoke first,

"I don't need to say more about him, and he found the patient and brought him to the emergency room, so let him learn from Lao Zhang."

finished speaking,

Everyone's eyes instantly focused on the handsome cheek of the first one.

Qin Feng was also a little surprised that Director Zhou took the initiative to help him snatch the second assistant's spot.

He hasn't had time to speak yet? !

"No problem, I agree."

Seeing Qin Feng, Zhang Fan nodded in satisfaction and agreed.

When Deputy Director Chen Yuanfang had an accident last time, Qin Feng's perfect technique of suturing blood vessels has made him unforgettable until now.

It's so beautiful!

Ok?

Isn't he the best candidate for Yizhu?

Alas, forget it, who made Cui Yong a student of Lao Cao.

If Lao Cao came back and found out that he did not bring a cardiac surgery doctor, but let the emergency department help him, he would definitely be unhappy.

Sometimes it is also very realistic among the various departments of the hospital. After all, it is necessary to cultivate talents in their own departments.

Talent, in addition to talent, also requires experience.

......

"Yiyi! Where's my Yiyi!"

Just as everyone was getting ready and waiting quietly outside the operating room, a hurried voice sounded.

"coming."

Everyone walked over immediately after hearing the sound.

"Are you Qiao Yiyi's mother?"

Zhang Fan spoke first.

"Yes yes, where is my daughter? How is she?"

When the woman heard the name, she immediately burst into tears, grabbed him tightly and asked.

"I'm Zhang Fan, the director of the Cardiac Surgery Department of the First Municipal Hospital. Your daughter's arterial dissection has ruptured, which could be life-threatening at any time. Surgery must be performed immediately."

Zhang Fan quickly explained,

"Now we need your signature before we can operate, so if you want to save your daughter, sign quickly."

When the woman heard this, her face turned pale, her legs softened and she almost sat on the ground.

Qin Feng stretched out his hand to support her, seeing that her clothes and appearance were not ordinary.

Quite a temperamental woman!

The woman suddenly remembered something, took out her mobile phone in a panic, and dialed a number.

"Hey, my daughter's artery is ruptured, it's very dangerous, what should I do?"

"I'm in the city's first hospital now, and the doctor is right in front of me, woo woo woo~"

The man on the other side didn't know what to say, the woman cried even harder and hung up the phone.

"I, my husband said that he brought experts from the province, and we have to wait for him to come."

Hearing her words, everyone frowned slightly.

What is this called?

Bring experts from the province?

"How long will your husband be here?"

"Half... half an hour."

As soon as the woman finished speaking, everyone was speechless.

This is simply ignorance of the severity of arterial rupture!

If they didn't control the disease quickly, the little girl would be dead now.

"I can only tell you that your daughter may not be here in half an hour, so I can't wait!"

Upon seeing this, Director Zhou said with the same serious expression,

"Your daughter's illness is more dangerous if it drags on for a minute, so make a decision quickly."

"Okay, I will sign, as long as it can save my daughter's life."

After a moment of silence, if the woman finally compromised, she tremblingly signed the consent form for the operation.

Seeing the woman sign, everyone was relieved.

operating room,

The little girl was already lying on the stage, under general anesthesia.

Qin Feng stood in the position of the second assistant, quietly watching Director Zhang Fan start the operation.

"It's 6:58 p.m., the patient, Qiao Yiyi, underwent a descending aorta artificial vessel replacement operation.

Start now! "

The voice of the chief surgeon Zhang Fan sounded, and the scalpel made an incision on the posterolateral side of the left chest of the little girl, entering the chest cavity from the 6th or 6th intercostal space.

This time, the [simple blocking method] was used, that is, at room temperature, the upper and lower ends of the aneurysm were blocked from the descending aorta, and after the aneurysm was resected or cut open, artificial blood vessels were transplanted.

The danger that needs to be avoided is that once the aorta is successfully blocked, the burden on the left heart will increase, and at the same time, the aorta will block the important organs at the far end.

Such as liver, kidney, spinal cord, etc., especially the spinal cord is the most at risk!

This is the most vulnerable to ischemia and hypoxia damage. After other organs are blocked, the tolerance time is more than 30 minutes, but the spinal cord only takes half of the time!

Once the tolerance time is exceeded, brain cells die, causing severe and irreversible damage.

......

squeak squeak~

As the sternum was opened, Zhang Fan expertly cut off the rear end of the upper rib, enlarged the incision, and exposed the surgical field.

A young beating heart appeared in front of everyone's eyes.

really!

The artery ruptured and hemorrhage profusely.

There is already a lot of fluid in the pleural cavity and needs to be cleaned up immediately.

"The situation is really serious, let's start wandering."

Zhang Fan frowned slightly, and said calmly.

Be very careful in this step, because the arteries are attached to the lungs, and if something goes wrong, the lungs will be damaged.

Bleeding into the lungs is an embolism, which can easily lead to death.

In addition, the patient is very young, and all organs are not fully developed, and the degree of refinement is better than that of ordinary people.

Qin Feng watched Zhang Fan start to dissociate his tissue, slowly and cautiously.

5 minutes......

10 minutes......

20 minutes......

Finally successfully dissociated two-thirds of the tissue.

"Wipe your sweat."

Zhang Fan paused and said in a low voice.

The nurse at the side hurriedly wiped the fine beads of sweat on his forehead, so as not to affect his eyes.

After half an hour, all the tissues were finally freed.

The aortic dissection segment fell off and was successfully dissected!

"Whoo~"

Director Zhang Fan retracted the equipment and let out a deep breath.

Such a young child's arterial tissue is peeled off, even if he has been practicing medicine for decades, he rarely sees it.

The speed was much slower than he imagined, wasting a full 2000cc of blood.

however,

The more difficult thing is yet to come, the patient's arteries are very thin.

This is the most challenging place!

Next proceed to block the aorta.

"Okay, intravenous injection of heparin 1.5mg/kg, sodium nitroprusside, blood pressure..."

The nurse heard the words and quickly started to operate, injecting into the patient's body.

After more than ten seconds, the arterial pressure began to drop gradually and stabilized at 90~100mmhg.

"I'm going to start blocking."

Zhang Fan glanced at Cui Yong beside him and Qin Feng opposite, and said seriously.

This is a crucial game against time.

Because, he only has safe time: 15 minutes!

......

outside the operating room,

There was a rush of footsteps, and the man in the front was in a straight suit and his face was flushed.

There were two or three people behind him, one of them was about fifty, and the man with shiny forehead frowned.

"Yiyi, where is Yiyi?"

Hearing the call, the woman who was pacing back and forth at the door of the operating room raised her head like lightning and rushed over.

"Husband! Yiyi is undergoing surgery."

"Didn't I say it! Are you doing it when the experts I hired arrive?"

Hearing this, the man suddenly roared sullenly,

"Who ordered the operation? Can you take responsibility for something that happened?!"

"Sir, don't worry, I'm Zhou Xianren, director of the emergency department."

Zhou Xianren, who was in the observation room, came out when he heard the sound, and said with displeasure in his eyes.

"Your daughter's condition is very critical. If you don't have the operation in time, you will be gone now."

After speaking, he handed over the inspection report.

The bald middle-aged man next to the man reached out to take it, and after a brief look, his expression became solemn.

"Mr. Qiao, your daughter's condition is indeed very dangerous. The aneurysm has ruptured."

After reading it, he shook his head at the man and said in a low voice.

Hearing his words, the man calmed down.

Even the experts I invited said so, it seems that the situation is indeed very serious.

"Director Zhou, right? Hello, I'm Liang Donglai from Jinling No. [-] Hospital. I want to ask who is operating on the patient?"