Siheyuan: Rebirth in a prosperous era, great doctors are sincere
Chapter 325 Why did you take Suxiao Jiuxin Pill? (page 12)
On the day of Boss Zhang's surgery, Li Ping'an and his wife went to the courtyard for breakfast early. He told Mrs. Xu that he would not come over for dinner due to the surgery at National Taiwan University at noon.
"Are you busy?" Mrs. Xu asked, "Why don't you ask Huairu to bring some to you?"
Li Ping'an shook his head and said: "Forget it, there may not even be a meal for the operation at noon. This operation will take several hours!"
Qin Huairu was also surprised. In the past, her husband could perform several operations a day, but none of them took such a long time. She hurriedly asked what was going on.
Li Ping'an told Boss Zhang's situation and the need to use an artificial heart-lung machine and intubation for anesthesia.
Qin Huairu didn't quite understand, but she also knew that this operation was very important. Even for her husband, it might be a serious postgraduate entrance examination. She hurriedly said: "You can do the operation with peace of mind. I won't go to you at noon. Can the operation be completed by dinner time? How about we let my mother cook later and I will deliver the food to you then?"
Li Ping'an thought about it and said, "No, the operation should be completed in the afternoon. If I'm really hungry, I'll go to the hospital cafeteria to see if there's any leftover food!"
Qin Huairu nodded in agreement. She decided to go to the surgeon's office after get off work to ask about the progress of the operation. Of course, it would be better if Li Ping'an had already completed the operation by the time she got off work.
After breakfast.
The couple went to work in the Sixth Hospital together.
When Li Ping'an arrived at the surgeon's office, he found that all his colleagues had arrived, including Ran Qian and the dean.
The dean learned about the operation in detail and said: "Compared to heart bypass surgery, this operation may not be too difficult, but it is also very complicated. It's safe. You have to be careful when doing the operation. Let Vice President Ran give you some advice." You can be an assistant. If you think it is necessary, you can also select some doctors and nurses in our surgery department to participate in the operation!"
Ran Qian understood what the dean meant.
A complex operation sometimes requires the participation of multiple doctors. The same operation may even require multiple surgeons if necessary, and may also require the participation of internal medicine doctors.
Ran Qian said: "If you think you need help from other departments, I can go over and coordinate, even from outside hospitals. The two doctors who participated in the cardiac bypass surgery by Lev, a specialist from Suzhou, have returned from Suzhou. , do you want me to ask them to come over and help?”
Li Pingan knew that Ran Qian was talking about Nikita and Andre. He shook his head and said, "No need, the two of us can complete this operation!"
"Okay!" Ran Qian said, "I will do my best to help you!"
Wu Ze felt a little regretful.
If Li Pingan found someone else to participate in the operation, he thought he could join in, but he didn't expect that his joy would be in vain. Li Pingan would never need help from other doctors, let alone let him join in the operation.
Both groups, Li Ping'an and Jiang Daqiao, began to make preparations.
When Xiaolu and others arrived at the ward, they found that Boss Zhang's wife and son had also come over.
Li Ping'an had already said hello to Xiaolu and others. He must not say more about the patient's condition to the patient's family. As long as they don't ask, they can't say anything more. This is to calm the emotions of the patient's family, not to mention the family's emotions. affect the patient's mood.
this era.
The doctor has the final say on how to perform the surgery. There is no "Informed Consent for Surgery", and there is no need for medical staff to explain to the patient's family.
Especially when this kind of patient is still capable of acting, the patient's family will not ask more questions.
In fact.
Boss Zhang was also afraid that his wife would worry, so he deliberately told his wife and children that what he was doing was just a minor operation.
At about ten o'clock everything was ready to start the operation.
A systemic intravenous access is established by infusion, and the anesthesiologist injects the prepared general anesthetic drugs into Boss Zhang's body through the intravenous access.
Next is the work that Jiang Daqiao and his team have to do.
A midline split incision was made on the sternum, and then a blood supply vessel was inserted through the ascending aorta, and a vena cava drainage tube was inserted through the right atrium.
Turn on the artificial heart-lung machine.
At the same time, the blood is cooled.
When the whole body temperature drops to about 30 degrees Celsius, lift the ascending aorta cuff and use an aortic clamp to block the ascending aorta. Immediately infuse 4c cold cardioplegic solution (10~15ml/kg) through the perfusion tube at the aortic root, and at the same time cool the surface of the heart with 4c ice saline or ice chips to quickly arrest the heart.
Extracorporeal circulation is established.
The use of a heart-lung machine is not complicated.
Jiang Daqiao and others had rehearsed it countless times. Although it was their first actual combat, they completed the task in an orderly manner and made no mistakes during the process.
Li Ping'an and Ran Qian also nodded repeatedly.
Especially Ran Qian.
The artificial heart-lung machine management personnel of Su Guo Red Cross Hospital had already arrived at the Sixth Hospital at this time, but it seemed that they did not need to take action. They would just wait until the operation was completed to make amends and ask the director to treat them to a meal.
Director Jiang Daqiao took a breath and said to Li Ping'an: "Doctor Li, what happens next is up to you!"
Li Pingan began the operation.
He decided to work on the small intestine first.
Midline paraabdominal incision.
The first step is to explore the gastrointestinal tract.
Li Ping'an found that the patient mainly had a small section of the small intestine about 20 centimeters in very bad condition.
The intestines are dark, dull and collapsed;
The intestines are atonic and stimulation cannot stimulate peristalsis;
The terminal mesenteric arterioles were pulseless.
The above situation indicates that the small intestine has become necrotic or is basically necrotic.
The human small intestine is about four to six meters long. Removing 20 to 30 centimeters of the small intestine has basically no impact on adults like Boss Zhang, let alone short bowel syndrome.
Li Pingan breathed a sigh of relief.
Fortunately, Boss Zhang came here early. If over time, too much necrotic small intestine develops, even if he is operated on and the operation is successful, his future quality of life will be greatly affected.
Especially in this era, removing too many intestinal tubes will affect the quality of life. No matter how rich he is, he will not be able to live a good life.
The next step is to cut and sew the intestines.
The resected section of small intestine is lifted up, the mesenteric blood vessels are ligated and cut according to the direction of blood supply, and the mesentery is incised in a wedge shape.
Maybe it's because Boss Zhang's family is too rich and he eats too well, so he's a little fat and has a big belly.
Li Pingan will look at the light to reflect the direction of the mesangial blood vessels, and then cut them off.
The other end is also cut off, and the entire intestinal segment is removed.
Use warm saline to clear both ends of the intestine.
Anastomize the broken ends and suture the posterior and anterior walls.
After flushing the abdominal cavity with warm saline, the abdominal wall is sutured layer by layer.
The surgery on the small intestine is complete.
Li Ping'an cut it very thoroughly. There shouldn't be any inflammatory fluid flowing out, and he didn't arrange for a drainage tube to be placed.
Next we have to deal with the liver part.
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