Start From Emergency Doctor

Chapter 33

After the suture is completed, the “elephant trunk” that can reduce the risk of surgery is officially completed.

“Withdrawal force Yuexi 10mg, Xianlin 8mg, Fentanyl 1mg.”

“Prepare to rescue medicine. Dopamine and dopamine, norepinephrine, nitroglycerin! Open the venous channel and connect the tee and blood transfusion set, ready for intraoperative blood transfusion at any time!”

Anesthesiologist: “Ready!”

Device nurse: “Done!”

Zhou Yuan nodded and picked up the scalpel again.

This time, it was a wide range of conventional midpoint thoracotomy.

After the median sternum was split, the patient’s body became heparinized. Without Zhou Yuan’s reminder, Lu Chenxi immediately started the right subclavian artery cannulation and right atrium cannulation, successfully establishing cardiopulmonary bypass.

“Cool down.” Zhou Yuan said.

At the moment when the patient’s temperature reached 28 degrees Celsius, Zhou Yuan quickly blocked the distal ascending aorta.

“Vascular clamp.”

Lu Chenxi hurried to help block the blood vessels.

Zhou Yuan incised the ascending aorta and began to carefully explore the location of the aneurysm.

“It’s a bit troublesome.”

Zhou Yuan said: “The aneurysm has affected the aortic valve. Now we can only remove the aortic valve, expose the aneurysm and then perform the aneurysm resection. After that, the artificial valve is replaced to restore the patient’s normal cardiac function.

“Listen to you.” Lu Chenxi already enjoyed her position as a helper.

“Good. The patient’s blood pressure.”

“The blood pressure is stable, the cardiopulmonary bypass is normal, and surgery is possible!”

Zhou Yuan nodded.

The scalpel fell.

The scalpel lifted up.

The bloody valve was clamped out by the forceps.

Lu Chenxi stared at Zhou Yuan’s concentrated face, shocked in his heart.

She felt that it was not a person who manipulated the scalpel, but a sophisticated machine.

Every time it falls, it will not weigh a point, nor will it be light. The removed valve just exposes the location of the aneurysm, which is extremely refined.

In a trance, the operation is gradually coming to an end.(Read more @ wuxiax.com)

“Wiping sweat.”

The little nurse finally waited for this sentence, raised her hand in a panic, and gently wiped Zhou Yuan’s sweaty forehead.

Lu Chenxi glanced jealously.

Zhou Yuan didn’t notice the two people competing for favor, he was busy making the most beloved stitches.

“0/4 slippage.” Zhou Yuan said.

This is the most suitable replacement suture, and the simplest simple interrupted suture is still used.

“0/3 slip line.”

After completing the suture of the aortic valve, the next step is to suture the blood vessel.

“This time it is continuous stitching.” Lu Chenxi glanced at it and nodded in praise.

“Blood pressure situation.”

After completing the suture of the blood vessel, Zhou Yuan asked again. After confirming that it was correct, he began to withdraw the cardiopulmonary bypass, completely stop the bleeding, and suture the patient layer by layer.

At this time, not only the patient’s family members were waiting outside the operating room, but also the anxious Fu Bowen and Yang Fan who were waiting for a good show.

Aortic dissecting aneurysm itself is a fatal disease. In addition, the diameter of the aneurysm is ten centimeters, the difficulty of surgery is doubled, and the mortality rate is more than 70%.

Even Fu Bowen is not sure about this operation!

What Fu Bowen is worried about is not the failure of Lu Chenxi, but the mistakes!

Sometimes, a mistake can ruin a doctor’s future.

What’s more, it is the first time that Lu Chenxi has performed such a difficult operation independently, and Fu Bowen is now shocked and frightened!

Fu Bowen is in poor health and has started to have frequent illnesses recently. He just wants to take Lu Chenxi out during his lifetime and hand over Renhe Hospital to her.

Now, Yang Fan has brought back a Zhuang Shu. After Fu Bowen retires, the director of Renhe Hospital is likely to be banned by him.

Fu Bowen knows what Yang Fan has done and handed Renhe to him. Is Renhe still a hospital?

When I was worried, the lights during the operation finally dimmed.

Fu Bowen and the patient’s family stood up almost at the same time.

Yang Fan also stared at the door of the operating room.

A few minutes later, the first doctor came out.

He was an extremely young doctor. Neither Fu Bowen nor Yang Fan had seen him before. Lu Chenxi followed him.

The young doctor took off the mask, showing a pale face with some beads of sweat on it.

His clothes trembled and his badge was exposed.

“Zhou Yuan: Interns.”

Fu Bowen’s face changed drastically.

Standing in this position is the chief surgeon. The chief surgeon is an intern? !

Zhou Yuan ignored Fu Bowen and the two, but looked at the patient who came anxiously and said, “The operation was successful. The patient will be transferred to the intensive care unit immediately. Pay attention to the postoperative healing.

The patient thanked Zhou Yuan’s hand excitedly.

When Yang Fan saw this scene, his face sank, and he turned away.

Lu Chenxi happily ran to Fu Bowen, “Teacher, the task is complete!”

Fu Bowen patted Lu Chenxi on the head and said with a smile: “It’s all doctors, be serious!”

After speaking, Fu Bowen set his sights on Zhou Yuan: “Excuse me… Are you the chief surgeon of this operation?”

Zhou Yuan nodded, “Dean Fu, it’s me.”

Fu Bowen’s pupils shrank.

Really the main sword?

An intern completed aortic dissection aneurysm resection? !

The patient’s aortic dissecting aneurysm is nearly ten centimeters in diameter, with severe malformation of the blood vessels, aortic insufficiency and high blood pressure. In such a bad situation, he, the famous Yanjing thoracic surgeon, is not sure to do it!

“Why didn’t I see you in Renhe Hospital?” Fu Bowen hesitated and asked this question.

Zhou Yuan said indifferently: “I am an intern at Yanjing International Hospital, this time I came to communicate.”