Start From Emergency Doctor

Chapter 356

What did you say to Zhou Yuan…

From the beginning of the operation to the present, Tian Liang still knew how many people even the director could do nothing about it.

Perhaps money can really buy health.

“The manpower has been arranged. Director Jiang, Wang Ziqiao and a vascular surgeon are assistants. I am responsible for the clean-up work.” Tian Liang said.

It’s the big night now, and there are not many people in the emergency department, so he is on top.

This is the first time Zhou Yuan has performed an operation with a male nurse.

Xiaoding was pushed into the operating room at four o’clock in the morning.

Ding Mahui is sitting on the bench outside the operating room at the moment, and he, who has always been calm, is a little anxious now.

“Don’t worry. Xiaoding will be fine.” Ding Mahui patted his wife next to him.

Shi Yu was already a little lost at this time.

Both of them are relatively old, Ding Mahui is 41 years old and Shi Yu is 37 years old.

When they were young, both Ding Mahui and Shi Yu were busy with their careers, and indeed they had made a name for themselves, but when they were about to join the family, they were already 26 years old.

When she was pregnant, Shi Yu was already regarded as an advanced parturient.

Worse still, Ding Mahui is already forty-one years old. Men are different from women. As long as the cultivated land is well maintained, the soil will remain fertile, but the cattle will be different, and the cattle will grow old.

Ding Mahui is already in his forties. At this age, various physical functions are beginning to decline, making it even more difficult to have a child.

For this reason, when the two learned that they were pregnant with Xiaoding, the excitement in their hearts can be imagined. At that time, Shi Yu gave birth to Xiaoding abruptly at the risk of an elderly mother.

However, now their precious son is about to step onto the operating table…

“If I can save myself, I will definitely convert to Buddhism.” After a long time, Shi Yu said suddenly.

Her voice was desperate, a person who did not believe in Buddha, but at this time gave all hope to the illusory figure, which shows how much she struggled in her heart at this time.

“I will fast with you for a month too.” Ding Mahui said in silence for a while.

This means that Ding Mahui can’t touch both tobacco and alcohol within a month. For a businessman, not being able to drink is equivalent to not being able to participate in entertainment, but he can’t take care of so much.

At this time, Zhou Yuan and others walked over from the end of the corridor, preparing to enter the operating room.

Ding Mahui and Shi Yu stood up at the same time.

The latter’s eyes moistened again and said in a low voice, “Doctor, please save my child…”(Read more @ wuxiax.com)

Zhou Yuan nodded: “I will try my best.”

With that said, Zhou Yuan led Jiang Xiaoqi and others into the operating room.

The shadowless lamp turned on.

Zhou Yuan sometimes wants to sigh whether the design idea of ​​the shadowless lamp originated from the Yuba.

“What are you thinking?” Jiang Xiaoqi looked at Zhou Yuan curiously.

Zhou Yuan recovered and said calmly, “It’s okay.”

He glanced at Xiao Ding on the hospital bed, and then began to go through the steps of the constriction resection and end-to-end anastomosis in his mind.

This is a kind of cardiovascular surgery. It is the night shift doctor who is here to help tonight, the title is still the attending physician.

The personnel situation of this operation.

Chief Sword: Zhou Yuan.

One help: Attending physician of vascular surgery.

Second help: Jiang Xiaoqi

Misuke: Prince Bridge

Although Jiang Xiaoqi is the deputy chief physician, she specializes in surgery. In terms of cardiovascular surgery, the attending physician is not necessarily worse than Jiang Xiaoqi.

Tian Liang counted the equipment as an equipment nurse, “The equipment is ready.”

Zhou Yuan nodded, and he suddenly remembered, if he becomes the chief physician, how can he use the treasure chest after surgery…

Zhou Yuan has become accustomed to the tasks of the system. As long as he gets the approval of his superiors, he can get a treasure chest. If he becomes the chief physician, wouldn’t he have no treasure chest for surgery in the future?

Zhou Yuan sighed and returned his attention to the operating table.

“The child does not have a large ventricular septal defect, and he can directly undergo the coarctation segment resection and end-to-end anastomosis.” Jiang Xiaoqi said.

Zhou Yuan nodded.

This is the result of the previous inspection. Some patients with coarctation of the aorta will have intracardiac and extracardiac malformations. If malformations occur, pulmonary artery banding should be performed at the same time as the coarctation of the aorta to reduce blood flow in the lungs and delay the occurrence of pulmonary vascular obstructive disease.

In this case, another doctor is needed to cooperate with Zhou Yuan.

“Oxygen and diuretic therapy have been given before the operation.” The vascular surgeon reported.

This is to control Xiaoding’s congestive heart failure.

Zhou Yuan nodded and looked at Xiaoding, ready to confirm the final surgery plan.

In the end-to-end anastomosis of the constriction resection, the upper and lower descending arteries of the constriction need to be blocked during the operation, so other parts may become ischemic and cause injury.

In order to protect the spinal cord and distal organs from ischemia during the blocking of the descending aorta, Zhou Yuan needs to determine the protective measures that should be adopted.

There are three conventional protection methods, low temperature protection, temporary vascular bridge erection, and detour left heart perfusion.

The principle of cryoprotection is very simple. In the case of low temperature, cell metabolism and other activities will slow down, so the spinal cord and distal organs have less blood flow requirements, even if there is no blood passing through, it will not cause much damage. .

Setting up a vascular bridge is to build temporary blood flow channels at the descending aorta at the upper and lower ends of the constriction to communicate with the blocked aorta and maintain blood circulation.

“Set up a temporary vascular bridge,” Zhou Yuan said.

He has mastered vascular transplantation, so he is proficient in the erection of vascular bridges.

Zhou Yuan had done a difficult blood vessel transplantation before, but now it is easy to set up a temporary blood vessel to maintain blood circulation.

There is another reason.

Although erecting a temporary vascular bridge is the most difficult and cumbersome of the three protective measures, the risk factor is the smallest as long as it is operated properly.

For example, low temperature protection only reduces the activity of the organs, thereby reducing the demand for nutrients. In the final analysis, damage will occur, but the damage is very small.

The advantage of detour left heart perfusion is that it is simple and convenient to operate, but the anesthesiologist needs to control the perfusion flow at any time according to the blood pressure of the upper limbs. Once the flow rate is too high and the blood pressure of the upper body is too high, it will cause a large amount of cerebral vascular congestion and cause fatal accident .

There is one more step to build an artificial blood vessel in the erection of a vascular bridge. The difficulty of the operation will increase, and the technical requirements for the main surgery will be more stringent, so the average doctor will not choose this method.

But these problems are not a problem for Zhou Yuan at all. The master vascular transplantation is more than enough.

Jiang Xiaoqi and others did not speak, and silently prepared the artificial vascular bridge. .