Start From Emergency Doctor

Chapter 398

The suture of the aorta places high demands on the suture doctor.

A large amount of blood flows through the aorta. If the suture is not good enough, the pressure on the aortic incision will be too high after the blood flow is restored, and the sutured site may crack, which may cause heavy bleeding.

The heavy bleeding here is extremely difficult to repair, and even Zhou Yuan may have a headache.

Zhao Qiang’s aortic wall is relatively thin. During the suturing process, Zhou Yuan added autologous pericardial strips to both sides of the aortic incision for reinforcement. Each stitch will be evenly tightened by Zhou Yuan, but the force should not be too great. Otherwise, the thread may break.

Before the last needle was dropped, Zhou Yuan once again injected saline into the aorta.

One of the operations necessary to suture blood vessels is to exhaust the air in the blood vessels. After the aorta is filled with saline, the residual gas can be easily exhausted.

For Zhao Qiang, if the aorta or coronary arteries get into the air, the later resuscitation will be more difficult.

Before closing his chest, Zhou Yuan checked the effect of myocardial protection again.

In patients with aortic insufficiency, the prominent pathophysiological changes are left ventricular eccentric hypertrophy strain, myocardial fiber elongation, and severe myocardial function damage. Therefore, good intraoperative myocardial protection is the key to successful surgery.

“Done?!” The deputy director of cardiac surgery felt like he was dreaming…

He himself is an expert in cardiac surgery. A person who has been the deputy director of Yanjing’s top three hospitals can almost be the director of hospitals in other places!

In his cognition, patients like Zhao Qiang almost all ended up with announcing death!

Take his personal experience as an example. He has experienced three patients with similar conditions to Zhao Qiang, and all three of them died without rescue…

Because of these three patients, and because of the failure to rescue the same disease, he lost the opportunity to be promoted to chief physician, and his reputation was greatly affected.

If a doctor fails to perform the same operation three times in a row, is it possible for the patient to trust him?

However, people in the industry know his dilemma. The difficulty of this operation is too high. The death rate is even more than 90%. Ten people may try their luck to save one. It is not counted that three died. what……

This is also the biggest reason why the Deputy Director of Cardiac Surgery proposes to transfer to the hospital. If it fails again, he really will not be able to get involved in Cardiac Surgery! However, he chose to believe in Zhou Yuan.

Fortunately, he was right.(Read more @ wuxiax.com)

At least, his patients no longer died three times after three operations, there is already a successful example!

Compared with the previous operation, the final thoracic suturing was almost a joke, and it was extremely easy. A few minutes later, Zhou Yuan put down the needle holder and finally heaved a sigh of relief.

“The operation is complete!” Zhou Yuan announced.

The anesthesiologist who had been vigilant finally breathed a sigh of relief at this moment, and the other people in the ward were also relieved of their tension at the same time.

Zhou Yuan took off his mask and said, “Immediately go to the intensive care unit and monitor the patient’s condition at all times. The operation is not performed in a completely sterile condition. Beware of infection!”

Zhang Ling nodded excitedly: “Understood!”

The person Zhou Yuan rescued, it is absolutely impossible for her to let him fall on the hospital bed!

…

Outside the ward, Li Li’s tears were already crying dry, and she put her hands on her belly—even though she had just checked out that she was pregnant, there was no sign of her belly, but I don’t know why, Li Li seemed to be able to feel this in the womb. Little life.

Is the birth of one life accompanied by the fall of another life?

Li Li’s mind has become messy, and she also thinks about many strange things, such as…If the birth of the fetus in the womb must accompany the death of Zhao Qiang, then how will she choose?

Want your husband’s life or your children?

Perhaps for men, this choice is very simple. Except for a few families, most people will choose to keep their wives. As a husband, the children in the wives’ womb are far less profound than the feelings given to him by his wife. For a woman, the child was born in her body. How could it not hurt the heart if the flesh that fell from the body was to be discarded?

For men, a child may be just a catharsis of pleasure. Most men slowly realize that they are already a father after the child is born, but let Li Li make a choice, she would rather die by herself!

At this time, there was a sudden noise from the door of the ward, and then the door was opened, Zhou Yuan appeared at the door.

Li Li stood up suddenly, and when she saw Zhou Yuan and others at the door, she burst into tears. She covered her face and wanted to suppress the crying, but the more suppressed, the more difficult it was to stop her crying. stand up.

None of the group of people dared to come up to ask about the results of the surgery, they were all forced to perform the surgery in the ward, which shows how dangerous Zhao Qiang’s situation is!

Zhou Yuan did not continue to remain silent either, showing a relaxed smile, and said, “Don’t worry, the operation was successful.”

Li Li’s cry stopped abruptly.

With a sound of Huo, everyone’s eyes were concentrated on Zhou Yuan, and the five pairs of eyes that had been dim and dull suddenly lit up, as if hope was flickering.

“Successful?!” Zhao Qiang’s father couldn’t help but exclaimed excitedly.

Li Li wiped away her tears and was about to rush to the operating room, but was rotten by the heart surgeon next to her: “The patient needs to be absolutely quiet and completely safe after the operation, and try not to visit…”

The implication is that the greetings of Li Li and others will not only disturb Zhao Qiang’s rest, but they also have bacteria on their bodies, and even some pathogenic bacteria. These may not be a threat to normal people, but for Zhao Qiang, they are definitely Is fatal.

Li Li was also aware of the severity, and immediately stopped, stepped her neck and stretched her neck to look into the ward, her mouth with a smile that couldn’t be concealed.

“Doctor, thank you!” Li Li’s father walked up to Zhou Yuan and held Zhou Yuan’s hand excitedly.

The family finally returned to their homeland from the joy of Zhao Qiang’s successful operation, and thought of Zhou Yuan.

Zhou Yuan was immediately surrounded by his happy family members, thanking him for his great gratitude.

Soon, Zhao Qiang’s bed was pushed out and sent to the intensive care unit. When Li Li and others saw Zhao Qiang, they immediately chased up and followed behind the bed.

Looking at the people who left, Zhou Yuan felt a strong sense of accomplishment in his heart.

The Deputy Director of Cardiac Surgery knows the difficulty of this operation. As a master of perfect cardiopulmonary resuscitation and master aortic valve replacement, Zhou Yuan understands how difficult it is to rescue Zhao Qiang!

Take Zhou Yuan’s most impressive Modu Xiehe Hospital for example. As the second three-special hospital in the country, the reputation of cardiac surgery has been well-known, but… not long ago, they also accepted such a patient. . .