Start From Emergency Doctor
Chapter 410
Chapter 410
Jiang Li shook his head and smiled: “It’s not me, I just made an opinion with the dean, and the dean is the one who makes the final decision.”
“President?” Zhou Yuan was a little puzzled.
“It’s not just the dean, do you know that Director Yuan? Director Yuan Shaoyuan, he also knew about this matter, and came here specially. Our dean is also the person in charge of the National Health and Family Planning Commission. Also responsible for…”
Jiang Li smiled and said, “With your flying knife this time, it is impossible to have any problems. The biggest official is just covering your head!”
After speaking, Jiang Li and others are a little envious, especially doctors like Wang Sheng and Chen Li who are in their golden years of career. Jiang Li is okay. He is old and hardly throws a knife now, but Wang Sheng and Chen Li, etc. People are in the period of getting married and starting a business, they need a lot of income, and they won’t let go of flying knives.
Every time they throw a knife, they are frightened, for fear of making mistakes, and Zhou Yuan is directly protected by the National Health and Family Planning Commission. How could he not be envious?
Wang Sheng was deeply moved, sighed, and said: “My unbelievable son talked about a girlfriend and said that he was talking about marriage without a wedding room. During this time, I have been flying knives. I can rest on weekends in Japan. The flight attendants on the same airline know me all over the country.”
“In almost two years, I should be able to earn the money for buying a house, and I will definitely not fly a knife anymore! Going through the formal procedures is the same as doing ordinary surgery. I can’t earn a lot of money, and there are irregularities. The risk of dismissal is too hard!”
Although Jiang Li was sympathetic, he still reprimanded: “Do your part and remember to write a paper when you go back.”
Wang Sheng:…
This heavy topic made the atmosphere in the operating room heavy.
Everyone in the operating room stopped talking. Zhou Yuan was concentrating on the operation, while the others stared at the operating table with eyes wide open.
“Doctor Zhou, why do you have to do two single lung transplants one after the other instead of directly transplanting two donor lungs to the patient?” someone asked.
Zhou Yuan replied, “Reduce airway complications, while carrying out the transplantation of the left lung.”
“How to reduce it? Two single-lung transplants require the donor lung to be cut into two pieces. Doesn’t this increase the risk of infection?”
Wang Sheng nodded: “Yes, the chance of infection has increased a lot, and after the donor lung is incised, it will be sutured later. It will give you a lot more work!”
Jiang Li was also silent and did not speak.
He also saw such an operation for the first time.
No, to be precise, it was the second time.
The first time I was watching Zhou Yuan’s surgery video. At that time, the double lung transplantation he performed for Chuchu’s mother also divided the two lungs into two before transplanting them into Chuchu’s mother.(Read more @ wuxiax.com)
Professor Chen Jingyu uses a complete two-lung transplantation and does not transplant the two lungs separately.
In Jiang Li’s opinion, this operation is a bit surprising…
This greatly increases the difficulty of the operation, and puts forward extremely high requirements on the precision of the main knife operation, as well as the timing of suture, the choice of incision opening, and other surgical details.
Zhou Yuan did not answer, and it was only after completing the left lung transplantation one hour later that he slowly said: “Now remove the extracorporeal circulation equipment, wake up the transplanted left lung, and use the left lung for gas exchange and maintain life activities.”
Wang Sheng, Chen Li and others were taken aback.
Is it time to use the left lung? !
Now the left lung has just been transplanted, the blood circulation has not been fully communicated, and the lung lobes are still white. Is it really okay?
Everyone looked at each other. The anesthesiologist who had been sitting and observing Chen Jianguo’s physical signs was so scared to stand up. As Misuke, Wang Sheng was standing next to the cardiopulmonary bypass machine, dare not to turn off the cardiopulmonary bypass machine…
This thing is now hanging on Chen Jianguo’s life, just like a diver’s oxygen cylinder. If it is unplugged, wouldn’t it be suffocated?
“Doctor Zhou, the patient’s left lung has just been transplanted. Are you sure you want to pull out the cardiopulmonary bypass… Don’t you adapt first?” Wang Sheng’s expression was horrified.
This is really incomprehensible!
After a short period of hesitation, Jiang Li chose to believe in Zhou Yuan, and gave Wang Sheng a cold look: “Let you pull it out. Who is the chief sword?!”
Wang Sheng shook his body and gritted his teeth: “Understood, Director…I’m sorry, Doctor Zhou!”
In the operating room, the position of the surgeon is very high. Of course, when there is really a mistake, the assistant can also raise questions.. ……
But obviously, Zhou Yuan did not make any mistakes.
Wang Sheng, Chen Li and others carefully dismantled the extracorporeal circulation machine, and the blood left the transparent tube and returned to Chen Jianguo’s body.
The anesthesiologists and observing doctors stared at the monitor nervously.
Suddenly, there was a brief fluctuation in the monitor.
This is a normal phenomenon that occurs when you switch from extracorporeal circulation to internal circulation, and there is nothing to worry about.
However, everyone is still staring at the monitor, for fear that the above data will not stabilize.
Almost ten seconds later, Chen Jianguo’s physical condition stabilized again, and Didi’s voice gradually subsided, and the tense atmosphere disappeared a lot.
Jiang Li breathed a sigh of relief, smiled rare, and said, “It’s successful.”
Chen Li and Wang Sheng were dumbfounded and looked at Zhou Yuan in disbelief.
“The lungs that have just been transplanted can be used without closing the chest cavity?!” Chen Li looked shocked.
The left donor lung in Chen Jianguo’s body had already recovered its blood color at this moment, and began to pulsate regularly.
If you look closely, you can even see that the blood vessels above are moving and transporting blood.
Wang Sheng swallowed and asked in surprise: “Why do you want to remove extracorporeal circulation? Isn’t it safer to use extracorporeal circulation…”
Zhou Yuan looked at Wang Sheng a few more times.
Wang Sheng’s perspective is more in line with the perspective of an excellent doctor than others. Others are concerned about why the left lung can breathe immediately after transplantation, but he wonders why he should start using the left lung to support the body and remove the cardiopulmonary bypass machine. .
Zhou Yuan eased his aching arm a little, and said: “Recovering lung function as soon as possible can prevent new insufficiency, and even if the matching is successful, who can guarantee that there will be no serious rejection?”
“The transplantation of one lung is performed first. Even if there is an accident, this lung can be removed as soon as possible. If both lungs are transplanted, it will take twice as long to remove it. The accident happened. Time, time is life, and patients have absolutely no extra time to wait!”.
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