Start From Emergency Doctor

Chapter 75

The moment Director Lin stopped, Zhou Yuan moved the scalpel again.

The next step is to remove the heart.

Zhou Yuan chose to cut the room ditch from the right.

Although He Jianyi and others were curious, they didn’t say much.

It wasn’t until the chamber groove was completely dissected and the left atrium wall proximal to the right pulmonary vein was exposed in the surgical field. Everyone understood the reason.

The three of He Jianyi were very surprised.

The reason why Zhou Yuan did not directly dissect the heart, but started from the interatrial groove, was to expose the left atrium wall and reduce the risk of damaging the blood vessels in the lungs.

This is knowledge that cannot be learned in textbooks. Every knife is a unique method that is most suitable for patients on the operating table!

Director Lin swallowed.

He wished that he was younger. If he was only thirty or even forty years old, he would perform a few more operations with Zhou Yuan and learn Zhou Yuan’s skills. Perhaps he would be famous by the time he retired. Master of Lung Transplantation!

“Next is to block the ascending aorta.-”

He Jianyi exposed the aortic perfusion point, Zhou Yuan raised the knife and dropped the ascending aorta-transected.

“Common pulmonary artery.”

Lu Chenxi revealed the common pulmonary artery.

Zhou Yuan traversed the pulmonary artery again at the midpoint, and then removed the superior and inferior vena cava.

“Be careful!”

Lu Chenxi was about to take out the bending shears, Zhou Yuan reminded.

“Don’t damage the esophagus, so as not to aggravate chest infections!”

Lu Chenxi took a deep breath, thanking Zhou Yuan to remind him in time.

After the treatment of the superior and inferior vena cava, Zhou Yuan began to formally remove the heart.

There is no skill in this step, it depends entirely on technology.

He Jianyi blocked the left pulmonary vein and so on. Zhou Yuan incised the left atrium wall between the confluence of the left pulmonary vein and the coronary sinus, and then pulled the heart without moving the scalpel, and extended the incision upwards and downwards.

Finally, Zhou Yuan moved the scalpel, the incision was merged with the small incision of the left atrial appendage, and the entire left atrium wall fell off.

“Next, remove the trachea. The ventilator is ready for overventilation in advance.” Zhou Yuan said.

The equipment nurse nodded: “Understood.”

Zhou Yuan pulled out the tracheal intubation a little, making the orifice slightly withdraw from the trachea.

“Excessive ventilation!”

Ten seconds later, Zhou Yuan severed the trachea.

“Large right angle pliers.”

He Jianyi fully exposed the top of his chest, where Zhou Yuan clamped the trachea with large right-angle forceps, then cut it off, and then completely removed the heart.

“Start the lung resection.” Zhou Yuan said.

Finally reached this point.

He Jianyi and the others held their breath, and only Zhou Yuan shouted for the instrument in the operating room.

After removing the heart, Zhou Yuan opened the posterior mediastinum along the anterior side of the spine, extending the wound to the level of the diaphragm.

“Close the remaining trachea and esophagus at both ends.” Zhou Yuan said.

He Jian nodded and clamped the three parts with a suture device.(Read more @ wuxiax.com)

Zhou Yuan cut the branches of the aortic arch at the top of the chest, and then cut the thoracic aorta from the exposed upper part of the diaphragm.

At this time, both lungs are connected to the patient’s body, leaving only the aorta and esophagus.

“Cut off the aorta and esophagus?” Lu Chenxi asked.

She was about to start, Zhou Yuan stopped her, “No, remove the esophagus and aorta together. This saves time and also maintains the quality of the donor lung.”

Lu Chenxi blushed and silently wrote down this knowledge.

“Are you ready?” Zhou Yuan asked about cold salt water.

During transportation, the taken donor lungs must be placed in a plastic bag containing 4 degrees Celsius normal saline, and then placed in an ice bucket, covered with ice chips for storage.

“OK.”

Zhou Yuan nodded and glanced at Director Lin, “Turn to the second operating room and prepare to open the chest.”

Director Lin nodded and left the operating room immediately.

Zhou Yuan buried his head again and began to carefully cut the adhesive tissues between the lungs and the patient’s body.

You need to be especially careful here. The connective tissues near the bronchi of the lungs should be preserved as much as possible. They can protect the bronchial arteries.

About five minutes later, the lungs, the aorta and the esophagus were all removed and placed in cold saline.

Zhou Yuan closed his eyes and adjusted his breathing.

“After the donor lung is taken, let’s transfer to the second operating room.”

Hearing these words, the anesthesiologist was finally relieved.

Lung transplantation is an operation that a small number of anesthesiologists must also be vigilant throughout. Most of the operations are done after anesthesia, but in this operation, he has to control the expansion of the lung tissue.

Once the lung tissue is instilled properly and the lung is over-inflated, the lung tissue will be damaged.

“Okay.” Everyone even breathed a sigh of relief, preparing to rush to the second operating room.

…

Outside the operating room.

Zhang Ling and Lin Wen have processed other patients.

All that can be saved are on the operating table, or they are out of the danger period and cannot be saved. Basically, their heartbeat has stopped on the way to the hospital.

·········Ask for flowers···········

So some people say that the place where prayers are the most is not the church, but the hospital.

When facing the life and death of loved ones, no matter who it is, I hope that there is a God in this world who can eliminate all disasters.

“In the beginning.”

Zhang Ling and Lin Wen saw the beginning of waiting alone in the operating room.

Sure enough, Chu Chu was still waiting outside the operating room.

Zhang Ling and Lin Wen looked at each other and ran to Chuchu.

“Chuchu, would you like to go back with your sister to rest for a while?” Zhang Ling choked up again when she saw Chuchu.

Lin Wen’s nose is also red: “Yes, Chuchu, go back to sleep with us, and mother will be fine when I wake up tomorrow!”

“Mom is all right…what about Dad!” Chu Chu’s eyes suddenly lit up, and then asked in an expectant tone.

……… …

“Dad…” Zhang Ling and the two were speechless.

Obviously, I understood the expressions of Zhang Ling and Lin Wen at first.

In an instant, the initial emotions fell again, and he drooped his head again without saying a word.

“I’m not sleepy, I want to wait here for Mom and Dad to come out!”

Zhang Ling wiped her tears and said, “In the early days, it was Brother Zhou Yuan who performed the operation on her mother. He is the best doctor in our hospital. He will be fine!”

Chu Chu’s eyes lit up, “Big Brother Zhou Yuan…what about Dad?”

“Who does the operation on Dad! Isn’t he also a great brother Zhou Yuan!”

He raised his tearful eyes at first, wanting to get a positive answer.

There are some gods in the little heart where children have never experienced the cruelty of the world.

At the beginning, Zhou Yuan was a great doctor god, so he could also rescue his father.

“Sister! Who did the operation on Dad, is that brother too! Isn’t it a brother!” Chu Chu cried loudly.

At this time, the door of Operation Room No. 1 opened again, and Zhou Yuan and others hurriedly pushed Chuchu’s father’s lungs into Operation Room No. 2.

“brother!”

At the beginning, he yelled, but before he had time to run over, the door of the second operating room slammed shut.

“How is the situation!”

In the operating room, Zhou Yuan asked the equipment nurse to wipe away tears and asked.

“The opening of the chest went smoothly!” Director Lin said.

Zhou Yuan nodded, and just as he was about to walk over, the other director’s face suddenly turned pale.

“Aortic hemorrhage!”

At this moment, everyone present changed their expressions. A.