Chapter 1705

Just under the spotlight.

The operation began.

This may be the world's first combined cardiopulmonary transplantation for congenital heart disease combined with pulmonary hypertension.

Naturally, it has attracted more and more people's attention.

Both the difficulty of the operation and the starting point of the operation are controversial.

So, after Chen Cang said that the operation was going to be broadcast live, he boarded the hot search of microblog almost instantly.

Both professionals and ordinary people want to wait and see this operation with different attitudes.

Actually!

For Chen Cang, the significance of this live operation does not lie in how powerful the operation should be!

Instead, he wanted people to see the cruelty and authenticity of the operation.

Medical treatment has never been as beautiful as everyone imagined!

Behind every surgical miracle, I don't know how much effort and danger are hidden, but even so, the reality will never be soft hearted!

you 're right!

The scalpel is sentimental.

But disease is ruthless.

Combined cardiopulmonary transplantation itself is a very difficult operation, not to mention the patient is a patient with congenital heart disease complicated with pulmonary hypertension.

Many experts from the American Thoracic and cardiac surgery association AATS sighed when they learned that Chen Cang had performed this operation!

In today's humanitarian era, everyone is considering the human rights of patients, but how many people are considering the human rights of doctors?

Patients have the right to choose.

However, if you are a doctor, do you have the right to choose when you encounter such a situation?

This is like a pool freezing. The surrounding staff are worried about an accident and surround the railings to prevent people from skating in the past. As a result, some people don't believe in evil and think they are the son of destiny. They used to skate in the past!

When I accidentally fell into the river and my life was on the line, the staff here saw it. Do you want to save it?

Save?

They don't have enough protection!

No?

Next, we will face too many comments and questions.

Don't underestimate the mentality of some melon eating people who are not afraid of big things. I don't know how many medical staff choose suicide because they can't bear the pressure of public opinion!

They saved it. As a result, the other party was incomplete and sick after it was saved. It's your fault that you didn't save it in time. Instead, you didn't consider how much pressure you had to bear!

You're dead, he's dead, too. I blame your hospital's imperfect doctor system and limited doctor level!

The one who saves is dead and the one who is saved is alive. At most, one trophy. Who cares? Is it the one who saves people rare, or his family rare?

You don't save people? Oh! You are completely finished. Without professional quality, benevolence and virtue, you are rubbish! Who can resist all kinds of unbearable comments?

Everyone is human. Don't think they deserve it because of their different occupations.

In this world, there is no right or wrong!

Put aside everything to see the problem, people are selfish after all!

……

Sabrina, President of AATS Association, stood up this time and supported Chen Cang!

Even Mr. Zhong of the Chinese Medical Association came to Anyang in person after learning about it!

For this operation!

Mr. Zhong has seen a lot of these things over the years. He didn't come for the success of the operation. To be honest, he couldn't help with the operation. He came for Chen Cang!

Also for this event.

Although master Zhong cannot represent absolute strength, he is an authority in the medical field!

He came to protect Chen Cang.

……

……

As a doctor, the biggest consideration is not technology, but people's hearts!

Often, when you stand in the position of different people, you really have different thoughts and decisions.

In terms of patients, Guo Xue, she may really want children. She is even willing to give up her life to let the child come out.

If his child learns about it, he may thank his mother for giving him the chance to live.

Even this case decomposition is open. In any novel, the child can be the model of the protagonist.

isn't it?

Even, from the perspective of most people, the most desirable scene to see is that Professor Chen turned the tide, the operation was smooth, and the mother and son were safe, resulting in a good story!

Even many doctors think so!

For example, Meng Xi herself is an unmarried person. When she encounters such a thing, as a woman, she may want to help her.

What she sees is the greatness of a mother, so she hopes Chen Cang can save her, because Meng Xi knows that surgery is risky. If it fails, it will fail, but whether to do it or not is one thing.

Meng Xi didn't think there was so much complicated information behind it.

But think about it.

Meng Xi said it.

How many people at the scene didn't say these words at that time.

Chen Cang's understanding is increased a lot. He looks at problems more thoroughly, but it doesn't mean that everyone can think of so far-reaching.

This one seems to correct the name of love, but it is actually an operation kidnapped with love.

Not everyone can see through many things. Meng Xi is just a doctor in his early thirties. His perspective on problems is not as mature as Chen Cang after all!

Well... Just because you lose physically doesn't mean you're familiar internally.

Chen Cang's IQ, thinking ability, savvy and response are very fast, so he can think of these things in a very short time!

Chen Cang doesn't blame Meng Xi, which is very consistent with what teacher Meng did.

However, the arrival of master Zhong surprised Chen Cang.

"Mr. Zhong, why are you here?" Chen Cang couldn't help asking.

Master Zhong smiled: "this operation not only needs superb technology, but also needs to deal with a lot of things. I'll help solve the trouble."

Chen Cang is naturally very grateful to master Zhong for his active help.

In this way, with the participation of master Zhong.

Chen Cang, together with obstetrics, hematology, anesthesiology, infection, cardiology, respiratory... Nearly ten departments launched the last preoperative discussion!

The arrival of master Zhong has provided more security for the operation.

Now Guo Xue has begun to show the trend of serious cardiopulmonary failure.

If this goes on, it is bound to affect the fetus.

When Chen Cang and others thought about how to carry out transplantation without affecting the fetus.

Master Zhong suddenly proposed: "first carry out caesarean section, and then carry out combined heart and lung transplantation!"

I have to say, ginger is still old and spicy.

People immediately began a new discussion on this plan.

Zhang Jinfeng is a gynecological doctor. He made a quick decision and said that this operation can only carry out cesarean section: "now the fetal development has been 28 weeks, you can carry out cesarean section, and then put it in the incubator for treatment, which does not affect it."

Zhang Jinfeng suddenly said, "it's been seven months. I really don't know how the girl insisted. Anyway, we'd better try our best to save the child."

Everyone nodded. In fact, saving the child may be the greatest possibility.

Because most people don't last for seven months!

Congenital heart disease complicated with pulmonary hypertension, want to adhere to seven months of pregnancy, this pain is really not what ordinary people can adhere to.

At this time, Chen Cang asked curiously, "director Zhang, is it true that 78% of pregnancy is not true?"

Zhang Jinfeng shook his head: "how do you say this sentence? It's a little one-sided."

"If the maternal and fetal health is normal, this sentence is completely wrong. After all, with the passage of time, the embryo gradually develops and matures. Naturally, eight months is better than seven months."

"When you are seven months pregnant, the lungs of the fetus have basic respiratory function, which is also the basic condition for the survival of newborns, so it can be completed in July."

Speaking of this, Zhang Jinfeng smiled: "of course, in fact, it's not absolutely wrong that 78% is not. I think the ancients may have studied a pathological state."

"If the mother has a disease during pregnancy and has to give birth prematurely, such as Guo Xue, if her physical condition continues, it can only bring many adverse effects to the children. At this time, if it is satisfied for about seven months, she can give birth prematurely. It is not a good thing to continue to delay."

"Of course, another reason is that the fetus can't survive in utero because of its own reasons. It was suddenly premature in August, but this is because of the fetus's own reasons. This mortality rate is very high, so people have this saying. 78% can't."

After some explanation, everyone was relieved.

(you can remember this. After all, many old people have this understanding now. Don't blindly believe it.)

The operation plan was further revised and formulated.

Decided to have a caesarean section for Guo Xue tonight.

At the same time, Chen Cang underwent donor cardiopulmonary resection.

Artificial cardiopulmonary support was used during patient anesthesia.

After that, a combined cardiopulmonary transplantation was performed.

Just a few steps, seemingly simple, in fact, the risk is very large!

With the help of the staff, after Chen Cang returned to ammonium Yang, he was the first heart lung transplantation with high difficulty, even the world's first case of pulmonary hypertension complicated with pregnancy risk!

This time, the Health Commission was not involved.

But Mr. Zhong's arrival shows the doctor's attitude this time. After all, he is the president of the Chinese Medical Association.

That night, the operation began!

The patient who provided cardiopulmonary transplantation was a brain dead patient after a car accident!

It has to be said that Guo Xue's family also spent a lot of money to support her.

Because organ transplantation can't wait for you!

After all, organs are different from pork, which doesn't mean they can be used when frozen.

To put it bluntly, every organ of the human body is life, the life of cells, nerves and tissues.

However, in the past decade, due to the progress of medical technology, when a person has brain death, doctors can maintain his physiological functions such as breathing, heartbeat and blood pressure with the help of ventilator and drugs for more than two weeks.

However, once these auxiliary facilities are removed, the patient will not be able to breathe on his own and his heart will stop.

In this case, if there are no other special diseases, in addition to the death of brain cells, the organs and tissues of other parts of the body are still healthy.

Operating room!

The soldiers are divided in two ways.

While complicated caesarean section, we are closely preparing for organ transplantation!

Combined heart and lung transplantation requires the removal of the donor heart and lung as a whole.

This means that the operation will be very difficult, because it involves a large number of blood vessels, nerves and other tissues, so there can be no damage during the operation.

At this time, clove.com and Chen Cang have had many cooperation experiences, but even so, the live broadcast of the operation was beyond their expectation!

Because this time, whether overseas or domestic, the number of people watching this operation has soared, several times more than usual!

Special patients!

Special surgery!

People joked that this may be the hottest time in the live broadcasting industry!

The medical staff who watched the operation looked at such a difficult operation.

The audience, on the one hand, joined the fun, and on the other, wanted to see the real face of the operation.

This time, clove.com has prepared two domestic academicians of cardiac surgery as guests to explain the operation for most of the audience.

After all, the professionalism is too high to prevent everyone from being unable to understand!

This time, Chen Cang performed the operation in full view of the public. In fact, it also put an end to the possibility of patients and their families looking for trouble after the operation and improper publicity by media reporters!

At the same time, two guests from clove community, one is Wang Tong, director of Xiehe cardiac surgery, and the other is academician Chen Jing, the first person of lung transplantation in China.

The host began to interview: "two experts, what do you think of today's operation?"

As soon as this was said, Chen Jing couldn't help saying, "in fact, to be fair, Professor Chen should rest assured that he can start this operation in front of so many people in the country and even world experts this time!"

"Because Professor Chen has gone all out!"

Wang Tong nodded: "I haven't seen Professor Chen's heart transplant several times, but I think he is willing to operate on Guo Xue, which can explain everything, because after Guo Xue found me, I refused!"

Chen Jingxin said quickly: "in fact, is the result of this operation important? To tell the truth, it's not important to me!"

"I don't approve of an operation that knows it's going to lose and has to start. But sometimes, medical ethics, humanities, ethics, medical ethics, social ethics... And so on, which contributed to such an operation!"

"This is a kidnapping in the name of love, so, as Professor Chen said, he will only do such an operation once in his life, regardless of success or failure!"

After listening to Chen Jing's words, the people watching the live broadcast also began to reflect silently.

Maybe sometimes, doctors and patients really need to strengthen communication and contact.

And such a live broadcast of surgery that looks like ordinary people may be really meaningful.

Let people really feel such a live operation!

The purpose of live broadcasting is definitely not just to make everyone happy, but to predict the future.

It is necessary for patients to understand the unpredictability and risk of medical treatment and the uncertainty of medical treatment!

In fact, what Chen Cang did today is also for this purpose.

Speaking of this, Chen Jing couldn't help sighing: "in fact, if I hadn't seen it with my own eyes, I would never believe that Professor Chen is less than 30 years old. The vision he can see, the methods he can think of, and even his courage are far beyond our generation!"

Wang Tong nodded approvingly: "yes, I look forward to Mr. Chen taking Chinese medical care to a better step."

"The operation has begun. Let's cut back the picture!"

……

After the live broadcast began, Chen Cang said nothing.

Although he has the perfect grade of combined heart and lung transplantation.

However, there is no bottom in the heart.

Because of the patient's condition, 90% of the possibility is an accident after the operation!

Because of this physical condition, without cardiopulmonary transplantation is death!

If heart lung transplantation is performed, there is a high probability of postoperative complications and rejection. After all, this is a different human tissue.

Of course, there is another situation that Chen Cang is most afraid of: postoperative infection!

Looking at the brain dead patient, Chen Cang couldn't help talking!

If the operation fails, it will spoil a good heart and lung!

This set of heart and lungs may save two people!

Speaking room, the operation officially begins!

Chen Cang looked at Meng Xi: "give me the scalpel!"

Meng Xi nodded honestly.

After this incident, Meng Xi also changed a lot.

Medical treatment should not only consider patients, but also consider a lot of things!

Chen Cang took the scalpel, took a deep breath and cut along the middle of his chest.

With layer by layer incision of skin, fat layer and fascia

Just like a song: Happy layer by layer!

After the chest was opened, Tao MI and Meng Xi quickly opened it with instruments!

Within the field of vision, the pericardium was revealed.

Chen Cang began to use a scalpel to cut widely into the pulmonary veins on both sides.

Then carefully dissociate the ascending aorta, innominate artery and superior vena cava.

His hands are extremely light, as if they were spiritual.

Looking at Chen Cang, ligating azygos vein and free trachea

These subtle operations have opened the eyes of ordinary people who see surgery for the first time!

This... Guy!

Even those craftsmen don't have such dexterous hands?

Looking at the dense distribution of fresh blood vessels, trachea and nerves in the chest, Chen Cang's hand can skillfully resolve these complex situations, and then skillfully separate them.

Seeing this scene, most of the people were amazed.

Surgery is really dangerous!

In addition to exquisite technology, there are comprehensive considerations.

Chen Cang began to give various medical orders while doing it.

"Intravenous heparin!"

"Prostaglandin e120ng (kg · min)!"

……

At the beginning, the atmosphere was relatively relaxed, but gradually, with Chen Cang issuing instructions one by one.

The whole operating room began to be filled with a tense atmosphere like a battlefield!

Strict!

But also filled with tension.

Chen Cang finished the high ligation quickly!

Then cut off the superior vena cava, close to the diaphragm, clamp the inferior vena cava with vascular forceps, and cut it off on the upper side of the forceps.

The whole set of action was full of excitement, which frightened the people watching the live broadcast!

When Wang Tong and Chen Jing explained, they couldn't help saying, "this may be the most smooth cardiopulmonary donor cardiopulmonary surgery I've ever seen!"

After less than half an hour, Chen Cang has skillfully cut open the left atrial appendage, drained the pulmonary perfusion fluid, and then cut off the ascending aorta at the level of the innominate artery!

Then, separate the heart and lung from the back mediastinum, ligate and cut the lower pulmonary ligament, and remove the heart and lung from the chest.

When I saw this coming out, I obviously had a beating heart, and the whole live studio was boiling.

Here, Meng Xi has brought the container. Chen Cang carefully soaked the separated cardiopulmonary tissue in 4 ℃ normal saline!

At the same time, the patient is having a caesarean section!

Chen Cang also began to skillfully change and clean the surgical clothes, and then the patient's new surgical clothes came to Guo Xue's operating room.

Chen Cang should ensure all conditions that can be guaranteed to prevent complications and infection.

Here, Zhang Jinfeng has led the team to start further cesarean section!

This step is not difficult!

However, the patient's condition is unstable.

Just cut the abdominal wall, I heard the sound of didi!

Very prickly.

The people watching the operation were immediately startled!

"Low blood pressure!"

Zhang Jinfeng was calm and resolute: "replenish blood volume!"

Zhang Yan nodded quickly and began to deal with it and make up as soon as possible.

However, the good times did not last long. In less than ten minutes, accidents continued to happen!

"Blood pressure continues to drop!"

At this time, Zhang Jinfeng was also worried.

What is sudden hypotension now?

Who would have expected that this time would suddenly induce hypotension.

The patient has pulmonary hypertension and is now suddenly accompanied by hypotension.

Just when everyone was a little uneasy, Chen cangzheng came in!

"What happened?"

Zhang Jinfeng quickly said: "the patient has unexplained hypotension!"

Chen Cang immediately frowned: "is there any bleeding?"

The ultrasound doctor hurried to check: "no abnormal uterine bleeding was found!"

Chen Cang put on his surgical suit and hurried to the front.

this moment!

Wang Tong and Chen Jing, who explained in the live broadcast room, were also suddenly nervous.

Many people watch the live broadcast of the operation!

Everyone is full of gossip, and no one can explain it clearly.

How can good occurrence hypotension?

It's incredible.

"Blood pressure 6030mmhg!"

"Still falling!"

The sound of the alarm, like a talisman, makes everyone's heart jump around!

This is your first close contact with the operating room!

This is also the first time they have seen the danger of surgery.

At this moment, they seem to realize that no one can guarantee the success of the operation!

Really, the risk always happens where you can't see!

In a way you never thought of!

Zhang Jinfeng thought of abnormal fetal position, abnormal umbilical cord, and even massive bleeding during operation, but he didn't expect that such a thing happened at the beginning!

Wang Tong and Chen Jing began to discuss the causes of hypotension!

But I can't figure it out.

The people watching the operation also unconsciously pinched a sweat!

Now suddenly, will you die at the same time?

Thinking of this, everyone began to be afraid!

Various words of "protection" began to appear on the barrage.

you bet!

This is the real live broadcast. No one can expect what will happen next minute.

There may even be a sudden death!

This is not a game. If you die, you will die. You can continue to play anyway!

This is a living life!

Dead is really gone!

So can we not be afraid?

Even looking at this scalpel, I have a feeling on myself!

At this time, Chen Cang looked at various situations of the patient, carefully analyzed them, and the four-dimensional model map in his mind began to launch.

Diagnostics has played an unprecedented tension!

What reason can induce hypotension!

This is not speculation, but diagnosis and treatment must be made within a few minutes.

At this time, the four-dimensional model diagram began to simulate various indicators of patients.

Bleeding?

No,

Insufficient perfusion?

Neither!

……

Various inferences flashed in Chen Cang's brain.

Finally!

His eyes lit up!

He found it.

The reason has been found!

Chen Cang looked at the anesthesiologist and asked, "epidural anesthesia?"

The anesthesiologist nodded quickly, "that's right!"

Chen Cang thought of this and quickly said, "use ephedrine 20mg intravenously and stop the operation until the blood pressure rises!"

"Increased oxygen flow stimulation!"

Here, hearing Chen Cang's words, the nurse quickly nodded and began to operate!

Soon, the drug injection was finished!

Everyone began to wait.

A little uneasy.

Can you really recover?

At this moment, every minute and second of time is very heavy.

Not only in the operating room, but also everyone watching the operation feels what is panic and fear!

One minute... Two minutes... Three minutes

Three minutes later, the nurse said in surprise, "blood pressure is rising!"

“3670mmHg！”

“4580mmHg！”

……

Everyone was overjoyed at the sound!

I don't know how many people who watched the live broadcast got up to celebrate!

"Chen Cang cow force!"

"I'm Cao, that's great!"

"Just scared me. Watching this is more scary than watching horror movies!"

"How do I feel that this operation is like a Crime Solving film? The disease is like a murderer. You don't know where he will appear! It's so scary!"

"Who says not! But Professor Chen is so awesome that he can catch it!"

"This is probably a master!"

"Yes, what's the reason?"

No matter how excited the outside world is, everyone is calm in the operating room!

Then Zhang Jinfeng started the next wave of operation with everyone!

It seems that what happened just now is very insignificant!

Isn't it worth excited and celebrating?

For a time, the barrage was painted one after another:

"Isn't that exciting?"

"What are you excited about? Isn't this a common operation in emergency and operating rooms?"

"Before the operation is over, any stage victory is insignificant!"

"This... Is the operation!"

"It's hard!"

"Are there any experts? Explain what happened just now?"

Here, Chen Jing and Wang Tong also saw everyone's chat.

"As you can see, there will be all kinds of things in the operating room. You will never think of what will happen next. Similarly, every minute is precious and must be handled well," he explained

"However, director Wang, did you just see why the patient had hypotension?"

Wang Tong frowned slightly. After thinking for a moment, he said, "it should have been a nervous hypotension!"

"After anesthesia, the patient's sympathetic nerve is widely blocked, which will lead to the expansion of peripheral blood vessels and the reduction of venous blood flow. Generally speaking, it does not affect."

"However, you have to consider that the patient is a patient with severe pulmonary hypertension. Therefore, after the combination of the two, the effective circulating blood volume will be reduced due to sympathetic nerve block and weakened myocardial contractility, resulting in hypertension!"

Wang Tong said with some emotion: "in fact, these are also the results obtained after I heard Mr. Chen's plan!"

After saying that, Wang Tong explained: "therefore, what you see about these operations is definitely not only practical ability, but also comprehensive ability. Medicine needs not only craftsman spirit, but also learning hegemony thinking."

Hearing Wang Tong's explanation, everyone was filled with emotion!

"It's too difficult!"

"Yes!"

"I wish I could meet someone like Professor Chen during my operation!"

"The operation is too dangerous. Cherish your life!"

"Yes, lose weight tomorrow. No, start tonight!"

……

Looking at the barrage, Wang Tong suddenly felt that although it was difficult to broadcast Professor Chen's operation live, the effect might be really good!

The operation continues!

Zhang Jinfeng and Zhang Yan can deal with these things.

Zhang Jinfeng personally operated the knife and carefully explored the abdominal cavity for fear of an accident.

Then she carefully pushed away from the bladder to expose the lower part of the uterus.

The next thing to do is to cut open the uterus and take out the fetus!

This is the first time you have seen a baby!

Originally thought it should be very simple, but... When they saw the blood sparkling scene, they were silent!

Looking at the cut on the uterus, the blood flowed out, and everyone's face changed!

This may be the first time that ordinary viewers have seen a caesarean section so clearly in their life!

Even, many parents call their half aged children to their side and open the video for them to watch!

Let them see with their own eyes that your mother was born under such pressure and pain.

Having a baby is really not so simple and beautiful. It's an operation!

There may be massive bleeding and death.

When the teenage children saw this scene, their hearts were really touched!

That kind of gratitude for mother comes from the bottom of my heart!

Watch the fetus take out from the uterus, clean the uterine cavity and suture the uterus

There is really no beauty at all.

This may be what surgery should be like.

One after another, many children who watched the operation couldn't help saying to their mother:

"Mom, it's hard for you!"

"Mom, I will be filial to you!"

"Thank you, mom!"

The greetings made these people who had seen the operation stunned!

Everyone looked up at their children and had an unspeakable feeling!

Is happiness?

Gratitude?

Or something.

Chen Cang himself was surprised that this operation would have such unexpected results.

At this time, guests Wang Tong and Chen Jing couldn't help but be happy when they looked at all kinds of voices about their mother on the bullet screen.

Perhaps, this is also a correct guidance!

Let many children really understand what they need to know!