Chapter 1046

Guo Xiang and Xing Ming discuss how to do the operation.

"The child is too young and the operation is difficult." Xing Ming said, "we should use the cardiopulmonary bypass machine to stop the heart, otherwise it's too difficult to make such a small heart."

Guo Xiang frowned, "just because the child is small, I think we can't let the heart stop beating. We can operate under the condition of beating heart under cardiopulmonary bypass to avoid myocardial ischemia and reduce the impact on cardiac function, which is also more conducive to the recovery of children's postoperative cardiac function."

"But it's very difficult. The heart is so small. How can I do it while jumping?" Xing Ming said.

In many cases, heart surgery is performed when the heart stops beating, such as heart bypass surgery for coronary heart disease. Originally, the heart is a more precise organ, more complex, and various static arteries, which is more difficult to do.

It used to be done with the heart beating, but it was too difficult. Later, with the cardiopulmonary bypass system, it was easy to operate when the heart stopped.

However, cardiac arrest surgery is prone to complications, and it is also dangerous to stop beating and stop beating during the operation, not to mention such a small baby.

"But the child is so young, cardiac arrest surgery has a great impact on her postoperative recovery of cardiopulmonary function." Guo Xiang shook his head.

"What are you going to do with your heart beating? It's too difficult to operate. Originally, this operation is not easy and more difficult. " Xing Ming frowned, "the heart is so small. If you are careless, the child may die!"

"But we should do a good job in the prognosis and don't bring any worries to the child, which will affect the child's life." Guo Xiang said, "I will hold another meeting and make a plan. I, you, Xu Wei, anesthesiologist and other relevant medical staff will hold a meeting together to discuss it."

After that, Guo Xiang spent two days discussing the operation with everyone, what to pay attention to and what to be careful about.

After all, the child is too young, and they have had such a small baby's operation for the first time.

"The diameter of the tube for vena cava reflux during cardiopulmonary bypass was changed from 7 mm to 2 mm." Guo Xiang said, "this can effectively reduce circulating blood volume, improve hematocrit, reduce lung injury and improve cardiac function."

Everything should be suitable for small babies.

Make a good plan. Guo Xiang called the children's parents and told them some things about the operation.

As for the advantages and disadvantages of cardiac arrest and non-stop surgery, I also told them and listened to their opinions.

But where they know this, they can do whatever the doctor says.

"The operation is still risky. In case of an accident during the operation, the child may not be able to get off the operating table." Guo Xiang said, show the operation love letter to the child's parents.

"Well..." the couple looked at each other and didn't expect to die after surgery?

"No doctor can guarantee that the operation will be 100% successful. There will be some accidents. We only check with the help of instruments. In some cases, the instruments can't see clearly. The actual situation may be worse than what we have detected. It's all possible. " Guo Xiang explained.

The child's father clenched his teeth, "you'd better do it. If you don't do it, you'll die."

Besides, people do it for free, and they don't deliberately screw up the operation. They don't need it.

"OK, do it!" The child's mother nodded.

After signing, Guo Xiang began to prepare for the operation.

The next day, the operation began. The operation was well prepared. Guo Xiang was the main knife, Xing Ming, Xu Wei, and more than a dozen other medical staff. Everyone was very nervous.

This is the first case of pulmonary valve stenosis correction and atrial defect repair under cardiopulmonary bypass since the establishment of the hospital. If the operation is successful, the medical level of the hospital can take a big step forward.

But once it fails, it will still have an impact on the reputation of the hospital.

The child's parents waited anxiously outside the operating room.

Xing Ming opened his chest. The child was too small, and his heart was pitifully small, beating slightly like an egg.

"Let's go!" Guo Xiang said, the operation began.

Tang Le also ran over and knew that Guo Xiang was going to operate on the child. He was also very concerned. These children were received from him. He also hoped that each child would recover and return without leaving any regrets.

When the operation began, everyone stared at Guo Xiang's hand.

The scalpel fell and scratched on the small heart. The heart was still beating, and everyone's heart was raised.

However, Guo Xiang looked very calm, his hands were steady, and he didn't panic at all.

We all admire president Guo's medical skills. I'm so impressed.

The operation lasted more than two hours, pulmonary artery correction and atrial defect repair were completed, the baby's signs were still very stable, and everyone was very excited.

Xing Ming did the finishing work later.

When Guo Xiang came out, the child's parents hurried up, "doctor, how's it going?"

"The operation was successful!" Guo Xiang took off his mask and smiled.

"Thank you, thank you so much!" The couple burst into tears and held Guo Xiang's hand. It's great. It's really great.

Guo Xiang explained some precautions after the hand, and the couple nodded in response.

When Guo Xiang returned to the clinic, he felt very tired. The spirit of the operation was highly concentrated. When he relaxed, the whole person felt very tired.

"Sister, it's hard!" Tang Le poured Guo Xiang a cup of tea. "Sister, you are the only person I admire most in my life, no matter what."

That's why he is willing to work for her instead of the work assigned by the state, not only to repay her kindness, but also because he can learn things that can't be learned elsewhere, whether in life or work.

"Your life is still long. Don't come to a conclusion easily." Guo Xiang smiled.

In fact, the main reason is that they come from later generations. They know a lot of opportunities and get a lot of medical skills only available to later generations. In fact, there are many people who are better than themselves in later generations.

"Are there any other operations applied for?" Asked Guo Xiang.

"Yes, but some information is still being verified. There are also applications for cleft lip and palate this year. Do you still do it? " Tang Le asked.

"Yes, these can be distributed to other doctors. I don't do them myself. I mainly do serious diseases or some complex operations. If there is one, bring it to me." Guo Xiang said.

"OK!" Tang Le nodded.

"Elder sister......" Tang Le stopped talking.

"What's the matter? What's up? " Guo Xiang asked after a sip of tea.

Tang Le blushed and plucked up his courage, "I want to marry Guo ER!"

"Now?" Guo Xiang was stunned. "Can't it be human life?"

"No, no!" Tang Le waved his hand and blushed, "I just want to marry her early and get together early..."

Guo Xiang chuckled, "can't you wait? Guo'er graduated in a year. Is it so urgent? Are you afraid she will run away? "

Tang le was embarrassed to smile, "well, I love her very much. I just want to be with her and see her every day!"

Guo Xiang smiled, "my mother-in-law may not agree, and your brother-in-law may not agree. Don't worry. At this moment, wait another year!"

Tang Le sipped his mouth. Well, in fact, he was prepared, but he still wanted to try. It was expected.

But he and Guo'er had already eaten the forbidden fruit. They were afraid that their family would find out and criticize them. They wanted to get married earlier, so they could be together openly.