Chapter 533

Chapter 533 mitral valve repair

"Well, I'll say something before I start the operation. The first one is that I hope you can be as careful as possible. After all, this is only a one-year-old baby. We need to be 12 points careful. Of course, this is also the first time I've had heart surgery on a baby

For the first time, Chen Qun specially emphasized lecturing the doctors and nurses present before the operation, but he also felt that it was necessary. He became more and more like President Liu and became wordy. Perhaps, this is probably the reason why the older the river is, the more timid it is!

When he saw that all the people didn't speak, but the atmosphere became tense, he could not help rubbing his head. He felt that the ideological mobilization before the war was also a science. He has no eloquence and speech ability, so he has a say.

"In fact, the second sentence is contrary to the first sentence. I ask you to treat the patient as an ordinary person. Don't let the patient's age, gender, skin color and identity cause all kinds of emotions. If you are too careful, you will be easily nervous. Once you are nervous, you may make some mistakes. We'll do it as an ordinary operation and don't have any psychological pressure. "

Qi Hong next to a smile from the corner of his eyes, cut in a word.

"In fact, Chen Qun is asking you to be more careful. Of course, this is mostly for him to listen to, isn't it?"

Chen Qun took a long breath and nodded.

"Yes, after all, it's the first time for me to operate on such a big baby. I always feel that I have to be careful and careful to be worthy of my own heart. All right, that's the bullshit. Let's get ready for surgery. "

It is probably because of Chen Qun's advice, and Chen Qun's slow operation speed, which makes everyone in the best state of cooperation. Looking at the original scar on the baby's chest, she opens her chest again, carries out heart bypass and extracorporeal circulation, and then comes to check the heart problems.

This time, Chen Qun was all in one. After testing each part, he discussed with Qi Hong, who is in charge of the extracorporeal circulation machine. Finally, he asked if you had any additional explanation.

For the young and strong chief resident doctors present, it's no different from having a baby's heart repair operation. Every step Chen Qun takes is clear and orderly. It's almost like regular script. He writes all the procedures on several screens.

Although Chen Qun slowed down, in fact, compared with these doctors and nurses who are familiar with Chen Qun's style and who have set up many platforms with him, they are still much happier than other doctors.

After more than 40 minutes of meticulous operation, Chen Qun finally replaced the valve patch on the baby's heart, awakened her heart beat, relaxed her breath, and calmly ordered the next step.

"OK, sinus rhythm appears. The child's heart rate returns to normal. The heart rate is normal and the blood pressure is within the normal range. Take off her bypass and let her carry out heart rate blood transfusion by herself."

Qi Hong pressed the button and turned off the bypass machine.

Ouyang Yang, who acted as a recorder at the back, immediately gave a warning, "Chen Qun, pay attention to the pulmonary artery pressure, but it's a little high. It should be abnormal."

Chen Qun took a look at the index above, his heart was cold, and he ordered in a voice without expression.

"We have to lower our blood pressure right now. She still can't live. Qi Hong, give her a new bridge. Let me check again what's wrong. Give me scalpel 11. Aortic perforation. Continue circulation. I'm going to do a 5 mm cardiac fenestration to decompress the extra pressure from the left ventricle to the left atrium

Seeing that Chen Qun didn't go to the place to treat the baby this time, Qi Hong felt a little nervous for no reason, and immediately suggested.

"Do you want extracorporeal membrane oxygenation?"

Chen Qun raised his eyes. The microscope mounted on the goggles was more and more cold, which made his eyes more hidden in the void.

"No, I haven't reached that point yet. Ouyang Yang, please pay close attention to the condition of your baby's lungs. Give me three minutes to find out what the trouble is? "

"Is there something wrong with the lungs?"

"I don't think so. When I think about it, I have the same problem just now. It's because of the rupture of blood vessels in the lower limbs, which leads to the high blood pressure in the lungs. This phenomenon is the same as just now, but her blood vessels are good, still... Let me see, ah, I found it. You cunning little mitral valve, because it's narrow, causing all the problems in the lungs

As Chen Qun said this, he searched carefully. Countless data in his mind flowed into the crude shrinkage model, and it was concluded that the channel blockage led to the phenomenon in front of him. During cardiopulmonary bypass just now, there was no problem. The only possibility was that there was something wrong with the atrioventricular vessels of the heart.

He found out the second possibility and got the right reason.Chen Qun just finished, the operating room immediately sounded a variety of beep beep alarms.

The sound of the little apple resounded through the room.

"Chen Qun, the pulmonary blood pressure is too high, and the edema is more serious."

"Don't panic. Get ready for the revascularization. I just need to repair the mitral valve, and I can solve the fundamental problem. "

Chen Qun calmly concluded that he was not affected by the sound of alarm at all. After all, this little sound could not cause any normal conditioned or unconditioned reaction to him. In the system space, countless alarms have made him develop a non conditional reflex in another direction - to ignore all alarms directly.

"Seven minutes and thirty-four seconds, we can't delay any more. We have to finish the operation quickly and take off her bypass."

Qi Hong, who has been silent, saw that the time when the alarm sounded was seven minutes, and Chen Qun had completed most of his operations, so he quickly reminded him.

"Thank you for reminding me. I'll speed up. The front part of the patch has been sewn up. There is still one third left. Give me ten seconds!"

In his speech, Chen Qun suddenly speeded up. The needle holder and the surgical forceps sewed four stitches one after the other. The position was exactly the same as just now. He didn't get messy because of the speedup. Then he fluently pulled out a knot below.

He didn't have time to do it himself. He yelled at the assistant who was waiting with the scissors.

"Cut the thread right away. Qi Hong, take off her bridge. See what's going on? "

With the attention of all the people in the operating room, the egg sized heart on the screen, after three or four seconds of silence, suddenly jumped slightly, expanded and returned to normal beating.

"How's your blood pressure?"

"It's down to 50. It's 80 just now. It's completely in line with the index of healthy heart. It's a good phenomenon."

"Yes, the ventricular function is also very good. I think this young foreign girl's health problem has been completely solved. I hope she will not have the same problem again in her life."

"Don't talk about it. It's important to sew it up first. This operation has taken nearly three hours."

Qi Hong hastened to get up beside him.

Everyone in the operating room didn't know that in another spacious conference room not far from the hospital, more than a dozen doctors were sitting in their chairs, staring at the pictures transmitted from the operating room.

At the moment when the chest was closed, the TV picture stopped. There was a terrible silence in the room, as if heaven and earth had stopped working.

A second heart operation on the daughter of a foreign consul who was only one year old actually solved the problem without danger. It took 20 minutes from diagnosis and treatment to delivery to the operating room. The doctor in charge of the operation knew nothing about the patient's condition, so he took over and finished it. This is a classic and difficult second heart surgery.

All the experts and professors in the room have only one end and a complete failure.