Chapter 999

Chapter 999 temperature and pressure reduction

Two minutes later, the data of each monitor in the operating room is normal. Chen Qun is not only in a trance, but is the blood red he just saw on the diagnosis panel a fake? Maybe the patient's condition has improved a little bit?

Several questions came to Chen Qun's mind, but in the end, he didn't mean to go to the system space to review. After all, for him, it was a "small operation", and he could control any accident.

Chen Qun no longer hesitated, immediately issued the following instructions.

"The left thoracic artery - the left anterior descending branch begins to suture! Line 8 was sutured continuously. Lu... Doctor, you cooperate with me to fix the patient's blood vessels. In addition, prepare 500cc warm water at 25 ℃ and install it with a large syringe. "

Chen Qun takes the needle holding forceps and surgical thread from his girlfriend and turns into a robot. He starts to sew up quickly and easily, with the same rhythm and frequency, so that people can see clearly and clearly. All the doctors on the sidelines can clearly understand that he is doing a demonstration operation.

"Teacher, thanks to Xiao Chen's absence from our cardiovascular department, otherwise my new director would have to step down immediately. In the blood vessel of 15mm in the lumen, it can complete 15 needles with equal spacing without any shaking, which is no different from the robot arm. I think it's good that I can finish eight stitches. As for the spacing, I don't have to consider it! "

Gu Ning held his arm on the stage and sighed.

Yang Koizumi knows that even at the peak, he can finish six or seven injections at most. This is the gap between physiological structure and brain circuit, which can't be imitated. But he only needs to reduce the amount and follow Chen Qun's posture, which is a standard operation mode. Let the young doctors in the Department follow the gourd drawing ladle.

Originally, I wanted Xiao Chen to give me a more reasonable operation mode. As a result, this guy always gave me a perfect standardized action, which is simple, feasible and easy to copy. It doesn't need the younger generation to learn Chen Qun's spirit, just the skin.

"End of suture, start of blood transfusion!"

Chen Qun put down the needle holder and gave instructions to Zhou Lin, who was looking after the cardiopulmonary bypass system.

"I understand. The blood block has been removed!"

As an assistant, Lu Yi let go of the tweezers in his hand, looked at the tight blood vessels, and sighed from his heart“ It's too strong. There's no bleeding in the aortic suture. It's really the legendary god of hemostasis. It's the hemostatic technique alone. What kind of operation can't be done easily! "

At the thought of this, Lu Yi felt a sense of enlightenment. He knew that in order to make great progress in his technique, he had to improve the most difficult hemostatic technique. Other techniques were secondary. As long as he could stop the bleeding first, like Chen Qun, the accidents in the operation would be minimized.

Maybe he doesn't know how to improve the technique, but he just needs to pay attention to Chen Qun's movements and ask for advice after the operation.

"OK, artificial heart and lung, separation!"

Chen Qun continued to give instructions as if he were teaching. He felt that he had become a teaching machine and a habit. If the operation is really urgent, he will only give a few of the most critical instructions, the others are tacit cooperation with each other. Although the assistant doctors who set up with him were all rookies, the more times they cooperated, the less influence they had.

As soon as Zhou Lin shut down the CPB machine, several discordant sounds were heard in the operating room.

"Pulmonary artery pressure is rising, non pulse electrical activity index is 40, pulse is 110, pulmonary artery pressure is still rising! The index of electrical activity without pulse rises to 50.... "

Chen Qun hasn't answered yet. Yang Xiaoquan's voice comes from the loudspeaker.

"Xiao Chen, this operation looks very successful. How can there be an accident? Is it necessary to re operate and immediately use tracheotomy to reduce pulmonary artery pressure? "

Chen Qun took a very calm look at the rising data, shook his head and gave the answer.

"You don't need either. You just need to pour a little warm water on the heart and pulmonary artery to cool it down! Xiao Lu, do it now

Chen Qun motioned to the nurse to remove the microscope from his eyes and raised his head to answer the question.

Little Lu?

Lu Yi felt that he really integrated into Chen Qun's core team at this time. His heart beat a few times, just like the patient's artery data, rising at a high speed, but he didn't hesitate at all. He picked up the big needle that Chen Qun gang had just asked the nurse to prepare, and slowly injected the water around the heart to cool it.

As the warm water poured on the heart and blood vessels, the buzzers around immediately stopped ringing, and Zhou Lin's voice was also reporting."The pulse pressure stopped rising, the non pulse electrical activity index dropped to 55, 45, 40, 35, the arterial blood pressure dropped to 70, and all physiological indexes returned to normal."

Yang's voice continued to reverberate in the room.

"Xiao Chen, how can you tell that this is the most common problem at the end of artificial heart lung separation? You don't seem to have encountered such an event in any operation. You should have no experience in this field! "

Chen Qun Cai will not tell the true answer to Yang Xiaoquan's question. Perhaps his disgraceful achievement of cutting off tens of thousands of people shows everything. I'm afraid that no doctor can do it for tens of thousands of simulated patients who have died under the scalpel.

However, Chen Qun of course has prevaricated, directly said the answer that let Yang Xiaoquan laugh and cry.

"For a heart surgeon, the most critical ability is to see whether a problem is serious or not. This kind of observation and judgment is the foundation. If the foundation is wrong, no matter how well the operation is done, it is useless. Although I have no experience in this field, I know that this problem often exists. I stopped for two minutes just to avoid similar problems, but the result still happened. So I just need to do a little bit of small measures instead of a second operation to increase the burden of patients. "

"Then why did you think this might happen just now? Prepare first?"

Yang Koizumi asked this question to the point, and immediately made all the doctors raise their ears to listen to Chen Qun's answer. Prevention is often caused by the cautious character of doctors, but they can judge the specific situation, that is, they need rich clinical experience. Chen Qun's way of thinking is different from that of ordinary people. It is generally acknowledged that although he is not mentally ill, we can learn from him.

"The increase of blood pressure just now is probably due to the slow down of blood flow caused by the contracture of the left internal thoracic artery. After all, we took a blood vessel at that position, which will inevitably lead to stress reaction in the matrix. For a time, the left coronary artery region will have the phenomenon of blood return. So, what we need to do is to pour warm water on the periphery to stop the contracture of the artery, so that it can naturally return to its original state. "

Yang Xiaoquan turned to a group of doctors and professors and gave a conclusion with a smile.

"At first, you didn't think this operation had much observation value. Now you know where the value is. This is a new application of the old method. Remember, the next time you have high arterial blood pressure during coronary artery bypass grafting, just pour a little water on the heart to solve the problem. You don't need to use a knife