Chapter 1030

Liu Yang quietly watched Chen Qun's command arrange everything on the observation platform, but he didn't make any sound. He knew that even he, an old military doctor who stood out from the baptism of war, was about 40 years old, so he could deal with any medical emergency without waves.

If you only have courage and insight, you can only do it yourself without panic, but to find a way to deal with it is a pure technical problem, which requires a lot of surgery to precipitate, and there is no detour. And Xiao Chen is now able to do this step, which is enough to explain the extent of his genius.

After Liu Yang and Chen Qun had made arrangements, he asked Yang Xiaoquan in a low voice.

"You are an expert, tell me what kind of disease is left ventricular dysplasia?"

Looking at Chen Qun and his surgical team downstairs with great interest, Yang Xiaoquan explained casually.

"Most of the left ventricular dysplasia, even if it exists, also exists in the gestational period. If the fetus grows normally, it is difficult to find it. This kind of disease is mainly congenital left ventricle and upper artery lesions, left ventricular volume is seriously reduced, can not guarantee the blood flow from here to all parts of the body. Therefore, blood circulation can only be carried out in atrial septal defect and other branches of aorta. Therefore, as long as there is one occlusion in the active artery part of the defect, it will lead to the death of the patient. "

When the academician finished his explanation, he saw Liu Da Pao as if he knew nothing about it. He knew that he was playing the piano to a cow this time. I'm afraid that for this guy, he could understand the location and harm at most. As for the principle of circulation, he was not considered at all, so he had to explain it in a simple and clear way.

"To put it simply, this is only one case among hundreds of thousands of people. It's hard to find. Even in my heart surgery for decades, I have only encountered it twice. And this kind of operation has a difficulty for Xiao Chen, that is, the heart of an adult and the heart of a child are almost two things. No matter how good the technology is, let the general heart department surgeon do the heart operation for infants and young children, just as let the brain surgeon do the obstetrics and gynecology operation, it's totally different professional! "

Liu Yang nodded, glanced at the bottom again, touched the beard residue on his chin, and nodded.

"Do you mean Xiao Chen is starting to mess up again? Yes, I like this boy's disorderly spirit. He has to create conditions to save patients even if he has no conditions. So even if he goes further than you, he is not a qualified cardiologist or brain surgeon, but a qualified emergency surgeon. "

"What kind of soldiers you will bring, you have to boast, I'll go!"

"If it's easy to go, don't send it away!"

Liu Yang glanced at Yang Xiaoquan, who was sitting in a wheelchair, ignoring his various remarks.

Chen Qun's voice interrupted the daily quarrel between the two old men.

"If the foramen ovale is occluded, the first stage operation for hypoplastic left ventricle syndrome must be performed immediately."

As soon as Yang Koizumi heard this, he immediately gave up the idea of not interrupting and asked directly into the microphone.

"Xiao Chen, the foramen ovale is blocked. Can't you cut it?"

"No, it's too dangerous. By this time, the baby has cyanosis and is in a coma."

"Have you ever had congenital heart disease surgery for genetic factors? You should know what I mean, not general congenital heart disease surgery."

Yang Xiaoquan directly pointed out the key points of the operation.

Of course, Chen Qun knew what he meant, but he couldn't remember whether he had done this kind of operation or not, so he gave a real answer.

"I've simulated it in my brain many times, so there shouldn't be any problem!"

"You are brain tonic!"

Yang Xiaoquan angrily reprimanded, but he was not at all unhappy. After all, the vast majority of his operations are forced by overlord, and the effect is much better than that of experts in this field. In addition, now that his personal operation style has taken shape, it's not a big problem.

"Which operation doesn't start with brain tonic?"

Liu Yang immediately seized the opportunity and said to Yang Xiaoquan, "this old man just can't see young people who are better than him!

In just a few words, Chen Qun has completed the anesthesia of the baby. The speed is so fast that a group of young backbone doctors in the emergency center can't cooperate with him. Only the young lady can do her best to keep up with Chen Qun.

"It's not the same set of surgical tools that you use every day that makes you slow down a little bit!"

The eldest lady comforted herself. Although outsiders couldn't see the difference and only she could feel it, she could also understand that Chen Qun had been cooperating with him on purpose instead of cooperating with him.Hum, this bastard was a rookie when he was in his hometown. He made progress so fast in just over a year. He must have cheated!

The proud young lady gave out a silent cry in her heart, but she didn't know her idea at all, but it was a true fact.

More than ten minutes later, the baby's heart opened, revealing a beating heart, in sharp contrast to the huge heart of his mother.

"How small!"

This was the first thought that came to the doctors and nurses present.

"Suction, the ascending artery is estimated to be 2 mm, the peripheral artery is 10 mm, and the artery crown is 7 mm. It seems that the heart has only the right atrium, the left atrium has been shaped, the beating frequency of the right atrium is very high, and there is mitral regurgitation!"

As Chen Qun spoke about the baby's condition, he became more and more calm. Although this kind of situation is very rare, the traditional typical scheme given by breaking the system is the best way, even without one.

As soon as the words came out, Yang Xiaoquan on the observation platform knew it was meant for him, and immediately expressed his views.

"The pulmonary artery connects to the right atrium. If the frequency of the right atrium is too high, the blood flow in the pulmonary artery will be too high, and the mitral regurgitation will become more and more serious. It can be imagined that there will be heart failure and respiratory failure. How are you going to operate?"

"I'm going to use foreign RV-PA shunt for intubation!"

"Don't speak these foreign languages. I can't understand them. Xiao Chen, explain!"

When Liu Yang saw Chen Qun stop his action, he thought that he was thinking about the operation. By the way, he put forward his question immediately.

Yang Xiaoquan said directly.

"Xiao Chen, don't worry about the rough guy. He doesn't understand me. I'm the expert in this field. You're going to open the right atrial wall, create a channel, connect the pulmonary artery, and perform a palliative right ventricular pulmonary artery connection. But have you ever thought that the baby's heart is too small for you to complete the operation in that space? "

"It might have been difficult, but I had a heart operation on a giant panda a few days ago, and the opening there was 100 times smaller than this, so now I am confident to complete the operation."

Chen Qun answered Yang Xiaoquan's question and made up his mind to immediately define the radical operation as "conservative operation" after the baby's operation, enjoying the 20% success rate of conservative treatment. Otherwise, he really does not have much confidence in the survival of the baby after the operation.