Five or six minutes later, Chen Qun, who brushes his hands and enters the operating room, takes over the position of the main surgeon and asks a middle-aged professor about the situation.
"Does intravenous prostaglandins work?"
"I've injected two doses. I dare not continue to inject, but it still has no effect. The ductus arteriosus is still not open. The blood pressure will drop again, and the baby will become very dangerous. "
"It seems that the only way to save this little life is to use aortic reconstruction surgery. How long is the warning time now?"
"But now the child's cardiopulmonary function can not use artificial cardiopulmonary bypass, without cardiopulmonary bypass, the whole operation is meaningless, there is no possibility of success."
"So I'll take over. I'll use the subclavian artery descending aorta anastomosis to complete the aortic reconstruction. Change the baby's position. I'm going to open my left chest with No. 8 scalpel. "
Instead of taking the stage, Gu Ning, who directly chose to be the guidance Professor, and Xu Kai, director of Obstetrics and Gynecology, appeared in the video monitoring room next door. After all, for obstetrics and Gynecology, there is only one teaching demonstration room, other operating rooms can only sit in a small monitoring room to watch TV signals.
Gu Ning knew that Chen Qun's method was to cut off the subclavian artery, bypass the constricted aortic arch, and connect it directly to the descending aorta. This kind of operation is a common operation used by surgeons for this kind of medical record before the emergence of cardiopulmonary bypass machine.
Or rather, it's an "old-fashioned operation"!
So, without cardiopulmonary bypass, he can complete the operation here.
Gu Ning felt an unprecedented sense of absurdity. The most advanced and radical surgeons in the world were actually using the oldest method to operate on patients. How much knowledge and knowledge is needed!
For a moment, the director of cardiovascular department is going to ask Chen Qun, have you ever had this operation before? But he swallowed the words. Before entering Xiangyun, Xiao Chen had studied his experience for hundreds of times, and he had never had such an operation. Moreover, with his qualification as a resident doctor, it is impossible for him to do such a difficult operation.
I'm afraid that the young generation of modern cardiac surgeons have only seen this kind of operation in textbooks, but few of them know how to operate it.
Chen Qun finished the order and opened the baby's left chest at a flying speed. He even opened a very narrow opening to ensure his vision. It's not the first time that he has performed heart surgery on an infant with hypoplasia. In terms of experience, no one in the world can surpass him. Naturally, he has entered a state of familiar driving.
Qi Hong, who followed him into the operating room, acted as an assistant of an equipment nurse and helped the nurse to wait beside him with the equipment. At first, the equipment nurse complained a little, but foreign doctors who helped with family affairs were not easy to do, so they buried their heads to continue their work.
But in the twinkling of an eye, she found that her hands and feet couldn't match the young doctor in front of her. If it wasn't for the girl who had just come to help her, she would not have been busy alone.
The nurse was not from the Department of Obstetrics and Gynecology, but a full-time nurse from the first Department of Cardiology. As a result, she was all in a hurry, ashamed and anxious. She knew that if it wasn't for the new doctor's assistant, she would have been scolded. She looked at Qi Hong gratefully.
Qi Hong seemed to see the mind in the nurse's eyes and gave a low voice answer in English.
"In our hospital, Dr. Chen is equipped with three equipment nurses in rotation. At the fastest time, only his girlfriend can cooperate with him. Other people can't even have two hands."
Chen Qun glanced at Qi Hong contemptuously and uttered a cold voice.
"Ring clamp!"
Qi Hong quickly handed over the tool he had prepared, and then saw Chen Qun clamp the artery clamp at the front of the aortic arch, and then another clamp at the lower part of the descending aorta. Then, pick up the sharp surgical scissors handed over by the nurse, and start cutting the aortic arch wall.
This move, not to mention Qi Hong was startled, even Gu Ning, who was watching on the TV screen next door, sat up straight. Because he can't understand the intention of Chen Qun's action.
"Fold the subclavian artery down! I'm going to overlap the aorta! Line seven
Chen Qun then issued an order to his assistant that Qi Hong didn't understand.
Behind the TV screen, Gu Ning understood Chen Qun's intention, but still felt more doubts. Chen Qun is preparing for subclavian aortic valve formation. In this way, two vessels are overlapped, and a drainage vessel established outside is combined with the original vessel to form a vessel.This is more cost-effective than the subclavian artery descending aorta anastomosis he just said, allowing more blood to flow through the blood vessels. Considering the postoperative situation of infants, it is obvious that this operation method is better.
But compared with the subclavian artery descending aorta anastomosis, it takes at least two or three times as long for the subclavian artery to form the aorta. Can Xiao Chen complete it in more than 40 minutes?
Gu Ning thought of this in accordance with the conventional way of thinking, but he was dumbfounded. He knew that he had made another trial mistake. He estimated Xiao Chen's ability with his own ability, which was a false attempt to use ordinary heart to measure immortal heart. Xiao Chen and all surgeons in the world are not in the same plane and dimension. At this time, Chen Qun can perform two or three operations of this type without any difficulty.
Chen Qun is not slow to do the operation, but the whole operating room is a little busy, three assistants and two nurses are busy in a hurry, this kind of strong contrast between movement and stillness makes Gu Ning feel the gap between giant and mole ant, giant is not slow to take a step, and mole ant may spend a lifetime to catch up.
Unfortunately, he should also be one of these ants, just one of the fastest. It's not that he doesn't work hard and has no talent, but it's still talent that limits him. The gap between him and Xiao Chen lies in his personal ability and space construction, which makes him unable to reach the level of Xiao Chen.
But the only thing to be thankful for is that he and Xiao Chen are comrades in arms and colleagues fighting side by side. Xiao Chen's spaceship is enough to turn his little wreck into a cruise boat.
At the thought of this, Gu Ning knows why Xiao Chen's research center was set up so quickly, because the old guys and foxes in the hospital all think so, making Xiao Chen the biggest engine of Xiangyun hospital, directly across the regional hospital environment, and step into the industry of the world's top ten hospitals.
This process probably took decades ago, but in fact, it was just a matter of time. The hospital has made enough preparations, waiting for the whole hospital system to undergo earth shaking changes under the toss of Xiao Chen and his wife.