Chapter 1116

"No.3 absorbent cotton gauze, air bag leakage test!"

Chen Qun's left hand seemed to move two times mechanically and quickly. Then, after a slight pause of 0.1 second, he moved two times again, and the two beautiful surgical knots were completed. Speaking of his knotting skills, he was promoted to master level at the beginning, and then after a long time of training, he was promoted to the real master level. Later, he... Didn't move, and didn't know how much he was promoted.

But now, when he was operating, he felt more and more strange. It seemed that he was going to be promoted to the rank of real grand master. The long process during this period could hardly be described in a word.

In terms of skills, the difference between a master and a great master can hardly be detected by the naked eye, but the difference can be clearly expressed by feeling. If master level skills are stable under normal circumstances, then master level skills are perfect under any circumstances, including very difficult to operate environment.

Just now when I was tying knots, I felt more and more handy. It seems that this skill has little value, and there are signs of breakthrough. Compared with the more important skills of incision, suture and hemostasis, he had been promoted to the level of real grand master. This knotting skill is not so obvious. He hardly cares whether he can be promoted to the level of real grand master, and even thinks that it is impossible to be promoted to that level in his life.

But now it seems that long-term training will also improve. Perhaps, I will take care of all the needlework at home.

As soon as Chen Qun thought of this, he could not help but smile helplessly. This is something that Miss Chen likes to see and hear. In particular, other knotting and sewing techniques are all great masters. They criticize the stitches that Miss Tai reaches out for, and even help Miss Tai to sew the buttons that fall off, which are completely comparable to those of the old tailors.

Perhaps, his sewing technique in the human body is not as good as the real peak of the great master of weaving and embroidery, but it's no exaggeration to have a master's level.

Perhaps, if one day he completely realizes artificial intelligence because of the mechanical equipment of the eldest lady, he will be forced to lose his job and become a competent tailor, and he will not starve to death.

"Suction! Prepare for mitral valvuloplasty. "

As Chen Qun ordered, he picked up the straw in his hand and sucked out a stream of oozing blood in the patient's small atrium near the artery. It was only when he saw that the blood around the mouth of the straw was absorbed, and in a twinkling of an eye, some came out of the gap.

He is in amazement, in the hand of the straw and a second suction, but this time but left the heart. Because sometimes the blockage and placement of some blood vessels will lead to the distribution of some residual blood in the blood vessels, which can not be sucked away in a short time, which is very normal.

But if it continues to bleed, it's not normal. The immediate situation is a bad sign.

With the disappearance of about one milliliter of blood stains from the second stream, a slightly raised granulation like structure appeared in the part of the blood vessel mouth, which made his pumping action stop.

This sudden situation is worse than the heart bleeding. Because the patient has already entered the extracorporeal circulation mode, it is impossible to have too much blood left in the heart. If the bleeding continues, the top day is when a certain blood vessel ruptures, and he can repair it immediately.

But when there's a vegetative tissue, that's another thing.

"The appearance of vegetations, the attachment of the tip of the heart valve by a mass formed by the accumulation of bacteria, this kind of tissue appears on the inner wall of the heart, which also means that there is the possibility of concurrent infective endocarditis! It's impossible. Why didn't we check it out, and there's nothing on the ultrasound picture! "

Chen Qun, who had undergone the operation, did not panic much, but Professor Fu, who was watching from the observation platform outside, and other experts got out of control together, and the group stormed away.

This little patient is more expensive than anything else. All kinds of examinations have never been lacking, but suddenly there is such a big problem, which is not as simple as dereliction of duty. Unless... Unless this vegetation is born in one or two days.

Now for Chen Qun, the chief surgeon, they not only need to repair the chordae tendineae of the mitral valve, but also need to repair the valve itself, even the simpler prosthetic valve replacement can not be achieved.

Chen Qun just hesitated a little, less than 0.1 second, and immediately gave a solution.

"Additional autologous pericardium filling, mitral valvuloplasty."

"But Dr. Chen, can you complete these difficult operations in an hour?"

Fu Guobin, who had lost his sense of propriety, immediately asked a loud question to the loudspeaker.

"Try my best. At the beginning, I scheduled 40 minutes to complete the operation. Now I have one more, and the extra 20 minutes can also be used. Give me the mays dissecting scissorsWith Chen Qun's command, his action at hand immediately accelerated. It was no longer the same action as flowing water, but became a high-speed mechanical operation. The two assistants around him immediately became four, using manpower to make up for the defect of not keeping up with his speed.

It's like a machine that needs more workers to cooperate when it speeds up. After this kind of split action, the action that can't be completed by one person can be completed by two people. Then, it's in harmony with Chen Qun's operation speed.

"Disinfect the endocardium with glutaraldehyde, give me cv5 non absorbable suture immediately, Xiao Lu, and cut the endocardium patch of size 13 by 8 immediately."

"Protein line 5!"

"Airbag leak test!"

……

Chen Qun's instructions and actions were issued one after another. The eight members of the operation team, together with the three competent medical staff in the operating room, were like a high-speed machine, flying at a high speed with Chen Qun's instructions. Although there is less calm and more mechanical rhythm, which makes the whole operation more industrialized, the quality has not changed at all.

"After the mitral valvuloplasty, we will carry out the operation of the artificial stem cell muscle cell membrane. Open the incubator we brought, take out Sir Victor's muscle cell layer, take two pieces as a layer, and then we will stick these cell membranes on the patient's left ventricle, so that we don't have to do the last ventricular volume reduction operation."

Chen Qun completed his operation in just 17 minutes, and then gave a second choice. As he spoke, he raised his head and explained to the expert group.

"This kind of stem cell muscle membrane is a part of foreign biomimetic vascular wall intima technology. Just now, we contacted foreign laboratories on the road to compare the data. This kind of stem cell muscle membrane, which is consistent with the patient's immune system, can be used in this operation. In this way, patients can get better heart function. "