Chapter 1746

What is this?

Sun Chao didn't understand. He looked at the operation area and ECG monitoring. He looked confused and forced.

Zheng Ren said, reaching out, two gauze strips fell into his hands. He carefully said that a gauze passed through the aorta and handed it to Yizhu Su Yun. Another gauze strip passed through the superior vena cava and handed it to Zhao Yunlong, the second assistant.

Pull the aorta to the left and the superior vena cava to the right, ready to swim away from the pulmonary artery and superior vena cava.

"Wait a minute." Zheng Ren squinted at the dose of the micropump. After 15.5 ", Zheng Ren said," isoproterenol accelerated, 10ml, Su Yun and Lao Zhao began to pull. "

Su Yun and Zhao Yunlong exerted a little force to expose the operation area. ECG monitoring began to roar like crazy.

The beep of the alarm sounded around like a storm. The operating room suddenly became busy and messy.

At this time, the songs of good luck become slightly inaudible.

Zheng Ren ignored the alarm of ventilator and monitor. With hemostatic forceps in one hand and blunt scissors in the other hand, he began to free the aorta and superior vena cava.

Hands hardly moved, only fingers, hemostatic forceps and blunt scissors were moving. Sun Chao looked silly. This speed is too fast!

The operation is really awesome!

It's just that the patient's heart rate drops instantly and the heart beat is getting weaker and weaker. Is it still time?

"Adrenaline 1mg, saline 5mg, intravenous!" Zheng Ren said while doing the operation.

Then Lao he pushed the adrenaline he had pumped in at top speed. It didn't take five seconds from Zheng Ren to finish talking.

"The pump of isoproterenol, mentioned 30ml an hour!" Zheng Ren said, "push another adrenaline."

Lao he didn't question whether such a large amount of medication could be used. He ordered a few times, increased the speed to 30ml / h, and then pushed an adrenaline.

Then Lao he called the itinerant nurse and continued to fill the ampoule of adrenaline.

Five... It seems that the quantity is not enough. Lao he took advantage of boss Zheng's busy dissociation and put some adrenaline in front of him for standby.

It's not expensive. It's better to waste than to rush and delay boss Zheng's rescue.

How to choose a few dimes of medicine compared with a life is obvious.

Lao he was like a bullet in hand, lined with pumped adrenaline, ready to push the injection at any time.

In the operating room, there was only one sound.

Zheng Ren's voice was mixed with the alarm sound of the monitor and ventilator, like a rock in the sea.

Continuous injection of adrenaline barely stabilized the heart rate.

Zheng Ren dissociated the right pulmonary artery about 3.5cm at the fastest speed, and then began to dissociate the proximal posterior wall of the right pulmonary artery.

Sun Chao's eyes are straight. The operation looks like flying.

At this time, he substituted himself. If he performed thrombectomy as he thought before, he was afraid that the patient's heartbeat would stop as soon as he touched the thrombus and sucked for 1 second!

Then start the rescue.

Time passed bit by bit in the rescue.

12cm thrombus can't be pumped clean in three or five hours. The key question is this patient, can she last so long?

Definitely not.

The next second, you may die of cardiac arrest.

Is young boss Zheng right again?

Sun Chao was in a trance. He had prepared a lot of reprimands and found the face lost by the Affiliated Hospital of Medical University in 912.

Although the operation certainly does not need to be performed by herself, even if the thrombus is removed, there is no difference between Zhang Lin, director of the circulatory department, and Mao Chi, director of vascular surgery.

But I didn't expect that the 912 didn't even use Mao Chi at all.

Foreign professors do internal iliac vein thrombectomy and opening surgery, and boss Zheng trains them like dogs. Finally, he was expelled from office because there were too many people on the operating table.

Young and domineering!

In Sun Chao's mind, in his impression of boss Zheng, these two labels are constantly deepened, deepened and deepened.

The key is... When I was down there, I was really angry and scolded boss Zheng for neglecting human life!

At that time, how angry, now think about it, how embarrassing.

People are right.

"Boss Zheng, is cardiopulmonary bypass established?" Lao he finally asked.

He had already prepared a complete set of cardiopulmonary bypass machines and made all the preparations. Just now, we had to prepare an extracorporeal circulation machine for emergency rescue, but Lao he was exhausted.

"Yes, not for the time being." Zheng Ren said as he drifted away.

"Heart beating?" Lao he finally confirmed.

Although he felt that the possibility was not high, he just had to carry out what boss Zheng said.

"Well, keep." Zheng Ren answered positively.

A purse with a diameter of 0.6cm was sewn on the proximal blocking band and the distal end. Zheng Ren stretched out his hand and clapped the lancet in his hand.

Carefully cut the right pulmonary artery segment, there was no blood flow gushing out, and the purple black thrombus appeared in the operation area.

Everyone behind the operating table took a small step forward as if they heard the horn of charge.

"Adrenaline, push." Zheng Ren's words are concise and comprehensive.

Lao he immediately picked up another adrenaline and pushed it in.

This is the advantage of a familiar anesthesiologist. You don't have to say too much. If ordinary surgery, we gossip on the operating table to pass the lonely time.

At that time, I was afraid of being too lonely on the operating table.

But as doctors and nurses, what are you most afraid of? This is the situation where no one speaks, everyone closes their mouth and almost sews their mouth with 7# thread.

This emergency rescue depends on tacit understanding.

Sun Chao sighed that boss Zheng had surgery... Well, there are so few cardiothoracic surgery now, and he can't judge the level of surgery.

But not to mention how the operation was done, just looking at the row of adrenaline in front of the anesthesiologist was enough to make people feel awed. (Note 1)

Professional, professional to the bone.

Next, should we use negative pressure aspirator and biliary stone forceps to remove the thrombus alternately? Sun Chao cheered up and moved forward by 10cm.

Because he stood behind Su Yun and couldn't see the operation area at all.

Director Sun Chao even suspected that his assistant was blind all the way.

MB！ Why are 912 people so brave when performing blind operation with pulmonary artery thrombectomy?

"Who?" Su Yun felt that someone touched him slightly behind him. He was immediately unhappy. He didn't look at it. He raised his hand back, smashed a hemostatic forceps on Sun Chao's shoulder, jumped up high and landed on the external instrument attracted by negative pressure on the wall behind him.

A crisp sound of "pa".

"It's time to take off the bolt. Why are you squeezing?" Su Yun doesn't care who it is. He smashes people with equipment and is extremely skilled.

"..." the air in the operating room was stagnant, and everyone, including Vice President yuan, felt a little difficult to breathe.

"Get out of the way." Su Yun growled in a low voice.

……

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Note 1: I thought of a chapter before - the last adrenaline.