Chapter 1853

"The patient was diagnosed with pulmonary torsion before operation. Because of the long course of disease, when he came to our hospital, his sudden condition worsened." Su Yun began to introduce, "Lao he, turn down the sound of the song!"

Lao he pretended not to hear and went to debug the ventilator.

"Boss, tell me about Lao he." Su Yun is dissatisfied.

"Chest opener." Zheng Ren didn't hear either. He reached for the chest opener, stuffed it into his chest and began to screw.

The chest was opened with a rattle. The scale is just right, and the elasticity of the ribs is maximized, but there is no concurrent fracture.

"During the operation, it was found that the middle lobe of the right lung shifted upward and rotated about 170 ° counterclockwise. It is a very standard value, because 180 ° is written in various textbooks." Su Yunlian Mai began to nag, "with the naked eye, we can see that the lung congestion is serious, and there are ischemic foci on the edge."

He knew why Zheng Ren was in such a hurry, because if he did it according to the steps, the position of marginal necrosis would die forever in 5 minutes and could not be ischemia-reperfusion.

Moreover, if it is completely necrotic, the blood perfusion after correction will bring the necrotic tissue into the blood circulation of the body.

Bacteremia or something, that's how it happens.

If time is too late and similar problems are found, direct lobectomy is the best choice.

What would the boss choose?

Su Yun nagged and helped Zheng Ren.

His action should be delayed a little, because he can't ask or communicate in the live broadcast of Lianmai, and he has high requirements for the quality of Lianmai.

Zheng Ren did not hesitate. He directly began to release his right lung.

"Generally, the surgical option for pulmonary torsion is resection. But is the emergency level of our 912 high? It doesn't waste time. The patient's lung hasn't necrotized yet. You can choose to keep it." Su Yun said.

Ringer came in and just heard it.

This sentence was like nine days Sanskrit, which made his heart happy. Boss Zheng, this is a live operation, and he didn't forget to advertise 912. It's really righteous!

"Lao he, get ready!" Zheng Rendao.

"Ready."

With the help of Su Yun, Zheng Ren twisted the middle lobe of the right lung and restored the original anatomical structure.

Lao he's fiberoptic bronchoscope with a sputum suction tube has been stretched in.

"The power of anesthesia is very important. The anesthesiologist sucks sputum under the direct vision of fiberoptic bronchoscope. Boss, give Lao he a shot." Su yundao.

Zheng Ren looked up at Lao he.

Lao he was happy in his heart, but there was no expression on his face. He seriously and attentively sucked sputum with fiberoptic bronchoscope. Try to show the style of the big anesthesiologist he imagined, and strive for perfection.

"A large number of liquid sputum with plasma is sucked out. Why there is such secretion is not explained in detail." Su Yun began to deal with the bleeding points left by Zheng Rengang when he just opened his chest.

Pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop pop.

There is nothing to explain here. Su Yun also said lazily. Fang Lin used hemostatic pliers to cooperate with Su Yun to stop bleeding.

Zheng Ren did not move and looked at the patient's right middle lung.

"The operator is observing the blood supply of the patient's right middle lung. Now, the right middle lung should be preserved." Su Yun said what Zheng Ren was doing while stopping bleeding.

"Now let's leave a question for you who watch the live broadcast - the next 20-60 minutes will require continuous blood test. What items do the operator need to check?" Su Yun said.

Fang Lin was also a little stunned. He thought hard and asked in a low voice, "Brother Yun, do you want to check serum potassium and lactate dehydrogenase?"

"Alas, there is no tacit understanding after so many years." Su Yun sighed and said, "you have heard what you have ears to use."

"..." Fang Lin lowered his head and exposed Su Yun's blood vessels with hemostatic forceps.

The small ones are burned directly, and the large ones need ligation.

Soon this side was finished, and three people stood on the operating table. There was nothing to do.

After opening the chest and resetting the middle lobe of the right lung, it changed from extreme dynamic to static.

This kind of operation is generally rare, and the most common is to wait for intraoperative freezing. A well-trained hospital, the pathology department in 20-30 minutes is enough to produce results.

But it's a little strange to wait for the live operation.

While waiting, Su Yun began to talk about the patient's previous medical history with the song of good luck.

His memory was excellent. He only read the test sheet in thoracic surgery before operation. He took it out and began to make a sound analysis.

Time passed quickly, blood was drawn three times continuously, and the values of serum potassium and lactate dehydrogenase did not increase significantly.

Zheng Renchang sighed.

The patient's lungs should be saved.

"There is no problem with serum potassium and lactate dehydrogenase. Now the operator begins to explore." Su Yun began to say to Mai, "it's been an hour, and the performer has finally moved! Do you have a little excitement, friends watching the live broadcast?"

Zheng Ren, while probing the pulsation of V4 and V5, asked, "when you broadcast live to Liu Xuzhi, you were so out of tune?"

"Boss, do you have to do surgery seriously? Friends, have you heard the background music? Taste! It's hard to believe that the world's top surgeons like this song."

Zheng Ren doesn't take care of the goods. He's broadcasting live. He can't hit him in the face with a hemostatic pliers.

Reach out and clap the needle holder in the palm of your hand.

Zheng Ren began to suture the middle lobe and lower lobe of the right lung.

This is to prevent the right middle lobe from turning around again, and the ligament is absent or suck.

"One hour after restoring the normal physiological structure, the bloody sputum disappeared." Su Yun looked at the sputum aspirated in Lao he's hands, and only a small amount of white foam sputum was sucked out. He began to remove the fiberoptic bronchoscope and explained it.

"Why wait for an hour? First of all, it is natural to observe whether the patient's right middle lung can be preserved. I... the operator will not easily perform a simple and rough operation with great damage."

"Removing a lobe of the lung will result in a loss of about 20% of the patient's respiratory function. Although it will not affect life, it will affect the quality of life more or less."

"The one hour waiting during the operation means the improvement of the quality of life of patients for decades after the operation."

"It's a doctor's job, isn't it, boss?"

"Surgery, you talk less." Zheng Ren thinks it's really unreliable to open wheat. Su Yun usually talks and laughs well. But as soon as I opened the wheat today, no one else spoke, only Su Yun said it alone.

Originally, I didn't feel much about Haoyunlai's song, but today I don't think Su Yun's voice is mixed with Haoyunlai's song, which is very harsh.

"In order to control airway secretion, the patient was mechanically ventilated for about 12 hours after operation, and the patient's state was observed before extubation."

"Because there may be thrombus in the stump of pulmonary vein, warfarin antithrombotic therapy was given after operation."