Chapter 2264

Chu Yanran and Chu Yan are coming.

It was already early in the morning. When Lao he dragged his tired body and saw the sister flowers appear in front of him, he finally understood that he could not win in this war.

As soon as they came to the classroom, they let it bloom with vitality.

After a brief greeting, Zheng Ren called the Chu sisters and Lao he together and explained the matters needing attention in the operation.

Their practice can only be simulated, and they can't carry out more targeted training through the changes of vital signs of conjoined infants. The operation navigation system of women's and children's hospital can only achieve the step of 3D printing model, and can not do real holographic simulation for the time being.

But Zheng Ren only needs them to come.

Entering the system space, Zheng Ren reluctantly watched an operation increase its consumption from 9 times to 13 times, and began a new training.

The heart rate of conjoined babies changes a lot. Zheng Ren doesn't dare to waste the rapidly shrinking operation training time as usual. He can only train two operations and come out to think about it for a while.

Intermittently explained the key points they should pay attention to to to Lao he, Da Chu and Xiao Chu.

In the dead of night, director Han and vice president Chen and others couldn't hold up. They went back to have a rest. Vice President Chen no longer loves that little consumable money.

When she left, she looked back at the orderly busy scene in the classroom and sighed in her heart.

Such a group of young people, so talented and desperate, what can they not do?

Although boss Zheng didn't say anything, Vice President Chen felt that the operation was very possible. This is just a feeling. She sees hope from boss Zheng's stable sitting posture, Su Yun's extravagant models one after another, and the almost consistent behavior of big Chu and small Chu.

She dragged her tired body home and lay in bed after a simple wash. Her mind was still recalling the scene of the medical team training surgery.

I hope they can make it.

The next morning, Vice President Chen didn't even eat and rushed to the hospital early.

Before she entered the classroom, she was stopped by the science and education department.

Report the situation, and the consumption of materials is shocking. Vice President Chen was surprised to realize that boss Zheng's medical team didn't sleep last night and stayed up all night for surgery training.

He told the science and education department to cooperate closely with the logistics procurement department and never affect the surgical training on this side. Only then did Vice President Chen enter the classroom.

There seems to be no change in the scene, but boss Zheng stands in front of the conjoined baby model and cooperates with Dr. su.

Director Han couldn't hold on. He had already gone to rest. Zhao Yunlong stood by Su Yun to help.

Vice President Chen saw the operation and immediately felt where the real change took place.

The whole operation was smooth. It was an operation in almost a few minutes. The heart patch repaired and cut the atrium to the extreme!

Different from yesterday's slightly astringent, boss Zheng and his assistant reached a perfect level in only one night.

Young, talented, willing to bear hardships, and almost unlimited logistical support, if you can't do it, you'll accept your fate.

"Boss Zheng, I'm sure of the operation." Vice President Chen asked hopefully after an operation training.

Zheng Ren shook his head slightly and said softly, "let's go back and have a rest and come back for training in the afternoon or evening."

The answer is not what you asked. Vice President Chen believes that boss Zheng is tired and does not pay enough attention.

She didn't think much.

"Lao he and the two of them stay. President Chen takes a look at today's neonatal surgery." Zheng Ren pointed to the Chu sisters.

"Yes." Vice President Chen answered and then asked, "boss Zheng, this is..."

"The heart rate of conjoined infants is different. The most difficult point of operation is here, not the operation itself." Zheng Rendao, "they are familiar with the anesthesia process, control the heart rate and assist the heart fixator to make the operation successful. I said some matters needing attention, but they have to understand many by themselves."

It turned out that the difficulty he thought before was not a difficulty at all. Vice President Chen was a little confused when he heard what boss Zheng said.

"Let's go back first." Zheng Rendao then looked at Lao he and said, "Lao he, big Chu and small Chu will be handed over to you."

"OK, boss Zheng."

"Zheng Zong, I haven't eaten a mouthful of rice since I came." Chu Yan complained.

"President Chen will take you to the canteen later and have a good operation today. What I told you should be carefully considered and melted into your bones." Zheng Ren said seriously.

Yesterday, they explained all the key points they needed to do. Zheng Ren thought it was very possible, but he couldn't say whether it was OK or not.

This kind of operation, just try your best.

"How is the child?" Zheng Ren asked.

"Let's go and have a look?" Vice President Chen looked into boss Zheng's eyes and asked.

"OK, go and have a look. Su Yun, go together, Yi Ren. Wait a minute."

With Su Yun, Zhao Yunlong, Lao he and the Chu sisters, Zheng Ren didn't realize what his medical team had become.

Vice President Chen looked at the huge crowd and sighed in his heart. He wanted to ask boss Zheng if he could do the operation. Unexpectedly, boss Zheng pulled the whole medical team over and called twin sisters from Haicheng.

His heart was slightly different, but vice president Chen did not show his emotional fluctuations. He took boss Zheng and everyone to the ward to see the "patient".

The women's and children's hospital is very attentive to the care of conjoined infants, and there are special people in charge.

Come to the ward and take the group professor to report the situation.

The child had cardiac insufficiency, the heart rate was too fast, and the heart rate was & gt; 160 times / min.

Especially after crying, bathing and feeding, there was shortness of breath, sweating and cyanosis, but there was no increase of liver and decrease of urine volume. Digoxin elixir 10 UG / (kg · d) was given orally every 12 hours 3 weeks before operation.

The blood concentration of digoxin was measured after 5 ~ 7 days to prevent digitalis poisoning. At the same time, captopril 0.5 mg / (kg · d) was taken orally every 12 hours to reduce the cardiac afterload.

The heart rate of Xiaoshuang is normal, with a heart rate of 120-140 beats / min. there is no large liver and little urine. There is overload in systemic circulation, especially afterload.

Mild asphyxia or sweating will also occur during feeding, and the cardiac function is also grade II.

The situation is not optimistic, and as the child gets older and older, the interaction between heart beats becomes more and more serious, and the performance of arrhythmia becomes more and more obvious.

Finally, the professor gave his own judgment - the earlier the operation, the better. Now it is difficult for drugs to maintain the heart rate of conjoined infants.

With the passage of time, the situation of cardiac insufficiency will develop further and will soon enter the period of irreparable cardiac failure.

……

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