Chapter 2057： Almond-sized heart

After the anesthesia, is the fetus not moving? Xie Ning asked.

"The anesthesia has not yet begun, and the fetus will have an autonomous movement in the palace, such as turning over, changing position, etc." Laohe explained, "When the boss is satisfied with the position, the anesthesiologist begins to administer and fix the fetus. The location within the palace."

"How long?"

"Not necessarily." Lao Hedao, "When doing the four-dimensional color ultrasound for the fetus, sometimes it takes an hour or two to wait for the baby to turn over. If you never turn over, you have to wait for the next time. There is a certain probability here. It’s not very good to say when you can start surgery."

As Lao He said, when the B-ultrasound probe is pressed at a certain position, it will not move much, but only a small range of adjustments.

When the B-room doctor gives the pregnant woman a four-dimensional color ultrasound, the seriously responsible doctor will wait for a long time, and the pregnant woman will be active in the middle.

However, most pregnant women and their families do not understand the meaning, and some even think that the level of doctors who have finished a few strokes is higher.

This makes people laugh and cry.

"This is the heart of the fetus. Now the heart of the fetus is only slightly larger than a almond." Laohe made a metaphor. He held a laser pointer in his right hand and Xie Ning gave the size of the almond to his left hand.

"This is not the space for surgery. Zheng boss should use the thinest guide wire to find the position of the aortic valve, and then lower the balloon to open the narrow position."

After a metaphor, it seems that the boring B-ultrasound image has become more vivid and vivid.

The heart is like an almond, and everything must be handled with care. There is nothing to understand.

How difficult is the operation, and how high the required technical level is, and the explanation of Lao He is clear.

There are countless barrage, some people ask questions, and some people try to answer them. Lao He took advantage of this time and continued to give Xie Ningkepu the difficulty of intrauterine interventional surgery.

I have said that this surgery has only succeeded in more than 200 cases worldwide, and the difficulty can be imagined.

Later, Lao He began to introduce how many similar fetuses in the country need treatment in a year.

This operation, because it is still in the international exploration stage, so many doctors in China do not know its existence.

In the case of similar pregnant women and children, only induction of labor can be recommended.

There are no chances to try.

Whether it is from a medical point of view or a business point of view, the development and promotion of this type of surgery has extremely significant significance.

Laohe itself has a profound theoretical foundation, especially the level of B-ultrasound is very high, and it is said that the head is the same.

He himself said that the B-level is able to see the pneumothorax.

This is a hard bar, and many doctors don't even know if they can see the pneumothorax. Only the top three hospitals have this kind of business, and only Laohe, an anesthesiologist, is proficient in such businesses that seem to be unrelated to anesthesia.

Suddenly, the fetus moved in the palace. Lao He took a look at the time, and the live broadcast of the operation has passed 34'34′′.

The whole process does not move, just to wait for this moment.

But fortunately, although the time is a little longer, this moment is still coming.

The so-called quiet virginity is like this.

See Zheng Boss holding the B-ultrasound probe in his left hand and making a gesture in his right hand. He is full of envy and hatred in his heart.

This is to anesthetize the anesthesiologist at the Women and Children's Hospital, and the operation has officially begun.

After the anesthesia was completed, Su Yun took over the B-ultrasound probe, and Zheng Ren began to operate in detail.

A finely punctured needle appears on the screen under ultrasound guidance.

The puncture needle is so thin that it is not carefully looked at, or if the eyes are not good, it will be missed directly.

Through the abdominal wall of the pregnant woman, the uterine wall, the amniotic cavity, the fetal chest wall and other tissue structures, the fetal left atrium and the fetal heart aortic valve are reached.

"Ning Shu, here is the focus of the operation." Laohe gradually explained, see Xie Ning's face dignified, knowing that he really understood.

Not a family, not a door.

Zheng Lao’s old man is not an ordinary person. This kind of difficult surgery is also a little academic. He’s a layman actually understands it!

Lao Hexin felt a word in his heart, and then he saw Zheng Boss send the balloon in.

The balloon is delivered and expanded to open the narrow aortic valve.

Seeing that the balloon began to expand, Laohe’s heartbeat began to get faster.

This is the most crucial step, he found relevant reports. Each report is just a case of success, and there is no mention of failed surgery.

However, some cases report that this step of balloon expansion is the most important step. Because there is no relevant standard, the rate at which the fetus grows in the pregnant woman's house is not fixed.

So how much power should be used, to what extent the balloon is expanded, there is no theoretical basis, and there is no data support. Can only be very ideal in the operation, relying on the rich experience of Zheng boss to complete.

Laohe stared at the LED screen tightly. At this moment, he forgot his task and the whole person was immersed in the intense surgery.

B-ultrasound shows that the balloon has reached the position of the aortic valve of the narrow fetus.

Then the balloon was slightly dilated, and Lao He immediately felt that his chest was suffocating and short, as if a balloon had been opened at his aortic valve position.

The heart of the entire fetus is the size of an almond. The balloon is not fast, and it is very subtle, slow, and slow. If it weren’t for the B-super level, Laohe couldn’t determine what Zheng’s boss was doing.

What does this mean for the operation? !

Lao Hexin felt that glanced at the ultrasound data of the fetus.

The aortic valve pressure difference began to drop from the peak of 88mmhG, and Laohe held the laser pointer in his right hand and snorted.

But he didn't notice.

At this moment, Laohe has crossed the time and space, and is used to naturally stand on the head side of the operating table patient, staring at the data of the ventilator and the monitor.

And while observing countless values, I have been watching the operation of Zheng Boss, thinking about what to do next in order to perfectly match Zheng’s surgery.

As the pressure difference of the fetal aorta narrowed, Lao He saw Zheng Boss continue to expand the balloon.

88mmHg...83mmHg......81mmHg......

Surgery is the most dangerous at the moment.

Once a contraction occurs or the fetus cannot tolerate balloon dilatation and the fetal heart rate stops, a laparotomy is required.

75mmHg...64mmHg...

Lao He’s heart mentioned the eyes of the blind, and Zheng Boss is still expanding the balloon.

The idea in his heart is - if you change to yourself, it is estimated that you will stop expanding your balloon at this time.

After all, it is the first intrauterine intervention in Asia. Even if the fetus is a little problem, it can grow up.

After the age of five, I will have a thoracotomy and everything will be available. Even three years old... two years old... surgery a few months after birth, the risk is lower than now.

However, Zheng’s boss was unmoved and continued to expand the balloon continuously and steadily at a speed that was difficult to distinguish with the naked eye.

53mmHg...49mmHg......

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