v3 Chapter 2565： Really?

"Is Boss Zheng of 912?" Director Xun asked in confusion.

"Um." Zheng Ren nodded.

"What are you doing here!" Director Xun was surprised, and the unpleasantness that made him reopen it before disappeared.

Seeing that Director Xun turned around and stepped down, Zheng Ren quickly said, "Director Xun, the operation is not over! Open it and look at it first."

"Oh, oh."

This time Director Xun did not insist at all. His principles and stance flew out of the clouds with the previous anger.

"Boss Zheng, long to long, long to long," said Director Xi, suppressing his excitement. "What's wrong with Director Qiu, he's an anesthetic."

"What do you say?" Director Qiu said unhappy.

Zheng Ren saw that the director began to twist the wire in reverse, and looked at the waveform of the ECG monitoring and the radial artery pressure curve, and felt that time was enough.

"You're welcome," he said lightly, and then said, "Don't withdraw the extracorporeal circulation, and get ready to establish it again!"

The cardiopulmonary bypass division was dumbfounded. The legendary boss Zheng? !! For 6 hours, I didn't see any difference.

No, don't let the chest shut, this is a big deal. Neither Director Zhuo nor Director Qiu saw anything abnormal on the stage. What was the matter when people refused to close their chests at the last minute? Reluctant to make a face, last face?

No, right, the cardiopulmonary engineer immediately threw away all the mess in his head. Boss Zheng said that there was a problem. If it turned out to be okay, it would become his own face.

Seeing Director Wu's admiration, Su Yun's wire-twisting hands were slightly trembling, and he felt funny, and said, "Director Xu, keep your hands steady and hurry."

"Oh, oh, rest assured." Director Jun Jun seemed to be a different person, no longer as cold as an iceberg, but responded like an intern.

"Boss Zheng, what's the matter?" Director Qiu whispered in Zheng Ren's ear.

"The ECG and the radial arterial pressure curve do not match. Consider the mitral valve ..."

Zheng Rengang said a few words, and suddenly the alarm of the ECG monitoring sounded, and then the ventilator began to use sharp alarms to remind people in the operation room that there was an abnormal situation.

"Hurry up! Prepare for extracorporeal circulation." Zheng Ren has already switched to the surgeon mode. In this room, he is the unique king!

Although it is still unknown, everyone in the operation room moved. Director Qi was too late to express his admiration with Boss Zheng and Su Yun, and he took the time to open the wire.

At this time, the blood pressure plummets, and the peak value of the arterial waveform drops and gradually becomes straight.

"Dopamine, speed up."

"Adrenaline, 1 mg intravenously."

"Add another adrenaline!"

"The extracorporeal circulation is fast and ready to re-establish."

"Open chest speed! Follow the flap opening."

Instructions were issued, and the quiet atmosphere in the operating room disappeared.

Director Qiu and the visiting nurses are busy and busy, their feet barely touch the ground, and the volleys fly up.

Most afraid of this situation, thankfully, boss Zheng reminded, otherwise it would take 10 minutes just to twist the wire. During this time, medicines are needed to maintain the vital signs of the patients. Depending on the blood pressure, the medicines can still play a little role in the beginning, but soon they will not be used.

It is difficult to increase blood pressure of patients with blood pressure drugs. The average pressure is 20-30 mmHg, and the heart rate also rises to 120-130 beats / min. This does not count, the SpO2 waveform of the left hand of the patient is consistent with the pressure waveform of the right radial artery, and it is also straight.

Straight line means nothing need to be known to everyone present.

MD, what's going on!

After 20 seconds, the waveform recovered slightly. But without waiting for everyone's nervousness to relax, they appeared straight in view.

This situation repeatedly occurs, and the interval time is getting shorter and shorter, the heart rate also rises to 120 to 150 times / min, and the blood flow of the radial arterial pressure measuring tube is smooth, indicating that the radial arterial pressure measuring line is normal, not a problem with the machine. But something really happened!

Director Qiong opened the chest cavity at the fastest speed and started to establish extracorporeal circulation. Due to previous reminders from Zheng Ren and Su Yun, this time was shortened to a certain extent.

"Pressure measurement at the root of the aorta!" Zheng Renshen said.

Director Qiong immediately began to measure the pressure on the patient's aortic root, just like the radial artery ... his sweat dropped again.

Boss Zheng was not aimless, but he saw anomalies. What the **** is wrong? !! Director Xun felt that his hands were cold, and the movements in front of him all became extremely slow. The whole person seemed to enter another world.

Not only is the pressure measurement of the aortic root consistent with the radial artery, the aortic root becomes soft, and the valve sound of the biological valve also disappears. This all means one thing ... there is something wrong with the position of the valve just changed!

An extracorporeal circulation is established urgently, and a second connection is made.

Because of advance notice, the preparation time of the extracorporeal circulation machine did not delay the operation. When the heart is opened, the tendon of the posterior mitral valve ruptures from the muscle, causing the tendon to become trapped in the artificial valve.

What a real card! Director Qiu and Director Ji looked helplessly at the scene in front of them, and they were terrified.

The free chordae were removed, and the protozoan flap was still sutured continuously. It is not difficult to dispose of it, at least for Director Qi. The final difficulty lies in the cooperation between the surgeon and the anesthesiologist.

After observing abnormal conditions, whether the anesthesiologist knows the key is to be able to remind the surgeon in time. Under the pressure of the surgeon's powerful gas field, not all anesthesiologists can insist on their own judgments and open the chest twice as early as possible to detect abnormalities.

Complicated **** after mitral valve chordae rupture are a rare complication of flap replacement surgery.

This appearance may have something to do with the patient's heart failure. Director Zhuo felt a bit innocent. After the valve replacement, he carefully observed for a few minutes and saw that the mitral valve chordae did not seem to be a problem, and then proceeded to the next step.

Who would have thought that something happened after the chest was closed.

Really special! If the doctor can't do this job, there are big pits everywhere, who knows which pit was buried by which day.

After the mitral valve chordae were cut off urgently, the biological valve began to work again, and the alarm sound of the instrument disappeared.

The rest is the normal operation ~ www.novelhall.com ~ Director Director looked up at boss Zheng and whispered, "Boss Zheng, thank you."

"You're welcome." Zheng Ren also exhaled. At first, he saw that the ECG oscilloscope and the radial pressure curve were faint. He entered the system operating room and determined that something was wrong.

But why is Su Yun's goods so firm?

Zheng Ren glanced at Su Yun with a doubt.

"What do you think I do?" Su Yun was recording the anesthesia list and looked up at Zheng Ren as if there was an induction.

"How did you judge?"

"There is a problem, but I'm not sure. Seeing you so sure, I'm sure, how easy it is." Su Yundao, "It's amazing to reopen the chest and open the wrong one, and it took half an hour for surgery. Now. "

Zheng Ren spread his hands.

vertex

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