Chapter 162

Liu Xing lets ye Lingtian and others take the baby first. Aunt Qiu and ye Ruoshi also see the Yellow stray dog.

Aunt Qiu pointed to the Yellow stray dog and said, "Miss, young master, it's this dog that came here to ask for help with its baby today."

Ye Ruoshi saw the stray dog and guessed that this was the dog who put the baby to the villa for help. He was touched inexplicably in his heart.

Ye Ruoshi said, "really? What a poor stray dog, aunt Qiu and Liu Xing, shall we adopt him? "

Liu Xing looked at the stray dog. The stray dog put out his tongue and wagged his tail to show his closeness.

Liu Xing said with a smile: "I also have this intention. I feel that this dog is very spiritual. When I first came to the villa, I saw it and fed it a little food. I told him that this would be his home. You see, it's all here. After that, it will be a member of the villa

Ye Ruoshi said to Aunt Qiu: "that's it. Aunt Qiu, you stay at home and get something to eat for the dog. Liu Xingxian and I went to the hospital!"

And autumn aunt account for good, Liu Xing and ye Ruoshi immediately get on the bus, quickly drive to the first hospital.

Liu Xing's car behind, followed by two cars, the first one has Beiwang seat, the second one has Xu Bo.

In the first car, Beiwang is reporting to Dongwang by phone.

Beiwang: "elder martial brother Dong, we found Liu Xing in Ye's villa. It seems that someone in Ye's family has been sent to the first hospital. Old Ye led the team to deliver it. Liu Xing and ye's eldest lady went after a while."

Dongwang: "is there any way to stop Liu Xing's car?"

Beiwang: "no, Liu Xing's speed is too fast, we can't catch up with him, now we can't see his car!"

Dongwang: "OK, you can come back first."

In the second car, Xu Bo is also reporting to Ren Daoyuan by phone.

Xu Bo: "master, Liu Xing is going to the first hospital. The speed is too fast for us to catch up with."

Ren Daoyuan: "Oh, let's go to the first hospital, find an opportunity to communicate with him, and strive to confirm the meeting time between me and him as soon as possible!"

Xu Bo: "OK! Master, I also found another group of people following Liu Xing

Ren Daoyuan: "Oh? The gang? It's not from Juyi hall, is it? "

Xu Bo: No, it's the northern king of Shuangsha League

Ren Daoyuan: "it turned out that they were from Shuangsha League. It seems that they didn't listen to the advice of left and right Dharma protectors and wanted to start with Liu Xing. Xu Bo, how many of them? How many masters are there? "

Xu Bo: "five people, in addition to the North King, the rest are ordinary younger brothers!"

Ren Daoyuan: "OK, Xu Bo, the strength of Beiwang should be equal to that of you. You should first arrange two brothers to rush to the first hospital to lock in Liu Xing's whereabouts. Then you will lead the team in person, and immediately transfer 20 black blade brothers to cooperate with you to track down Beiwang and find an opportunity to kill Beiwang. This is a meeting gift I gave Liu Xing!"

Xu Bo: good master

Liu Xing drove the car very fast. He had no energy to manage whether there was anyone following him. He soon caught up with the ambulance of Ye Lingtian and others. They all came to the first hospital together.

When he came to the first hospital, ye Lingtian brought his own team to do a general examination of the baby, mainly focusing on the heart of the baby, including X-ray examination, echocardiography, cardiac catheterization, cardiac angiography and so on.

Liu Xing and ye Ruoshi have been waiting in the rest area.

Finally, all the inspection reports came out.

Ye Lingtian had to admire, as expected and Liu Xing said, the baby with congenital heart disease, and really very serious, complete transposition of the great artery and left heart hypoplasia syndrome!

Ye Lingtian called on Ye Ruoshi and Liu Xing, together with several cardiologists from the first hospital, held an analysis meeting in the small conference room of the hospital.

All the others sat down. Ye Lingtian handed out the examination reports and said, "this is the baby's examination report. You can have a look first, and then you can say what you think!"

Liu Xing also casually looked at the report, in addition to congenital heart disease, the baby does not have other diseases.

After reading the examination report, Qiu Zhipeng, chief physician of Cardiology, said: "Dean, I am good at left ventricular hypoplasia syndrome. My plan is to do Norwood operation, which is mainly divided into three stages."

"In the first stage, the main pulmonary artery was isolated from the left and right pulmonary arteries and combined with the hypoplastic ascending aorta to supply systemic circulation through this conduit. While the left and right atrial septal shunts were kept unobstructed, the pulmonary blood source was supplied by the newly established Blalock Taussig operation through the systemic pulmonary shunt."

In the second stage, hemi Fontan operation, i.e. bidirectional Glenn operation, was performed at about 6 months after birth to connect the superior vena cava with the pulmonary artery

In the third stage, Fontan operation or total cavopulmonary artery anastomosis was performed within 12-18 months after birth, so that the right atrium was anastomosed with the right pulmonary artery, or an external pipe was used to connect the inferior vena cava and the right pulmonary artery. Pulmonary artery pressure determines the success or failure of surgery. However, the long-term effect of right ventricle is still to be followed up"It doesn't make any sense for the baby to breathe and breathe, but it doesn't make any sense to do heart surgery?"

Qiu Zhipeng thought in his heart: the baby is dead, what operation should we do? Can she survive the operation? No way! It's not taking off your pants and farting - is it unnecessary?

Hearing the director talking, there is no sense of time at all. Liu Xing sits on the chair, clenching his fist and suppressing his inner fire!

Ye Lingtian said solemnly, "there is no need for you to worry about it. You can take out the operation plan and carry out the operation immediately. You can give me the things after the operation! You are responsible for the operation of hypoplastic left heart syndrome. Other doctors, tell us about your plan? "

Although many doctors have a lot of questions in their hearts, ye Lingtian has spoken, and they didn't say anything!

Ma Rui, deputy chief physician of Cardiology, said: "Dean, infants have two kinds of severe congenital heart diseases. I am good at complete transposition of great arteries. According to whether there is ventricular septal defect or pulmonary artery stenosis, complete transposition of great arteries can be divided into three categories."

"The first type is complete transposition of the great arteries with intact interventricular septum: the right ventricle is enlarged and thickened with the increase of load on the right ventricle. With the decrease of normal pulmonary vascular resistance, the left ventricular pressure is reduced, and the interventricular septum is often inclined to the left ventricle. The two only rely on the patent foramen ovale and ductus arteriosus to communicate and mix, so cyanosis and hypoxia are serious

"The second type, complete transposition of great arteries with ventricular septal defect: complete transposition of great arteries with ventricular septal defect can make the left and right heart blood and fluid communication more mixed, reduce the cyanosis, but increase the pulmonary blood flow can lead to heart failure."

"The third is the change of hemodynamics of the fourth pulmonary artery

"And according to the examination, the baby belongs to the first category! The first category is... "

"Stop!"

Time is not waiting for time. Seeing that Ma Rui has been talking all the time, ye Lingtian interrupts him directly and says, "deputy director Ma, just say the operation plan!"

Mary nodded and said, "my plan is radical surgery! There are two options for radical surgery

"The first scheme: physiologic correction: it can be carried out within 1-12 months after birth, that is, the autogenous pericardium and atrial wall are used to build a barrier in the atrium, the venous blood of systemic circulation is directed to the mitral valve orifice and into the left ventricle, and the reflux blood from the pulmonary vein is directed to the tricuspid valve orifice and into the right ventricle, resulting in inconsistent atrioventricular connection and inconsistent connection of ventricular large vessels. In order to achieve physiological correction

"The second scheme, anatomic correction surgery, can be performed within 4 weeks after birth, that is, aortic and pulmonary artery exchange and coronary artery retransplantation, so as to achieve complete correction of anatomical relationship. The operation conditions were as follows: left / right ventricular pressure ratio > 0.85, left ventricular ejection fraction > 0.45, left ventricular end diastolic volume > 90% of normal, left ventricular posterior wall thickness > 4-4.5mm, ventricular wall tension

"Dean, these two surgical schemes can be selected, but according to the current situation of the baby, the conditions of the two kinds of operation can not meet ah, this operation can not start! ”

before ye Lingtian said anything, Liu Xing couldn't help it. As soon as his face was dark, he stood up and smashed the report in his hand on the table.

People are stunned, collective silence, looking at Liu Xing, do not know what Liu Xing wants to do.

"Bang!"

Liu Xing smashed his fist on the table, pointed to Ma Rui and Qiu Peng, and said: "what director and deputy director? Say a Mao, a set of all nonsense! If you can't do it, get out of here. I'll do the operation. Two craps. Bullshit. What's the end? Do you know that human life matters? "

Liu Xing's voice was so loud that all the people present were stunned.

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