This doctor is not short of money

Du Heng felt that his throat was starting to feel a little uncomfortable again, and wanted to rub his neck with his hand, but when he stretched his hand halfway, he put it down obediently.

"Cough~~~Hah~~~cough cough"

He raised his chin slightly, and felt much more comfortable.

"Then where are you now?"

"Wait."

"Wait?" Du Heng was visibly confused.

What are you waiting for?
Waiting for Yao Youshi's heart to force the knife out?
Or wait for Yao Youshi to die?

And Sun Xin explained at this time, "We are waiting for a call from Libreville. In the medical team this time, there is Director Liu Qiguang of the Cardiac Surgery Department of the First Hospital of the First University. He is a master in this field. We need his guidance to go forward. Go ahead."

"Telephone communication?"

"It can only be like this."

Du Heng exhaled slowly, and then he realized that it was not Li Chengzu and Sun Xin who were standing by and watching, but were waiting for remote support.

But is it reliable?
Du Heng looked up at Sun Xin, Li Chengzu, and several other doctors and nurses who helped Li Chengzu.

Sun Xin is an experienced anesthesia teacher. He is an expert who has experienced great storms, so there must be no problem in providing anesthesia support for such an operation.

But Li Chengzu still had the same problem as before. He is a specialist in orthopedics, and now he has a high probability of undergoing heart suture surgery, which basically touched his blind spot in knowledge.

As for the doctors and nurses next to him, Du Heng saw even more toothache. Before Li Chengzu came, they had only done a few appendicitis operations.

And Lee Seungjo seems to have said that those few cases of appendicitis surgery, it seems that the operations are not very good, I heard that some people got infected after the operation, and then they died.

Letting them perform heart suture now is tantamount to nonsense.

Just when Du Heng was thinking wildly, the phone at Sun Xin's hand rang, and after Sun Xin looked down at the phone display, his expression became serious.

It should be the director Liu Qiguang who called, so this means that Yao Youshi's operation has officially started.

And Du Heng is very self-aware. He knows that Yao Youshi's heart suture operation must be a thoracotomy, so he consciously retreated to the outermost part of the operating table, and kept as far away as possible, so as not to affect Li Chengzu and others. Less than the picture on the operating table.

The efficiency of telephone communication is not high. In the early stage, it is basically a question on the other end of the phone, and then Sun Xin on the other side answers.

And because Du Heng was standing a little far away, Du Heng couldn't hear many questions from the phone very clearly. Fortunately, he could hear Sun Xin's answer.

But after listening to Sun Xin's few answers, the more he listened, the colder his heart became. Du Heng felt that it would be better not to hear.

Because Sun Xin's answer, besides 'no', is still 'no'.

And after Sun Xin answered "no" several times in a row, the other side of the phone fell silent, and so did the side of the operating room.

Quiet, quiet a bit too much.

In the entire operating room, apart from the ticking sound of the monitor, there was no other sound, and even the breathing of everyone had been suppressed to the lowest point at this time.

This kind of silence lasted for about a minute before the voice came from the other end of the phone again, but this time the voice was a little firmer than last time.

And as the voice on the phone rang again, the stagnant Li Chengzu and others all started to move one by one.

Heart suture surgery, to be precise, should be called heart penetrating suture surgery, which is to suture the damaged myocardium to stop bleeding, similar to skin suture.

But the two are completely different.

No matter how serious the trauma is, when suturing, you only need to suture it layer by layer according to the physiological characteristics. What you need to pay attention to is to clean up well so as not to cause infection in the end.

But heart sutures won't work.

Just like Yao Youshi now, the first step to remove the knife is full of dangers, because it only takes a small accident to spray blood.

The current situation depends on whether Yao Youshi's luck is good or not, and whether his life is really undeserving.

If the insertion is shallow and the incision is small, then the chance of his survival will be very high. If the insertion is deep and the incision is large, he may stop immediately after the knife is removed.

Fortunately, after a while, Du Heng heard Li Chengzu's voice talking on the phone, saying that he had removed the knife that made him shudder.

This made Du Heng on the outermost layer breathe a sigh of relief, but then he became nervous again.

Because this is just the first step, it doesn't mean that after this step, there will be no danger, but every subsequent step will be full of danger.

This also made Du Heng feel that his throat was very itchy, and he didn't dare to cough or babble to relieve it. He was deeply afraid that any noise he made would affect Li Chengzu on the operating table.

Yao Youshi's myocardial injury was small, which is a good thing, but it also means that the blood leaking from the wound flowed back into the pericardial cavity.

And once the blood leaves the blood vessel and enters other places, it will coagulate into clots, so Yao Youshi's other risk now is pericardial blockage.

So what Lee Seungjo has to do now is to quickly suck out the blood in the pericardial cavity, take out the blood clot, and then quickly find the crack on the myocardium to stop the bleeding and suture.

But at this time, it also means the coming of hemorrhage. If the danger is to be minimized, Li Chengzu, the chief swordsman, must be calm, operate carefully, and his movements must be quick and correct. If there is a slight negligence or accident, Yao Youshi may not be able to escape. up.

Although Li Chengzu is not familiar with this kind of heart surgery, as a mature orthopedic surgeon, his hands are very steady and his mental quality is very strong. He can complete every step of director Liu Qiguang's instructions on the phone as quickly as possible and best. As a perennial surgeon, his suturing skills are actually not bad, but he has never sutured a heart before.

As the most critical anesthetist, Sun Xin is now also using [-]% of his concentration.

He doesn't need to think about the dangers during the operation, such as massive bleeding, pericardial blockage, etc., because he has more important things to do.

In his work, although the other contents are important, he has the confidence to complete them well, but there is only one thing that he must pay attention to all the time now, that is the patient's breathing and heartbeat.

Yao Youshi's situation was not the worst, because he was awake until before the operation, but because the heart was injured, the dosage of the anesthetic became a problem.

It’s too small to use, and it’s not worth the effort. It’s estimated that people who didn’t finish the operation woke up early, and frightened themselves to death.

If you use too much, it will inhibit the circulatory function and cannot guarantee sufficient oxygen supply, resulting in the accumulation of carbon dioxide, and then the breathing is gone.

The most worrying thing is a danger that has always existed from the beginning to the end, and that is cardiac arrest.

Others can be corrected and rescued through equipment or drugs.

But this sudden cardiac arrest is what they are most afraid of and least willing to see, because the equipment in this operating room is too simple.

However, Yao Youshi's fate is great, Sun Xin and Li Chengzu are stable enough, and the operation has entered the suturing stage without major risks.

Now as long as the suture is completed, the wound stops bleeding, and the chest wall is sutured, Yao Youshi's life will be saved.

As the operation progressed slowly, everyone's mood began to relax, and even the few people on the operating table who had been afraid to breathe gradually began to communicate sporadically.

In fact, Li Chengzu started to ask director Liu Qiguang on the phone some questions while he was still working.

"Drip drip drip"

Suddenly, the old monitor next to him issued a piercing siren, and Sun Xin, who had already relaxed, staggered and fell forward.

Fortunately, Li Chengzu has a strong mental capacity. His sewing hand stopped steadily, but his whole body seemed to stop, and his eyes were fixed on the heart beside his hand without blinking. look at.

Stop moving, stop jumping, this thing of TM has stopped moving.

"What's the matter, what's the matter?" The siren was also heard on the other end of the phone, and then an anxious inquiry sounded.

"Cardiac arrest?!" Sun Xin was still nervously checking the values ​​and checking Yao Youshi's condition. Li Chengjo, who was holding a 'needle and thread', hesitantly answered the question from the phone.

Stop and stop, move and move, no matter how it sounds, it still seems uncertain.

After hearing the answer, Liu Qiguang on the other end of the phone was silent for a second, and then quickly shouted, "CPR, hurry up, do CPR."

CPR?

What to do?

Press your chest with both hands?
The local doctors couldn't understand the words on the phone, and they looked at Li Chengzu and Sun Xin in confusion.

Li Chengzu and Sun Xin could understand, but they were equally confused.

They understand cardiopulmonary resuscitation, which is cardiopulmonary resuscitation. Chest compressions, artificial respiration, electric shock, defibrillation, and other techniques, plus some auxiliary equipment, can be used to restore the patient's spontaneous circulation and spontaneous breathing, and help them gradually recover their vital signs.

but. . .but. . .

Looking at the heart that was just exposed in front of everyone's eyes, they couldn't find a suitable technique to apply to the current Yao Youshi from among the first aid methods in their minds.

Chest compressions?

The TM has already opened the chest, how to press it?
Artificial respiration?

Shouldn't this be combined with chest compressions?
electric shock?Defibrillation?
Li Chengzu glanced at the defibrillator in the corner, and then looked at the heart still connected with sutures. He was not sure, can he really use electric shock now?

And now this situation is the most worrying situation at the beginning.

If the conditions here allow, they can prepare a set of extracorporeal circulation for Yao Youshi before the operation. If it can be done, then even if the current situation happens, they will not be so panicked.

However, the conditions here do not allow it.

And because Yao Youshi's situation was urgent, they could only take a risk and start the operation directly.

Now it can only be said that Yao Youshi was unlucky and he didn't make it through.

There was a shortage of medicines, outdated and insufficient equipment, and the first aid methods learned were no longer needed. Li Chengzu and Sun Xin looked at each other silently.

They tried their best.

At this time, director Liu Qiguang on the other end of the phone also remembered the questions he had asked Sun Xin before, so after shouting, he stopped.

Just when everyone fell into silence and was about to give up, Du Heng, who had been hiding at the back all the time, had a flash of strength in his eyes, and rushed to Li Chengzu's side with one stride.

Then, under the puzzled eyes of everyone, he stretched out his right hand and pinched Yao Youshi's exposed heart.

One click, two clicks, three clicks. . .

Du Heng was very rhythmic, pinching Yao Youshi's heart one by one.

The strength of each clenching remains the same, which is scary, but there is another kind of indescribable. . .beautiful.

These people in front of them are going crazy, pinching their hearts with bare hands, what a terrifying thing this is.

How dare he?

And every time Du Heng clenched, they felt like their hearts were about to be pinched and the sutures were about to be unraveled.

Li Chengzu also looked at Du Heng in surprise, he didn't expect this kid to be so brave, actually. . .

This matter is not a joke. It doesn't mean that with a hand, it can be done like pinching a ball. It means that the opponent's strength, depth, and rhythm all have requirements.

He wanted to yell to stop, but his mouth was so dry right now that he couldn't open it.

And Sun Xin stretched out his hand, but did not make a sound.

Because just watching Du Heng pinch these few times, they felt that there was a feeling of saying it.

Will Du Heng know how to do this?

He really will.

When I first got the specialization in internal medicine, this kind of technique was in that knowledge.

However, with his usual job content and his own personality problems, he doesn't think he can use this technology for a day.

But now, right here, he had to use it.

He tried his best to recall the requirements for this technique in his mind, tried his best to control his movements not to deform, and tried his best to keep the strength coming out.

But his body has already started to stiffen, his joints have started to feel sore, and the most exasperating thing is that he can now clearly feel that his whole body is covered with goose bumps, and every hair has stood on end.

He couldn't even accept the bloodshot scene of the human body. This kind of direct hand pinching the heart felt like it could kill him.

But things have come to this point, if he can't overcome this weakness, then I'm sorry, Yao Youshi probably cannot be saved.

Now every time he squeezes more, his heart will jump violently, and the people watching beside him will feel more hope and regret at the same time.

And with the more times of pinching, the less hope and more regrets in everyone's hearts.

Du Heng felt that he was still counting, but as he counted, he didn't know how much he had counted, and it just became a mechanical movement.

useless?
Du Heng felt his hands were sore, his fingers were too hard to hold, and he wanted to give up. . .

"Director Du, Director Du, it's okay, let go, it's okay."

Suddenly, Sun Xin's excited voice sounded, bringing Du Heng back to his senses.

Seeing Sun Xin start to work again, and seeing the undisguised surprise and surprise on everyone's faces, Du Heng dragged his stiff body back again.