Doctor Zhao, help!

Chapter 85 One drink and one peck, could it be preordained
The cause has been found, now comes the treatment.

"The patient currently has severe aortic valve regurgitation combined with heart failure. The effect of drug treatment is very limited, and the hemodynamics is also unstable. Now only emergency aortic valve replacement can be performed."

Lin Yi, the attending cardiac surgeon, is very experienced and immediately gave the best treatment plan at the moment.

"Yes, surgery is necessary immediately."

Zhao Sheng and Li Mujia also nodded. There was no need to question Lin Yi's professional judgment.

Aortic valve replacement, even if performed by a cardiac surgery department in a hospital, is a major surgery that cannot be taken lightly, let alone an emergency surgery.

"Aortic valve replacement is very difficult to do in an emergency."

"Dr. Lin, is Director Huang here today?"

Zhao Sheng thought for a while and asked Lin Yi.

Director of the Department of Cardiac Surgery Huang Jincheng is a master in the field of extracardiac surgery. If he were to perform this operation, he would be more confident.

"The director is here today, waiting for me to ask."

Lin Yi thought for a while and said.

"That's great."

Zhao Sheng and Li Mujia were very happy to hear the exciting news that Huang Jincheng was here today.

"However, there may be a bit of a shortage of manpower. The director is going to a meeting today and will be back soon. But as you know, surgeries are always fully booked. If an emergency surgery such as aortic valve replacement is suddenly required, It may be a little worse in terms of manpower.”

Lin Yi said to Zhao Sheng and Li Mujia again.

"What's the difference in manpower?"

Zhao Sheng asked.

"As the surgeon, the director and I should be enough. The main reason is that no one is doing extracorporeal circulation. The remaining residents in the department cannot do extracorporeal circulation independently."

Lin Yi said with some embarrassment.

Extracorporeal circulation is a life support technology that uses a series of special artificial devices to drain the returning cardiac venous blood to the outside of the body. After artificial gas exchange, temperature adjustment and filtration, it is returned to the arterial system in the body.

This is a very difficult clinical support technology. The most important thing is that aortic valve replacement surgery requires deep hypothermic circulatory arrest in order not to damage the patient's brain, avoid cognitive impairment, and protect tissues and organs throughout the body. conduct.

Deep hypothermia is commonly understood to be the tolerance limit of lowering the patient's body temperature below 20 degrees Celsius.

Body temperature control is a very difficult extracorporeal circulation technology. It is not as simple as measuring body temperature as we usually do. Instead, it requires the extracorporeal circulation specialist to monitor the temperature of many parts of the body during the operation, and all of them must drop below 20 degrees Celsius.

In order to ensure that the patient's body temperature can be lowered, even the air conditioning temperature in the operating room must be controlled at around 17 degrees Celsius.

In order to better protect the patient's nervous system, extracorporeal bypass technicians also precisely control the speed of body temperature changes.

Five temperatures, including venous blood temperature, arterial blood temperature, nasopharyngeal temperature, bladder temperature, and rectal temperature, must be monitored.

"For extracorporeal circulation, how about Dr. Zhao and I do it."

Hearing this, Li Mujia looked at Zhao Sheng standing aside and suddenly spoke.

"Yes, you see, I had forgotten that this ECMO is the one most used in ICU and emergency department."

When Lin Yi heard what Li Mujia said, he immediately nodded with bright eyes.

ECM, also known as extracorporeal circulation machine, ECMO can help patients support breathing and circulation, and provide assistance in cases of severe respiratory failure and heart failure.In the hospital, it is indeed the ICU and emergency department that use the most. Therefore, in terms of extracorporeal circulation, as the senior attending physician of the ICU, Li Mujia is an expert.

And Zhao Sheng, with many years of emergency experience, is no problem performing extracorporeal circulation.

"sure, no problem."

Zhao Sheng was suddenly cueed by Li Mujia and was a little confused, but he still nodded and responded.

After the examination, the diagnosis was confirmed, and the girl Miaomiao was transferred back to the ICU.

At the entrance of the ICU, Li Mujia, Zhao Sheng, and Lin Yi were explaining the girl Miaomiao's condition to the couple.

Although the child's condition was confirmed, which was a good thing, the couple's hearts arose again when they heard that surgery was required, and it was such a risky surgery.

Today, the couple's hearts can't stand it. They lift it up and drop it. If they do this several times, they may have a heart attack.

"Doctor, please operate on Miaomiao!"

The girl's father hadn't spoken yet, but the girl's mother suddenly said firmly.

The decision to come to Zhongdu to buy a house in the school district and take the children to school in Zhongdu was made by the mother. Therefore, in this family, the mother makes the decision better than the father.

"Yes, doctor, let's do the surgery!"

The girl's father also nodded and said.

In order to bring their children to school in Zhongdu, the couple sold their big house in their hometown. However, the couple did not regret it at all. They did not expect that the children would not adapt to Zhongdu. It can be said that the children are better than they imagined. There is so much better in it.

Even the teacher said that he had never seen a student who was so sensible and had such good study habits.

I have seen so many children and parents tormenting each other, it’s not easy for you and it’s not easy for me either. The parents are so angry that they have cerebral hemorrhage, and the children can’t see their parents and directly hate these situations. The couple cherishes the very healthy parent-child relationship with their children now. .

Such a wonderful child is like an angel coming to the couple. It can be said that the couple loves this child to the core.

The child is doing well, and the relationship between the couple is becoming more and more harmonious. The father has also found a job in Zhongdu. Seeing that the whole family is prosperous and moving in the best direction that everyone dreams of, the child suddenly becomes ill, and he is so ill. , how can the couple accept this?

Maybe this is the old saying that deep love will last forever, will wisdom be hurt?

"This surgery will be performed by Director Huang Huangcheng himself. In the field of extracardiac surgery, Director Huang Huangcheng can be said to be the best in the country."

Seeing the couple's determined look, Zhao Sheng couldn't help but comfort them.

At this time, I can only use these words to give the couple a little confidence.

"Okay, okay, thank you doctor, thank you."

The couple nodded repeatedly and said very gratefully.

The couple knew how difficult it was to hire a director-level doctor to perform surgery in a top tertiary hospital like No. [-] Hospital in a big city like Zhongdu.

Thinking of this, the girl's mother had a strange idea. She was thinking that maybe she had come to Zhongdu with her child.

Otherwise, if a child gets sick in his hometown, he may not be able to find such a good doctor who can diagnose such a rare disease so quickly. Even if he is diagnosed, he may not be able to find a top cardiac director like Huang Jincheng in the country to perform surgery.

This can be said to be a drink and a peck, it must be a predetermined decision.

　good book

　　What a pity Ke Jie, she almost returned to the land of immortals, my blood vessels exploded when I saw it!
　　
　
(End of this chapter)