Doctor Zhao, help!

Chapter 86 When the involution is in progress

One o'clock noon.

operating room.

At this moment, the girl Miaomiao was already lying on the operating table. The anesthesiologist was preparing anesthesia, and the instrument nurse was also preparing surgical instruments.

This operation was performed by Huang Jincheng, director of the Department of Cardiac Surgery, with Lin Yi, the attending cardiologist, as the first assistant, resident doctor Xiao Song as the second assistant, and resident doctor Xiao Huang as the third assistant.

Zhao Sheng, Li Mujia, and traveling nurse Li Ranran worked as a small temporary team to complete the arduous task of extracorporeal circulation.

"Xiao Zhao, I encountered Takayasu arteritis a few years ago. It took a long time to finally diagnose it. As the first doctor, you were able to diagnose it in such a short time, which is great."

Director of Cardiac Surgery Huang Jincheng looked at Zhao Sheng with great appreciation and said.

Seeing the admiring look the director looked at Zhao Sheng, to be honest, even Lin Yi was a little jealous.

Director, look at me, I have contributed, I am also very good!
Lin Yi couldn't help but think in his heart.

"It was at that point that I suddenly thought of it."

Zhao Sheng said without taking any credit.

"The flash of inspiration also requires sufficient accumulation in daily life. Xiaolin, as a cardiac surgeon, you did not discover that the cause of the patient's heart failure was Takayasu arteritis at the first time. Professionally, you still have a long way to go. !”

Huang Jincheng praised Zhao Sheng and started to beat Lin Yi again.

In a hospital department, as long as you don't become the director for a day, you will be beaten. After a long time, you will get used to this beating.

Moreover, even if you become the director, there will still be people who can beat you.

For example, in medical universities, there are famous scenes of 50-year-old professors standing obediently like elementary school students while being lectured by 90-year-old professors.

"Okay, Director."

When Lin Yi heard what Huang Jincheng said, he could only nod his head and said obediently.

Anyone who can become a director does not have a good temper. What's more, in clinical practice, many times, once a mistake is made, it will cause serious consequences, and in the most serious cases, it can be fatal.

Nowadays, doctors have one foot in the hospital and one foot in the court. This is not just talk.

It is really not easy to be a director. On the one hand, you must let the doctors under you develop the ability and self-confidence to take charge of their own affairs; on the other hand, you must make the doctors under you feel confident but not arrogant, and be able to maintain their integrity at all times. Cautious and cautious style.

It can be said that the road to becoming a doctor is really long, so long that it will take a lifetime to complete it.

Next, Huang Huangcheng and Lin Yi led two resident doctors to prepare the valves and related equipment needed for aortic replacement.

Since the anesthesia was ready, Zhao Sheng and Li Mujia, a small temporary team, were ready to start extracorporeal circulation.

"Dr. Li, shall we start?"

Zhao Sheng asked Li Mujia, who was standing opposite him.This Li Mujia is a very special one among all the doctors in the ICU.

What's special about this is that there is something very strong about Li Mujia. When people see her, they feel that she has a good psychological quality and an extremely strong heart.

Although it is said that in the hospital, a strong psychological quality is a must-have quality for doctors, the fact that Li Mujia can still be selected among these female doctors fully shows that she is not an ordinary person.

"it is good."

Li Mujia nodded. She felt very good about cooperating with Zhao Sheng. Not only did she have a tacit understanding, but she also had a sense of security that was difficult to find in other doctors.

This strong sense of security derived from Zhao Sheng makes people feel that they can overcome any difficulties and obstacles.

During extracorporeal circulation, venous blood is introduced into the artificial lung through the superior and inferior vena cava for oxygenation and removal of carbon dioxide. The oxygenated blood is pumped into the arterial system of the body through the artificial heart at a certain pressure, thereby ensuring quiet and clear surgery. It also ensures the blood supply to other important organs besides the heart, which is an important guarantee for the development of cardiac and macrovascular surgery.

In other words, in fact, the basis of this operation is extracorporeal circulation. If the extracorporeal circulation is not done well, the operation will be equivalent to a failure before it even starts. Therefore, the pressure that Zhao Sheng and Li Mujia are facing at this moment is that... You know it.

Next, the first thing Zhao Sheng and Li Mujia have to do is extracorporeal circulation and open-heart surgery.

In this step, the longitudinal sternal split approach is generally used, and the pericardium is cut longitudinally to expose the heart. Heparin 2 to 3 mg/kg is injected intracardially. After detecting that the blood does not coagulate, the ascending aorta perfusion tube and inferior vena cava are inserted sequentially, and the upper The vena cava drainage tubes are connected to the corresponding tubes of the precharged artificial heart-lung machine, and the external circulation diversion can be started.

To describe this operation simply, it would be to directly split the sternum, expose the heart, and then connect the great blood vessels of the heart to the corresponding pipes of the artificial heart-lung machine.

The difficulty of this surgery is that the movements must be wide open and close. After all, the sternum needs to be opened to directly expose the heart.

But at the same time, the surgical operation must be extremely delicate, and the heart blood vessels, nerves and valves must not be damaged at all. This is very demanding for the operator.

Generally speaking, in terms of operation, there are very few people who can be both capable of wide opening and closing, but also extremely precise and pay attention to details.

Therefore, in the field of ultra-high-difficulty surgeries, the cultivation of talents has always been the biggest problem restricting the development of the industry.

At the beginning of the operation, Zhao Sheng's strange feeling of being in control of the overall situation appeared again. Wherever his right hand touched, whether it was blood vessels, muscles, tissues, nerves, or valves, the three-dimensional position information of these parts, All were passed to Zhao Sheng's mind, forming an extremely detailed three-dimensional imaging model.

This feeling is like turning on the full map when playing a game, which is like a dimensionality reduction blow.

Zhao Sheng was so fluent, as if he was following the drawings, and he was operating very smoothly. Every bit of his strength was used just right, and it looked like an artistic beauty.

Such a pleasing operation even attracted the attention of the equipment nurse, anesthesiologist, and Huang Jincheng.

Huang Huangcheng, who was preparing to replace the valve, saw Zhao Sheng doing this and said to Lin Yi: "Look, Xiao Zhao, a doctor in the emergency department, has this kind of operation for cardiac surgery and extracorporeal circulation." Level of proficiency, I’m right, Xiaolin, you still need to improve a lot.”

"Yes, Director, I will try my best."

Lin Yi, who was inexplicably shot again while lying down, could only nod his head silently.

Watching Zhao Sheng's operation, Lin Yi felt like he was involved for the first time.

　Very nice book.

　　
　
(End of this chapter)