White armor

Chapter 437 Resurrection from the Dead

Gah!
A voice emerged in Luo Hao's heart.

The blood vessel above the clamp is pulsating?! Is this true? How can it be pulsating?

Could it be that the patient really came back to life? !
Although similar situations are rare, it is definitely possible. Luo Hao did not hesitate or question it.

Luo Hao turned around and hit Feng Zixuan's shoulder with his arm, causing Feng Zixuan to stagger.

"Connect to the ECG monitor, anesthesia, 100% pure oxygen." Luo Hao took a look and started giving medical instructions before anyone could react.

"Epinephrine, 1 mg, IV."

"New Triple Alliance, give one group."

While giving medical advice, Luo Hao turned on the AI ​​assistant and got a diagnosis! !
Damn, Lazarus syndrome really happened.

"Director Xu, continue the operation!" Luo Hao's voice became more rapid when he saw the nurse reinstall the ECG monitor and the heart rate showed sinus rhythm, 90 beats per minute.

"Ah?" Xi Yu Xu was stunned.

"The person is alive."

Luo Hao turned around and washed his hands.

Faced with such a weird situation, Luo Hao was worried whether Director Xu could handle it. He simply brushed his hands and went on stage. Since he encountered Lazarus syndrome, he must make sure the patient survived.

This was the first time Luo Hao encountered such a rare situation.

The operating room was quiet. Director Xu, who had just been explaining the local anatomy, was staring at the ECG monitor in a daze.

Although the situation was an urban legend of seeing a ghost, Director Xu still demonstrated the basic qualities of a professional practitioner.

After Luo Hao gave a few medical instructions, Director Xu took over and continued to lead the rescue.

Feng Zixuan's eyes were fixed. He didn't look at the patient, but stared at Chen Yong's back.

It is said that this man, nicknamed Chen's Younger Brother, is not able to invite Chen Yong because of his status and position.

But he usually respected me, obeyed Luo Hao's orders, and knew his limits even when joking. Chen Yong's performance was too ordinary, just an ordinary excellent level, so I actually ignored the legend.

How did he know? !

Feng Zixuan's eyes were narrowed, staring at Chen Yong intently.

But Chen Yong no longer calculated, but stood quietly behind Director Xu and watched the operation.

Looking at Chen Yong now, he seems just like an ordinary clinical doctor. There is nothing magical about him at all.

After washing his hands, Luo Hao went straight on stage.

No one questioned it, and Yizhu even gave up his position to Luo Hao.

Luo Hao didn't hesitate and started to cooperate with Director Xu in removing the thoracic aortic aneurysm.

"Anesthesia, how is the blood gas?" Luo Hao asked.

"It can't be measured." The anesthesiologist on duty was dumbfounded. He was doing everything based on instinct.

"Chen Yong, go draw blood from your artery and measure your blood gas at any time." Luo Hao said in a deep voice, "If you think he is brain dead, let me know."

"It still makes sense now." Chen Yong gave Luo Hao an affirmative answer.

Luo Hao thought the same after considering the opinions of Chen Yong and the AI ​​assistant.

The surgery continues.

After 20 minutes, the patient's blood gas analysis began to show values.

"I don't think there will be much damage to the nervous system and brain tissue." Chen Yong and Luo Hao expressed their thoughts.

Luo Hao did not question Chen Yong's statement at all, nor did he come up with a lot of theories to refute it. Instead, he looked happy.

Then Feng Zixuan saw that the speed of the operation was increasing.

He had never seen Luo Hao perform surgery at such a fast speed. The surgeon had unknowingly changed from Director Xu to Luo Hao, and it was a bit of a stretch for Director Xu to be an assistant.

Luo Hao didn't rush him. He sped up and then slowly slowed down to adapt to Director Xu's hand speed.

After the artificial aorta was anastomosed, Luo Hao breathed a sigh of relief and looked up at Chen Yong.

"It should be fine." Chen Yong gave Luo Hao an affirmative answer.

"Xiao Luo, what's going on? Is it haunted?" Director Xu smiled bitterly, "I've seen cases where the patient's heart didn't beat spontaneously after half an hour of cardiac compression, and the patient woke up directly when I turned around and talked to the patient's family. But this..."

"Oh, Director Xu, I think it's Lazarus syndrome." Luo Hao replied calmly.

"I think I've seen this name before. It must be from the Bible." Director Xu began to look for the bleeding point. He cut a piece of pericardium and prepared to suture it at the aortic anastomosis.

"Yes, it is indeed from the Gospel of John in the Bible."

"Does it happen often?"

"Very few, just a few isolated cases here and there around the world."

“For example, in recent cases, in 2014, a 91-year-old Polish woman named Janina woke up in a morgue freezer after being declared dead.

A 78-year-old man in Mississippi, USA, was found to have no pulse by a nurse at a hospice facility and was declared dead after clinical evaluation. As a result, he crawled out of a body bag in the morgue the next day.

A 24-year-old Kenyan man committed suicide by taking pesticides orally, but about 20 hours later he woke up and knocked on the morgue for help, and also scared several hospital nurses unconscious.

"What happened to Lazarus?" Director Xu asked while sighing.

"To prove his miracles, he predicted that the dead Lazarus would be resurrected.

Four days after his death, Lazarus walked out of the cave where he was buried.

Lazarus thus became associated with the concept of resurrection from the dead.

"Lazarus syndrome" was first reported in 1982. To date, a review of 111372 articles has been conducted, of which 53 articles reported 63 cases of this phenomenon.

"I think there are only 23 documents here that are credible... Now, there should be 24 documents." Luo Hao replied.

The patient in front of us is also a patient with Lazarus syndrome.

"Why? The person was obviously dead. We all saw it just now. It was a ruptured thoracic aortic aneurysm! Under the circumstances, I didn't think it was necessary to open the chest." A doctor behind him asked in surprise.

"The mechanism of this condition has not been studied clearly. There are many speculations about Lazarus syndrome in the industry, but they are just speculations. After all, most people have never encountered a similar situation. By the way, Chen Yong, take all the data back."

"I'm taking notes." Chen Yong answered casually while working hard.

“The most commonly mentioned theory is that overinflation leads to high levels of PEEPi, which increases intra-alveolar pressure and thoracic pressure, compressing the pulmonary vascular bed, great vessels, and heart to a certain extent.

This situation may lead to obstruction of venous return and even cause cardiac arrest in the patient, resulting in Lazarus phenomenon.

After CPR is stopped, the accumulated pressure will gradually release, allowing the body's circulation to resume and the heart to beat again."

“The second theory is that it’s a stacking lag effect of the drug.

Researchers believe that the Lazarus phenomenon occurs because the patient's venous return is obstructed, and rescue drugs such as epinephrine may take some time to reach the target organ through blood circulation after peripheral intravenous injection.

When venous return was restored, the drug began to take effect and the patient was saved.”

“The third scenario is that some patients who experience the Lazarus phenomenon also have hyperkalemia.

After blood potassium returns to normal, it still takes some time for the intracellular high potassium to be corrected. High intracellular potassium can reduce myocardial contractility and autonomy, leading to cardiac arrest. "

"But the patients we encountered clearly had nothing to do with any of that."

Luo Hao explained while he lowered his head to perform the operation.

Data and theories come to his fingertips effortlessly.

Feng Zixuan looked at Luo Hao silently, and looked at Chen Yong silently, his heart was filled with confusion.

Chen Yong no longer watches surgeries, but instead goes to see the anesthesiologist to organize data.

Even... I don't know when Liu Yiyi came in. She was responsible for collecting information related to anesthesia.

Chen Yong knew what Luo Hao needed without any instructions from him.

Luo Hao's medical team had started operating without him realizing it, as if it were an organism, full of vitality.

Feng Zixuan doesn't care about Lazarus syndrome or something like that.

For clinically rare diseases, as long as the patient is not pushed out, it doesn’t matter if the disease is “resurrected” in front of the patient’s family.

It's the worst that this kind of thing could happen once in a lifetime.

Feng Zixuan noticed that Luo Hao's medical team was just like his Erhei. There was not even a rustling sound, and they had already started to operate with a reckless pace.

+1 for the paper?

maybe.

But Feng Zixuan thinks there is more to this matter.

However, with Xiao Luo coming to the First Hospital of Medical University, Feng Zixuan has become a more knowledgeable person and he doesn't care much about the number of papers.

In less than a year, Luo Hao's medical team had begun to "self-awaken", developed self-awareness, and could operate independently.

Feng Zixuan watched all this silently, feeling mixed emotions. It would be great if all medical teams could be like Luo Hao's medical team.

Not long after, the phone rang.

Feng Zixuan took a look and saw that it was a call from Dean Jin.

He left the operating room with his cell phone, and after answering the call, he went straight to the locker room.

"Dean Jin, the patient..."

"The meeting is about to start. Where is Xiao Luo?" Dean Jin asked directly.

"That's right, the patient you mentioned has a minor condition."

Feng Zixuan began to explain Lazarus syndrome to Dean Jin. The patient had "come back from the dead" and was now undergoing surgery.

Although he couldn't see the expression on the other person's face, Feng Zixuan was very clear that he had stunned Dean Jin.

There are many rumors about resurrection in the hospital, but most of them are urban legends.

Today, Feng Zixuan witnessed with his own eyes a patient "coming back to life".

He described the situation in a low voice.

"This is nonsense!" Dean Jin scolded, "The patient has been losing blood for a long time. Even if he is saved, he will be brain dead. Don't think I don't know what you are doing. You said you won't die on the operating table?"

"Xiao Luo and Xiao Chen said there shouldn't be any neurological symptoms."

"No neurological symptoms?! Feng Zixuan! Are you from a medical background?" Dean Jin was angry.

"The operation is in progress and the patient's vital signs are stable." Feng Zixuan emphasized.

In fact, he has said too much. If it were in the past, Feng Zixuan would just listen quietly to Dean Jin scolding him and would never argue.

But today, for some reason, he suddenly said two more words.

"Okay, I'll go take a look." Dean Jin hung up the phone.

Feng Zixuan stared blankly at the sky across the glass window, his mind in a mess.

... "Xiao Luo, are you sure there is no brain death?" Director Xu was performing the operation stitch by stitch.

"I'm not sure, but I have to give it a try. There is definitely a difference between staying alive and dying on the operating table. Besides, what if? Click~~~" Luo Hao clasped the hemostatic forceps.

Director Xu immediately used No. 1 thread for ligation.

Although it was the first time for the two to cooperate in surgery, they had such a tacit understanding that someone who didn't know would have thought they had been working together for more than ten years.

"This is really rare. This is the first time I've encountered this. In the past, I only heard people tell stories about it." Director Xu was still frightened. "Xiao Luo, have you ever encountered this when you were at Union Hospital?"

"I haven't encountered that. Union Hospital still focuses on chronic diseases. By the way, I remember that in the early 20s, the Ministry of Health at that time required chest compressions to last at least 30- minutes. At that time, many doctors disagreed."

"Well, I had my objections at the time, but some patients were indeed pushed back." Director Xu said sullenly, "Now, I have gradually accepted it. But this situation always feels like a haunting. Now I am only performing the surgery based on instinct, with an empty mind."

"The more I work in clinical practice, the more superstitious I become." Director Xu sighed.

"It's OK. I also find it incredible. Once I have collected all the information, I will ask clinical teachers in various groups to see what everyone thinks."

“Will there be a conclusion?”

"I don't know. Maybe there is. After all, everyone's experiences are different. Maybe there are teachers who have encountered similar situations and can offer constructive suggestions."

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Luo Hao said this and paused.

"But there is no hope of reaching a conclusion on this kind of thing. We can only treat it as an individual case."

"Xiao Luo, you did a great job in the cardiothoracic surgery. I noticed that there was something special about the stitches when you were anastomosing the artificial blood vessels." Director Xu praised.

"Director Gu from 912 taught me how to make it with purchased pig throat. I made pig throat worth about 12000 yuan. Now I feel sick when I see pig throat. When I eat hot pot, my fingers move as if I want to pierce the pig throat."

"!!!"

Director Xu was stunned. The scope and degree of the training surgery could actually be measured in 12000 yuan. This unit of measurement... I'm afraid even Mr. Ying's coffin can't hold it down.

But for a surgeon who costs 12000 yuan, the training intensity is indeed high. No wonder Xiao Luo is so skilled in vascular anastomosis.

"How long did it take?"

"It took me more than a month to sew the yellow throat into pieces. Only then did I find the feeling of butchering an ox that Boss Zhou talked about."

"..."

Director Xu understood every word Luo Hao said, and his face was filled with tears.

I thought I worked hard and was successful enough, but I didn't expect that Concord Medical College had achieved such a high level.

No, it's 912.

Director Xu was a little dazed.

"Director Xu, Professor Luo."

Dean Jin's voice came.

"Dean Jin."

The two said hello.

"How are people?"

Director Xu didn't speak, and Luo Hao didn't speak either. The atmosphere in the operating room was extremely awkward.

"Ok?"

Luo Hao lowered his head and performed the operation without saying a word.

Not only Luo Hao, but also other people in Luo Hao's medical team. Liu Yiyi was originally busy, but since Dean Jin came in, Liu Yiyi disappeared without a trace as if she had teleported.

Chen Yong was nowhere to be seen.

Feng Zixuan was professional and didn't laugh.

The people brought by Luo Hao are worse than dogs. When it is their turn to take the blame, no one says a word. They dodge if they can and hide if they can. They are determined not to be the first to stick out.

"Director Xu!" Dean Jin was a little angry.

"It looks like he can survive now, but I can't say for sure if he will survive longer." Director Xu said stiffly.

“How long has the patient’s brain been ischemic?”

"..." Director Xu was speechless.

He probably knew it, but the patient's vital signs were stable now, and he couldn't just push him out with his chest open.

Director Xu is a relatively kind and taciturn technical talent. He is like this in normal times. Otherwise, people wouldn't joke with him about the homophonic pun "Xiyu Xu".

Something was not right, and Director Xu didn't know how to explain it.

He looked at Luo Hao for help.

Luo Hao understood and looked up at Dean Jin, "Dean Jin, the time should be just between edema necrosis and no necrosis."

"!!"

"I think that since the old man has this fate, he should be fine."

"What fate?" Dean Jin asked in a deep voice.

"Don't talk about being extremely rich, that kind of life is nothing. If you really have great fortune, you can be watching TV, telling jokes to your children and grandchildren, and then you're gone in the blink of an eye. That's the real blessing."

"Today we encountered an extremely rare case of Lazarus syndrome. The old man came back from the dead. Perhaps the gods miscalculated the date and he came back to live another ten years."

"From a medical point of view, I think the probability of brain death is 50-50, but from an emotional point of view, I think it is definitely correct. If he can even have Lazarus syndrome, it would be unreasonable if he is really brain dead."

Dean Jin looked at Luo Hao deeply.

"Well, he survived a great disaster and will bring blessings to his descendants." Chen Yong suddenly appeared behind Dean Jin and said with certainty.

"Oh?" Luo Hao was surprised.

At this time, using scientific theories can only be perfunctory and give a rough idea. It would be best if Chen Yong could make the final conclusion.

"Just do it for now. We'll probably get results in 24 hours. The patient is still alive, we can't cut off the ventilator now." Luo Hao said sullenly while stitching.

"Okay." Director Jin didn't know what pressure he was under, so he came to the operating room to ask these questions.

"Xiao Luo, go to the meeting later."

"Jinyuan, I... don't have time."

"!!!" Dean Jin frowned and glared at Luo Hao fiercely, "What do you mean no time? Isn't it done?"

"The patient has suffered great trauma, so it is better to finish the operation as soon as possible. Director Xu and I have a good working relationship, and I estimate that the patient can be in the ICU in two days." Luo Hao was also helpless.

"Come to the TV station." Dean Jin said in a deep voice.

"I won't embarrass myself if the director is here. When there are too many people around, I can't speak. My hands and feet are shaking and I want to go to the bathroom. Don't be fooled by me. You can see that I can speak well now, but when there are too many people around, I lose my tongue and say things that I shouldn't say, which causes trouble for the hospital."

Luo Hao said he would not go no matter what.

"..."

Dean Jin sighed deeply.

It's really hard to catch Luo Hao, this bastard, he's so slippery that you can't let go.

"You guys keep doing it. Go to the meeting when there's still time." Dean Jin didn't want to say anything harsh to Luo Hao. He said this lightly and walked away.

Feng Zixuan looked back at Luo Hao and left as well.

"Xiao Luo, is this true?" Director Xu asked honestly.

"Ha, how is that possible?" Luo Hao laughed, "Director Xu, please raise your back hand a little higher. I can't see it."

Director Xu raised the back hand of the pliers.

"I just said that, to say something nice, so that if there are sequelae in the future, the elderly's family members won't be too disgusted when they see them."

This is probably how human nature is. Director Xu is insightful, but he didn't expect that Luo Hao is also insightful.

"It is said that my classmate's grandmother really died in this way." Director Xu sighed, "At noon, she was watching TV and said that her life was almost over. She got up and walked around the old house, came back to say goodbye to her children, then took a shower, changed clothes, and passed away cleanly."

"What a blessing!" Luo Hao praised.

"Yes, sometimes I really want to learn how to maintain my health, but I'm afraid of being cheated. Xiao Chen, do you know how to do it?"

"Director Xu, I can't."

"Well, I just want to learn how to stay healthy. Why are you so cautious?" Director Xu smiled slightly.

"Director Xu, he doesn't know how. I will go to Funiu Mountain in a few days and learn something from Taoist Qi and come back to discuss it with you." Luo Hao took over the conversation.

Director Xu nodded and began to concentrate on the operation, stopping chatting.

The shock passed, and Director Xu gradually recovered. However, he was still puzzled and had no idea what Lazarus syndrome came from.

This thing is really close to metaphysics.

Moreover, in the example cited by Luo Hao, someone survived in the freezer.

It's really incredible, like a fairy tale.

One hour and 1 minutes later, after sewing the last stitch, Luo Hao used the scissors hooked by his right little finger to cut the thread.

"Xiao Luo, young people nowadays don't know how to perform a thoracotomy, but you are so skilled at doing this." Director Xu said with emotion, "Sometimes I feel a little dazed when I perform surgery with you."

"I learned to be open-minded in 912. After all, it is a military hospital, so we must retain simple and effective treatment methods. Field hospitals don't have so many minimally invasive methods. And 912 sends people to the United States every year to learn how to treat gunshot wounds." Luo Hao replied with a smile, "Director Xu, I'll leave now. I won't write the surgical record."

"Okay, go ahead and do your work. I'll report to you if anything comes up."

"Director Xu, you can't joke like that. I will go to the ICU and report to you if there are any questions." Luo Hao bowed slightly and spoke in an extremely gentle tone.

Director Xu smiled.

This little guy Luo Hao is indeed interesting. No wonder Shen Zizai always holds his head high when he goes to the canteen to eat.

In the past, Shen Zizai was not like this. No one listened to him as the director of a small department with no sense of existence.

But now, it’s completely different.

Shen Zizai was full of confidence when he spoke, his face was glowing, unlike his previous haggard look.

When you have time, you really have to be closer to Xiao Luo. It seems that it was Xiao Luo's assistant Chen Yong who discovered that the patient was "alive".

Director Xu's mind was full of messy thoughts, and he sent the patient to the ICU.

Out of caution, the patient was not allowed to breathe on his own. We planned to wait 12 hours and see what happens tomorrow morning.

After all, so much blood was lost, so we have to be careful to prevent DIC after the operation.

……

Luo Hao changed his clothes while Chen Yong waited in the locker room.

"Old Fan and the other two were taken back by the director." Chen Yong said with a smile, "You really didn't go to pick them up."

"Too many people is annoying." Luo Hao looked at Chen Yong deeply and said, "Tell me how you calculated it."

(End of this chapter)