natural doctor

When Zhong Kunwei came out of the operating room of the emergency department. !.

He told Sun Jianguang's eldest daughter, Sun Yulan, grandly, that Sun Jianguang's rescue operation was very successful, and he has turned the corner and passed the sadness.

Sun Yulan was weeping with joy when she learned that her father was out of danger, but found that the notice of admission and transfer from Director Zhong was different, because her father had suffered trauma, and since he was rescued, he should be transferred to general surgery. However, it was clearly stated on the face that he was transferred to the provincial affiliated doctor's heart.

When Sun Yulan questioned Zhong Kunwei, Zhong Kunwei did not directly tell her the truth, but Tang Sai said that during the operation, Sun Jianguang found that there might be a problem with his heart, but as for what the problem is and how serious the problem is, he must have a heart Only specialists in surgery can diagnose it.

His words were very formal and gorgeous, but no matter how nice they were, they were just to cover up the fact that he was incompetent.

Sun Yulan had no choice but to send her father to the heart surgery together with the medical staff and the police.

After being admitted to the cardiac surgery department, director Pang of the cardiac surgery department came to take over immediately, and began to inspect Sun Jianguang.

However, when Director Pang dropped the stethoscope into Sun Jianguang's left chest cavity, he couldn't help being startled.

A normal heart usually grows in the left chest cavity. Normally, a clear and loud beating sound can be heard here, but Sun Jianguang's chest heartbeat can't be heard at all. Director Pang, who has been engaged in cardiac surgery for decades, immediately realized to the seriousness of the problem.

He hurriedly issued a doctor's order to conduct a systematic inspection on Sun Jianguang, and when he returned to the office, he immediately called Zhong Kunwei, who was in charge of Sun Jianguang's trauma surgery.

To others, Zhong Kunwei may still be vague, but to Director Pang, he can only truthfully tell him what he saw in Sun Jianguang's chest.

It's just that after he finished talking about the situation, he was solemnly despised by Director Pang, because incompetence is not your fault, but it is really a heinous crime to try to cover up this incompetence when you are clearly incompetent.

Zhong Kunwei's correct approach should be to notify the Cardiac Surgery Department for consultation as soon as he finds any abnormality in the thoracic cavity. Perhaps, with the help of the Cardiac Surgery Doctor, he can solve the tumor in the first place and avoid causing the patient to undergo a second surgery.Even if it can't be solved on the spot, it will also allow the heart surgery doctor to understand the patient's condition more thoroughly, so as to carry out diagnosis and treatment work better, but now the repair is done hastily, you old bastard is alone, but let others But it caused a lot of trouble.

Director Pang didn't listen to Zhong Kunwei's clichés. After listening to the introduction of his condition, he hung up the phone without saying a word.

Although Zhong Kunwei brought him a big trouble, he didn't think about kicking this trouble to other doctors, because there was really no one to kick him.

Cardiac surgery is completely the terminal for Sun Jianguang. Whether he can leave alive or not, he can only do his best and obey the destiny.

With Zhong Kunwei's confession... no, it should be said to be an introduction to the disease, the examination is not only systematic, but also targeted.

So after a while, the results of various examinations came out, and Director Pang's diagnosis of Sun Jianguang had come to a conclusion: a huge tumor in the heart.

After X-rays, B-ultrasound, T, RI and other examinations, it was found that the heart that was originally on the left side of Sun Jianguang's chest was gone, replaced by a non-beating sac the size of a football, and the initial estimate was that the mass was not low. Weighing in at ten kilograms, it is almost twice the size of a normal heart.

Under the display of the cardiac Doppler instrument, the spherical tumor was located in the original left atrium wall, with a diameter of about ten centimeters. With the slight tremor of the heartbeat, it might fall off and shatter at any time. If this happens, Sun Jianguang will undoubtedly die.

Director Pang immediately called a meeting of elite backbones from all departments to study Sun Jianguang's treatment plan.

With such a condition, there is basically no doubt. There is only one way to treat it, and that is surgery, to cut out the huge tumor and repair the damaged heart.

However, this kind of operation must be performed under the condition of establishing extracorporeal circulation, but now the heart does not know where it is squeezed by the tumor, although it is easy to find the heart, and then find the heart, lungs and great vessels from the heart after finding the damaged heart The establishment of extracorporeal circulation will make the operation extremely difficult.And this is only the first step, it can be regarded as preoperative preparation.

Although the difficulty was very high, the experts in cardiac surgery were still able to cope with the operation, but at this moment, another inspection report came back from the laboratory, and Sun Jianguang was severely resistant to heparin.

As we all know, before cardiopulmonary bypass is established, effective anticoagulation must be used. Generally, heparin is routinely used for anticoagulation. However, the sensitivity of patients to heparin anticoagulation varies greatly. patients are even resistant to heparin.

If it is resistant to heparin, the blood cannot be anticoagulated, and the lack of anticoagulation during extracorporeal circulation may lead to exhaustion of coagulation factors, extensive thrombosis, and even coagulopathy after extracorporeal circulation.

During the application of heparin, very few patients will develop drug resistance, but unfortunately, Sun Jianguang's unlucky reminder is one of them.

If heparin is severely drug-resistant, anticoagulation cannot be guaranteed, and if anticoagulation cannot be guaranteed, extracorporeal circulation cannot be established, and extracorporeal circulation cannot be established, so the difficulty of this operation is so high that it must be performed in a state of beating heart.

However, for this kind of operation performed in a state of non-stop beating heart, only Director Pang in the Cardiac Surgery Department has similar experience, and the number of times is pitifully small!

There was only one time, and it was barely completed with the assistance of the old professor who returned from overseas.

Now, the old professor has passed away. Although Director Pang has the courage to perform this operation, he is sure of success...he dare not tell him!

This is a very typical case. It can be said that such a large heart tumor is rare in ten years. Director Pang is very willing to challenge this kind of difficult operation, but the problem is that it is difficult to support the beam alone. He alone, that is No, so in the end, he could only shake his head and sigh.

When Director Pang was distressed and entangled, the student he brought out with one hand and one foot, Zheng Jinan, the attending doctor, reminded him in a low voice: "Director, have you forgotten that the ancient doctor in the Chinese and Western medicine department, he has finished A case of beating heart bypass surgery. And now the beating heart surgery is being carried out as an important project in our hospital."

Director Pang couldn't help but smile wryly when he heard the words, how could he forget about Gu Feng?

As soon as he learned that Sun Jianguang was resistant to heparin, he thought of beating heart surgery, and then thought of Gu Feng!

It's just that the impression this kid gave him was originally good or bad, but after the operation by the Swedish prince Torav, Director Pang's impression of Gu Feng changed a bit.

However, the reason why he has an opinion on Gu Feng is not entirely because he is jealous that he has completed the heart-beating bypass surgery, nor is it because he has become the deputy team leader of a key surgical project, but because Gu Feng is doing the supporting work. Gu Feng didn't take the initiative to come to him for Laf's operation, or in the research of key surgical projects led by Dean Zhou later.

Gu Feng's attitude made Director Pang think that this kid was arrogant and his eyes were higher than the top, and he didn't take him as the director of the Cardiac Surgery Department seriously.

Now, let him pull down his old face and ask Gu Feng to assist him in the operation. He is really reluctant and embarrassed, and he is even more afraid of putting a hot face on a cold ass. If it's bullish, it won't even give face to the dean.

Zheng Jin'an saw his teacher's face changing back and forth, as if he was extremely hesitant and still unable to make a decision.

Thinking of the teacher's cultivation of himself, from school to hospital, from resident doctor to attending doctor, the teacher has worked hard and painstakingly. Now that the teacher has something to do, it is natural that the disciple will do his best!

Knowing what this operation meant to Director Pang, Zheng Jin'an took the initiative to say: "Director, why don't I go find Gu Feng and talk to him!"

The students I brought out by myself are really considerate. Director Pang went to invite him himself, and it was really embarrassing, but it would be great if Zheng Jinan came forward, but he still hesitated and said: "Jin'an, you said this kid Would you like to come?"

Zheng Jin'an took it for granted: "Director, this is a normal consultation between departments. Why is he not willing to come?"

Director Pang shook his head and said, "That's not necessarily true."

Zheng Jin'an said, "No matter what, I have to try it. If the director can complete this operation, it will be a step forward in the field of cardiac surgery. People in the Provincial People's Medical Cardiac Surgery Department dare not say that our provincial-affiliated Cardiac Surgery Department is just eating old rice." It's gone."

Director Pang thought of the ridicule and sarcasm that the director of the Department of Cardiac Surgery of the Provincial People's Hospital said every time he saw him, and finally nodded and said, "Okay, you go!"

Zheng Jin'an nodded, "I'll explain the illness to my family members later, and then I'll invite Dr. Gu!"

Director Pang nodded, and asked again: "Have all the family members of the patient come?"

Zheng Jinan shook his head, "Only his eldest daughter came, and she said that her younger sister was rushing back from abroad. However, I heard that the mayor..."

Director Pang waved his hand, "In my eyes, there are only patients and diseases, and no status. No matter whether he is the mayor or a prisoner, as long as he comes here, we must do our best to treat his disease."

Zheng Jin'an thought, and hurriedly said: "Understood, Director."

Director Pang said: "Alright then, you go and have a good communication with your family members, especially with Gu Feng. Although he is only a resident doctor and his rank is lower than yours, he is the head of a department. With the titles of academician and doctorate, and Dean Zhou standing behind him, his starting point is much higher than you, and in time he may be on the same level as you, so you have to make friends with him, not enemies!"

Zheng Jin'an knew the seriousness, nodded quickly and said yes, then left the director's office and went to find the patient's family...