Rebirth in the medical world

Chapter 196 Heart Bypass
Ouyang Chenhui looked at this well-known medical genius with great admiration. In the near future, he will be on the throne of the world's Nobel Prize in Medicine!To become a real medical giant, he is not only a medical expert, but more importantly, he is a messenger serving medicine!He always remembers that he is a doctor, and it is his duty to save lives and heal the wounded!

Seeing the two people coming out of the room in a hurry, Su Chun knew that there must be a critically ill patient. For the doctor, there was only one thing that could make him hurry, and that was to go to the emergency room!Helping lives is like fighting fires!

Therefore, Su Chun didn't ask any questions, and followed them out, and quickly intercepted the taxi rushing to Jingdu Hospital!

When he rushed to the operating room of the hospital, he saw that all the leaders of the hospital were already waiting there. As soon as he saw Mr. Bruce, Qi Jianshe seemed to have seen a savior, and desperately stepped forward to hold his hand. Mr. Bruce just He nodded heavily at him, walked into the isolation area of ​​the operating room and started changing clothes without saying anything!Ouyang Chenhui followed closely behind!

In the operating room, several doctors from the Cardiac Surgery Department were helplessly watching the patient's ECG monitoring.The patient's heart rhythm was very unstable, and they dared not proceed with the operation rashly!If the patient died on the operating table, it would be a medical malpractice!

On the operating table, an old man about 70 to [-] years old was lying there. He had already been anesthetized and his chest had been opened, but the operation had not officially started yet!
The so-called heart bypass surgery, as the name suggests, is to take the patient's own blood vessels (such as the internal thoracic artery, the great saphenous vein of the lower limbs, etc.) or blood vessel substitutes, and connect the distal end of the narrowed coronary artery to the aorta, allowing blood to escape the stenosis The part reaches the ischemic site, improves the myocardial blood supply, and then achieves the purpose of relieving the symptoms of angina pectoris, improving heart function, improving the quality of life of patients and prolonging life.This operation is called coronary artery bypass grafting, which establishes a smooth path between the aortic root full of arterial blood and the ischemic myocardium. Therefore, some people vividly call it a "bridge" on the heart. ", commonly known as "bypass".

Jingdu Hospital is still using the method of cardiac arrest and extracorporeal circulation for surgery. Originally, if the heart stops for too long, there will be many complications. In addition, the medical staff are not very skilled, which leads to their normal situation. I dare not do such an operation lightly, this is also a major flaw in Kyoto Hospital!
so,.This operation was not very smooth at the beginning, and even the director had no confidence in the end!That's when I thought of asking for help!
When Bruce went in, he had a general understanding of the situation, and went straight to the sink to wash his hands. In his opinion, this was just a piece of cake, so when he saw several surgeons behind him washing their hands, He smiled slightly at them: "NO, NO, NO, don't come here! This is not good for the sterile requirements of the operation! I only need one assistant, Ouyang, Ouyang alone, OK?"

Several doctors looked at each other. In Jingdu Hospital, a major heart surgery was basically arranged a week in advance. All important experts in the hospital were on duty, from doctors in cardiac surgery to general surgery and even urology, anesthesiologists , The head nurse must be ready!in case the emergency!

Unexpectedly, people only need an intern as an assistant, it seems that experts are experts!

Ouyang Chenhui also smiled at everyone, and quickly walked in front of Bruce in a gap created by everyone, "Ouyang, are you okay?" Bruce washed his hands.Cross your hands and hang over your chest!She smiled slyly at Ouyang Chenhui!
"No problem!" Ouyang Chenhui confidently stretched out two fingers in a victory gesture!

The operation was really a small case for Bruce. Once he was on stage, he made three mistakes, five times and two divisions, and it was done in just over an hour!The most important thing is that the two cooperated quite tacitly. Ouyang Chenhui was like a roundworm in Bruce's stomach. The moment he raised his hand, he knew what he was going to do next!

The cardiac surgeons they watched at almost the same speed as performing on the operating table were stunned for a while!Scalpels, hemostats, retractors, these surgical instruments danced in the hands of the two of them as if they had life!

Qi Jianshe has been waiting outside the operating room. He has no intention of letting Bruce go. This time, he intends to let Bruce teach his heart surgeons a good lesson even if he is kidnapped!
Unexpectedly, when Qi Jianshe raised this point with Bruce, Bruce laughed: "Dean Qi, in fact, your Jingdu Hospital has a very good heart surgeon! I dare not be a teacher rashly!" Throw a swipe at Ouyang Chenhui!
Only then did Qi Jianshe realize that he was referring to Ouyang Chenhui!

"Ouyang's surgery is skillful, bold and careful, dexterous, er, I'm sorry my Chinese is not good, what I mean is, Ouyang's surgery is really good! So, Dean Qi, don't worry, you guys The Department of Cardiac Surgery will definitely become a special department of your Kyoto Hospital! I have confidence in you!"

Ouyang Chenhui felt a little ashamed seeing Bruce being so generous with his compliments. Surgery was really not a difficult task for him. Did he have a pair of see-through eyes, blood vessels and nerves, the front and back, and even the parts without incisions? , he can see clearly, so the operation is naturally handy!It's just that he still needs to improve on some new surgical methods and improvements to some traditional surgeries!

Qi Jianshe looked at Ouyang Chenhui, and was once again impressed by this young man!But he still didn't have the courage to entrust it to him with a major in heart surgery!Besides, he's still just an intern.

"Mr. Bruce, Ouyang Chenhui is indeed very good, but he is still just an intern. It will take some time for him to graduate and get a practicing certificate, but our cardiac surgery department can't wait a day! Can you How about some training for our doctors?"

Seeing that Dean Qi was so persistent, Professor Bruce was too embarrassed to continue to refuse, so he called several of their surgeons together and explained to them the essentials of heart bypass surgery!
"In the past, coronary heart bypass grafting was treated under the condition of beating, but now beating coronary heart bypass surgery has many advantages: off-pump coronary heart bypass surgery does not require extracorporeal circulation, and avoids the recurrence caused by myocardial ischemia. Perfusion injury reduces the risk of cardiac surgery; beating coronary heart bypass surgery has less trauma and quicker postoperative recovery, which can effectively reduce various complications, such as postoperative myocardial infarction and arrhythmia incidence, etc.: no Off-pump coronary heart bypass grafting expands the surgical indications, so that some elderly patients with coronary heart disease accompanied by other diseases can also receive off-beat coronary heart bypass grafting. The length of hospital stay is shortened, and the financial burden on patients is also reduced."

Professor Bruce talked eloquently, while the doctors kept recording with their notebooks. For them, this was an excellent learning opportunity!Some people may never get personal guidance from such a high-level expert in their entire life!
Therefore, after Bruce finished speaking, these doctors began to ask for advice on the problems they encountered in their work.

"Professor Bruce, I would like to ask, what are the risks of heart bypass?" A middle-aged doctor wearing glasses asked, although he knew that bypass is the most effective method for advanced coronary atherosclerotic heart disease. But he also found that many patients who underwent surgery were not very optimistic after the operation, some had serious complications, and some just lived an extra year or two!Therefore, this problem has troubled him for a long time, and when he meets Professor Bruce this time, he must solve this problem!

"You're a good question. I've been doing research on this recently. Heart bypass surgery involves bypassing blocked arteries to improve blood and oxygen supply to the heart. This type of surgery has the potential to affect memory and mental health of patients. Function, so that about 1/3 of the patients still have detectable mental dysfunction five years after the operation. In order to reduce and reduce the risk, it is necessary to keep the graft of the heart bypass surgery open and reduce the need for repeated heart surgery. The need for bypass surgery. In patients who have just undergone heart bypass surgery, depression can triple the risk of heart disease within the first year of surgery. So, we have to pay close attention to the patient's movements after surgery!" Bruce said.

Depression can triple the risk of heart disease in the first year after surgery, which surprised every doctor present!Their principle is that the surgeon only performs the operation, and if there is a problem, go to the psychologist, but it is precisely because of the lack of these psychological supports!The postoperative situation is not so optimistic!
"Professor Bruce, I also have a question to consult..."

"Professor Bruce, how to 'protect the heart' after heart bypass surgery?"

"Professor Bruce, which patients are not suitable for heart bypass?"

The doctors all raised their confusions, and the originally scheduled one hour didn't end for an hour and a half!Professor Bruce's assistants have been anxious to arrange for him to rest, but Qi Jianshe has been keeping a smile on his face, not letting them in and urging them, so even though it is almost midnight, they are still discussing passionately.

The news that Professor Bruce was in Kyoto Hospital was known to the whole hospital, so when a patient with a respiratory infection in the respiratory department suddenly deteriorated, they also thought of this top medical expert!
When the information was transmitted to Ouyang Chenhui layer by layer, his mind skipped a beat: patients with respiratory tract infection only had headache, fever, chills, nausea and vomiting when they were admitted to the hospital!Less than [-] hours after being hospitalized, he developed a serious reaction and had difficulty breathing. He is currently being rescued.

His first reaction was the terrible plague: SARS!
(End of this chapter)