Chapter 21: Between Life and Death
Director Wu sews the last place, and he can’t straighten up his waist when he is tired.
“Director Wu, you have worked hard.”
“Push the ICU, let me know if there is any situation.”
“Just now, Dean Ma sent a message that it was Liu Xin who was here and he was going to take over this operation.”
As soon as Director Wu heard this, he was immediately furious, and he started shooting the case: “What! Is he crazy? This girl Yueyue can’t stand the tossing now, what does he want to do?”
Second help shook his head: “Dean Ma has already ordered and promised that he will bear the consequences alone. Please go to the orthopedics department for diagnosis and treatment as soon as possible after the operation.”
“No! Absolutely not! I’ll talk to Dean Ma!”
Director Wu got up, but was immediately persuaded by the tingling in the waist.
At this time the door of the operating room opened, and the two walked into the operating room to prepare for the next one.
“Liu Xin!”
Liu Xin looked sideways: “Director Wu, you have worked hard, leave it to me next.”
“You…Oh, did you know that you would be life-threatening if you proceeded to the operation!!!”
“So you don’t waste time arguing with me anymore. An hour and a half is very urgent.”
“you!”
Director Wu almost turned his back in anger, but he couldn’t stop Liu Xin from doing it.
“Director Wu, I’ll send you out.”
“I’m not going! I want to see how capable this kid he is, so that the dean can tolerate it again and again!!”
Second helper understood Director Wu, and knew that he couldn’t persuade him, so he could only help him to sit down.
“Then I will go out and report to the dean of the operation process.”
As soon as Ersuke left, Liu Xin immediately cut the surgical suture and reopened the incision that had just been sutured. Director Wu couldn’t even speak.
“Contrast agent!”
Qiao Xing injected a contrast agent and quickly checked the patient’s heart shadow through the C-arm X-ray machine.
“Why not look at the director’s record?”
“The director is only in charge of the right atrium. The left side is not allowed to be ignored. Both sides need to be combined and nitroglycerin injected intravenously.”
“what?”
Qiao Xing thought he had heard it wrong.
“Why do you inject this? The director’s operation is very beautiful?”
“Intravenous injection, 0.1 milligram.”
Qiao Xing had no choice. After all, he was just a second assistant. He still injected nitroglycerin through an intravenous injection. Within a few minutes of the injection, the patient developed blood pressure and heart rhythm instability.
“The blood pressure is rising, it is still rising, and the heartbeat is abnormal!”
“Normal phenomenon, hemostatic forceps arterial clip!”
Qiao Xing really didn’t understand what Liu Xin wanted to do, but there was no retreat at the moment, so he could only hand over the instruments. Liu Xin used a scalpel to cut the intima underneath the aortic dissection, quickly stopped the bleeding with a hemostatic forceps, and then clamped the arterial clamp. .
“Artificial artery, bypass balloon.”
Qiao Xing continued to pass it.
Liu Xin took a deep breath, cut open the patient’s right atrium, and connected the steel wire and balloon to Director Wu’s heart bypass.
“Patient’s heart rate is lowered, is cardiopulmonary resuscitation performed?”
“Inject 0.5 grams of cardiotonic.”
Qiao Xing obeyed the instructions to inject 0.5 grams of cardiotonic into the patient’s body. The left and right atria had been cut open, and due to the aortic dissection, the heart rate still increased, but it was much higher than the normal value.
“Scalpel! Suture needle!”
Qiao Xing handed it over. Liu Xin cut open the left atrium and clamped the left atrium artery with hemostatic forceps again.
“The patient has a cardiac arrest!”
“What the hell are you doing?”
Qiao Xing watched the ECG become a flat line, becoming more anxious.
“Pour in one percent of rupcaine.”
“why!”
“hurry up!”
There were tears in Qiao Xing’s eyes. She really couldn’t understand Liu Xin’s operation, as if she was killing a life.
Liu Xin swept over Qiao Xing’s expression on his side, and directly picked up Rupcaine and poured it on his heart. Randomly watched for a period of time. He put his hands on the bridge like a butterfly and opened the arterial clamp.
Liu Xin looked at the electrocardiogram with firm eyes. At the moment when everyone thought that everything was irretrievable, the electrocardiogram suddenly fluctuated.
“0.5 grams of cardiotonic!”
Liu Xin knew that the situation was more serious than he thought. Qiao Xing tremblingly injected the cardiotonic. After a while, his heart stabilized and his beating state resumed.
“How long is there?”
“Five minutes and seven seconds.”
“Stitch!”
Liu Xin re-sutured the wound along the wound that Director Wu had sutured before. The time was just right. The patient swallowed in his throat. No one knew what was going on. It was too fast.
Director Wu stood up and unknowingly had forgotten the pain.
“Push to the icu ward, monitor blood pressure and heartbeat at any time, inject aspirin, isosorbide mononitrate, and recheck thrombus and HDL once a day.”
Everyone withdrew the patients from the operating room. For five hours, everyone’s back was wet with sweat. Liu Xin came to Director Wu and helped him, who was sluggish, walked to the side of the chair and sat down.
“Thanks, Director Wu.”
“What the hell did you do?”
Director Wu just didn’t fully see the entire operation process, especially when he was in a cardiac arrest, he got on the double bridge very quickly.
“There are only four minutes between heart stop and brain death. I am in a race against death. Fortunately, I won.”
“You are such a madman!”
Director Wu scolded and laughed.
“What are you talking about?”
“Let’s go, I haven’t eaten for a day.”
The three helped each other out of the operating room, and the dean stood outside the operating room to greet the three heroes.
“Fuck!”
Dean Ma applauded, his eyes full of admiration. He watched the bypass operation a dozen times in a row, and he even slowed down the camera to fully understand Liu Xin’s technique, two-way bridge.
“Master Ma, I’m hungry!”
“Hahahaha go, I’ll take you to dinner!”
At the dinner table, Qiao Xing looked at Liu Xin from time to time, with doubts in his eyes.
“Xiao Qiao, do you still have something you don’t understand?”
“Liu Xin, why did you inject nitroglycerin into the left atrium in the first place, it is obviously a drug to inhibit coronary atherosclerosis?”
Liu Xin smiled: “Yes, but nitroglycerin can indeed increase the blood pressure of the heart, but on the contrary, I want to inject esmolol into the right atrium to forcibly cause a thrombus and suppress the high blood pressure in the aortic dissection. It requires a test tube clamp, which does not guide it into the heart, and then uses a thrombus to block the strong blood pressure in the intima of the aortic dissection, but I have overlooked one thing.”
“what?”
Everyone asked curiously.
“This girl’s heart is more fragile than I thought, or it’s different from a corpse. Director Wu’s technique is very professional and he performs the bypass surgery perfectly, so there is no need to inject esmolol, and even a gram of cardiotonic is needed. And let you pour the rupcaine on your heart, this is the last straw.”
“So you connected the intimal dissection artery to the right atrium with a bypass pump, and then connected the director’s bypass operation to the left atrium.”
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