Back to 1999: From operating surgeon to becoming a top doctor

"Get adrenaline, atropine, dopamine ready."

"Re-sterilize and perform intra-chest cardiac compressions."

Xiao Chenguang's words made everyone at the scene confused.

They thought about thousands of possibilities, but they never expected that Xiao Chenguang would actually press his heart with his bare hands.

They had never heard of this kind of rescue method.

After all, intrathoracic cardiac compression, as the name suggests, requires a chest opening.

Not only that, it also has to bite off the fourth rib with instrument forceps so that the surgeon can put his hand into the chest and then squeeze the heart with his bare hands.

This can be said to be the ultimate means of rescuing patients with cardiac arrest.

If even chest compressions don’t work, I’m afraid no amount of measures will help.

However, due to the high trauma and difficulty of pressing the heart with bare hands, few doctors dare to actually perform it.

At least, there is no precedent among the patients treated in the entire Shengli Hospital.

"Dr. Xiao, we have neither equipment nor equipment here, how can we open the chest?"

The nurse looked worried, obviously feeling that this method was a bit unrealistic.

Although she trusted Xiao Chenguang, pressing the heart with bare hands was beyond her scope of knowledge.

“Why does the chest need to be opened for intrathoracic cardiac compression?”

As soon as these words came out, the nurse was stunned.

Isn't it?

Intrathoracic cardiac compression is not performed in the chest cavity, can it also be performed in the abdominal cavity?

But what Xiao Chenguang did next completely shocked everyone's jaws.

I saw him putting the sterile latex gloves he was wearing directly into the treatment bowl filled with iodophor.

In an instant, the milky white gloves turned into dark brown, and even some areas with high concentration began to turn black.

After the disinfection was completed, Xiao Chenguang's brain was already running at high speed, and pictures of the anatomical structure of the organs in the abdominal cavity appeared in front of his eyes.

Then, in full view of everyone, Xiao Chenguang put his hands into the patient's abdominal cavity again.

"Dr. Xiao, that's not right. There is still a diaphragm blocking the space between the abdominal cavity and the chest. Even if you enter through the abdominal cavity, you can't feel the heart."

The senior brothers all spoke out one after another. They were all people who learned from the most basic anatomy theory.

Naturally, it is clear that there is a thick layer of muscle fiber structure between the chest and abdominal cavity, which isolates the two, which is the so-called diaphragm.

What people usually call "hiccups" is caused by the spasm and contraction of the diaphragm when eating spicy food or drinking cold drinks.

At this time, they had almost 100% confidence in Xiao Chenguang's operation.

But the incredible way in front of them still exceeded their imagination.

Faced with doubts, Xiao Chenguang had no time to pay attention to them.

Clinical experience from previous lives plays a vital role at this moment.

He once served as a judge at the National Conference of Emergency Physicians, during which he encountered a case sharing about transabdominal intrathoracic cardiac compression.

At that time, he showed great interest in this case and later exchanged his experiences with the sharer.

Unexpectedly, what was an unintentional act at that time would actually happen in this era.

At this time, Xiao Chenguang's hand was already exploring upward along the abdominal incision.

The abdominal cavity was filled with slippery and muddy soft tissue. Although it was invisible, it did not affect Xiao Chenguang's operation.

Relying on the anatomical structure of the abdominal cavity in his memory, he had followed the clues, bypassing the liver, pancreas, duodenum, and gradually touched the body of the stomach.

At this time, the distance between the fingers and the heart is only 7 centimeters.

This is also the distance between the stomach and the heart.

"Prepare to separate the diaphragm and stop chest compressions."

As soon as these words came out, everyone suddenly realized that Xiao Chenguang wanted to go straight to the heart through the diaphragm incision.

But the diaphragm is thick and solid, making it extremely difficult to separate, even with ample vision.

At this moment, Xiao Chenguang had no vision. If he wanted to separate quickly just by touch, it might not be that simple.

At this time, Xiao Chenguang had already positioned himself and asked the doctor responsible for the compression to stop.

As soon as he finished speaking, the doctor who was kneeling beside the bed and bending down to apply pressure stopped immediately.

But he was extremely nervous at the moment. After all, without external pressure, the pregnant woman's heart would be useless at this time.

In just ten seconds, a non-beating heart will completely lose its function due to ischemia and necrosis.

By then, it may be too late to resume chest compressions.

If you don't succeed, then you will be benevolent. This is probably what everyone present is thinking.

The scene was so silent that they could even hear the pounding of their own hearts.

Everyone looked at Xiao Chenguang intently.

However, compared to everyone's tense nerves, Xiao Chenguang seemed confident at this moment.

He held the scalpel in his palm and made a five-centimeter incision from left to right at the point closest to the heart and abdominal cavity.

Then with the help of the power of his fingers, he began to separate suddenly, peeling off the fascia and connective tissue one by one, and finally opened the mouth of a bowl and stretched his whole hand in.

The whole process was so fast that it didn't even give people time to react.

Real or fake? !

In?

Everyone who came back to their senses was dumbfounded.

Xiao Chenguang actually stretched his hand from his abdomen to his heart.

Not only does he move quickly, but he also appears to be doing it with ease.

It seems that such an operation is not worth mentioning at all to Xiao Chenguang.

While everyone was watching in stunned silence, Xiao Chenguang had already begun to perform heart compressions.

It didn't even take more than five seconds.

The extremely impactful visual effects once again refreshed everyone's understanding of Xiao Chenguang's operation.

What is the most difficult pericardiocentesis, what is the emergency laparoscopic giant hernia repair.

All of these were blasted into pieces under this hand-free heart compression.

Of course, what is rubbish for Xiao Chenguang is also the unattainable level of operation for their group.

Oh my God!

Is this a technical gap or a gap between people?

Just when everyone was impressed by Xiao Chenguang's superb operation again, the latter had already performed strong compressions on the pregnant woman's heart.

Plop, plop!

Xiao Chenguang opened his five fingers and held the surface of the heart with his palm.

The slender fingers covered the two chambers of the heart. As the whole palm flexed and relaxed, it simulated the heart function and beat regularly.

Facts have proved that the effect of intrathoracic compression is far greater than that of external chest compression.

After all, one acts directly on the heart itself, with the force accurately reaching each chamber, and every part can receive the compression from the operator.

However, chest compression cannot accurately transmit force because of the sternum, which greatly reduces the compression effect.

At this moment, Xiao Chenguang controlled the compression frequency to sixty or seventy times. The originally weak and lifeless heart began to improve under Xiao Chenguang's precise stimulation.

He could even feel the ejection pressure of the heart's aorta with his bare hands, thereby controlling and regulating the function of the entire heart.

It can be said that at this moment, Xiao Chenguang's palm is like a precision instrument, which is effectively repairing the heart of the pregnant woman.

But in the eyes of the crowd, the picture of Xiao Chenguang directly and roughly squeezing the heart with his bare hands was deeply engraved in their minds and could not be erased.

"Look at the face of the pregnant woman!"

I don't know who shouted in the crowd, and as they looked over, they were shocked again.

As Xiao Chenguang pressed the heart with his bare hands, the pregnant woman's originally pale face began to have blood color.

Even the purple and black skin gradually became rosy. If it were in the past, everyone would not dare to think about it.

At this moment, Xiao Chenguang did it.

An unimaginable case of intracardiac compression with bare hands gave the pregnant woman hope of survival.

"Bring the positive inotropic drug that was just prepared and prepare to administer it under open heart vision."

Seeing that the time was ripe, Xiao Chenguang prepared to give the pregnant woman another strong dose of medicine to completely restore her heart function.

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