Let You Take Charge of Xihong City, It's the World's First City Now?
Chapter 67 Medical skills are unparalleled in the world!
Sun Lei is a doctor.
In his spare time, he will pay attention to the national medical trends.
While surfing the Internet today, he was attracted by a piece of news.
"The first case in the country! Xihong No. 1 Hospital completed the triple-heart and lung replacement surgery!"
With a hint of curiosity, Sun Lei read the report in detail.
Jiajia, a 29-year-old female patient, suffers from congenital heart disease.
Six years ago, her condition worsened, with respiratory failure and heart failure.
Breathing is the easiest thing for ordinary people.
For Jiajia, breathing freely is a dream that she desperately wants.
In the past six years, Jiajia and her parents went to major hospitals to seek medical treatment.
Desperate to die.
With the last glimmer of hope, Jiajia came to Xihong First People's Hospital for treatment.
The doctor of Xihong No. 1 Hospital is about to admit Jiajia to the hospital and conduct a detailed examination.
The inspection results are displayed.
Jiajia's congenital heart disease is relatively complicated, including ventricular septal defect, patent ductus arteriosus, persistent left superior cavity, pulmonary hypertension, Eisenmenger syndrome and so on.
Faced with such a difficult case.
After repeated multidisciplinary consultations, the team of doctors from Xihong No. 1 Hospital decided to carry out a tailor-made triple-jelly-type heart and lung replacement surgery for Jiajia, which has never been done at home or abroad.
The so-called triple glue repair heart and lung replacement surgery refers to the interventional closure of patent ductus arteriosus, open heart repair of ventricular septal defect, and lung transplantation.
The three operations are superimposed in terms of technology, time and space.
It must be carefully planned and no mistakes are allowed.
Every time the operation room is changed during the operation, the patient has to change the body position once.
22 The overall operation is extremely difficult.
For this operation, Xihong First Hospital dispatched many departments.
Heart transplant team, lung transplant team, ultrasound team, anesthesiology team, blood transfusion team, respiratory team, cardiology team, interventional team, extracorporeal life support center and other teams. out.
After a long 13-hour operation.
The team worked step by step and tacit cooperation, and finally the operation was a complete success.
After the operation, Jiajia's vital signs were stable, and she was successfully withdrawn from ECMO and ventilator. She turned the corner and recovered gradually.
29-year-old Jiajia has her second life!
Sun Lei was full of emotion after reading the news.
Heart transplants or lung transplants are inherently difficult operations.
Combined heart-lung transplantation is even more difficult.
After three consecutive difficult operations, the difficulty has increased exponentially, and the risk factor has increased several times.
However, Xihong No. 1 Hospital has completed such a difficult heart and lung surgery.
as a doctor.
Sun Lei can only admire and admire the medical skills of Xihong First Hospital!
After a while of emotion.
Sun Lei continued to browse other news.
"The first case in China! Xihong First Hospital completed the resection of inferior vena cava leiomyosarcoma!"
A 52-year-old male patient, Mr. Qi, suffered from abdominal distention and pain for 4 months, and his lower extremities were swollen for half a month.
After examination, it was found that the patient's inferior vena cava vessels were full of tumors. If the tumor was not removed in time, the liver and kidneys would fail and his life would be at stake.
Experts from Xihong First Hospital found that the patient's tumor blocked the backflow of the hepatic vein, and conventional treatment was not feasible.
After detailed multidisciplinary case discussion.
Finally, Xihong No. 1 Hospital formulated a surgical plan for the treatment of inferior vena cava leiomyosarcoma, including extracorporeal circulation, extracorporeal liver resection, autologous liver transplantation, renal vein resection and reconstruction, inferior vena cava resection, and artificial blood vessel transplantation.
The operation is carried out by 20 top experts from 10 disciplines.
The detailed plan, including how the doctors will be grouped, when they will take the stage, what accidents may occur, and how to deal with them... All are clearly arranged.
during surgery.
Doctors wash their hands and stand by, waiting for the relay to come on stage.
Anesthesiology team, responsible for anesthetizing patients.
The liver surgery team is responsible for opening the patient's abdomen and isolating the tumor.
Cardiac surgery team, kidney transplantation team, and cardiopulmonary bypass team jointly established cardiopulmonary bypass, right renal vein severing and left renal vein isolation and blocking by intubating the inferior vena cava.
Then, without opening the Hungarian.
Each team will separate a section of the inferior vena cava covered with tumor.
At the same time, they also pulled the tumor down, waited for it to leave the atrium, cut off the inferior vena cava cleanly, and diverted the portal vein cannula through cardiopulmonary bypass, and then cut off the hepatic artery, portal vein, and common bile duct.
The inferior vena cava was cut off at the level of the left renal vein, and the entire inferior vena cava and liver were completely removed, and then transferred to the liver transplantation team for hepatic vein trimming and caudate lobe hepatectomy.
Immediately afterwards, the vascular surgery team carried out the reconstruction of the inferior vena cava-left renal vein venous artificial blood vessel for the patient.
The kidney transplant team and the liver surgery team continued to perform anastomosis and reconstruction of the right renal vein and artificial blood vessel.
After 9 hours of non-stop relay.
The operation was a complete success and the patient's life was successfully saved.
At present, the patient has recovered well and has been transferred back to liver surgery without any complications.
During postoperative review.
The patient's CT artificial blood vessel was unobstructed, and the hepatic venous blood flow was unobstructed, and the patient could be discharged soon.
in front of the computer screen.
Sun Lei was amazed.
With so many surgical procedures, it sounds extremely difficult.
In all links, no mistakes are allowed.
The provincial tertiary hospital where he is located is absolutely unable to complete this kind of police operation!
Next.
Sun Lei continued to watch the news.
"The first case in the country! Xihong Second Hospital successfully made up for the rare glass doll!"
Lele is a 3-year-old boy.
At the age of 1, he was found to have a congenital heart disease, and was later diagnosed with hemophilia A.
Children with hemophilia, always known as "glass dolls", will bleed more or less after a slight bump.
Medical field.
The incidence of severe hemophilia is less than 1 in 100,000.
In severe patients, 20% to 30% will produce inhibitors.
The risk of severe hemophilia combined with congenital heart disease is less than 1 in 10,000,000.
However, such a rare chance was encountered by Lele.
Xihong Second Hospital immediately dispatched a multidisciplinary team to discuss a detailed surgical plan.
At the same time, an appropriate amount of factor VII, that is, the coagulation factor that can meet the needs of normal coagulation, is also prepared.
during surgery.
shortly after coagulation factor therapy.
In Lele's blood, a high drop of inhibitor, that is, hemophilia antibodies, appeared.
Fortunately, the doctors have already prepared the VI factor, and then combined with the emisinizumab drug, hemostasis treatment, to solve the problem of hemostasis.
The surgeons stared back and forth at each bleeding point to stop the bleeding, trying their best to shorten the cardiopulmonary bypass time and the operation time.
After 3 hours.
Doctors successfully completed ventricular septal defect correction and mitral valve repair surgery.
It sounds very simple.
In fact, the Second Xihong Hospital dispatched a hemophilia cardiac surgery team, as well as teams from related departments such as hematology, pediatrics, anesthesiology, laboratory, and medicinal materials to work together.
A little carelessness can lead to unbearable consequences.
At present, Lele is actively recovering and will be discharged from the hospital soon.
After reading this news.
Sun Lei was extremely surprised.
Since he came into contact with medicine, he knew that patients with hemophilia accompanied by high drops of inhibitor were not able to do cardiac surgery.
Unexpectedly, Xihong Second Hospital broke the taboo and created the first case in China!
No, it should be a world first!
Such superb medical skills are simply sensational!
Next.
Sun Lei continued to watch other reports.
"Xihong No. 3 Hospital Completes the First Heart Transplantation for Twin Children in China!"
"The Fourth Hospital of Xihong Completes the First Laser Knife Radical Surgery for Esophageal Cancer in China!"
"Xihong Fifth Hospital completed the first closed-loop fan 060 nerve stimulation operation in China!"
"The Sixth Hospital of Xihong Completed the First Small Incision Complete Endocardial Cushion Surgery in China!"
"The Seventh Hospital of Xihong Completes the First Youngest Interventional Surgery for Acute Myocardial Infarction in China!"
"The Eighth Hospital of Xihong Completes the First Da Vinci Robot Gender Reassignment Surgery in China!"
"Xihong No. 9 Hospital completed the first MR operation of esophageal cervical spondylosis combined with piriformis cyst in China!"
"Xihong No. 1 Hospital completed the country's first one-stop percutaneous minimally invasive intervention for aortic valve and mitral valve replacement!"
Massive news coverage.
Sun Lei was stunned.
What exactly is the situation?
In the hospital in Xihong City, one operation with two operations was the first case in China, and that’s all.
Who would have thought that hospitals in Xihong City have successively carried out the first cases in China.
It's just like hanging up!
Both are public tertiary general hospitals, why are the hospitals in Xihong City so awesome?
at the same time.
The whole network is talking about the hospital in Xihong City.
"What the hell?! Xihong City Hospital was consecrated in the first battle! 35
"Oh my God! Xihong City Hospital is killing the mad! No, it's saving the mad!
"The doctors in Xihong City continue to create the first cases in China, and their medical skills are unparalleled in the world!
"Xihong doctors are amazing! From now on, Xihong's medical resources will rank among the top cities in the country!
"There are so many tertiary hospitals in Xihong City, each of which has strong medical skills, and belongs to the 'top national hospital at the doorstep' in the true sense!"
"We have to go to first-tier cities to get medical treatment, and Xihong citizens can get the top medical services in the country without leaving the city, so happy!"
"Damn! When Xihong City's agriculture rose, we were envious; when Xihong City's transportation rose, we were envious; when Xihong City's medical care rose, we were still envious!""
"Hey...why don't our city have such an excellent city lord as Lu Zhe? Otherwise, the city that the whole country envies now should be us!"
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