Start From Emergency Doctor

Chapter 200

“Temporarily stop the heartbeat and clear the coronary anastomosis blood.”

After Zhou Yuan’s order, He Jianyi and the cardiologist were shocked.

“This is…” The cardiologist did not understand what Zhou Yuan was going to do.

“The coronary arteries are too thin, and the beating of the heart will tremble the blood vessels. Stopping the heart can ensure the stillness of the blood vessels. As for clearing the blood, it is to provide a bloodless surgical field.”

“Can this be the case?!” The heart surgeon was stunned.

“Previously, cardioplegia was perfused, and now it happens to chemically induce cardiac arrest.” Zhou Yuan said.

He Jianyi started to clean the blood from the blood vessels and glanced at the cardiologist: “What are you doing in a daze? Cardiac arrest!”

“Syringe.” He Jian joined.

After sucking the saline with a syringe, He Jianyi began to carefully wash the coronary anastomosis intermittently.

“The coronary arteries attract the head.” Zhou Yuan said.

While He Jianyi was flushing the blood, Zhou Yuan used the coronary artery to attract the head to further absorb the blood to help expose the surgical field.

After completing cardiac arrest and vascular dissection, Zhou Yuan picked up the vascular bridge stored in the papaverine heparin solution.

“Tissue shears.”

Zhou Yuan carefully cut the vascular bridge into a bevel to facilitate the anastomosis.

After aligning the thickness of the intima at the anastomosis of the radial artery and the coronary artery, Zhou Yuan began to suture.

The stitching uses continuous seaming.

On the one hand, it saves time. The heart cannot be stopped for too long, otherwise it will endanger your life.

On the other hand, the seaming stitching only needs to be knotted at the last time. Compared with the intermittent stitching of multiple knotting or other methods, the anastomoses of seaming stitching are more tough and natural.

When suturing the vascular bridge, Zhou Yuan inserted the needle from the outside to the inside. When suturing the coronary artery side, the needle was inserted into the coronary artery lumen and the needle was taken out from the inside to the outside.

Unknowingly, the operation has been carried out for three hours.

Outside the operating room, Qian Wei’s wife walked up and down the corridor anxiously, looking at the signs during the operation with a worried look on her face.

Over the years, Qian Wei’s love for herself and what she has given for her family have been in her eyes.

From a young guy who just graduated from university, to socializing day and night later, in order to sign a client, he drank and vomited. Today, he slowly developed a beer belly…

All of this is to give her a future and make her feel at ease.(Read more @ wuxiax.com)

“Don’t worry too much, the surgeon is the best doctor in our hospital.”

Qian Wei’s wife turned her head and found a little nurse walking by pushing an ambulance.

Zhang Ling just went to the pharmacy to replenish the medicines for the ambulance, passing by the operating room, and saw Qian Wei’s wife who looked worried outside the operating room.

“Thank you…” Qian Wei’s wife did not relax.

Lying in the operating room is the person he loves the most. No matter who is performing the operation, he can’t rest assured until he wakes up.

Zhang Ling put the ambulance next to Qian Wei’s wife and smiled: “When I went to care for Qian Wei yesterday, he even told me the story of your college days.”

Qian Wei’s wife was taken aback, and her attention was diverted: “What’s the matter?”

“That means you chased him back then.” Zhang Ling smiled.

“This guy is talking nonsense! Back then, it was obviously that he was scornful, and he ran under my dormitory to confess, and the whole dormitory was making a fuss. I had no choice but to agree to him.” Qian Wei’s wife thought of the past, unconscious Smiled.

Zhang Ling sat down, “Sit down too, let’s wait slowly.”

Qian Wei’s wife nodded and sat next to Zhang Ling.

“Then he told me that you also proposed to him back then?”

Qian Wei’s wife burst into tears and laughed: “Obviously he hid the ring in the cake, OK! A good birthday, but he was hiding the ring in the cake as a bastard, and I almost ate the ring!”

Zhang Ling chuckled and said, “Do you know that our Doctor Zhou has received similar patients.”

Qian Wei’s wife was taken aback, somewhat surprised and said: “Someone really eats the ring?”

Zhang Ling nodded: “Yes, but the way they hide the ring is very special. The man hides the ring in the stinky tofu.”

“What happened in the end?”

“Later, the lady went to gastric lavage. I feel that she will never want to eat stinky tofu in her life.” Zhang Ling couldn’t help laughing.

Qian Wei’s wife also smiled: “Think of it this way, my family’s Qian Wei still plays the card according to the routine… If he gives me the whole barbecue and hides the ring, I will kill him!”

As the two chatted, Qian Wei’s wife’s worries gradually eased…

Zhang Ling saw that Qian Wei’s wife had adapted, stood up, and said, “I’m going to work in the emergency department first. Don’t worry, Doctor Zhou will definitely cure your husband! Besides, the success rate of this operation is very It’s high!”

Qian Wei’s wife also stood up: “Thank you!”

She suddenly felt that the hospital was not so bad, at least, there was such a caring little nurse to comfort herself.

After Zhang Ling left, Qian Wei’s wife felt much better. She sat down quietly and looked at the door of the operating room.

In the operating room separated by a door, everyone was silent.

The operation has reached a critical stage, and no one dares to be distracted.

Zhou Yuan carefully performed the anastomosis of the distal end of the vascular bridge. He Jianyi held the tissue forceps to help provide a good surgical field. The director of cardiac surgery controlled the blood circulation of each blood vessel and controlled the heart beat.

When performing coronary anastomosis, there are four basic parts of the left anterior descending branch, the distal right coronary artery, the marginal branch of the left circumflex branch, and the posterior descending branch to choose from. The exposure and anastomosis of these four parts have their own characteristics, and no one is better. What a bad idea.

You can choose according to the familiarity of the blood vessels and the understanding of the anatomical structure of the operating members.

After completing the anastomosis between the distal end of the vascular bridge and a coronary artery, He Jianyi and others thought Zhou Yuan would stop, but Zhou Yuan’s voice sounded again.

“Scalpel.”

“Tissue clamp.”

“Needle holder.”

Zhou Yuan opened his mouth again on another branch of the coronary artery and performed an anastomosis again.

The director of cardiac surgery was taken aback for a moment: “Are you planning to perform sequential anastomosis?!”

The so-called sequential anastomosis is the application of one vascular bridge to two or more coronary arteries respectively.

The advantage of this anastomosis method is that fewer vascular bridges and anastomoses are required, so the operation time is short, and the patency rate of the vascular bridge will be significantly improved due to the increase of connected blood vessels.

But… the coronary artery itself is a very thin blood vessel. It is very difficult to sew on it, and the average doctor will avoid multiple suturing.

Zhou Yuan unexpectedly chose sequential anastomosis to establish vascular bridge channels on the coronary arteries many times? ! .