Start with the emergency physician

After the suture is completed, the “elephant trunk” that can reduce the risk of surgery is officially built.

“Extract Liyuexi 10mg, Xianlin 8mg, Fentanyl 1mg.”

“Prepare to salvage medicines. Dopamine and dopamine butamine, norepinephrine, nitroglycerin! Open intravenous access and connect tees and blood transfusion devices, ready for intraoperative blood transfusion! ”

Anesthesiologist: “Ready!” ”

Instrument nurse: “It’s over!” ”

Zhou Yuan nodded and picked up the scalpel again.

This time it’s a wide range of regular mid-chest openings.

After the middle of the sternum was split, the patient’s body showed heparinization, and without Zhou Yuan’s reminder, Lu Chenxi immediately started the right subclavian artery intubation and right atrial intubation, successfully establishing extracorporeal bypass.

“Cool down.” Zhou Yuan said.

At the moment when the patient’s temperature reached 28 degrees Celsius, Zhou Yuan quickly blocked the distal end of the ascending aorta.

“Vascular forceps.”

Lu Chenxi hurriedly assisted in blocking the blood vessels.

Zhou Yuan cut the ascending aorta and began to carefully explore the location of the aneurysm.

“It’s a bit of a hassle.”

Zhou Yuan said: “The aneurysm involves the aortic valve, and now we can only remove the aortic valve, and then perform aneurysm resection after exposing the aneurysm. Later, the prosthetic valve is replaced to restore the patient’s normal myocardial function. ”

“Listen to you.” Lu Chenxi already enjoyed his position as a helper a little.

“Good. The patient’s blood pressure. ”

“Blood pressure is stable, extracorporeal circulation is normal, and surgery is possible!”

Zhou Yuan nodded.

The scalpel falls.

The scalpel is raised.

The bloody valve was clipped out by tweezers.

Lu Chenxi stared at Zhou Yuan’s focused face, and his heart was shocked.

She felt that it was not a person who operated the scalpel, but a sophisticated machine.

Each fall is not a point heavier, nor light, and the resected valve just exposes the location of the aneurysm, which is extremely fine.

In a trance, the operation gradually draws to an end.

“Wipe your sweat.”

The little nurse finally waited for this sentence, raised her hand in a panic, and gently wiped Zhou Yuan’s sweaty forehead.

Lu Chenxi glanced at it with a little jealousy.

Zhou Yuan did not notice the two who were vying for favor, and he was busy with the most beloved stitching.

“0/4 slip line.” Zhou Yuan said.

This is the most suitable valve replacement suture, and the simplest simple intermittent suture is still used.

“0/3 slip line.”

After completing the suture of the aortic valve, the next step is the suture of the blood vessel.

“This time it’s continuous seam stitching.” Lu Chenxi glanced at it and nodded in praise.

“Blood pressure condition.”

After completing the vascular suture, Zhou Yuan asked again, and after confirming that it was correct, he began to withdraw the extracorporeal circulation, completely stop the bleeding, and suture the patient layer by layer.

At this time, not only the patient’s family was waiting outside the operating room, but also the anxious Fu Bowen and Yang Fan, who was waiting to watch the show.

Aortic dissection aneurysms themselves are fatal diseases, coupled with the diameter of the aneurysm reaching ten centimeters, the difficulty of surgery is doubled, and the mortality rate is more than 70%.

This operation, even if Fu Bowen comes to do it, he is not sure!

Fu Bowen was not worried about Lu Chenxi’s failure, but a mistake!

Sometimes, a single mistake can ruin a doctor’s future.

What’s more, Lu Chenxi was still the first time to operate such a difficult operation independently, and Fu Bowen was now shocked and afraid!

Fu Bowen is not in good health and has begun to have frequent illnesses recently, and he just wants to bring Lu Chenxi out in his lifetime and hand over Renhe Hospital to her.

Now, Yang Fan brought back a Zhuangshu, and after Fu Bowen retired, the director of Renhe Hospital was likely to be banned by him.

Fu Bowen knew what Yang Fan had done and handed Renhe over to him, is Renhe still a hospital?

When I was worried, the “in operation” light sign finally dimmed down.

Fu Bowen and the patient’s family stood up at almost the same time.

Yang Fan also stared at the door of the operating room.

A few minutes later, the first doctor came out.

It was a very young doctor, neither Fu Bowen nor Yang Fan had ever met, and behind him was Lu Chenxi.

The young doctor took off his mask, revealing a pale face with some beads of sweat on it.

His clothes trembled, and his badge was revealed.

“Zhou Yuan: Intern.”

Fu Bowen’s face changed drastically.

Standing in this position is the main knife, and the main knife is an intern ?!

Zhou Yuan ignored Fu Bowen and the two, looked at the patient who came anxiously, and said: “The operation is successful, the patient will be transferred to the intensive care unit immediately, pay attention to the postoperative healing.” ”

The patient was grateful and excitedly held Zhou Yuan’s hand.

When Yang Fan saw this scene, his face sank, and he turned his head and left.

Lu Chenxi happily ran to Fu Bowen’s side, “Teacher, the task is completed!” ”

Fu Bowen patted Lu Chenxi’s head and scolded with a smile: “It’s all doctors, be serious!” ”

After speaking, Fu Bowen set his eyes on Zhou Yuan: “Excuse me… Are you the main surgeon of this operation? ”

Zhou Yuan nodded, “Dean Fu, it’s me.” ”

Fu Bowen’s pupils shrank.

Is it really the main knife?

An intern completed an aortic dissection aneurysm resection?!

The patient had an aortic dissection aneurysm nearly 10 centimeters in diameter, severe sclerosis of blood vessels, aortic regurgitation, and hypertension. Such a bad situation, even he, a thoracic surgeon named Zhen Yanjing, is not sure to do it!

“Why haven’t I seen you at Renhe Hospital?” Fu Bowen hesitated and asked the question.

Zhou Yuan said lightly: “I am an intern doctor at Yanjing International Hospital, and I came to communicate this time. ”