Start with the emergency physician

Zhou Yuan came a few more times, and the little doctors in my obstetrics and gynecology department flew away with them.

Wei Lili sighed.

If only I were in my twenties younger.

Lu Chenxi continued to report: “During this time, the doctor of the first obstetrics department invited the thoracic surgeon to come for consultation, and in controlling the patient Sun Lele’s pulmonary hypertension, and carried out comprehensive treatment such as heart strengthening, diuresis, and dilating blood vessels, and now Sun Lele’s new functions have been improved to a certain extent…”

Patients who undergo re-heart valve replacement generally have poor heart function and need to improve cardiac function.

“What is the patient’s wishes?” Zhou Yuan asked, as if he were a master knife.

Some patients or their families often refuse surgery because they are worried that reoperation will be dangerous and cause greater damage to the heart, delaying the best time for surgery.

“Patients and their families have expressed their trust in us.” Lu Chenxi said.

This is thanks to the ** joint operation that Zhou Yuan participated in before, which not only saved the child, but also saved Sun Lele.

Otherwise, few people dare to ask them for valve replacement surgery just after the cesarean section.

Lu Chenxi continued: “Moreover, because the patient himself also has other heart problems, in addition to improving heart function, we also provide nutritional support to the patient, alternately using fresh blood, plasma and albumin to adjust Sun Lele’s physical state. ”

Zhou Yuan nodded, silently opened the system, and looked at his two primary treasure chests.

Maybe you can just come across a mitral valve replacement.

“Open the Junior Chest! Obtain! Energy Elixir *1! ”

“Open the Junior Chest! Obtain! Master circumcision! ”

Zhou Yuan: ???

“System, mom sells batches, didn’t I just fuse a circumcision last time, and you give me another one?”

Hemorrhoid surgery is over, now you still give me circumcision?!

“System, speak, don’t speak, I’ll cut you in a loop.”

“I’m not a man.” The sound of the system finally sounded.

“……”

“Why give me circumcision? This kind of surgery can also be done with my current technique, and you give me chicken ribs…”

“Before you get master circumcision, you can cultivate a chicken, and after getting master circumcision, you can create a phoenix.” The metaphor of the system is apt.

Zhou Yuan:?

“What’s the use? Do you want him to go back and cut better than anyone else? ”

System: “Yes.” ”

Zhou Yuan was silent.

“Zhou Yuan, why did you start to change your face again?” Lu Chenxi looked at Zhou Yuan worriedly.

A smiling face and a black face for a while, it won’t be a neuropathy…

Zhou Yuan came back to his senses, “It’s okay, the operation that suddenly had an epiphany just now.” ”

Closing his eyes, sure enough, all kinds of details about Bao Shu flashed in Zhou Yuan’s mind like a movie.

What traditional circumcision, disposable circumcision anastomosis, and disposable circumcision suture, etc., I can’t forget it.

“What surgery?” Lu Chenxi and He Jing asked expectantly at the same time.

For the “epiphany” that Zhou Yuan said, the two naturally thought that they were joking.

Zhou Yuan was silent for a few seconds and said, “Cut the foreskin.” ”

“……”

Lu Chenxi and He Jing both blushed and lowered their heads.

“Director Wei, you help me pay attention, if your department needs to do circumcision, notify me, don’t go to the urology department specifically, just find me.”

Zhou Yuan was worried about the task of the system.

The last time I did ten hemorrhoidectomy surgeries, I was rewarded with an intermediate treasure chest.

Although circumcision is a minor operation, it is much more high-end than suturing, and the reward will not be worse.

This operation is also easy, and it is also a serious operation to save small lives, and Zhou Yuan naturally will not let it go.

Perhaps, ten foreskins can be exchanged for an intermediate treasure chest.

Wei Lili said with an embarrassed face: “We are the first obstetrics department… The men who came here basically gave birth to children, and there is still a foreskin to cut for you…”

Zhou Yuan: “Then you keep an eye on their children.” ”

“……”

Lu Chenxi coughed, “Zhou Yuan, we are here to do mitral valve replacement…”

Zhou Yuan reacted, “Which way are you going to use?” ”

In general, the aortic technique can be used without stopping the heart or blocking the aorta, which does not require cardiopulmonary bypass and prevents reperfusion damage to the myocardium. Cardiopulmonary bypass is to directly stop the function of the heart and temporarily replace the heart with an artificial machine.

Lu Chenxi said, “This is not waiting for you to discuss…”

“I think it’s better to have cardiopulmonary bypass. Hypothermia cardiopulmonary bypass. Zhou Yuandao.

Sun Lele’s physical condition is not optimistic. Heart failure, caesarean section, pacemaker placement surgery, etc., any of these are factors that are not conducive to surgery, and if the self-contained heart is used to support until the end of the operation, it is a great burden for Sun Lele.

Lu Chenxi nodded and said, “My plan is also to carry out low-temperature extracorporeal circulation.” If the heart is not stopped, there will be a large amount of blood return in the left atrium during the operation, which will affect the surgical field of view, and the operation time may be much longer at that time, which is not conducive to the patient. “

Zhou Yuan and the others discussed for a while and simulated the surgical steps several times before they began to prepare for the operation.

The patient, Sun Lele, was quickly pushed into the operating room.

Sun Lele’s family is still anxious at the moment.

Shortly after the operation, I had to undergo another operation, and everyone would be in a hurry!

“It’s okay! Mom, these doctors just saved Lele and the baby not long ago, and this time they will definitely save us Lele! ”

“Yes! I have inquired, this mitral valve replacement surgery, the mortality rate of the operation is only 5%, we Galele is so lucky, it will definitely come out safely! ”

Sun Lele’s husband’s sister also comforted: “The doctors here have good medical skills, and people are good-looking, especially that Doctor Zhou, if you are handsome and alive, your sister will definitely get better!” ”

While everyone outside the operating room comforted each other, the operating room was quiet.

Zhou Yuan glanced at Sun Lele lying on the operating table and said, “Why are you squinting, are you sleepy?” ”

Sun Lele raised his hand to block his eyes: “Doctor, the light above your head is dazzling…”

Zhou Yuan was stunned, adjusted the shadowless lamp, brighter, and said intimately at all: “The operation needs good light, you will be numb in a while, and the glare is fine.” ”

Sun Lele simply closed his eyes.

“The instrument inventory is complete.” The instrument nurse said.

The anesthesiologist also nodded, signaling that his side was ready.

So, the entire operating room fell silent.

For seven or eight seconds, Zhou Yuancai looked at Lu Chenxi with a confused expression, “You are the main knife, announce the start of the operation!” ”

Lu Chenxi suddenly realized: “I said why didn’t you announce the start yet, it turns out that I am the main knife…”

Sun Lele’s eyes widened as soon as he heard the knife: “Doctor, don’t use the knife, I haven’t anesthetized yet…”

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