When doctors have a simulated operating room

Eat fruit?

Zhang Yi understood what the family meant as soon as he saw this posture.

Before Zhang Yi could say anything, the old lady came in with some fruit and placed it on Zhang Yi's desk:

"Doctor Zhang... I was blind just now, please don't mind, okay?"

On the side, Liang Yu The father also smiled and said: "That's right, Doctor Zhang. My mother is a country girl and doesn't watch the news. She doesn't know that you are the famous Doctor Zhang. So these words may offend you. I brought her here to see you. You apologize, don't take it personally~"

Zhang Yi looked up at the two men:

"Don't worry, if I really mind, I wouldn't be the surgeon for your son's surgery."

After hearing what Zhang Yi said, The two of them finally felt relieved.

The reason they came to accompany him was because they were worried that Zhang Yi might have some grudges.

So they brought their mother to apologize so that Zhang Yi could have peace of mind to perform surgery on his son.

"Anything else? If not, I'll get busy."

"No more, no more! Thank you, Doctor Zhang!"

Until Zhang Yi disappeared at the elevator entrance, the old lady realized and said:

"Union Hospital is really big Hospital, I never thought such a young doctor would be so capable?"

"Of course, Mom, you almost offended him!"

……

The patient in the operating room was the one Zhang Yi had seen in the United States a few days ago. When he was about to leave, Colonel Qin asked someone to help him contact Zhang Yi.

Colonel Qin had known Zhang Yi's skills and medical ethics for a long time.

This patient was also a retired veteran, and he was also quite famous in the army.

But he was old. Well, who doesn't get sick?

Hypertension combined with aortic dissection aneurysm, cerebral infarction, and atherosclerosis.

It can be said to be a very difficult disease.

The operation is also difficult.

So Colonel Qin thought of this Zhang Yi.

Zhang Yi today is completely different from the Zhang Yi who performed surgery at Ping An Hospital.

He is no longer the young doctor who just started out.

Now, he is a famous doctor known throughout the country and even the world.

So Colonel Qin found When I met Zhang Yi, I thought that after such a long time, Zhang Yi would not give me this face.

Unexpectedly, Zhang Yi agreed very readily after reading the medical records.

This was a bit unexpected for Colonel Qin.

It seems...

At the beginning, the two It was not Zhang Yi's luck to be able to meet him, but his luck!

This operation was actually not difficult for Zhang Yi.

Mainly because the patient was a retired veteran, Zhang Yi thought that he was also someone who had made contributions to the country. I have to spare some time to help.

Dissecting aneurysm is an advanced version of aneurysm.

For ordinary doctors, the difficulty of surgery is more than a little bit greater than that of ordinary aneurysm.

The structure of the blood vessel wall is divided into the intima The three layers are the tunic layer, the middle tunic layer and the outer tunic layer.

But when the aneurysm is formed, the middle layer structure of the aneurysm vessel wall, that is, the smooth muscle layer structure, will be damaged, forming a sac-like protrusion.

This is called an aneurysm.

And dissecting aneurysm is due to some pathological reasons , a separation is formed between the inner membrane and the middle membrane of the blood vessel.

Blood enters the separation gap between the inner membrane and the middle membrane from the inner membrane and the middle membrane, forming a dissection.

And it will further damage the middle membrane layer, and even Destroy the intimal layer, causing aneurysm rupture, bleeding and thrombosis.

The area of ​​the dissection is larger than that of a general aneurysm.

Therefore, as soon as doctors hear that it is a dissecting aneurysm, they basically attach great importance to it.

And most dissections Aneurysms grow on the walls of the aorta.

Once they rupture and bleed, it is like the aorta is bleeding.

The danger level is extraordinary.

At the door of the operating room.

When Zhang Yi appeared, the family members waiting at the door stood up Get up.

"Hello, hello, I am Hu Maoyi's son!"

"Hello, I am Hu Maoyi's daughter!"

Several family members reached out and shook hands with Zhang Yi one by one.

"Doctor Zhang, I am so glad to have found you to perform surgery on my father this time. I am so grateful.

I hope that when we enter the operating room later, Dr. Zhang, you will be more careful. ”

“You are welcome! I am a doctor, and I will definitely be careful when I need to be careful, so don’t worry.”

“Alas, Good! Thank you, Dr. Zhang!"

After comforting the family, Zhang Yi entered the operating room.

The doctors in the cardiac surgery department were ready early.

When they heard that Zhang Yi had arranged a

The whole cardiac surgery department wanted to quit work and come to assist in the dissecting aneurysm surgery.

But...!

There were only a few assistant positions, and those who were not assigned could only watch from the side.

...

In the operating room.

Zhang Yi dressed neatly and walked to the position of the main surgeon.

There were four assistants in total.

Dissecting aneurysm is also a major operation in cardiac surgery, and it is usually performed by a deputy director-level doctor.

The attending physician assists on the side.

But it was the other way around for Zhang Yi.

The resident doctor performed the surgery~

The deputy director-level doctor assisted Zhang Yi~

"Ok, anesthesia is complete, life is stable."

The anesthesiologist made a gesture.

Zhang Yi began to operate.

The chest was incised in the middle, and the chest cavity was opened layer by layer.

After cutting the ribs, the whole deformed heart appeared in front of everyone.

The blood vessels in the aorta were abnormally swollen, and it looked like it could burst at any time.

There was also necrosis in the coronary artery.

This operation not only requires reconstruction of the aorta, but also direct coronary artery bypass grafting.

"Prepare for cannulation to establish extracorporeal circulation."

"Okay!"

After opening the pericardium, cannulate the aorta and right atrium to establish extracorporeal circulation.

After the start of extracorporeal circulation, first perfuse the cardioplegia solution antegradely until the heart stops beating, and then perfuse it retrogradely to protect the myocardium.

At this point, the operation officially begins.

The reason why dissecting aneurysms are serious is that they grow on the most important arterial blood vessels.

Once ruptured, the entire heart will have no outlet for blood to be ejected from the body.

Death is a quick thing.

So 400 milliliters of blood have been prepared in the operating room in advance.

And the blood bank has been notified to deliver blood at any time if needed.

In the operating room, in addition to the constant buzzing sound of the systemic circulation machine, there is the sound of the collision of the instruments in Zhang Yi's hands.

Everyone else is staring at Zhang Yi's operation with bated breath.

At this time, Zhang Yi had already made a small incision about 3 to 4 cm above the starting point of the right coronary artery.

Zhang Yi paused for a moment, as if he was observing the aortic valve through this incision.

Then he extended the incision horizontally along the front of the aorta.

But why did Zhang Yi leave 1 cm of distance?

A cardiac surgery doctor nearby couldn't help asking:

"Doctor Zhang, what is this 1 cm?"

"Don't get too close, otherwise the artificial valve will be implanted and knotted and will block the patency of the left and right coronary artery orifices."

The young doctors nodded as if they had been enlightened.

On the side, the deputy director of cardiac surgery said unhappily:

"Are you still asking Zhang Yi about this?

Next time, if you haven't learned these basics well, don't come to Zhang Yi's operating room!

Come back when you have learned them well!"