294 You're Right (Ask for Subscription)
Wu Mian smiled slightly, made a gesture, and said, "I'll say it first." ”
Mrs. Topter looked at Wu Mian, trying to maintain an elegant demeanor, and nodded slightly.
"Sign first, then get rid of the crumbs. ”
"No, that can't be!" said Mrs. Topt aloud, "Dr. Stephen Dudley is ......"
"Principal Topter will soon have a cardiac arrest, and it's only going to get worse. What I just said is the bottom line, and stopping the heart does not mean that the heart beats completely, and the heart rate drops below 40 beats per minute. ”
Mrs. Topter looked at Wu Mian with some confusion, she didn't understand how Wu "guessed" all this.
"That chop is just a doctor at the Mayo Clinic, and it's normal for the operation to fail and be replaced. Wu Mian looked closely into Mrs. Toput's eyes and said unabashedly, "Madam, whether Principal Toppt's life is more important or that Mayo's miscellaneous is more important, I don't think there is anything to think about in this matter." ”
“......”
"Of course, you may also think that the relationship between Cambridge and Mayo is more important. Wu Mian smiled and said, "It's a pity that the first operation in the hospital was so ......."
"...... Wu," Mrs. Topter hesitated for a few seconds and asked, "Will the operation really fail?"
"Ma'am, I have said a long time ago that I am the only one in the world who can successfully complete Principal Toppt's operation. As for that miscellaneous ......" Wu Mian looked at the screen, Dr. Dudley was no longer in the mood to provoke Wu Mian, but began to massage the heart directly under the eyes, and gave 0.2mg of epinephrine intravenously.
"Now by acting on the heart by external force, it may temporarily restore Principal Toput's heartbeat, but!"
Wu Mian's last word was sonorous and powerful, and Mrs. Topter saw Wu Mian looking at the screen, her face was faintly shining, and her thoughts in her heart had begun to change.
After about 20 seconds, Principal Toppt's heart rate returns to between 80 and 90 beats per minute. However, the last three words ......of Wu Mian were spoken in Chinese, and Mrs. Topter thought it was some kind of curse.
It was hard for her to understand how two of the world's top doctors could scold each other and give her middle fingers.
The timer in the upper left corner of the screen changes rapidly in milliseconds.
1 second ......
5 seconds......
10 seconds......
20 seconds ......
The effect of cardiac massage is evident under Dr. Dudley's direct vision, and the data on the right shows that Principal Topt's heart rate quickly recovers, reaching between 84 and 88 beats per minute.
Mrs. Topter was speechless, and Wu's "prophecy" was fulfilled once again.
As the heart rate recovered, the blood pressure rose to 120/84mmHg, and it seemed that the crisis was lifted and everything on the operating table was moving in a good direction.
"Ma'am, this state can last for a maximum of 5 minutes. This is because Principal Topter is in good physical condition, and Dr. Dudley is ...... That Mayo's miscellaneous performed all the medical operations had nothing to do with it. Wu Mian looked at the screen and said, "After that, based on what I know about Dr. Dudley, he will solve the problem by re-turning the machine." ”
"Re-turn?" asked Mrs. Topter.
"Start cardiopulmonary bypass again and look for bleeding spots. Wu Mian spoke unhurriedly and softly, "As a surgeon, I don't have the slightest confidence in the surgery I did, and if there is a problem, I suspect that my operation was wrong and missed a bleeding point, I really don't know why you chose Dr. Dedry to be the main surgeon." ”
There was silence in the classroom, but Mrs. Topter said nothing, her eyes fixed on the screen, not blinking.
Because the heart rate, blood pressure, and blood oxygen saturation have risen, the doctors and nurses on the screen seem to be relieved. At this time, Dr. Dudley was not in the mood to make a provocative movement to the camera, he lowered his head and carefully looked for the bleeding point in the operating area.
One of the main complications of coronary anastomosis is bleeding.
Because of its proximity to the aorta, the pressure in the blood in the cavity is enormous, and coronary anastomosis is more likely to have problems than other vascular anastomosis.
Even Dr. Dudley, who claims to be the world's first person in cardiovascular surgery, is still not completely sure that there is absolutely no problem with the vascular anastomosis he has done.
He carefully searched for the oozing blood, and his movements were gentle and delicate, without missing the slightest.
But in Wu Mian's view, all this he did made no sense.
Mrs. Topt was torn in her heart, and after 3′02", the detection value on the right side of the screen suddenly changed. The sound of monitors and ventilator alarms faintly came from the operating room.
Principal Topt suddenly had blood pressure again, and his heart rate dropped at the same time.
From the screen, Principal Topt's heart is full and his heartbeat is weak, and his airway pressure increases from 16 mmHg to 22 mmHg.
Dr. Dudley and his entire team were in a state of bewilderment, and a brief examination found no blood oozing spots. Anesthesiologists and itinerant nurses have begun to recount used drugs and check the allergy tests done before surgery.
Faced with the unstable condition of Principal Toppt's vital signs, Dudley had no choice but to order a single dose of epinephrine 0.4 mg and adjust the dosage of dopamine to 10 μg/kg·min and the dosage of epinephrine to 4 μg/kg·min.
The situation is urgent, and the cause cannot be found. Dr. Dudley hesitated for nearly 2 minutes, and saw that Principal Toppt's vital signs could not be maintained under the influence of the drug, so he had to give a doctor's order to prepare to restart cardiopulmonary bypass and completely look for the bleeding point.
The cardiopulmonary bypass group was given the full amount of heparin sodium to Principal Topter again, and the machine was transferred again. After 5 minutes of heparinization, the ACT was 742, and a single transfer was taken, and 3 minutes after the transfer, Principal Toput's circulation gradually stabilized, and his vital signs returned to normal.
Mrs. Topter remembered that this was what Wu had described in the document, and she had laughed at Wu when she saw it.
After stopping cardiopulmonary bypass, it is not that this kind of thing has never happened, but the probability of happening is very small.
This can only happen when there is a major mistake in the surgery.
The surgeon was Dudley, and Mrs. Topter thought it was almost impossible to turn around.
however
All the impossible is in front of you!
Even if there was a slight discrepancy in the time marked by Wu Mian, Mrs. Topter's judgment had changed drastically.
Wu is right!
This happens five times in a row, until Principal Toppt's heart can no longer withstand the blow and completely loses its vitality.
The nervousness of the doctors and nurses in the operating room could not be hidden at all, and it had overflowed from the screen. Mrs. Topter suddenly stood up and said, "Wu, I have decided, please complete the operation." ”
After saying that, she did not hesitate to sign her name on the A4 paper.