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"Ladies and gentlemen, the first patient is in a special situation. Because of the effects of chemotherapy, she has osteoporosis and myocarditis, and she is still hanging iostamine in the ICU, otherwise her heart may not be able to support the end of the operation. ”

After calling the big guys together for a consultation, Liu Banxia said.

"Director Xu, if you do spinal decompression and fusion surgery for patients, you will have to worry about it. Dr. Meng and Dr. Chen, are there any ways you can help the patient's heart support it?"

Chen Xuehai pinched his eyebrows, "If you reluctantly do surgery, there is still a certain possibility." I have encountered similar cases when I was abroad, and I can temporarily try ACE inhibitors and β blockers. ”

However, the pressure on Director Xu will be very great, and the time that these two drugs can support after use will not be very long, and the embodiment will be different in each patient. ”

"The short ones only lasted two hours, and the long ones were just over three hours. In addition, the patient's heart condition must be monitored at all times during the operation, and the operation must be stopped immediately if it is found to be bad. ”

Xu Peichen frowned, "Two hours, to tell the truth, I'm not sure, three hours is barely enough." It is important to explain to the patient that this procedure is very risky. ”

"Hey...... I know that, but I'm really worried that the patient will be paraplegic. Liu Banxia said with a wry smile.

"If you're old, you won't say anything, you're still young. I just suffered breast cancer, and now I am going to be paraplegic, and I will not have a good time in the future. ”

"You boy, this is my army. Xu Peichen shook his head.

"If the patient doesn't have osteoporosis, I can move a little bigger, which saves some time. But now that I fell so much, it caused her spine to break out, and I had to pay special attention during the operation. ”

"And if it's surgery, let Chen Xuehai come to the stage with me. In case the patient's heart really has a problem, we can deal with it in time, otherwise we may not be able to get off the stage. ”

"Thank you, Director Xu, Doctor Chen, can you free up time?" Liu Banxia looked at Chen Xuehai pitifully.

"Okay, if the patient agrees to the operation, I can cooperate with Director Xu. I'm quite puzzled, why are you so nervous today?" asked Chen Xuehai.

"Because one of our interns is seeing a patient, I think this patient is probably the most special person in her heart. Liu Banxia said.

Chen Xuehai glanced at him, nodded, and said nothing else.

This is understandable, if the patient is really successful, it will not only help the patient, but also the intern.

When I just walked over, I saw Xu Yinuo constantly looking this way, almost her patient.

"Okay, we have a preliminary plan for the first case. I bother Director Xu to think about a few more plans, and I will follow into the operating room at that time. Liu Banxia said.

"Okay, I'll go out and watch the film. Xu Peichen nodded.

"The second patient is coming? Dr. Meng knows. Dr. Chan glanced at the information, just got the news? The patient's body temperature has increased by another 0.1 degrees? The threshold is about to be reached. Liu Banxia continued.

"The counselor from their school also came, but it was only the counselor. The child's family seems to be poor? Studying hard for your homework is all about scholarships. ”

"In terms of fees, I can apply with the hospital. The key is how to make the drug work and stop the spread of the virus. ”

Chen Xuehai shook his head directly this time? "Lao Meng called me when he was in the ICU to discuss? Nothing else. It's too late, and whether it can be rescued depends on luck. ”

"Don't look at it all myocarditis? Viral myocarditis is inherently dangerous. Actually, I have the same idea as Lao Meng, don't wait, use the last trick now. ”

Meng Qingfan also nodded, "Yes?" I thought of everything I could. Rather than procrastinate a little longer? It's better to do it now. Is Dr. Chen staring at the operating room? I was in the ICU watching this patient. ”

"Thank you, if you weren't here, these two patients would really have no hope today. Liu Banxia said sincerely.

"What are you being polite to us? I haven't had this passion in years. Not to mention, it's quite enjoyable. The college student handed it over to me, and Dr. Zhu and I had to find a way to save me even if we tried our best to feed. Meng Qingfan said.

"Teacher Liu, how are you discussing?" Seeing Liu Banxia coming out of the small conference room, Xu Yinuo hurriedly came to his side.

"The communication with patients and families is up to you. A combination of ACE inhibitors and β-blockers can be used for temporary maintenance, but there are risks. ”

"You have to explain these things to the patient's family, whether the patient chooses to have surgery, or choose to be safer or even paraplegic, it doesn't matter, it is up to the patient to choose. ”

"Remember, that's very important. Even Director Xu said that the success rate of this operation is not very high, and the possibility of something going wrong is very high. ”

Xu Yinuo bit his lip and nodded vigorously.

She knows the patient's situation very well, and Liu Banxia told herself so solemnly, which means that the risk of this operation has exceeded expectations.

But is there a risk in all operations, this time it also involves the spinal cord, and this patient's situation is so special.

Liu Banxia also breathed a sigh of relief, there was only so much he could do.

During the consultation, Xu Peichen and Chen Xuehai were pressured, just to let them do their best. But whether this operation is going to be performed or not depends on the patient.

It didn't take twenty minutes for Xu Yinuo to run over, didn't speak, just looked at him and nodded vigorously.

"Okay, you go on stage too. Liu Banxia said.

After finishing speaking, he began to inform Xu Peichen and Chen Xuehai, and made an appointment for the operating room by the way. He also wanted to follow him directly into the operating room, but now there is another batch of patients in the emergency center.

Liu Banxia was a little upset, and he was really worried about the patient who pushed him into the operating room. The college girl in the ICU upstairs also took the time to ask, there is no danger for the time being, but it also needs to be monitored at any time.

Although he is a little absent-minded, he is now mainly dealing with debridement and suturing. At the beginning, the name of the little prince of debridement in the emergency department was not for nothing, and this job did not require too much brain.

The hard work was not in vain, and in more than two hours, the patients who needed debridement and suturing in the emergency center were all taken care of by him.

"Go ahead, my heart is flying in the operating room. Zhou Li said with a smile.

Liu Banxia grinned, briefly explained a few words, and ran directly to the operating room.

It's been more than two hours, and if the surgery goes well, it should be almost done. So far, there has been no bad news, so it should be fine.

When I walked into the operating room, I saw that Xu Peichen was still operating, and Chen Xuehai and Wang Lei were on the side, staring at the instrument.

"Mr. Liu, the patient's osteoporosis is too severe, which brings great difficulty to the operation. Xu Yinuo hurriedly reported.

"Director Xu is really amazing, and he decisively chose to transplant from the ribs when he found that it could not be fixed, and he didn't waste time at all. ”

"It's really not very good, and it's about the same if you say you're seventy or eighty years old. Xu Peichen said while operating.

"Director Xu, you have to work harder, and the ejection fraction has decreased again. Chen Xuehai said.

Hearing his words, Liu Banxia became nervous. This is the situation that I am most worried about, but fortunately, the operation is about to be over.

"Didi...... Didi Di ......"

What everyone didn't expect was that they thought that the patient could support it for a while, and the monitor began to call the police.

"Director Xu, tachycardia, I have to rescue first. Chen Xuehai hurriedly said.

Xu Peichen nodded and withdrew his hand.

Liu Banxia's heart was hanging, it was difficult for ordinary people to deal with tachycardia, and this patient's physical condition was so poor, it was even more difficult to deal with it.

I can't do anything now, I can only watch Chen Xuehai operate.

Although she was rescued, in her current state, she was enough to hold out until the end of the operation. Chen Xuehai said.

"My personal advice is to stop the surgery and send it back to the ICU to adjust my body first. Otherwise, it would be too dangerous, and the next attack might kill him. ”

"But...... If that's the case, she'll really be paralyzed. Xu Yinuo couldn't hold back and said it directly.

"Doctor Chen, can you stabilize the patient's heart on the spot?" Liu Banxia looked at Chen Xuehai.

"You can try. Chen Xuehai frowned.

"Cardiac catheterization is done to evaluate the heart and, if possible, a ventricular assist device. It will take about half an hour, and the ventricular assist device can be evaluated and removed later, but I am worried that the patient will not be able to hold on. ”

"If it were you, I think 25 minutes would be fine. How's it going?" asked Liu Banxia.

"If you can, spinal wounds can be filled with sterile dressings. I did the heart first, and I only needed half an hour to finish it. Xu Peichen also spoke.

This patient has done so far, and he really doesn't want to fall short, and he also wants to make the operation perfect.

"Okay, let's fight. Chen Xuehai nodded vigorously.

There wasn't that much time to delay, and now the surgery has been changed. You have to save your heart first, and then your legs. Otherwise, even if the leg is saved, the heart will not be broken.

Every step of the operation was cautious, and Liu Banxia watched nervously from the side. This surgical change is also a risk.

Because the patient's spinal cord has been exposed, even if a sterile dressing is used for protection, Chen Xuehai's operation will cause compression damage to the spinal cord.

And this responsibility has to be borne by Xu Peichen and Chen Xuehai.