Chapter 1044: Surgical Relay
Fang Haoyang is going to accompany Xu Jinbo to pick up people at the airport today, so he is not in the department, but he is still worried about the patient's situation.
Ye Kai reported the patient's situation to Fang Haoyang from time to time.
"Doctors from several other hospitals were invited to perform the joint operation?"
"Yes, except for Dr. Fang, no one else in our Jiangzhong Hospital has participated in heart surgery, and the medical staff have not been trained. ”
"What's the condition of the patient?"
When Fang Haoyang left, the patient had just arrived, and with Li Wenjun, Kuang Mingzhuo and Fang Han there, Fang Haoyang didn't worry about it.
"Pregnant woman, 28 weeks, aortic dissection aneurysm of the heart. ”
Fang Haoyang's face changed.
For obstetric patients, if they have heart disease, then the risk of surgery for the patient is needless to say.
Normally, heart patients are not suitable for pregnancy, once pregnant, the risk is very high, and the caesarean section is quite difficult, not to mention the aortic dissection aneurysm.
Cesarean section with aortic dissection aneurysm, once the disease occurs, the onset is rapid, and the mortality rate is quite high.
Fang Haoyang originally thought that the situation was not very serious, but he didn't expect it to be such a serious situation.
"Has the operation started?"
"It's already started, a caesarean section is being done. ”
"Okay, I see, call me anytime if anything. ”
Saying that, Fang Haoyang and Solis and the others prepared to get into the car together.
"Director Fang, what kind of surgery is Dr. Fang doing?"
Solis asked with concern.
"Cesarean section with cardiac aortic dissection aneurysm. ”
When Solis heard this, his face instantly became solemn.
As an expert in extracardiac aspects, Solis is well aware of the risks and difficulties of this surgery.
"Director Fang, can we hurry up, maybe I can help with something!"
Fang Haoyang was stunned for a moment, too, Solis is a master of extracardiac aspects, and the operation has just begun at this time, if he can arrive at the hospital before the end of the cestomy operation, maybe Solis can help.
Fang Haoyang took Solis to explain the situation to Director Yang, and Director Yang nodded hurriedly.
"Saving people is a big deal, I told the driver to drive faster. ”
Surgical area of Jiangzhong Hospital.
Outside the operating room, the patient's family is waiting at the door of the operating room.
From the time he entered the hospital to the present, the patient's husband does not know how many agreements have been signed.
With each agreement, the hearts of the patient's husband and the patient's family sank a little.
For hospitals, although various agreements and risk notices are indispensable, these things are a heavy burden on the patient's family.
The more signatures there are, the greater the risk of the surgery and the higher the mortality rate of the patient.
In the observation room, doctors who have not yet participated in the operation as the second echelon and doctors who do not need to participate in the operation are watching the operation in the observation room.
"We used general anesthesia and the time for the surgery was very tight. ”
"Yes, if the delay is too long, the anesthetic will affect the fetus, and the survival rate of the fetus will be reduced again. ”
"At 28 weeks, it is difficult for a child to survive, and this cesarean section is almost a race against time. ”
A group of doctors watched the operation and had a discussion.
In the operating room, Jiang Yue'e and Zhuo Haihua were operating, and Fang Han was on the side.
Fang Han has not had cesarean section, so he does not participate, but as the chief surgeon who has done heart surgery and extrahepatic surgery, cesarean section surgery is definitely pediatric for a big man like Fang Han, and Fang Han is more than enough.
"The first fetus. ”
The operation was carried out in an orderly manner, the first fetus was removed, and a nurse quickly picked up the child to check the child's condition and signs.
Soon the crisp cry of a baby sounded in the operating room.
"Baby boy, three pounds and four taels, with sound limbs ......"
A nurse on the side was reporting loudly.
"Send the child into the incubator and keep an eye on the child's condition at all times. ”
Three pounds and four taels, compared with a seven-month pregnant baby, is already considered a low normal level, not to mention a seven-month premature baby....... I hope you can grow up healthy.
"Baby girl, three pounds and two taels!"
The second child was also taken out safely.
"Director Jiang, Doctor Fang, do you want to remove the sub-palace?"
Zhuo Haihua asked.
Postpartum bleeding after caesarean section is quite troublesome, and the risk is also quite large, not to mention the patient's situation, in order to ensure the smooth follow-up operation, Zhuo Haihua asked such a question.
If the sub-uterine is removed at this time, it is undoubtedly a solution once and for all, if it is not removed, and there is sudden heavy bleeding in the subsequent operation, then it will be necessary to re-ceasing, which will greatly increase the difficulty of subsequent surgery.
Even if the follow-up surgery is completed successfully and there is heavy bleeding, the risk is quite high for patients who have just had a cardiac artery replacement.
"Keep as much as you can. ”
Fang Han pondered slightly and said, "Although the child has been successfully removed, the child-palace is not just childbirth for female patients, we as doctors also have to consider the prognosis and life of patients. ”
"Prepare for the relay, everybody. ”
With the smooth removal of the children in the operating room, Fang Zhanhong and others in the observation room also got up one after another to prepare for the relay operation.
The caesarean section went smoothly, which means that the patient has passed the first hurdle, especially for the two babies, and the patient's condition will no longer affect the lives of the children.
"Congratulations, the cesarean section went smoothly, and the two babies, a boy and a woman, are now in stable condition. ”
Chen Yuan immediately reported the good news to the families of patients waiting outside the operating room.
Although the patient's surgery has only passed the first hurdle so far, this first hurdle is good news for the patient's family waiting outside the operating room.
"Is the kid okay?"
The patient's parents, parents-in-law and mother-in-law were in tears.
"At present, the signs of the two babies are stable, and they have been sent to our obstetrics department for the time being, and they still need to be observed. ”
"Doctor, then my daughter-in-law ......."
The patient's husband hurriedly asked.
"The cesarean section operation is going well so far, followed by the replacement of the aortic blood vessels in the heart, and our doctors will definitely do their best. ”
At this time, Chen Yuan could not give too many guarantees to the patient's family.
"Thank you, doctor, thank you!"
Although Chen Yuan did not give any assurance to the patient's family, the patient's husband and family still thanked him again and again, and for now, if nothing else, the two babies were saved.
"What a great mother!"
In the operating room, Jiang Yue'e couldn't help but feel emotional.
The two children were able to take out safely, and the child's mother can be said to have contributed greatly.
From beginning to end, from the rescue room to the operating room, and to the operating table, the patient has maintained a stable mood and mentality, and during the operation, even if he has been under general anesthesia, the patient's willpower and business desire are also very strong, the patient's physical signs have been very stable during the operation, and the blood pressure has been maintained within the normal range.
As doctors, both Jiang Yue'e and Fang Han understood that all this was the great mother protecting her child.
Man is wonderful, and so is man's mind and thoughts.
Doctors who often perform surgeries are well aware that the patient's psychological quality and business philosophy are very important to the operation, and these invisible and intangible things can often affect the success of the operation.
In the case of this operation, the patient can choose to have heart surgery first, if the heart surgery is performed first, the risk of the patient will be much reduced, but it is almost impossible to save the two fetuses.
Before the operation, the patient's husband advised her to keep her two children, but the mother insisted on keeping her two children, and she would rather bear the high risk of surgery for the sake of the children.
The greatness of mother's love lies in this, which is difficult for many people to imagine.
"System, redeem advanced simulation cards!"
With the caesarean section going smoothly, the next operation was about to take place, and when Jiang Yue'e and Zhuo Haihua were doing follow-up treatment, Fang Han communicated with the system and exchanged the advanced simulation cards without hesitation.
........
"Dean Xu, Director Fang!"
Just a few minutes after the start of the second operation, Fang Haoyang and others arrived at Jiangzhong Hospital and came to the emergency department of Jiangzhong Hospital.
Fang Haoyang nodded slightly, didn't say much, and led everyone all the way to the operating area, and first arrived at the observation room.
Ye Kai, Li Wenjun and several other doctors from the Jiangzhong Hospital, as well as doctors from other hospitals who came with them but did not perform the operation, were watching the operation in the observation room.
"Dean Xu, Director Fang!"
"How far has the operation progressed?" Fang Haoyang asked.
"The cesarean section went smoothly and we are now just starting to replace the aortic blood vessels in the heart. Ye Kai said hurriedly.
While Ye Kai was speaking, Fang Haoyang and the others were already staring at the large display screen in the observation room to watch the operation.
In the operating room, Fang Han commanded in an orderly manner, and several doctors collaborated with each other.
This surgery is an aortic vascular replacement operation, in other words, an artificial blood vessel is used to replace the patient's aortic blood vessel that has ruptured and formed a dissection.
However, the aortic vascular replacement surgery is one of the most difficult procedures in cardiac surgery.
Pure cardiac aortic vascular replacement surgery is not easy, especially after the patient has just had a cesarean section.
The patient has just had cesarean section and continues to have heart surgery, so the requirements for heart surgery are very high, and the operation time is a very critical point.
In other words, in the process of heart surgery, the operation time should be shortened as much as possible, the longer the operation time, the greater the possibility of causing heavy bleeding to the patient, once there is heavy bleeding, the patient will be in danger of life.
In the operating room, even Fang Zhanhong and Ma Wanqun, who had done many heart surgeries, had solemn faces at this time, and it was the first time for them to have such a difficult operation.
If it weren't for Fang Han's chief surgeon, with their level, they would never have dared to perform such a difficult operation.
"Blocking pliers!"
"Ready to build cardiopulmonary bypass!"
Fang Han's voice sounded in the operating room from time to time, calm and unquestionable.