Heparin intrajugular deep intravenous administration, 400 U/kg.

Fang Han was doing the operation while giving timely instructions.

The itinerant nurse hurriedly drew heparin and administered it from a deep vein in the internal jugular after Fang Han split the sternum.

At the beginning of the operation, the itinerant nurse should choose a thick straight blood vessel to establish venous access, properly fix the 3M membrane, cooperate with the anesthesiologist to induce anesthesia, and administer heparin in a deep vein in a timely manner after opening the sternum, and then establish cardiopulmonary bypass.

This is also in Yanjing Hospital, if it is in Jiangzhong Hospital, even if Fang Han can do this operation, it will not be able to do it, and the nurses will not cooperate in place in the first place.

"The pericardium is exposed!"

Fang Haoyang was too lazy to take care of Zhang Xiaoquan and continued to watch the operation.

The style of Fang Han's surgery is similar to that of liver resection, it doesn't look fast, but it is done very steadily, step by step, the incision, the skin tissue is separated, and the sternum is opened.......

The heart is gradually exposed, and the exposed pericardium can even be seen through the video.

The pericardium is a membrane that surrounds the heart, and when the pericardium is opened, the heart is completely exposed.

"Dr. Fang's level of cardiac surgery is no worse than that of liver resection. Li Junxian interjected.

Although Li Junxian was a little incomprehensible, he could also see that Fang Han had always been very stable, and he had been Fang Han's assistant, so he knew some of Fang Han's operations very well.

At this time, Wang Zhicheng, who was working as an assistant to Fang Han in the operating room, had a different mentality.

Although the operation had only just begun at this time, and the pericardium had just been exposed, Wang Zhicheng had already felt Fang Han's level.

From the incision to the exposure of the pericardium, Fang Han's incision has always been very small, and the entry point is very accurate, the whole process can be said to not waste a little incision, can cut so big, I definitely don't cut bigger, this is Fang Han's operation.

The initial extracutaneous incision is good to say, until now Fang Han can grasp this kind of accuracy, it is really not easy.

It is important to know that although doctors are well aware of the location of the patient's heart, they will also look at the results of various examinations before the surgery to predict the location and shape and size of the patient's heart.

But in actual operation, there will inevitably be errors, there may be deviations, there may be large, there may be small.

Therefore, when performing surgery, even doctors who choose small incisions do not dare to say that their incisions are the smallest, and they will be larger or more off.

But Fang Han, from beginning to end, the entry point was very precise, as if he had done this operation many times.

This many times does not refer to the same type of surgery, but to the current patient........

To be precise, Fang Han gave people the feeling that he had already performed such operations on Long Yaxin many times.........

Wang Zhicheng shook his head.

How is it possible, this is a living person, that person can keep you experimenting like this?

"The operation started?"

Xian Fen was late at this time, he actually planned to come a little earlier, but the traffic jam in Yanjing at this point was too bad, and if there was a slight congestion in one place, it would be possible to delay some time.

"Dr. Sin . ”

Li Junxian greeted with a smile: "The operation has begun, the pericardium has been exposed, and the next step is to open the pericardium." ”

"This guy is really going to do cardiothoracic surgery. ”

Xian Fen looked at Fang Han's operation in the video screen, and his eyes almost fell out.

Fang Han said that he would do it and what he saw with his own eyes, those are really two different concepts.

"Dr. Fang's level is very high, the incision selection is very small, but the operation is very stable, and every step seems to have been predicted. Li Junxian said.

"The same goes for him to have a liver resection. Xian Fen nodded.

Fang Haoyang glanced back at Xian Fen at this time.

"Dr. Xian?"

He heard Li Junxian's address just now.

The surname Xian is not a big surname, and there are even fewer people with the surname Xian in the north, combined with what Fang Han said before, Fang Haoyang has already guessed Xian Fen's identity.

In the operating room, Qian Xiaolin was also shocked at this time.

No wonder Fang Han had to operate in person, it turned out that Fang Han's level was really no worse than Wang Zhicheng's.

If Fang Han had continued to do the whole operation at this pace, then the patient's recovery would definitely be quite good, just such a small incision, it would be easy to recover, and the infectivity would be much smaller.

"Is there a signal coming in?"

Qian Xiaolin asked by the way.

Fang Han's choice of surgery was at half past seven, and it was almost seven forty when the external incision officially began, which was the working time of the morning shift in major hospitals, and there shouldn't be many people watching the live broadcast.

"There's one!"

"There are two ......."

.......

Union Hospital.

Zhang Jiahao did not have a ward round task today, and there was no surgery arrangement in the morning, so Zhang Jiahao went to the classroom after work.

"Director Guo is also there, and Xiao Luo is also there. ”

Zhang Jiahao greeted Guo Dingwen and Luo Binchao with a smile.

Naturally, there is more than one demonstration room in Union Hospital, but in normal times, most surgeons go around the public demonstration room.

For the doctors of Xiehe, there are really not many surgeries worth watching, looking at the whole country, many of the top doctors are in Xiehe, and surgeons from local hospitals have nothing to learn from doing live broadcasts?

"Hello Director Zhang. Luo Binchao hurriedly greeted Zhang Jiahao.

Although Zhang Jiahao is six years older than Luo Bin, his level is already at the first-class level in China, and his status in Concord is not lower than Guo Dingwen.

"Director Zhang is also here?"

Guo Dingwen said with a smile: "Take advantage of the time to see if there are any masters to do surgery." ”

said that it was to see if there were any masters, but in fact, Guo Dingwen still came to Fang Han.

Since watching Fang Han's several surgeries, Guo Dingwen has been very interested in Fang Han's surgery, and he feels that he seems to have something to learn from.

It's just that Fang Han hasn't had surgery for several days since the last live broadcast, and Guo Dingwen doesn't have time to guard, just wandering around.

"There's a picture. ”

Luo Binchao said suddenly.

"It doesn't seem to be a liver resection.......

Guo Dingwen glanced at it and was about to let it change, but Zhang Jiahao hurriedly shouted: "Stop, that's it." ”

"It's heart surgery!"

Guo Dingwen saw it clearly this time, and said with a smile: "If Director Zhang wants to see it, then stop, but there should not be many people in China who can make Director Zhang look at it in terms of heart and outside the heart." ”

Director Guo smiled. ”

Zhang Jiahao smiled, but his eyes stayed on the operation screen, at this moment the chief surgeon in the video was beating the sternum, and as the operation continued, the pericardium was gradually exposed.

"Huh......."

Luo Binchao on the side suddenly let out a cry of surprise: "Why is this chief knife so familiar!"

"It's just familiar. ”

Guo Dingwen also found out, frowned and said, "Where have you seen it?"

"It looks young, but it shouldn't be too old. Zhang Jiahao interjected.

"Why is it so similar to Fang Han?"

Luo Binchao couldn't help but say.

He had not only seen Fang Han's surgery, but also seen Fang Han himself, so he soon discovered that this chief surgeon was very similar to Fang Han, no, it should be Fang Han.

I am a dog, and Fang Han will even have heart surgery.

"Fang Han?"

Guo Dingwen was stunned for a moment, and then looked carefully: "It really looks like Fang Han, didn't he have a liver resection?"

Guo Dingwen was also dumbfounded.

He had seen Fang Han have had several liver resections, and he had also seen Fang Han himself in Shanghai, who was very young, at most twenty-five or sixteen years old.

The liver resection was done so well, and now I am doing heart surgery........

This guy is too versatile, right?

"Fang Han?"

Zhang Jiahao was stunned and asked, "That Fang Han from the emergency department of Yanjing Hospital?"

"Not bad. ”

Luo Binchao nodded: "It's definitely Fang Han, I won't admit my mistake." ”

"Is it really Fang Han?"

Zhang Jiahao couldn't believe it, he had dinner with Fang Han the day before yesterday, and Fang Han also expressed his admiration for him at that time, and said that he had the opportunity to learn extracardiac surgery with him, and he came on the field after only two days?

Although he only watched it for a few minutes at this time, Zhang Jiahao could see that Fang Han's level was not low, he was so powerful, and he still had to learn from him, was this a slap in the face or a show off?

"Preparing to establish a cardiopulmonary bypass ......"

In the operating room, Fang Han's voice sounded.

The difference between heart surgery and liver surgery is that when heart surgery is done, a temporary cardiopulmonary bypass is established, and the heart-lung machine is used instead of the heart and lungs, and after the heart-lung machine is connected, the patient's heart will temporarily stop beating, and the blood in the heart will be temporarily removed.

"Hanging pericardium, the right edge of the heart rotates forward, cardiac intubation....... Establish cardiopulmonary bypass. ”

As Fang Han began to open the pericardium, the whole operation also reached a critical part, and Wang Zhicheng and the doctors who served as assistants and the itinerant nurses also began to get busy.

"Keep an eye on the patient and monitor the instrument data. ”

Fang Han reminded the anesthesiologist again.

In the simulated space, in fact, the exercise is only the operation of the chief surgeon, and in other aspects, as soon as Fang Han's consciousness moves, the simulation space will enter the corresponding state.

In the operating room, every item is operated by a person, and any cooperation and any operation problems will affect the results of the operation.

"The patient's signs are stable and the data are normal. ”

"Upper vein cannulation completed ......"

"Lower vein cannulation completed ......."

"Cardiopulmonary bypass begins to ........"

"The patient's body temperature began to drop........ At present, 32, 31, 30 ...... has been stabilized at 28°C~30°C. "

The doctors and nurses in the entire operating room began to get busy, and at this time, Zhang Xiaoquan, Yang Jianying and others, who were watching the operation in the observation room, were silent, staring at the operation screen intently, and it was really only the breathing sound of a few people who could be heard in the observation room......

: Rack your brains and try to write as much as possible, after all, it's not a doctor...... It's too hard, please comfort!