Chapter 257: Don't Panic!
Everyone looked at Ruan Bin blankly, in disbelief.
In their eyes, if they can successfully pierce in three times, they are very satisfied. Because if it takes more than three times to successfully pierce, the fetus will definitely not be able to stand it, and there will even be other unexpected things!
After all, it is separated by the pregnant woman's belly, then by the uterus, then by the amniotic fluid, then by the child's skin, and finally by the heart!
In case it is just pierced, the fetus will move violently at this time......
A needle prick is crooked!
Piercing the child's other places, it's embarrassing!
To be honest, this surgery is also very lucky.
But Ruan Bin said that it can be successful within 2 injections, are you sure it is so accurate?
"Then, is that a big deal?" Director He couldn't help but ask again. According to statistics, 50% of cases of fetal intrauterine intervention will have various fetal complications, and % of these cases will cause intrauterine death.
If the surgery is slightly worse, it will be a catastrophe!
"Don't worry, trust me! I'm 90% sure!" Ruan Bin smiled.
"Ninety percent?"
"Let me show you my surgical simulation and the way of surgery. You can make comments. Ruan Bin opened his mouth and smiled. At the same time, he silently said in his heart: "System!"
[System points]: 60,400.
"Level up!"
[Interventional surgery for fetal pulmonary stenosis]: not started+
"Level up!"
"Ding-dong...... Deduct 6000 points, [Fetal pulmonary stenosis interventional surgery] - Beginner+!"
"Ding-dong...... Deduct 9000 points, [Fetal pulmonary stenosis interventional surgery] - proficient level +!"
"Ding-dong...... Deduct 12,000 points, [Fetal pulmonary stenosis interventional surgery] - director level +!"
"Ding-dong...... Deduct 15,000 points, [Fetal pulmonary stenosis interventional surgery] - expert level +!"
"Ding-dong...... Deduct 18,000 points, [Fetal pulmonary stenosis interventional surgery] - world-class +!"
[System Points]: 400
In one breath, the krypton gold has reached the world-class!
After all, the risk of this kind of surgery is too high, and Ruan Bin is not willing to take the risk, so he simply upgraded it to a world-class comparative insurance.
Soon Ruan Bin told a few of them about the path and method of the operation, and they were full of praise for it.
Finally, the surgical plan was finalized.
The surgery was performed at 4 p.m.
Soon Director He found Wang Jie and Zhou Jing and his wife.
"We can do this surgery, but there are still some risks. Sign if you're going to do it. ”
Wang Jie and his wife heard that although the operation is risky, they are willing to take the risk, which is 100 times better than going directly to the abortion!
Give it a go, maybe the bike will change to a motorcycle!
If you don't fight, you don't have anything!
Especially Wang Jie, because he couldn't find a girlfriend in the early years, he always had a girlfriend on his left and right hands, so he couldn't get his wife pregnant after getting married.
Later, I found a lot of doctors, went to more than 20 hospitals, large and small, and found a lot of old Chinese medicine doctors and old home remedies.
After eight years of marriage, I finally got my wife pregnant, and I finally wanted to be a father, but this situation happened to the fetus, do you say that he can not almost collapse?
Now I have a chance to fight, I must fight!
"I'll sign, I'll sign!" Wang Jie wrote his name on the surgical consent form.
If the operation goes well, his child's name has been thought of, if it is a man, it will be called Wang Xiaoru, and if it is a woman, it will be called Wang Xiaomin!
Everything is ready to go.
In the operating room.
Ruan Bin is in charge of the position, and Jia Yanguan is an assistant.
This time the operation was very particular about a high degree of tacit cooperation and seamless connection, everyone's hearts were Alexander, only Ruan Bin had a light expression on his face, fortunately with a mask, they couldn't see it. Otherwise, they would probably spy on Ruan Bin as a natural king of surgery.
Well, in his own words it should be - hang b!
"All ready, anesthesia effective, ultrasound shows normal!"
The first step of the operation is to puncture the abdominal wall of Zhou Jing with the assistance of ultrasound guidance, and the target position of the surgical puncture is the narrow pulmonary valve of the fetus, and then the guidewire can be inserted to reach the fetal heart!
The first step of surgery is a hellish start!
Ruan Bin stared at the ultrasound display screen.
He's not doing anything, he's looking for a pattern!
Fetal movements are not noticeable...... But there is still a regular movement and stillness......
Zhou Jing's heartbeat was ......
Zhou Jing's lung breathing will cause a slight displacement of the amniotic fluid in the stomach and the fetus......
All of this needs to be carefully calculated!
What he asks for is a successful shot!
With a world-class experience in fetal pulmonary stenosis, he knows when is the best time to get a needle.
"Give me a piercing needle!"
The instrument nurse handed him a generic 15-centimeter-long puncture needle.
Call......
Suck......
"This is the time!" Ruan Bin speared out like a dragon and stabbed the piercing needle in his hand!
Lightning-fast speed!
The puncture needle passes through the abdominal wall, uterine wall, placenta, amniotic cavity, fetal chest wall, and reaches the apex of the fetus!
Hit the nail on the head!
It's really a hit on the head!
"It's a success!" Jia Yanguan was stunned.
"Shhh...... A success!awesome!" Director He said stunned.
"Give me the arterial leads!Prepare the medicine channel catheter!" Ruan Bin said.
"What do you want to do with the drug channel catheter? This will hinder the expansion of the cyst later, making the operation more difficult!" Director Lei was a little confused.
"Prevent cardiac arrest!" Ruan Bin said, as he began to put the arterial guidewire in.
Sure enough, when Ruan Bin had just finished placing the guidewire and had not yet put the expansion capsule into it, the fetal heart rate monitor showed that the fetal heartbeat suddenly slowed down!
"There is a small amount of hemopericardial cavity and bradycardia!" exclaimed Director He of the obstetrics department. If it is not treated in time, the fetus may eventually go into cardiac arrest, and the operation can be declared a failure.
"Don't panic, the drug channel has been established, just give the fetal cardiac resuscitation drug through the drug delivery channel established in advance!" Ruan Bin said lightly.
Sure enough, not long after the drug was given, the fetal heartbeat was stabilized and did not continue to weaken.
The operation continues!
In only 30 minutes, Ruan Bin successfully delivered the guidewire and expansion balloon to the near-atresia pulmonary valve of the fetus and successfully dilated it, and the fetal heart rate quickly returned to normal. Two hours after the operation, the ultrasound showed that the fetal pericardial effusion was completely gone!
This time, thanks to Ruan Bin's world-class experience, the danger was saved.
In the end, the surgery was a success!
"Ruan Bin, Niu Xuan, you are the first doctor in China to have a doctor who can perform this operation successfully! Congratulations!" Jia Yanguan congratulated. He had forgotten that he was supposed to take over after the piercing, but when he looked at it, he was fascinated......
:。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~