Seeing the patient coming in, Wei Haiyang and Zhao Zinong also followed.

"The shock is over?" Wei Haiyang frowned.

"Well, I guess there was a breach on the surface of the lungs, and the gas from this chest bottle couldn't keep up. Ruan Bin said.

"It seems that a closed chest tube drainage and exhaust surgery must be done immediately! Otherwise, the patient will die of respiratory failure. Wei Haiyang said solemnly.

"Yes. Ruan Bin nodded.

"I'll do it!" Wei Haiyang took the initiative to say.

"Good. ”

Soon, the operation began.

Closed chest tube drainage and exhaust is only a minor procedure.

Very simple.

Soon the closed chest tube drainage and exhaust were done.

However, everyone soon found that the patient's condition did not improve much!

"It's still very difficult to breathe, what's going on?" Zhao Zinong wondered.

"Could it be that there are many and large holes on the surface of the lungs, resulting in the closed chest tube drainage and exhaust effect is not obvious?" Wei Haiyang was stunned for a moment.

"If that's the case, you have to have an emergency operation to stop the air leak!" Wei Haiyang's face became solemn.

"If you have surgery, whether it's lung volume reduction or bullectomy, the risk is too high. The patient is a 90-year-old man with high blood pressure, and it is not known if he has any other hidden diseases. Zhao Zinong shook his head and said.

Elderly patients are contraindicated to surgery, because the elderly face three major difficulties in surgery: first, the elderly have organ decline, poor tolerance of surgery and anesthesia, second, there are many underlying diseases, such as hypertension, diabetes, cardiovascular and cerebrovascular diseases, etc., third, the recovery after surgery is slow, prone to infection, pneumonia and venous thrombosis. This is undoubtedly a serious challenge for doctors!

"If you don't want to find someone from respiratory surgery to come for a consultation, I remember that the current international advanced bronchoscopic one-way valve implantation has broken the forbidden area of inoperable elderly patients with severe chronic obstructive pulmonary emphysema, and brought hope to elderly patients with this disease. Several directors of the hospital's respiratory surgery department appear to be able to perform this procedure. I just don't know if there's a director-level duty over there tonight!" Wei Haiyang said.

"Then I'll go and find it?" Zhao Zinong suddenly said with joy.

If there is a way, it would be good!

"Ding-dong...... Temporary task of the system: fertilizer and water do not flow into the field of outsiders, such an operation does not need to be done for other departments, complete the task, and reward a lottery chance!"

"A lottery chance?" Ruan Bin was overjoyed when he heard the voice of the system's task echoing in his head.

"Maybe you'll get a Lamborghini in this draw?"

"There's no need to go! The general department is not our emergency department, and there must be no director on duty! When will the directors come from home? Ruan Bin waved his hand.

"Then go to other Demon Capital 101 Hospital?" Wei Haiyang looked at Ruan Bin and said.

The emergency department of Modu 101 Hospital may be able to do it!

"I don't have to go through that much trouble, I can do this surgery, so I don't need a consultation. Let's go straight to the preoperative examination and confirm that there is no problem. Ruan Bin said.

"Huh, will you do this surgery?" Wei Haiyang and Zhao Zinong were stunned.

"Why, you won't?" asked Ruan Bin rhetorically.

Wei Haiyang: ......

Zhao Zinong: ......

mmp, this Ruan Bin is definitely a pretending force of the red LL!Absolutely!

Will they need to move the rescuers if they do?

For Ruan Bin's surgery, they didn't ask why it was, because this guy had tried to see the demon who would do the operation once, maybe this operation was what he had studied a lot before, and now he has no teacher!

Soon, Wei Haiyang communicated with the patient's family before the operation, and Zhao Zinong arranged for the patient to undergo a comprehensive examination.

Ruan Bin turned on the system and prepared krypton.

[System Credit] 23400

[Check valve valve implantation]: Not started+

Now Ruan Bin has a huge sum of 230,000 yuan. So Krypton is not as distressed as before!

"Recharge 30,000 to go in!"

"Level up!"

"Ding Dong - deduct 6000 points, [Check Valve Valve Implantation] - Beginner+!"

"Ding Dong - deduct 9000 points, [Check Valve Valve Implantation] - Proficiency Level +!"

"Ding Dong - deduct 12,000 points, [One-way valve valve implantation] - director level +!"

"Ding Dong - deduct 15,000 points, [Check Valve Valve Implantation] - Expert +!"

[System Points]: 11400

The main thing is to operate on such an elderly person, Ruan Bin feels that it is more stable to upgrade to the expert level!

Soon, the results of the examination came back.

There is no coronary heart disease, there are no other major problems, and it is completely operable!

The main reason is that this one-way valve valve implantation is a minimally invasive surgery, breaking the forbidden area that cannot be operated on elderly patients with severe chronic obstructive pulmonary emphysema. Therefore, the safety factor of this operation is still very high.

Zheng Dajun heard that a one-way valve implantation could be done here, and his old father's condition was also critical and urgently needed surgery, so their family also signed to agree to the operation!

Soon, the operation began, with Ruan Bin in charge and Wei Haiyang as an assistant.

In fact, the surgical process of one-way valve valve implantation is to place a one-way valve in the emphysema lung tissue area through bronchoscopy to cause the emphysema area to collapse, inject fibrinin glue into the bronchi to block the emphysema and atelectasis, and establish the pathway between the emphysema lung tissue and bronchi, increase expiratory airflow, and reduce obstructive ventilatory dysfunction caused by the collapse of the small airway.

Due to the previous routine examination of flexible bronchoscopy, Ruan Bin measured the internal diameter of the target bronchial tube and selected a single valve valve pre-installed tube of appropriate diameter.

Then, the guide is introduced through the fiber bronchoscopic biopsy hole, and the guide tube and guide wire are introduced to the distal end of the target bronchi, and the guide wire is withdrawn, and the exchange guide wire is introduced along the guide tube to the distal end of the target bronchi.

Then withdraw the fiber bronchoscope along the exchange guidewire and replace it with the dilator tube and the external sheath to the target bronchial target site, withdraw the dilator tube and exchange the guidewire, connect the single-item valve valve pre-installed tube with the external sheath, push the stent into the outer sheath with a pusher and push it along the outer sheath to the target site for release.

After release, the pusher and outer sheath are withdrawn, and the single valve flap release is initiated.

Expert-level level, all actions are done in one go, smoothly.

He also explained to Wei Haiyang: "According to the needs of the operation, about 4 single-item valve valves are placed!"

"The outer sheath of this device is stiff and cannot be bent with the bending of the trachea. Because the valve in front of the single valve valve is made of polymer material, it is relatively soft, and the front end of the dilator is sharp, so it is easy to damage the stent valve, or the valve is reversed inward, and the function of the valve is lost......"

Soon, with the assistance of tracheoscopy, Ruan Bin implanted several single-item valve valves about the size of half a coin in the leaky lung segment, which immediately stopped the air leak in the lungs!

The surgery was successful!

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