VIP Volume 117 Intracardiac Injection
Upper body?
Zhang Kun looked at Ye Nantian, and then nodded silently.
Since I can't solve it, then it's up to you.
Ye Nantian showed a faint smile, and then the figure slowly floated towards Zhang Kun, and the two figures began to gradually coincide.
With a bang in his mind, when Zhang Kun opened his eyes again, his eyes had already returned to calm.
"Zhang Kun" moved his hands, it feels good to have a body.
After getting used to the strength, flexibility, and length of his hands, "Zhang Kun" took a deep breath, and then looked at Tang Guohua and Xie Zhitian, who had been colleagues for seven or eight years, with a smile on their faces.
"Director Tang, Lao Xie, let's continue!"
Tang Guohua and Xie Zhitian looked at Zhang Kun in surprise, and at this time, the calmness on Zhang Kun's face, the smile on his face, the demeanor in his eyes, and even the way he stood .......
It's so familiar.
Both of them seem to have some kind of illusion, and it seems that Zhang Kun in front of them has become a little different.
However, I don't know why, looking at the smile on Zhang Kun's face, that plain, with a confident smile, Tang Guohua and Xie Zhitian's anxious hearts seemed to have begun to calm down.
"Zhang Kun" looked down at the patient on the operating table.
Dad, meet again, now, let me fulfill our agreement.
Your illness will be fine, surely, this is what I promised you.
After feeling nostalgic for a few seconds, "Zhang Kun" turned square: "X knife." ”
"Zhang Kun"'s state recovered, not only Tang Guohua and Xie Zhitian noticed it, but the other nurses were also shocked.
As a surgeon, he is a soul-like figure in the operating room.
Regardless of whether it is the other auxiliary doctors or the surgical nurses, in the end, it is necessary to cooperate with the surgeon as the center.
The mental state of the surgeon can even affect the performance of others.
"Zhang Kun's" state recovered, everyone seemed to be rejuvenated, and the two nurses hurriedly moved the X-knife device to Zhang Kun's side according to Zhang Kun's instructions.
"Zhang Kun" skillfully controlled the X-knife, and under the microscope, began to slowly cut into the tumor area from the outside and inside, and carefully separated the tumor step by step along the glial hyperplasia zone and the peritumoral swollen area.
Although CT and MRI could not be imaged, "Zhang Kun" had already studied the location of the brain tumor in depth before the operation began, and remembered it in his mind.
Therefore, every move of "Zhang Kun" is actually confident.
And Tang Guohua and Xie Zhitian next to them also entered the state of surgery again at this moment.
When Xie Zhitian removed the brain tumor in Zhang Kun, he held the brain cotton and followed the position of the scalpel to protect the brain tissue, and stopped the bleeding while removing it.
For larger tumors, "Zhang Kun" will be removed in pieces, and then moved to the edge of the tumor to be removed.
Tumors with obvious cystic changes are punctured, and cystic fluid is removed before resection.
As for those tumors that belong to non-functional areas, "Zhang Kun" will resolutely remove the whole tumor and 1~2 mm of brain tissue around the tumor lesion.
......
As the operation progressed, Tang Guohua and Xie Zhitian were very impressed by Zhang Kun's ability.
Although I don't know how "Zhang Kun" determined the depth and invasion level of the tumor, it is appropriate to see that every tumor removed by "Zhang Kun" is appropriate, and no normal brain tissue is damaged at all.
In this way, the surgery proceeded step by step, and the tumor was gradually removed.
Tang Guohua and Xie Zhitian nodded secretly, but suddenly, the surgical nurse next to them exclaimed.
"Dr. Zhang, the patient's heart has stopped!"
"Zhang Kun" was startled, and then looked at the electrocardiogram next to the operating table, and sure enough, it had stopped rising and falling.
"Damn!" Tang Guohua immediately walked to the right side of the operating table.
Hold the patient's chest with the left hand and slam the back of the left hand with the right hand, striking it three times.
This is a very well-known life-saving triple punch in first aid.
However, after three punches, Tang Guohua's face changed, and the ECG did not react at all.
Tang Guohua gritted his teeth, tore open the obstacle on the patient's chest, and then pressed his hands on his chest together, and at the same time ordered the surgical nurse next to him.
"1 ml adrenal muscular!"
The nurse hurriedly took out 1 ml of epinephrine and injected it into the deltoid muscle of the patient's arm.
However, the ECG next to it still did not change in the slightest.
Tang Guohua frowned: "Ten milligrams of dexamethasone." ”
The nurse injected another 10 mg of dexamethasone, while Tang Guohua gave chest compressions.
However, it still had no effect.
It was almost a minute since the heart stopped, and Tang Guohua and Xie Zhitian's hearts were cold.
Is the operation going to fail like this?
"Zhang Kun", who was presiding over the X knife, was stunned, and he looked at the figure on the operating table.
Is this the end of it?
No, no, you can't just give up.
"Zhang Kun" suddenly handed over the X knife to Xie Zhitian, and then ran to Tang Guohua's side by himself.
"Let me come!"
Tang Guohua glanced at Zhang Kun and immediately got out of the way.
"Zhang Kun" took a deep breath, stood on the operating table, looked at the figure whose heartbeat had completely stopped, and gritted his teeth.
"Nine-gauge needle, plus 1 ml of adrenaline!"
The nurse immediately prepared, but Tang Guohua and Xie Zhitian next to her were stunned.
No. 9 needle, this is rarely used, what is Zhang Kun going to do?
Soon, the nurse delivered the syringe with 1 ml of epinephrine to "Zhang Kun".
"Zhang Kun" took the syringe, his face was stunned, Ye Nantian's soul suddenly flew out of Zhang Kun's body, and then weirdly sent his head into the patient's chest.
Soon, Ye Nantian attached himself to Zhang Kun again, and then saw "Zhang Kun" staring his eyes, grabbing the syringe and piercing it towards the patient's chest.
Looking at the direction in which "Zhang Kun" pierced, the corners of Tang Guohua's eyes trembled, and Zhang Kun actually used "intracardiac injection".
Intracardiac injection is a very risky rescue method, because it is very dangerous to use a needle to puncture the heart directly, and once the puncture is wrong, it is very easy to cause intracardiac hemorrhage and then endanger life.
It's a very extreme tactic, either you succeed or you die. Therefore, it is rarely used by doctors.
Even Tang Guohua, in so many years of surgery, he has never used intracardiac injections.
However, Tang Guohua looked at the current situation, the patient's heart had stopped beating for more than a minute, and if there was no way, I was afraid that he would die without heavy bleeding.
Whew, even if it's a dead horse, be a live horse doctor.
At this time, "Zhang Kun" was already completely concentrated, feeling the long needle piercing into his chest.
Ye Nantian flew out of Zhang Kun's body from time to time, penetrated the patient's chest to check the position of the needle, and then attached himself to Zhang Kun to adjust the direction of the needle.
Just like that, slowly "Zhang Kun" suddenly felt a sense of breakthrough coming from the syringe in his hand.
Zhang Kun's eyes lit up, and he gently withdrew the needle handle of the syringe, and a thick stream of blood poured into the tube.
"Hit!" Tang Guohua's eyes lit up when he saw the blood flowing back from the syringe.
Zhang Kun actually stabbed it.
"Zhang Kun" was also relieved, and did not dare to delay, so he immediately pushed the adrenaline in the needle into the heart together with the blood, and then pulled out the syringe and pressed the wound with cotton wool to avoid bleeding from the needle hole.