With great power comes great responsibility.

This decision made by Zhou Yi also carries a huge risk.

Especially in such cases where the patient is unconscious and the patient's family is not present.

If something happens and the family makes a fuss, it is very likely that they will not even have to be a doctor in this life.

The consequences may be even worse than the previous Tang Aiyun.

But Zhou Zhou is not afraid, he has just completed the main level of the dungeon, plus the systematic help in the implementation, he is confident to repair this broken heart!

Not to mention a 90% rescue success rate. It's even lower than that, and Monday has dealt with it in the dungeon.

Monday's life is not afraid of confidence.

Although Su Quan was a little worried, he also had a little confidence in Zhou Shengsheng in his heart, his brother was not a reckless person, since he dared to do this, he must have his reasons, at the moment, saving people is important, he didn't say more, and beckoned Cao Xin to push the patient to do a chest X-ray.

Monday contact anesthesia, contact the operating room.

The emergency chest X-ray was also very fast, and when I found the operating room on Monday, the chest X-ray had already come out.

Chest x-ray shows massive bleeding in the chest cavity......

At this time, Monday's system scan is following up.

The patient is still bleeding from the heart.

The probability of rescue has been reduced to 80%.

As predicted on Monday, the chances of resuscitation diminish a little as the bleeding continues.

Now that it is an urgent time, Zhou Zhou immediately made a decision and notified Su Quan and Cao Xin to urgently carry out surgical rescue.

Something big.

Su Quan reminded on the side at this time: "Is it to wait for the family to be contacted, in case the patient can't get off the operating table, we ......?"

Zhou Zhou is well aware of the current situation, and it must not be delayed any longer.

Every little time is delayed, life passes a little bit.

He said in a deep voice: "I'll sign, and I'll be responsible for any problems." ”

Legally, if neither the patient nor the family is able to sign, the person in charge of the medical institution can sign it.

In the emergency center, the biggest person in charge is Director Jiang.

If it is during the day, when Director Jiang is on duty, this kind of patient is unconscious, and he cannot find his family and needs to be rescued by surgery, he must definitely ask Director Jiang to sign.

However, due to the special nature of emergency treatment, many surgeries need to be performed urgently.

So when working at night, the biggest power is the team leader on duty.

Although the level of the team leader is not large, the power is not small.

But this kind of power is not a joke.

Signing represents a kind of responsibility, and if something happens, you have to be responsible.

If Liu Zhengqing was the team leader in the past, he would definitely not dare to sign for this kind of operation. Even if Monday explained to him that he could do it, Liu Zhengqing would not dare.

Dean Cheng gave Zhou the position of team leader.

This gives Zhou Yi more room to develop.

Now the position of the team leader has played a role at this moment.

On Monday, he doesn't need to ask anyone now, he can make a slapstick operation.

"What are you doing in a daze, hurry up and prepare, you should be the second assistant, and the third assistant will let Cao Xin be in charge. ”

Su Quan was stunned, open heart surgery, and may have to move the heart, such a big operation, being the second assistant by himself, a little weak-hearted!

He hesitated for a moment and said, "Team Leader Zhou, I haven't had this kind of operation." Are you looking for Teacher Bai to come over, I'll make soy sauce and be a third assistant. ”

Zhou Yisheng's eyes widened, and he said, "What, are you scared? Soft egg? I'm the main knife, you just need to fight on the side." Mr. Bai is doing appendix surgery, and it will take time for others to find it, so you will be on it. ”

Su Quan was so excited, he couldn't stand it, and said in his heart, when did I Su Quan have a soft egg, since you are not afraid of the main knife on Monday, what am I afraid of.

He straightened up: "I'm afraid of a hammer!"

Zhou Zhou Zhou patted Su Quan on the shoulder and said, "Don't look ahead, it's over." ”

Speaking of this, he looked at Cao Xin again and said, "How are you?"

Of course, Cao Xin has no problem, outside his heart, with Cao Xiangwen's aura, he has also been on stage a few times, and he knows that Sanzhu is almost a visit to study.

So he immediately nodded in agreement.

The surgical team was formed.

Emergency rescue surgery.

It's too late to do any pre-operative research.

Even inspections can be saved, try to save as much as possible.

After the patient is wheeled into the operating room.

Zhou Yisheng, Su Quan and Cao Xin changed into surgical gowns and followed in.

Thoracotomy requires general anesthesia and endotracheal intubation to assist breathing.

These are in charge of an anesthesiologist.

The injured person has undergone femoral vein catheterization in the operating room, which saves a lot of time for anesthesia.

Initiation of anesthesia induction: dexamethasone 10 mg, midazolam 2 mg, rocuronium bromide 50 mg, etomidate 12 mg, fentanyl 0.1 mg rapid induction intubation. The endotracheal intubation was smooth, and the breathing was controlled.

After intubation, the blood pressure was Hg, the heartbeat was 85 beats/minute, and phenylephrine 500 μg, ephedrine 20 mg, and epinephrine 80 μg were given in divided doses, and the blood pressure increased slightly and the heartbeat increased slightly.

The anesthesiologist assesses the condition of the injured person and can perform surgery.

The following work was handed over to Zhou Sheng.

In reality, Zhou had an extracardiac surgery for the first time.

It's also a big challenge for Monday.

Although this heart repair surgery seems to be very urgent, the difficulty is not the top difficulty outside the heart, compared with heart transplantation and multi-valve replacement. It is still a lower grade of surgery.

However, for surgeries such as heart transplantation, a large number of auxiliary examinations can be performed before the operation, such as photography, CT, MRI, and a lot of films that can be taken, and you can also slowly study the surgical plan.

For example, where to go under the knife, how big the scalpel is, etc., these can be studied well and made confident.

Nowadays, rescue surgery can only open the chest first, and wait until the heart is seen before proceeding to the next step.

This is a test of the resilience and judgment of a surgeon.

There is an innate advantage here.

That is, even if there is no previous examination.

Monday during surgery, as long as the auxiliary scanning function is turned on.

You can clearly know the patient's physical condition.

That's a lot better than photography and CT.

Thoracotomy surgery.

There are two options for incisions.

One is a median incision in the chest, which allows for good visualization of the heart's 4 chambers and ascending aorta, establishes cardiopulmonary bypass if necessary, and extends down to the upper abdomen for exploratory laparotomy.

The other is the left anterior external thoracotomy, which does not require special sternal instruments, which is quick and easy to enter, and once the cardiac tamponade is relieved and the bleeding is controlled, the sternal extension incision can also be transected to increase the exposure of the surgical field.

Internal bleeding from a car accident like this.

Since not a lot of tests are done.

A median incision in the chest is a good option. After treating the heart problem, you can also open a laparotomy to explore for other bleeding spots.

But there are advantages and disadvantages, and this surgery has to open the sternum. A lot of time will be wasted.

Monday has the help of the system, and the bleeding point has been identified.

So he is ready to open his chest from the left front outside.

Monday picked up the scalpel directly.

……

：。 ：