Text Text_Chapter 1148 [Christmas Tree]
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Jane below didn't bother to care about the excitement of these people and keep everyone focused.
"Artificial heart and lungs, line 40 ......"
The deputy also picked up the tourniquet, toothless straight hemostat, and began to carry out auxiliary work.
"End of the artificial heart-lung device!" said the instrumentalist.
"Turn on the pump!" the electric knife ......" Jane was busy with the work at hand, and said to the assistant: "Please prepare two eighteen-millimeter artificial blood vessels." ”
AS SOON AS THESE WORDS CAME OUT, EVERYONE'S FACES WERE FULL OF DOUBTS, NOT ONLY THE PEOPLE IN THE STANDS, BUT EVEN THE ASSISTANT HESITATED AND SAID: "DOCTOR, PIGGYBACK, ACCORDING TO THE BOOK, IT SHOULD BE CONNECTED TO THE BLOOD VESSELS BETWEEN THE PULMONARY ARTERIES, ISN'T IT ENOUGH TO USE ONLY ONE ARTIFICIAL BLOOD VESSEL?"
Jane raised her eyes and said helplessly: "Let you do it, there is no exception surgery that is exactly the same as a textbook, don't limit your mind to books, otherwise you can only be an assistant for the rest of your life, and you will not be able to become a real chief surgeon." ”
And just when everyone was full of puzzlement, Li Yinzheng clearly saw the large incision left by Jane on the right pleura from the monitor in the stands.
couldn't help but feel awe-struck in Li Yinzheng's heart, and exclaimed, "I see!"
"Dr. Li, what the hell is going on?" someone immediately asked curiously.
Li Yinzheng trembled and pointed to the monitor, and said: "The original PIGGYBACK is to put the donor's heart on the damaged heart, and directly suture the left atrium superior vena cava and aorta, and only need artificial blood vessels to bypass the pulmonary arteries!"
However, what is done briefly is to place the donor's heart in the chest cavity without adhesions, and in order to make up for the extra distance of the original surgical method, artificial blood vessels are also used for aortic suturing!"
"So that's the case, Dr. Li is really discerning, and we didn't even notice it," one doctor exclaimed.
Li Yinzheng shook his head with a wry smile and sighed: "I'll forget it, it's not worth mentioning in front of Jane, we couldn't even guess her plan...... From the very beginning, even if Jane was unable to complete the stripping in a limited time, she also counted the state of the donor's heart and the space for transplantation. In vain, we are half dead in a hurry, it turns out that all this is within her calculations!"
The crowd was horrified, and after understanding Jane's train of thought, they were heartily calm.
"That'...... Is that my grandfather able to save him?" asked Jeong-su hopefully.
Li Yinzheng nodded and said, "If everything goes well, it should be fine." ”
Many people in the Park family breathed a sigh of relief, but Park Jung-hoon's smile was a little stiff.
Fifty minutes remained, the pleura had been cut and the heart was ready.
Jane's hand speed increased again, "Aortic clamp...... Cut off blood flow and inject cardiac fluid...... Start transplanting, cut the ...... with the pointed tip"
After taking the heart from the assistant and carefully fixing it, the left heart suture began.
"Tweezers, Line 40 ......"
In the stands, everyone's hearts beat faster when they watched.
"At Jane's speed, it should be completed, but the donor's heart is transported for too long, and its function is already impaired, if the donated heart can't support it, everything is in vain, and I hope there will be no ......problems," Li Yinzheng analyzed.
At the operating table, Jane didn't stop for a moment.
"Perform blood drainage...... Begin distal pulmonary artery suture, wire 40, forceps ......"
"The suction device is raised a little more, the load is reduced back, 500 is injected subcutaneously, and FFP ...... is added"
Valen, who was closest to her, and a few assistants found that Jane's speed was even faster than just now!
Even those doctors in the stands, many of them were speechless with their mouths open, and the surgical skills they saw today had deeply shocked their understanding of medicine!
Li Yinzheng clenched his fists, and at the same time there was some unwillingness in his eyes, but he was more helpless.
The dazzling stitching technology makes PIGGYBACK end in far more time than expected!
After Jane finished stitching quite calmly, she said to the instrumentalist, "FLOWDOWN!"
"Yes!
After the words fell, everyone began to look at their hearts with great concentration, hoping that their hearts would beat.
For a moment, the entire operating room held its breath and stared, as if it was afraid of disturbing the heart.
Seconds passed, and just as everyone felt more and more dangerous, the heart was beating!
"Bang bang...... Bang bang ......"
It's like everyone's head is beating their hearts!
"It worked!??!? someone began to shout with joy.
Just when everyone in the stands was also relieved, a piercing "Didi" sound came out!
On the ECG, the heart's beating rate starts to increase violently!
When Valen saw it, he exclaimed, "It's VT!?!"
"This ...... What the hell is going on!?Isn't the operation successful!?" The joy of Jeong-su in the stands immediately turned to naught!
Li Yinzheng said in a deep voice: "VT is too serious, and the ischemia time is too long, causing this heart to be unusable...... I was worried about it before, but it still happened. ”
"What should I do then!?Can grandpa still save him!?" Park Jung-hoon seemed to be excited again at this time, but asked earnestly.
Li Yinzheng shook his head, "Heart transplantation, even the transplanted heart has lost its vitality, how can I save ......?"
"Still haven't caught up......" Lin Ruoxi also said regretfully.
Yang Chen stretched out his hand to wrap his hand around the woman's fragrant shoulder, tightened it, and said, "I believe that Jian has a way." ”
Lin Ruoxi looked up and saw Yang Chen's determined face, and couldn't help but sigh slightly.
On the operating table, everyone looked at Jane, but most of them looked regretful, in the eyes of everyone, this was no longer enough.
Jane closed her eyes and pondered for a while, then suddenly opened her eyes and said, "Lidocaine hydrochloride is set to fifty milligrams, DC defibrillator, 20J charging!"
Although he felt that it was impossible to succeed, the instrumentainist and his assistant quickly brought in a defibrillator.
"Doctor, recharged!"
Jane took the defibrillator, pressed it to her heart, and said, "Get out of the way...... Discharge!"
After the shock, the ECG is still extremely frequent, and the VT is not eliminated.
"Doctor, this can't be done...... "One nurse was already crying.
Jane's eyes did not have the slightest panic, and said, "Open the artificial heart and lungs again, turn on the pump!"
"Yes!"
With the artificial heart and lungs turned on again, everyone was already on the verge of despair.
"Teacher, install the VAD!" Vincent, who was already in the stands, shouted into the microphone.
"Cardiac assist devices?" someone asked.
"Yes, be prepared for the heart to be saved. Vincent said.
"But the president's body can't stand it anymore, and just after a liver transplant, the body has reached its limit", Li Yinzheng denied this method.
On the operating table, the donor's heart is still beating and the blood drainage continues.
Everyone looked at Jane, only to see Jane defibrillated with 20J of electricity again.
"Teacher, what are you going to do!?" Valen exclaimed.
I saw that after Jane finished defibrillating, she asked her assistant to change her gloves!
Jane didn't answer, but slowly lowered a hand to some parts of her heart......
After a short while, Jane withdrew her hand and said, "Stop the heart function one more time." ”
"What? Stop again!? This ...... This is a newly transplanted heart!" the instrumentalist thought he had misheard.
Jane nodded solemnly, confirming that there was no problem.
After the transplanted heart stopped beating again, Jane asked, "Can cryotherapy be in place at any time?"
"Uh...... Yes", the instrumentainist nodded, and immediately began to prepare.
Jane explained to everyone: "There is a focus in the heart, after the heart stops, cut the heart muscle, and perform ultra-low temperature freezing around the rucephalic muscle, which should be able to remove the VT ......."
Li Yinzheng in the stands frowned and said: "Find the place of ventricular tachycardia, use cryocoagulation technology, and insert the ultra-low temperature cryotherapy device into it."
Indeed, with ultra-low temperature technology, the focus can be locked without causing damage to the myocardium, but the problem is how to find the focus......!
When it comes to these levels of issues, others can no longer clearly understand, only know the current situation, like looking for a needle in a haystack, and there is little hope!
Jane below did not hesitate at all, and after taking the sharp knife from the assistant's hand, he was stopped by Li Yinzheng in the stands.
"Doctor Jane!" Li Yinzheng shouted, "You...... Can you know where that focus is!?
Jane looked up and said, "My hand can feel the contraction of my heart, there is a point that is not right, and I confirm that the focus is there." ”
Hearing this, Li Yinzheng was completely stunned.
"It's ridiculous! You can feel the focus of your heart muscle with your hands!?"
"How much do you need to know about the heart!? No kidding!" many doctors objected.
However, Jane ignored all the doctors' doubts and had already cut it down decisively!
Next, Jane quickly used ultra-low temperature treatment to suture the heart muscle.
“FLOWDOWN!”
As the voice fell, the heart was restored to function again, and everyone was much more nervous than before.
Finally, I saw my heart beating again, and after waiting for a while, my heart was still beating steadily!
"The heart is normal, there is no VT!!" the instrumentalist shouted excitedly.
The crowd immediately cheered, and the doctors in the stands also began to applaud in tears and laughter.
Li Yinzheng also had a look of admiration on his face, and muttered to himself, "Am I dreaming, she can really ......?"
The doctors looked at Jane with excitement and awe, and only those who studied medicine professionally felt what a terrifying medical skill this young female doctor had!