"Stop the hydrogen peroxide solution flushing!"

It's just that after a moment of consternation, Leng Yan immediately gave an order without hesitation!

Zhang Jie immediately closed the irrigation tube, and Tian Lu quickly sucked up all the liquid in the field!

On the operating table, the atmosphere was extremely tense in an instant!

Everyone stared at the monitor intently, and only Tian Lu's brows were still tightly furrowed: there is no mistake in waiting, but in this case, timely processing is also very important!

Seeing that Leng Yan was contemplating his eyebrows and pondering, he didn't seem to have the intention of giving the next order immediately, and after a moment of hesitation in his mind, Tian Lu gritted his teeth and immediately shouted: "Teacher Zhang, normal saline rinses the field repeatedly! In addition, atropine 0.5 mg, intravenous infusion!"

In the silent operating room at this moment, Tian Lu's cry is so abrupt and so harsh!

All of a sudden, all eyes converged on Tian Lu's face, and after a short stay on his face, he turned to the chief surgeon coldly!

The chief surgeon on the stage was Leng Yan, and the first assistant was Zhang Jie, but now it was the second assistant Tian Lu who gave the order! No matter what, no one dared to follow his orders, and among the people present, the only one who finally made the decision was the chief surgeon Leng Yan!

"Do it!"

Maybe it was just that thousandth of a second of pause, and Leng Yan gave the order without hesitation!

Again, Leng Yan chose to believe in Tian Lu.

Besides, in fact, this idea is basically the same as Leng Yan, but Tian Lu's reaction is too fast, and he is far ahead of Leng Yan.

It's a lot to say, but in reality, just a few seconds have passed from the incident to the cold giving of the order. And just a moment after Leng Yan gave the order, the operating room changed from extremely quiet to extremely dynamic, and the doctors, anesthesiologists, and nurses were all busy!

Nervous, not hectic!

Zhang Jie rinsed the exposed surgical field with normal saline, while Tian Lu used the suction tube to attract the liquid, while carefully removing the cotton pads covered by each part, and then signaled Zhang Jie to rinse.

On the other side, 0.5 mg of atropine also quickly poured into Ling Feifei's body through the intravenous channel established earlier!

"Heart rate is back!"

More than ten seconds later, the anesthesiologist let out a cry of surprise!

"Seventy-six times a minute!"

Thirty seconds later, the anesthesiologist's hoarse but extremely cute voice made everyone's hearts hang high and suddenly fell!

"The operation is suspended, and the watch is close for half an hour!"

After Leng Yan breathed a sigh of relief, he quickly gave the next order, and at the same time, his head tilted slightly, and he shouted in a deep voice: Wipe my sweat!"

The nurse next to him hurriedly stepped forward and wiped the sweat on his forehead for Leng Yan, and at the same time, Tian Lu and Zhang Jie also blinked their eyes violently, and hurriedly beckoned the nurse to help wipe the sweat: I don't know when it started, the two of them were already sweating!

Although the operation was suspended, it was impossible for everyone on the stage to completely relax, and they were still closely observing Ling Feifei's situation on the stage, especially the monitor in front of the anesthesiologist, which was the focus of everyone's attention.

However, everyone was not an intern after all, and soon, the tension quietly eased.

While observing Ling Feifei's situation, he frowned coldly and asked in a deep voice, "Xiao Tian, tell me, what do you think is the reason for this?"

Several glances drifted in an instant.

After a slight hesitation, Tian Lu smiled bitterly: "There is more than one possible reason, this is really difficult to say." ”

"Let's talk about it then!"

He said coldly.

"Okay. ”

Tian Lu no longer hesitated this time, nodded and said: "First of all, we know that the dorsal nucleus of the vagus nerve and the lone cystic nucleus protruding in the vagus triangle at the bottom of the four ventricles are the motor centers that innervate the cardiovascular system and breathing. I think that the sudden change in the patient's heart rate during the operation should be a direct result of the stimulation of the center!"

"How's the change in breathing?"

Frowning and contemplating, he asked in a loud voice without raising his head coldly.

The anesthesiologist stared at the monitor and shook his head helplessly: "We use a ventilator to assist breathing, and we can't observe the changes in breathing rhythm and frequency!"

nodded, and said coldly: "Xiao Tian, you continue." ”

"I think there are several reasons for the factors that stimulate this center. ”

Tian Lu continued: "One is the direct stimulation of hydrogen peroxide solution. Maybe it's because it's too cold, causing reverse thermogenesis, which slows down the heart rate。。。。。。 ”

"I overheated!"

When Tian Lu said this, the nurse on the side suddenly shouted with some dissatisfaction!

"Huh?"

Tian Lu, who was interrupted, was slightly stunned, and then quickly shook his head and said, "I'm sorry, I didn't mean to accuse you of not heating up, I'm just analyzing the possible reasons!"

The nurse nodded in relief and stopped interjecting.

"Well, that's why you just let them heat up. ”

Leng Yan nodded thoughtfully.

"Yes, in addition to the stimulation of hydrogen peroxide itself, the chemical reaction between hydrogen peroxide solution and cystic allogeneic protein can also stimulate the cardiovascular motor center and cause sudden changes in heart rate。。。。。。 ”

After talking about a lot of possible reasons, Tian Lu smiled bitterly: "To be honest, there are many possible reasons, some of which I can deduce, and some of which I may not deduce, there are so many mysteries of the brain, I'm afraid it is difficult for anyone to tell what it is for." ”

This sentence Tian Lu said is absolutely true, even from the future resident decision support system, the possibility answer given is followed by a long list of ellipses。。。。。。

Until this time, Leng Yan suddenly remembered the preoperative plan that Tian Lu handed him a few days in advance, and combined with the operations he had just done, he suddenly realized: "Your preoperative plan, some of the things written in it, are just to prevent this from happening?"

"Not bad. ”

Nodding honestly, Tian Lu smiled bitterly: "For example, hydrogen peroxide heating, such as reminding anesthesiologists in advance to pay attention to changes in breathing and heart rate, such as cotton pads covering the surrounding brain tissue, especially the floor of the four ventricles, and alternating irrigation during irrigation, etc., can reduce the physical and chemical stimulation of the cardiovascular and respiratory motor centers and avoid sudden changes in vital signs." ”

"It's a pity, though。。。。。。 ”

Shaking his head, Tian Lu didn't continue, but it's a pity that everyone understands it in their hearts.

While the others were marveling at Tian Lu's comprehensive thinking, Zhang Jie on the other side of the operating table, under a cold glance intentionally or unintentionally, his face sank slightly, and his expression became extremely complicated。。。。。。

。。。。。。

Half an hour later, Ling Feifei's vital signs had been stable, and only then did she start to routinely close her skull.

After the operation, Ling Feifei's spontaneous breathing began to recover.

It was only at this time that Tian Lu himself finally let out a soft breath, and his mood was completely relaxed.

"Send it to the care room!"

After thinking about it carefully, he still felt that it was safer to send it to the intensive care unit, and then said: "Xiao Tian, you follow along, and make sure that the eleventh bed patient is okay and come back." ”

It stands to reason that Zhang Jie is the physician in charge, but Leng Yan didn't blink at this time, and handed over the task to Tian Lu.

No one thinks there is anything unreasonable, including Zhang Jie himself.

"Okay. ”

Tian Lu nodded, and after cleaning up, he and the nurse pushed Ling Feifei to the intensive care room.

It's just that as soon as he walked out of the door of the operating room, he met Ling Zuo and Yue Hua, who had been waiting anxiously outside the door. The two were naturally surprised why they went to the custody room, so Tian Lu had to explain patiently while pushing the cart.

Surgery, especially neurosurgery, must have a certain risk, which is explained before the operation, as well as on the informed consent form, although Ling Zuo and Yue Hua were a little dissatisfied, but they didn't say much, so they had to wait outside the operating room for a long time, and continued to wait outside the monitoring room.

Fortunately, it wasn't until two hours later, when Ling Feifei was fully awake that her vital signs were completely normal, and Tian Lu asked an anesthesiologist to remove the tracheal intubation and send Ling Feifei back to the ward.

"There were a few twists and turns, but the operation was finally over. ”

Although he was a little tired, Tian Lu still comforted the anxious parents in front of him with a relaxed face, and said softly: "Just let Fei Fei lie on her side like this all the time, if it's really uncomfortable, you can lie on her stomach a little more and put something under her." ”

"In addition, don't give her random food, you can only eat liquid food tomorrow, and you can transition to semi-liquid food after tomorrow, which the nurse will explain to you. ”

"Also, I will use some antibiotics and other drugs when I go back, as well as painkillers, which are some of the routine treatments after surgery, and there is no need to worry about them。。。。。。 ”

Perhaps because Ling Feifei suffered some hardships during the operation, Tian Lu's explanation was extraordinarily patient and detailed, which made her parents nod their heads frequently after listening to it.

After explaining to the two of them, thinking that there was no problem, Tian Lu leaned down and smiled at Ling Feifei, who was still a little weak: "Don't think about anything, rest well, in a few days, you will be able to be discharged alive。。。。。。 ”