Chapter 118: The Mountains and Rivers Are Exhausted
Chapter 118 The mountains and rivers are exhausted
The little nurse Li Ying probably couldn't bear such a big psychological pressure, so she suddenly ran to the corner of the operating room, took off her mask and retched. Lying on the operating table is her mother, and you can imagine how much psychological pressure she is under at the moment.
Liang Ling, who had always been very calm, was obviously affected by Li Ying, and suddenly turned around, and her body trembled violently.
Later, the blood vessel was clamped with a hemostat, the fish bone was successfully removed, and then the blood vessel damage was treated, and the operation was almost half successful.
The question is, is a qiē really as smooth as it thinks? If it did, the experts wouldn't have given a 30 percent success rate.
As a surgeon, Liang Ling certainly knows what happens if something happens when taking fish bones. Although she has made some plans, those plans can only solve some simple problems, those unforeseen accidents, and they are not within the scope of her experience as a fledgling surgeon.
What's more, it's an illegal black surgery.
"With me here, don't be afraid. No matter what difficulties we encounter, we will face them together and overcome them together. Qi Bo walked over and gently grabbed Liang Ling's trembling hand.
With a strong vascular adhesive, he is very confident at the moment. Of course, in this case, she can't sue Liang Ling, so as not to disturb her mood. If a qiē is smooth, maybe this vascular adhesive will not be useful at all?
Liang Ling gently leaned into Qi Bo's arms, and her eyes were closed. It was the first time she had leaned into his arms, and she wanted to draw from his arms the courage she needed to keep going.
Qi Bo gently patted Liang Ling's back, trying to calm her down.
Under Qi Bo's reassurance, Liang Ling's feelings gradually calmed down, she looked up at Qi Bo deeply, then turned back to the operating table, and began to work on removing the fish bones.
Qi Bo walked over and paid close attention to the progress of the operation, the bottle of vascular adhesive was on standby in the inventory at any time, if Liang Ling had an accident when taking the fish bone, it would be up to the bottle of vascular adhesive to save his life.
Liang Ling was surprisingly calm at the moment, carefully carrying out the relevant cāo work, and it took about ten minutes to finally take out the fish bones safely. Because the cāo was done correctly and the treatment was stopped, there was no rupture of blood vessels and massive bleeding during the whole process.
Liang Ling pinched the fishbone that caused the accident with surgical forceps, took it to the front and looked at it carefully, and breathed a long sigh of relief, the operation has been carried out so far, almost half of it has been successful, and the dawn of victory is already beckoning to her.
Liang Ling's cousin Li Ying also came over to look at the fish bone, and then saw the situation in her mother's chest, knowing that the operation was close to success, and she was so excited that tears were about to fall at this moment.
"Congratulations, you are a great surgeon!" Qi Bo immediately congratulated Liang Ling, because she handled it properly and successfully performed the pricking cāo work, and the vascular adhesive really seemed to be useless.
Could it be that the system of lack of morality is wrong in prediction?
Sometimes the word happiness and sorrow is specially prepared for the present situation. The system has not made any prediction mistakes until now.
Originally, the arterial bleeding that did not occur during the puncture removal process occurred half a minute after the successful puncture treatment of the blood vessels!
The bleeding was not much, it was oozing little by little, and after some intense treatment and diagnosis, Liang Ling's face turned white: "It is likely that the aortic sinus aneurysm has ruptured!"
"Aortic sinus aneurysm rupture?" Qi Bo couldn't help but frown.
A ruptured aortic sinus aneurysm is a rare congenital heart disease. It is due to the local dysplasia of the aortic wall on the basal fibrous ring of the aortic sinus at the root of the aorta, the lack of median elastic tissue, the weak wall of the tube, and the impact of high-pressure blood flow for a long time, and gradually bulging outward.
The apex of the tumor is the weakest, and if it ruptures, it usually rupture into the right ventricle and, rarely, into the right atrium. It is easy to lead to right heart failure.
"Now this situation must be surgically removed immediately!No wonder her body is so weak......" Liang Ling judged and said to Qi Bo, her whole body trembled again.
This time it's not because of nervousness, it's because the situation is too dangerous!
"Can you do it now?" Qi Bo paid close attention to the situation in the chest cavity of the surgical patient, and when he didn't figure out what the aortic sinus aneurysm had progressed to, he couldn't just spray the vascular adhesive, which would only cover the lesion and delay the condition.
That thing had to be cut off to solve the problem.
"It's a complicated operation...... It is necessary to perform after cardiac arrest with the cooperation of cardiopulmonary bypass, cut the root of the ascending aorta and remove the aneurysm from the base of the sinus for suturing, and also use a stent to complete the operation, otherwise hemostasis cannot be completed. There are more than 30,000 domestic stents, more than 70,000 imported stents, so many preparations, it will take at least a few hours......" Liang Ling's body trembled violently, and the situation she was facing now was no longer within the scope of what she could do.
The most important thing is that now the aortic sinus aneurysm has been ruptured, and it will definitely not work if it is not treated immediately, this thing has been stored in Aunt Zhou's aorta before, but it has not had an attack, and it is estimated that it was in the process of taking the puncture just now, which stimulated the aortic sinus aneurysm, and led it to burst in advance.
This situation is really dangerous!
"Performed under cardiopulmonary bypass cardiac arrest?" Qi Bo also frowned, the current conditions must not allow the operation to continue, but ...... There seems to be no turning back for the trio.
"What should I do?" Liang Ling's cousin realized the severity of the matter, and became extremely panicked, and the instrument in her hand also fell to the ground.
Liang Ling took off her gloves and reached out to cover her face. At this moment, she is obviously at the end of her rope. She had already realized that because of her recklessness, her aunt would most likely die at her hands today.
"Don't panic, I have a way!" Qi Bo raised his voice and said to the two of them.
The two daughters, who were in despair, looked at Qi Bo together, what could he do in this situation? Even if an experienced surgeon came over, he would still need to re-prepare for the operation for several hours.
However, Qi Bo's words obviously calmed down the second daughter in despair quickly.
"If it's in the case of a patient's cardiac arrest, how long can you complete the excision?" Qi Bo asked Liang Ling, now that they had no way out, they had no choice but to take risks.
"Cardiac arrest?" Liang Ling couldn't help but feel a little flustered, it was a big cāo work with cardiopulmonary bypass.
"Don't worry so much, just focus on answering the questions I asked!" Qi Bo asked Liang Ling in an accentuated tone.
"I've never had this kind of surgery...... Fastest ...... It will take one or twenty minutes, right? Even in the state of cardiac arrest, this is impossible! The blood pressure and blood flow in the aorta are still terrifying......" Liang Ling was a little incomprehensible to Qi Bo's words.
"I will help you bond the blood vessels to stop bleeding while you are operating, and try to keep the blood flow control in the smallest range, we still have 200 plasma here, which should be enough. Can you speed it up a little bit more, and complete the operation in less than five minutes?" Qi Bo asked Liang Ling.
He had just made a preliminary estimate that the patient's blood loss should be within 200 at this time. And five minutes is the limit time he can make Aunt Zhou's heart stop.
"I can't do it......" Liang Ling shook her head, she was still confused, and she couldn't understand Qi Bo's plan at all, which was beyond the medical knowledge she had mastered.
"You can do it! You only think about the excision! Don't worry about anything else! Cardiac arrest and recovery, hemostasis, arterial sutures, and everything else are in my hands! Don't you believe me!?" Qi Bo grabbed Liang Ling's shoulders and roared at her.
In the last week, I rushed to the list, but I didn't expect this book to fall from the weekly member click list during the strong push period, and the weekly recommendation list did not climb up. I implore my brothers and sisters to click on this book more when they are logged in, you need to click into a certain chapter and stay for a few seconds to be considered a valid member click, you can click again every six hours, the old devil weeps blood and asks for the support of brothers and sisters!!