Dong Chunshen is a relatively calm person who has seen the world, but at this moment, he is continuously shocked.

Qi Buyang nodded again, took two plans, and put them in front of the two.

Yu Heli said: "Isn't this the surgical plan that Dr. Qi had earlier?" ”

Qi Buyang nodded and said: "I have already explained the operation process to the two of you in detail earlier, this time is relatively rushed, the two of you know better, and I don't need to spend time on this." ”

Dong Chunshen immediately felt a little less confident after hearing this, and said, "Doctor Qi, there are many things about your surgical plan that I still can't fully understand. ”

Qi Buyang said: "It's okay, we are only responsible for the operation of the operation, and other doctors are responsible for the rest." ”

Yu Heli heard the words and looked at the serious foreign doctors present, only thinking that they would be the soldiers who were fighting where Dr. Qi pointed out, and could only obey the arrangement, without any right to speak, and glanced at Dr. Qi, in addition to shock, admiration, and even worship, in any international medical conference, Dr. Huaxia has always played a dispensable role, and if it is not good, it is indiscriminate, and even cheeky with the purpose of showing his face, but this time is completely different.

Although Qi Buyang said this, Dong Chunshen was still not confident, and said honestly: "Doctor Qi, I actually have a lot of doubts about the surgical operation. ”

Qi Buyang said with a smile: "It's okay, I'll solve the doubts and difficulties, you guys are familiar with the operation process again, have a bottom in your heart, don't be busy and messy when the time comes." ”

"Okay." Yu Heli was aroused with confidence, how could such surgical experience be missed, didn't Dr. Zhang Guosheng do everything possible to become Professor John's assistant in the first place?

The role of the assistant is to free up another pair of hands to help the surgeon solve some simple surgical operations.

Dong Chunshen looked at Yu Heli with some surprise, not knowing where Dr. Yu's confidence came from.

Yu Heli said with a smile: "Professor Dong, the chief surgeon is Dr. Qi, we are just assistants." ”

Dong Chunshen realized that the assistant actually obeyed the orders of the chief surgeon, and the chief surgeon said that they would operate as they wanted.

Dong Chunshen is not old-hearted, he helped his reading glasses and concentrated on entering the state.

A foreign doctor walked into the conference room with a document in his hand and came to Qi Buyang, "Doctor, this is the latest monitoring of the patient's pulmonary arteriole resistance index, take a look." ”

Yu Heli asked: "To monitor the pulmonary arteriole resistance index, don't you have to do right heart catheterization?" ”

Qi Buyang responded simply; "This is a relatively backward method, and now the right heart and pulmonary angiography can be monitored."

This is the world's cutting-edge medical technology, but Yu Heli is still used to the domestic set, his face is red, and he suddenly feels that he seems lonely and unheard, fortunately, others do not understand Chinese.

After Qi Buyang responded, he looked at the examination report, and the number of examinations showed that the patient's pulmonary arteriole resistance index was less than 6 Woodunit per square meter, and the ratio of pulmonary circulation resistance to systemic circulation resistance was greater than 0.5.

The foreign doctor didn't speak, waiting for Qi Buyang's answer, didn't he say that he couldn't ask questions? This will be unconvinced, a bit of a deliberate difficulty, Qi does not taste.

Qi Buyang quickly finished reading it, closed the information, handed it back to the foreign doctor, and said lightly: "Use targeted therapy for pulmonary hypertension until the pulmonary arteriole resistance index is within a controllable range." ”

Qi Buyang said a general treatment aspect, but did not explain the detailed drug treatment, seeing that Dr. Yang did not respond, Qi Buyang asked: "Can it be handled?" ”

Doctor Yang replied, "Yes, I'll let you know when it changes." He turned and left.

In fact, it is not easy to deal with this problem, and it requires a series of tedious operations to increase the patient's blood oxygen saturation, reduce pulmonary artery pressure and pulmonary arteriolar resistance.

Yu Heli was secretly surprised. Dr. Qi only said a general treatment and threw the problem to this foreign doctor, if in China, I am afraid that a large number of experts will meet and discuss for half a day to come up with the plan, and then actually operate.

Of course, Yu Heli believes in the ability of this foreign doctor, but this way of working, such efficiency, makes it difficult for him to adapt for a while.

There were too many surprises and surprises, which had made Dong Chunshen and Yu Heli forget about their surprises for a while, and they became so reasonable in unexpected things.

One night passed, one night of work, but everyone's spirit was still excited.

At 8 o'clock in the morning, all the preoperative examinations have been done, and the preoperative preparations are ready, and the time is ready for the operation.

It's really hard to imagine that it takes just one night to do such a tedious and complicated work, which may not be able to be completed even if you prepare half a month in advance, even in a world-renowned hospital like Johns Hopkins General Hospital, which only takes two or three days to prepare.

Qi Buyang let others know what it means to be impossible, and also conquered those foreign doctors and nurses who had doubts about his ability earlier, Qi Buyang's appearance for a night has been full of his ability in this area to be superior, the facts are in front of him, and if you don't want to believe it, you have to believe it.

Most of the doctors and nurses are still quite calm, and the one who is more nervous is Xu Baixian, whose expression is like before the decisive battle.

One problem is that the lung organs for transplantation have not yet been delivered.

Xu Baixian asked anxiously, "Doctor Qi, why haven't the organs been delivered yet?" ”

Qi Buyang looked at the time and said with a smile: "Isn't there still time?" ”

Xu Baixian said: "But there is less than an hour left." ”

Qi Buyang smiled: "Don't worry, they are very professional, unless you ......" said and suddenly stopped, thinking that it was better not to say some nonsense to scare Xu Baixian.

Xu Baixian became even more nervous when he heard that Qi Buyang wanted to speak and stopped, and asked, "Unless what?" ”

Qi Buyang didn't answer, and said with a smile: "Don't worry, the operation will definitely be successful." ”

In fact, most doctors do not know how the surgeon solves the problem of Eisenmenger syndrome during the operation, there is no way to solve this problem, once the operation is performed, the patient will die immediately, and he is very confident in the part he is responsible for.

At around 8:30, the lung organs for transplantation were delivered, and Xu Baixian temporarily sent a sigh.

Qi Buyang said; "Alright, it's almost time to get started."

Xu Yiren had been sent to the operating room at half past seven in the morning, including ECG monitoring, internal and external bypass machines and other large medical equipment had been energized.

As soon as nine o'clock arrived, Qi Buyang brought Dong Chunshen and Yu Heli, as well as the nurses who participated in the operation, into the operating room, and the patient had been under general anesthesia ten minutes earlier.

Dong Chunshen just stepped into the operating room, and saw the advanced medical equipment that was not available in China, and at the same time he was a little dizzy while opening his eyes.

The anesthesiologist said to the chief surgeon: "The patient is under general anesthesia and can perform the operation at any time." ”

Qi Buyang nodded, and then coughed lightly, but this cough was a little sensitive in the atmosphere of Yan Sù at this moment.

Qi Buyang said: "After five minutes, the knife will be opened, first the heart, then the lungs, to protect the bilateral septal nerves, vagus nerve and recurrent laryngeal nerve." ”

A foreign nurse was instructed in advance to bring over a brocade box containing silver needles for acupuncture, which seemed so out of place in front of these advanced modern medical equipment.

Many foreign nurses were confused, but Dong Chunshen and Yu Heli were very surprised, and a word immediately came to their minds, acupuncture!

I saw Qi Buyang put a silver needle in his right hand and put the needle under the body of Xu Yiren, who had been anesthetized, and even Dong Chunshen and Yu Heli, who were Chinese, couldn't see through it, and those foreign nurses were even more puzzled, and they didn't know what the chief surgeon was doing?

This is Qi Buyang's solution to Eisenmenger's syndrome can not be operated, through guò acupuncture to stimulate arterial blood vessels to expand and contract, solve the problem of bidirectional and reverse blood shunt, so that the systemic pressure can reach the standard of operable, it seems unbelievable, but it is the profound magic of Chinese traditional Chinese medicine, probably no one thought of doing this, Qi Buyang is a special case, so he can think of this solution.

Qi Buyang instructed: "Don't touch these silver needles during the operation." "This will play the same role as advanced medical equipment, and the silver needles will be no different from the power failure of medical equipment.

"Knives." A foreign nurse immediately handed the knife to the surgeon.

The beginning was a little sudden, and Dong Chunshen and Yu Heli, who were assistants, immediately approached and participated in the operation.

Qi Buyang said: "Cut the heart first, then the lungs, protect the bilateral septal nerves, vagus nerve and recurrent laryngeal nerve, minimize the operation time, and reduce the risk of surgery." While speaking, the knife in Qi Buyang's hand was already in the middle of the patient's sternum, cutting through the skin and subcutaneous.

Qi Buyang said: "Help split the sternum." ”

With the help of the two men, the sternum is split, and the operation proceeds to open the pericardium, expose the heart, and remove the blood vessels and nerves that are free around the aorta.

The nurse is responsible for handing over the knife to stop the bleeding. At the same time, the number of instruments was closely monitored, and I was worried that the patient would die as suddenly as expected, but this moment never happened. I1387