Section 122 Self-created tricks
Lin Jingxue's situation is similar to that of a patient before him, the lungs have a strict infection, almost lost respiratory function, even with the help of a ventilator, the oxygen intake can not meet the oxygen supply needs of the organs, but the president of Venezuela at that time had complications of lung infection after tumor surgery, and Lin Jingxue had a lung infection under the invasion of the virus, Qi Buyang knew that this operation could not cure Lin Jingxue's disease, but temporarily rescued her from the ghost gate.
Sun Yali said helplessly: "Removing the left lung, I don't think there is any other way." β
Qi Buyang responded: "No! It is not necessary to remove the left lung, and bronchoplasty angioplasty can be used to dissociate the bronchoplasty. β
Sun Yali looked puzzled, she had never heard such a complex term after so many years as the director of the respiratory department.
Qi Buyang saw Sun Yali's puzzled expression and explained: "This is a clinical operation that has not yet been widely used, and it is the same as left lung resection, which allows the patient to breathe normally through bronchoplasty and angioplasty. β
Sun Yali asked, "What about the left lung?" β
Qi Buyang explained: "The left lung retains blood supply and activity, and does not assume respiratory function for the time being. β
Sun Yali asked: "Then the left lung is not completely out of function, what is the use of keeping it?" β
Qi Buyang said: "Of course it works, wait for Director Lin's lung infection to subside, and then pick it up again." "Qi Buyang did it once, and it succeeded, so he has confidence.
Sun Yali seemed to still have doubts, would this be the time to discuss research, Qi Buyang no longer explained, and said loudly: "Do it, you do what I say." As he spoke, he began to carefully separate the bronchi and pulmonary blood vessels to avoid loss during surgery, while the free bronchi and trachea avoided excessive separation, and the general standard was kept at one centimeter, while Qi Buyang control zhì was half a centimeter.
It is often said that the surgeon's hand is the most dexterous and delicate hand in the world, and when I saw Qi Buyang's hands, I knew what was dexterous and what was delicate.
Sun Yali felt that she was redundant, and she couldn't help at all, and under Dr. Qi's very smooth hands, helping by herself would add chaos and disrupt his order.
Sun Yali watched as Dr. Qi began to free the hilar structure, using unconventional techniques to cut and ligate the vagus nerve branches leading to the hilum and the blood vessels in the lungs, the only difference was that the lower lung ligaments were not severed, which was probably what he called lung preservation.
Seeing such a thrilling and delicate technique, the cold sweat on Sun Yali's forehead dripped down in a flash, and the nurse next to her hurriedly wiped it off for her.
Sun Yali finally opened her eyes today, and learned what is a real surgical saint, and her more than ten years of clinical experience in clinical surgery is really not a star worse than this Dr. Qi.
After the dissection and dissociation of pulmonary vessels and bronchi, Dr. Qi treated them one by one, and the order of treatment was generally first the pulmonary artery, then the pulmonary vein, and finally the bronchial tube, putting the most difficult structure in the last step, but Dr. Qi came the other way and solved the most difficult part in three strokes and two strokes, as if the most difficult part was actually the easiest to deal with in his hands.
Sun Yali's eyes were staring at the extraordinarily dexterous scalpel in Dr. Qi's hand, and her forehead was covered with fine sweat again, this was really too dangerous, Dr. Qi didn't follow the rules and regulations at all, it was like a simple hand, and he could move wherever he wanted.
Sun Yali felt that she should remind Dr. Qi to do this, the risk factor was too high, but she felt that this would not disturb Dr. Qi's thoughts loudly, his movements were so fast, and his brain was naturally full of information.
Just when Dr. Qi was doing right bronchoplasty at Director Lin, a blind voice suddenly came from the center monitor, and the nurse said nervously: "The patient's heart has stopped!" β
Qi Buyang's face was expressionless, and there was no pause in the movements of his hands, this kind of surgery is inherently very risky, and the patient is very likely to die on the operating table, Qi Buyang will have no time to deal with the fear and panic that may emerge, and said calmly: "Special effect booster!" β
The cardiac injection went down, but it still had no effect, Qi Buyang freed up one hand to manually press Lin Jingxue's heart, and the other hand still did not stop, the longer the operation, the greater the bleeding, the more dangerous.
This is Sun Yali Seeing that Dr. Qi was doing two surgeries alone, but she kept standing, and said loudly: "I'll do artificial cardiac resuscitation for her, and you continue the operation." β
Qi Buyang glanced at Sun Yali, nodded, and gave up his hand trustingly.
After a while, Sun Yali shook her head at Doctor Qi in disappointment, Qi Buyang glanced at the central monitor that had been making a blind sound, and asked, "Does anyone have something sharp like a silver needle in their hand?" β
The nurse immediately looked around her, and one of the nurses asked, "Doctor Qi, is scissors okay?" β
Qi Buyang responded: "It's too thick." β
At this time, a nurse asked, "Is it okay to wear hairpins?" β
Qi Buyang responded: "Yes." As he spoke, he took the hairpin that the nurse took out from his coat pocket and pricked it hard in Lin Jingxue's chest.
The people around immediately exclaimed when they saw this scene, and they only felt that Dr. Qi was murdering, but what was surprising was that the central monitor suddenly made another sound, and the patient's heart was beating again.
During the time when the patient's heart stopped beating, Dr. Qi did not exclaim at all.
Sun Yali, who was tired and sweating profusely, glanced at Doctor Qi cautiously, only feeling that this man was not like a mortal at the moment, and he didn't feel the slightest emotional fluctuation from him.
Qi Buyang said in a deep voice: "The operation will end in about half an hour, if it is not over in half an hour, immediately give the patient another special heart booster injection." β
Qi Buyang glanced at the pale and beautiful face under the oxygen mask, his heart was tugging, his eyes were extraordinarily full of tender love, and this scene was not seen by anyone.
Everyone present still thought that Dr. Qi was calm and ruthless, he was covered in blood, and his mechanical and familiar movements were like a butcher, giving people a cold and cruel taste visually.
Seeing the most critical time, Sun Yali stared at Dr. Qi's dexterous hands with some nervousness, if these key steps are completed in a short time, the survival rate of the patient will be higher, if it is delayed for a few minutes, the survival rate of the patient will immediately drop to eight percent, which is an accurate number confirmed by years of clinical experience, and a top surgeon will be excellent to every subtle part.
Sun Yali, who was standing by and watching, felt a strong pressure, her face became a little pale due to nervousness, and her thoughts just followed the movements of Dr. Qi's hands, she felt extremely exhausted, and it was hard to imagine if she was in charge of the surgery, whether she would be able to support it.
In fact, if Sun Yali was in charge, she would not feel such a huge pressure, but this proposition that she was familiar with, the difficulty and complexity of Cheng DΓΉ were instantly upgraded by Dr. Qi several grades, this is definitely a top surgery at the international level, of course Sun Yali can't deal with it, so she feels a strong pressure, and this operation involves the life and death of the surgical patient.
Half an hour passed, Lin Jingxue's heart weakened again, Sun Yali immediately became nervous, her eyes were red, and she immediately shouted: "Special effect booster!" β
Dr. Qi predicted this situation in advance half an hour ago, and the nurse had already prepared a special heart booster, and although the rescue was tense, it did not seem panicked at all.
Suddenly, the central monitor made a blind sound, this is the second time, this sound is very familiar to doctors and nurses, and they are also very sensitive to this sound, which means that a life has left, several nurses in the face of strong pressure, their eyes are red, helplessly look at Dr. Qi, whose hands are as dexterous as flowers and butterflies, but Dr. Qi doesn't care about these at all, and is still doing his own surgery, as if the blind sound of the central monitor is just an ordinary phenomenon during the operation.
Sun Yali felt that she should stand up at this time, share the pressure of Dr. Qi's operation, press her hands on Lin Jingxue's chest, and perform artificial cardiac resuscitation on her, and after 30 seconds, under the effect of the special cardiac injection, the heart beat again.
The doctors and nurses snatched Lin Jingxue, whose hand was taken away by death, again.
The doctors and nurses, including Sun Yali, breathed a sigh of relief, only feeling that they had done a great thing, and only Dr. Qi was still so calm and cold.
It's not that other people haven't participated in this type of major surgery, but they have never felt such pressure, and the big spirit is going to collapse, yes, they are going to collapse, fortunately, there is a stable Dr. Qi in charge, becoming their spiritual pillar, only feel that with Dr. Qi, every difficulty will be solved, a chief surgeon can give nurses and assistants strong confidence, which is also an ability.
Seeing that Dr. Qi did not carefully check whether the tendons, lungs and chest wall adhesions were separated for bleeding, Sun Yali began to suture the upper and lower intercostal incisions with absorbable sutures, which did not meet the operating specifications, because after the end of this operation, postoperative thoracic hemorrhage generally occurs, and there are many reasons, the chest wall, diaphragm and pleural adhesion separation and separation of hemostasis are not complete, and the negative pressure in the chest cavity forms to lead to bleeding. Bleeding from muscle and vein injury. Bronchial artery hemorrhage. Pulmonary artery and pulmonary vein ligation line knots slip and lead to massive bleeding, so he reminded; "Doctor Qi, you should check it carefully, if there is postoperative bleeding, it will be troublesome." The whole operation process was so dangerous and perfect, Sun Yali didn't want a small negligence to end up giving up.
Sun Yali's worries were not unreasonable, but her habitual thinking forgot an important point, the chief surgeon was Dr. Qi, how could such a top surgeon make such a mistake.
It's just that while Sun Yali was speaking, Qi Buyang had already begun to suture the muscles, subcutaneous and skin layer by layer.
Qi Buyang took the time to respond: "I have already checked. β
Sun Yali was surprised, and blurted out, "When?" β
Qi Buyang didn't answer again, he was greatly relieved in his heart, and there was only one thought in his mind: "The person has been rescued!" She's not dead yet! β
Sun Yali on the side was still surprised, this Dr. Qi's medical skills can't be explained by common sense, she has never met a doctor with such a superb operation, even in some surgical videos performed by top international surgeons, she has never seen it, and this Dr. Qi is still so young, this is an unbelievable thing.
Qi Buyang said: "Okay, push it to the ICU ward for observation and treatment, and notify me immediately if there is any abnormality." After saying this, Qi Buyang felt that he was a little light and unstable, he hadn't rested at all these days, and just now he had such an extremely draining surgery, and his mental state was in a highly concentrated state of tension just now, which would relax, and his weak physical state would immediately appear.
A nurse saw that Dr. Qi was standing unsteadily, as if she was about to faint, so she hurriedly stepped forward to help her, and said with concern: "Dr. Qi, how are you?" β
Qi Buyang smiled gratefully at her and responded, "I'm fine, I'll leave the rest to you, I'll go back to the office and take a rest." Qi Buyang also knew in his heart that this physical condition needed enough rest, and he had to take the time to go back and rest in order to have the energy to deal with the next series of unexpected possibilities.
Dr. Qi's smile, looking at the nurse's eyes, I only feel that this is the warmest and most moving smile in the world, is this still the ruthless Dr. Qi just now, a little distracted, Dr. Qi has already taken off his mask and walked out of the operating room quickly.
Sun Yali and the nurse looked at Dr. Qi's back, Dr. Qi's appearance just now had won enough respect in their hearts, this kind of manly charm that conquered people's hearts was not comparable to those flattering rhetoric.
Qi Buyang walked out of the operating room and took a strong breath of air, as if he had returned to the land from the peak of thin oxygen.