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Because of a word from the patient's family, Jia Chengjin decided to perform surgery for the patient!

This decision is the only way to save the patient's life, although the success rate is less than 10%, but Jia Chengjin still did it without hesitation!

I have to say that in such a situation, a large number of doctors will not choose surgery, because the risk of surgery is too great, and it is very likely that the patient will die directly on the operating table, so that the surgeon will have to bear extremely huge pressure!

This pressure will come from the patient's family, from the society, from the hospital, from colleagues, and from yourself!

Yes, once a patient dies, maybe only a few people know what happened, but the vast majority of people will not know why the patient died.

Is it because your condition has progressed to the point of no return? Or is it because of the surgeon?

Obviously, the vast majority of people prefer to accept the last possibility!

Without being a doctor, it is difficult to understand the pain and pressure of doctors, and the people around you only see the doctors on top, but they can't see a lot of hidden things!

As a doctor, the greatest achievement is to pull patients back from the line of death, but how many people can really do it?

However, Jia Chengjin still decided to do it, and at that time, he also planned for the most serious consequences in his heart!

However, although the operation is agreed, the things that should be explained still have to be explained, and the documents and corresponding procedures that should be performed still have to be done!

As a result, Jia Chengjin repeatedly explained to his family the possible consequences of the operation, although the cure is one thing, but the probability is extremely low, and the more likely is that the patient will not be able to get off the operating table directly!

But at this time, how can the patient's family have the heart to listen to Jia Chengjin's explanation? He quickly signed all the medical documents handed over by Jia Chengjin, and then urged Jia Chengjin to hurry up the operation!

Seeing that everything has been prepared, the patient's blood sample has been collected and sent to the Department of Hematology, Laboratory Medicine, Biochemistry and Microbiology for relevant laboratory tests and examinations. Pen? Interesting? Pavilion wWw. ｂiquge。 infoSo Jia Chengjin immediately took the front line on duty, and called the chief doctor of the hospital, contacted the anesthesiology department in the operating room, and performed the operation urgently!

When the patient enters the operating room, the anesthesiologist measures the patient's blood pressure, and it cannot be detected at all, at this time the patient is already in shock and does not need too much anesthetic drugs at all, so the anesthesiologist quickly carries out tracheal intubation, ventilator to assist breathing, and at the same time, Jia Chengjin and others are also washing hands and disinfecting, wearing sterile surgical gowns, and going on stage for surgery!

Quickly opened the chest cavity, and a stream of blood spurted out like a sharp arrow, rushing up more than a meter high, spraying directly on the shadowless lamp above the operating table!

This is because the patient's blood is in the chest cavity, and the pressure in the chest cavity is too great, and when the chest cavity is opened, all the blood gushes out frantically along the crossing!

Seeing this scene, the faces of Jia Chengjin and all the doctors in the operating room became even heavier!

Because, everyone knows very well what such a scene is unexpected!

The patient's large blood vessels are damaged!

The large blood vessels adjacent to the heart are most likely the location of the aortic arch!

If the position of the aortic arch is damaged, it is even more tricky!

At this critical moment, the anesthesiologist showed his strong rescue and adaptability, immediately installed and activated the cardiopulmonary bypass machine, managed the patient's cardiopulmonary bypass, and ordered the itinerant nurse to turn on the autologous blood recovery machine to recover the patient's blood!

At this time, the patient's blood type has not yet come out, and the cross-matching blood test has no results, so he can only rely on autologous blood transfusion to save the patient's life!

Autologous blood comes from the patient itself, and there is no problem of cross-clotting, so it is extremely safe, and it is also the most convenient and effective!

As for the cardiopulmonary bypass machine, the venous blood from the body is directed to the outside of the body for oxygenation, and then infused back into the body, so that the blood can circulate around the body without passing through the heart and lungs.

The lack of blood flow in the heart provides the surgeon with the ability to cut the heart for direct surgery, which can greatly prolong the time of internal surgery. It makes it possible to perform some complex cardiac malformations, but it is necessary to have a well-functioning, safe and reliable artificial heart-lung device.

As the largest tertiary hospital in Quancheng, the Central Hospital is also quite famous in the country for cardiac surgery, so it is natural to have this equipment and technology.

After connecting the extracorporeal bypass machine and the autologous blood recovery machine, the vision of the operation immediately became clear, creating relatively good conditions for Jia Chengjin!

It's just that when Jia Chengjin saw the situation inside the injured man's chest, he gasped!

I saw that there was a knife wound in the left atrium of the injured person's heart, which had penetrated the surname, and the root of the aortic arch was also torn a hole!

It is these two wounds that cause the blood of the injured to flow outward, the function of the heart is affected, and the main organs of the body cannot get an effective blood supply, resulting in ischemia and hypoxia!

If you find the wound, the next thing is much simpler, as long as the location of the knife wound is not repaired!

This is the basic theoretical basis, but in practice, it is much more difficult!

Jia Chengjin is an expert in traumatic heart injury, and he is naturally familiar with these surgeries, and if things continue like this, this patient's life is likely to be saved!

However, things always happen with an accident!

Just when Jia Chengjin and his assistants were nervously carrying out the operation, they suddenly heard the anesthesiologist say anxiously in the audience: "Oh no, the patient has atrial fibrillation!" ”

Atrial fibrillation is the name given to a cardiac arrhythmia that needs to be corrected in time once a patient has atrial fibrillation, otherwise it can lead to cardiac arrest.

At this time, the patient has atrial fibrillation, which can be said to be worse, Jia Chengjin is a senior cardiac surgeon, and when he hears this, he naturally knows what it means!

As a result, Jia Chengjin immediately stopped the operation, and the anesthesiologist carried out emergency treatment under the stage, and gave amiodarone a large dose of continuous, slow, and high-dose bolus!

Amiodarone is a commonly used drug for the treatment of atrial fibrillation, which can correct the atrioventricular rate and restore the heart rhythm of the sinus surname, but it should be slow when taking the drug, otherwise it is easy to cause other arrhythmias and can cause drug poisoning!

Unfortunately, the atrial fibrillation has not been corrected, and after a minute, the patient's heartbeat suddenly stopped!

"Quick, do heart compressions!" Seeing this, Jia Chengjin hurriedly said a word loudly! Then reach out and hold the patient's heart and apply compressions!

(To be continued)