"Let's get started!" Sun Xiaotian took a deep breath and said.

Standing opposite Sun Xiaotian was the first assistant Tan Jie, while Lin Feng was standing in the position of the second assistant.

Seeing Sun Xiaotian speak, Tan Jie nodded, answered, and then picked up the scalpel and started the operation along the fourth and fifth intercostal spaces on the left side of the patient!

Blood came out the moment the scalpel cut through the skin, and Lin Feng, as the second assistant, immediately picked up the sterile gauze and gently dipped it off the oozing blood, so as to provide Tan Jie with a clean vision.

Generally speaking, such an operation, before entering the chest cavity, the chief surgeon Sun Xiaotian will not use the surgery, and everything is done by the first assistant Tan Jie. What the second assistant has to do is to maintain a clean surgical field for the surgeon, so that the surgeon can perform the operation faster and more accurately.

Generally speaking, intraoperative hemostasis is nothing more than using gauze pressure to stop bleeding, electric knife cauterization to stop bleeding, suture hemostasis and so on.

The first two methods of hemostasis are generally used to stop bleeding, and if the blood vessel is broken and bleeding, sutures are used to stop the bleeding.

If the tissue is oozing blood in a large area and it is difficult to stop the bleeding by the above means, then it is necessary to use gelatin compression to stop bleeding, or gauze tamponade abdominal cavity to stop bleeding.

A sharp scalpel cuts through the patient's skin, subcutaneous tissue, pleural cavity, and then enters the patient's thoracic cavity.

Entering the chest, the situation in front of him made everyone present take a breath of cold air!

I saw that the folding knife was pierced in the patient's left ventricle, and although the blood continued to flow out, the blood flow was extremely slow because the folding knife had not been removed.

This is still secondary, what really surprises everyone is that the folding knife just passes through the mediastinum and pierces the left ventricle, if the direction of the folding knife is slightly deviated, it will puncture the mediastinum, and it is very likely to damage the inferior vena cava, in that case, it will inevitably cause the patient to bleed and die on the spot!

Fortunately, this person's life should not be extinguished, although it is only less than a centimeter away, but this distance allows the injured to pick up a surname!

"It's dangerous!" Tan Jie couldn't help but exclaim when he saw this!

"Professor Sun, do I need cardiopulmonary bypass when I suture my heart for a while?" When the anesthesiologist saw the condition of the patient's heart, he also took a breath of cold air and asked.

Cardiopulmonary bypass, a unique means of cardiac surgery, is to transfer the patient's blood from the body through the instrument to the outside of the body, forming a presence similar to a heart pump outside the body, so as to provide blood and oxygen to various tissues and organs.

"Not at the moment!" Sun Xiaotian pondered for a moment and said.

The anesthesiologist just wanted to say a few more words, but suddenly saw Lu Changrong, the director of the anesthesiology department, standing behind him at some point, and shook his head at him.

The anesthesiologist immediately understood what the director meant, and immediately stopped insisting. Since the director has said so, then he can only obey, and when the senior physician is present, he needs to obey the command of the senior physician, which is the rule of the hospital.

"Professor Sun, can you take this knife now?" After cleaning up the surrounding blood clots and separating the surrounding tissues, Tan Jie asked.

"That's it! But you must be careful, you take it slowly from here for a while, and after you finish it, you ......" Sun Xiaotian explained to Tan Jie in detail how to take the folding knife, so that it would not cause more damage and there was no risk.

Tan Jie nodded in agreement, while Lin Feng took Sun Xiaotian's words to heart, and firmly remembered Sun Xiaotian's analysis.

I saw Tan Jie carefully hold the handle of the folding knife with his hand, and then according to Sun Xiaotian's instructions, he pulled it out violently!

"Poof!" A little bit!

Blood spurted out like sharp arrows!

It is precisely because of the blood that ejaculates from the broken left ventricle after the folding knife is pulled out!

The heart is a powerful "pump" of the human blood circulation, the body brings blood to the heart through the pulmonary circulation, carries out oxygen and exchange, and then transports it to various organs of the body through the systemic circulation, so as to meet the needs of each organ for blood and oxygen nutrients.

The key role in this is naturally the powerful "pump" of the heart!

Once the heart is damaged, it is equivalent to the pump is damaged, the heart blood supply is insufficient, the organs of the body can not get effective circulatory pressure and oxygen supply, the transient ischemia and hypoxia are acceptable, if the time is long, it will cause some organs of the body to occur due to ischemia and hypoxia and tissue cell necrosis.

Sometimes, even if the blood supply is restored in time, the blood flow will be accelerated due to the previous ischemia, resulting in ischemia-reperfusion injury, and the consequences are just as serious.

At the moment when Tan Jie pulled out the folding knife, the arterial blood pressure on the anesthesia monitor immediately dropped suddenly! Your heart rate will increase quickly!

The anesthesiologist couldn't help frowning when he saw this, but when he saw the operation being performed on the operating table, the anesthesiologist immediately understood what was going on, and he didn't rush to give the patient immediate blood pressure booster.

Sure enough, at the moment when the folding knife was just pulled out, Sun Xiaotian suddenly picked up the suture needle with his right hand and quickly sutured it towards the ruptured left ventricle!

I saw Sun Xiaotian's needle flying, and he quickly sutured the ruptured left ventricle!

Lin Feng was constantly sucking the blood spurted out of the left ventricle with a suction device, so as to maintain a clear vision for Sun Xiaotian!

Tan Jie was contaminated with a folding knife because the sterile gloves were contaminated, so he had to step down, brush his hands again, and wear sterile gloves again before he could go on stage to continue the operation.

"Awesome!" Lin Feng secretly praised in his heart!

Under Sun Xiaotian's fast and accurate suturing, the left ventricle rupture of the injured person could have a knife cut of about three centimeters, and in Sun Xiaotian's hands, it didn't take a minute to complete the stitching immediately, and there was no blood leakage!

At the same time, the patient's heart also stabilized, no longer beating as violently as just now, and the blood pressure slowly stabilized.

Seeing this scene, the anesthesiologist couldn't help but breathe a long sigh of relief. Originally, the anesthesiologist had asked if cardiopulmonary bypass was needed, but Sun Xiaotian directly refused at that time, and the anesthesiologist was still a little unimpressed, but at this time, it seems that the reason why Sun Xiaotian said this is that he is absolutely sure, otherwise he would never have taken such a big risk!

"Okay, you can do the rest, right?" Sun Xiaotian glanced at Tan Jie, who was standing on the stage with his hands again, and said.

"That's it! Professor Sun, please take a break! Hearing this, Tan Jie hurriedly nodded in agreement.

Seeing this, Sun Xiaotian nodded with satisfaction, then stepped off the operating table and sat down on a chair next to him.

Seeing Sun Xiaotian leave the operating table, Tan Jie glanced up at Lin Feng, and suddenly lowered his voice and said, "Xiaolin, you come!" ”

"Huh?" Lin Feng was stunned for a moment, and then there was a burst of joy in his heart!

(To be continued)